Académique Documents
Professionnel Documents
Culture Documents
You can download back issues (2005 - 2010) of this newsletter at: http://hiv-prg.org/en/newsletters
Table of Contents:
BOOKS ................................................................................ 4
Planning Sustainable Cities - Global Report on Human Settlements 2009 ............................ 4
Building Cities: Neighbourhood Upgrading and Urban Quality of Life .................................... 4
Economic Report on Africa 2010 ............................................................................................ 5
Science and Innovation for Development ............................................................................... 5
TRAINING OPPORTUNITIES............................................ 27
Laboratory Diagnosis of Malaria ........................................................................................... 27
CONFERENCES................................................................ 28
Harm Reduction 2010: IHRA’s 21st International Conference.............................................. 28
CARTOON ......................................................................... 28
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Global funding offers developing countries the opportunity to significantly improve their
health services. However, many of the countries affected lack the expertise and struc-
tures needed to submit viable project proposals and put the money acquired to effective
use. This is where the German BACKUP Initiative offers assistance. The aim is to en-
able government and civil society partners to use global financing more efficiently in or-
der to implement measures for controlling HIV, tuberculosis and malaria in an effective
and sustainable way.
Read also:
BACKUP Newsletter Issue No. 10 - April 2010
Quarterly news on developments within the German BACKUP Initiative
4 pp. 88 kB:
http://www.gtz.de/de/dokumente/gtz201004-en-backup-news.pdf
BOOKS
Planning Sustainable Cities - Global Report on Human Settlements 2009
***
The efforts of governments to reach the Millennium Development Goals have resulted in
***
The current global economic crisis has demonstrated the vulnerability of Africa to the
fortunes of the global economy. It has also demonstrated that Africa cannot rely on ex-
ternal sources to finance its development in a sustainable way. There is therefore a
need for African countries to increase their efforts to mobilize domestic resources to fi-
nance development. In the final analysis, Africa’s development is the responsibility of Af-
ricans, and the argument that Africa is a poor continent that cannot finance its own de-
velopment is getting tired.
***
Using the Millennium Development Goals as a framework the book demonstrates the
value of science in combating hunger, improving health, achieving environmental sus-
tainability and adapting to climate change. Science is only one of many factors which
can contribute to development, but the authors want that factor to be well understood.
The book clearly presents numerous innovations that are helping to increase agricultural
production combat hunger and improve health.
ONLINE PUBLICATIONS
HIV - AIDS - STI
***
***
by Eleanor Gouws
South African Centre for Epidemiological Modelling and Analysis (SACEMA), April 2010
3 pp. 31 kB:
http://www.sacemaquarterly.com/docs/HIV_by_mode_of_transmission_Gouws.pdf
***
by Thomas McWalter
South African Centre for Epidemiological Modelling and Analysis (SACEMA), April 2010
3 pp. 31 kB:
http://www.sacemaquarterly.com/docs/HIV_Incidence_McWalter.pdf
***
The likelihood of achieving the targets of the Millennium Development Goals for 2015
and universal ART access by 2010 are extremely low. A new window of opportunity may
have now opened, but there are many unanswered feasibility and acceptability issues.
In this paper, the authors highlight four key operational challenges linked to acceptability
and feasibility and discuss possible ways forward to address them.
***
by Brian G. Williams
South African Centre for Epidemiological Modelling and Analysis (SACEMA), April 2010
2 pp. 21 kB:
http://www.sacemaquarterly.com/docs/HIV_treatment_as_prevention_Williams.pdf
Behaviour change interventions have not brought about a sufficient reduction in HIV
transmission. The question is whether anti-retroviral therapy (ART), used to effectively
treat HIV patients, could also be used to stop transmission. This article discusses
whether treatment-as-prevention is feasible, by determining the extent to which ART re-
duces the infectiousness of HIV-positive people. Furthermore, it looks at whether this is
a realistic approach, by considering the levels of acceptance and compliance that might
be achieved, the cost of the drugs, the rate of development of resistance, drug delivery
and patient management.
***
by Britt Herstad
Futures Group, Health Policy Initiative, Task Order 1; August 2009
To what extent do the major funders of HIV/AIDS programs in developing countries use
past performance to guide decisions about future funding? A comparison of approaches
as practiced by the Global Fund to Fight AIDS, Tuberculosis and Malaria, the U.S.
President’s Emergency Plan for AIDS Relief, and the World Bank’s Multi-Country AIDS
Program for Africa in Mozambique, Uganda, and Zambia.
HIV and AIDS as a facet of sexuality is an area seeking more attention. It cannot be
adequately addressed through traditional health promotion or sexuality education pro-
grammes. It requires the nuanced personalised attention of sexuality counselling. As the
overview article states, sexuality counselling should not be confused with sexuality edu-
cation, although the two concepts are closely related.
Counselling is a vital part of comprehensive sexual and reproductive health services for
women, men and young people. Strong counselling skills have been identified as a ma-
jor area of capacity building to address key challenges in serving the needs of adoles-
cents/youth, combating HIV and AIDS, making abortion safe and increasing access par-
ticularly for the poor and the marginalised. Therefore, it is important to build the capacity
of the existing counsellors in dealing with trauma, counselling to address guilt and loss
of self esteem of the clients.
***
Although partially anecdotal, some evidence suggests that oral-genital contact is in-
creasingly excluded from young people’s notions of what behaviours constitute sex. The
authors conclude from this study that socio-cultural conceptualizations of oral-genital
contact have shifted in a way that may leave people who engage in this activity unmind-
ful of its potential health risks.
***
Healthy, Happy and Hot: A young person’s guide to their Rights, Sexuality
and Living with HIV
‘Healthy, Happy and Hot’ is a guide for young people living with HIV to help them under-
stand their sexual rights, and live healthy, fun, happy and sexually fulfilling lives. The
guide aims to give information on how young people living with HIV can increase sexual
pleasure, take care of their health, practice safer sex, have children, develop strong in-
timate relationships and access support.
***
Mention sex in most places on the African continent and you are likely to be met with
questioning glances. Venture into speaking about controversial sexual rights and you
are likely to cause a furore. But if we are to deal effectively with the HIV/AIDS pandemic,
these are issues we need to think about, whether we consider them vile or not.
***
***
by Mahua Mandal
International Youth Foundation (IYF), October 2009
The Planning for Life project sought to increase knowledge and skills on the integration
of youth reproductive health (YRH) and family planning (FP) in youth development pro-
grams on three levels: among International Youth Foundation staff, among IYF’s global
partner network, and through pilot projects. The four pilot projects were conducted in
Tanzania, India, and the Philippines and were intended to integrate YRH and FP into
youth livelihood, education, and HIV prevention programs. This document reports on the
final evaluation of the project’s effectiveness at all three levels of implementation.
***
This paper details the process and results of a service-delivery based training of com-
munity providers for Implanon insertion. The five-day training of health extension work-
ers (HEWs) provided over 2,700 women with implants. In the first two months after train-
ing the HEWs served an additional 4,500 women.
***
by Fionnuala Murphy
Interact Worldwide on behalf of Countdown 2015 Europe, 2009
This briefing is based on evidence gathered by Interact Worldwide in Malawi. The case
studies profiled here demonstrate that Malawian women and men want female con-
doms, and show that when female condom programmes are adequately funded and
properly run they do work. The final section recommends measures which European
governments could take to support scale up of female condom provision in Malawi and
elsewhere.
***
by Rosalia Sciortino
Asia Pacific Alliance (APA) for Sexual and Reproductive Health and
Rights, March 2010
The report reviews the provision of contraceptive services and commodities in South-
east Asia. It also assesses progress in achieving contraceptive security and meeting re-
productive health needs in countries of the region.
The study has demonstrated the effectiveness of community-based safe motherhood in-
tervention in promoting the utilization of obstetric care and a skilled attendant at deliv-
ery. This improvement is attributed to the trained safe motherhood promoters’ home vis-
its and the close collaboration with existing community structures as well as health ser-
vices.
***
Community mobilisation through participatory women’s groups might improve birth out-
comes in poor rural communities. The authors therefore assessed this approach in a
largely tribal and rural population in three districts in eastern India. They conclude that
this intervention could be used with or as a potential alternative to health-worker-led in-
terventions, and presents new opportunities for policy makers to improve maternal and
newborn health outcomes in poor populations.
***
***
There have been growing efforts to prevent cervical cancer in less-developed countries
through the development of innovative screening approaches such as visual inspection
of the cervix associated with same day management of cervical lesions with cryotherapy
or loop electrosurgical excision procedure (LEEP). When performed in resource-limited
settings by qualified providers, cryotherapy and LEEP are not associated with excess
harm. However, available data are insufficient to propose fully evidence-based protocols
for routine screening of HIV-infected women and women of reproductive age.
***
Women have a greater lifetime risk of dying in pregnancy-related causes in the USA
than in 40 other countries. For women of colour the risks are especially high. Despite
the huge sums of money spent on the health care system, women continue to face a
range of obstacles in obtaining the services they need. This report shows the human
cost of these systemic failures and highlights the steps that are urgently needed to
move towards a health care system that respects, protects and fulfils the human right to
health without discrimination.
***
This facilitator’s guide is designed to help those who wish to have conversations about
The report highlights 28 of the most pressing crises impacting children and women
around the world and the innovative partnership approaches to meet the needs of chil-
dren and families affected.
***
The main obstacles to improving newborn survival are that many babies are born at
home without skilled attendance, care-seeking for maternal and newborn ailments is lim-
ited, health workers are often not skilled and confident in caring for newborn infants, and
inequalities in all these factors are felt by those most in need. In this paper the authors
emphasise programs in which work with communities to identify problems and solutions
is a specific strategy to increase newborn survival.
Malaria
The gold standard light microscopy technique for diagnosis of malaria has high sensitiv-
ity, but is a relatively time-consuming procedure. This study tested the sensitivity and
specificity of a new diagnostic tool - the Cyscope® fluorescence microscope, which is
based on the use of Plasmodium nucleic acid-specific fluorescent dyes to facilitate de-
tection of the parasites even in low parasitaemia conditions. The Cyscope® microscope
was found to be sensitive, specific and provide rapid, reliable results in a matter of less
9 pp. 86 kB:
http://fieldresearch.msf.org/msf/bitstream/10144/95555/1/Long-
lasting%20insecticide%e2%80%93treated%20net%20usage%20in%20eastern%20Sierra%20Leone%20-
%20TM%26IH%20-%2015-04%202010-04.pdf
Médecins Sans Frontières (MSF) runs a malaria control project in Bo and Pujehun dis-
tricts of Sierra Leone that includes the mass distribution, routine delivery and demon-
stration of correct use of free, long-lasting insecticide-treated nets (LLINs). The results
show that MSF achieved good usage with freely distributed LLINs. It is one of the few
areas where results almost achieve the new targets set in 2005 by Roll Back Malaria to
have at least 80% of pregnant women and children under 5 years using LLINs by 2010.
***
The authors conducted a trial with sulphadoxine-pyrimethamine (SP) plus 3 days of ar-
tesunate (SP-AS3), 3 days of amodiaquine-artesunate (AQ3-AS3), or 3 days of short-
acting chlorproguanil-dapsone (CD3) administered at routine expanded programme of
immunization visits. They conclude that intermittent preventive treatment in infants (IPTi)
with long-acting regimens provide protection against clinical malaria for up to 8 weeks
even in the presence of high insecticide-treated nets coverage, and that the prophylactic
rather than the treatment effect of IPTi appears central to its protective efficacy.
***
Plasmodium vivax is the most widely distributed of the malaria parasites. Although vivax
malaria is generally not as serious as that caused by P. falciparum, the disease burden
Tuberculosis
The correct and effective use of chemotherapy for treating TB and latent tuberculosis in-
fection (LTBI) is an essential component for controlling the disease and preventing the
development of drug resistance. This Guide can help any physician, nurse, or pharma-
cist who participates in the management of patients with TB or LTBI.
***
Patients with human immunodeficiency virus (HIV) infection and tuberculosis have an
increased risk of death, treatment failure, and relapse. A systematic literature review of
active tuberculosis treatment in HIV-infected persons found very limited evidence. Meta-
analysis of the available studies demonstrated better treatment outcomes with longer ri-
famycin therapy, daily therapy in the first 2 months, and use of antiretroviral therapy.
***
Prospects for the Development of Odour Baits to Control the Tsetse Flies
Glossina tachinoides and G. palpalis s.l.
Field studies were done of the responses of Glossina palpalis palpalis in Côte d’Ivoire,
and G. p. gambiensis and G. tachinoides in Burkina Faso, to odours from humans, cattle
and pigs. The results suggest that odour-baited traps and insecticide-treated targets
could assist the AU-Pan African Tsetse and Trypanosomiasis Eradication Campaign
(PATTEC) in its current efforts to monitor and control Palpalis group tsetse in West Af-
rica.
Essential Medicines
Lifesaving drugs are not exempt from the trade in counterfeit medicines.
The World Health Organization (WHO) is working with Interpol to dislodge
the criminal networks raking in billions of dollars from this cynical trade.
Social Protection
The publication describes the challenges and benefits of implementing social health re-
forms in a developing country, exploring health care financing, institutional reform, the
effects of political will on health care, and more. After more than a decade of implemen-
tation, health insurance in Colombia has achieved dramatic results in access, utilization,
and financial protection, particularly for the poor. The reforms have provided important
lessons not only for continued reform in Colombia, but also for other nations facing simi-
lar challenges.
***
International aid agencies and governments are increasingly giving cash payments as a
way to provide relief to people after disasters. The use of cash, as opposed to ‘in kind’
assistance, is a relatively new approach. Aid agencies are at the early stages of devel-
oping guidelines, policies and organizational capacity to implement cash projects. This
report documents lessons learned from previous experience and provides guidance for
project managers needing to make choices about how best to deliver cash to people.
***
The baseline study and the analysis described in this report have proven the need for
health insurance, and the feasibility of launching community based mutual insurance in
the Banke and Dhading districts of Nepal. Levels of willingness to pay for health insur-
ance, while modest, make it possible to form several options of a benefits package, al-
lowing prospective clients to choose according to their priorities.
Human Resources
A systematic review of task shifting for HIV treatment and care in Africa
Task shifting, or delegating tasks performed by physicians to staff with lower-level quali-
fications, is considered a means of expanding rollout of antiretroviral therapy (ART) in
resource-poor or human resources for health (HRH)-limited settings. The main chal-
lenges to implementation include adequate and sustainable training, support and pay for
staff in new roles, the integration of new members into healthcare teams, and the com-
pliance of regulatory bodies. Task shifting should be considered for careful implementa-
tion where HRH shortages threaten rollout programmes.
This paper summarises the key findings of six different health systems related assess-
ments conducted in Kenya. This is complemented by a brief analysis and suggested
measures to address some of the shortcomings and inequities that were frequently iden-
tified in the surveys. Despite the methodological limitations of the surveys and studies
examined for this paper, some coherent patterns emerged after the comparative analy-
sis that are summarized in the publication.
***
The Health Systems in Tranransition (HiT) profiles are country-based reports that pro-
vide a detailed description of health systems and of policy initiatives in progress or un-
der development. Undoubtedly the dominant issue in the Dutch health care system at
present is the fundamental reform that came into effect in 2006. With the introduction of
a single compulsory health insurance scheme, the dual system of public and private in-
surance for curative care became history. Managed competition for providers and insur-
ers became a major driver in the health care system.
***
While health systems have received worldwide attention, little has been done to
strengthen ministries of health, the central institutions responsible for stewardship of
health systems at the country level. This report addresses the gaps in our understanding
of the roles ministries play, their needs and the challenges they face, so that we can
take effective action to fortify them.
by Jeremy Hurst
Organisation for Economic Co-operation and Development (OECD) March 2010
This paper is based on evidence from the countries which have seen their health sys-
tems reviewed by the OECD in recent years and on a selected review of the literature. It
considers four issues in particular, these being the ones used across all the different re-
form areas covered by the Making Reform Happen project. It concludes that a number
of stages of reform need to be implemented before a reform can be said to be success-
ful; failure in one of them will generally lead to failure of the reform.
Due to inconsistent naming, while searching for scientific material about rapidly evolving
situations such as the influenza A(H1N1) pandemic, there is a risk that one will miss
relevant articles. To address this problem, the international scientific community should
agree on nomenclature and the specific name to be used earlier, and the National Li-
brary of Medicine in the US could index potentially relevant materials faster and allow
publishers to add alert tags to such materials.
***
by CARE, Dubai Cares, Emory University Center for Global Safe Water
et al., 2010
Despite widespread knowledge of the relationship between poor water, sanitation and
hygiene (WASH) education quality and the burden of disease on children, many coun-
tries have inadequately addressed water and sanitation facilities in their schools. Poli-
cymakers as well as school administrators have been unable to devote adequate atten-
tion to WASH in Schools programmes, and as a result, schools either do not have
WASH facilities or they are in poor condition due to lack of maintenance.
***
In the early 1990s, large numbers of children in India remained out of school. Interna-
tional commitments to achieve education for all (EFA) globally meant that India was an
important case for donors. India was pressed to accept aid for primary education, and
agreed with some reluctance. Although subsequent donor involvement was substantial
and influenced aspects of both policy implementation and management, it is shown that
Indian education policy priorities remained self-determined.
by Mary Albon
United Nations Office on Drugs and Crime (UNODC), April 2010
This report highlights UNODC’s integrated approach to dealing with drugs, crime and
terrorism. These threats cannot be tackled in isolation. Strengthening integrity tackles
the corruption that enables crime. Improving health prevents the spread of drug addic-
tion and blood-borne diseases - particularly in the developing world. And cutting criminal
networks disrupts a range of illicit activities that carve out paths of death and destruction
through some of the world’s most fragile regions.
by RebekahWebb
Action for Global Health, April 2010
The report urges European leaders to focuses on 3 issues which can break the cycle of
poverty and ill health in developing countries. By supporting free healthcare, strong
medical work forces and community participation, EU leaders can - and should recog-
nise the crucial importance health plays in enabling societies to progress and develop.
But time is running out.
Development Assistance
11 pp. 55 kB:
http://ec.europa.eu/development/icenter/repository/COMM_PDF_COM_2010_0128_EN.PDF
Global health is a term for which no single definition exists. It is about worldwide im-
provement of health, reduction of disparities, and protection against global health
threats. Addressing global health requires coherence of all internal and external policies
and actions based on agreed principles. This Communication proposes an EU vision on
global health, defines the guiding principles that should apply to all relevant policy sec-
tors and presents a number of areas where the EU could more effectively act.
***
Parliaments and parliamentarians have a key role to play in ensuring that aid and other
resources are spent effectively in support of poverty reduction. This Guidance Note ad-
dresses some of these challenges and seeks to provide parliamentarians and those
who work with them with a common understanding and clear guidance on what they can
Foreign aid has no shortage of critics. Some argue that it undermines development and
inherently does more harm than good; others insist that aid must be seriously reformed
to work properly. Cash on Delivery (COD) Aid proposes serious reform to make aid work
well by forcing accountability, aligning the objectives of funders and recipients, and
sharing information about what works.
***
***
Crowding out: are relations between international health aid and govern-
ment health funding too complex to be captured in averages only?
3 pp. 65 kB:
http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673610602073.pdf?i
d=4d037fefcb72946c:-7761571b:127e29ad6c3:36221270821405706
Referring to the another article in The Lancet (see above) the authors point to the com-
plexity of relations between international health aid and government health funding and
describe some ways in which governments respond to increased development aid for
health. They plead for more transparency and a Global Fund for Health to ensure pre-
dictable financing.
***
In the past few years there has been increased attention paid to the role of non-DAC
donors in humanitarian action, however little work has been done to understand how
these donors engage in responding to specific crises. The study examines issues such
as how non-DAC donors work with affected states, how decisions are made regarding
the nature of their support, their relationships with implementing partners, their coordina-
tion with the rest of the international community, and how they measure and evaluate
the impact of their support.
***
Recipients have their own views on who are the most effective multilateral donors, and
feel that it is depth of commitment, responsiveness to country circumstances and sup-
port for recipient-driven policy that are critical. This Project Briefing draws on evidence
from three separate studies (see one below), finding that recipients and donors agree, in
general, on what makes aid effective, but some crucial differences in perspective re-
main.
***
The study sought to capture perceptions of donor effectiveness at two levels: partner-
ship behaviour and interactions within projects. In addition, interviewees in Ethiopia, Si-
erra Leone and Zambia were asked questions about the relevancy and usefulness of
current indicators. Although the questions were contextualised by reference to multilat-
eral donors, responses are generally applicable to donor effectiveness more broadly.
Others
Some NGOs in the Middle East and North Africa (MENA) may be interested in the field
of Human Rights (HR), but feel that they do not know enough about it. Or perhaps they
do not know where to start. This manual is designed to help them. It is intended to be an
Ideas Box, introducing important problems and approaches around which are valuable
roles for NGOs.
***
11 pp. 415kB:
http://www.ptolemy.ca/members/current/Cryptorchidism/Cryptorchidism.pdf
“Surgery in Africa” is pleased to announce the April 2010 review that is intended for all
surgeons taking care of children, and it is expected that general surgeons in Africa
should be trained to do orchidopexies.
***
by Leine Stuart
Family Health International (FHI), December 2008
ELECTRONIC RESOURCES
Directory of Grants and Fellowships in the Global Health Sciences
http://www.fic.nih.gov/funding/directory_fellowships.htm
http://www.africa-health.com/latest_issues.html
***
http://www.who.int/bulletin/volumes/88/4/en/index.html
http://www.denguewatch.org/index.html
Pediatric Dengue Vaccine Initiative (PDVI) DengueWATCH website will display breaking
news articles from reliable sources on a world map. DengueWATCH is an important
public health tool providing instant access to news regarding dengue fever epidemics
and their impact on global health.
***
http://www.girlsdiscovered.org/
http://www.ihlc.org.uk/index.htm
The goal of the IHLC is to enhance access to health care in the developing world by
promoting international partnerships that will increase the number and skills of the
health workforce. IHLC membership is free. Members may register as institutions and/or
individuals. Members have access to a searchable database where they can identify po-
tential institutional partners or individuals with expertise in varied fields and experience
in links.
***
http://preval.org/en
PREVAL is a Regional Programme working in Latin America and the Caribbean in part-
nership with experts, governments, project and programme technical units, and grass-
roots organisations to build and strengthen their capacity to develop and implement
Planning, Monitoring and Evaluation (PM&E) systems as opportunities to produce in-
formation to feed into decision making and learning.
***
http://www.mopanonline.org/
TRAINING OPPORTUNITIES
Laboratory Diagnosis of Malaria
Course Content: Identification of parasites by microscopy using thin and thick blood
films, staining methods, effects of EDTA and drugs on parasite morphology, parasitae-
mia counts, non-blood film methods of diagnosis (antigen detection).
Language: English
Fees: £ 380.00
CONFERENCES
Harm Reduction 2010: IHRA’s 21st International Conference
International Harm Reduction Association (IHRA)
Over five days, this conference will be the main meeting point for all those interested in
harm reduction, and an invaluable platform for advocacy, debate, and discussion. For
nearly two decades, these events have been the key forum for the dissemination of
harm reduction ideas and practice, and have helped to put harm reduction on the map.
For more information see: http://www.ihra.net/Liverpool/Home
CARTOON
Do you have old disks laying around with important stuff on them but the software that
created them is no longer around? The first thing you try with an old, unknown file for-
mat is to open it with Notepad (assuming it is a document and not a picture or some-
thing). You would be surprised how often that little trick works. If that doesn’t work,
sometimes MS Word or Corel WordPerfect may have the ability to open the file. Note
that with both of the above document opening tricks, you will need to select ‘All files’
from the File of type drop box on the Open screen. If you don’t, you probably won’t be
able to access the file you are trying to open at all.
Another way of opening almost any file without the corresponding software, including
.exe, is a free application called ‘Universal Viewer’ that you can download for free (4.4
MB) at: http://www.uvviewsoft.com/
***
There are the ever-famous iPods but what is not told is that although
iPods are nice, the extra functions - like games, video support and
iTunes downloads have little impact on their music playing ability. If
you just want to get music on device to go, then just about any MP3
player out there should suffice.
Another misconception is that MP3 players are difficult to get music onto. This process
can be as easy as plugging the USB cable that came with your music player into your
computer and dragging files over from your hard drive whereas the iPod family requires
iTunes, playlists and other protocol to do this.
It is a lot easier than you think, and if you want to bring your music collection with you
everywhere you go there is no better way than the MP3.
Best regards,
Dieter Neuvians MD