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Health, Education, Social Protection News & Notes 05/2013

A bi-weekly newsletter supported by GIZ (Deutsche Gesellschaft fr Internationale Zusammenarbeit)


03 March 2013
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Table of Contents: BOOKS ................................................................................ 5


Evaluation of PEPFAR ............................................................................................................ 5 Global Vaccine Action Plan 2011-2020................................................................................... 5 Building European Reference Networks in Health Care ......................................................... 5

ONLINE PUBLICATIONS .................................................... 6


Global Health.............................................................................................................. 6
Who Should Pay for Global Health, and How Much? ............................................................. 6 Towards Universal Health Coverage: concepts, lessons and public policy challenges.......... 6 UNITAID 5 Year Evaluation Summary .................................................................................... 6 Technical Support Needs of Indigenous Civil Society Principal Recipients of Global Fund Grants...................................................................................................................................... 7 Capacity Development Toolkit to Strengthen National Entities to Implement National Responses for HIV & AIDS, Tuberculosis and Malaria........................................................... 7

HIV - AIDS - STI ......................................................................................................... 7


Global AIDS Response Progress Reporting 2013 .................................................................. 7 Investing in Communities Achieves Results: Findings from an Evaluation of Community Responses to HIV and AIDS ................................................................................................... 8 When to Start ART in Africa - An Urgent Research Priority .................................................... 8 Global Policy Review of Antiretroviral Therapy Eligibility Criteria for Treatment and Prevention of HIV and Tuberculosis in Adults, Pregnant Women, and Serodiscordant Couples ................................................................................................................................... 8 HIV-1 Transmission within Marriage in Rural Uganda: A Longitudinal Study......................... 9 Outcomes of Antiretroviral Therapy in Vietnam: Results from a National Evaluation............. 9 Understanding International Policy on HIV and Breastfeeding: a comprehensive resource .. 9 Was higher viral load responsible for the African HIV epidemic? ......................................... 10 Access to HIV Prevention and Treatment for Men Who Have Sex with Men ....................... 10 Perceived risk of HIV infection and mental health in rural Malawi ........................................ 10

Sexual & Reproductive Health .................................................................................. 11


Interventions to Reduce the Prevalence of Female Genital Mutilation / Cutting in African Countries ............................................................................................................................... 11 Transforming Health: International Rights-Based Advocacy for Trans Health ..................... 11 Follow the Money: Tracking Contraceptive Finances ........................................................... 12 An all time low utilization of intrauterine contraceptive device as a birth spacing method - a qualitative descriptive study in district Rawalpindi, Pakistan ................................................ 12 Redeeming qualities: exploring factors that affect women's use of reproductive health vouchers in Cambodia........................................................................................................... 12

Maternal & Child Health............................................................................................ 13


Misoprostol for postpartum hemorrhage prevention at home birth: an integrative review of global implementation experience to date............................................................................. 13

HESP-News & Notes - 05/2013 - page 1

Achieving comprehensive childhood immunization: an analysis of obstacles and opportunities in The Gambia ................................................................................................. 13 Changing Childrens Chances: New Findings on Child Policy Worldwide ............................ 13 Urinary Tract Infection in Children: An Update...................................................................... 14

Malaria ..................................................................................................................... 14
Persistent detection of Plasmodium falciparum, P. malariae, P. ovale curtisi and P. ovale wallikeri after ACT treatment of asymptomatic Ghanaian school-children ........................... 14 Treatment practices in patients with suspected malaria in Provincial Hospital of Tete, Mozambique .......................................................................................................................... 14 Perception of malaria risk in a setting of reduced malaria transmission: a qualitative study in Zanzibar................................................................................................................................. 15 Performance of two rapid diagnostic tests for malaria diagnosis at the China-Myanmar border area ............................................................................................................................ 15 Pre-referral rectal artesunate treatment of childhood malaria in the community .................. 15

Tuberculosis ............................................................................................................. 16
A Media Guide on Reporting Tuberculosis Research and Related Issues in Uganda ......... 16 TBC: New Drug Against Multi-resistance.............................................................................. 16 Developing and Strengthening the Global Supply Chain for Second-Line Drugs for Multidrug-Resistant Tuberculosis: Workshop Summary ....................................................... 16 Corticosteroids for prevention of mortality in people with tuberculosis: a systematic review and meta-analysis ................................................................................................................. 17 A comprehensive assessment of housing conditions and other socioeconomic determinants of Tuberculosis among dwellers in urban slum communities in Uganda .............................. 17 Approval of a Tuberculosis Drug Based on a Paradoxical Surrogate Measure.................... 17 Integrating tuberculosis and HIV services in low- and middle-income countries: a systematic review .................................................................................................................................... 18 Aggressive Regimens for Multidrug-Resistant Tuberculosis Reduce Recurrence ............... 18 Abdominal Tuberculosis - A Review ..................................................................................... 18

Other Infectious Diseases......................................................................................... 19


Economic and Disease Burden of Dengue in Southeast Asia .............................................. 19 Dengue control support through eco-bio-social approach .................................................... 19 Dengue Haemorrhagic Fever: Diagnosis, Treatment and Control........................................ 19

Non-communicable Diseases ................................................................................... 20


Global Action Plan for the Prevention and Control of Noncommunicable Diseases 20132020....................................................................................................................................... 20 Comprehensive cervical cancer prevention and control: A healthier future for girls and women ................................................................................................................................... 20 Paediatric cancer in low-income and middle-income countries ............................................ 20 The Burden of Non-Communicable Disease in Transition Communities in an Asian Megacity: Baseline Findings from a Cohort Study in Karachi, Pakistan ............................... 21 Non-communicable diseases in Africa: Time to take notice ................................................. 21 Improving responsiveness of health systems to non-communicable diseases .................... 21

Food & Nutrition........................................................................................................ 22


Toolkit on How to protect and Promote the Nutrition of Mothers and Children in Latin America and the Caribbean .................................................................................................. 22 Superfood for Babies: How overcoming barriers to breastfeeding will save childrens lives 22 Estimating the relative contribution of parasitic infections and nutrition for anaemia among school-aged children in Kenya: a subnational geostatistical analysis .................................. 22

Essential Medicines .................................................................................................. 23


Nitrogen-14 Nuclear Quadrupole Resonance Spectroscopy: A Promising Analytical Methodology for Medicines Authentication and Counterfeit Antimalarial Analysis ............... 23 Understanding public drug procurement in India: a comparative qualitative study of five Indian states .......................................................................................................................... 23

Social Protection....................................................................................................... 23
Social Protection Systems in Latin America and the Caribbean........................................... 23 Transforming cash transfers: beneficiary and community perspectives on social protection programming ......................................................................................................................... 24 Effects of unconditional and conditional cash transfers on child health and development in Zimbabwe: a cluster-randomised trial ................................................................................... 24 Exploring the Role of Social Protection in Enhancing Food Security in Africa ..................... 25

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Bolsa Famlia after Brasil Carinhoso: an Analysis of the Potential for Reducing Extreme Poverty .................................................................................................................................. 25

Water, Sanitation & Hygiene..................................................................................... 25


Handbook on Climate Change and Disaster Resilient Water, Sanitation and Hygiene Practices................................................................................................................................ 25

Human Resources.................................................................................................... 26
Developing a new mid-level health worker: lessons from South Africas experience with clinical associates.................................................................................................................. 26 Service delivery in Kenyan district hospitals -- what can we learn from literature on mid-level managers? ............................................................................................................................ 26 Health workforce remuneration: comparing wage levels, ranking, and dispersion of 16 occupational groups in 20 countries...................................................................................... 26

Health Systems & Research ..................................................................................... 27


Preparatory Phase for submitting ideas on Research Networks for Health Innovation in Sub-Saharan Africa.............................................................................................................. 27 Reduced premature mortality in Rwanda: lessons from success ......................................... 27 Improving governance in healthcare systems in Africa......................................................... 27

Information & Communication Technology ............................................................... 28


For the Sake of Inquiry and Knowledge - The Inevitability of Open Access ......................... 28 ICT Enabled Community Development in India .................................................................... 28 Mobile Village Health Teams (VHTs) Support System Improving motivation and community health..................................................................................................................................... 29 Sustainable Financing for Mobile Health (mHealth): Options and opportunities for mHealth financial models in low and middle-income countries ........................................................... 29 ICT in Health for Development .............................................................................................. 29

Education ................................................................................................................. 30
Limited potential of school textbooks to prevent tobacco use among students grade 1-9 across multiple developing countries: a content analysis study............................................ 30

Harm Reduction & Drug Use .................................................................................... 30


Impact of a stepwise introduction of smoke-free legislation on the rate of preterm births: analysis of routinely collected birth data ............................................................................... 30 Mortality Attributable to Smoking Among HIV-1Infected Individuals: A Nationwide, Population-Based Cohort Study ............................................................................................ 30 Exploring knowledge, attitudes, and practices related to alcohol in Mongolia: a national population-based survey ....................................................................................................... 31

Millennium Development Goals ................................................................................ 31


Health in the Post-2015 Development Agenda ..................................................................... 31 MDGs - A public health professionals perspective from 71 countries.................................. 31 Post-2015 Development Agenda Bulletin ............................................................................. 32

Development Assistance .......................................................................................... 32


Social Media in Development Cooperation ........................................................................... 32 Aid: It is the End of the World as We Know It And I Feel Fine .......................................... 32 Improving Aid Effectiveness in Aid-Dependent Countries: Lessons from Zambia................ 33

Others ...................................................................................................................... 33
Africa Environment Outlook 3: Summary for Policy Makers ................................................. 33 UNEP Year Book: Emerging issues in our global environment ............................................ 33 Health risk assessment from the nuclear accident after the 2011 Great East Japan Earthquake and Tsunami ...................................................................................................... 33 Should trainee doctors use the developing world to gain clinical experience?..................... 34

ELECTRONIC RESOURCES ............................................ 34


The Internet Resources Digest.............................................................................................. 34 Bulletin of the World Health Organization - Vol. 91, Nr. 3, March 2013................................ 34 UNAIDS Science now ........................................................................................................... 35 HIV this month - Issue No. 1; January 2013 ......................................................................... 35

INTERESTING WEB SITES .............................................. 35


The Access to Medicine Index .............................................................................................. 35 South-South Learning on Social Protection .......................................................................... 35

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Transforming Cash Transfers................................................................................................ 36 HIFA-Watch ........................................................................................................................... 36

TRAINING OPPORTUNITIES............................................ 36
Regional workshop: Monitoring and Evaluation of HIV/AIDS Programs ............................ 36 Impact Evaluation of HIV/AIDS and Health Programs .......................................................... 36

CONFERENCES................................................................ 37
COHRED Colloquium on boosting sustainable investments into research and innovation for health..................................................................................................................................... 37 th 6 MIM Pan-African Malaria Conference .............................................................................. 37 th 7 SAHARA Conference 2013 .............................................................................................. 37 rd 3 International Conference on Family Planning .................................................................. 38

CARTOON ......................................................................... 38 TIPS & TRICKS ................................................................. 38


Giveaway of the Day - Free, Fully-Licensed Software .......................................................... 38 Windows Function Keys (F1 F6) ........................................................................................ 39

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HESP-News & Notes - 05/2013 - page 4

BOOKS
Evaluation of PEPFAR
Committee on the Outcome and Impact Evaluation of Global HIV/AIDS Programs; Board on Global Health; Board on Children, Youth, and Families; Institute of Medicine, 2013 677 pp. 9.7 MB:
http://download.nap.edu/cart/download.cgi?&record_id=18256&free=1

The U.S. government supports programs to combat global HIV/AIDS through an initiative that is known as the Presidents Emergency Plan for AIDS Relief (PEPFAR). This initiative focused on an emergency response to the HIV/AIDS pandemic to deliver lif esaving care and treatment in low- and middle-income countries (LMICs) with the highest burdens of disease. The overall aim of this evaluation is a forward-looking approach to track and anticipate the evolution of the U.S. response to global HIV to be positioned to inform the ability of the U.S. government to address key issues under consideration at the time of the report release. ***

Global Vaccine Action Plan 2011-2020


The Decade of Vaccines Collaboration Secretariat World Health Organization, 2013 152 pp. 8.8 MB:
http://apps.who.int/iris/bitstream/10665/78141/1/9789241504980_eng.pdf

Overwhelming evidence demonstrates the benefits of immunization as one of the most successful and cost-effective health interventions known. The Global Vaccine Action Plan (GVAP) is a framework approved by the World Health Assembly in May 2012 to achieve the Decade of Vaccines vision by delivering universal access to immunization. The mission outlined in the GVAP is straightforward: improve health by extending by 2020 and beyond the full benefits of immunization to all people, regardless of where they are born, who they are, or where they live. ***

Building European Reference Networks in Health Care


Exploring concepts and national practices in the European Union Edited by Willy Palm, Irene A. Glinos, Bernd Rechel et al. The European Observatory on Health Systems and Policies, 2013 97 pp. 1.2 MB: http://www.euro.who.int/__data/assets/pdf_file/0004/184738/e96805.pdf This book examines the ways in which reference networks have developed in European countries, for what kind of medical conditions or interventions, the motivations behind their establishment, the regulatory and administrative processes involved, and the financial arrangements needed. This study outlines the key policy implications and challenges of developing the concept of reference networks at national and European levels, and will assist policy-makers, health professionals, administrators and others involved in implementing the Directive. HESP-News & Notes - 05/2013 - page 5

ONLINE PUBLICATIONS
Global Health Who Should Pay for Global Health, and How Much?
by Luis R. Carrasco, Richard Coker, Alex R. Cook PLoS Med 10(2): e1001392 (19 February 2013) 6 pp. 411 kB: http://www.plosmedicine.org/article/fetchObjectAttachment.action;jsessionid=37D 6DC594066963A2CD8E89C2D85DE37?uri=info%3Adoi%2F10.1371%2Fjournal.pmed. 1001392&representation=PDF Global health is a public good and ill-health in one part of the globe has consequences elsewhere: witness recent emerging infectious diseases. It follows that by contributing to global health, donor countries can benefit substantially: directly, in the form of a reduction in communicable disease emergence and transmission. Mirroring global carbon permit markets to mitigate climate change, the authors propose a cap-and-trade system consisting of a global cost-effectiveness criterion and a disability-adjusted life year (DALY) global credit market. ***

Towards Universal Health Coverage: concepts, lessons and public policy challenges
Background Document: WHO/World Bank Ministerial-level Meeting on Universal Health Coverage 18-19 February 2013, WHO headquarters, Geneva, Switzerland 4 pp. 147 kB: http://www.who.int/mediacentre/events/meetings/2013/uhc_who_worldbank_feb2 013_background_document.pdf Universal health coverage is about ensuring that all people have access to services that promote good health, prevent illness, offer treatment and rehabilitation. The services must be of good quality and effective, and people must not suffer financial hardship when paying for them. The meeting brought together ministers of finance and health from 27 countries with other high-level stakeholders. A series of roundtable discussions was held: to explore ways that countries are progressing towards universal health coverage; to share innovative solutions; and to identify actions the global community can take to support efforts. ***

UNITAID 5 Year Evaluation Summary


UNITAID Secretariat, 24 October 2012 20 pp. 891 kB: http://www.unitaid.eu/images/Five-year-evaluation/5YE%20Exec%20SummaryUNITAID%202012-12-03%2016h00.pdf UNITAID is an innovative global health initiative largely financed by a levy on air tickets supplemented by traditional donor contributions. Since its inception in 2006, UNITAID HESP-News & Notes - 05/2013 - page 6

has made a significant contribution to the fight against HIV/AIDS, TB and malaria. The results of the 5 Year Evaluation largely validate UNITAIDs business model, but they also point to a number of challenges ahead for the organisation. ***

Technical Support Needs of Indigenous Civil Society Principal Recipients of Global Fund Grants
International Council of AIDS Service Organizations (ICASO), 2012 36 pp. 431 kB: http://www.csathubs.org/download/?file=230 This report analyses the technical support needs of indigenous Civil Society Organizations (CSO) in building their capacity to be effective Principal Recipients (PRs). The intended audience of the report includes stakeholders involved in Global Fund processes, technical support providers, and other partners. Additionally, CSOs which are considering taking on the PR role may find the report useful. ***

Capacity Development Toolkit to Strengthen National Entities to Implement National Responses for HIV & AIDS, Tuberculosis and Malaria
United Nations Development Programme, Global Fund Partnership http://www.undp-globalfund-capacitydevelopment.org/home/cd-toolkit-forhivaids,-tb-malaria-responses.aspx This guide provides practical guidance on how to manage a capacity development pr ocess for national entities to implement national disease responses for HIV and AIDS, Tuberculosis and Malaria. It includes practical advice, tools, templates and process guidance for the five steps of the capacity development process. In addition, the toolkit has specific sections on transition planning and functional capacities.

HIV - AIDS - STI Global AIDS Response Progress Reporting 2013


Construction of Core Indicators for Monitoring the 2011 UN Political Declaration on HIV/AIDS Joint United Nations Programme on HIV/AIDS (UNAIDS), January 2013 188 pp. 1.0 MB: http://apps.who.int/iris/bitstream/10665/78126/1/9789292530068_eng.pdf UNAIDS is committed to supporting United Nations Member States in collecting and reporting high-quality results on the AIDS response. The purpose of this document is to provide guidance to national AIDS programmes and partners actively involved in the country response to AIDS on use of core indicators to measure and report on the national response. To inform the midterm review, UNAIDS is requesting countries to provide their most recent data for 2012, using the indicators in this document. This data will HESP-News & Notes - 05/2013 - page 7

serve countries in conducting their own midterm reviews, helping you to focus on the areas where action is most needed to reach your priority targets and elimination commitments by 2015. ***

Investing in Communities Achieves Results: Findings from an Evaluation of Community Responses to HIV and AIDS
by Rosala Rodriguez-Garca, Ren Bonnel, David Wilson et al. International Bank for Reconstruction and Development / The World Bank, 2013 143 pp. 2.1 MB: http://www.dfid.gov.uk/Documents/publications1/evaluation/Investi ng-communities-achieve-results.pdf While communities, in spite of their limited resources, have played a key role in the HIV/AIDS response, their contributions and innovative approaches to prevention, trea tment, care, and support have not always been the focus of systematic and rigorous evaluations. To address this deficit, a series of studies - including evaluations in Burkina Faso, India, Kenya, Lesotho, Nigeria, Senegal, South Africa, and Zimbabwe - were undertaken over a three-year period (early 2009 to early 2012), helping to build a robust pool of evidence on the effects of community-based activities and programs. ***

When to Start ART in Africa - An Urgent Research Priority


by Kevin M. De Cock, and Wafaa M. El-Sadr The New England Journal of Medicine, February 20, 2013 4 pp. 452 kB: http://www.nejm.org/doi/pdf/10.1056/NEJMp1300458 Early ART and deferred ART, each recommended and practiced depending on the setting, cannot both be the most favourable choice for individual health. To make informed decisions, HIV-infected people require a full understanding of the implications of taking ART early or late - or some may be reluctant to take early treatment for prevention. With millions of people who require ART still not receiving it, billions of dollars invested in HIV-AIDS programs, and widespread discussion about extending ART use, too much is at stake to allow uncertainty about when to initiate ART to persist. ***

Global Policy Review of Antiretroviral Therapy Eligibility Criteria for Treatment and Prevention of HIV and Tuberculosis in Adults, Pregnant Women, and Serodiscordant Couples
by Somya Gupta, Reuben Granich, Amitabh B. Suthar et al. J Acquir Immune Defic Syndr, Vol. 62, Nr. 3, March 1, 2013 pp. e87e97 11 pp. 502 kB: http://pdfs.journals.lww.com/jaids/2013/03010/Global_Policy_Review_of_Antiretro viral_Therapy.20.pdf This article reviews the antiretroviral therapy (ART) initiation criteria from national treatHESP-News & Notes - 05/2013 - page 8

ment guidelines for 70 countries and determines the extent of consistency with the current World Health Organization (WHO) recommendations. The authors conclude that published guidelines from a significant number of countries are not following WHO recommendations. Although published guidelines may not reflect practice, it is important to adapt recommendations and services quickly to reflect the emerging science on the health and prevention benefits of earlier access to ART. ***

HIV-1 Transmission within Marriage in Rural Uganda: A Longitudinal Study


by Samuel Biraro, Eugene Ruzagira, Anatoli Kamali et al. PLoS ONE 8(2): e55060 (4 February 2013) 8 pp. 251 kB:
http://www.plosone.org/article/fetchObjectAttachment.action;jsessionid=929982F92AE5DF22E 101E36F93506BF0?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0055060&representation=PDF

A longitudinal cohort study of heterosexual couples in Uganda has found more evidence of the efficacy of antiretroviral therapy (ART) in curbing HIV infection within the community. The study found 119 new HIV infections in 2334 couples over the course of the study, and 62 infections among the 254 couples that were initially or who became HIV serodiscordant. But it did not find a single example of transmission from a partner who was on antiretroviral therapy. ***

Outcomes of Antiretroviral Therapy in Vietnam: Results from a National Evaluation


by Duc Bui Nguyen, Nhan Thi Do, Ray W. Shiraishi et al. PLoS ONE 8(2): e55750 (15 February 2013) 6 pp. 103 kB: http://www.plosone.org/article/fetchObjectAttachment.action?uri=info%3Adoi%2F 10.1371%2Fjournal.pone.0055750&representation=PDF Vietnam has significantly scaled up its national antiretroviral therapy (ART) program since 2005. With the aim of improving Vietnams national ART program, the authors conducted an outcome evaluation of the first five years of the program in this concentrated HIV epidemic where the majority of persons enrolled in HIV care and treatment services are people who inject drugs (PWID). They conclude that the study showed good retention and immunological response to ART among a predominantly PWID group of patients despite advanced HIV infections at baseline. The results of this evaluation may have relevance for other national ART programs with significant PWID populations. ***

Understanding International Policy on HIV and Breastfeeding: a comprehensive resource


World Alliance for Breastfeeding Action (WABA), January 2013 This is a resource which aims to clarify the confusion which has arisen during the last decade due to changing HIV and infant feeding guidance. It summarises up-to-date scientific evidence as at the end of 2012. Research emerging between WHOs 2006 and 2010 guidance HESP-News & Notes - 05/2013 - page 9

documents showed conclusively that maternal/infant ARV regimens during pregnancy and breastfeeding greatly reduce vertical transmission of HIV; and that exclusive and continued breastfeeding significantly improves overall HIV-free survival. Section 1: Introduction to current HIV and infant feeding policy Section 2: The global HIV pandemic and how it affects women and children Section 3: Interventions to maximise mother and child health and survival Section 4: Counselling HIV-positive mothers about how to feed their babies using current HIV and infant feeding recommendations Section 5: Chronology and evolution of HIV & IF policy Section 6: Glossary, definitions and further resources ***

Was higher viral load responsible for the African HIV epidemic?
by Gus Cairns NAM Publications, 12 February 2013 Read online at: http://mobile.aidsmap.com/Was-higher-viral-load-responsible-for-the-African-HIVepidemic/page/2568942 The HIV epidemic has carved contrasting trajectories around the world with subSaharan Africa (SSA) being most affected. Researchers from Cornell University in New York hypothesized that mean HIV-1 plasma RNA viral loads (VL) are higher in SSA than other areas, and that these elevated levels may contribute to the scale of epidemics in this region. ***

Access to HIV Prevention and Treatment for Men Who Have Sex with Men
Findings from the 2012 Global Mens Health and Rights Study (GMHR) by Sonya Arreola, Pato Hebert, Keletso Makofane et al. The Global Forum on MSM & HIV (MSMGF), December 2012 37 pp 1.3 MB: http://www.msmgf.org/files/msmgf//documents/GMHR_2012.pdf Data from the global survey revealed several barriers (factors associated with lower access) and facilitators (factors associated with higher access) that impact the ability of Men Who Have Sex with Men (MSM) to obtain condoms, lubricants, HIV testing, and HIV treatment. Homophobia, provider stigma, and negative consequences for being out as MSM were significantly associated with reduced access to services. Conversely, community engagement and comfort with health service provider were each significantly associated with increased access to services. ***

Perceived risk of HIV infection and mental health in rural Malawi


by Ning Hsieh Demographic Research, Vol. 28, Article 13, pp. 373-408; Published 26 February 2013

HESP-News & Notes - 05/2013 - page 10

38 pp. 785 kB: http://www.demographic-research.org/volumes/vol28/13/28-13.pdf The emerging literature on HIV/AIDS and mental health in sub-Saharan Africa stresses that HIV-positive status is significantly related to mental illness. However, it has neglected an equally important concern in contexts where HIV is highly prevalent, namely, whether and how an HIV/AIDS epidemic affects the mental well-being of individuals in the general population, regardless of their HIV status. The authors conclude that mental health concerns in the context of an HIV/AIDS epidemic need to be addressed not only for HIV-infected individuals, but also for those who are not infected but are uncertain and fearful about being infected and about the ensuing life changes.

Sexual & Reproductive Health Interventions to Reduce the Prevalence of Female Genital Mutilation / Cutting in African Countries
by Rigmor C. Berg and Eva Denison The International Initiative for Impact Evaluation (3ie), January 2013 155 pp. 1.7 MB:
http://www.3ieimpact.org/media/filer/2013/02/06/sr009_fgm_bergdenison.pdf

The authors aimed to review the empirical research on the effectiveness of interventions to reduce the prevalence of Female Genital Mutilation/Cutting (FGM/C) in African countries, and the empirical research on contextual factors that may help explain the effectiveness, or lack thereof, of such interventions. The findings show that much work remains to be conducted regarding the evaluation of FGM/C abandonment efforts. There is a need to conduct methodologically rigorous intervention evaluations. Such studies should address the local communities enforcement systems that support FGM/C and be based on a sound theory of behaviour change. ***

Transforming Health: International Rights-Based Advocacy for Trans Health


by Kellan Baker, Silvan Agius, Hua Boonyapisomparn et al. Open Society Foundations Public Health Program 44 pp. 308 kB: http://www.opensocietyfoundations.org/sites/default/files/transform ing-health-20130213.pdf Transgender people across the world face substantial barriers to adequate health and health care. They are targets of discrimination and violence, are at greater risk of contracting HIV, and experience a higher incidence of mental health problems like depression. Yet trans communities are building alliances to promote trans health and to fight for policies that respect gender diversity and human rights. This report profiles projects from 16 organizations in twelve countries that address these barriers. ***

HESP-News & Notes - 05/2013 - page 11

Follow the Money: Tracking Contraceptive Finances


USAID - Deliver Project, February 2013 9 pp. 599 kB: http://deliver.jsi.com/dlvr_content/resources/allpubs/logisticsbriefs/ FollMoneTrac.pdf Increasingly, national governments are recognizing the importance of contraceptive financing; they are taking responsibility for determining financial requirements, mobilizing resources for supplies, and monitoring financial commitments to ensure they translate into contraceptives. To do this effectively, stakeholders, including the Ministry of Health reproductive health program managers, Contraceptive Security committee members, and advocates need to know how public-sector contraceptives are currently being financed in their respective countries. ***

An all time low utilization of intrauterine contraceptive device as a birth spacing method - a qualitative descriptive study in district Rawalpindi, Pakistan
by Amna Khan and Babar Tasneem Shaikh Reproductive Health 2013, 10:10 (9 February 2013) 5 pp. 273 kB: http://www.reproductive-health-journal.com/content/pdf/1742-4755-10-10.pdf Pakistan has almost a stagnant contraceptive prevalence rate for more than a decade now, perhaps owing to the inadequate performance of the family planning programs. The provision and use of long term contraceptives such as IUCD has always been low (around 2%) and associated with numerous issues. The study revealed that the family planning clients are reluctant to use IUCDs because of a number of myths and misconceptions associated with the method. They also have reservations about the providers capability and quality of care at the facility. ***

Redeeming qualities: exploring factors that affect women's use of reproductive health vouchers in Cambodia
by Carinne D Brody, Julie Freccero, Claire D Brindis et al. BMC International Health and Human Rights 2013, 13:13 (26 February 2013) 21 pp. 166 kB: http://www.biomedcentral.com/content/pdf/1472-698X-13-13.pdf One approach to delivering healthcare in developing countries is through voucher programs, where vouchers are distributed to a specific population for free or subsidized health care. Recent evaluations suggest that vouchers have the potential to extend coverage of priority health services to the poor in developing countries. This study highlights the importance of tailoring voucher programs to specific community needs, a strategy that can lead to better program uptake.

HESP-News & Notes - 05/2013 - page 12

Maternal & Child Health Misoprostol for postpartum hemorrhage prevention at home birth: an integrative review of global implementation experience to date
by Jeffrey Michael Smith, Rehana Gubin, Martine M Holston et al. BMC Pregnancy and Childbirth 2013, 13:44 (20 February 2013) 20 pp. 113 kB: http://www.biomedcentral.com/content/pdf/1471-2393-13-44.pdf Hemorrhage continues to be a leading cause of maternal death in developing countries. The 2012 World Health Organization guidelines for the prevention and management of postpartum hemorrhage (PPH) recommend oral administration of misoprostol by community health workers (CHWs). The authors conclude that community-based programs for prevention of PPH at home birth using misoprostol can achieve high distribution and use of the medication, using diverse program strategies. Coverage was greatest when misoprostol was distributed by community health agents at home visits. ***

Achieving comprehensive childhood immunization: an analysis of obstacles and opportunities in The Gambia
by Sarah Payne, John Townend, Momodou Jasseh et al. Health Policy Plan. (2013) - First published online: February 20, 2013 11 pp. 233 kB: http://heapol.oxfordjournals.org/content/early/2013/02/19/heapol. czt004.full.pdf+html This study assessed immunization coverage and the determinants of immunization in a semi-rural area in The Gambia. Despite high levels of coverage of many individual vaccines, delivery of vaccinations later in the schedule and achieving high coverage of full immunization remain challenges, even in a country with a committed childhood immunization programme, such as The Gambia. Our data indicate areas for targeted interventions by the national Expanded Programme of Immunization. ***

Changing Childrens Chances: New Findings on Child Policy Worldwide


by Jody Heymann and Kristen McNeill UCLA World Policy Analysis Centre 78 pp. 9.1 MB: http://childrenschances.org/press/Childrens%20Chances%20Rep ort%20-%20English.pdf Globally comparable available information on childrens outcome is improving but remains sparse in many areas. Even rarer and less systematic is information on what is being done to meet childrens needs. Drawing on original data on policies and laws around the world, this report seeks to provide a global picture of where we stand in terms of policy tools that governments can use to make a difference in childrens life chances. HESP-News & Notes - 05/2013 - page 13

Urinary Tract Infection in Children: An Update


by Kamrul Laila, Eliza Roy, Habibur Rahman et al. Bangladesh J Child Health 2012; Vol. 36 (2): 90-97 8 pp. 148 kB: http://www.bdresearch.org/home/attachments/article/nArt/192.pdf A large number of children with Urinary Tract Infection (UTI) are seen in the community by general practitioners, but there is frequently delay in treatment and not all are referred for further investigations. There is evidence that many cases are misdiagnosed. It is important to optimize diagnostic and management strategies. There is no role of prophylactic antibiotics to prevent febrile recurrent UTI without Vesico-Ureteric Reflux.

Malaria Persistent detection of Plasmodium falciparum, P. malariae, P. ovale curtisi and P. ovale wallikeri after ACT treatment of asymptomatic Ghanaian school-children
by Bismarck Dinkoa, Mary C. Oguikea, John A. Larbi et al. International Journal for Parasitology: Drugs and Drug Resistance, Vol. 3, December 2013, pp. 4550 6 pp. 328 kB:
http://pdn.sciencedirect.com/science?_ob=MiamiImageURL&_cid=280845&_us er=10&_pii=S221132071300002X&_check=y&_origin=article&_zone=toolbar&_coverDa te=2013--31&view=c&originContentFamily=serial&wchp=dGLzVltzSkzS&md5=e0bb942c33a751131c2211ab0eb243d7&pid=1-s2.0-S221132071300002X-main.pdf

This report raises two areas of concern for programmes seeking to eliminate malaria in sub-Saharan Africa. Firstly, co-infecting non-falciparum species were found by Polymerase Chain Reaction (PCR) to be common in asymptomatic individuals with patent P. falciparum parasitaemia, and the deployment of an artemisinin-combination therapy (ACT) thought efficacious against all three species failed to completely clear P. malariae and P. ovale spp. in approximately 10% of individuals over 3 weeks of follow-up. ***

Treatment practices in patients with suspected malaria in Provincial Hospital of Tete, Mozambique
by E. Bottieaua, P. Gilleta, A. De Weggheleirea et al. Trans R Soc Trop Med Hyg (2013) 107 (3): 176-182 (February 3, 2013) 7 pp. 180 kB: http://trstmh.oxfordjournals.org/content/107/3/176.full.pdf+html Nowadays, parasite-based diagnosis by microscopy or malaria rapid diagnostic tests (RDT) is universally promoted before malaria treatment. However, studies on adherence of primary caregivers to malaria test results have provided conflicting results. Adherence to malaria test results was good in this reference setting, but antibiotic prescription was relatively frequent in clinically stable non-malaria patients. Optimal management of parasite-negative patients must be further defined along with programmatic deployment of the parasite-based strategy. HESP-News & Notes - 05/2013 - page 14

Perception of malaria risk in a setting of reduced malaria transmission: a qualitative study in Zanzibar
by Julie A Bauch, Jessica J Gu, Mwinyi Msellem et al. Malaria Journal 2013, 12:75 (22 February 2013) 17 pp. 150 kB: http://www.malariajournal.com/content/pdf/1475-2875-12-75.pdf Malaria transmission has declined dramatically in Zanzibar in recent years. Continuing use of preventive measures such as long-lasting insecticidal-treated nets (LLINs), and use of malaria rapid diagnostic tests (RDTs) are essential to prevent malaria resurgence. This study employed qualitative methods to explore community perceptions of malaria risk and adherence to prevention measures in two districts in Zanzibar. ***

Performance of two rapid diagnostic tests for malaria diagnosis at the China-Myanmar border area
by Juan Yan, Nana Li, Xu Wei et al. Malaria Journal 2013, 12:73 (22 February 2013) 18 pp.814 kB: http://www.malariajournal.com/content/pdf/1475-2875-12-73.pdf Rapid diagnostic tests (RDTs) have become an essential tool in the contemporary malaria control and management programmes in the world. This study aims to evaluate the performance of two commonly used RDTs for malaria diagnosis in the China-Myanmar border area. The authors conclude that compared to Polymerase Chain Reaction (PCR), both microscopy and RDTs had lower sensitivities. RDTs had similar performance to microscopy for P. falciparum diagnosis, but performed worse for P. vivax d iagnosis. Other RDT products should be selected with higher sensitivity (and good specificity) for both P. falciparum and P. vivax diagnosis. ***

Pre-referral rectal artesunate treatment of childhood malaria in the community


Training manual for community health workers to assess danger signs, provide emergency pre-referral treatment and refer treated children to a health facility by Melba Gomes, Gilles Reboux, Dominique Senon et al. World Health Organization on behalf of the Special Programme for Research and Training in Tropical Diseases, 2012 61 pp. 3.9 MB:
http://www.who.int/iris/bitstream/10665/77766/1/9789241504218_eng_light_version.pdf

This manual has been developed to help health care practitioners in communities, normally referred to as Community Health Workers (CHWs), to understand how and when to provide rectal artesunate for children seriously ill with malaria, and to help them to refer patients to the nearest facility after this initial treatment.

HESP-News & Notes - 05/2013 - page 15

Tuberculosis A Media Guide on Reporting Tuberculosis Research and Related Issues in Uganda
by Milly Nattimba, Joseph Kawuma, Francis Adatu Panos Eastern Africa, June 2012 23 pp. 883 kB: http://www.panosea.org/Panosea/doc_92 This guide is designed to support the media in their role of social mobilisation, policy advocacy, awareness creation, and community engagement for tuberculosis (TB) management and control. It provides information on key and current TB research and related issues in Uganda, as well as guidance on the role the media can play in sharing and engaging voices of the public on these issues. ***

TBC: New Drug Against Multi-resistance


by Sonja Schmitzer DocCheck News, 19 February 2013 Read online at: http://news.doccheck.com/com/article/213295-tbc-new-drug-against-multi-resistance/ The treatment of tuberculosis is slow and takes place through the combination of several drugs. Researchers have now discovered in the "toothbrush tree" a new antibiotic yielding an effective approach that also kills drug-resistant TB pathogens. ***

Developing and Strengthening the Global Supply Chain for Second-Line Drugs for Multidrug-Resistant Tuberculosis: Workshop Summary
by Anna Nicholson, Rebecca A. English, Rita S. Guenther et al. Board on Health Sciences Policy; Institute of Medicine, 2013 170 pp. 1.7 MB:
http://download.nap.edu/cart/download.cgi?&record_id=13524&free=1

To effectively treat patients diagnosed with drug-resistant (DR) tuberculosis (TB) and protect the population from further transmission of this infectious disease, an uninterrupted supply of quality-assured (QA), second-line anti-TB drugs (SLDs) is necessary. This public workshop explored innovative solutions to the problem of how to get the right SLDs for MDR TB to people who critically need them. More specifically, the workshop examined current problems and potential opportunities for coordinated international efforts to ensure that a reliable and affordable supply of high-quality SLDs is available. ***

HESP-News & Notes - 05/2013 - page 16

Corticosteroids for prevention of mortality in people with tuberculosis: a systematic review and meta-analysis
by Julia A Critchley, Fiona Young, Lois Orton et al. The Lancet Infectious Diseases, Vol. 13, Issue 3, pp. 223-237, March 2013 15 pp. 324 kB:
http://download.thelancet.com/pdfs/journals/laninf/PIIS1473309912703213.pdf

The effects of corticosteroids are systemic, but their benefits in tuberculosis are thought to be organ specific, with clinicians using them routinely to treat some forms of tuberc ulosis (such as meningitis), but not others. The authors conclude that steroids could be effective in reducing mortality for all forms of tuberculosis, including pulmonary tuberculosis. However, further evidence is needed since few recent trials have assessed the effectiveness of corticosteroids in patients with pulmonary tuberculosis. ***

A comprehensive assessment of housing conditions and other socioeconomic determinants of Tuberculosis among dwellers in urban slum communities in Uganda
by Nikki Jeffery, Morris Lab, Ekwaro Obuku et al. Target Tuberculosis (Target TB) and International Medical Foundation (IMF), October 2011 95 pp. 2.4 MB: http://www.panosea.org/docs/pub/TB%20NA%20Research%20Report%20final% 20Dec%202011.pdf The study revealed that awareness of Tuberculosis (TB) was high but comprehension of cause, transmission, and prevention was low. Stigma at personal and community level was evident with majority perceiving their communities to reject TB patients. Although most residents were within reasonable reach to a health unit, significant barriers to health care were identified including: the lack of services, drugs or health care workers in facilities; transport costs and user fees. ***

Approval of a Tuberculosis Drug Based on a Paradoxical Surrogate Measure


by Jerry Avorn JAMA. 2013;():1-2. - Published online February 21, 2013 2 pp.48 kB:
http://jama.jamanetwork.com/data/Journals/JAMA/0/jama.2013.623.pdf

On December 31, 2012, the US Food and Drug Administration (FDA) announced its approval of a new drug to treat multidrug-resistant tuberculosis (MDR-TB). The agency granted bedaquiline (Sirturo) fast-track approval, assessing its efficacy by a surrogate measure rather than an actual clinical outcome. When, as with bedaquiline, favourable findings on a surrogate measure run counter to data on clearly important clinical ou tcomes such as disease progression and death, the agency should withhold its decision until more evidence is available to resolve the conflicting signals, rather than being HESP-News & Notes - 05/2013 - page 17

obliged to make an approval decision prematurely based on what may turn out to be inadequate information. ***

Integrating tuberculosis and HIV services in low- and middle-income countries: a systematic review
by Helena Legido-Quigley, Catherine M. Montgomery, Palwasha Khan et al. Tropical Medicine and International Health - Vol. 18, No. 2, pp. 199-211; February 2013 13 pp. 147 kB: http://onlinelibrary.wiley.com/doi/10.1111/tmi.12029/pdf Given the imperative to scale up integrated tuberculosis (TB) and HIV services in settings where both are of major public health importance, the authors aimed to synthesise knowledge concerning implementation of TB/HIV service integration. They conclude that, while scaling up integrated services, robust comparisons of the impacts of different models are needed using standardised outcome measures. ***

Aggressive Regimens for Multidrug-Resistant Tuberculosis Reduce Recurrence


by Molly F. Franke, Sasha C. Appleton, Carole D. Mitnick et al. Clinical Infectious Diseases 2013;56(6):770-6 (15 March 2013) 7 pp. 112 kB: http://cid.oxfordjournals.org/content/56/6/770.full.pdf?etoc Individuals who received an aggressive Multidrug-Resistant (MDR) tuberculosis regimen for 18 months following sputum conversion experienced a lower rate of recurrence after cure. Efforts to ensure that an aggressive regimen is accessible to all patients with MDR tuberculosis, such as minimization of sequential ineffective regimens, expanded drug access, and development of new MDR tuberculosis compounds, are critical to reducing tuberculosis recurrence in this population. ***

Abdominal Tuberculosis - A Review


by Devendra Nath Sarkar, Robed Amin, Hanif Mohammed et al. Bangladesh J Medicine 2011; 22 : 51-59 9 pp. 134 kB: http://www.bdresearch.org/home/attachments/article/nArt/186.pdf Abdominal TB which may involve the gastrointestinal tract, peritoneum, lymph nodes or solid viscera, constitutes up to 12% of extra pulmonary TB and 1-3% of the total. Abdominal tuberculosis is presumed to be highly prevalent in Bangladesh. But there is no extensive study done in this country regarding abdominal tuberculosis. In addition to the review of key papers, the authors undertook searches of electronic databases including the Cochrane database of systematic reviews.

HESP-News & Notes - 05/2013 - page 18

Other Infectious Diseases Economic and Disease Burden of Dengue in Southeast Asia
by Donald S. Shepard, Eduardo A. Undurraga, Yara A. Halasa PLoS Negl Trop Dis 7(2): e2055 (21 February 2013) 12 pp. 596 kB:
http://www.plosntds.org/article/fetchObjectAttachment.action;jsessionid=505AFBF37520E326 E62C218958A86FB2?uri=info%3Adoi%2F10.1371%2Fjournal.pntd.0002055&representation=PDF

The authors estimated the economic and disease burden of dengue in 12 countries in SEA: Bhutan, Brunei, Cambodia, East-Timor, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, and Viet Nam. They conclude that dengue poses a substantial economic and disease burden in SEA with a disability-adjusted life years (DALY) burden of 372 per million inhabitants in the region. This burden is higher than that of 17 other conditions, including Japanese encephalitis, upper respiratory infections, and hepatitis B. ***

Dengue control support through eco-bio-social approach


Pathogens and Global Health, Vol. 106, Nr. 8, December 2012 Dengue Special Issue: Eco-Bio-Social approach to dengue in urban & peri-urban areas of South & South-East Asia To access all articles for free go to: http://www.ingentaconnect.com/content/maney/pgh/2012/00000106/000 00008;jsessionid=beefnjeillb0m.alexandra A new environmental and community approach to reducing the numbers of mosquitoes that carry dengue has been detailed in a supplement of 8 new research articles published in Pathogens and Global Health. Six research institutions in India, Sri Lanka, I ndonesia, Myanmar, Philippines, Thailand have shown that working with communities and other partners led to a range of effective solutions that used fewer pesticides and were customized to that regions needs. ***

Dengue Haemorrhagic Fever: Diagnosis, Treatment and Control


World Health Organization, 1986 64 pp. 3.2 MB: http://apps.who.int/iris/bitstream/10665/78140/1/9241542098_eng.pdf Dengue haemorrhagic fever is an increasing public health problem in most tropical areas in South-East Asia and the Western Pacific, and has been spreading in some parts of the American tropics, where in 1981 a very serious epidemic occurred in Cuba. Drawing on experience from all these areas, this publication provides valuable guidance to health staff at all levels who are called upon to care for patients or who are concerned with routine surveillance or the control of outbreaks.

HESP-News & Notes - 05/2013 - page 19

Non-communicable Diseases Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013-2020
World Health Organization, Revised Draft, 11 February 2013 47 pp. 546 kB: http://www.who.int/nmh/events/2013/revised_draft_ncd_action_plan.pdf Four categories of disease cardiovascular diseases, cancer, chronic respiratory diseases and diabetes make the largest contribution to morbidity and mortality due to noncommunicable diseases and are the main focus of the draft action plan. These four noncommunicable diseases can be largely prevented or controlled by means of effective interventions that tackle shared risk factors, namely: tobacco use, unhealthy diet, physical inactivity and harmful use of alcohol as well as through early detection and treatment. These major noncommunicable diseases and their risk factors are considered together in the draft action plan in order to emphasize shared aetiological factors and common approaches to prevention. ***

Comprehensive cervical cancer prevention and control: A healthier future for girls and women
World Health Organization (WHO), Department of Management of Noncommunicable Diseases (NMH/MND), February 2013 12 pp. 929 kB:
http://apps.who.int/iris/bitstream/10665/78128/1/WHO_IVB_13.02_eng.pdf

This WHO Guidance Note, that is part of the overall guidance WHO is issuing on Womens cancers, is aimed at senior policy makers and programme managers. It gives a broad vision of what a comprehensive approach to cervical cancer prevention and control means. It is not new guidance but summarizes existing WHO publications. In particular, it outlines the complementary strategies for comprehensive cervical cancer prevention and control, and highlights the need for collaboration across programmes, organizations, and partners. ***

Paediatric cancer in low-income and middle-income countries


by Ian Magrath, Eva Steliarova-Foucher, Sidnei Epelman et al. The Lancet Oncology, Early Online Publication, 20 February 2013 13 pp. 893 kB: http://download.thelancet.com/pdfs/journals/lanonc/PIIS1470204513700081.pdf The authors discuss childhood cancer in relation to global development and propose strategies that could result in improved survival. Education of the public, more and be tter-trained health professionals, strengthened cancer services, locally relevant research, regional hospital networks, international collaboration, and health insurance are all essential components of an enhanced model of care. *** HESP-News & Notes - 05/2013 - page 20

The Burden of Non-Communicable Disease in Transition Communities in an Asian Megacity: Baseline Findings from a Cohort Study in Karachi, Pakistan
by Faisal S. Khan, Ismat Lotia-Farrukh, Aamir J. Khan et al. PLoS ONE 8(2): e56008 (13 February 2013) 9 pp. 177 kB: http://www.plosone.org/article/fetchObjectAttachment.action?uri=info%3Adoi%2F 10.1371%2Fjournal.pone.0056008&representation=PDF The present study was designed as a unique Framingham-like Pakistan cohort with the objective of measuring the prevalence and risk factors for hypertension, obesity, diab etes, coronary artery disease and hepatitis B and C infection in a multi-ethnic, middle to low income population of Karachi, Pakistan. The findings highlight the need to monitor risk factors and disease trends through longitudinal research in high-burden transition communities in the context of rapid urbanization and changing lifestyles. They also demonstrate the urgency of public health intervention programs tailored for these transition communities. ***

Non-communicable diseases in Africa: Time to take notice


by Mercy Manyema Consultancy Africa Intelligence (Pty) Ltd., 18 February 2013 Read online at:
http://www.consultancyafrica.com/index.php?option=com_content&view=article&id=1235:noncommunicable-diseases-in-africa-time-to-take-notice-&catid=61:hiv-aids-discussion-papers&Itemid=268

This paper discusses the potential consequences for Africas human and economic resources of the double disease burden facing the continent. The level of response by African governments and health systems to the rising non-communicable disease (NCD) epidemic and the extent of research and funding towards NCDs in Africa are also discussed. Furthermore, recommendations are made on ways in which to stem the tide of NCDs. ***

Improving responsiveness of health systems to non-communicable diseases


by Rifat Atun, Shabbar Jaffar, Sania Nishtar et al. The Lancet, Vol. 381, Issue 9867, pp. 690-697, 23 February 2013 8 pp. 215 kB: http://download.thelancet.com/pdfs/journals/lancet/PIIS014067361360063X.pdf The lessons learnt from the HIV response can guide the introduction and stepwise expansion of actions to address non-communicable diseases (NCDs) and multimorbidity. The HIV movement placed the civil society, communities, and people affected at the heart of the response, which created strong accountability to citizens and stressed the right to treatment. Although important differences should be recognised regarding NCDs, an inclusive and multidisciplinary response that moved beyond the boundaries of health sector with investments in new cadres of health human resources was crucial to the success of the HIV response. HESP-News & Notes - 05/2013 - page 21

Food & Nutrition Toolkit on How to protect and Promote the Nutrition of Mothers and Children in Latin America and the Caribbean
by Marie Chantal Messier, Christine Macdonald, Susan Shulman et al. The World Bank - Human Development - Health, Nutrition & Population, January 2013 Access the toolkit at:
http://web.worldbank.org/WBSITE/EXTERNAL/COUNTRIES/LACEXT/EXTLACREGTOPHEANUT POP/EXTLACREGTOPNUT/0,,contentMDK:23342299~pagePK:34004173~piPK:34003707~theSit ePK:4160378,00.html

The aim of this toolkit is to inform changes in countries policies and practices and to guide their attempts to deal with persistently high prevalence rates of malnutrition among their poorest, least educated, and indigenous populations. In a single-source compilation, it offers clear guidance on cost-efficient interventions to assist countries in safeguarding the nutritional status of mothers and children during times of stability, crisis, and emergency. ***

Superfood for Babies: How overcoming barriers to breastfeeding will save childrens lives
by Frances Mason, Kathryn Rawe, Simon Wright et al. The Save the Children Fund, February 2013 75 pp. 2.9 MB: http://www.savethechildren.org.uk/sites/default/files/images/Superf ood_for_Babies_UK_version.pdf Superfood for Babies is a global call to action to rediscover the importance of breastfeeding and to support mothers to breastfeed their babies especially in the poorest communities in the poorest countries. The report puts forward a series of recommend ations to governments, international institutions and multinational companies to ensure that every infant is given the life-saving protection that breastfeeding can offer. ***

Estimating the relative contribution of parasitic infections and nutrition for anaemia among school-aged children in Kenya: a subnational geostatistical analysis
by Rachel L Pullan, Carol Gitonga, Charles Mwandawiro et al. BMJ Open 2013;3:e001936, (22 February 2013) 11 pp. 554 kB: http://bmjopen.bmj.com/content/3/2/e001936.full.pdf+html The study intended to quantify geographical variation in the relative contribution of parasitic infections, socioeconomic factors and malnutrition in the aetiology of anaemia among schoolchildren across Kenya, thereby providing a rational basis for the targeting of an integrated school health package. The observed geographical heterogeneity in the burden of anaemia attributable to different aetiological factors has important implications for the rational targeting of anti-anaemia interventions that can be included in an inteHESP-News & Notes - 05/2013 - page 22

grated school health programme.

Essential Medicines Nitrogen-14 Nuclear Quadrupole Resonance Spectroscopy: A Promising Analytical Methodology for Medicines Authentication and Counterfeit Antimalarial Analysis
by Jamie Barras, Darragh Murnane, Kaspar Althoefer et al. Anal. Chem., Publication Date (Web): February 5, 2013 8 pp. 345 kB: http://pubs.acs.org/doi/pdfplus/10.1021/ac303267v In the developing world, drug counterfeiters produce and sell antimalarial drugs that come in the same packaging as and look like drugs made by pharmaceutical companies. But these fake pills may contain too low a dose of the active compounds or lack them completely. A spectroscopic technique can spot counterfeit drugs with improper amounts of active ingredient even when the pills are still in their packaging. A selling point for the method is that the radio waves can penetrate paper and cardboard, so an inspector or doctor wouldnt have to break open a drugs packaging to analyze it. ***

Understanding public drug procurement in India: a comparative qualitative study of five Indian states
by Prabal Vikram Singh, Anand Tatambhotla, Rohini Kalvakuntla et al. BMJ Open 2013;3:e001987 12 pp. 607 kB: http://bmjopen.bmj.com/content/3/2/e001987.full.pdf+html The authors highlight critical success factors that significantly influence the outcome of any procurement model. The analysis indicated that autonomous procurement organisations were more efficient in relation to payments to suppliers, had relatively lower drug procurement prices and managed their inventory more scientifically. In a way, this study raises more questions and seeks the need for further research in this arena to aid policy makers.

Social Protection Social Protection Systems in Latin America and the Caribbean
Economic Commission for Latin America and the Caribbean (ECLAC) and Deutsche Gesellschaft fr Internationale Zusammenarbeit (GIZ), 2013 http://dds.cepal.org/socialprotection/social-protection-systems/ This site presents a series of national case studies which characterize two major components of social protection systems - non-contributory (traditionally known as social assistance, which can include both universal and targeted measures) and contributory HESP-News & Notes - 05/2013 - page 23

social protection (or social security). The case studies also discuss employment policies as well as social sectors such as education, health and housing, as their compr ehension is needed to understand the challenges for peoples access to those sectors in each country. ***

Transforming cash transfers: beneficiary and community perspectives on social protection programming
by Fiona Samuels, Nicola Jones, Paola Pereznieto et al. Overseas Development Institute (ODI), 21 December 2012 Cash transfers are predictable payments made directly to poor people. There is growing evidence that cash transfers have a range of positive effects, however the evidence varies it is strong, for example, on reducing poverty and hunger, and helping people to access health and education services. But it is weaker on more transformational effects; there is strong logic but little evidence of the effects of cash transfers on citizens voice, empowerment, gender equality, social cohesion and state-building. The following six country reports are the first of several sets of outputs from the research project: Transforming cash transfers: beneficiary and community perspectives on the Senior Citizen Grant (SCG) in Uganda Transforming cash transfers: beneficiary and community perspectives on the Palestinian national cash transfer programme - Part 1: the case of the Gaza Strip Transforming cash transfers: beneficiary and community perspectives on the Palestinian national cash transfer programme - Part 2: the case of the West Bank Transforming cash transfers: beneficiary and community perspectives on the basic social subsidy programme in Mozambique Transforming cash transfers: beneficiary and community perspectives on the cash transfer for orphans and vulnerable children programme in Kenya Transforming cash transfers: beneficiary and community perspectives on the social welfare fund in Yemen ***

Effects of unconditional and conditional cash transfers on child health and development in Zimbabwe: a cluster-randomised trial
by Laura Robertson, Phyllis Mushati, Jeffrey W Eaton et al. The Lancet, Early Online Publication, 26 February 2013 10 pp. 464 kB: http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673612621680.pdf Cash-transfer programmes can improve the wellbeing of vulnerable children, but few studies have rigorously assessed their effectiveness in sub-Saharan Africa. The authors conclude that their study results support strategies to integrate cash transfers into social welfare programming in sub-Saharan Africa, but further evidence is needed for the comparative effectiveness of unconditional cash transfers (UCTs) and conditional cash transfers (CCTs) programmes in this region. ***

HESP-News & Notes - 05/2013 - page 24

Exploring the Role of Social Protection in Enhancing Food Security in Africa


United Nations Development Programme, July 2011 12 pp. 317 kB: http://web.undp.org/africa/knowledge/issue-socialprotection.pdf Social protection policies seek to reduce the vulnerability of individuals and communities, both in the short and long term. This note focuses on risk management, aiming to provide guidance on how countries, communities and households can deal with food price shocks. As such, the note briefly discusses recent work on ex-ante and ex-post social protection mechanisms, as well as their rationale. It also explores the issue of s ocial protection for food security, including the matter of seasonality, as well as the circumstances under which food aid can be effective. ***

Bolsa Famlia after Brasil Carinhoso: an Analysis of the Potential for Reducing Extreme Poverty
by Rafael Guerreiro Osrio and Pedro H. G. Ferreira de Souza The International Policy Centre for Inclusive Growth, March 2013 9 pp. 749 kB: http://www.ipc-undp.org/pub/IPCPolicyResearchBrief41.pdf The paper explains the changes in the design of the Bolsa Famlia Programme from 2003 to 2012. It focuses on the introduction of Brasil Carinhoso, an unconditional cash transfer aimed at eliminating extreme poverty in families with children aged less than 15 who are beneficiaries of Bolsa Familia. To achieve this, the extreme poor families r eceive an income transfers that is equal to the gap between the self-reported monthly family per capita income and the extreme poverty line. The authors suggest that given the small number of families without children aged 0-15 who are still in extreme poverty, the government could in fact extend the Brasil Carinhoso benefit to all families living in poverty. This change was actually announced by the Government of Brazil on the 19th February.. 2013

Water, Sanitation & Hygiene Handbook on Climate Change and Disaster Resilient Water, Sanitation and Hygiene Practices
by Kazi Shahidur Rahman, Arif Abdullah Khan, Hasina Akter Mita et al. WaterAid in Bangladesh, December 2012 68 pp. 2.8 MB: http://www.preventionweb.net/files/31324_31324climatechangean ddisasterresili.pdf Safe water, sanitation and hygiene are primarily public health concern. These are essential for healthy life and sustainable livelihood. This handbook focuses on safe water supply, sanitation and hygiene practice and considers specifically the rural context of Bangladesh. It discusses existing national policy structures and institutional system for HESP-News & Notes - 05/2013 - page 25

ensuring safe water, sanitation and hygiene practice as well the strategies to cope with the climate change and disaster induced uncertainties.

Human Resources Developing a new mid-level health worker: lessons from South Africas experience with clinical associates
by Jane Doherty, Daphney Conco, Ian Couper et al. Glob Health Action 2013, 6: 19282 10 pp. 128 kB: http://www.globalhealthaction.net/index.php/gha/article/viewFile/19282/pdf_1 Mid-level medical workers play an important role in health systems and hold great potential for addressing the human resource shortage, especially in low- and middleincome countries. South Africa began the production of its first mid-level medical workers known as clinical associates in small numbers in 2008. To sustain and expand on early achievements, clinical associates must be produced in greater numbers and the required funding, training capacity, public sector posts, and supervision must be made available. Retaining the new cadre will depend on the public system becoming an employer of choice. ***

Service delivery in Kenyan district hospitals -- what can we learn from literature on mid-level managers?
by Jacinta Nzinga, Lairumbi Mbaabu and Mike English Human Resources for Health 2013, 11:10 (26 February 2013) 20 pp. 1.0 MB: http://www.human-resources-health.com/content/pdf/1478-4491-11-10.pdf The authors examined literature on the roles of mid-level managers to help us understand how they might influence service delivery quality in Kenyan hospitals. In the Kenyan hospital settings, these are roles that head of departments who are also clinical or nursing service providers might play. This review highlights the possible significance of mid-level managers in achieving delivery of high-quality services in Kenyan public hospitals and strongly suggests that approaches to strengthen this level of management will be valuable. ***

Health workforce remuneration: comparing wage levels, ranking, and dispersion of 16 occupational groups in 20 countries
by Kea Tijdens, Daniel H de Vries and Stephanie Steinmetz Human Resources for Health 2013, 11:11 (28 February 2013) 27 pp. 212 kB: http://www.human-resources-health.com/content/pdf/1478-4491-11-11.pdf This article breaks new ground by investigating for the first time the wage levels, ranking, and dispersion of occupational groups in the HRH workforce across countries. The explorative findings illustrate that the assumption of similarity in cross-country wage HESP-News & Notes - 05/2013 - page 26

ranking holds, but that wage dispersion and wage levels are not similar. These findings might contribute to the policies for health workforce composition and the planning of healthcare provisions.

Health Systems & Research Preparatory Phase for submitting ideas on Research Networks for Health Innovation in Sub-Saharan Africa
Call for proposals of the German Federal Ministry of Education and Research (BMBF)
http://www.internationales-buero.de/african-health-networks/index.php

The BMBF is preparing a new initiative for advancing health research networks in and with Sub-Saharan Africa. The initiative aims at providing sustainable support for NorthSouth and South-South cooperation in health research and its links to medical education and training as well as to health services delivery. Please find at the above URL the call text for the preparatory measures, the guidelines for applicants, templates for calculating the budget of the preparatory measures and for the letters of intent and detailed information about the implementation phase in German and in English. The call text, the guidelines and the information about the implementation phase will be available also in French and Portuguese, soon. ***

Reduced premature mortality in Rwanda: lessons from success


by Paul E Farmer, Cameron T Nutt, Claire M Wagner et al. BMJ 2013;346:f65 (Published 18 January 2013) 7 pp. 398 kB:
http://www.bmj.com/highwire/filestream/625781/field_highwire_article_pdf/0/bmj.f65.full.pdf

Over the last ten years, Rwandas health system development has led to the most dramatic improvements of health in history. Rwanda is the only country in sub-Saharan Africa on track to meet most of the Millennium Development Goals. But there is disagreement about the reasons for the success. Some have claimed that Rwandas progress largely reflects high spending on health care, much of it financed by foreign aid. Substantial credit for Rwandas progress is due to the central government, including the Ministry of Health. Rwandas progress has not been uniform, however, and many challenges lie ahead. ***

Improving governance in healthcare systems in Africa


by Janet Mugo Consultancy Africa Intelligence (Pty) Ltd., 18 February 2013 Read online at:
http://www.consultancyafrica.com/index.php?option=com_content&view=article&id=1234:improvinggovernance-in-healthcare-systems-in-africa-&catid=61:hiv-aids-discussion-papers&Itemid=268

This paper presents various scenarios on the African continent to illustrate why the conHESP-News & Notes - 05/2013 - page 27

tinent has little to show in terms of health outcomes, despite millions of dollars being poured into African healthcare systems. The paper further highlights the importance of improving certain aspects of these systems, such as resource management, combating corruption and the performance of health workers and facilities. Good governance in these areas has the potential to lead to functioning, effective and efficient healthcare systems.

Information & Communication Technology For the Sake of Inquiry and Knowledge - The Inevitability of Open Access
by Ann J. Wolpert N Engl J Med 2013; 368:785-787; February 28, 2013 3 pp. 467 kB: http://www.nejm.org/doi/pdf/10.1056/NEJMp1211410 It is difficult to have a measured conversation about open access - the term widely used to refer to unrestricted online access to articles published in scholarly journals. People who believe that free and unrestricted access to peer-reviewed journal articles will undermine the viability of scholarly journal publishing disagree sharply with those who believe that only open access can expedite research advances and ensure the availability of that same scholarly literature. Arguments for and against open access tend to focus on implementation details, ignoring the powerful motivations underlying the phenomenon. Related Articles: Open but Not Free - Publishing in the 21st Century http://www.nejm.org/doi/pdf/10.1056/NEJMp1211259 Creative Commons and the Openness of Open Access http://www.nejm.org/doi/pdf/10.1056/NEJMp1300040 The Downside of Open-Access Publishing http://www.nejm.org/doi/pdf/10.1056/NEJMp1214750 ***

ICT Enabled Community Development in India


by Payal Sen Choudhary J. of Mass Communication & Journalism, 2012, Vol. 2, Issue 10 5 pp. 1.6 MB: http://www.unapcict.org/ecohub/ict-enabled-communitydevelopment-in-india/at_download/attachment1 This paper examines the extent to which information, communication and technology has contributed towards community development in India. It analyses data to find out contribution of ICTs in providing broader development benefits to all Indian citizens. Many ICT based institution have taken place over the last decade and some positive effects have resulted. However, these successes have failed to meet the bulls eye. The various social and economic constrains also becomes a stumble stone for development. Efforts are made by government as well as private enterprises to use ICT for positive development. *** HESP-News & Notes - 05/2013 - page 28

Mobile Village Health Teams (VHTs) Support System Improving motivation and community health
Malaria Consortium, 2013 2 pp. 111 kB: http://www.malariaconsortium.org/media-library/mediafiles/201212180256-inscale---technology-arm.pdf The use of mobile phones is intended to increase the status of the Mobile Village Health Teams (VHTs) in their communities and allow frequent feedback and support from the VHT supervisors based on submitted data. This will provide the desired performance based feedback and promote connectedness to the health system. It will increase the frequency and quality of contact between supervisor and VHT through the establishment of closed user groups as a result of which VHTs will be able to make unlimited, free calls to each other and their supervisors. ***

Sustainable Financing for Mobile Health (mHealth): Options and opportunities for mHealth financial models in low and middle-income countries
by Tore Godal, Erick Gaju, Lisa Felton et al. mHealth Alliance and Vital Wave Consulting, February 2013 43 pp. 852 kB: http://www.mhealthalliance.org/images/content/sustainable_financ ing_for_mhealth_report.pdf While there is no longer doubt that mHealth is a viable strategy and tool for improving access, coverage and quality of care, as well as generating cost savings, the question of financial sustainability and ultimately Who pays for mHealth, and at which stage is the investment most needed and appropriate? poses persistent challenges and barriers to scale and investment. ***

ICT in Health for Development


by Andrea Bord, Charles Fromm, Farzad Kapadia et al. A white paper commissioned by The Global Alliance for Information and Communication Technologies and Development (UNGAID), December 2009 45 pp. 404 kB: http://unpan1.un.org/intradoc/groups/public/documents/un-dpadm/unpan036980.pdf In recent years, the international community has rallied around a campaign known as Information and Communication Technologies for Development (ICT4D), which aims to apply information technology solutions toward poverty reduction goals. ICTs can be applied directly wherein their use benefits a disadvantaged population, or indirectly where ICTs assist aid organizations, non-governmental organizations (NGO), governments or businesses in order to improve existing socioeconomic conditions.

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Education Limited potential of school textbooks to prevent tobacco use among students grade 1-9 across multiple developing countries: a content analysis study
by Junko Saito, Daisuke Nonaka, Tetsuya Mizoue et al. BMJ Open 2013;3:e002340 7 pp. 183 kB: http://bmjopen.bmj.com/content/3/2/e002340.full.pdf+html Content analysis was used to evaluate if the textbooks incorporated the following five core components recommended by the WHO: (1) consequences of tobacco use; (2) s ocial norms; (3) reasons to use tobacco; (4) social influences and (5) resistance and life skills. A rather limited number of school textbooks in developing countries contained descriptions of prevention of tobacco use, but they did not fully cover the core components for tobacco use prevention. The chance of tobacco prevention education should be seized by improving the content of school textbooks.

Harm Reduction & Drug Use Impact of a stepwise introduction of smoke-free legislation on the rate of preterm births: analysis of routinely collected birth data
by Bianca Cox, Evelyne Martens, Benoit Nemery et al. BMJ 2013;346:f441 (Published 14 February 2013) 8 pp. 274 kB: http://www.bmj.com/highwire/filestream/631122/field_highwire_ar ticle_pdf/0/bmj.f441.full.pdf It is well known that smoking during pregnancy can stunt the growth of unborn babies and shorten gestation while second-hand smoke exposure can also affect births. But little was known about the impact of smoking bans on pre-term birth rates. This study shows a consistent pattern of reduction in the risk of preterm delivery with successive population interventions to restrict smoking. This finding is not definitive but it supports the notion that smoking bans have public health benefits from early life. ***

Mortality Attributable to Smoking Among HIV-1Infected Individuals: A Nationwide, Population-Based Cohort Study
by Marie Helleberg, Shoaib Afzal, Gitte Kronborg et al. Clin Infect Dis. (2013) 56 (5): 727-734 8 pp. 164 kB: http://cid.oxfordjournals.org/content/56/5/727.full.pdf In a setting where HIV care is well organized and antiretroviral therapy is free of charge (Denmark), HIV infected smokers lose more life-years to smoking than to HIV. The excess mortality of smokers is tripled and the population-attributable risk of death associHESP-News & Notes - 05/2013 - page 30

ated with smoking is doubled among HIV patients compared to the background population. ***

Exploring knowledge, attitudes, and practices related to alcohol in Mongolia: a national population-based survey
by Alessandro R Demaio, Otgontuya Dugee, Maximillian de Courten et al. BMC Public Health 2013, 13:178 (27 February 2013) 16 pp. 152 kB: http://www.biomedcentral.com/content/pdf/1471-2458-13-178.pdf Focusing on Non-Communicable Diseases and their risk factors, this publication explores the alcohol-related findings of a national Knowledge, Attitudes and Practices survey. The research suggests that Mongolia faces an epidemiological challenge in addressing the burden of alcohol use and related problems. The findings suggest a focus and context for public health measures addressing alcohol-related harm in Mongolia.

Millennium Development Goals Health in the Post-2015 Development Agenda


Draft Report of the Global Thematic Consultation on Health, 28 February 2013 77 pp. 1.6 MB: http://www.worldwewant2015.org/bitcache/d0964c56f550d71b41fef9c b900dda82e4c43d2b?vid=338636&disposition=attachment&op=download The latest draft of the report of the consultation on health in the post2015 development agenda presents a summary of the main themes and messages that have emerged from the consultations and will provide the focus for discussions of the High-Level Panel in Botswana on March 4-5, 2013. ***

MDGs - A public health professionals perspective from 71 countries


by Marta Lomazzi, Mareike Theisling, Leticia Tapia et al. Journal of Public Health Policy (2013) 34, e1e22 22 pp. 847 kB:
http://www.palgrave-journals.com/jphp/journal/v34/n1/pdf/jphp201269a.pdf

The World Federation of Public Health Associations executed a qualiquantitative survey to explore the opinion of public health professionals worldwide and their experience concerning the implementation and achievement of the Millennium Development Goals (MDGs) with a focus on sub-Saharan Africa. The respondents main activities focused on MDGs 4, 5, and 6. Their answers do not differ significantly between respondents position, WHO regions, and country's Gross National Income. ***

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Post-2015 Development Agenda Bulletin


Published by the International Institute for Sustainable Development (IISD), 22 February 2013 10 pp. 2.6 MB: http://www.iisd.ca/download/pdf/sd/crsvol208num1e.pdf The Public Dialogue and Leadership Meeting on Addressing Inequalities in the Post2015 Development Agenda took place from 18-19 February 2013 in Copenhagen, Denmark. Co-hosted by the UN Childrens Fund (UNICEF), UN Women and the Governments of Denmark and Ghana, these meetings were the culmination of the Global Thematic Consultation on Addressing Inequalities in the Post-2015 Development Agenda and were held to review the final report and findings of the consultation. This report summarizes the presentations and discussions during the public dialogue and leadership meeting.

Development Assistance Social Media in Development Cooperation


Edited by Ricky Storm Braskov recomm at Malm University and Roskilde University, 2012 90 pp. 3.1 MB: http://orecomm.net/wpcontent/uploads/2012/04/SocialMediaOrecomm2011.pdf In this volume, participants in the recomm Festival 2011 share their experiences in using social media in development cooperation. This event is organised by the transnational research centre recomm, which works to strengthen research in the interdisciplinary field of media, communication, and social change. ***

Aid: It is the End of the World as We Know It And I Feel Fine


by Bruno Meessen International Health Policies, 28 February, 2013 4 pp. 196 kB: http://e.itg.be/ihp/wp-content/plugins/down-as-pdf/generate.php?id=6038 In the South, the emancipation of big Southern NGOs and the growth of public revenue and fiscal space are important trends. Together, these trends will radically transform the aid sector. A new generation of actors is already emerging, while many actors who were dominant in the last 20-30 years will suffer. One can expect severe damage at the level of a few multilateral agencies, several bilateral aid agencies, some big NGOs, consulting companies supporting the implementation of aid programs, but also for the myriad of small European NGOs whose contribution risks to become very anecdotal in the medium term. ***

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Improving Aid Effectiveness in Aid-Dependent Countries: Lessons from Zambia


by Monica Beuran, Gal Raballand, Julio Revilla Documents de Travail du Centre dEconomie de la Sorbonne, 2011 32 pp. 554 kB: http://halshs.archives-ouvertes.fr/docs/00/61/19/01/PDF/11040.pdf This paper examines the issue of aid effectiveness in Zambia, especially in terms of how the incentive structure faced by donors may lead to decreased accountability and inadequate concern for long-term outcomes, rendering aid less beneficial. The paper concludes by proposing a revised approach to the provision and use of international aid in Zambia, as well as in other aid-dependent countries in Sub-Saharan Africa.

Others Africa Environment Outlook 3: Summary for Policy Makers


by Joseph Opio-Odongo United Nations Environment Programme, 2013 40 pp. 6.9 MB: http://www.unep.org/pdf/aeo3.pdf The Third Africa Environment Outlook (AEO-3), analyses the importance of and interlinkages between health and environment and the opportunities and synergies that might be derived from intensified collaboration between the two sectors. It covers the themes of air quality, biodiversity, chemicals and waste, climate change and variability, coastal and marine resources, freshwater and sanitation as well as land. It also illu strates how socio-economic driving forces can generate environmental pressures, leading to altered ecosystem states, personal exposure to risks, and adverse health effects. ***

UNEP Year Book: Emerging issues in our global environment


United Nations Environment Programme, 2013 78 pp. 8.0 MB: http://www.unep.org/pdf/uyb_2013.pdf The 10th edition of the UNEP Year Book focuses on rapid change in the Arctic and minimizing chemical risks. It also reports on the spike in rhino and elephant poaching in Africa, growing urban environmental challenges, and the accelerating momentum to tackle short-lived climate pollutants. Overall the global environment continues to show signs of degradation - from land and water to biodiversity and the atmosphere. ***

Health risk assessment from the nuclear accident after the 2011 Great East Japan Earthquake and Tsunami
by Makoto Akashi, Billy Amzal, Lynn Anspaugh et al. HESP-News & Notes - 05/2013 - page 33

World Health Organization, 2013 172 pp. 2.6 MB:


http://www.who.int/iris/bitstream/10665/78218/1/9789241505130_eng.pd f

A comprehensive assessment by international experts on the health risks associated with the Fukushima Daiichi nuclear power plant (NPP) disaster in Japan has concluded that, for the general population inside and outside of Japan, the predicted risks are low and no observable increases in cancer rates above baseline rates are anticipated. ***

Should trainee doctors use the developing world to gain clinical experience?
The annual Varsity Medical Debate - London, Friday 20th January, 2012 by Barnabas J Gilbert, Calum Miller, Fenella Corrick et al. Philosophy, Ethics, and Humanities in Medicine 2013, 8:1 (21 February 2013) 8 pp. 115 kB: http://www.peh-med.com/content/pdf/1747-5341-8-1.pdf The 2012 Varsity Medical Debate between Oxford University and Cambridge University provided a stage for representatives from these institutions to debate the motion "This house believes that trainee doctors should be able to use the developing world to gain clinical experience." This article brings together many of the arguments put forward du ring the debate, centring around three major points of contention.

ELECTRONIC RESOURCES
The Internet Resources Digest
compiled by Irina Ibraghimova HealthConnect International, January 2013 10 pp. 861 kB: http://www.healthconnect-intl.org/files/ir-bulletin/IRD_Jan13.pdf This issue is devoted to internet resources on evidence-based practice and policy in health care and social work in low- and middle-income countries. Although there is still some resistance to the evidence-based medicine movement, evidence-based health care has now become widely accepted and adopted. Wherever health care is provided and used, it is essential to know which interventions work, which do not work, and which are likely to be harmful. ***

Bulletin of the World Health Organization - Vol. 91, Nr. 3, March 2013
http://www.who.int/bulletin/volumes/91/3/en/index.html This issue includes articles on the following topics: A global elimination target for congenital syphilis? HESP-News & Notes - 05/2013 - page 34

Losing limbs and lives to landmines Rapid roll out of new tuberculosis test in South Africa Interview: Brazil and the yellow fever vaccine Tracking the effects of new vaccines Making medicines affordable in China Impact of WHO HIV/tuberculosis treatment guidelines in Cambodia ***

UNAIDS Science now


http://sciencenow.unaids.org/ In 2012 alone there were more than 14 000 scientific papers published on HIV. With such an impressive amount of information, it can be challenging to keep abreast of all the new developments. UNAIDS has launched an online platform, UNAIDS Science now, which highlights some of those papers that are particularly relevant to the United Nations high level targets. The new platform consists of a bigger interactive site that not only includes access to what is new in scientific journals, but also space for discussions and debates on current issues around HIV science. See also:

HIV this month - Issue No. 1; January 2013


13 pp. 512 kB: http://sciencenow.unaids.org/sites/default/files/HTM%20Issue%201Jan2013_0.pdf

INTERESTING WEB SITES


The Access to Medicine Index
http://www.accesstomedicineindex.org/ Millions of people in the world have no access to medicine. The Index gives insight into what the pharmaceutical industry is doing to improve this situation. The aim of the Access to Medicine Index is to stimulate positive change by publicly encouraging pharmaceutical companies to step up their efforts to improve access to medicine worldwide. ***

South-South Learning on Social Protection


http://south-south.ipc-undp.org/ The South-South Learning Gateway on Social Protection is an online collaborative platform for policy dialogue and knowledge-sharing amongst social protection practitioners in the Global South. The United Nations Development Programme (UNDP) International Policy Centre for Inclusive Growth (IPC-IG) hopes to foster South-South collaboration, a term historically used by policymakers and academics to describe the exchange of resources, technology, and knowledge between developing countries, also known as countries of the global South. ***

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Transforming Cash Transfers


http://transformingcashtransfers.org/ Transforming Cash Transfers is a one-year, DFID-funded study investigating beneficiary and community perspectives on cash transfer programmes in five countries - Kenya, Mozambique, the Occupied Palestinian Territories (both Gaza and West Bank), Uganda and Yemen. Information and resources tailored for multiple audiences relating to the research findings, methodologies used, audio-visual materials and forthcoming events can all be found on this dedicated project website. ***

HIFA-Watch
Health Care Information for All (HIFA) by 2015 http://www.hifa2015.org/hifa2015-and-human-rights/hifa-watch/ Governments have a legal obligation, under international human rights law, to ensure progressively that all citizens and health professionals have access to the healthcare knowledge they need to protect their health and the health of others. HIFA-Watch will provide examples worldwide of positive and negative actions taken by governments that either promote or withhold the availability of essential healthcare knowledge for citizens and health professionals.

TRAINING OPPORTUNITIES
Regional workshop: Monitoring and Evaluation of HIV/AIDS Programs
6 - 17 May, 2013, Addis Ababa, Ethiopia This two-week course is offered in collaboration with Addis Continental Institute of Public Health and will provide intensive, hands-on training in the fundamental concepts and tools for monitoring and evaluation of HIV/AIDS programs. The course is aimed at mid-level health and population officers, program managers and other professionals involved with the implementation of HIV/AIDS programs in this r egion. For more information see: http://e2.ma/click/8he9g/kfcngl/0vnvsb or contact measure_training@unc.edu ***

Impact Evaluation of HIV/AIDS and Health Programs


13 24 May, 2013, Pretoria, South Africa Taught in English, the course is designed for mid-level health and population researchers, administrators, program managers, and other professionals involved in the implementation and evaluation of population, health and nutrition programs. The course pr ovides intensive, hands-on training in impact evaluation with an emphasis on statistical methods for professionals currently involved in related activities.

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Applications must be submitted to University of Pretoria by April 10, 2013. For more information, access the workshop brochure and application materials go to: http://e2.ma/click/s94bh/kfcngl/g0dfub

CONFERENCES
COHRED Colloquium on boosting sustainable investments into research and innovation for health
27 to 28 March 2013 - The International Conference Centre of Geneva, Switzerland The Council on Health Research for Development (COHRED) in collaboration with the Lancet Commission on Investing in Health will jointly host the third COHRED Colloquium. This edition of the Colloquium will focus on the investments that are required in research and innovation for health in order to meet the needs of low- and middle-income countries (LMICs). For more information on the third COHRED Colloquium, go to: http://www.cohred.org/colloquium2013/ mailto:colloquium@cohred.org ***

6th MIM Pan-African Malaria Conference


Moving towards malaria elimination: Investing in research and control 6 - 11 October 2013 The International Convention Centre, Durban, South Africa The Multilateral Initiative on Malaria (MIM) conference is the largest gathering of the malaria community and therefore provides the ideal opportunity to showcase novel findings, innovations and ground breaking research. Since the first MIM conference in Senegal 1997, the global face of malaria has changed considerably, with malaria elimination now a viable option in many African countries. For more information see: http://mim2013.mrc.ac.za/index.htm ***

7th SAHARA Conference 2013


7-10 October 2013, Dakar, Senegal The Social Aspects of HIV and AIDS Research Alliance (SAHARA), established in 2001 by the Human Sciences Research Council (HSRC), is an alliance of partners established to conduct, support and use social sciences research to prevent the further spread of HIV and mitigate the impact of its devastation in sub-Saharan Africa. The SAHARA 7 conference theme is Translating evidence into action: Engaging with communities, policies, human rights, gender, service delivery. For more information see: http://sahara.org.za/conferences/2013 HESP-News & Notes - 05/2013 - page 37

3rd International Conference on Family Planning


12-15 November 2013, Addis Ababa, Ethiopia Hosted by the Federal Ministry of Health of Ethiopia and the Bill and Melinda Gates Institute for Population and Reproductive Health at Johns Hopkins Bloomberg School of Public Health Since the first conference in 2009, family planning has gained global momentum as a prominent public health issue. The conference will provide a platform to highlight successes that have been achieved in family planning around the world and address remaining hurdles. Abstracts will be accepted through May 1, 2013. Find more information about the upcoming conference: http://www.fpconference2013.org/

CARTOON

TIPS & TRICKS


Giveaway of the Day - Free, Fully-Licensed Software
http://www.giveawayoftheday.com/ Who says there is no such thing as a free meal? The website Giveaway of the Day allows anyone to download new and free software every single day. These downloads are not on a trial basis, but are registered and legal HESP-News & Notes - 05/2013 - page 38

versions that are yours forever. There wont be any limitations that trial versions usually have, either. You can visit the website to get information about giveaways for that particular week or subscribe to their newsletter. Users can make sure they are downloading something worthwhile, because there are detailed software reviews for every title they have nominated. If you find software that seems interesting, make sure you act fast, because it is only available for 24 hours. ***

Windows Function Keys (F1 F6)


You know that line of keys ranging from F1 to F12 at the top of your keyboard: Function keys have many uses, some of which are specific to the programme that is running at the time. They are mainly used as shortcuts or in conjunction with the CTRL, ALT, and Shift keys. For now, here are the basics of function keys F1 F6: F1- Typically pressing this brings up the help file for the programme you are currently in. To test this, go ahead and left click on a blank area of your desktop, then press F1. The help file should spring to life, offering its bounty of knowledge. F2 This Function Key is used to rename stuff. Click on a file or folder and strike the F2 key; you will be able to rename it with ease. Click the file, press F2 and rename it. F3 Used to bring up the search function in Windows, but varies for other programmes. Great for Internet Explorer and Firefox users who want to find a specific word or phrase on a web page with ease. F4 In Internet Explorer the F4 key opens the address bar. Pressing ALT + F4 will close any active programme. Careful with this one! F5 Refresh key. Use this key to reload a web page or refresh your desktop. This is a good one for both the Internet and apparent computer freezes. F6 Cycles the cursor from field to field in the active programme. In MS Word you can use this F-key to go to the next pane or frame.

Best regards, Dieter Neuvians MD

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