Professional Documents
Culture Documents
Making Abortion Services Accessible in the Wake of Legal Reforms: A Framework and Six Case Studies ......................................................................................................................... 14
Malaria ..................................................................................................................... 14
Drug quality and the fight against malaria............................................................................. 14 Poor-quality antimalarial drugs in southeast Asia and sub-Saharan Africa .......................... 15 Inaugural Meeting of the Malaria Policy Advisory Committee to the WHO: Conclusions and Recommendations ................................................................................................................ 15 Global Plan for Insecticide Resistance Management in Malaria Vectors ............................. 15 Prevalence of Malaria and Sexually Transmitted and Reproductive Tract Infections in Pregnancy in Sub-Saharan Africa......................................................................................... 16 Good practices for selecting and procuring rapid diagnostic tests for malaria ..................... 16 The Presidents Malaria Initiative (PMI) ................................................................................ 16 Essential Malaria Actions Guide for Kenyan Families .......................................................... 17 Scepticism towards insecticide treated mosquito nets for malaria control in rural community in north-western Tanzania..................................................................................................... 17
Tuberculosis ............................................................................................................. 17
Management of children exposed to multidrug-resistant Mycobacterium tuberculosis ........ 17 Treatment outcomes for children with multidrug-resistant tuberculosis: a systematic review and meta-analysis ................................................................................................................. 18 Point-of-care detection of lipoarabinomannan (LAM) in urine for diagnosis of HIV-associated tuberculosis: a state of the art review.................................................................................... 18 New laboratory tests to enhance TB diagnosis: Microscopy, LAM and Xpert MTB/RIF used as a drug resistance test ....................................................................................................... 18 Vaccines against Tuberculosis: Where Are We and Where Do We Need to Go?................ 19
Social Protection....................................................................................................... 22
Social Protection: Shared Interests in Vulnerability Reduction and Development................ 22 Can Conditional Cash Transfers Improve Maternal Health and Birth Outcomes? Evidence from El Salvadors Comunidades Solidarias Rurales ........................................................... 23 Alternative Cash Transfer Delivery Mechanisms: Impacts on Routine Preventative Health Clinic Visits in Burkina Faso .................................................................................................. 23 Impact of education on informal workers willingness to pay and knowledge of health insurance ............................................................................................................................... 23 Developing Asias Pension Systems and Old-Age Income Support ..................................... 24
Human Resources.................................................................................................... 25
Preparing the Next Generation of Community Health Workers: The Power of Technology for Training.................................................................................................................................. 25 Measuring workload for tuberculosis service provision at primary care level: a methodology ............................................................................................................................................... 25
Primary Health Care in Low-Income Countries: Building on Recent Achievements............. 26 How can Disease Control Programmes Contribute to Health System Strengthening? Country Report: Liberia ......................................................................................................... 26
Education ................................................................................................................. 28
Education for Sustainable Development: Sourcebook.......................................................... 28 World Education 1951-2011: Celebrating 60 Years.............................................................. 28 A New Face of Education: Bringing Technology into the Classroom in the Developing World ............................................................................................................................................... 28 The eLearning Africa 2012 Report ........................................................................................ 29
Others ...................................................................................................................... 32
Shaping cities for health: complexity and the planning of urban environments in the 21st century................................................................................................................................... 32 How To Make Cities More Resilient - A Handbook For Local Government Leaders............ 32 Making Research Evidence Matter: A Guide to Policy Advocacy in Transition Countries.... 33 A Guide for Transboundary Research Partnerships ............................................................. 33 A Learning Package for Social and Behavior Change Communication................................ 33
TRAINING OPPORTUNITIES............................................ 35
Summer School of International Nutrition: Double Burden of Malnutrition ......................... 35
CONFERENCES................................................................ 36
Report on the Prince Mahidol Award Conference 2012........................................................ 36
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BOOKS
Herbal Medicine: Biomolecular and Clinical Aspects
2nd edition Edited by Iris F. F. Benzie and Sissi Wachtel-Galor CRC Press; 2011; ISBN-13: 978-1-4398-0713-2 488 pp. 4.5 MB: http://german-practice-collection.org/en/download-centre/doc_download/1040 Or read chapter by chapter online at: http://www.ncbi.nlm.nih.gov/books/NBK92771/ The global popularity of herbal supplements and the promise they hold in treating various disease states have caused an unprecedented interest in understanding the molecular basis of the biological activity of traditional remedies. This volume focuses on presenting current scientific evidence of biomolecular effects of selected herbs and their relation to clinical outcome and promotion of human health. This book also addresses the ethical challenges of using herbal medicine and its integration into modern, evidence-based medicine. ***
People in Asia-Pacific will be profoundly affected by climate change. Poverty continues to decline in this dynamic region, but climate change may undercut hard-won gains. Growing first and cleaning up later is no longer an option, as it once was for the developed countries. Developing nations need to grow and manage climate consequences at HESP-News & Notes - 12/2012 - page 5
the same time. They must both support resilience, especially among vulnerable populations, and shift to lower-carbon pathways. Emerging threats, whether from melting glaciers or rising sea levels, cross borders and demand coordinated regional and global action. ***
Primary Care and Public Health: Exploring Integration to Improve Population Health
Committee on Integrating Primary Care and Public Health; Board on Population Health and Public Health Practice; Institute of Medicine, 2012 178 pp. 1.5 MB: http://download.nap.edu/cart/download.cgi?&record_id=13381&free=1 Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. ***
Amnesty International Report 2012: The State of the Worlds Human Rights
Amnesty International, May 2012 444 pp. 6.7 MB: http://files.amnesty.org/air12/air_2012_full_en.pdf The report documents specific restrictions on free speech in at least 91 countries as well as cases of people tortured or otherwise ill-treated in at least 101 countries in many cases for taking part in demonstrations. Ousting individual leaders however tyrannical is not enough to deliver long-term change. Governments must uphold freedom of expression at home and abroad, take international responsibilities HESP-News & Notes - 12/2012 - page 6
seriously, and invest in systems and structures that ensure justice, freedom and equality before the law. ***
ONLINE PUBLICATIONS
Global Health 65th World Health Assembly closes with new global health measures
The Sixty-fifth World Health Assembly concluded 26 May 2012 after adopting 21 resolutions and three decisions on a broad range of health issues. The six days of discussions involved nearly 3000 delegates, including health ministers and senior health officials from amongst the 194 WHO Member States, as well as representatives from civil society and other stakeholders. The agenda covered some of the biggest challenges and opportunities facing public health today. For more information see: http://www.who.int/mediacentre/news/releases/2012/wha65_closes_20120526/en/index.html ***
Defining and assessing evidence for the effectiveness of technical assistance in furthering global health
by Gary R. West, Sheila P. Clapp, E. Megan Davidson et al. Global Public Health, 2012, 1:16 (21 May 2012) 18 pp. 311 kB: http://www.tandfonline.com/doi/pdf/10.1080/17441692.2012.682075 In an era when health resources are increasingly constrained, international organisations are transitioning from directly managing health services to providing technical assistance (TA) to in-country owners of public health programmes. TA can build sustainable capacities, strengthen health systems and support country ownership. However, the authors assessment of published evaluations found limited evidence for its effectiveness. They summarise socio-behavioural theories relevant to TA, review published evaluations and describe skills required for TA providers. Considering its important role HESP-News & Notes - 12/2012 - page 7
in global health, more rigorous evaluations of TA efforts should be given high priority. ***
Allocating Scarce Resources Strategically - An Evaluation and Discussion of the Global Funds Pattern of Disbursements
by David McCoy and Kelvin Kinyua PLoS ONE 7(5): e34749 (9 May 2012) 10 pp. 800 kB:
http://www.plosone.org/article/fetchObjectAttachment.action;jsessionid=E91460FCF6E9B2CD 623FFC22579BA266?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0034749&representation=PDF
The Global Fund (GF) is under pressure to improve its rationing of financial support. This study describes the GFs pattern of disbursements in relation to total health expenditure, government health expenditure, income status and the burden of HIV/AIDS, TB and malaria. It also examines the potential for recipient countries to increase domestic public financing for health. The authors conclude that the GF needs to: a) reduce the extent to which funds are allocated on a demand-driven basis; and b) align its funding model to broader health systems financing and patterns of health expenditure beyond the three diseases. ***
A Framework Convention on Global Health: Health for All, Justice for All
by Lawrence O. Gostin Journal of the American Medical Association, Vol. 307, No. 19, pp. 20872092, May 16, 2012 6 pp. 106 kB: http://jama.jamanetwork.com/pdfaccess.ashx?ResourceID=312485 9&PDFSource=13 Health inequalities represent perhaps the most consequential global health challenge and yet they persist despite increased funding and innovative programs. The United Nations is revising the Millennium Development Goals (MDGs) that will shape the world for many years to come. What would a transformative post-MDG framework for global health justice look like? ***
The (Mis)Reporting of Male Circumcision Status among Men and Women in Zambia and Swaziland: A Randomized Evaluation of Interview Methods
by Paul C. Hewett, Nicole Haberland, Lou Apicella et al. PLoS ONE 7(5): e36251 (22 May 2012) 10 pp. 277 kB:
http://www.plosone.org/article/fetchObjectAttachment.action;jsessionid=5BA834A7F71ADEBD 55359987E3C929B8?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0036251&representation=PDF
To date, male circumcision prevalence has been estimated using surveys of men selfreporting their circumcision status. HIV prevention trials and observational studies involving female participants also collect data on partners circumcision status as a risk factor for HIV/STIs. A number of studies indicate that reports of circumcision status may be inaccurate. Study results suggest that the prevalence of circumcision may be overestimated in Zambia and Swaziland; the error in reporting is higher among women than HESP-News & Notes - 12/2012 - page 9
among men. Improved reporting when a description or illustration is provided suggests that the source of the error is a lack of understanding of male circumcision. ***
Tools for Change: Applying United Nations standards to secure womens housing, land, and property rights in the context of HIV
by Mayra Gomez, Birte Scholz, Tamar Ezer et al. United Nations Development Programme (UNDP) and Open Society Foundations, 2012 86 pp. 3.2 MB:
http://www.soros.org/sites/default/files/tools-for-change-20120416.pdf
Tools for Change is an easy-to-use resource for advocates working on womens housing, land, and property rights in the context of HIV. It brings together relevant international human rights documents and highlights core concepts, rights, and means of enforcement, providing examples of successful advocacy from around the world. Mor eover, it draws on the voices of women worldwide to explain these rights and their uses in practical terms. HESP-News & Notes - 12/2012 - page 10
Sexual & Reproductive Health The sexual behaviour of adolescents in sub-Saharan Africa: patterns and trends from national surveys
by Aoife M. Doyle, Sue Napierala Mavedzenge, Mary L. Plummer et al. Tropical Medicine & International Health; Article first published online: 18 May 2012 12 pp. 260 kB: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3156.2012.03005.x/pdf Many 15- to 19-year-olds are at risk of HIV/STIs and unplanned pregnancies because of multiple partnerships and insufficient condom and other contraceptive use. In many countries, trends are moving in a favourable direction. To better inform prevention programmes in this important area, the authors recommend routine collection of sexual and reproductive behaviour data for adolescents aged <15 years, expanding the data collected for 15- to 19-year-olds to include detailed information on sexual behaviour within partnerships, and disaggregating data according to socio-demographic variables. ***
with higher correspondence between reported desire to stop childbearing and fertility behavior. ***
Reproductive Health and Economic Development: What Connections Should We Focus On?
by Shareen Joshi Population Reference Bureau, January 2012 5 pp. 776 kB: http://www.prb.org/pdf12/poppov-economicdevelopmentreproductivehealth-women.pdf Reproductive Health (RH), defined in this brief as the use of effective contraception, use of health care during pregnancy and childbirth, and health care for infants - is a critical component of human capital. Investments in RH are linked to lower fertility and reduced maternal and child morbidity and mortality, thereby improving overall health and quality of life. Policymakers are faced with critical questions as to the extent to which improvements in RH contribute to broader economic returns. This brief examines the emerging evidence base for answering three questions about the relationship between RH and three important areas of human capital development. ***
Maternal & Child Health Maternal, Newborn, Child and Adolescent Health: Progress Report 20102011
Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, May 2012 44 pp. 2.3 MB: http://whqlibdoc.who.int/publications/2012/9789241503600_eng.pdf Never before has the global community rallied so strongly and uniformly around the cause of reproductive, maternal, child and adolescent health. This report highlights achievements of the WHO Department of Maternal, Newborn, Child and Adolescent HESP-News & Notes - 12/2012 - page 12
Health. It pays testimony to a range of tools and actions developed and supported by their extensive network of staff in headquarter, regional and country offices. WHO cannot do it alone, but with so many committed stakeholders, the message is conveyed that they can and will deliver on the promises made. ***
Measuring Child Poverty: New league tables of child poverty in the worlds rich countries
by Peter Adamson United Nations Childrens Fund (UNICEF), Innocenti Research Centre, May 2012 40 pp. 1.7 MB: http://www.unicef-irc.org/publications/pdf/rc10_eng.pdf This report sets out the latest internationally comparable data on child deprivation and relative child poverty. Taken together, these two different measures offer the best currently available picture of child poverty across the worlds wealthiest nations. Previous reports in this series have shown that failure to protect children from poverty is one of the most costly mistakes a society can make. This comparative snapshot of child poverty in the industrialized nations is presented for the attention of political leaders, press and public. ***
Improving Quality of Care for Maternal and Newborn Health: Prospective Pilot Study of the WHO Safe Childbirth Checklist Program
by Jonathan M. Spector, Priya Agrawal, Bhala Kodkany et al. PLoS ONE 7(5): e35151 (16 May 2012) 7 pp. 739 kB:
http://www.plosone.org/article/fetchObjectAttachment.action;jsessionid=41A192A57013A0C07 83A24EABDC94E42?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0035151&representation=PDF
Checklist-based interventions aid management of complex or neglected tasks and have been shown to reduce harm in healthcare. The authors hypothesized that implementaHESP-News & Notes - 12/2012 - page 13
tion of a novel childbirth safety program for institutional births incorporating a 29-item checklist, would increase delivery of essential childbirth practices linked with improved maternal and perinatal health outcomes. They conclude that introduction of the WHO Safe Childbirth Checklist program markedly improved delivery of essential safety practices by health workers. Future study will determine if this program can be implemented at scale and improve health outcomes. ***
Making Abortion Services Accessible in the Wake of Legal Reforms: A Framework and Six Case Studies
by Susheela Singh, Gilda Sedgh, Akinrinola Bankole et al. Guttmacher Institute, April 2012 50 pp. 458 kB: http://www.guttmacher.org/pubs/abortion-services-laws.pdf Evidence shows that restrictive abortion laws contribute substantially to maternal illness and death from unsafe abortion, and, in the last two decades, 26 countries have e xpanded the conditions under which abortion is legal. The study examines the implementation and impact of legal reforms in six settings - Cambodia, Colombia, Ethiopia, Mexico City, Nepal and South Africa - and finds that expanding access to legal abortion does not in itself guarantee a decrease in unsafe procedures. The findings indicate that increasing safe abortion services following legal reform requires sustained commitment and dedicated human and financial resources.
Poor quality medicines, both counterfeit and substandard, of the majority of commonly HESP-News & Notes - 12/2012 - page 14
used antimalarials have been described. Antimalarials containing sub-therapeutic amounts of artesunate may have contributed to reported drug resistance in Southeast Asia. Poor quality antimalarial drugs have far reaching consequences. Patients can suffer death, prolonged sickness, treatment failure, side effects, loss of income and increased healthcare costs. With no new antimalarials on the horizon for at least 15 years, we must do everything possible to preserve the efficacy of these important drugs. ***
Poor-quality antimalarial drugs lead to drug resistance and inadequate treatment, which pose an urgent threat to vulnerable populations and jeopardise progress and inves tments in combating malaria. Emergence of artemisinin resistance or tolerance in Plasmodium falciparum on the Thailand-Cambodia border makes protection of the effectiveness of the drug supply imperative. The authors reviewed published and unpublished studies reporting chemical analyses and assessments of packaging of antimalarial drugs. They conclude that concurrent interventions and a multifaceted approach are needed to define and eliminate criminal production, distribution, and poor manufacturing of antimalarial drugs. ***
Inaugural Meeting of the Malaria Policy Advisory Committee to the WHO: Conclusions and Recommendations
by Robert D Newman Malaria Journal 2012, 11:137 (30 April 2012) 13 pp. 141 kB: http://www.malariajournal.com/content/pdf/1475-2875-11-137.pdf The Malaria Policy Advisory Committee (MPAC) to the WHO met for the first time from 31 January to 2 February 2012 in Geneva, Switzerland. This article provides a summary of the discussions, conclusions and recommendations from that meeting a as part of the newly launched Malaria Journal thematic series WHO Malaria Policy Advisory Committee: Reports and Recommendations. ***
Prevalence of Malaria and Sexually Transmitted and Reproductive Tract Infections in Pregnancy in Sub-Saharan Africa
A Systematic Review by R. Matthew Chico, Philippe Mayaud, Cono Ariti et al. JAMA. 2012;307(19):2079-2086 (16 May 2012) 8 pp. 282 kB: http://jama.jamanetwork.com/pdfaccess.ashx?ResourceID=3124852&PDFSource=13 Malaria and sexually transmitted infections/reproductive tract infections (STIs/ RTIs) in pregnancy are direct and indirect causes of stillbirth, prematurity, low birth weight, and maternal and neonatal morbidity and mortality. The authors conclude that the dual prevalence of malaria and STIs/RTIs in pregnancy among women who attend antenatal care facilities in sub-Saharan Africa is considerable, with the combined prevalence of curable STIs/RTIs being equal to, if not greater than, malaria. ***
Good practices for selecting and procuring rapid diagnostic tests for malaria
by P. Hayes, D.R. Bell, A. Bosman et al. World Health Organization, 2011 110 pp. 3.0 MB: http://whqlibdoc.who.int/publications/2011/9789241501125_eng.pdf This manual, designed as a practical 12-step checklist, provides guidance on the selection and procurement of quality rapid diagnostic tests (RDTs) for malaria. It covers all aspects of the procurement cycle, with special emphasis on product specifications, selection criteria for different epidemiological settings, different quantification methodologies based on malaria surveillance and consumption data, as well as quality control through lot testing. ***
Scepticism towards insecticide treated mosquito nets for malaria control in rural community in north-western Tanzania
by Soori E. Nnko, Susan R. Whyte, Wenzel P. Geissler et al. Tanzania Journal of Health Research, Vol. 14, No. 2, April 2012 11 pp. 236 kB: http://www.ajol.info/index.php/thrb/article/viewFile/71681/67436 The study explores reasons for scepticism and low uptake of insecticide treated mosquito nets (ITNs) that were promoted through social marketing strategy for malaria control prior to the introduction of long lasting nets (LLN). This paper has shown that the majority of people who could afford the prices of ITNs and who knew where to obtain the insecticides did not necessarily buy them. This suggests that, although people tend to report cost-related factors as a barrier against the use of ITNs, there are other critical concerns at work.
Children exposed to multidrug-resistant (MDR) Mycobacterium tuberculosis are at risk of developing MDR tuberculosis. Where treatment is available, it is lengthy, expensive, and associated with poor adherence and notable morbidity and mortality. Preventive treatment effectively lowers the risk of disease progression for contacts of individuals with drug-susceptible tuberculosis, but this strategy is poorly studied for contacts of people with MDR tuberculosis. *** HESP-News & Notes - 12/2012 - page 17
Treatment outcomes for children with multidrug-resistant tuberculosis: a systematic review and meta-analysis
by Dena Ettehad, H Simon Schaaf, James A Seddon et al. The Lancet Infectious Diseases, Vol. 12, Issue 6, pp. 449-456, June 2012 8 pp. 235 kB: http://download.thelancet.com/pdfs/journals/laninf/PIIS1473309912700336.pdf The treatment of paediatric multidrug-resistant (MDR) tuberculosis has been neglected, but when children are treated outcomes can be achieved that are at least as good as those reported for adults. Programmes should be encouraged to report outcomes in children to improve the knowledge base for care, especially as new drugs become available. ***
Point-of-care detection of lipoarabinomannan (LAM) in urine for diagnosis of HIV-associated tuberculosis: a state of the art review
by Stephen D Lawn BMC Infectious Diseases 2012, 12:103 (26 April 2012) 25 pp. 446 kB: http://www.biomedcentral.com/content/pdf/1471-2334-12-103.pdf Detection of Mycobacterium tuberculosis antigens in urine is attractive as a potential means of diagnosing tuberculosis (TB) regardless of the anatomical site of disease. The most promising candidate antigen is the cell wall lipopolysaccharide antigen lipoarabinomannan (LAM), which has been used to develop commercially available enzymelinked immunosorbent assays. A recently developed low-cost, lateral-flow (urine dipstick) format of the assay provides a result within 30 minutes and is potentially a major step forward as it can be used at the point-of-care, making the possibility of immediate diagnosis and treatment a reality. ***
New laboratory tests to enhance TB diagnosis: Microscopy, LAM and Xpert MTB/RIF used as a drug resistance test
by Theo Smart HIV & AIDS Treatment In Practice (HATIP), 25 May 2012 11 pp. 230 kB: http://www.aidsmap.com/pdf/page/2368762/ This edition looks first at how smear microscopy can be improved, and then moves on to look at the Determine TB-LAM test, which looks for a fragment of the M.TB cell wall in urine. Determine TB-LAM is probably most suitable for use in people living with HIV with low CD4 cell counts. The publication also looks at the use of the Xpert MTB/RIF to d etect resistance to rifampicin, a key drug in first-line TB treatment, and asks whether evidence from the early roll-out of the test in South Africa indicates that the test is detecting very recently acquired cases of drug-resistant TB. ***
Over the last 20 years, tremendous progress has been made in TB vaccine research and development: from a pipeline virtually empty of new TB candidate vaccines in the early 1990s, to an era in which a dozen novel TB vaccine candidates have been and are being evaluated in human clinical trials. In addition, innovative approaches are being pursued to further improve existing vaccines, as well as discover new ones. Thus, there is good reason for optimism in the field of TB vaccines that it will be possible to develop better vaccines than BCG, which is still the only vaccine available against TB.
Uganda, Nigeria and Malaysia - participated in the survey for the first time. In all, 240 organisations completed the survey in 2010, a 10% increase on 2009. ***
Non-communicable diseases (NCDs) have been established as a clear threat not only to human health, but also to development and economic growth. Recognizing that building a solid economic argument is ever more crucial in times of financial crisis, this report brings an account of the overall costs of NCDs, including what specific impact NCDs might have on economic growth. The report also tries to capture the thinking of the business community about the impact of NCDs on their enterprises. ***
Resource Needs for Addressing Noncommunicable Disease in Low- and Middle-Income Countries
Current and Future Developments by Karin Stenberg and Dan Chisholm Global Heart, Vol.7, No. 1, 2012 8 pp. 287 kB: http://www.who.int/choice/publications/karindan.pdf With non-communicable diseases (NCD) on the rise in low and middle income countries, there is a growing need to be able to estimate resource requirements, costs and HESP-News & Notes - 12/2012 - page 20
expected impact associated with various investment strategies related to prevention and control of NCD. In this article, recently developed costing and health impact models for non-communicable disease are reviewed, with a view to drawing out their main findings as well as methodological limitations.
Essential Medicines A practical handbook on the pharmacovigilance of medicines used in the treatment of tuberculosis
Enhancing the Safety of the Tb Patient by David Coulter, Geraldine Hill, Shanthi N. Pal et al. World Health Organization, May 2012 124 pp. 1.2 MB:
http://www.who.int/entity/medicines/publications/Pharmaco_TB_web_v3.pdf
Adverse drug reactions (ADRs) can lead to the interruption of tuberculosis (TB) treatment, and contribute to regimen failure, morbidity, loss in quality of life or death. ADRs due to TB medicines are well known, but the overall contribution of anti-TB medicines to the burden of disease and patient mortality has been poorly studied. This handbook provides the practitioner with a step-by-step approach to the different methodologies available to include pharmacovigilance activities as a standard of care for TB patients ***
The autumn of 2012 will again see the publication of the Access to Medicine Index. This will show to what degree the pharmaceutical industry is contributing to a fairer, healthier world. The Methodology Report 2012 defines exactly how the Index HESP-News & Notes - 12/2012 - page 21
will do this what we measure, how we measure it, and why. In effect, this report defines in detail what the world could expect of large pharmaceutical companies when it comes to their policies and progress in making medicines available to those who need them. ***
In this issue (among others): Regulation of medicines in China; Development of paediatric medicines: points to consider in pharmaceutical formulation; Information on signals and reports of adverse drug reactions; Brief summaries of several recently-published documents and online resources. ***
Social Protection Social Protection: Shared Interests in Vulnerability Reduction and Development
Editors: Daniel Albrecht, Nicole Valentine and Anjana Bhushan The Social Determinants of Health (SDH) Sectoral Briefing Series, May 2012 32 pp. 1.7 MB: http://whqlibdoc.who.int/publications/2012/9789241503655_eng.pdf The overarching objective of social protection is to shield households from external shocks that impoverish them, and to help those in chronic poverty to escape it. Key instruments for social protection include social transfers in cash or in kind (e.g. cash and food transfers, nutritional supplements, public works, food subsidies), access to services, social support, and equity-enhancing legislation. Social protection practice has evolved in the last decade from focusing on two principles (Prevention, Protection), HESP-News & Notes - 12/2012 - page 22
which were at the core of the so-called safety nets of the 1990s, to include promotion and transformation in order to enhance human capability, address the structural causes of poverty, and recognize the importance of social solidarity. ***
Can Conditional Cash Transfers Improve Maternal Health and Birth Outcomes? Evidence from El Salvadors Comunidades Solidarias Rurales
by Alan de Brauw and Amber Peterman International Food Policy Research Institute (IFPRI), April 2011 38 pp. 806 kB: http://www.ifpri.org/sites/default/files/publications/ifpridp01080.pdf Although conditional cash transfers (CCTs) are traditionally evaluated in relation to child schooling and nutrition outcomes, there is growing interest in examining maternal and reproductive health impacts. This evaluates the impact of El Salvadors CCT program Comunidades Solidarias Rurales on a range of maternal and reproductive health outcomes: (1) prenatal care, (2) skilled attendance at birth, (3) birth in a health facility, and (4) postnatal care. Results indicate that impacts are found on outcomes at time of birth, while no impacts are found on health seeking behavior pre- and post-birth. ***
Alternative Cash Transfer Delivery Mechanisms: Impacts on Routine Preventative Health Clinic Visits in Burkina Faso
by Richard Akresh, Damien de Walque, Harounan Kazianga Forschungsinstitut zur Zukunft der Arbeit - Institute for the Study of Labor, January 2012 30 pp. 225 kB: http://ftp.iza.org/dp6321.pdf A unique randomized experiment has been conducted to estimate the impact of alternative cash transfer delivery mechanisms on household demand for routine preventative health services in rural Burkina Faso. Compared with control group households, cond itional cash transfers significantly increase the number of preventative health care visits during the previous year, while unconditional cash transfers did not have such an impact. For the conditional cash transfers, money given to mothers or fathers showed beneficial impacts of similar magnitude in increasing routine visits. ***
Impact of education on informal workers willingness to pay and knowledge of health insurance
by Jahangir A. M. Khan International Labour Office (ILO), Research Paper N16, March 2012 41 pp. 1.4 MB:
http://www.ilo.org/public/english/employment/mifacility/download/repaper16.pdf
A literature review identified a number of barriers that restrict potential clients from joining health insurance schemes in developing countries. Among those, the literacy gap HESP-News & Notes - 12/2012 - page 23
i.e. the lack of knowledge about insurance was found to be an important one. The aim of this study is two-fold; first, it is to assess the impact of educational intervention on knowledge, attitude and willingness-to-pay for health insurance using occupational solidarity and then, to explore the views of relevant actors on occupational solidarity-based health insurance. ***
Water, Sanitation & Hygiene Roles of Companies in Water Management - Extending the Boundaries of Private Sector Responsibility?
by Peter Newborne European Report on Development, 2012 49 pp. 1.0 MB: http://erd-report.eu/erd/report_2011/documents/dev-11-00111researchpapers_newborne.pdf This paper reviews the policies and practices of companies in water use and water management, and considers how they manifest an evolution of private sector roles, through examples of innovation by companies in sectors that make significant use of water: beverages/drinks, tourism, and mining and energy - with agriculture also considered in two respects. ***
provements. This guidance document puts water safety planning in the context of small community water supplies and provides a step-by-step approach for those charged with dealing with the everyday realities of maintaining a reliable, safe supply.
Human Resources Preparing the Next Generation of Community Health Workers: The Power of Technology for Training
by Rocio Funes, Vicky Hausman, Angela Rastegar et al. The iheed Institute, the Barr Foundation, the mHealth Alliance, and the MDG Health Alliance, May 2012 60 pp. 3.1 MB: http://www.dalberg.com/documents/Power_of_Technology.pdf Community health workers (CHWs), who provide essential access to inexpensive, basic, life-saving health care, are indispensable to improving global health outcomes and thus the focus of this report. Sub-Saharan Africa needs at least one million more CHWs to address its health needs. This study identifies opportunities to train CHWs more costeffectively through technology- enabled multimedia content that leverages visuals, videos, or audio. Additionally, it highlights the potential to create open, easily sharable digital content that could act as a crucial ingredient for new approaches to training and learning in the future. ***
Measuring workload for tuberculosis service provision at primary care level: a methodology
by Lucie Blok, Susan van den Hof, Sayoky G Mfinanga et al. Human Resources for Health 2012, 10:11 (28 May 2012) 20 pp. 175 kB:
http://www.human-resources-health.com/content/pdf/1478-4491-10-11.pdf
In this article the authors describe a methodology that they developed to establish TB related workload in a given context and for a given patient load for use by TB pr ogramme managers and health planners. Workload is defined in this article as the total time required to provide all TB services for a certain patient load in a defined period of time. They present and discuss the methodology to measure actual workload for TBrelated tasks at primary care level in Tanzania.
Health Systems & Research Innovation for health: Research that makes a difference
TDR biennial report, 2010-2011 by Jamie Guth, Mahnaz Vahedi, Bernard Dichet et al. World Health Organization on behalf of the Special Programme for Research and Training in Tropical Diseases (TDR), 2012 56 pp. 2.7 MB: http://whqlibdoc.who.int/publications/2012/9789241503563_eng.pdf HESP-News & Notes - 12/2012 - page 25
There are many drugs, diagnostic tools and other tools to improve health that simply never get to those who need them most - the poor living in remote or underserved areas. There are also specific successful projects carried out in one area but never stu died to see how they can be scaled up through a country or region. TDR supports this type of research, often called implementation research, which looks at how to use these tools in these difficult and remote settings. They work with local researchers, ministries of health and other government officials, as well as with other international partners, for a coordinated approach that can be implemented as soon as the research results are in. ***
How a Global R&D Convention Could Fill the Gaps Left by Todays Medical Innovation System
Mdecins Sans Frontires (MSF), May 2012 13 pp. 3.1 MB: http://www.msfaccess.org/sites/default/files/MSF_assets/Innovation /Docs/MedInno_Briefing_GlobalConventionRD_ENG_2012Update.pdf The current Research and Development (R&D) system is driven by market forces, not health needs, and relies overwhelmingly on the patent system to recoup R&D costs by charging high prices for the medical tools that reach the market. By creating a binding Convention on health R&D, countries would agree to a sustainable system of medical innovation with adequate and predictable financing, to deliver products that are focused on the priority health needs of developing countries. The Convention would create norms to ensure that the fruits of innovation and new medical products are accessible and affordable. ***
How can Disease Control Programmes Contribute to Health System Strengthening? Country Report: Liberia
by Raoul Bermejo III, Luke Bawo, Eisa Hamouda et al. Studies in Health Services Organisation and Policy, Working Paper 5; 2012 71 pp. 1.5 MB: http://www.itg.be/itg/Uploads/Volksgezondheid/wpshsop/WP5%20Liberia.pdf HESP-News & Notes - 12/2012 - page 26
Strong and effective health systems are increasingly considered prerequisites to further reducing the disease burden and to achieving the health MDGs, rather than the outcomes of increased investments in disease control programs (DCPs). While the investments in specific DCPs have undoubtedly led to improved specific health outcomes for the targeted diseases, they also resulted, in some cases, in a parallel system of wellfunded DCPs and underfunded general health services. Such imbalance in some national health systems led to disparity and unequal access to different services, attrition of health workers from general health services to DCPs, and the setup of parallel supply and information system.
Information & Communication Technology Bridging Gaps, Building Opportunity: Broadband as a Catalyst of Economic Growth and Social Progress in Latin America and the Caribbean
by Antonio Garca Zaballos, Ginya A. Truitt Nakata, Eloy Vidal et al. Inter-American Development Bank (IDB), March 2012 52 pp. 2.9 MB: http://idbdocs.iadb.org/wsdocs/getdocument.aspx?docnum=36882814 Broadband is expanding rapidly in Latin America and the Caribbean, but the region still lags behind the worlds most advanced nations in terms of coverage, access and adoption of information and communication technology services delivered through fast networks. By improving broadband connectivity and making services more widely available and affordable, countries could help businesses - particularly small and medium-sized ones - become more competitive as well as provide their citizens access to more efficient government services, educational opportunities and healthcare, especially for people in remote areas or in underserved segments of the population. ***
Open science, open access and open source software at Open Medicine
by Sally Murray, Stephen Choi, John Hoey et al. Open Medicine 2008;2(1):E1-3 HESP-News & Notes - 12/2012 - page 27
3 pp. 181 kB: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3091592/pdf/OpenMed-02e1.pdf??tool=pmcentrez Is access to the final polished version of research enough? Could we do more to encourage the collaborative reuse and reanalysis of existing data, or the verification of analyses? Could we move from open access to open science? As the name seems to imply, there is no strict definition of open science, but it is inextricably linked to the parallel movements of open access publication and open source software.
A New Face of Education: Bringing Technology into the Classroom in the Developing World
by Rebecca Winthrop and Marshall S. Smith Brooke Shearer Working Paper Series, January 2012 52 pp. 462 kB: http://www.brookings.edu/~/media/Files/rc/papers/2012/01_educati on_technology_shearer/01_education_technology_shearer.pdf The goal of this publication is to provide a broad overview of some of the common education challenges facing the developing world and the range of different technologies HESP-News & Notes - 12/2012 - page 28
that are available to help address them. It looks closely at the different enabling cond itions that frequently shape the success or failure of technology interventions in education and derives a set of seven basic principles for effective technology use. These principles can provide guidance to decision-makers designing, implementing or investing in education initiatives. In doing so, the paper looks both at the primary and secondary, as well as at the higher levels, of education systems. ***
Harm Reduction and Drug Use Social service offices as a point of entry into substance abuse treatment for poor South Africans
by Nadine Harker Burnhams, Siphokazi Dada and Bronwyn Myers Substance Abuse Treatment, Prevention, and Policy 2012, 7:22 (29 May 2012) 19 pp. 166 kB: http://www.substanceabusepolicy.com/content/pdf/1747-597X-7-22.pdf In South Africa, district social service offices are often the first point of entry into the substance abuse treatment system. The study provides evidence that social services are a point of entry and intervention for people from underserved communities in the Western Cape. If these low-threshold services can be supported to provide good quality services, they may be an effective and efficient way of improving access to treatment in a context of limited service availability. ***
The global war on drugs has been fought for over 50 years, to achieve its stated goal of a drug-free world. Yet despite the ever increasing resources spent on police and military efforts to suppress the illicit drug trade, supply has more than kept pace with rising global demand. Indeed, most indicators suggest drugs are cheaper and more available than ever before. This briefing summarizes the crime-related costs stemming from the war on drugs.
Sustainable Development Goals and the Relationship to a Post-2015 Global Development Framework
A Beyond 2015 Policy Paper, May 2012 5 pp. 462 kB: http://www.beyond2015.org/sites/default/files/Beyond%202015%20MDGSDG%20relationship%20FINAL%20May%202012.pdf The current over-arching development framework of the MDGs expires in 2015. Any plans for Sustainable Development Goals (SDGs) coming out of Rio+20 must be fully integrated into the global overarching post-2015 development framework, argues Beyond 2015. To develop SDGs and the post-MDG development framework in parallel would be both inefficient and short-sighted, and could lead to a number of negative scenarios. Principles of participation, accountability, equality and non-discrimination must cut across any post-2015 framework to ensure outcomes which are effective, just and sustainable. ***
It is time to start preparing the ground for new goals to mark the sustainable end of extreme poverty - a vision of getting to zero within a generation, i.e., by 2030. As with the MDGs, this implies much more than just boosting incomes. It entails ending chronic hunger, ensuring universal access to secondary education, ensuring universal access to safe drinking water and sanitation, reducing child and maternal deaths to current upper middle-income country (MIC) levels, and tackling key environmental priorities that will underpin development success. Achieving this suite of goals will in turn reinforce further progress in economic growth, as shown for example in the economic returns to addressing malnutrition.
Development Assistance Integrated Monitoring: A Practical Manual for Organisations that Want to Achieve Results
by Sonia Herrero inProgress, Berlin, April 2012 44 pp. 11.1 MB: https://www.ecn-eu.com/project-directory/integrated-monitoring-ahandbook-for-organisations-that-want-to-achieve-results/5 The aim of this manual is to help those working in the non-profit sector - nongovernmental organisations (NGOs) and other civil society organisations (CSOs) - and the donors which fund them, to observe more accurately what they are achieving through their efforts and to ensure that they make a positive difference in the lives of the people they want to help. The goal is to help organisations build monitoring and evaluation into all their project management efforts. ***
The Effects of Aid on Rights and Governance: Evidence from a Natural Experiment
by Peter M. Aronow, Allison Carnegie and Nikolay Marinovx Yale University, New Haven CT, 11 May 2012 51 pp. 2.2 MB: http://www.nikolaymarinov.com/wp-content/files/AronowMarinovSovey.pdf Does foreign aid promote good governance in recipient countries? The authors help arbitrate the debate over this question by leveraging a novel source of exogeneity: the rotating presidency of the Council of the European Union. They find that when a countrys former colonizer is the president of the Council of the European Union during the budget making process, the country is allocated considerably more foreign aid than are countries whose former colonizer does not hold the presidency. They demonstrate that this aid has positive effects on multiple measures of human rights and governance, although the effects are short-lived after the shock to aid dissipates. ***
What if three quarters of the worlds poor live (and have always lived) in Low Aid Countries?
by Jonathan Glennie Overseas Development Institute (ODI), May 2012 6 pp. 227 kB: http://www.odi.org.uk/resources/docs/7681.pdf This Background Note posits that rich countries focus on aid, as the key tool to help end poverty, may need careful examination. It considers the conventional development narrative of reduced aid dependency from a different perspective, bringing new data to bear on the debate, and producing some surprising information.
Others Shaping cities for health: complexity and the planning of urban environments in the 21st century
by Yvonne Rydin, Ana Bleahu, Michael Davies et al. The Lancet, Vol. 379, Issue 9831, pp. 2079-2108, 2 June 2012 30 pp. 2.2 MB: http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673612604358.pdf With almost 30 years experience from the Healthy Cities movement, we are increasingly aware of the features needed to transform a city into a healthy city. This report argues against the assumption that urban health outcomes will improve with economic growth and demographic change, and instead highlights the need for urban planning for health needs. Evaluation and assessment of practices and decision-making processes through dialogue between stakeholders and communities and mutual learning is essential. ***
How To Make Cities More Resilient - A Handbook For Local Government Leaders
by Helena Molin Valds, Aloysius Reg, John Scott et al. United Nations UNISDR, March 2012 104 pp. 8.3 MB: http://www.unisdr.org/files/26462_handbookfinalonlineversion.pdf Cities and urban areas represent dense and complex systems of interconnected services. As such, they face a growing number of issues that drive disaster risk. Strategies and policies can be developed to address each of these issues, as part of an overall vision to make cities of all sizes and profiles more resilient and livable. ***
ELECTRONIC RESOURCES
Hans Rosling: Religions and babies
Video (13:20 Min.): http://www.ted.com/talks/hans_rosling_religion s_and_babies.html Hans Rosling had a question: Do some religions have a higher birth rate than others - and how does this affect global population growth? Speaking at the TEDxSummit in Doha, Qatar, he graphs data over time and across r eligions. With his trademark humor and sharp insight, he reaches a surprising conclusion on world fertility rates. ***
InsightsAfrica
http://www.insightsafrica.com/ InsightsAfrica is an interactive tool providing critical data about the online behaviour of urban consumers in six key African markets: Ghana, Kenya, Nigeria, Senegal, South Africa and Uganda. ***
TRAINING OPPORTUNITIES
Summer School of International Nutrition: Double Burden of Malnutrition
20 - 28 September, 2012 - Potsdam, Germany Main objective of the Summer School is the interdisciplinary description and development of possible strategies regarding the problem of undernutrition on the one side and the growing prevalence of overnutrition on the other side in developing nations. Participants should have the following background: Professionals active in the field of nutrition/food Nationality: African, Asian or Latin American Alumni of a German University (former student or PhD student from a German University) Participant fees and travel expenses will be funded up to 100% by the German Government. Deadline for application is June 10, 2012. For further information see: http://www.internationalnutrition.eu ***
CONFERENCES
Report on the Prince Mahidol Award Conference 2012
Moving Towards Universal Health Coverage: Health Financing Matters 24-28 January 2012, Bangkok, Thailand 67 pp. 28.1 MB(!): http://www.pmaconference.mahidol.ac.th/index.php?option=com_d ocman&task=doc_download&gid=661&Itemid= In recent years, the goal of Universal Health Coverage has become an increasingly important issue - featuring more and more prominently on global, regional and national agendas. Universal Health Coverage depends on strong and well-designed health financing systems that assure sufficient financial resources for health. This conference provided a chance for all stakeholders to work together to effectively translate ambitious policy intentions into concrete actions that can make Universal Health Coverage a reality for all people, everywhere, ensuring better health for everyone - whoever they are, wherever they live.
CARTOON
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