Professional Documents
Culture Documents
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Table of Contents:
BOOKS ................................................................................ 4
A realistic strategy for fighting malaria in Africa ...................................................................... 4
Review of “A realistic strategy for fighting malaria in Africa” by William Jobin........................ 4
The Open Book of Social Innovation....................................................................................... 4
TRAINING OPPORTUNITIES............................................ 23
Online Distance Learning Course: Gender, rights and health .............................................. 23
CARTOON ......................................................................... 24
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This monograph reviews successful malaria control operations in the US, Europe and
Indonesia, and then goes on to analyze the reasons for failures in attempts to control
malaria in Africa. Based on a comparative analysis of these historical efforts, a realistic
and sustainable strategy is proposed, to supplement the current unsustainable strate-
gies of WHO and the US.
***
by Bart GJ Knols
Parasites & Vectors 2010, 3:68 (9 August 2010)
4 pp. 94 kB:
http://www.parasitesandvectors.com/content/pdf/1756-3305-3-68.pdf
The latest World Malaria Report (2009) brought much good news in terms of the global
progress in malaria control. Optimism reigns to such extent that the words ‘elimination’
and ‘eradication’ are now liberally used within the global malaria community. Jobin’s
book, however, serves as a contrasting wake-up call, and tries to shed light on what he
claims to be ‘the mess we are currently making in Africa’. With a wealth of experience,
built up over 45 years of involvement in operational malaria control campaigns, Jobin
provides a frank and thought-provoking opinion of the current attempts to control the
disease, and is (negatively) outspoken about the roles therein of major players like the
PMI, WHO, and USAID, all of whom Jobin worked for during some stage of his career.
***
This book is about the many ways in which people are creating new and more effective
answers to the biggest challenges of our times: how to cut our carbon footprint; how to
keep people healthy; how to end poverty. It describes the methods and tools for innova-
tion being used across the world and across the different sectors - the public and private
sectors, civil society and the household - and in the overlapping fields of the social
ONLINE PUBLICATIONS
HIV - AIDS - STI
Agenda for Accelerated Country Action for Women, Girls, Gender Equality
and HIV
This framework addresses the rights and needs of women and girls and highlights op-
portunities to work with networks of women living with HIV and diverse women’s groups,
while engaging men and boys, in particular those working for gender equality.
***
4 pp. 25 kB:
http://siteresources.worldbank.org/DEC/Resources/HIVExeSummary(Tanzania).pdf
The RESPECT (“Rewarding STI Prevention and Control in Tanzania”) study is a ran-
domized controlled trial testing the hypothesis that a system of rapid feedback and posi-
tive reinforcement using cash as the primary incentive can be used to reduce risky sex-
ual activity among young people, male and female, who are at high risk of HIV infection.
Results indicate that financial incentives - conditional cash transfers paid if the study
participants remained negative for a set of curable sexually transmitted infections (STIs)
– could be an effective prevention tool for STIs and possibly HIV.
***
This toolkit aims to provide information and guidance, primarily, to national govern-
***
Time to act: a call for comprehensive responses to HIV in people who use
drugs
The published work on HIV in people who use drugs shows that the global burden of
HIV infection in this group can be reduced. Concerted action by governments, multilat-
eral organisations, health systems, and individuals could lead to enormous benefits for
families, communities, and societies. The authors review the evidence and identify syn-
ergies between biomedical science, public health, and human rights.
***
***
by Kathryn Grace
Demographic Research Vol. 23, Article 12, pp. 335-364 (10 August 2010)
Guatemala is characterized by low contraceptive use rates and one of the highest fertil-
ity rates in the Western Hemisphere. These rates are particularly extreme for the poor-
est segment of the population and for the indigenous population. The purpose of this re-
search is to enhance understanding of the modern contraceptive revolution in Guate-
mala through identification of the segments of the Guatemalan population at most need
for contraceptive and family planning services.
***
This report documents the many obstacles women and girls face in getting the repro-
ductive health care services to which they are entitled, such as contraception, voluntary
sterilization procedures, and abortion after rape. The most common barriers to care in-
clude long delays in providing services, unnecessary referrals to other clinics, demands
for spousal permission contrary to law, financial barriers, and in some cases outright
denial of care.
The period soon after childbirth poses substantial health risks for both mother and new-
born infant. Yet the postpartum and postnatal period receives less attention from health
care providers than pregnancy and childbirth. WHO is in the process of revising and up-
***
Maternal and neonatal morbidity and mortality are major public health concerns in most
developing countries and in under resourced settings. This document describes the key
effective interventions organized in packages across the continuum of care through pre-
pregnancy, pregnancy, childbirth, postpartum, newborn care and care of the child. The
packages are defined for community and/or facility levels in developing countries and
provide guidance on the essential components needed to assure adequacy and quality
of care.
Malaria
by Brian Greenwood
Transactions of the Royal Society of Tropical Medicine and Hygiene
(2009) 103S, S2-S5
Since the perceived failure of the Global Programme for Malaria Eradication in 1969, the
eradication of malaria has not been considered a feasible goal. The consensus is that
eradication of malaria, although theoretically possible, is not likely to be feasible within
the medium term using existing control tools. However, malaria elimination (cessation of
local transmission) is a realistic short- to medium-term goal for an increasing number of
countries that are already bringing malaria under control.
***
Existing front-line vector control measures, such as insecticide-treated nets and residual
sprays, cannot break the transmission cycle of Plasmodium falciparum in the most in-
***
Over the past decade malaria intervention coverage has been scaled up across Africa.
However, it remains unclear what overall reduction in transmission is achievable using
currently available tools. The authors conclude that interventions using current tools can
result in reduction to the 1% parasite prevalence threshold in low- to moderate-
transmission settings. In high-transmission settings and those in which vectors are
mainly exophilic (outdoor-resting), additional new tools that target exophagic (outdoor-
biting), exophilic, and partly zoophagic mosquitoes will be required.
***
The burden of malaria in countries in sub-Saharan Africa has declined with scaling up of
prevention, diagnosis, and treatment. To assess the contribution of specific malaria in-
terventions and other general factors in bringing about these changes, the authors re-
viewed studies that have reported recent changes in the incidence or prevalence of ma-
laria in sub-Saharan Africa.
***
Presumptive treatment for malaria is widely used, especially in children. Withholding an-
timalarials in febrile children who had negative results for a rapid diagnostic test for ma-
***
A research priority for Plasmodium vivax malaria is to improve our understanding of the
spatial distribution of risk and its relationship with the burden of P. vivax disease in hu-
man populations. The aim of the research outlined in this article is to provide a contem-
porary evidence-based map of the global spatial extent of P. vivax malaria, together with
estimates of the human population at risk (PAR) of any level of transmission in 2009.
The final map provides the spatial limits on which the endemicity of P. vivax transmis-
sion can be mapped to support future cartographic-based burden estimations.
Tuberculosis
5 pp. 79 kB:
http://www.plosone.org/article/fetchObjectAttachment.action;jsessionid=A7FAF10DD5F5F673CB2B
0581279F2DAF.ambra02?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0012023&representation=PDF
With a vast majority of private practitioners unable to provide a correct prescription for
treating TB and not approached by the national TB programme, little seems to have
The Ugandan national control programme for schistosomiasis has no clear policy for in-
clusion of preschool-children (≤5 years old) children. To re-balance this health inequal-
ity, the authors sought to identify best diagnosis of intestinal schistosomiasis, observe
treatment safety and efficacy of praziquantel, and extend the current WHO dose pole for
chemotherapy. They conclude that preschool children in lakeshore communities of
Uganda are at significant risk of intestinal schistosomiasis and strongly advocate for
their immediate inclusion within the national control programme to eliminate this health
inequity.
Essential Medicines
***
http://www.piemeds.com/
This paper outlines the flows of private capital that lie behind the growth of the for-profit
pharmaceutical sector in Tanzania. The paper analyses the policy, access and equity
challenges posed by the shift to increasing private sector participation in medicine provi-
sion. The Tanzanian drug policy highlights the government’s intention to ensure that
quality, effective essential medicines reach all Tanzanians at an affordable price. How-
ever, the reality reflected by the document’s findings seems different.
Social Protection
7 pp. 37 kB:
http://www.microfinancegateway.org/gm/document-
1.9.45803/protecting%20health%20thinking%20small.pdf
Microfinance has been successfully deployed to compensate for the lack of traditional
financing opportunities in developing countries. It can also be used to help finance
health care for excluded populations. Looking at its success in providing conventional fi-
nancing for poor communities, why can't microfinance be used as a tool for health fi-
nancing and also health education and prevention?
Human Resources
http://pieleric.free.fr/padi/index-hrs.html
The authors draw attention to a further drain on the meagre numbers of doctors and
nurses in most disadvantaged countries. Some international organisations, research in-
stitutions, and non-governmental organisations (NGOs) engaged in aiming to promote
health and relieve suffering might, in one aspect of their approach, be having the oppo-
site effect. By offering better salaries and working conditions, such international organi-
sations prevent government-trained doctors and nurses from contributing to their Na-
tional Health Service.
This article discusses the potential role operational research can play within medical
NGOs such as Médecins Sans Frontières (MSF), and highlights the relevance of opera-
tional research, the essential elements of developing it within the organisation and some
of the perceived barriers and solutions.
***
Quite often, public health care systems in developing countries are struggling because
of incompetence and a lack of provider responsiveness to the needs of consumers. In
recent years, contracting has been experimented as an approach to ensure delivery of
comprehensive public health services in an efficient, effective, superior and fair manner
and has generally thrived well. Partnering with the private sector has shown some ex-
ceptional accomplishments. The overall experience shows that up-scaling of such initia-
tives in the country would require lot of cautions to be taken by the government.
This analysis explores the inequities of access and usage by viewing them through a
gender lens. Of the limited demand-side data on Africa that exists, very little is disag-
gregated on gender lines. This study provides a descriptive statistical overview of ac-
cess to ICTs by women and men and their usage of them. This is supported by focus
groups that were undertaken in five of the 17 countries surveyed in East, Central, South
and West Africa.
***
From digital divide to digital equity: Learners’ ICT competence in four pri-
mary schools in Cape Town, South Africa
Despite substantial efforts by educational authorities to increase ICT access for learners
and teachers in public schools in Cape Town, when learners’ ICT competence is com-
pared, digital equity has not been reached. In order to increase digital equity and de-
crease the digital divide, a renewed policy focus is needed which puts greater emphasis
on addressing the severe inequalities of the learners within their school environment as
well as outside of school, taking their home situation into consideration to a greater ex-
tent.
Education
***
12 pp. 77 kB:
http://zunia.org/uploads/media/knowledge/Nigeria - ICTed Survey1281417594.pdf
The Federal Republic of Nigeria had no specific policy for ICT in education. The Ministry
of Education created its ICT department in February 2007, notwithstanding several gov-
ernment agencies and other stakeholders in the private sector having initiated ICT-
driven projects and programmes to impact all levels of the educational sector. The pub-
lication provides a general overview of activities and issues related to ICT use in educa-
tion in Nigeria.
by Richard Hurley
BMJ 2010;341:c3538 (13 July 2010)
Global Health
The health of low- and middle-income countries (LMICs) features much higher on the
global agenda than ever before. Governments, aid agencies and philanthropic organiza-
tions continue to pour billions into tackling the health problems of these least developed
nations. Yet money is not enough. Lavishing resources on weakened health systems, or
supplying cheap drugs to areas where there is virtually no distribution network to get
those medicines to patients is pointless. It is time to improve global health care from the
inside out. This means building better health-care systems and developing better treat-
ments for neglected diseases. This means innovation.
***
http://www.medicc.org/mediccreview/
To access the articles free registration is required
The topics on this MECCIC Issue include: an overview of the Global Forum for Health
Research, Forum 2009, overcoming obstacles to better research on the social determi-
nants of health, developing a public health research agenda, moving beyond Open Ac-
cess towards open data, plus exploration of South-South collaboration in health bio-
technology.
***
***
Only a minority of countries in the EU provide the same access to health care services
for migrants as for the resident population. Regardless of their legal status, migrants can
be at particular risk of poor physical and mental health; they may be isolated after arrival
in their host country or be unaware of any entitlement to use publicly funded health care
services. Even where available, services may not be suitable to the needs of many mi-
grant groups.
The report shows that some hard-won gains are being eroded by the climate, food and
economic crises. But even though the economic crisis took a heavy toll on jobs and in-
comes around the world, the world is still on track to achieve the MDG target of cutting
the rate of extreme poverty in half by 2015, the report notes.
***
***
The Department for International Development (DFID) leads the UK government’s effort
to promote international development. DFID’s overall aim is to reduce poverty in poorer
countries, in particular through achieving the Millennium Development Goals (MDGs).
This Report provides a summary of the recent contribution of DFID to delivering the Mil-
lennium Development Goals. While the last decade has seen real global progress in de-
livering the MDGs the scale of the challenge to meet the 2015 targets is enormous.
***
The United States’ Strategy for Meeting the UN Millennium Development Goals, July
2010
Obama Administration officials unveiled the U.S. Government’s strategy for advancing
the Millennium Development Goals on July 30, 2010, with an emphasis on innovative
and sustainable approaches to the world’s most urgent challenges, during a high-level
working session hosted by the United Nations Foundation. The meeting sent a strong
signal that effective partnerships between governments, the private sector, and NGOs
are one of the most important ways to mobilize global action to eradicate poverty and
disease.
Development Assistance
The Paris Declaration and the Accra Agenda for Action emphasise the importance of
aligning aid with recipient government priorities and delivering aid through government
systems. However, since a significant amount of aid is not delivered through national
***
by Joel Negin
Lowy Institute for International Policy, August 2010
Australia’s aid program has been in the news lately, with calls for a wider public debate
on the role of overseas aid. But public debate is being shaped by starkly contradictory
arguments. An educated layperson who has just finished reading Jeffrey Sachs on The
End of Poverty, for example, might think that aid can provide an important solution to the
world’s problems. One who has just completed William Easterly’s The White Man's Bur-
den or Dambisa Moyo’s Dead Aid, on the other hand, is likely to have quite different
views on the utility of their country’s aid program.
***
by Joel E. Cohen
Center for Global Development, July 2010
This essay reviews some of the most important demographic trends ex-
pected to occur between 2010 and 2050, indicates some of their implications for eco-
nomic and global development, and suggests some possible policies to respond these
trends and implications. The interactions of population, economics, the environment,
and culture are central.
***
Water and sanitation infrastructure for health: The impact of foreign aid
The accessibility to improved water and sanitation has been understood as a crucial
mechanism to save infants and children from the adverse health outcomes associated
with diarrheal disease. This knowledge stimulated the worldwide donor community to
develop a specific category of aid aimed at the water and sanitation sector. The actual
impact of this assistance on increasing population access to improved water and sanita-
tion and reducing child mortality has not been examined.
***
This report presents not only an overview of how Poverty Reduction Strategy Papers
(PRSPs) have become the focus of international development thinking, but also how the
lack of critical analysis and evaluation of PRSPs in terms of their ability to move com-
munities out of poverty has meant that it is business as usual for a number of interest
groups. The report also provides some recommendations as to how the current PRSP
model and practice needs to be improved if it is truly to become an engine for positive
change on the ground.
***
Within the world of official aid, two views currently dominate the debate. The first cele-
brates diversity and concentrates on the coordination of collaborative networks. It fo-
cuses attention on shared goals, harmonisation of approaches, and better coordination
of who does what. The second view seeks reform of the aid ‘architecture’ in order to re-
duce the number of actors and rationalise the supply of aid. It focuses on the allocation
of aid between institutions, transactions costs, multilateral effectiveness, and issues like
governance reform of the Bretton Woods Institutions. Its ideal is captured in the phrase
‘don’t just harmonise, multilateralise’.
Others
by Nigel Thornton
United Nations Children's Fund (UNICEF), 2010
This case study provides examples of the type of support that may be needed to pre-
vent or reduce future impacts of climate change. It asserts that by involving children in
climate adaptation and disaster risk reduction programmes, there is potential for im-
***
The World Health Communication Associates (WHCA) Action Guide on Health Literacy
introduces a new interactive action framework for strengthening individual and societal
health literacy. Health literacy is defined as “the capacity to obtain, interpret and under-
stand basic health information and services and the competence to use such informa-
tion and services to enhance health.” The guide’s primary aim is to be a “how to” man-
ual. To this end it presents case study examples of practical interventions that people
and agencies in a wide variety of settings are taking (and can take) to enhance their
own and other’s health literacy.
***
The Guide is presented as a practical resource for use by local, national and interna-
tional health, education and development advocates and agencies that are working on
and/or planning to take action to enhance people’s health literacy. It builds on Part 1,
“The Basics”, and includes a more detailed review of evidence and, importantly, case
studies of interventions that have been taken in a variety of settings in many different
countries.
***
Injuries and violence are among the most prominent public health prob-
lems in the world. As well as being a leading cause of mortality - particularly among
children and young adults - many of the millions of non-fatal injuries result in life-long
disabilities. Tens of millions more will suffer long-term psychological health effects as a
result of an injury or an act of violence. This publication provides the most up to date
global data on violence and injuries, their causes and consequences and measures to
prevent them.
The purpose of this manual is to inform readers of practical ways to develop coordinated
and integrated programmes to reduce drinking and driving (including riding motorcycles)
within a country. The manual is aimed at addressing drinking and driving among drivers.
Commercial drivers are an especially important group to address in terms of drinking
and driving because of the large number of passengers they can carry and/or the num-
ber of kilometres they are likely to travel.
ELECTRONIC RESOURCES
Bulletin of the World Health Organization (BLT)
Volume 88, Number 8, August 2010, 561-640
http://www.who.int/bulletin/volumes/88/8/en/index.html
***
http://www.malarianexus.com/
TRAINING OPPORTUNITIES
Online Distance Learning Course: Gender, rights and health
Health programmes and health policies are often developed without taking into consid-
eration the gender dimensions and rights perspective into consideration. Global health
policies and programmes influence local level programmes, and without a gender and
rights perspective may even worsen the situation of local communities.
This course equips participants with concepts, tools and analytical frameworks to ana-
lyse health programmes, policies and research from a gender and rights perspective.
CONFERENCES
3rd HIV and AIDS in the Workplace Research Conference
9-11 November
Johannesburg, South Africa
The Conference will reflect on the intersection of workplace HIV responses, academic
research and surveillance, with a particular focus on strengthening prevention interven-
tions in the fight against HIV and AIDS in Africa and linking prevention research to
workplace practice.
CARTOON
Internet Explorer and Firefox can do more than just surf the web. Use them to open all
sorts of files. Just drag and drop a file into your browser window and watch it open. It
comes in handy, especially for looking at JPEG's and GIF's, but other files work, as well.
It can also open text files, and provided you have the correct Office software installed on
your computer, it can open some of those, too! Experiment a bit and see what you come
up with. Just drag a file over into an open browser window.
***
http://www.cpuid.com/softwares/cpu-z.html
Best regards,
Dieter Neuvians MD