Académique Documents
Professionnel Documents
Culture Documents
Malaria ..................................................................................................................... 12
Malaria Distribution, Prevalence, Drug Resistance and Control in Indonesia ...................... 12 Assessment of LED fluorescence microscopy for the diagnosis of Plasmodium falciparum infections in Gabon................................................................................................................ 13 Superiority of 3 Over 2 Doses of Intermittent Preventive Treatment with SulfadoxinePyrimethamine for the Prevention of Malaria During Pregnancy in Mali: A Randomized Controlled Trial ...................................................................................................................... 13 Equity implications of coverage and use of insecticide treated nets distributed for free or with co-payment in two districts in Tanzania: A cross-sectional comparative household survey .................................................................................................................................... 13 Consideration of Mass Drug Administration for the Containment of Artemisinin Resistant Malaria in the Greater Mekong Subregion ............................................................................ 14
Tuberculosis ............................................................................................................. 14
Commercial Serodiagnostic Tests for Diagnosis of Tuberculosis......................................... 14 LED Fluorescence Microscopy for the Diagnosis of Pulmonary Tuberculosis: A MultiCountry Cross-Sectional Evaluation ..................................................................................... 14 GeneXpert - A Game-Changer for Tuberculosis Control? .................................................... 15 Radiographic Manifestations of Tuberculosis: A Primer for Clinicians.................................. 15
Social Protection....................................................................................................... 19
Improving Access through Effective Health Financing.......................................................... 19 Oil for Uganda or Ugandans? Can Cash Transfers Prevent the Resource Curse? .......... 19 What We Know About the Financial Value of Microinsurance for Poor Clients: A Snapshot20 Our Health in Our Hands: Uplift Mutuals ............................................................................... 20
Human Resources.................................................................................................... 20
Addressing the Global Health Workforce Crisis: Challenges for France, Germany, Italy, Spain and the UK .................................................................................................................. 20 Pharmaceutical human resources assessment tools............................................................ 21 Treatment Outcomes and Cost-Effectiveness of Shifting Management of Stable ART Patients to Nurses in South Africa: An Observational Cohort............................................... 21
Education ................................................................................................................. 24
A Global Compact on Learning: Taking Action on Education in Developing Countries........ 24 Subsidising education: are school vouchers the solution? ................................................... 25 Make it Right: Ending the Crisis in Girls Education .............................................................. 25
Others ...................................................................................................................... 27
Weathering the Storm: Adolescent Girls and Climate Change ............................................. 27 South Sudan: A Post-Independence Agenda for Action ....................................................... 28 Nodding Syndrome: Scientists still puzzled by African outbreak .......................................... 28 Evidence-Based African First Aid Guidelines and Training Materials................................... 28
TRAINING OPPORTUNITIES............................................ 30
Knowledge Management for Health and Development Organizations ................................. 30 Evidence-Based African First Aid Guidelines and Training Materials................................... 31 Health District Management: Priority Setting, Planning and Programme Design ................. 31 New Online Course on Healthy Timing and Spacing of Pregnancy...................................... 31
CONFERENCES................................................................ 32
16th International Conference on AIDS and STIs in Africa (ICASA 2011) ........................... 32
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BOOKS
Analysing Disrupted Health Sectors - A Modular Manual
by Enrico Pavignani and Sandro Colombo World Health Organization, Department of Recovery and Transition Programmes, Health Action in Crises, 2009 488 pp. 3.7 MB:
http://www.who.int/hac/techguidance/tools/disrupted_sectors/adhsm_en.pdf
For an actual free French or Spanish hard copy translation please send a message to Camille Pillon mailto:pillonc@who.int This practical, experience-based, action-oriented manual includes countries on the verge of an economic, political and/or military catastrophe, protracted crises and situations of transition from disaster to recovery. The intended users are apprentice analysts, already with field experience, familiar with quantitative techniques, attempting to analyse a disrupted health sector. The manual offers materials for use, rather than for reading. It is supposed to become a companion, kept on the desk by the apprentice analyst and consulted as the need arises. ***
This guide describes how to estimate the disease burden caused by inadequate housing conditions for the WHO European Region as well as for sub-regional and national levels. The findings set out in this report provide ample justification for the principle that health should be at the centre of housing policy. Making housing healthy, affordable and sustainable should be a prime objective of all professionals and policy-makers involved in any aspect of housing and of health. This publication provides the evidence they need to make it so. ***
Improving Access to Oral Health Care for Vulnerable and Underserved Populations
by Frederick P. Rivara, Paul C. Erwin, Caswell Evans, Jr. et al. Committee on Oral Health Access to Services; Institute of Medicine and National Research Council, July 2011 242 pp. 2.2 MB: http://download.nap.edu/cart/download.cgi?&record_id=13116&free=1 Access to oral health care is essential to promoting and maintaining overall health and well-being yet only half of the population in the USA visits a dentist each year. Poor and minority children are less likely to have access to oral health care than are their nonpoor and non-minority peers. Older adults, people who live in rural areas, and disabled HESP-News & Notes - 16/2011 - page 4
individuals, uniformly confront access barriers, regardless of their financial resources. The consequences of these disparities in access to oral health care can lead to a number of conditions including malnutrition, childhood speech problems, infections, diabetes, heart disease, and premature births.
ONLINE PUBLICATIONS
Global Health Political will for better health, a bottom-up process
by Wim De Ceukelaire, Pol De Vos, and Bart Criel Tropical Medicine & International Health, Article first published online: 24 June 2011 5 pp. 55 kB: http://onlinelibrary.wiley.com/doi/10.1111/j.13653156.2011.02817.x/pdf Research has demonstrated that economic development, which has doubtlessly contributed to the improvement of the health status in high-income societies, does not automatically have positive implications for population health. Throughout history, polit ical decisions have had a tremendous impact on population health. More often than not, these policies were a response to pressure from below by social movements. ***
Global Public-Private Health Partnerships: lessons learned from ten years of experience and evaluation
by Kent Buse and Sonja Tanaka International Dental Journal, 61 (Suppl. 2): 2-10; first published online: 20 July 2011 9 pp. 128 kB:
http://onlinelibrary.wiley.com/store/10.1111/j.1875-595X.2011.00034.x/asset/j.1875595X.2011.00034.x.pdf?v=1&t=gqmjksyi&s=1b8f1d0dfc1c958dc47259fca337e006dea3d4b5
Global Health Partnerships (GHPs) have contributed significantly to improved global health outcomes as well as the manner in which global health is governed. The authors reviewed and synthesised findings from eight independent evaluations of GHPs as well as research projects conducted by the authors over the past several years. This paper presents the major drivers of the GHP trend, briefly reviews the significant contributions of GHPs to global health and sets out common findings from evaluations of these global health governance instruments.
HIV - AIDS - STI An Exploratory Analysis of HIV Treatment Research & Development Investments in 2009
by Eleonora Jimnez-Levi, Mark Harrington, and Kevin Fisher HESP-News & Notes - 16/2011 - page 5
Treatment Action Group (TAG), AVAC and UNAIDS, July 2011 43 pp. 828 kB: http://www.unaids.org/en/media/unaids/contentassets/documents/d ocument/2011/07/20110719_HIV_RT_report.pdf Data collected for the first time on global investments in HIV treatmentrelated research and development showed that at least US$ 2.46 billion was available in 2009. This report is a preliminary assessment of global investments in research and development (R&D) devoted to the discovery and development of new therapies and treatment strategies for HIV. As part of a broader effort to track and analyze HIV/AIDS spending, UNAIDS commissioned the Treatment Action Group (TAG) and AVAC to measure global R&D spending for HIV treatment, starting with the year 2009. ***
New funding data for 2010 reveal that even in the context of the recent global recession, research funding for four key HIV prevention options - preventive vaccines, microbicides, PrEP and operations research related to medical male circumcision - totalled US$ 1.19 billion, approaching the historical high of US$ 1.23 billion reached in 2007 for these four research areas. The uptick in funding is certainly good news, but we cannot rest on our laurels. Transforming promising concepts into products will continue to require substantial investments over the coming years that can be quickly and flexibly applied to best take advantage of new developments. ***
Circumcision of HIV-infected men and transmission of human papillomavirus to female partners: analyses of data from a randomised trial in Rakai, Uganda
by Aaron AR Tobian, Xiangrong Kong, Maria J Wawer et al. The Lancet Infectious Diseases, Vol. 11, Issue 8, pp. 604-612, August 2011 9 pp. 151 kB: http://download.thelancet.com/pdfs/journals/laninf/PIIS147330991170038X.pdf Male circumcision reduces the transmission of high-risk human papillomavirus (HPV) in HIV-uninfected men and their female partners. The authors assessed whether circumcision of HIV-infected men would reduce the transmission of high-risk HPV to their female partners. They conclude that it did not affect transmission of HPV to their female partners and promotion of consistent safe sexual practices for HIV-infected men remains important. ***
The Global HIV Epidemics among Men Who Have Sex with Men
by Chris Beyrer, Andrea L. Wirtz, Damian Walker et al. The World Bank in partnership with the United Nations Development Programme (UNDP) and the Johns Hopkins Bloomberg School of Public Health, June 2011 402 pp. 4.5 MB: http://siteresources.worldbank.org/INTHIVAIDS/Resources/3757981103037153392/MSMReport.pdf The study shows that Men Who Have Sex with Men (MSM) are at significantly higher risk for HIV infection than other groups in many low-and middle-income countries, where fewer than 1 in 10 MSM worldwide have access to even the most basic package of HIV/AIDS prevention and treatment services. The authors urge governments and donors to target MSM in national HIV/AIDS programs as an essential step toward rever sing the global epidemic. ***
The Impact of the New WHO Antiretroviral Treatment Guidelines on HIV Epidemic Dynamics and Cost in South Africa
by Jan A. C. Hontelez, Sake J. de Vlas, Frank Tanser et al. PLoS ONE 6(7): e21919 (20 July 2011) 9 pp. 743 kB:
http://www.plosone.org/article/fetchObjectAttachment.action;jsessionid=2A9B0C403A3513F9CEF2 75585801545A.ambra01?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0021919&representation=PDF
Since November 2009, WHO recommends that adults infected with HIV should initiate antiretroviral therapy (ART) at CD4+ cell counts of 350 cells/l rather than 200 cells/l. South Africa decided to adopt this strategy for pregnant and TB co-infected patients only. The authors estimated the impact of fully adopting the new WHO guidelines on HIV epidemic dynamics and associated costs. Their study strengthens the WHO recommendation of starting ART at 350 cells/l for all HIV-infected patients. *** HESP-News & Notes - 16/2011 - page 7
Intravaginal insertion in KwaZulu-Natal: sexual practices and preferences in the context of microbicide gel use
by Mitzy Gafos, Misiwe Mzimela, Sizakele Sukazi et al. Culture, Health & Sexuality, Vol. 12, No. 8, November 2010, 929-942 14 pp. 138 kB: http://www.tandfonline.com/doi/pdf/10.1080/13691058.2010.507876 Intravaginal insertion is often associated with the concept of dry sex. All HIV prevention HESP-News & Notes - 16/2011 - page 8
microbicides tested to date have been vaginally applied lubricant-based gels. In this paper, the authors examine whether the use of intravaginal insertions could be in conflict with the introduction of vaginal microbicide gels. Study findings provide evidence that vaginal microbicide gels may be more acceptable in communities where intravaginal insertion is practiced than was previously thought. ***
Effect of concurrent sexual partnerships on rate of new HIV infections in a high-prevalence, rural South African population: a cohort study
by Frank Tanser, Till Brnighausen, Lauren Hund et al. The Lancet, Vol. 378, Issue 9787, pp. 247-255, 16 July 2011 9 pp. 535 kB: http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673611607794.pdf Concurrent sexual partnerships are widely believed to be one of the main drivers of the HIV epidemic in sub-Saharan Africa. However, the effect of concurrent partnerships on HIV incidence has not been appropriately tested in a sub-Saharan African setting. The authors conclude that the spread of HIV is driven more by how many sexual partners a person has in their lifetime rather than having more than one lover at a time. ***
Adoption of formal HIV and AIDS workplace policies: An analysis of industry/sector variations
by Rhoda Bakuwa Journal of Social Aspects of HIV/AIDS, Vol. 7, No. 4, December 2010 8 pp. 213 kB: http://www.ajol.info/index.php/saharaj/article/download/67738/55835 Increasing evidence reveals that the majority of companies around the world are yet to acknowledge and respond to HIV and AIDS as a workplace issue. This study sought to empirically examine whether in the context of Malawi there were significant variations in HESP-News & Notes - 16/2011 - page 9
the adoption of formal HIV and AIDS workplace policies based on the industry/sector in which a company was operating, as well as analyse the dynamics underlying such variations. The results provide an important avenue to scale up company responses to HIV and AIDS by intensifying staff participation in the activities of HIV and AIDS institutions.
Sexual & Reproductive Health From top to bottom: A sex-positive approach for men who have sex with men
A manual for healthcare providers by Glenn de Swardt, Kevin Rebe, James McIntyre et al. Anova Health Institute, 2011 98 pp. 1.3 MB: http://www.anovahealth.co.za/images/uploads/TOP2BTM_manual_WEB2.pdf This manual draws on the experience of the Anova Health Institutes Health4Men project that provides sexual health services for men who have sex with men (MSM) in South Africa. The manual is a resource to assist health care workers to provide appropriate and accessible psycho-social and medical care for MSM. ***
A Systematic Examination of the Use of Online Social Networking Sites for Sexual Health Promotion
by Judy Gold, Alisa E Pedrana, Rachel Sacks-Davis et al. BMC Public Health 2011, 11:583 (21 July 2011) 23 pp. 688 kB: http://www.biomedcentral.com/content/pdf/1471-2458-11-583.pdf Social Networking Sites (SNSs) are being used for sexual health promotion, although the extent to which they are utilised varies greatly, and the vast majority of activities are unreported in the scientific literature. Future studies should examine the key factors for success among those activities attracting a large and active user base, and how su ccess might be measured, in order to guide the development of future health promotion activities in this emerging setting. ***
range of topics in sexual and reproductive health, in a variety of country and cultural settings. However, a common thread ran across these studies presented in this publication.
Maternal & Child Health A Manifesto for Motherhood Achieving Reproductive, Maternal, Newborn and Child Health: from Commitment to Action
by Ruth Duebbert and Sarah Hyde Women and Children First (UK) June 2011 14 pp. 2.0 MB: http://www.wcf-uk.org/images/stories/docs/Manifesto-Pack.pdf This briefing is a collaborative effort to increase political and financial support for reproductive, maternal, newborn and child health and survival in developing countries. It is aimed at UK parliamentarians. The briefing includes a series of key actions to which parliamentarians can and should commit. These are endorsed by all the organisations listed on the briefing, representing a strong platform of support for our joint priorities and demands. ***
Exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa (PROMISE-EBF): a cluster-randomised trial
by Thorkild Tylleskr, Debra Jackson, Nicolas Meda et al. The Lancet, Early Online Publication, 12 July 2011 8 pp. 194 kB: http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673611607381.pdf Exclusive breastfeeding (EBF) is reported to be a life-saving intervention in low-income settings. The effect of breastfeeding counselling by peer counsellors was assessed in Africa. The authors conclude that low-intensity individual breastfeeding peer counselling is achievable and, although it does not affect the diarrhoea prevalence, can be used to effectively increase EBF prevalence in many sub-Saharan African settings. ***
Assessment of LED fluorescence microscopy for the diagnosis of Plasmodium falciparum infections in Gabon
by Dominic Lenz, Peter G Kremsner, Bertrand Lell et al. Malaria Journal 2011, 10:194 (18 July 2011) 18 pp. 304 kB: http://www.malariajournal.com/content/pdf/1475-2875-10-194.pdf Light microscopy (LM) of Giemsa-stained thick blood smears is the gold standard for diagnosis of malaria. Under optimal conditions the procedure is fast and reliable; nevertheless a gain in speed would be a great advantage. Rapid diagnosis tests are an alternative, although they cost more and give qualitative instead of quantitative results. Lightemitting diode (LED) fluorescence microscopy (ledFM 400x, 1000x) is a reliable, acc urate, fast and inexpensive tool for daily routine malaria diagnosis and may be used as a point of care diagnostic tool. ***
Superiority of 3 Over 2 Doses of Intermittent Preventive Treatment with Sulfadoxine-Pyrimethamine for the Prevention of Malaria During Pregnancy in Mali: A Randomized Controlled Trial
by Oumou M. Maiga, Kassoum Kayentao, Boubacar T. Traore et al. Clin Infect Dis. 53 (3): 215-223, 1 August 2011 9 pp. 361 kB: http://cid.oxfordjournals.org/content/53/3/215.full.pdf+html In 2003, Mali introduced intermittent preventive therapy in pregnancy (ITPp) with sulfadoxine-pyrimethamine (SP) for the control of malaria in pregnancy, consisting of 2 doses of SP given in the 2nd and 3rd trimester. Adding a third dose of ITPp-SP halved the risk of placental malaria, LBW, and preterm births in all gravidae, compared with the standard 2-dose regimen, in this area of highly seasonal transmission with low levels of SP resistance. ***
Equity implications of coverage and use of insecticide treated nets distributed for free or with co-payment in two districts in Tanzania: A crosssectional comparative household survey
by George M Ruhago, Phares G. M. Mujinja and Ole F Norheim International Journal for Equity in Health 2011, 10:29 (21 July 201) 26 pp. 485 kB: http://www.equityhealthj.com/content/pdf/1475-9276-10-29.pdf In Tanzania, the distribution and coverage of insecticide-treated nets (ITNs) is inequitable. Arguments about the most effective and equitable approach to distributing ITNs are centered on whether to provide ITNs free of charge or continue with existing social ma rketing strategies. The results of this study shed some light on the possibility of reducing inequality in ownership and use of ITNs and attaining Roll Back Malaria and Millennium Development Goals through the provision of free ITNs to all. This has the potential to decrease the burden of disease and reduce disparity in disease outcome. ***
Consideration of Mass Drug Administration for the Containment of Artemisinin Resistant Malaria in the Greater Mekong Subregion
Report of a Consensus Meeting, 27-28 September 2010, Geneva, Switzerland Edited by Elisabeth Heseltine World Health Organization, July 2011 46 pp. 2.9 MB: http://whqlibdoc.who.int/publications/2011/9789241501644_eng.pdf Mass Drug Administration (MDA) is the practice of treating a whole population within a given geographical area, irrespective of the presence of symptoms and without diagnostic testing. In September 2010, the WHO Global Malaria Programme convened a mee ting of experts to evaluate the appropriateness of including MDA as part of the strategy to contain artemisinin-resistant parasites in the Greater Mekong Subregion. This report reflects the discussions, conclusions and recommendations of the expert group.
LED Fluorescence Microscopy for the Diagnosis of Pulmonary Tuberculosis: A Multi-Country Cross-Sectional Evaluation
by Luis Eduardo Cuevas, Najla Al-Sonboli, Lovett Lawson et al. PLoS Med 8(7): e1001057 (12 July 2011) 10 pp. 177 kB:
http://clinicaltrials.ploshubs.org/article/fetchObjectAttachment.action;jsessionid=AC46F6D8371A3A243A6 218692B8910B9.ambra01?uri=info%3Adoi%2F10.1371%2Fjournal.pmed.1001057&representation=PDF
The diagnosis of tuberculosis (TB) in resource-limited settings relies on Ziehl-Neelsen (ZN) smear microscopy. LED fluorescence microscopy (LED-FM) has many potential advantages over ZN smear microscopy, but requires evaluation in the field. The authors conclude that LED-FM had higher sensitivity but, in this study, lower specificity than ZN smear microscopy for diagnosis of pulmonary TB. Performance was independent of the scheme used for collecting specimens. The introduction of LED-FM needs to be accompanied by appropriate training, quality management, and monitoring of performance in the field. HESP-News & Notes - 16/2011 - page 14
Tuberculosis (TB) kills more people than any other single infection, the global burden of TB cases and drug resistance are increasing, and most patients still only have access to an inadequate diagnostic test developed more than a century ago. Recent evaluations of a desktop machine called the GeneXpert MTB/RIF that in less than two hours simultaneously detects Mycobacterium tuberculosis and tests for drug resistance have stim ulated tremendous enthusiasm. Is this the breakthrough that TB control has been waiting for? ***
Other Infectious Diseases The handling of the H1N1 pandemic: more transparency needed
Memorandum by Paul Flynn, United Kingdom Council of Europe, Parliamentary Assembly, 2010 9 pp. 198 kB:
http://assembly.coe.int/CommitteeDocs/2010/20100329_MemorandumPandemie_E.pdf
The report - prepared on the flu pandemic for the Council of Europe - expresses alarm about the way the pandemic was handled. It criticizes the proportionality of the response and argues that over reaction led to waste of public money, distortion of public health priorities and unjustified fears about health risks. It identifies grave shortcomings in the transparency of decision-making processes and concerns about the influence of the pharmaceutical industry. The World Health Organization (WHO) comes in for particular criticism for failing to publish the declarations of interest of members of its Emergency Committee, the group advising director general Dr Margaret Chan on the pandemic r esponse. ***
The revised global yellow fever risk map and recommendations for vaccination, 2010: consensus of the Informal WHO Working Group on Geographic Risk for Yellow Fever
by Emily S Jentes, Gilles Poumerol, Mark D Gershman et al. The Lancet Infectious Diseases, Vol. 11, Issue 8, pp. 622-632, August 2011 11 pp. 1.7 MB: http://download.thelancet.com/pdfs/journals/laninf/PIIS1473309911701475.pdf The changing epidemiology of yellow fever and continued reports of rare but serious adverse events associated with yellow fever vaccine have drawn attention to the need to revisit criteria for the designation of areas with risk for yellow fever virus activity, and to revise the vaccine recommendations for international travel. This report details the recommendations made by a WHO working group about criteria for the designation of risk and specific changes to the classification of areas with risk for transmission of ye llow fever virus. ***
Epidemiology, surveillance and control of infectious diseases in the European overseas countries and territories, 2011
by J Jones, M Gastellu-Etchegorry, F K Stenz et al. Eurosurveillance, Volume 16, Issue 29, 21 July 2011 Read online at: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19923 The 25 European overseas countries and territories (OCTs) are closely associated with the European Union (EU) through the four related UE Member States: Denmark, France, the Netherlands and the United Kingdom. As a result of their diversity the OCTs have heterogeneous epidemiological profiles. A common factor, however, is that the main burden of disease is non-communicable. Nevertheless, OCTs remain vulnerable to infectious diseases outbreaks. Their capacity for surveillance, early detection and response to such outbreaks is generally limited, with laboratory capacity issues and lack of human resources. ***
Non-communicable Diseases Prioritized Research Agenda for Prevention and Control of Noncommunicable Diseases
World Health Organization, Department of Chronic Diseases and Health Promotion, 2011 424 pp. 2.4 MB:
http://whqlibdoc.who.int/publications/2011/9789241564205_CD_eng.pdf
The global WHO noncommunicable disease research agenda will provide guidance to Member States in understanding and identifying key public health research needs r elated to noncommunicable diseases. To this end, the WHO has produced this series of papers on research priorities in specific health areas, with a particular focus on low- and middle-income countries. ***
Toward a Healthy and Harmonious Life in China: Stemming the Rising Tide of Non-Communicable Diseases
by Shiyong Wang, Patricio Marquez, John Langenbrunner et al. The World Bank Human Development Unit, East Asia and Pacific Region, July 2011 48 pp. 424 kB: http://www.worldbank.org/content/dam/Worldbank/document/NC D_report_en.pdf The report discusses why priority attention to Non-Communicable Diseases (NCDs) is now required in China, articulates what would constitute an effective NCD response, and proposes how to operationalize the response over the medium and longer terms. The report provides compelling evidence on the economic and social consequences of this epidemic and suggests a range of policies and strategies to confront and prevent them. ***
Essential Medicines Preventing substandard, spurious medicines and protecting access to generic medicines in Africa
by R Machemedze, R Loewenson, P Nyagura EQUINET, SEATINI, TARSC, May 2011 4 pp. 81 kB: http://seatini.org/publications/policybriefs/preventing_substandard_medicines.pdf This policy brief addresses definitions of counterfeit, substandard and generic medicines. It points to the separate measures and mandates needed to combat firstly fraudulent trade mark and intellectual property (IP) infringement in counterfeit medicines by IP authorities, secondly to ensure that any anti-counterfeit measures protect TRIPS flexibilities, including for access to generic medicines; and thirdly to ensure that national drug regulatory authorities ensure that substandard medicines do not compromise health. ***
Oil for Uganda or Ugandans? Can Cash Transfers Prevent the Resource Curse?
by Alan Gelb and Stephanie Majerowicz Center for Global Development - Working Paper 261, July 2011 28 pp. 612 kB: http://www.cgdev.org/files/1425327_file_Oil_Uganda_Transfers_Gelb_FINAL_.pdf This paper considers the tradeoffs and potential impact of alternative uses of the oil rent. It considers distributing oil rents to the population through cash transfers - as a potential tool to mitigate some of the governance risks associated with oil revenues by giving Ugandan citizens a stake in their own resource wealth, and considers the strengths HESP-News & Notes - 16/2011 - page 19
What We Know About the Financial Value of Microinsurance for Poor Clients: A Snapshot
Microinsurance Learning and Knowledge (MILK), July 2011 3 pp. 95 kB:
http://www.microinsurancecentre.org/UploadDocuments/110719%20MILK%20Brief%204 %20-%20What%20we%20know%20about%20MI%20financial%20value%20for%20clients.pdf
While research is suggestive of financial value in microinsurance, we have few concrete answers. There are simply not enough existing studies, particularly of products other than health insurance, and those that are available often overlook considerations that offer a fuller understanding of the value of microinsurance. This brief aims to provide guidance for researchers, stakeholders and practitioners in framing research questions and to encourage new studies that build a more complete understanding of the added value of microinsurance as a financial risk management tool for the poor. ***
Human Resources Addressing the Global Health Workforce Crisis: Challenges for France, Germany, Italy, Spain and the UK
by Rebekah Webb Action for Global Health (AfGH), January 2011 40 pp. 1.1 MB: http://www.actionforglobalhealth.eu/fileadmin/AfGH_Intranet/AFGH /Publications/HRH_REPORT_-_SCOPE_WEB_LORES_.pdf This report compares the foreign and domestic policies regarding health workers in the five EU countries home to the Action for Global Health (AfGH) network, which have some of the highest densities of doctors and nurses in the world. It looks at the reasons for health shortages in both source and destination countries, exploring what needs to change or to be put into practice in order to fulfill the requirements of the WHO Code of HESP-News & Notes - 16/2011 - page 20
Treatment Outcomes and Cost-Effectiveness of Shifting Management of Stable ART Patients to Nurses in South Africa: An Observational Cohort
by Lawrence Long, Alana Brennan, Matthew P. Fox et al. PLoS Med 8(7): e1001055 (19 July 2011) 10 pp. 330 kB: http://www.plosmedicine.org/article/fetchObjectAttachment.action?uri=info%3Adoi %2F10.1371%2Fjournal.pmed.1001055&representation=PDF To address human resource and infrastructure shortages, resource-constrained countries are being encouraged to shift HIV care to lesser trained care providers and lower level health care facilities. This study evaluated the cost-effectiveness of down-referring stable antiretroviral therapy (ART) patients from a doctor-managed, hospital-based ART clinic to a nurse-managed primary health care facility in Johannesburg, South Africa. The results suggest that this strategy would increase treatment capacity and conserve resources without compromising patient outcomes.
Health Systems & Research Experiences of participatory action research in building people centred health systems and approaches to universal coverage
by R. Loewenson, W. Flores, A. Shukla et al. Training and Research Support Centre, Regional Network for Equity in Health in East and Southern Africa (EQUINET), December 2010 20 pp. 838 kB:
http://equinetafrica.org/bibl/docs/GSHSR%20PRA%20report%20Dec%202010.pdf
This report presents different experiences of using participatory action research (PAR) in health systems from India, East and Southern Africa, Guatemala and Canada. These experiences are used to explore and discuss the learning on methods, on the knowledge generated and the implications for health systems, and what this means for the profile and practice of PAR. ***
ticles and radio programmes on both national and community radio. The case study describes the partnership and includes several useful recommendations for organisations interested in undertaking similar projects to report research.
Communities of practice: the missing link for knowledge management on implementation issues in low-income countries?
by Bruno Meessen, Seni Kouanda, Laurent Musango et al. Tropical Medicine & International Health, Vol. 16, No. 8, pp. 1007-1014, August 2011 8 pp. 76 kB: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3156.2011.02794.x/pdf The implementation of policies remains a huge challenge in many low-income countries. Several factors play a role in this, but improper management of existing knowledge is no doubt a major issue. A growing group of experts think a community of practice is the way forward. A community of practice can be defined as a group of people who decide to deepen their knowledge and expertise in an area by interacting on an ongoing basis. ***
Healthcare Information for All by 2015: Addressing the information needs of healthcare providers in low-income countries
HIFA2015 Conference Report - BMA House, London, 9th May 2011 by Paul Chinnock, Jonathan Parker and Abi Smith, July 2011 10 pp. 278 kB: http://www.hifa2015.org/wp-content/uploads/HIFA2015-Conference-Report.pdf The Healthcare Information for All by 2015 (HIFA2015) campaign was launched in 2006 with the goal of progressively meeting the information needs of healthcare providers. Neil Pakenham-Walsh, coordinator of HIFA2015, said when the campaign was launched there had been a lot of scepticism that healthcare providers in developing countries HESP-News & Notes - 16/2011 - page 23
would have the technology to access health information. Yet there was now a phenomenal explosion in mobile phone ownership throughout the world. He told the meeting: This is a marathon, not a sprint. ***
Mobile Futures
by Gayatri Murthy AudienceScapes Project at InterMedia, June 2011 11 pp. 284 kB: http://audiencescapes.org/sites/default/files/AudienceScapes%20Briefs_Mobile% 20Futures_Murthy%20Gayatri.pdf Unprecedented growth in mobile phone access in emerging economies is the success story of this decade - but what about disadvantaged citizens in these countries who continue to confront a digital divide? In many cases, they also represent the largest pote ntial market for mobile operators. The author digs into the data so that development practitioners and mobile operators can understand the disparities and opportunities in these countries. ***
This learning brief describes the lessons learned from a project that establishes an effective system to distribute health information to people in the Mand and Tiakadougou regions in Mali. It has been written for professionals in the sector who are seeking inspiration from this experience and for organisations that would like to implement similar projects.
ity and womens human rights. While each of the five Paris Declaration principles offers concrete opportunities to advance the gender profile, the report focuses on democratic ownership and mutual accountability as the most political and with the biggest potential to reduce the gaps and empower women. ***
aggravating chronic drought and food security, or the more rapid onset emergencies such as cyclones and floods are different for different populations. While inevitably children everywhere are badly affected, the report illustrates how girls, in particular, are bearing the greatest burden. The report evidences how increased climate stresses are exposing a growing number of adolescent girls to very specific risks. ***
This Health in Action report describes the African First Aid Materials project (AFAM, http://www.afam.redcross.be/). The project developed evidence-based guidelines on how basic first responders should be trained to manage emergency situations in an African context. The objective of this manuscript is to inform educators and health care professionals about these guidelines and training materials and to promote their use when HESP-News & Notes - 16/2011 - page 28
ELECTRONIC RESOURCES
The African Journal of Primary Health Care & Family Medicine (PHCFM) Vol. 3, No. 1 (2011)
http://www.phcfm.org/index.php/phcfm PHCFM is a peer reviewed and Open Access journal published since 2008. The journal serves as a repository for cutting-edge research in all fields of primary health care and family medicine in a uniquely African context. The journal is indispensable for primary health care practitioners, family medicine specialists and academics from both the developing and developed worlds, and offers an engaging insight into the growth of these disciplines from a distinctly African perspective. ***
supported World Hepatitis Day, which is being coordinated in partnership with the World Hepatitis Alliance. Hepatitis kills more than one million people every year. Millions more suffer immediate sickness or long-term ill health. World Hepatitis Day provides an opportunity to recognise viral hepatitis as a major global health problem in order to advance prevention and control. ***
The use of epidemiological tools in conflict-affected populations: openaccess educational resources for policy-makers
http://conflict.lshtm.ac.uk/ The target audience of this website consists of those policy-makers in the humanitarian relief and human security fields who, despite not having a background in public health and epidemiology, are nonetheless often in the position of having to commission, interpret, and act upon epidemiological assessments. This may include NGO, UN, and government relief staff, donors, journalists, students, and the broader community of civil society stakeholders who rely on epidemiological data for purposes ranging from programme implementation to advocacy.
TRAINING OPPORTUNITIES
Knowledge Management for Health and Development Organizations
21 - 25 November, 2011 Centre for African Family Studies (CAFS)/Centre d'Etudes de la Famille Africaine (CEFA), Addis Ababa, Ethiopia Course Content: The course will cover the fundamentals of knowledge management as well as the steps individuals and teams may take to design and implement a knowledge management strategy. Course topics: conducting knowledge assessments, knowledge generation, electronic document management, Web 2.0, communities of practice, and knowledge protection (selection). Target Audience: Personnel working in health and development institutions as well as donor agencies and civil society organizations. Language: English; Fees: US$ 1,000 For more information contact: Tel.: +254-20-273-1479 Fax: +254-20-273-1489 HESP-News & Notes - 16/2011 - page 30
mailto:info@cafs.org or see: http://www.cafs.org/courses/22 For more courses and conferences see also: http://www.going-international.at/index.php?lang=EN ***
Do you know the magnitude of health problems related to timing and spacing of pregnancies in the developing world? Do you want to know how to add a HTSP approach to your own program? Take this course to find the answers to these questions and to learn much more about how you can implement HTSP strategies into your own programs.
CONFERENCES
16th International Conference on AIDS and STIs in Africa (ICASA 2011)
4 - 8 December, 2011, Addis Ababa, Ethiopia Own, Scale-up and Sustain ICASA 2011 is designed to provide Africa and the world with an opportunity to review the collective progress made over the years towards universal a ccess and attaining the Millennium Development Goals (MDGs), as well as the challenges facing the fight against the epidemic. For more information see: http://www.icasa2011addis.org/
CARTOON
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