Beruflich Dokumente
Kultur Dokumente
You can download back issues (2005 - 2010) of this newsletter at: http://hiv-prg.org/en/newsletters
Table of Contents:
BOOKS ................................................................................ 4
From the Ground Up: Building Comprehensive HIV/AIDS Care Programs in Resource-
Limited Settings....................................................................................................................... 4
SUPPORT Tools for evidence-informed health Policymaking (STP) ..................................... 4
Public health campaigns: getting the message across ........................................................... 4
Promoting Cardiovascular Health in the Developing World: A Critical Challenge to Achieve
Global Health........................................................................................................................... 5
Statistical Yearbook for Asia and the Pacific 2009 ................................................................. 5
TRAINING OPPORTUNITIES............................................ 27
Free online course: ‘Introduction to Human Resources Management’................................. 27
Mixed Methods in International Health Research ................................................................. 27
CONFERENCES................................................................ 27
Second Conference of the African Health Economics and Policy Association (AfHEA) ...... 27
CARTOON ......................................................................... 28
Fair Use:
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***
Knowing how to find and use research evidence can help policymakers and those who
support them to do their jobs better and more efficiently. Each chapter of this book pre-
sents a proposed tool that can be used by those involved in finding and using research
evidence to support evidence-informed health policymaking.
***
This book takes a historical look at the power of posters to persuade people to change
their behaviour. It charts decades of changing health priorities, advertising trends and
government regulations, inviting the reader to reflect on how public health campaigns
have evolved, and how they could be improved. It is designed to provide public health
professionals, policy-makers, programme managers and students of public health with
an important resource. The eight chapters contain a selection of posters from all WHO
regions, introduced with a brief history.
***
***
The third edition of the revised Statistical Yearbook for Asia and the Pacific remains an
authoritative reference on the social economic and environmental development of the
Asian and Pacific region from 1990. Through more than 200 key internationally compa-
rable indicators, it compares Asia and the Pacific with the world average and other re-
gions, including Africa, Europe, Latin America and the Caribbean and North America. It
includes 128 reader-friendly charts and descriptive texts on 30 development topics.
ONLINE PUBLICATIONS
HIV - AIDS - STI
by Jose M. Gatell
J Antimicrob Chemother 2010; 65: 383-385 (12 January 2010)
The question about when to start antiretroviral therapy in HIV-1-infected patients has
been debated since the discovery of the first antiretroviral agent back in 1986 and has
been fuelled by the introduction of highly active combined antiretroviral therapy (cART)
10 years later in 1996. Several cohort studies have convincingly demonstrated a signifi-
cant reduction of AIDS- and non-AIDS-related events when cART is initiated at >350
CD4+ T lymphocytes/mm3, and even at >500 CD4+ T lymphocytes/mm3. Willingness to
be treated and to adhere to the prescribed medication still remains the key to success.
Clinical Guidelines for the Management of HIV & AIDS in Adults and Adolescents
42 pp. 451 kB:
http://www.health-e.org.za/documents/0ba405d9042e557a9fb1987adb68cb97.pdf
South Africa’s antiretroviral treatment guidelines have been updated. The guidelines of-
fer a range of improvements over the 2004 guidelines including new, more tolerable an-
tiretrovirals, immediate ARV treatment for drug-resistant TB patients and improved pre-
vention of mother to child transmission procedures.
***
HIV Prevalence and Related Factors: Higher Education Sector Study, South
Africa 2008-2009
HIV prevalence rates among South Africa’s university students remain low, but risk is
never far off according to one of the largest surveys ever conducted in the country. The
study of almost 24,000 students and staff found a national HIV prevalence rate among
college students of about 3 percent - a sharp contrast to the national prevalence rate of
around 18 percent estimated by UNAIDS. A combination of individual questionnaires, in-
terviews, and dried blood spot HIV testing was used.
***
High survival and treatment success sustained after two and three years of
first-line ART for children in Cambodia
***
Co-trimoxazole prophylaxis can reduce mortality from untreated HIV infection in Africa;
whether benefits occur alongside combination antiretroviral therapy (ART) is unclear.
The authors estimated the effect of prophylaxis after ART initiation in adults. Their study
results reinforce WHO guidelines and provide strong motivation for provision of co-
trimoxazole prophylaxis for at least 72 weeks for all adults starting combination ART in
Africa.
***
The tools and experiences presented during the two-day meeting highlighted a variety
of users and stakeholders at different levels of the health system, from the community to
the national level. Recommendations emerging from the Technical Consultation meeting
underscored the fundamental need to strengthen monitoring and data use at the com-
munity-based program level by implementing monitoring and evaluating systems that
yield quality, complete, relevant, and timely data.
***
In many parts of the world, a combination of social taboos, unavailability of sound infor-
mation, lack of resources and infrastructure leave many young people vulnerable to co-
ercion, abuse, exploitation, unintended pregnancy and sexually transmitted infections,
including HIV. Sexuality education can play a key role in improving knowledge and re-
ducing sexual risk behaviours among young people.
***
http://www.k4health.org/toolkits/ppfp
***
Reproductive tract infections (RTI’s) are endemic in developing countries and entail a
heavy toll on women. If untreated, RTI’s can lead to adverse health outcomes such as
infertility, ectopic pregnancy and increased vulnerability to transmission of the human
immunodeficiency virus. It is also associated with adverse pregnancy outcomes. Even
though most of the respondents in this study have heard of RTI’s and sought treatment
when symptomatic, they demonstrated poor overall understanding of the subject. There
is need to educate women on preventive strategies, as RTI’s are often asymptomatic.
***
This issue of Entre Nous looks at sexual and reproductive health (SRH) and in particular
to its relationships with health systems. In the editorial several perspectives of SRH are
offered, each revealing important issues and challenges.
Development and use of the Lives Saved Tool (LiST): A model to estimate
the impact of scaling up proven interventions on maternal, neonatal and
child mortality
At the turn of the millennium, there was a widespread feeling in the child health commu-
***
Previous estimates of the global burden of disease for children have not included much
information from China, leading to a large gap in data. The authors identified the main
causes of deaths in neonates (<1 month), post-neonatal infants (1-11 months), and chil-
dren (<5 years) in China using information that was available to the public. On the basis
of trends, preterm birth complications are expected to become the leading cause of child
mortality in China.
Malaria
by Janina Pasaniuc
Oxfam Publications, October 2008
This book is meant for all who may be involved in initiating a malaria control project in
humanitarian situations specifically although much of the background information will be
useful for longer term programs. Knowledge of malaria control is important for Public
Tuberculosis
This fourth edition provides guidance for treatment approaches in the light of advances
in laboratory technology and the country’s progress in building laboratory capacity. The
principal purpose of these guidelines is to help national TB control programmes (NTPs)
in setting TB treatment policy to optimize patient cure: curing patients will prevent death,
relapse, acquired drug resistance, and the spread of TB in the community. Their further
purpose is to guide clinicians working in both public and private sectors.
***
by Theo Smart
HATiP Issue 156, 23 March 2010
A year and a half ago, investigators of the Starting Antiretroviral Therapy at Three Points
in Tuberculosis (SAPIT) trial announced that starting antiretroviral therapy (ART) in peo-
ple with both tuberculosis (TB) and HIV while they are still taking TB treatment dramati-
cally reduces mortality. But the problem may be that integration hasn’t gone quite far
enough. Often, TB and HIV service integration means a system of referrals to a co-
located clinic rather than full ‘one-stop shop’ integration.
***
Global targets for reducing the epidemiological burden of tuberculosis (TB) are that the
TB incidence rate should be falling globally by 2015 and that TB prevalence and death
rates should be halved by 2015 compared with their levels in 1990. Achieving these im-
pact targets is the focus of national and international efforts to control TB, and demon-
strating whether or not they are achieved is of major importance for individual countries,
Weekly Epidemiological Record (WER), 26 March 2010, Vol. 85, 13 (pp 117–128)
This document replaces the position paper on cholera vaccines published in the Weekly
Epidemiological Record in April 2001. Cholera control should be a priority in areas
where the disease is endemic. Given the availability of 2 oral cholera vaccines and data
on their efficacy, field effectiveness, feasibility and acceptance in cholera-affected popu-
lations, immunization with these vaccines should be used in conjunction with other pre-
vention and control strategies in areas where the disease is endemic and should be
considered in areas at risk for outbreaks.
***
The construction of dams or other water impoundment strategies for economic or social
motives can have profound and unanticipated consequences for waterborne disease.
Results of this study indicate that the construction of a flood control structure in rural
by Emily K. Shuman
N Engl J Med, Vol. 362, Nr. 12:1061-1063, March 25, 2010
The 2009 United Nations Climate Change Conference in Copenhagen ended on De-
cember 18 without passage of a binding resolution for tackling global climate change.
However, climate change will have enormous implications for human health, especially
for the burden of vector-borne and waterborne infectious diseases. One of the goals of
research on climate change should be the development of early warning systems to
help populations prepare for impending epidemics.
Essential Medicines
A group of nine Georgetown Law students have written the report which finds that U.S.
efforts to increase intellectual property protections in the Dominican Republic may lead
to sharp increases in the cost of lifesaving drugs and, as a result, the declining health
and even deaths of those who may be unable to afford them. The report recommends
that Congress extend the same intellectual property provisions to the DR-CAFTA coun-
tries that were offered to Peru in a 2007 trade agreement.
Social Protection
Cette note souhaite contribuer à une réflexion collective des acteurs concernés par le
système de santé nigérien en général, et la gratuité des soins au Niger en particulier, à
***
The Kyrgyz Republic has been a pioneer in reforming the system of health care finance.
A key objective of the reforms has been to replace the burgeoning system of unofficial
informal payments for health care with a transparent official co-payment, thereby reduc-
ing the financial burden of health care spending for the poor. The analysis shows that
there has been a significant improvement in financial access to health care amongst the
population. However, the burden of health care payments amongst the poor remains
significant.
***
by Maxine Molyneux
Pathways of Women's Empowerment, 2008
***
China’s population is ageing fast, owing to low fertility and rising life expectancy. Migra-
tion of the young to urban areas is raising the proportion of the elderly in the rural popu-
lation and the increase in the old-age dependency ratio will be even more pronounced in
rural than in urban areas. This paper looks at the challenges surrounding population
ageing in China, and looks at possibilities for improved old-age support systems.
At a time when the world is facing a shortage of health workers, policymakers are look-
ing for innovative strategies that can help them develop policy and programmes to bol-
ster the global health workforce. The Framework highlights the current status of inter-
professional collaboration around the world, identifies the mechanisms that shape suc-
cessful collaborative teamwork and outlines a series of action items that policy-makers
can apply within their local health system.
***
The lessons learnt working in the Indonesian Health Sector in the West and
East Nusa Tenggara Provinces
GTZ SISKES & HRD in Nusa Tenggara, 2006-2009
With more than 10 years of experience in facilitating to improve the District Health Sys-
tem - in the West and East Nusa Tenggara Provinces, Indonesia - the SISKES
(Strengthening the District Health Systems) and HRD (Human Resource Development)
***
In African settings with poor access to health care, surveillance and surveys of disease
burden are often done through home visits. The optimal recall period to capture data on
symptoms and health utilization is unknown. The authors conclude that a 2-week recall
period underestimates true disease rates and health-care utilization. Shorter recall peri-
ods of 3 days in children and 4 days in adults would likely yield more accurate data.
***
There is increasing pressure for reduction of user fees, but this can have adverse ef-
fects by decreasing facility-level funds. To address this, direct facility funding (DFF) was
piloted in Coast Province, Kenya, with health facility committees responsible for manag-
ing the funds. The authors evaluated the implementation and perceived impact 2.5
years after DFF introduction.
***
by Peter Bacchetti
BMC Medicine 2010, 8:17 (22 March 2010)
The belief remains widespread that medical research studies must have statistical
power of at least 80% in order to be scientifically sound, and peer reviewers often ques-
tion whether power is high enough. But common conventions and expectations concern-
ing sample size are deeply flawed, cause serious harm to the research process, and
should be replaced by more rational alternatives.
***
The authors conclude that reporting of several important aspects of trial methods im-
proved between 2000 and 2006; however, the quality of reporting remains well below an
acceptable level. Without complete and transparent reporting of how a trial was de-
signed and conducted, it is difficult for readers to assess its conduct and validity.
***
eForums on HIV and TB: A toolkit for launching, moderating and managing
a high quality eForum
eForums are email discussion forums for information sharing, networking and dialogue
on HIV, AIDS, TB, and related health and development issues. This toolkit aims to pro-
vide organisations working in health and development with tools to launch, moderate
and manage high-quality eForums that provide a safe space for civil society focused in-
formation sharing, networking and dialogue.
***
2 pp. 91 kB:
http://content.nejm.org/cgi/reprint/362/12/1063.pdf
Medicine has built on a long history of innovation, from the stethoscope and roentgeno-
gram to magnetic resonance imaging and robotics. Doctors have embraced each new
technology to advance patient care. But nothing has changed clinical practice more fun-
damentally than one recent innovation: the Internet. Its profound effects derive from the
fact that while previous technologies have been fully under doctors’ control, the Internet
is equally in the hands of patients. Such access is redefining the roles of physician and
patient.
***
by Richard Heeks
31 March 2010
Read online at: http://ict4dblog.wordpress.com/
In what form should you publish your ICT4D research for maximum impact? A book; a
book chapter; a journal article - if so what kind of journal; a conference paper?
You are welcome to comment your own evidence, but I’m going to answer that question
through analysis of the publications of my favourite author: me. Why me? Because al-
most everything I’ve published is in the ICT4D field; there are a large number of items,
over a long period, and in many different formats; and careful selection of my name at
birth ensures very few false positives in citation searches. But most importantly, I have
access to the list of all items I’ve ever published, and so can include those that have
never been cited.
Annual Report 2009 - Promoting access to quality and safe education for
all affected by crisis
In this annual report you will read about the numerous achievements of INEE such as
the Guidance Notes on Safer School Construction, the Guidance Notes on Teacher
Compensation, and the Pocket Guide to Inclusive Education. To respond to research
gaps, the INEE Strategic Research Agenda was launched in October 2009 and will help
to identify emerging research needs and gaps, and support the professionalisation of
this field and its capacity both to produce and be informed by sound research.
***
Women, Harm Reduction, and HIV: Key Findings from Azerbaijan, Georgia,
Kyrgyzstan, Russia, and Ukraine
by Katya Burns
International Harm Reduction Development Program, October 2009
Women who use drugs are more vulnerable to HIV infection than male drug users. They
share injection equipment and are often “second on the needle”. Engagement in sex
work and low levels of condom use add to their risk of infection. At the same time,
women face greater obstacles to accessing the services they need to protect their
health. This report examines women’s access to harm reduction, reproductive health,
and HIV and AIDS services in five countries.
***
by John-Peter Kools
Stop AIDS Now! - 2008
This report describes the results of a study that explored HIV and drug use among youth
in the sub-Saharan region. The document provides an overview and analysis of trends
in drug use and the related HIV risks, and it offers recommendations for developing re-
sponses to adequately face these new challenges.
The world’s most water-deprived countries are also receiving some of the least help
from the World Bank to improve conditions, according to the study that the bank’s inde-
pendent evaluators released. The study said water shortages, being felt in more than 40
countries, are at risk of getting worse. New ways need to be found to help the most wa-
ter-stressed countries make water sustainability a cornerstone of their development
plans.
***
In the humanitarian coordination system of ‘clusters’, the water, sanitation and hygiene
(WASH) cluster is widely acknowledged to be among the best functioning. Interviews
were conducted with more than 50 individuals with experience of the WASH cluster in
more than 25 countries, focusing on evidence of improved humanitarian response from
the WASH cluster and what helps or hinders improvement.
***
***
Transforming wastewater from a major health and environmental hazard into a clean,
safe and economically-attractive resource is emerging as a key challenge in the 21st
century. Wastewater is a cocktail of fertilizer run-off and sewage disposal alongside
animal, industrial, agricultural and other wastes. The report underlines that reducing the
volume and concentrations of wastewater will require multiple actions ranging from re-
ducing run-off from livestock and croplands to better treatment of human wastes.
by Soukeyna Ndiaye
International Network of Alternative Financial Institutions (INAFI), 2010
Capital is a key factor of production in the sense that for poor people, it is
a big constraint in pursuing their livelihoods, so microfinance can be seen as part of a
broader livelihood approach it can be think that in terms of empowering women, savings
and credit programmes at the micro-level, particularly self-help based ones, are ex-
tremely important.
***
Development Assistance
This report highlights some of the key issues of aid effectiveness in what is a crucial
year for international development. With only 5 years to go until the Millennium Devel-
opment Goals must be met and with the commitments made under the Paris Declaration
due to be fulfilled this year, there is a vital need for Parliamentarians to engage with the
aid effectiveness agenda.
***
by Nancy Birdsall
Center for Global Development Working Paper 207, March 2010
Inclusive growth is widely embraced as the central economic goal for developing coun-
tries, but the concept is not well defined in the development economics literature. In this
paper the author argues that the concept of inclusive growth should go beyond the tradi-
tional emphasis on the poor (and the rest) and take into account changes in the size
and economic command of the group conventionally defined as neither poor nor rich,
i.e., the middle class.
***
by Raquel C. Álvarez
FRIDE, January 2010
European aid donors are delivering a higher share of development aid directly to gov-
ernments in the form of budget support. While this offers potential for enhancing local
accountability within developing states the way it is being implemented in practice is
having a negative impact.
***
by Wim Naudé
United Nations University - World Institute for Development Econom-
ics Research, (UNU-WIDER), February 2010
10 pp. 56 kB:
http://www.wider.unu.edu/stc/repec/pdfs/wp2010/wp2010-07.pdf
Botswana, Ghana, Mauritius and South Africa are sub-Saharan African countries that
stand out for their development progress. This paper synthesizes the common ingredi-
ents of these countries’ success, and derives lessons. It concludes that smallness, land-
lockedness, tropical location, distance from world markets, racism, colonialism and other
challenges can be overcome through appropriate institutions, governance and good
economic policies.
Others
This publication shares reflections by the Gender Based Violence (GBV) Prevention
Network, a network of over 260 organisations and individuals across Africa, about the
possibilities and challenges of building a GBV prevention movement. The general con-
sensus of members seems to be that there are fragmented efforts in the region towards
GBV prevention that require more connectivity and strategy to meaningfully build a
movement.
***
Social Watch developed the Gender Equity Index (GEI) to make gender
inequities more visible and monitor their evolution at country level. To calculate the GEI
for each country, three internationally comparable gender inequity indicators are used in
the themes of education, economic participation and empowerment. Many poor coun-
tries have reached high levels of equity, even when the absolute situation of both
women and men is one of severe poverty. On the other hand, many countries with ac-
ceptable average social indicators show huge gaps between men and women.
***
by Carl Haub
Population Reference Bureau, March 2010
***
This briefing book aims to raise awareness about the impact of rapid population growth
on Malawi’s development. It includes projections of population growth from 2008 to
2040 based on two hypothetical population scenarios. These projections demonstrate
the impact that rapid population growth can have on various sectors, such as education,
health, agriculture and food security, environment and land use, and the labour force
and employment.
***
This booklet should enable any health-care worker to facilitate a workshop on patient
safety. This workshop explores how multiple weaknesses present within the hospital
system can lead to error. It aims to provide all health-care workers and managers with
an insight into the underlying cause of such events. The underlying principles of why an
error occurs are universal and the learning objectives can be applied in any error-related
situation.
***
Photographs speak louder than words. This book presents photographs taken by com-
munity photographers in seven east and southern African countries: the Democratic Re-
public of Congo, Tanzania, Zimbabwe, Kenya, Uganda, South Africa and Zambia. This
work investigated, documented and implemented actions to understand and promote
equity in health. The book presents images of equity in health and of actions to improve
health.
ELECTRONIC RESOURCES
Italian Journal of Public Health
http://www.ijph.it/#home
***
http://www.youthwg.org/pubs/YouthInfoNet/YIN66.shtml
This issue of the monthly e-newsletter on youth reproductive health and HIV prevention
features 19 programme resources with Web links, and 14 journal article summaries on
research from Brazil, China, Ethiopia, Malaysia, South Africa, Zimbabwe, and the Carib-
bean, Latin American, and Southern African regions.
***
http://positiveprevention.ucsf.edu/
AidData
http://www.aiddata.org/home/index
AidData attempts to capture the universe of development finance, increase the value of
data by providing more descriptive information about development activities, provide
data in an accessible format, and strengthen efforts to improve donor and recipient stra-
tegic planning and coordination. Their goal is to create a comprehensive and up-to-date
data portal that is easy to navigate for users of all stripes.
http://www.africagoal.com/
***
http://www.psmtoolbox.org
The Procurement & Supply Management (PSM) Toolbox website is a valuable resource
for health staff involved in PSM, pharmacy students and consultants worldwide. The da-
tabase contains 178 English and 58 French PSM tools and resource documents for
health commodities so far. Links to tool translations into Arabic, Chinese, Portuguese,
Spanish and Russian have been mentioned where available.
***
http://groups.comminit.com//node/304359
The space for people involved in polio communication action and stra-
tegic thinking to share knowledge and review and support each others
work.
TRAINING OPPORTUNITIES
Free online course: ‘Introduction to Human Resources Management’
http://alison.com/courses/Introduction-to-Human-Resources
CONFERENCES
Second Conference of the African Health Economics and Policy Associa-
tion (AfHEA)
CARTOON
http://www.virustotal.com/
Some people write long mails up in MS Word or some other Word Processor first, and
save along the way, so they can copy and past into an e-mail. There is, however, an-
With Outlook and Thunderbird, just go to File | Save or Save As and it will put it in the
“Drafts” folder. As you make changes, just hit Ctrl+S and it will update. Once you are
ready to send, double click the message in your Drafts folder to open it and click “send”.
Off it goes!
Now if you get interrupted, or if you are working on a long e-mail, you can save as a
draft and avoid losing it.
***
What is a Wiki?
Each page in a wiki usually contains a large number of links to other pages .Vandalism
and spam attacks are frequent, but the administrator can usually revert to the previous
version or astute users can correct the intrusion.
Many businesses and corporations are using wikis as a way to make collaboration eas-
ier. Information can be kept up-to-date without the need for e-mails to the webmaster or
meetings. The changes can be instant - and the more people involved, the more that
can be added.
Here is an example of another interesting wiki - keep in mind that a wiki is only as good
as its collaborators: http://wikitravel.org/en/Main_Page
Yet another way that the internet is bringing people together to share ideas and informa-
tion.
Best regards,
Dieter Neuvians MD