Professional Documents
Culture Documents
You can download back issues (2005 - 2010) of this newsletter at:
http://german-practice-collection.org/en/links/newsletters/hesp-news-and-notes
Table of Contents:
BOOKS ................................................................................ 4
The Global Gender Gap Report 2010 ..................................................................................... 4
Global Experience of Community Health Workers for Delivery of Health Related Millennium
Development Goals................................................................................................................. 4
Designing and Implementing Health Care Provider Payment Systems: How-To Manuals .... 4
The World's Women 2010: Trends and Statistics ................................................................... 5
Basic epidemiology ................................................................................................................. 5
TRAINING OPPORTUNITIES............................................ 27
22nd International Forum on Quality Improvement in Health Care....................................... 27
Working with Stakeholder Dialogues .................................................................................... 27
Advocacy Campaign in Health (ACH) ................................................................................... 28
Time to get in Shape - Erasmus Winter Programme 2011 ................................................... 28
CONFERENCES................................................................ 28
HIV Care & Support: A Roadmap to Universal Access by 2010........................................... 28
CARTOON ......................................................................... 29
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The 2010 report brings together five years worth of data. It finds that out of the 114
countries covered over this time period 86% have narrowed their gender gaps, while
14% are regressing. It is hoped this report will serve as a call to action to the interna-
tional community to pool its knowledge and resources and to leverage the current
unique window of opportunity so that faster progress can be achieved. Every moment
that we wait entails colossal losses to the global society and economy.
***
Human resources for health crisis is one of the factors underlying the poor performance
of health systems to deliver effective, evidence-based interventions for priority health
problems, and this crisis is more critical in developing countries. Participation of com-
munity health workers (CHWs) in the provision of primary health care has been experi-
enced all over the world for several decades, and there is an amount of evidence show-
ing that they can add significantly to the efforts of improving the health of the population,
particularly in those settings with the highest shortage of motivated and capable health
professionals.
***
Strategic purchasing of health services involves a continuous search for the best ways
to maximize health system performance by deciding which interventions should be pur-
chased, from whom these should be purchased, and how to pay for them. The book has
The book presents statistics and analysis on the status of women and men in the world,
highlighting the current situation and changes over time. Analyses are based mainly on
statistics from international and national statistical agencies. The report covers several
broad policy areas – population and families, health, education, work, power and deci-
sion-making, violence against women, environment and poverty.
***
Basic epidemiology
2nd edition
The second edition of this popular textbook provides an introduction to the principles
and methods of epidemiology. Since publication of the first edition in 1993, Basic epi-
demiology has become a standard reference for education, training and research in the
field of public health and has been translated into more than 25 languages. It is used
widely, for training public health and environment professionals, undergraduate medical
students, and students in other health professions.
ONLINE PUBLICATIONS
HIV - AIDS - STI
by Connor Gorry
Oxfam International, 2008
This paper discusses the Cuban approach to HIV, which like the nation’s public health
HIV/AIDS among men who have sex with men and transgender populations
in South-East Asia
The Current Situation and National Responses
Same-sex behaviour is identified in all societies. However, in the South-East Asia Re-
gion, the majority of men who have sex with men and transgender persons are highly
stigmatized and discriminated against. There are an estimated 4-5 million men who
have sex with men; among the transgender population, the number is less clear. Many
of them are involved in high risk sexual behaviours that put them at risk for HIV infec-
tion, resulting in a high and increasing HIV prevalence in several countries of the Re-
gion. Control of HIV infections among these populations is thus an urgent public health
priority.
***
Among the 2.1 million HIV-infected children, virtually all were infected during pregnancy,
delivery, or breast-feeding. Since 2002, the number of newly infected children has de-
clined, probably owing to increased implementation of interventions for the prevention of
mother-to-child transmission of HIV and the global stabilization of HIV prevalence
among women. With these advances, new challenges have surfaced.
***
Among children with prior exposure to single-dose nevirapine for perinatal prevention of
HIV transmission, antiretroviral treatment consisting of zidovudine and lamivudine plus
ritonavir-boosted lopinavir resulted in better outcomes than did treatment with zi-
dovudine and lamivudine plus nevirapine. Since nevirapine is used for both treatment
***
Pediatric ARV markets are more fragile than adult markets. Ensuring a long-term supply
of quality, well-adapted ARVs for children requires ongoing monitoring and improved
understanding of global pediatric markets and what can be done to accelerate children's
access to HIV/AIDS care. A close dialogue is needed between clinicians making selec-
tion and prescribing decisions, supply chain staff dealing with logistics, donors, interna-
tional organizations, and pharmaceutical manufacturers to better match country-based
demand with global supply and donor policies.
***
By Dixie W. Maluwa-Banda
Chancellor College, University of Malawi, 2010
The general aim of this study is to assess levels of HIV-related knowledge and risk be-
haviour among secondary school students in southern Malawi. A survey of 1,400 stu-
dents revealed that while students had basic knowledge about HIV transmission and
prevention, misconceptions about the virus remained. The author advocates for the
strengthening of HIV education and service provision among high school students.
Making the case for interventions linking sexual and reproductive health
and HIV in proposals to the Global Fund to Fight AIDS, Tuberculosis and
Malaria
The Safe Abortion Care (SAC) approach is designed to help health managers and pro-
viders plan and monitor the delivery of services most critical for reducing deaths and in-
juries from unsafe abortion. This SAC Toolkit contains the hands-on materials to imple-
ment the SAC approach.
***
The guide breaks down population and environment connections in clear, accessible
language and demonstrates how universal access to family planning is an important as-
pect of environmental sustainability. The guide provides talking points on population and
the environment and tips on “words to watch” for those new to population and reproduc-
tive health issues.
***
***
This discussion paper brings together evidence and experience from around the world
focusing on making health systems more gender responsive. There is a need to exam-
ine the various barriers as well as opportunities in order to make health systems work
better for women, which has been a special concern for several decades now, by using
a gender equality and health equity perspective.
***
The primary purpose of the report is to review the evidence in published and gray litera-
ture with regard to the definition, scope, contributors, and impact of disrespect and
abuse in childbirth, to review promising intervention approaches, and to identify gaps in
the evidence. Despite the agreed importance among maternal health and human rights
stakeholders of achieving respectful, non-abusive birth care for all women, there has
been a relative lack of formal research around this topic.
***
As the world approaches the 2015 deadline for achieving the Millennium Development
Goals (MDGs) - which include a goal of reducing the proportion of hungry people by half
- the 2010 Global Hunger Index (GHI) offers a useful multidimensional overview of
global hunger. The 2010 GHI is the fifth in an annual series that records the state of
global, regional, and national hunger. The 2010 GHI shows some improvement over the
1990 GHI, falling by almost one-quarter, but overall the index for hunger in the world
remains at a level characterized as serious.
***
Unsafe abortion is estimated to account for 13% of maternal mortality globally. Medical
abortion is a safe alternative. By estimating mortality risks for unsafe and medical abor-
tion and childbirth for Tanzania and Ethiopia, the authors modelled changes in maternal
mortality that are achievable if unsafe abortion were replaced by medical abortion.
***
2 pp. 82 kB:
http://www.malariaworld.org/sites/default/files/MWJ_2010_1_1.pdf
With hundreds of journals that publish articles on malaria it seems, a priori, not justified
to launch another journal with a focus on malaria. We nevertheless, based on consulta-
tion with many of the MalariaWorld users, have defined a number of compelling reasons
to proceed with the launch of the MWJ (the abbreviation of MalariaWorld Journal, by
which we hope the journal will become known).
***
3 pp. 62 kB:
http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673610611890.pdf?i
d=3d35b1b5aa0ec416:507e42e4:12bb5dad8c7:-72d11287246724471
Available evidence suggests that the traditional approach to development assistance for
malaria treatment, which puts most resources through the public sector alone, will not
achieve by 2015 Millennium Development Goal 6, of universal access to malaria treat-
ment. The “Affordable Medicines Facility-malaria” (AMFm) will test a new and comple-
mentary architecture of financing and development assistance for malaria drugs. As-
sessment of its first phase provides an opportunity to learn how well AMFm works and
how it compares with traditional models of financing.
***
The presence of ongoing local malaria transmission, identified though local surveillance
and reported to regional WHO offices, by S-E Asian countries, forms the basis of na-
tional and international chemoprophylaxis recommendations in western countries. The
study was designed to examine whether the strategy of using malaria transmission in a
local population was an accurate estimate of the malaria threat faced by travellers and a
correlate of malaria in returning travellers.
***
The authors aimed to estimate plausible ranges of malaria mortality in India, the most
populous country where the disease remains common. Plausible lower and upper
bounds were 125,000 - 277,000. Malaria accounted for a substantial minority of about
1,3 million unattended rural fever deaths attributed to infectious diseases in people
younger than 70 years. Despite uncertainty as to which unattended febrile deaths are
from malaria, even the lower bound greatly exceeds the WHO estimate of only 15,000
malaria deaths per year in India (5000 early childhood, 10,000 thereafter). This low es-
timate should be reconsidered, as should the low WHO estimate of adult malaria deaths
worldwide.
***
Uganda launched an artemisinin combination therapy (ACT) policy in 2006, using arte-
mether-lumefantrine (AL) as first-line treatment for uncomplicated malaria, but insuffi-
cient information is available regarding its implementation. This study shows the major
challenges to use of ACTs in Uganda, that are related to drug stock outs, non availabil-
ity of ACTs in the private for profit sector, continued use of ineffective antimalarials and
treatment of every patient with fever as malaria.
***
This new action plan, for the first time, identifies all the research gaps that need to be
filled to bring rapid TB tests, faster treatment regimens and a fully effective vaccine to
market. It also shows public health programmes how to drive universal access to TB
care, including how to modernize diagnostic laboratories and adopt revolutionary TB
tests that have recently become available.
***
by Theo Smart
HIV & AIDS Treatment in Practice, Issue 166, 18 October 2010
This HATiP looks at the sequence of care of a person with, or suspected of having drug-
resistant TB, from case detection to cure or, when a cure cannot be achieved, through
end-of-life care - an aspect of care which has been overlooked by TB control pro-
grammes and clinical research.
***
Though tuberculosis is the third leading killer of adult women worldwide, TB has long
been neglected as a women’s health issue. Women face particular barriers to diagnosis
and care, and their experience of the disease can be different than men’s. In this brief,
ACTION reviews the evidence regarding women and TB and provides recommenda-
tions for accelerating the response by integrating TB services with those for maternal
and child health and by increasing collaboration on advocacy between the infectious
disease and the maternal and child health communities.
***
The study of the contacts of patients with tuberculosis has a long history. Where tuber-
culosis is endemic, regular recruitment of tuberculosis cases and their household con-
tacts can be done for research and strategic intervention. This recruitment provides a
platform whereby host, pathogen, and environmental factors related to tuberculosis can
be investigated and new interventions can be assessed.
Neglected tropical diseases blight the lives of a billion people worldwide and threaten
the health of millions more. Wider recognition of the public health significance of ne-
glected tropical diseases and better knowledge of their epidemiology have stimulated
necessary changes in public health thinking to approach and achieve control. This re-
port presents evidence to demonstrate that activities undertaken to prevent and control
neglected tropical diseases are producing results – and that achievements are being
recognized.
***
The H1N1 virus led to the first global influenza pandemic experienced in over 40 years.
While the current 2006 Canadian Pandemic Influenza Plan seemed to have been a step
in the right direction for mitigating serious illness and overall deaths during this mild in-
fluenza pandemic outbreak, many believe that more can be done in the event of future,
more moderate or severe influenza pandemics. Gaps exist in our pandemic planning for
these types of scenarios. The CSA Roundtable discussion, therefore, focused on the
challenges and opportunities faced by the healthcare and emergency service sectors
about pandemic preparedness in Canada.
Hospitals play a critical role within the health system in providing essential medical care
to the community, particularly during a crisis, such as an epidemic or a pandemic. To
enhance the readiness of the health facilities to cope with the challenges of an epi-
demic, a pandemic or any other emergency or disaster, hospital managers need to en-
sure the initiation of relevant generic priority action. This document aims to provide a
checklist of the key action to carry out in the context of a continuous hospital emergency
preparedness process.
***
The Infection Attack Rate and Severity of 2009 Pandemic H1N1 Influenza in
Hong Kong
Almost half of all school-aged children in Hong Kong were infected during the first wave
of the 2009 pandemic of H1N1 influenza. Case-fatality rates were 0.4 cases per
100,000 infections in individuals aged 5-14 years and 26.5 cases per 100,000 infections
in individuals aged 50-59 years.
***
Schistosomiasis is a major neglected tropical disease, with more than 200 million people
infected and close to 800 million at risk. The anthelmintic drug praziquantel is highly ef-
fective in killing adult schistosome worms, but it is unable to kill developing schisto-
somes and so does not prevent reinfection. The authors put forward an argument that
donor funds would be more effectively spent on the development of a multi-faceted, in-
tegrated control programme, which would have a greater and longer lasting effect on
disease transmission than the current chemotherapy-based programmes.
***
This report, commissioned from the George Institute for International Health by Drugs
for Neglected Diseases Initiative (DNDi), reviews the various mechanisms and strate-
gies available today to support the registration of new drugs for neglected tropical dis-
eases (NTDs) in developing countries and offers recommendations to further address
this issue.
***
This report describes ways in which pharmaceutical companies provide the public with
information about diseases and conditions. It provides an overview of the various meth-
ods used, and the impact that public information campaigns can have. The aim of this
report is to demonstrate how companies use public information campaigns about dis-
eases and conditions as tools to market their medicines.
***
by Prashant Yadav
MIT-Zaragoza International Logistics Program, Zaragoza Logistics Center, Spain, Au-
gust 2010
Social Protection
Bridging the hunger gap with cash transfers: experiences from Malawi
by Pierson R. T. Ntata
Development in Practice, Volume 20, Number 3, May 2010
by Ranjeeta Thomas
University of York Health Economics and Data Group (HEDG) Working Paper 10/04,
March 2010
This paper uses baseline data from the randomized experiment of the conditional cash
transfer program - Red de Protección Social, Nicaragua to conduct an ex ante evalua-
tion and compares results to those of the experimental evaluation. The sample consists
of children aged 7-13 who have not completed grade 4. The evaluation shows that the
ex ante approach closely matches the experimental outcomes in the case of girls and
over predicts the impact for boys.
***
Human Resources
The shortage of human resources for health (HRH) in Sub-Saharan Africa has been
recognised since the 1980s. Evidence suggests that maternal, child and infant mortality
rates significantly decline with an increase of qualified health workers. In a collaboration
between International Health Partnership+, PEPFAR and the Ministries of Health in
Ethiopia, Kenya, Mozambique and Zambia the leaders announced their intent to in-
crease the number of health workers in these four countries as a down payment to
reach the goal of an additional 1.5 million health workers in Africa.
***
***
***
4 pp. 51 kB:
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-
3156.2010.02626.x/pdf
Sub-Saharan Africa has the weakest health systems and the highest disease burden.
Given current resource constraints, there is an urgent need to invest more in research to
maximise the impact of health interventions. A vastly improved evidence base is needed
on how to implement and scale-up interventions of proven efficacy and how to deliver
health services more effectively within the current infrastructure, i.e. to optimise existing
health service delivery.
***
by Di McIntyre
Health Economics Unit, University of Cape Town, October 2010
***
Cancer control in developing countries: using health data and health ser-
vices research to measure and improve access, quality and efficiency
***
The Clover programme has been running for seven years and focuses
on Health System Strengthening (HSS) using malaria as an entry point. This work has
generated important experiences and results by using a pragmatic, flexible and context-
sensitive approach.
***
The role of the private health sector in developing countries remains a much-debated
and contentious issue. Critics argue that the high prices charged in the private sector
limits the use of health care among the poorest, consequently reducing access and eq-
uity in the use of health care. Supporters argue that increased private sector participa-
***
by T.V. Padma
Science and Development Network, 30 September 2010
How do you identify a well-performed trial, or uncover the dangers of exploitation which
happens all too frequently, especially when trials are performed in developing coun-
tries? This guide provides you with information on phases of clinical trials and their
setup. You will find a checklist to help you prepare your article, as well as useful tips on
how to assess academic papers and statistics.
The Report 2010 centres on the theme of “Information and communication technologies
(ICTs), enterprises and poverty alleviation”, examining the possible implications for pov-
erty reduction of production and enhanced use of ICTs by domestic businesses.
***
ITU’s latest statistics reveal that the number of Internet users worldwide doubled in the
past five years and will surpass the two billion mark in 2010. The number of people hav-
ing access to the Internet at home has increased from 1.4 billion in 2009 to almost 1.6
billion in 2010. While high-speed Internet is still out of reach for many people in low-
income countries, mobile telephony is becoming ubiquitous, with access to mobile net-
works now available to over 90% of the global population.
***
by Marcel Hommel
Malaria Journal 2010, 9:284 (14 October 2010)
Fifteen years ago, most publications were paper-based, accessible only by subscription.
By the late 1990s, this ‘traditional’ mode of access to scientific literature was about to
change dramatically, as the result of the development of Open Access. This Editorial,
written as Malaria Journal reaches its 10th birthday, looks at the impact of the Open Ac-
cess movement on publication in the field of tropical medicine in general and malaria in
particular.
Education
***
by Muriel Poisson
International Academy of Education and International Institute for Educa-
tional Planning, 2010
This booklet deals with the issue of corruption in the education sector. How can we de-
fine corruption in education? How can we assess the magnitude of malpractices in the
sector? How can we improve transparency and accountability in each of the domains of
educational planning and management (such as financing, public procurement, teacher
management, and examinations)? The booklet addresses these questions in order to
help countries develop more appropriate strategies to detect, reduce, and control cor-
rupt practices, thus contributing to more efficient and equitable education systems.
***
by Marlaine Lockheed
International Academy of Education and International Institute for Educa-
tional Planning, 2010
This booklet is about the combined effects of gender and social exclusion on student
participation and performance in basic education. How extensive is the problem? Why is
it important? What education policies act as hidden barriers? Which policies have been
effective in reaching and teaching socially excluded girls, and which ones have not? The
booklet addresses these questions in order to help countries to: adopt education poli-
cies and practices targeted at girls from socially excluded groups, meet their Millennium
Development Goals for Education, and achieve the social and economic benefits of
girls’ education.
UNAIDS estimates that 35 percent of women living with HIV in Eastern Europe and
Central Asia acquired the virus through injecting drug use, and a further 50 percent
were infected through unsafe sex with partners who inject drugs. Ukrainian programs
have made great strides in responding to the HIV epidemic among injecting drug users,
introducing syringe exchange programs, substitution treatment, ARV treatment, and
programs to prevent mother-to-child transmission, but to date these programs have
rarely succeeded in fully accounting for the needs of women drug users.
Global Health
The traditional actors on the global health stage - most notably national health minis-
tries, the World Health Organization (WHO) and a relatively small group of national
medical research agencies and foundations funding global health research - are now
A new UNICEF study has arrived at a surprising and significant conclusion: An equity-
based strategy can move us more quickly and cost-effectively towards meeting Millen-
nium Development Goals 4 and 5 – reduce child mortality and improve maternal health
– than our current path, with the potential of averting millions of maternal and child
deaths by the 2015 deadline.
***
Development Assistance
by Benjamin Leo
Center for Global Development, October 2010
This paper focuses on how budgetary scorekeeping systems affect governments’ ability
or willingness to support innovative development finance initiatives and explores several
options to overcome the restrictions the systems often impose. There are possible ap-
Others
The State of World Population 2010 explores how conflict and protracted humanitarian
emergencies affect women and girls - and men and boys - and shows how many
women and young people have overcome seemingly insurmountable obstacles and
have begun rebuilding their lives and laying the foundation for peace and renewal of
their societies.
***
The aim of World Health Day 2010 is to draw attention to urbanization and health, rec-
ognizing that in an increasingly urbanized world, health issues present new challenges
that go far beyond the health sector and require action at the global, national, commu-
nity, and individual levels. World Health Day 2010 is not seen as an event in and of it-
self, but as the launch of the year-long focus on the issue.
***
ELECTRONIC RESOURCES
Youth InfoNet 72 - September 2010
http://www.youthwg.org/pubs/YouthInfoNet/YIN72.shtml
This issue of the monthly e-newsletter on youth reproductive health and HIV prevention
features nine program resources with Web links, and 14 journal article summaries on
research from Botswana, Kenya, Malawi, Mexico, Nigeria, South Africa, Tanzania, and
the general sub-Saharan African region.
***
http://www.k4health.org/toolkits/igwg-gender
The Interagency Gender Working Group (IGWG) is pleased to announce the launch of
the IGWG Gender and Health eToolkit. The eToolkit brings together an enormous
wealth of gender resources in one location. The purpose of the eToolkit is to provide
practical, “how-to” methodologies and tools on gender that are designed to move health
practitioners and managers from awareness and commitment to direct application and
practice in policy and program design, implementation, research, capacity building and
monitoring and evaluation.
http://south-south.ipc-undp.org/
The South-South Gateway on Social Protection was launched recently in South Africa
as a global platform for social protection practitioners to share knowledge and experi-
ences. The new South-South Learning Gateway on Social Protection is an online col-
laborative tool aiming to create open, independent and critical networks to exchange
experiences across regions and countries.
***
http://www.edusud.org/spip.php?lang=en
The EduSud portal is designed to help teachers in Africa explore “Open and Distance
Learning” and to provide them with tools, advice, references, educational resources,
and other materials for integrating technologies.
TRAINING OPPORTUNITIES
22nd International Forum on Quality Improvement in Health Care
5 - 8 December, 2010
Institute for Healthcare Improvement (IHI)
Orlando, FL, USA
Course Content: Recognize habits that support good care and apply the
basic principles for improving them; define ways to reduce suffering and
improve health; develop an understanding of how to transform an or-
ganization; identify elements for creating a culture of change that will lead to continuous
improvement.
Target Audience: Health care leaders, people committed to improving health care.
Language: English - Fees: USD 1,106 to 1,206
***
13 - 17 December, 2010
Dhurakij Pundit University (DPU), Bangkok, Thailand
Course Content: Enhance technical skills and practices of health advocacy leaders;
learn the process of conducting media advocacy for health promotion; creating commu-
nity partnerships for advocacy; developing effective advocacy campaigns in health by
the use of social marketing and media. The course consists of in-house sessions, prac-
tical assignments and case studies from various health sectors.
***
The Erasmus Winter Programme offers 13 courses in Clinical Research taught by lead-
ing international experts in the health sciences.
The programme provides courses for those particularly interested in clinical trials, in
drug safety research, and in decision making in clinical medicine. It also includes vari-
ous courses in biostatistics. Participants can enroll for 1, 2 or 3 weeks.
CONFERENCES
HIV Care & Support: A Roadmap to Universal Access by 2010
The goal of this conference is to highlight why HIV care and support and caregivers are
critical to achieving Universal Access and key goals in broader health and development
agendas and to make concrete recommendations for the scale up of care and support
to 2015, with a particular focus on Africa.
CARTOON
If you are looking for a desktop email client for Windows 7, there are definitely a few
good choices available to you. And two of the best are free:
Windows Live Mail is a free download from the Windows Live site, and it is basically an
updated version of Outlook Express. With Windows Live Mail you can easily add ac-
counts from your online email accounts. Hotmail, Gmail, Yahoo! Mail and many more
are supported. In fact, if you have one of each of these accounts, with Windows Live
Mail you can view all your emails from all your accounts in one place.
It has a built-in calendar that will let you schedule events and appointments, an RSS
reader to catch up on your favourite feeds, and it will link up with your Windows Live ac-
count if you have photos stored online that you would like to forward to friends and fam-
ily. You can even use it to export your online emails so that you have backup copies on
your hard drive.
Overall, it is a great mail client for Windows 7 users. It is reliable, easy to use, and has
all the features that you could want from a desktop email client.
With Thunderbird you can add new contacts with one click of the star next to the
sender's name, and you can open messages in tabs just like your browser does. Ever
forgot to add an attachment to your email? Thunderbird will remind you to add it if it
sees the word ‘attachment’ in the text of your email. It is also compatible with a large ar-
ray of Mozilla add-ons, and will automatically update itself to the latest and most secure
version.
The truth is, the best email client often comes down to personal preference. Both of
these programs are great, free options for Windows 7, but if you are not sure which one
to go with, download them both, try them out, and see which one suits you the best.
***
If you are a Mozilla Firefox user, then you are probably familiar with the little search box
in the upper right-hand corner of your
browser window. It allows you to per-
form a search without having to
browse to a particular search engine to
do so.
Best regards,
Dieter Neuvians MD