Professional Documents
Culture Documents
You can download back issues (2005 - 2009) of this newsletter at: http://hiv-prg.org/en/newsletters
Table of Contents:
BOOKS ................................................................................ 4
An Introduction to the Human Development and Capability Approach................................... 4
Resource Guide on Gender and Climate Change .................................................................. 4
State of the world’s vaccines and immunization ..................................................................... 4
Capital Investment for Health: Case studies from Europe ...................................................... 5
Financing health care in the European Union: Challenges and policy responses.................. 5
TRAINING OPPORTUNITIES............................................ 30
Online course: Introduction to Health Systems..................................................................... 30
Health Economics for Pharmaceutical Personnel................................................................. 30
E-learning course: Basics of Health Economics ................................................................... 30
CONFERENCES................................................................ 31
Geneva Health Forum: Toward Global Access to Health ..................................................... 31
CARTOON ......................................................................... 31
Fair Use:
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documents and strive to attribute sources by providing reference and/or direct links to authors and websites.
Disclaimer:
The views expressed in this newsletter, do not necessarily represent those of GTZ or the editor of HESP-News & Notes.
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We encourage you to share the newsletter with your friends & colleagues.
This resource guide aims to inform practitioners and policy makers of the linkages be-
tween gender equality and climate change and their importance in relation to the
achievement of the Millennium Development Goals. As the world moves towards a new
global agreement on climate change, it is critical that women contribute to the effort and
that their perspectives are equally represented in the debate.
***
The State of the World’s Vaccines and Immunization reports that more infants are being
immunized today than ever before - a record 106 million in 2008 - according to new
data. At the same time, its authors are calling on donor nations to address a funding gap
that leaves millions of children still at risk, particularly in the poorest nations and com-
munities, where preventable diseases take their deadliest toll.
***
When decision-makers in the European health sector are faced with issues of capital in-
vestment, there are few internationally-comparative information sources to which they
can turn. Written in collaboration with the European Health Property Network, this vol-
ume of case studies and the accompanying volume analysing key themes and issues,
attempting to start filling this gap.
***
Financing health care in the European Union: Challenges and policy re-
sponses
Focusing on the three health care financing functions – collection, pooling and purchas-
ing – as well as on coverage, this book analyses the organization of health care financ-
ing in the Member States of the European Union, discusses the principal financing re-
form trends of recent years, and assesses their capacity to help ensure fiscal sustain-
ability.
ONLINE PUBLICATIONS
HIV - AIDS - STI
With African health-care systems facing exploding demand for HIV care, reliable meth-
ods for assessing adherence and its influencing factors are needed to guide effective
public-health measures. This study evaluated individual patient characteristics determin-
ing antiretroviral treatment (ART) adherence and the predictive values of different
measures of adherence on virological treatment failure in a cohort of patients in a rou-
tine-care setting in Cameroon.
***
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This paper documents Pact’s Community REACH efforts in supporting local partners
who have demonstrated a commitment to the greater involvement of people living with
HIV. These partners have built the capacity and increased the direct involvement of
people living with HIV in service provision and advocacy.
***
The objective was to assess the risk of HIV transmission from orogenital intercourse
(OI). The authors conclude that there are currently insufficient data to estimate precisely
the risk from OI exposure. The low risk of transmission evident from identified studies
means that more and larger studies would be required to provide sufficient evidence to
derive more precise estimates.
***
Male circumcision provides long-term indirect protection to women by reducing the risk
of heterosexual men becoming infected with HIV. In this Review, the authors summarise
the evidence for a direct effect of male circumcision on the risk of women becoming in-
fected with HIV. Rigorous monitoring is essential to ensure that any adverse effects on
women are detected and minimised.
***
This article summarizes the challenges, opportunities and lessons learned from presen-
tations, discussions and debates addressing major policy and programmatic responses
to HIV in six geographical regions: Sub-Saharan Africa, Asia and the Pacific, Eastern
Europe and Central Asia, Latin America, Caribbean, and Middle East and North Africa.
These regional discussions emphasized the need for legislative and policy reforms re-
lated to structural barriers facing women and girls, MSM, IDUs, sex workers and migrant
populations.
***
Les séries télévisées dans l’éducation sur le VIH : Atteindre les popula-
tions grâce au divertissement populaire
Videos: http://hiv-prg.org/en/videos
Worldwide, soap operas are among the most popular of all TV programmes. They at-
tract many times more viewers than purely educational programmes and yet they, too,
have huge potential to educate. Given that they tell stories about the universal comedies
and tragedies of daily life, they are perfect vehicles for shedding light on all of the issues
surrounding HIV and causing people to reflect on the implications for them and the peo-
ple they love.
For more publications form the German HIV Practice Collection see: http://hiv-prg.org/
***
This policy brief highlights why service integration makes political and programme
sense, and describes the lessons learned from successful integration strategies in
Ethiopia, Kenya, Lesotho, and Uganda. This brief also urges policymakers and pro-
gramme managers to make integrated services routinely and widely available.
***
***
Ipas, 2009
Unsafe abortion constitutes a public health crisis, a social injustice, and a violation of
women’s human rights and dignity. Eliminating unsafe abortion is imperative to fulfill ob-
jectives articulated at the ICPD and the 1995 Fourth World Conference on Women in
Beijing, as well as the Millennium Development Goals (MDGs) and other global and re-
gional commitments. Effectively addressing unsafe abortion is essential to ensure fewer
maternal deaths and better reproductive health, especially for women in developing
countries.
***
Poor reproductive health remains the leading cause of death and illness for women of
reproductive age, particularly in the poorest countries. The first issue of “Because” in-
cludes articles on reproductive health care in Ethiopia, the perception of abortion as a
Diarrhoea: why children are still dying and what can be done
The objective of this report is to focus attention on the prevention and management of
diarrhoeal diseases as central to improving child survival. It examines the latest avail-
able information on the burden and distribution of childhood diarrhoea. Most importantly,
it lays out a new strategy for diarrhoea control, one that is based on interventions drawn
from different sectors that have demonstrated potential to save children’s lives.
***
Cough and cold medicines are no longer recommended in children because of the lack
of efficacy and reports of serious adverse events. They must be avoided in children un-
der two years and should not be recommended in children of any age, particularly those
with neurological disorders, seizures, hypotonia, heart disease and those at risk of respi-
ratory depression. Doctors and pharmacists should work together to avoid recommend-
ing the use of cough and cold remedies for children.
***
This report is published to coincide with the launch of the global campaign on newborn
and child survival. Objective for this campaign is to help get the world on track to
achieve MDG 4 by bringing about a substantial reduction in the preventable deaths of
young children.
***
Malaria
by Penelope A. Hancock
PLoS Comput Biol 5(10): e1000525 (2 October 2009)
Using both insecticide-treated bednets (ITNs) and new fungal biopesticides could have
a substantial effect on disease prevalence, even in situations where neither intervention
would have much impact alone. This strategy may prove particularly beneficial in high
transmission areas with insecticide resistance problems, partly because fungal biopesti-
cides are able to reverse resistance. The results of this study suggest that the combined
use of ITNs and fungal biopesticides may be an efficient and effective method of malaria
control.
***
by Timothy J Egan
Future Microbiology, August 2009, Vol. 4, No. 6, pp. 637-639
It is most unlikely that any drug will provide the final answer to the problem of malaria.
Rather, the fight against this parasite is an ongoing battle requiring the constant intro-
duction of new drugs to replace those against which resistance appears. Nonetheless,
at present ACT is the best option available, and it is important that concerns about drug
resistance should not be used to delay the introduction of ACT in Africa and elsewhere
where it is highly effective.
***
Intermittent preventive treatment for malaria in children (IPTc) is a promising new inter-
vention for the prevention of malaria but its delivery is a challenge. The authors have
evaluated the coverage of IPTc that can be achieved by two different delivery systems
in Ghana.
***
***
Despite malaria being the largest public health problem in Africa South of Sahara with
over one million associated deaths each year, there has been little progress in its pre-
vention/control during the past decades. Therefore, this study was conducted to deter-
mine the knowledge, attitude, use of insecticide-treated nets (ITNs), and the prevalence
of malaria episodes among boarding secondary school pupils in Zaria, Nigeria.
***
Tuberculosis
by Jaine Roberts
Health Systems Trust, June 2009; ISBN: 978-1-919-839-80-6
The aim of the research was to assess current and historical surveillance of the pneu-
moconioses in former miners, in particular silicosis, silico-tuberculosis, and tuberculosis.
The research also aimed to assess the impact of the burden of lung disease and disabil-
ity on the public health system and on the labour-sending communities from which the
miners come and to which they return.
***
9 pp. 88 kB:
http://www3.interscience.wiley.com/cgi-bin/fulltext/122591113/PDFSTART
***
Fifteen years after the end of apartheid, miners in southern Africa have the highest tu-
berculosis incidence of any working population in the world. Social, working and health
conditions in South African mines have barely changed since the apartheid era and are
helping to fuel a TB epidemic. A number of immediately-available measures to improve
continuity of care for miners, change recruitment and compensation practices, and re-
duce the primary risk of infection may critically mitigate the negative association be-
tween mineral mining and tuberculosis.
Smallpox eradication in 1980 was a monumental achievement for the global health
community. Since then the remaining known strains of its causative agent, variola virus,
have been contained in two World Health Organization (WHO)-approved repositories. In
1999, the World Health Assembly (WHA) debated the issue of destroying these remain-
ing strains. In 2009 the Institute of Medicine (IOM) consensus committee evaluated the
scientific need for live variola virus in four areas: development of therapeutics, develop-
ment of vaccines, genomic analysis, and discovery research.
***
***
World Health Organization Weekly Epidemiological Record - 16 October 2009, Vol. 84,
42 (pp. 437-444)
Nearly 700 million of the total 1.33 billion population at risk for lymphatic filariasis was
targeted for mass drug administration (MDA) during 2008. Provinces in endemic coun-
tries that have implemented 5–6 rounds of MDA and achieved <1.0% prevalence of mi-
crofilaraemia are expected to enter into the next phase of the programme – that is, to
implement the monitoring and evaluation process to determine whether MDA may be
stopped and post-MDA surveillance begun.
Essential Medicines
According to this report the European Union is contradicting world trade rules by putting
the interests of big drug companies before the 2 billion people in the world who cannot
access essential medicines. The EU is pushing a range of Intellectual Property meas-
ures that would support the commercial interests of the pharmaceutical industry, while
damaging the opportunities for innovation and access to medicines in developing coun-
tries.
***
The Essential Drugs Monitor is a key information and advocacy tool about essential
Over one billion people – a sixth of humanity - don’t have enough to eat. Almost a third
of the world’s children are growing up malnourished. This is perhaps one of the most
shameful achievements of recent history, since there is no good reason for anyone to
go hungry in today’s world.
***
The Global Hunger Index (GHI) shows that worldwide progress in reducing hunger re-
mains slow. The 2009 global GHI has fallen by only one quarter from the 1990 GHI.
Southeast Asia, the Near East and North Africa, and Latin America and the Caribbean
have reduced hunger significantly since 1990, but the GHI remains distressingly high in
South Asia, which has made progress since 1990, and in Sub-Saharan Africa, where
progress has been marginal.
***
High food prices have brought into sharp focus an existing global food crisis that affects
almost one billion people. Lasting solutions to the problem include adequate investment
in agriculture, fairer trade, the redistribution of resources, and action on climate change.
But hungry people cannot be fed on the hope of long-term solutions. Governments,
***
The 2009 edition of the Right to Food and Nutrition Watch focuses on the question of
"Who controls the governance of the world food system?" For the first time in history,
the number of undernourished people in the world has surpassed the tragic figure of 1
billion. The gap between promises and reality is increasing as the international commu-
nity and national governments are far from realising the World Food Summit targets to
halve the proportion of chronically hungry people in the world by the year 2015.
***
by Alliance for Global Food Security, Alliance to End Hunger, Bread for the World et al.,
October 2009
The Roadmap to End Global Hunger and the legislation will set forth a comprehensive
and strategic plan that addresses world hunger in the short, intermediate and long term.
This approach seeks to increase funding for key interventions needed to alleviate global
hunger and ensure better coordination among existing programmes.
Social Security
The report shows that CARE village savings and loan associations (VSLAs) are giving
women at the very bottom of the world's economic ladder the means and confidence to
build more prosperous futures for themselves and their families. Nearly four decades of
global microfinance experience have shown us that when poor people – primarily
women – have access to basic financial services, they can change their lives and build
stronger communities.
Lower-income countries face severe health worker shortages. Recent evidence sug-
gests that this problem can be mitigated by task-shifting - delegation of aspects of
health care to less specialized health workers. The authors estimated the potential im-
pact of task shifting on costs of antiretroviral therapy (ART) and physician supply in
Uganda and conclude that task-shifting results in substantial cost and physician person-
nel savings in ART follow-up in Uganda and can contribute to mitigating the heath
worker crisis.
The starting point for an evaluation is to ask why it is being conducted, who will benefit,
and what impact the evaluation will itself have, and how. Well designed and facilitated,
participatory methods open studies to the voices of those most affected by a project in a
ways not possible using more conventional methods and can make the realities and ex-
periences of poor people count more.
***
4 pp. 86 kB:
http://api.ning.com/files/H91MFcO0Vaa8ucd0smkw7*lP9w0lMtBKjHBQNaNXvUbTci4YzdcTDL770
RqsYYdd7Mj6IYJNYuEvzGTGlhYO7xfVLoUgjuOg/101Howtoinstitutionalizeevaluation.pdf
How do we ensure that a government does not spend money on policies that do not
work and that social interventions are instead based in solid evidence? This brief draws
lessons from the experience of countries which have taken steps to institutionalize
evaluation to better inform policy.
***
This paper measures the health system costs of providing inpatient and outpatient ser-
vices, and also the costs associated with treating pneumonia and diarrhoea in under-
five children at a health centre in Zambia. The cost per out-patient visit for under-five
pneumonia was US$ 48, while the cost per bed day was US$ 215. The cost per outpa-
tient visit attributed to under-five diarrhoea was US$ 26, and the cost per bed day was
US$ 78. The study findings are useful and applicable in similar settings, and can be
used in cost effectiveness analyses of health interventions.
***
HIV and AIDS Programs - How they Support Health System Strengthening
The purpose of this report is to provide the reader with an overview of some of the is-
sues relating to women and information and communication technology (ICT) in the de-
veloping world in contrast to the developed world. Where possible, men’s engagement
will be added also as a contrast, but the focus of this working paper is on women, not
gender.
***
by N Barney Pityana
23rd ICDE World Conference on Open Learning and Distance Education, June 2009
The report provides information on the trends, progress and challenges of open and dis-
tance learning in the developing world. Distance education in the developing world may
not be the answer to higher education problems in all respects. Rather what it holds up
is a promise to bring those on the periphery of society within the net of opportunity
through enhancement of talent and capacities.
Education
This report addresses key issues pertaining to the teachers and higher-education teach-
ing personnel namely: teacher shortage, teachers’ qualifications, working conditions and
salaries, consultations with teacher organisations, preparation for the teaching profes-
sion and continuing professional development, academic freedom, collegial governance,
security of employment and tenure for teachers, safe school environments and
HIV/AIDS.
***
***
by Candace Cortiella
The National Center for Learning Disabilities (NCLD), 2009
This report provides information on the status of individuals with Learning Disability (LD)
and a data-based perspective of LD in the context of education reform. It is offered to
policy makers, education professionals, media, parents and others to ensure that there
is access to key LD data and expand awareness about what LD is and who the condi-
tion impacts.
***
Review On: The Education Sector Response to HIV & AIDS in Nepal
This study intended to review all the efforts made in the education sector
in order to prevent, manage, and mitigate the impact of HIV and AIDS in Nepal. But we
have no evidence on what the education sector has done to prevent HIV and mitigate its
impact. To what level the education sector itself has been impacted by HIV and AIDS is
also not known. Questions are often raised about what pedagogical and other ap-
proaches are being taken, and to what extent those approaches meet the needs of ado-
lescents, teachers and Ministry of Education (MOE) staff.
***
The report highlights the significance of secondary education in breaking the intergen-
erational cycle of poverty and in determining the country’s economic growth. It recom-
mends the use of innovative technologies and public-private partnership model for facili-
tating higher education in India.
Africa must find its path from teaching technology to teaching with technology: This is
what the author contends based upon the findings of a recent study he conducted in
120 schools on the Continent.
***
The review found that many internationally-agreed process and outcome indicators,
which are already in use as part of education or HIV programmes, are relevant to sec-
tor-specific responses. These indicators should be prioritised over other indicators which
may be similar but do not have international approval. The indicators may either be used
directly or modified to measure sector-specific outputs and outcomes in the proposed
M&E framework.
United Nations Office on Drugs and Crime (UNODC) Annual Report 2009
Over the past few years, drug use and production have stabilized. Still, there are too
many illicit drugs in the world, too many people suffering from addiction, and too much
crime and violence associated with the drugs trade. This Annual Report provides an
overview of what UNODC is doing to address the threat posed by drugs and crime.
***
2 pp. 46 kB:
http://www3.interscience.wiley.com/cgi-
bin/fulltext/122647923/PDFSTART
The European & Developing Countries Clinical Trials Partnership (EDCTP) was founded
in 2003 in response to the overwhelming global burden caused by the three main dis-
eases of poverty namely HIV/AIDS, tuberculosis and malaria. It is a partnership between
European and sub-Saharan African states that work closely with third parties to acceler-
ate research and development of new or improved interventions against these diseases
and generally improve the quality of clinical research in Africa.
***
This profile of the GTZ Health Section responds to a need that was identified in internal
discussions and confirmed through dialogue with external experts. Its three main objec-
tives are:
to illustrate what we do and what we can do;
look into the future and outline the competences we have to develop and shape in
the coming years, and in so doing,
explain how we intend to respond to our clients’ current and future needs.
***
This paper describes the state of global heath finance, taking into account government
and private sources of finance, and raises and discusses a number of policy issues re-
lated to global health governance. Among the findings are that the volume of official de-
velopment assistance for health is frequently inflated; and that data on private sources
of global health finance are inadequate but indicate a large and important role of private
actors. The fragmented, complicated, messy and inadequately tracked state of global
health finance requires immediate attention.
***
In 2008, total net official development assistance (ODA) from OECD Development As-
sistance Committee (DAC) countries rose by 10.2% in real terms to US$ 119.8 billion.
This is the highest annual aid figure ever recorded, representing 0.3% of members’
combined gross national income. While good news in a crisis - how can the trend be
maintained?
***
Donor assistance for AIDS is a primary source of funding in developing countries. The
economic crisis and subsequent reduction in donor funding has shown the inherent vul-
nerabilities of relying on these funds. This paper examines future of donor assistance
and policy options that can be put in place now to reduce these vulnerabilities.
***
Aid works
The overall aim of aid is to improve the welfare of citizens of developing countries and
promote economic development in order to reduce suffering and eliminate poverty
throughout the world. Development or Overseas Aid is a broad term that describes as-
sistance given to developing countries. It comes from a number of sources and is used
for a variety of purposes.
***
This report focuses on a number of key issues: removing barriers to formalization, im-
plementing competition policy, promoting the supply-side response, the financial sec-
tor’s contribution to pro-poor growth, enhancing women’s market access and construct-
ing inclusive public-private dialogue. This report aims to help donors increase the impact
of their private sector development programmes on poverty reduction.
***
This article attempts to measure herding behaviour in the allocation of foreign aid, pro-
posing different indexes that try to capture the specific features of aid allocation. The au-
thors chose to use two measures initially developed in finance and adapted them to the
specifics of foreign aid. However, the different estimates all reject the hypothesis of no
herding.
***
by Chris Coey
Harvard Model Congress Europe 2009
6 pp. 75 kB:
http://www.hmceurope.org/2010/docs/updates/G8_foreign_aid_update.pdf
The effectiveness of monetary aid is passionately disputed. This report provides infor-
mation on the different methods through which foreign aid is used. It also enlists the va-
riety of initiatives taken in order to provide aid to the needy.
***
Rich and poor countries are linked in many ways by foreign aid, com-
merce, migration, the environment, and military affairs. The Commitment to Develop-
ment Index (CDI) rates 22 rich countries on how much they help poor countries build
prosperity, good government, and security. Each rich country gets scores in seven pol-
icy areas, which are averaged for an overall score. For the details of the 2009 CDI, see
“The Commitment to Development Index: 2009 Edition” by David Roodman, available
at: http://www.cgdev.org/section/initiatives/_active/cdi/
***
The objective of the study is to raise awareness about different dimensions of aid frag-
mentation, volatility and associated costs to help define the way to better coordinate of-
ficial development assistance and private aid flows in Tajikistan. This study is targeted
for development practitioners, government officials and all development partners focus-
ing on aid effectiveness.
***
by S. Mansoob Murshed
Review of Development Economics, 13(3), 416-428, 2009
This paper analyses the interaction between aid donors and recipients from various an-
gles. The author states that it is usually assumed that the recipient of aid is solely re-
sponsible for exerting effort that makes aid effective but donors can also exercise effort
aimed at improving aid utilisation through their delegated agencies like consultancy
firms and NGOs which monitor accountability.
Others
Pan American Health Organization (PAHO) / World Health Organization (WHO), 2009
***
This policy glossary is intended to encourage foundations and other European institu-
tions to play a more active role in global health. It is designed to inform policy delibera-
tions in the wider political, economic and social spheres, setting out the challenges of
global health and laying the groundwork for coordinated, cross-sector European action.
***
ELECTRONIC RESOURCES
Open Access Week
These materials are freely available to anyone with access to the internet. While open
***
http://www.aidstar-one.com/treatment-documents
***
http://www.prb.org/DataFinder.aspx
***
http://www.bookshop.europa.eu
***
This issue presents case studies on early identification of mental health problems; active
primary care engagement; support for carers; rehabilitation / return to normal role; coor-
dination of health and social care; anti-stigma measures; balance of care; mental health
promotion; and suicide prevention.
http://www.youthwg.org/pubs/YouthInfoNet/YIN61.shtml
This issue of the monthly e-newsletter on youth reproductive health and HIV prevention
features 13 programme resources with Web links, and 14 journal article summaries on
research from Brazil, China, Kenya, Mexico, Nigeria, South Africa, Tanzania, Thailand,
and Zambia.
http://www.globalhivmeinfo.org/Pages/HomePage.aspx
***
http://www.ipas.org/Topics/Medical_Abortion.aspx
***
Malaria Map Application
http://www.cdc.gov/malaria/map/
The CDC Malaria Map Application is an interactive map which provides information on
malaria endemicity throughout the world. Users can search or browse countries, prov-
inces, cities, and place names, get information about malaria in that particular location,
and see recommended medications for malaria prevention for that area.
***
http://www.aidslex.org/english/Home-Page/
TRAINING OPPORTUNITIES
Online course: Introduction to Health Systems
http://www.futurehealthsystems.org/health%20systems%20course/hscindex.htm
This is a 10 unit short course developed by David Bishai of Johns Hopkins University
and the Health Systems Board under the sponsorship of Future Health Systems. The
goal is to familiarize students with the syndromic study of health systems.
***
Course Content: What is health economics?, data and sources of information, measur-
ing outcomes, measuring costs, cost effectiveness analysis and modelling, economic
evaluation, critical appraisal of health economic evaluation studies, when to begin think-
ing about health economics, role in providing healthcare.
Target Audience: Medical and non-medical staff within the pharmaceutical industry,
clinical research, medical information, regulatory affairs, biometrics and strategic mar-
keting personnel.
***
CONFERENCES
Geneva Health Forum: Toward Global Access to Health
CARTOON
If you would like to see more web page and less web browser toolbars, here is a little
trick you will like. Hit the F11 key. It will put you into “full screen” mode. Hit F11 again to
go back to normal mode. This works in Internet Explorer, Firefox Opera and Google
Chrome.
***
Select the start-up state you want and you are all set.
Best regards,
Dieter Neuvians MD