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Health, Education, Social Protection

News & Notes 25/2010


A bi-weekly newsletter supported by GTZ
(Deutsche Gesellschaft für Technische Zusammenarbeit)
05 December 2010

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 Wisdom of Whores: Bureaucrats, Brothels, and the Business of AIDS........................... 4
The Least Developed Countries Report, 2010........................................................................ 4
World Migration Report 2010 - The Future of Migration: Building of Capacities for Change.. 4
Gender, Poverty and Environmental Indicators on African Countries..................................... 5
HIV and AIDS - A Social Justice Perspective ......................................................................... 5

ONLINE PUBLICATIONS .................................................... 5


Global Health.............................................................................................................. 5
The World Health Report 2010 - Health Systems Financing: The path to universal coverage
................................................................................................................................................. 5
Worldwide burden of disease from exposure to second-hand smoke: a retrospective
analysis of data from 192 countries ........................................................................................ 6
Can We Count on Global Health Estimates? .......................................................................... 6
Addressing Global Health Governance Challenges through a New Mechanism: The
Proposal for a Committee C of the World Health Assembly ................................................... 6
Success in Global Health: Progress in Fight against Disease ................................................ 7
HIV - AIDS - STI ......................................................................................................... 7
UNAIDS Report on the Global AIDS Epidemic - 2010 ............................................................ 7
China's AIDS Policy Implementation....................................................................................... 7
Framework for Women, Girls, and Gender Equality in National Strategic Plans on HIV and
AIDS in Southern and Eastern Africa...................................................................................... 8
The Long Run: Costs and Financing of HIV/AIDS in South Africa.......................................... 8
Preexposure Chemoprophylaxis for HIV Prevention in Men Who Have Sex with Men .......... 8
PrEP, the big issues: IPrEx study directors discuss unanswered questions .......................... 8
Treatment 2.0 .......................................................................................................................... 9
Fighting a dual epidemic ......................................................................................................... 9
Bridging the Divide: HIV and Health Systems......................................................................... 9
Providing universal access to antiretroviral therapy in Thyolo, Malawi through task shifting
and decentralization of HIV/AIDS care.................................................................................. 10
Early initiation of antiretroviral therapy and associated reduction in mortality, morbidity and
defaulting in a nurse-managed, community cohort in Lesotho ............................................. 10
Sexual & Reproductive Health .................................................................................. 10
The Dynamics of Social Change towards the Abandonment of Female Genital Mutilation /
Cutting in five African Countries ............................................................................................ 10
A Guide for Conducting Research on the Formulation of Sexual and Health-Related
Behaviour among Young Men............................................................................................... 11
Human Trafficking, Sex Work Safety and the 2010 Games: Assessments and
Recommendations ................................................................................................................ 11
Variations in attitudinal gender preferences for children across 50 less-developed countries
............................................................................................................................................... 11
Maternal & Child Health............................................................................................ 12
Sharing Knowledge for Action on Maternal, Newborn and Child Health .............................. 12

HESP-News & Notes - 25/2010 - page 1


Pneumonia Report Card........................................................................................................ 12
Malaria ..................................................................................................................... 12
Are rapid diagnostic tests more accurate in diagnosis of Plasmodium falciparum malaria
compared to microscopy at rural health centres? ................................................................. 12
Beyond prevention: home management of malaria in Kenya ............................................... 13
From fever to anti-malarial: the treatment-seeking process in rural Senegal ....................... 13
Prereferral rectal artesunate for treatment of severe childhood malaria: a cost-effectiveness
analysis.................................................................................................................................. 13
Knowledge and acceptability of the rectal treatment route in Laos and its application for pre-
referral emergency malaria treatment ................................................................................... 14
Tuberculosis ............................................................................................................. 14
Guidelines for intensified tuberculosis case-finding and isoniazid preventive therapy for
people living with HIV in resource-constrained settings........................................................ 14
Falling Short: Ensuring Access to Simple, Safe and Effective First-Line Medicines for
Tuberculosis .......................................................................................................................... 14
Priorities for tuberculosis research: a systematic review ...................................................... 15
Other Infectious Diseases......................................................................................... 15
Operational research in tropical and other communicable diseases .................................... 15
Rapid detection of pandemic influenza in the presence of seasonal influenza .................... 15
Pandemics in the Age of Twitter: Content Analysis of Tweets during the 2009 H1N1
Outbreak................................................................................................................................ 16
Essential Medicines .................................................................................................. 16
Tackling the booming trade in counterfeit drugs ................................................................... 16
Combating Counterfeit, Falsified and Substandard Medicines: Defining the Way Forward?16
WHO Good Governance for Medicines programme: an innovative approach to prevent
corruption in the pharmaceutical sector ................................................................................ 16
Social Protection....................................................................................................... 17
Social Security at a Glance ................................................................................................... 17
ISSA strategy for the extension of social security coverage ................................................. 17
Dynamic Social Security: Securing social stability and economic development................... 17
Social Assistance in Developing Countries Database .......................................................... 18
Can Social Protection Help Promote Inclusive Growth? ....................................................... 18
Can Conditional Cash Transfer Programs Play a Greater Role in Reducing Child
Undernutrition?...................................................................................................................... 19
Human Resources.................................................................................................... 19
Joint WHO/ILO policy guidelines on improving health worker access to prevention,
treatment and care services for HIV and TB ......................................................................... 19
Can NGOs help build the public-sector health workforce? ................................................... 19
Water & Sanitation.................................................................................................... 20
Menstrual hygiene in South Asia: A neglected issue for WASH (water, sanitation and
hygiene) programmes ........................................................................................................... 20
Water and sanitation issues for persons with disabilities in low and middle income countries
............................................................................................................................................... 20
Latrine Construction not only a Household Matter but a Public Good .................................. 20
Health Systems & Research ..................................................................................... 21
Building capacity for public and population health research in Africa: the consortium for
advanced research training in Africa (CARTA) model .......................................................... 21
Engaging Innovative Advocates as Public Health Champions ............................................. 21
A new method to estimate mortality in crisis-affected and resource-poor settings: validation
study ...................................................................................................................................... 21
Connecting the streams: Using health systems research knowledge in low- and middle-
income countries ................................................................................................................... 22
The published research paper: is it an important indicator of successful operational research
at programme level?.............................................................................................................. 22
Private Delivery Care in Developing Countries: Trends and Determinants .......................... 22
Private and Public Health Care in Rural Areas of Uganda ................................................... 23
Information & Communication Technology ............................................................... 23
The Information Dividend: Why IT makes you ‘happier’ ....................................................... 23
Global E-Health Policy: A Work In Progress ......................................................................... 23
Effects of a mobile phone short message service on antiretroviral treatment adherence in
Kenya (WelTel Kenya 1): a randomised trial......................................................................... 24

HESP-News & Notes - 25/2010 - page 2


ICT4D and the Human Development and Capabilities Approach: The Potentials of
Information and Communication Technology ....................................................................... 24
Education ................................................................................................................. 24
Tomorrow Today: Education for sustainable development................................................... 24
Harm Reduction and Drug Use................................................................................. 25
Out of harm’s way - Injecting drug users and harm reduction .............................................. 25
Enabling access to new WHO essential medicines: the case for nicotine replacement
therapies................................................................................................................................ 25
Millennium Development Goals ................................................................................ 25
Thematic Papers on the Millennium Development Goals ..................................................... 25
Paths to 2015: MDG Priorities in Asia and the Pacific .......................................................... 26
Gender, Conflict and the MDGs ............................................................................................ 26
Development Assistance .......................................................................................... 26
Aid effectiveness for health ................................................................................................... 26
Financing Global Health 2010: Development assistance and country spending in economic
uncertainty ............................................................................................................................. 27
Diversity and Transformation of Aid Patterns in Asia’s “Emerging Donors” ......................... 27
Still Our Common Interest: Commission for Africa Report 2010........................................... 27
Progress can kill: How imposed development destroys the health of Tribal Peoples........... 27
The development myth.......................................................................................................... 28
Safety First: A safety and security handbook for aid workers ............................................... 28
Others ...................................................................................................................... 28
International Agency for the Prevention of Blindness - 2010 Report .................................... 28
State of World Population 2010 ............................................................................................ 29
World of Work Report 2010: From one crisis to the next? .................................................... 29
Chronic Disease News - Bangladesh.................................................................................... 29
Disability at a Glance 2010: A Profile of 36 Countries and Areas in Asia and the Pacific .... 30
Groin Hernia Repair - Revisited ............................................................................................ 30

ELECTRONIC RESOURCES ............................................ 30


Atlas of Birth .......................................................................................................................... 30
Bulletin of the World Health Organization (BLT) ................................................................... 30
Bulletin of the World Health Organization (BLT) ................................................................... 31
Digital Research Tools (DiRT)............................................................................................... 31

INTERESTING WEB SITES .............................................. 31


AIDSInfo ................................................................................................................................ 31
HIV Southern Africa Info........................................................................................................ 32
Essential Maternal, Newborn and Child Health (MNCH) Knowledge: A portal to MNCH
resources............................................................................................................................... 32
The Global Health Diplomacy Network ................................................................................. 32
The Procurement & Supply Management (PSM) Toolbox website....................................... 32

TRAINING OPPORTUNITIES............................................ 33
Health in Emergencies and Refugee Health ......................................................................... 33

CARTOON ......................................................................... 33

TIPS & TRICKS ................................................................. 34


Change “YouTube” Playback Quality .................................................................................... 34
Download YouTube Videos the Easy Way ........................................................................... 34

HESP-News & Notes - 25/2010 - page 3


BOOKS
The Wisdom of Whores: Bureaucrats, Brothels, and the Business of AIDS
World AIDS Day: get the “Wisdom of Whores” eBook for free

by Elizabeth Pisani
Granata Books, 372 pp. June 2008, US$ 25.95, ISBN: 978-0-393-06662-3

Despite billions of dollars in funding, international HIV-prevention efforts


sometimes achieve only modest results, a reality the author sums up as
the triumph of politics and ideology over sound science. Combining a
background in journalism with experience as an epidemiologist (who has worked with
UNAIDS, the World Bank, and the health ministries of several Asian governments), the
author presents a blunt, cynical, and even funny insider’s view of global HIV-prevention
efforts.
A World AIDS Day present from Granta, from December 1st until the end of the year,
you can download the electronic version of “The Wisdom of Whores: Bureaucrats,
Brothels, and the Business of AIDS” for free at:
http://www.wisdomofwhores.com/buy-the-book/the-wisdom-of-whores-ebook-page/

The Book is in “epub” format. You can download it from the above URL and then trans-
fer it to a variety of ebook readers, or simply read it on your computer using common
ebook reader software.
***

The Least Developed Countries Report, 2010


Towards a New International Development Architecture for LDCs

by Željka Kožul-Wright, Agnès Collardeau-Angleys, Junior Davis et al.


United Nations Conference on Trade and Development (UNCTAD), No-
vember 2010

298 pp. 4.9 MB:


http://www.unctad.org/en/docs/ldc2010_en.pdf

The report provides a comprehensive and authoritative source of socio-economic analy-


sis and data on the world’s 49 most impoverished countries. It calls for the creation of a
new international development architecture (NIDA) for the LDCs aimed at: (a) reversing
their marginalization in the global economy and helping them in their catch-up efforts;
(b) supporting a pattern of accelerated economic growth and diversification which would
improve the general welfare and well-being of all their people; and (c) helping these
countries graduate from LDC status.
***

World Migration Report 2010 - The Future of Migration: Building of Capaci-


ties for Change

Editors Khalid Koser, Frank Laczko, Michele Klein Solomon


International Organization for Migration (IOM), November 2010

295 pp. 12.4 MB:


http://www.reliefweb.int/rw/lib.nsf/db900sid/ASAZ-
8BKJAJ/$file/IOM_Nov2010.pdf?openelement

HESP-News & Notes - 25/2010 - page 4


The report provides a tool for self-evaluation in terms of future scenarios, and demon-
strates the need for a far more comprehensive approach to capacity-building for migra-
tion than has typically been adopted. The aim is not to prescribe ‘one-size-fits-all’ poli-
cies and practices, but to suggest objectives of migration management policies in each
area, to stimulate thinking and provide examples of what States and other actors can
do.
***

Gender, Poverty and Environmental Indicators on African Countries


Indicateurs sur le genre, la pauvreté et l’environnement sur les pays africains

by Beejaye Kokil, Maurice Mubila, A. Hilaire Kadisha et al.


African Development Bank / Banque africaine de développement, 2010

312 pp. 6.6 MB:


http://www.afdb.org/fileadmin/uploads/afdb/Documents/Publication
s/ADB_Gender_2010_web.pdf

“Part one” of the publication presents a special feature article on Promoting Gender
Equality and Women’s Empowerment in Africa; “Part two” focuses on Africa’s progress
towards attaining the Millennium Development Goals with three sections presenting
comparative cross-country data on Gender, Poverty and the Environment; and “Part
three” provides detailed country-specific data for each of the 53 countries.

***

HIV and AIDS - A Social Justice Perspective

by Michael Kelly
Paulines Publications Africa, 2010; Price: US$ 7.00

http://www.paulinesafrica.org/book_month.html

This book does not provide answers to the numerous questions posed by the epidemic.
Rather, it seeks to help us see that success in responding to the epidemic must ensure
that every person, especially those who are disadvantaged in any way, can actualise
their full human potential, realise their rights, and experience what it means to be a hu-
man being fully alive. The epidemic is wrapped in so many unjust situations that efforts
to roll it back will meet only limited success if practical attention is not given at all levels
to the dignity, needs and rights of every person.

ONLINE PUBLICATIONS
Global Health

The World Health Report 2010 - Health Systems Financing: The path to
universal coverage

by David B Evans, Riku Elovainio, Gary Humphreys et al.


World Health Organization, November 2010

Download chapter by chapter (106 pp.) at:


http://www.who.int/whr/2010/en/index.html

HESP-News & Notes - 25/2010 - page 5


In this report, the World Health Organization maps out what countries can do to modify
their financing systems so they can move more quickly towards this goal - universal
coverage - and sustain the gains that have been achieved. The report builds on new re-
search and lessons learnt from country experience. It provides an action agenda for
countries at all stages of development and proposes ways that the international com-
munity can better support efforts in low income countries to achieve universal coverage
and improve health outcomes.
***

Worldwide burden of disease from exposure to second-hand smoke: a ret-


rospective analysis of data from 192 countries

by Mattias Öberg, Maritta S Jaakkola, Alistair Woodward et al.


The Lancet, Early Online Publication, 26 November 2010

8 pp. 459 kB:


http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673610613888.p
df?id=3d35b1b5aa0ec416:1662d569:12c878638d2:-3fc91290766121205

Exposure to second-hand smoke is common in many countries but the magnitude of the
problem worldwide is poorly described. The authors conclude that 603 000 deaths -
nearly a third of them children - were attributable to second-hand smoke in 2004, which
was about 1•0% of worldwide mortality. Attention is needed to dispel the myth that de-
veloping countries can wait to deal with tobacco-related diseases until they have dealt
with infectious diseases. Together, tobacco smoke and infections lead to substantial,
avoidable mortality and loss of active life-years of children.

***

Can We Count on Global Health Estimates?

The PLoS Medicine Editors (Virginia Barbour, Jocalyn Clark, Susan Jones, & Emma
Veitch)
PLoS Med 7(11): e1001002 (November 30, 2010)

2 pp. 62 kB:
http://www.plosmedicine.org/article/fetchObjectAttachment.action;jsessionid=2C3A3024CEAA740ACDA0
7045235AA19A.ambra01?uri=info%3Adoi%2F10.1371%2Fjournal.pmed.1001002&representation=PDF

Estimates of global health indicators - which give insight into death and disease rates,
document advances in health and development, and help policymakers monitor pr o-
gress - are a necessary evil. They are absolutely essential to improving global health,
but they are always unsatisfyingly imperfect. The PLoS Medicine Editors review the de-
bate on who and how global health estimates should be generated, and introduce a new
cluster of essays by leading experts in the field published in the Journal this week.

***

Addressing Global Health Governance Challenges through a New Mecha-


nism: The Proposal for a Committee C of the World Health Assembly

by Ilona Kickbusch, Wolfgang Hein, and Gaudenz Silberschmidt


Journal of Law, Medicine & Ethics, Fall 2010

14 pp. 233 kB:


http://www.ilonakickbusch.com/global-health-governance/committee-c-2010.pdf

HESP-News & Notes - 25/2010 - page 6


There has been much discussion about improving global health governance and even
calls for a new global health architecture. Some authors continue to see WHO in the
center of such a new configuration. Others see it as one organization amongst many
others, and some consider it outdated. But the role of the organization can only be de-
termined if there is greater clarity about the various domains of global health and its role
in relation to them.
***

Success in Global Health: Progress in Fight against Disease

Living Proof - One International, October 2010

2 pp. 450 kB:


http://s3.amazonaws.com/one.org/pdfs/lp_fastfacts_successesinglobalhealth_final.pdf

In recent years, there has been a dramatic increase in attention, resources, and com-
mitment to improving health in poor countries. Today, these investments are delivering
real results. Global health programs are saving millions of lives and empowering people
to build better futures for themselves, their families and their communities.

HIV - AIDS - STI

UNAIDS Report on the Global AIDS Epidemic - 2010

Joint United Nations Programme on HIV/AIDS (UNAIDS), November 2010

Download the full report (346 pp. 3.7 MB):


http://www.unaids.org/documents/20101123_GlobalReport_em.pdf

or chapter by chapter at: http://www.unaids.org/globalreport/Global_report.htm

The overall growth of the global AIDS epidemic appears to have stabilized. The annual
number of new HIV infections has been steadily declining since the late 1990s and there
are fewer AIDS-related deaths due to the significant scale up of antiretroviral therapy
over the past few years. Although the number of new infections has been falling, levels
of new infections overall are still high, and with significant reductions in mortality the
number of people living with HIV worldwide has increased.

***

China's AIDS Policy Implementation

International Journal of Epidemiology, Vol. 39, Suppl. 2, December 2010

http://ije.oxfordjournals.org/content/39/suppl_2.toc

This supplement of the International Journal of Epidemiology, entitled


‘China's AIDS Policy Implementation’, has assembled 11 papers describing various of
aspects of China's response to the HIV/AIDS epidemic. All papers are freely accessible
via the above URL.
***

HESP-News & Notes - 25/2010 - page 7


Framework for Women, Girls, and Gender Equality in National Strategic
Plans on HIV and AIDS in Southern and Eastern Africa

A joint initiative of HEARD and the ATHENA Network, November 2010

8 pp. 735 kB:


http://www.heard.org.za/downloads/framework-for-women-girls-and-gender-equality-in-nsps.pdf

The Framework for Women, Girls, and Gender Equality in National Strategic Plans
(NSPs) identifies key priorities and sample interventions for addressing women, girls,
and gender equality in the development of the next generation of NSPs, and is also in-
tended to serve as an assessment tool for on-going reviews of NSPs. The Framework
consolidates the evidence-base, including good practice, around women and girls in the
context of HIV in southern and eastern Africa and has been collaboratively developed
by experts from civil society, academic research centres, and the United Nations.

***

The Long Run: Costs and Financing of HIV/AIDS in South Africa

by Teresa Guthrie, Nhlanhla Ndlovu, Farzana Muhib et al.


Centre for Economic Governance and AIDS in Africa and Results for De-
velopment Institute, June 2010

20 pp. 782 kB:


http://moneyweb.co.za/mw/action/media/downloadFile?media_fileid=9577

The report claims that South Africa would need to spend as much as 102 billion US dol-
lars over the next 20 years in order to reduce the number of new HIV infections. With in-
creased access to treatment and the implementation of prevention plans, South Africa’s
new HIV infection rates could fall below 200,000 a year by 2020, according to the report.
The United Nations estimates that there are 5.7 million people infected with HIV in
South Africa, more than anywhere else in the world.

***

Preexposure Chemoprophylaxis for HIV Prevention in Men Who Have Sex


with Men

by Robert M. Grant, Javier R. Lama, Peter L. Anderson et al.


The New England Journal of Medicine, 23 November 2010

13 pp. 550 kB:


http://www.nejm.org/doi/pdf/10.1056/NEJMoa1011205

A daily dose of an oral antiretroviral drug, currently approved to treat HIV infection, re-
duced the risk of acquiring HIV infection by 43.8 percent among men who have sex with
men. The findings, a major advance in HIV prevention research, found even higher
rates of effectiveness, up to 72.8 percent, among those participants who adhered most
closely to the daily drug regimen.
***

PrEP, the big issues: IPrEx study directors discuss unanswered questions
(see above publication)

by Gus Cairns, aidsmap, 23 November 2010

HESP-News & Notes - 25/2010 - page 8


Read online at: http://www.aidsmap.com/page/1555342/

The success of the IPrEx study of pre-exposure prophylaxis (PrEP) in gay men opens
up as many urgent questions as it has answered. This became clear as the results of
the study were discussed by Anthony Fauci, head of the US National Institute of Aller-
gies and Infectious Diseases (NIAID), who were the biggest funders of the trial, and Bob
Grant, the IPrEx study’s Principal Investigator.

***
Treatment 2.0

UNAIDS, November 2010

14 pp. 206 kB:


http://data.unaids.org/pub/Outlook/2010/20100713_outlook_treatment2_0_en.pdf

UNAIDS is promoting a new approach to HIV treatment, which it estimates could save
10 million more lives than conventional approaches over the next 15 years. Called
"Treatment 2.0", the approach is aimed "reducing treatment costs, making treatment
regimens simpler and smarter, reducing the burden on health systems and improving
the quality of life for people living with HIV and their families."

***
Fighting a dual epidemic
Treating TB in a high HIV prevalence setting in rural Swaziland, January 2008 – June
2010

Médecins Sans Frontières (MSF), 2010

28 pp. 606 kB:


http://www.msfaccess.org/fileadmin/user_upload/diseases/tuberculo
sis/2010_11_08_Swaziland_2yrs_report_Final_Low_res.pdf

The dual epidemic of tuberculosis (TB) and HIV that is devastating the southern African
kingdom of Swaziland is cutting people’s life expectancy from 60 years to just 31. The
small kingdom of just over a million people is at the epicentre of a co-epidemic affecting
the whole of southern Africa. In its report the international medical organization MSF
draws upon its experience since 2007 in the Shiselweni region to define the urgent prac-
tical action that must be taken in response to this major health emergency.

***

Bridging the Divide: HIV and Health Systems

by Theo Smart
HIV & AIDS Treatment in Practice, Issue 168, 26 November 2010

Meeting Summary ‘Bridging the Divide: Interdisciplinary Partnerships for HIV and Health
Systems', July 16-17, 2010, Vienna, Austria

8 pp. 210 kB:


http://www.aidsmap.com/pdf/resources/hatip/HATIP-168-November-26th-
2010/page/1558769/

“The world sometimes seems to be divided between the HIV people and the health sys-
tems people. So one of our key goals today is to bridge that divide,” said Dr Wafaa El-

HESP-News & Notes - 25/2010 - page 9


Sadr, Director of the International Center for AIDS Care and Treatment Programs
(ICAP). “And then there is the divide between implementers – the people in touch with
what happens on the ground – versus the policy makers and researchers; the divide be-
tween the global and local experts; and the divide between prevention and treatment is
also there. These divides set us up to have inefficiencies and missed opportunities.”

***

Providing universal access to antiretroviral therapy in Thyolo, Malawi


through task shifting and decentralization of HIV/AIDS care

by Marielle Bemelmans, Thomas Van Den Akker, Nathan Ford et al.


Tropical Medicine & International Health, December, 2010

8 pp. 146 kB:


http://fieldresearch.msf.org/msf/bitstream/10144/116359/1/Bemelmans%20et%20
al%20Universal%20access%20Thyolo%20TMIH.pdf

The Thyolo programme has demonstrated the feasibility of district-wide access to ART
in a setting with limited resources for health. Expansion and decentralization of
HIV/AIDS service capacity to the primary care level, combined with task shifting, re-
sulted in increased access to HIV services with good programme outcomes despite staff
shortages.
***

Early initiation of antiretroviral therapy and associated reduction in mortal-


ity, morbidity and defaulting in a nurse-managed, community cohort in Le-
sotho

by Nathan Forda, Katharina Kranzer, Katherine Hilderbrand et al.


AIDS: 13 November 2010, Vol. 24, Issue 17, pp. 2645-2650

6 pp. 190 kB:


http://fieldresearch.msf.org/msf/bitstream/10144/116357/1/Ford%2
0N%20et%20al%20Early%20ART%20lesotho%20AIDS%20.pdf

The latest WHO guidelines recommend initiating antiretroviral therapy (ART) at CD4 cell
counts less than 350 cells/ml. However, donors and national governments are reluctant
to support implementation owing to uncertainty regarding feasibility and relative benefit.
The authors conclude that earlier initiation is feasible in a low resource, high HIV preva-
lence setting, and provides important benefits in terms of reduced mortality, morbidity,
retention and hospitalization. Donors should fully support the implementation of the lat-
est WHO recommendations.

Sexual & Reproductive Health

The Dynamics of Social Change towards the Abandonment of Female


Genital Mutilation / Cutting in five African Countries

by by Simona Galbiati, Francesca Moneti, Claudia Cappa et al.


United Nations Children’s Fund (UNICEF) Innocenti Research Centre,
October 2010

68 pp. 3.7 MB:

HESP-News & Notes - 25/2010 - page 10


http://www.unicef-irc.org/publications/pdf/fgm_insight_eng.pdf

This paper examines the social dynamics of the abandonment of female genital mutila-
tion/cutting (FGM/C) in five countries - Egypt, Ethiopia, Kenya, Senegal and the Sudan -
and seeks to inform policies and programmes aimed at ending the practice. The exper i-
ences from the five countries provide evidence that the abandonment of FGM/C is pos-
sible when programmes and policies address the complex social dynamics associated
with the practice and challenge established gender relationships and existing assum p-
tions and stereotypes.
***

A Guide for Conducting Research on the Formulation of Sexual and


Health-Related Behaviour among Young Men

by Shivananda Khan, Sharful Islam Khan, Paula E. Hollerbach


The CATALYST Consortium, October 2005

388 pp. 4.6 MB:


http://www.nfi.net/downloads/knowledge_centre/NFI%20publicatio
ns/Reports/2005_CatalystBangladeshFull%20Contents%20of%20CD-ROM.pdf

This instruction manual on conducting research on the gender- and sexuality-related


perceptions of teenage boys and young men, describes how to conduct research on re-
productive health behaviours. It includes sections on training of interviewers and facilit a-
tors, guides for focus group discussions and interviews, data analysis through key
themes and thematic analysis, and resources.

***

Human Trafficking, Sex Work Safety and the 2010 Games: Assessments
and Recommendations

Sex Industry Worker Safety Action Group, June 10, 2009

150 pp. 1.3 MB:


http://www.pivotlegal.org/pdfs/humantraffickingsexworksafetyandthe2010games.pdf

Prostitution and trafficking activities as related to mega sporting events first came to
public attention in Athens (2004) and Germany (2006). An increased number of sex
workers and trafficking victims were expected to “flood” into these locations during their
respective mega events. Neither location experienced any increase that could be attrib-
uted to their hallmark event. The commonly held notion of a link between mega sports
events, TIP (Trafficking in Persons) and sex work is an unsubstantiated assumption.

***

Variations in attitudinal gender preferences for children across 50 less-


developed countries

by Kana Fuse
Demographic Research, Vol. 23, Article 36, pp. 1031-1048 (30 November
2010)

20 pp. 354 kB:


http://www.demographic-research.org/volumes/vol23/36/23-36.pdf

HESP-News & Notes - 25/2010 - page 11


While a number of studies have examined gender preferences for children by studying
behavioural measures, attitudinal measures have been analyzed less systematically.
This study’s findings show that, while balance preference is the most common type of
preference in the vast majority of countries, countries/regions vary in the prevalence of
son and daughter preferences. A preference for sons is not always found; and, indeed,
a preference for daughters is shown to prevail in many societies.

Maternal & Child Health

Sharing Knowledge for Action on Maternal, Newborn and Child Health

by Wendy J Graham, Shanti Mahendra, Shyama Kuruvilla et al.


Partnership for Maternal, Newborn & Child Health and University of Aber-
deen, 2010

64 pp. 6.3 MB:


http://portal.pmnch.org/downloads/low/Knowledge_for_Action_Com
plete_lowres.pdf

This document contains twelve Knowledge Summaries that focus on action, and their
immediate purpose is to help policy-makers and program managers turn promises made
into lives saved – 16 million of them by 2015.

***
Pneumonia Report Card

International Vaccine Access Center (IVAC) at the Johns Hopkins University Bloomberg
School of Public Health, November 2010

8 pp. 2.2 MB:


http://worldpneumoniaday.org/wp-content/uploads/pneumonia-report.pdf

Pneumonia kills more children than any other disease, according to the World Health
Organization. But it doesn’t have to take the lives of more than 1.5 million children each
year. In 2009, the WHO and UNICEF showed that we can reduce child pneumonia
deaths by two-thirds simply by scaling up existing interventions to prevent pneumonia
infections, protect children from conditions that increase the risk of pneumonia and treat
infections that do occur with life-saving antibiotics.

Malaria

Are rapid diagnostic tests more accurate in diagnosis of Plasmodium fal-


ciparum malaria compared to microscopy at rural health centres?

by Vincent Batwala, Pascal Magnussen and Fred Nuwaha


Malaria Journal 2010, 9:349 (2 December 2010)

29 pp. 152 kB:


http://www.malariajournal.com/content/pdf/1475-2875-9-349.pdf

The accuracy of axillary temperature, health centre microscopy, expert microscopy and
a HRP2-based rapid diagnostic test (RTD) were compared in predicting malaria infec-
tion using polymerase chain reaction (PCR) as the gold standard. The authors conclude

HESP-News & Notes - 25/2010 - page 12


that the HRP2-based RDT has shown superior sensitivity compared to microscopy in di-
agnosis of malaria and may be more suitable for screening of malaria infection.

***

Beyond prevention: home management of malaria in Kenya

The International Federation of Red Cross and Red Crescent Societies


(IFRC), September 2010

24 pp. 2.6 MB:


http://www.ifrc.org/docs/pubs/health/malaria/Beyond_Prevention_
HMM%20Malaria-EN.pdf

The advocacy report presents a successful malarial prevention program, carried out by
the Kenya Red Cross Society and the Kenyan Ministry of Health with support from the
Canadian Red Cross Society, ensuring that remote communities have access to prompt
and effective malaria treatment. The Kenyan experience is just one example showcas-
ing the global fight against malaria to achieve the Millennium Development Goals.

***

From fever to anti-malarial: the treatment-seeking process in rural Senegal

by Lucy A Smith, Jane Bruce, Lamine Gueye et al.


Malaria Journal 2010, 9:333 (22 November 2010)

37 pp. 265 kB:


http://www.malariajournal.com/content/pdf/1475-2875-9-333.pdf

Currently less than 15% of children under five with fever receive recommended artemis-
inin-combination therapy (ACT), far short of the Roll Back Malaria target of 80%. To un-
derstand why coverage remains low, it is necessary to examine the treatment pathway
from a child getting fever to receiving appropriate treatment and to identify critical block-
ages. This paper presents the application of such a diagnostic approach to the coverage
of prompt and effective treatment of children with fever in rural Senegal.

***

Prereferral rectal artesunate for treatment of severe childhood malaria: a


cost-effectiveness analysis

Yeşim Tozan, Eili Y Klein, Sarah Darley et al.


The Lancet, Vol. 376, Issue 9756, pp. 1910-1915, 4 December 2010

6 pp. 133 kB:


http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673610614602.pdf?i
d=40bade4753939e7f:5d75a6b6:12cab94a92c:42601291375532665

Severely ill patients with malaria with vomiting, prostration, and altered consciousness
cannot be treated orally and need injections. Rectal artesunate interrupts disease pro-
gression by rapidly reducing parasite density, but should be followed by further antim a-
larial treatment. The authors conclude that pre-referral artesunate treatment is a cost-
effective, life-saving intervention, which can substantially improve the management of
severe childhood malaria in rural African settings in which programmes for community
health workers are in place.

HESP-News & Notes - 25/2010 - page 13


Knowledge and acceptability of the rectal treatment route in Laos and its
application for pre-referral emergency malaria treatment

by Southisouk Inthavilay, Thierry Franchard, Yang Meimei et al.


Malaria Journal 2010, 9:342 (27 November 2010)

21 pp. 307 kB:


http://www.malariajournal.com/content/pdf/1475-2875-9-342.pdf

Rectal artesunate has been shown to reduce death and disability from severe malaria
caused by delays in reaching facilities capable of providing appropriate treatment. But
use of rectal treatments is uncommon in Laos and generally not considered to be very
effective. This view is shared by the population and health care workers. More inform a-
tion and training are needed to convince the population and health staff of the efficacy
and advantages of the rectal route for malaria treatment.

Tuberculosis

Guidelines for intensified tuberculosis case-finding and isoniazid preven-


tive therapy for people living with HIV in resource-constrained settings

Edited by Bandana Malhotra


World Health Organization (WHO) Department of HIV/AIDS and Stop TB
Department, December 2010

50 pp. 666 kB:


http://whqlibdoc.who.int/publications/2011/9789241500708_eng.pdf

The guidelines, aimed at resource-constrained settings, promote the use of Isoniazid


Preventive Therapy (IPT) as a simple and cost-effective method that stops TB bacteria
becoming active. They advocate the delivery of WHO’s ‘three I's’ - IPT, Intensified TB
screening and Infection control - as part of comprehensive HIV services.

***

Falling Short: Ensuring Access to Simple, Safe and Effective First-Line


Medicines for Tuberculosis

Global Alliance for TB Drug Development, Bill & Melinda Gates Founda-
tion et al., 2010

28 pp. 964 kB:


http://www.tballiance.org/downloads/publications/Falling_Short.pdf

Although considerable gaps in knowledge exist, the evidence presented in this report
paints a worrying picture of the state of first-line TB medicines worldwide. Far too many
TB patients are not getting the simple, safe and effective medicines they need when
they need them. When TB patients stop taking their medicines, are given loose pills, or
receive low quality drugs, it can lead to increased suffering or death. It can also facilitate
development of drug-resistant TB strains and further spread of the disease-putting eve-
ryone at risk of TB infection.

***

HESP-News & Notes - 25/2010 - page 14


Priorities for tuberculosis research: a systematic review

by Jamie Rylance, Madhukar Pai , Christian Lienhardt, Paul Garner


The Lancet Infectious Diseases, Vol. 10, Issue 12, Pages 886-892, December 2010

7 pp. 115 kB:


http://download.thelancet.com/pdfs/journals/laninf/PIIS1473309910702012.pdf?id
=4d037fefcb72946c:192d0bbc:12c7d8d812c:10361290600643126

Reliable and relevant research can help to improve tuberculosis control worldwide. In
recent years, various organisations have assessed research needs and proposed prior i-
ties for tuberculosis. The authors summarise existing priority statements and assess the
rigour of the methods used to generate them.

Other Infectious Diseases

Operational research in tropical and other communicable diseases

Final Report Summaries 2007-2008, Results Portfolio 4, Small Grants


Scheme, World Health Organization, Regional Office for the Eastern
Mediterranean, 2010

111 pp. 1.1 MB:


http://www.emro.who.int/tdr/PDF/FinalReportSeries07-08.pdf

The WHO Regional Office for the Eastern Mediterranean supports operational research
projects in the area of communicable diseases. A main feature of this research activity is
the active collaboration between the control programmes of the ministries of health and
researchers from academic institutions. Together they target critical national health
problems by turning them into research priorities and devising solutions. This publication
summarizes each of the final reports of the research projects.

***

Rapid detection of pandemic influenza in the presence of seasonal influ-


enza

by Brajendra K. Singh, Nicholas J. Savill, Neil M. Ferguson et al.


BMC Public Health 2010, 10:726 (November 2010)

27 pp. 544 kB:


http://www.biomedcentral.com/content/pdf/1471-2458-10-726.pdf

Key to the control of pandemic influenza are surveillance systems that raise alarms rap-
idly and sensitively. In addition, they must minimise false alarms during a normal influ-
enza season. The authors developed a method that is capable of raising alarms, rapidly
and sensitively, for influenza pandemics against a background of seasonal influenza. Al-
though the algorithm was developed using the Scottish Enhanced Respiratory Virus I n-
fection Surveillance (SERVIS) data, it has the capacity to be used at other geographic
scales and for different disease systems where buying some early extra time is critical.

***

HESP-News & Notes - 25/2010 - page 15


Pandemics in the Age of Twitter: Content Analysis of Tweets during the
2009 H1N1 Outbreak

by Cynthia Chew and Gunther Eysenbach


PLoS ONE 5(11): e14118 (29 November 2010)

13 pp. 835 kB:


http://www.plosone.org/article/fetchObjectAttachment.action;jsessionid=AA257454AA0F6E29177F4
12263A7E7E0.ambra02?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0014118&representation=PDF

This study illustrates the potential of using social media to conduct “infodemiology” stud-
ies for public health. 2009 H1N1-related tweets were primarily used to disseminate in-
formation from credible sources, but were also a source of opinions and experiences.
Tweets can be used for real-time content analysis and knowledge translation research,
allowing health authorities to respond to public concerns.

Essential Medicines

Tackling the booming trade in counterfeit drugs

by Nayanah Siva
The Lancet, Vol. 376, Issue 9754, pp. 1725-1726, 20 November 2010

2 pp. 244 kB:


http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673610621186.pdf

The black market in counterfeit drugs is worth billions, but it does untold damage to the
health of the poorest populations. The author reports on international efforts to tackle
the problem.
***

Combating Counterfeit, Falsified and Substandard Medicines: Defining the


Way Forward?

by Charles Clift
Chatham House Briefing Paper, November 2010

16 pp. 392 kB:


http://www.chathamhouse.org.uk/files/17868_1110bp_counterfeit.pdf

Counterfeit, falsified and substandard medicines pose a serious threat to human health,
particularly in poorer countries with weak regulatory mechanisms. But the relationship
between combating counterfeit medicines, addressing safety, quality and efficacy issues
and enforcing privately owned intellectual property rights has become controversial.
There are concerns that a wider definition of ‘counterfeit’ threatens the trade in generic
medicines of assured quality on which many developing countries depend.

***

WHO Good Governance for Medicines programme: an innovative approach


to prevent corruption in the pharmaceutical sector

by Guitelle Baghdadi-Sabeti and Fatima Serhan


World Health Report (2010) Background Paper, 25 - Compilation of country case stud-

HESP-News & Notes - 25/2010 - page 16


ies and best practices

27 pp. 1.8 MB:


http://www.who.int/healthsystems/topics/financing/healthreport/25GGM.pdf

Corruption is a major obstacle to strengthening pharmaceutical systems


and increasing access to quality medicines. In an effort to address this
complex and multi-faceted challenge, WHO launched the Good Govern-
ance for Medicines (GGM) in 2004, its initiative to concretely address the need for
transparency and preventing corruption in the health sector. This paper is intended to
share country experiences in implementing the GGM programme in the last six years. It
is based on information received from countries that have already implemented the
GGM and have documented their experiences.

Social Protection

Social Security at a Glance

Federal Ministry of Labour and Social Affairs, January 2010

164 pp. 620 kB:


http://www.bmas.de/portal/10120/property=pdf/a998__social__se
curity__at__a__glance__total__summary.pdf

The brochure gives a comprehensive overview of the Social Security


system in the Federal Republic of Germany. Contents include pension, health, long-term
care and occupational accident insurance schemes as well as the fields of promotion of
employment, labour law and educational assistance, rehabilitation of disabled persons,
housing allowance and social assistance. This brochure is the English translation of the
publication “Soziale Sicherung im Überblick”.

***

ISSA strategy for the extension of social security coverage

World Social Security Forum, Cape Town, 29 November - 4 Decem-


ber 2010
The International Social Security Association (ISSA), 2010

6 pp. 108 kB:


http://www.issa.int/content/download/136359/2773702/file/2Strategy.pdf

This document outlines the ISSA strategy. It defines the priority challenges for coverage
extension, specific opportunities for social security institutions, a collaborative ISSA
process for defining action plans of social security institutions to work towards extending
coverage and the role of the ISSA in supporting its member institutions to implement
these plans.
***

Dynamic Social Security: Securing social stability and economic develop-


ment
Developments and Trends - Global Report 2010

Yukun Zhu, Magid Fathallah, Wouter van Ginneken et al.

HESP-News & Notes - 25/2010 - page 17


The International Social Security Association (ISSA), 2010

54 pp. 2.9 MB:


http://www.issa.int/content/download/135896/2763780/file/2-DT-global.pdf

The report synthesizes and interprets the most important recent devel-
opments and trends in social security worldwide. A major conclusion of
the report is the positive role played by social security systems in ensur-
ing social cohesion. In this regard, high-performing social security ad-
ministrations must contribute more to efforts to extend access to appropriate and sus-
tainable social security coverage. Only on this basis can further progress towards the vi-
sion of Dynamic Social Security and the goal of extending social security to all be
achieved.
***

Social Assistance in Developing Countries Database


Version 5.0 - July 2010

by Armando Barrientos, Miguel Niño-Zarazúa and Mathilde Maitrot


Brooks World Poverty Institute, The University of Manchester

137 pp. 1.3 MB:


http://www.chronicpoverty.org/uploads/publication_files/social-assistance-
database-version-5.pdf

The database aims to:


 provide a summary of the evidence available on the effectiveness of social assis-
tance interventions in developing countries;
 focus on programmes seeking to combine the reduction and mitigation of poverty;
 select programmes for inclusion in the database on the basis of the availability of in-
formation on design features, evaluation, size, scope, or significance;
 provide summary information on each programme in a way that can be easily refer-
enced with only a basic level of technical expertise.

***

Can Social Protection Help Promote Inclusive Growth?


A focus in Sub-Saharan Africa with inputs from Latin America and Asia

Poverty in Focus No. 22 - November 2010


International Policy Centre for Inclusive Growth (IPC-IG)

36 pp. 724 kB:


http://www.ipc-undp.org/pub/IPCPovertyInFocus22.pdf

Much evidence suggests that, when properly designed and implemented, social protec-
tion not only protects the vulnerable but is also an investment in future growth and pros-
perity. In this light, the aftermath of the global crisis provides an opportunity to improve
and expand social protection programmes where they already exist, and to create new
ones where they are absent. Social protection should not be seen as merely a safety
net to be deployed when times are difficult; neither is it a panacea for development, but
it can be key to promoting strong and inclusive growth.

***

HESP-News & Notes - 25/2010 - page 18


Can Conditional Cash Transfer Programs Play a Greater Role in Reducing
Child Undernutrition?

by Lucy Bassett
World Bank Social Protection Discussion Papers, October 2008

84 pp. 587 kB:


http://siteresources.worldbank.org/SOCIALPROTECTION/Resourc
es/SP-Discussion-papers/Safety-Nets-DP/0835.pdf

Conditional Cash Transfers programs (CCTs) - which grant cash to poor families pro-
vided they make specified investments in the human capital of their children - have been
championed as an effective intervention for social protection. This paper finds that
where utilization of nutrition interventions is low, there is significant potential for CCTs to
play a greater role in reducing undernutrition by encouraging groups at high risk of un-
dernutrition to utilize effective nutrition services and by encouraging improved quality of
these services.

Human Resources

Joint WHO/ILO policy guidelines on improving health worker access to


prevention, treatment and care services for HIV and TB

by Annalee Yassi, Lyndsay O'Hara, Eileen Petit-Mshana


World Health Organization, April 2010

141 pp. 1.5 MB:


http://www.who.int/occupational_health/WHO_treat_guidelines.pdf

Health workers are at the frontline in providing prevention, treatment and care for people
living with HIV and TB throughout the world. They are at risk of occupational exposure
to HIV and TB but often themselves lack adequate access to protection and treatment.
To address this gap, new international guidelines are being launched by the Interna-
tional Labour Organization (ILO), WHO and the Joint United Nations Programme on
HIV/AIDS (UNAIDS).
***

Can NGOs help build the public-sector health workforce?

Report by Health Alliance International, May 2010

6 pp. 72 kB:
http://ngocodeofconduct.org/wp-
content/uploads/implementing_ngo_code_of_conduct_report_may-2010.pdf

Though work undertaken by NGOs is often valuable, they sometimes undermine the
public sector, for instance by hiring government health workers and managers away
from the Ministries of Health (MOH). While international NGOs could mitigate the impact
of such hiring by contributing to the training of additional health workers, they rarely do
so. These hiring practices mean NGOs often contribute to the human resource crisis
that is seriously compromising the ability of low-income countries to meet the MDGs.

***

HESP-News & Notes - 25/2010 - page 19


Water & Sanitation

Menstrual hygiene in South Asia: A neglected issue for WASH (water, sani-
tation and hygiene) programmes

by Thérèse Mahon and Maria Fernandes


WaterAid, 2010

20 pp. 429 kB:


http://www.wateraid.org/documents/plugin_documents/menstrual_h
ygiene_in_south_asia_1.pdf

This article explores the reasons why menstrual hygiene management is not generally
included in WASH initiatives, the social and health impacts of this neglect on women
and girls, and provides examples of successful approaches to tackling menstrual hy-
giene in WASH in the South Asia region.

***

Water and sanitation issues for persons with disabilities in low and middle
income countries

by Nicola Bailey and Nora Groce


Leonard Cheshire Disability and Inclusive Development Centre, April
2010

24 pp. 122 kB:


http://www.ucl.ac.uk/lc-ccr/centrepublications/workingpapers/WP12_-
_Water_and_Sanitation_Issues_for_Persons_with_Disabilities.pdf

This paper details a literature review and discussion about water and sanitation issues
for persons with disabilities in low- and middle-income countries. It provides information
about what is currently known of water and sanitation issues for people with disabilities
and current gaps in research, practice and policy are identified. This paper would be
useful for people interested in water and sanitation issues for people with disabilities in
developing countries.
***

Latrine Construction not only a Household Matter but a Public Good

by M.J. Msambazi & Austin Beebe


WaterAid in Tanzania, September 2010

2 pp. 697 kB:


http://www.wateraid.org/documents/plugin_documents/clts_in_tanzania__briefing_note.pdf

This note looks at how latrine construction and use is not only a household issue but
essentially a public good; Contamination caused by unprotected excreta result in the
outbreak of fatal diseases which can affect both those who do not have toilet and those
who do. Since sanitation and hygiene-related diseases are of public health importance,
the cause of such diseases including toilet related issues should be treated by the Gov-
ernments as a public good as same as water, roads and other public amenities.

***

HESP-News & Notes - 25/2010 - page 20


Health Systems & Research

Building capacity for public and population health research in Africa: the
consortium for advanced research training in Africa (CARTA) model

by Alex C. Ezeh, Chimaraoke O. Izugbara, Caroline W. Kabiru et al.


Global Health Action 2010, 3: 5693 (12 November 2010)

7 pp. 234 kB:


http://www.globalhealthaction.net/index.php/gha/article/viewFile/5693/6286

The authors describe the recently launched Consortium for Advanced Research Train-
ing in Africa (CARTA), which brings together a network of nine academic and four r e-
search institutions from West, East, Central, and Southern Africa, and select northern
universities and training institutes. CARTA’s ultimate goal is to build local research c a-
pacity to understand the determinants of population health and effectively intervene to
improve health outcomes and health systems.

***

Engaging Innovative Advocates as Public Health Champions

Family Health International Research Utilization Brief, September 2010

4 pp. 131 kB:


http://www.fhi.org/NR/rdonlyres/eqdet4k5um4nnujqxgdyxgi44rssbv
mczrme7di4muqqubjffparoroyb2vp2k2iy4odlqr5fepllh/RUchampions.pdf

A public health 'champion' is an influential figure who uses


his or her expertise and professional contacts to promote the
use of evidence-based and best practices and to bridge the gap between research and
programs. Engaging such opinion leaders is one approach that can facilitate the speed
and ease with which research results are incorporated into public health policy, pro-
grams, or clinical practice. This annotated bibliography (PDF, 18 pp. 120 kB) shows the
range of literature behind this evidence-based research utilization strategy.

***

A new method to estimate mortality in crisis-affected and resource-poor


settings: validation study

by Bayard Roberts, Oliver W Morgan, Mohammed Ghaus Sultani et al.


Int. J. Epidemiol. (2010) 39 (6): 1584-1596

13 pp. 121 kB:


http://ije.oxfordjournals.org/content/39/6/1584.full.pdf+html

Data on mortality rates are crucial to guide health interventions in crisis-affected and re-
source-poor settings. The methods currently available to collect mortality data in such
settings feature important methodological limitations. The authors developed and vali-
dated a new method to provide near real-time mortality estimates in such settings.

***

HESP-News & Notes - 25/2010 - page 21


Connecting the streams: Using health systems research knowledge in low-
and middle-income countries

by Rene Loewenson
Training and Research Support Centre, Zimbabwe

Background Paper for the Global Symposium on Health Sys-


tems Research 16-19 November 2010 - Montreux, Switzerland

80 pp. 1.2 MB:


http://www.hsr-symposium.org/images/stories/2connecting_the_streams.pdf

Whether the knowledge from health systems research (HSR) is used in policy and prac-
tice in low- and middle-income countries (LMICs) depends on the political economy con-
text, the policy environment, and institutional capacities and practice in the health sys-
tem and in the research community. What happens within each of these four ‘streams’
affects whether HSR resources and evidence are recognized and used. When linkages
are made across the four streams, there is a greater possibility of evidence from HSR
leading to changes in policy or practice.
***

The published research paper: is it an important indicator of successful


operational research at programme level?

by R. Zachariah, K. Tayler-Smith, J. Ngamvithayapong-Yanai et al.


Tropical Medicine and International Health Vol. 15, No. 11, pp. 1274-
1277, November 2010

4 pp. 56 kB:
http://fieldresearch.msf.org/msf/bitstream/10144/116360/1/Zachariah%20R%20et
%20al%20The%20published%20paper.pdf

In academia, publishing in peer-reviewed scientific journals is highly encouraged and


strongly pursued for academic recognition and career progression. In contrast, for those
who engage in operational research at programme level, there is often no necessity or
reward for publishing the results of research studies; it may even be criticized as being
an unnecessary detraction from programme-related work. The authors present argu-
ments to support publishing operational research from low-income countries; they high-
light some of the main reasons for failure of publication at programme level and suggest
ways forward.
***

Private Delivery Care in Developing Countries: Trends and Determinants

by Amanda Pomeroy, Marge Koblinsky, Soumya Alva


Demographic and Health Research Working Paper, October 2010

30 pp. 343 kB:


http://www.measuredhs.com/pubs/pdf/WP76/WP76.pdf

Over the past two decades, multilateral organizations have encouraged increased en-
gagement with private health care providers in developing countries. As these efforts
progress, there are concerns that private delivery care may have adverse effects on m a-
ternal health. Currently available data do not allow for an in-depth study of the direct ef-
fect of privatization on maternal health. However, we can use Demographic and Health
Surveys (DHS) data to examine a) trends in growth of delivery care provided by private

HESP-News & Notes - 25/2010 - page 22


facilities, and b) determinants of private sector use within the health care system.

***

Private and Public Health Care in Rural Areas of Uganda

by Joseph Konde-Lule, Sheba N Gitta, Anne Lindfors et al.


BMC International Health and Human Rights 2010, 10:29 (24 November 2010)

23 pp. 162 kB:


http://www.biomedcentral.com/content/pdf/1472-698x-10-29.pdf

Private providers play a major role in health care delivery in rural Uganda; reaching a
wide client base. Traditional practitioners are many but have as much a social as a
medical function in the community. The significance of the private health care sector
points to the need to establish a policy that addresses quality and affordability issues
and creates a strong regulatory environment for private practice in sub-Saharan Africa.

Information & Communication Technology

The Information Dividend: Why IT makes you ‘happier’

British Informatics Society Limited, September 2010

76 pp. 2.2 MB:


http://www.bcs.org/upload/pdf/info-dividend-full-report.pdf

This report shows that access to information technology (IT) has a “statis-
tically significant, positive impact on life satisfaction”. In addition, the report finds that
women, those on low incomes, and those with few educational qualifications benefit
most from access to information technology and achieve greater increased life satisfac-
tion from using it.
***

Global E-Health Policy: A Work In Progress

By Maurice Mars and Richard E. Scott


Health Affairs 29, No. 2 (2010): 239-245

7 pp. 461 kB:


http://microbiology.georgetown.edu/documents/GlobalE-
healthPolicyHealthAffairs.pdf

E-health (information and communication technology that facilitates health and health
care) is expanding in developed, developing, and least-developed countries. E-health’s
ability to transcend socio-political boundaries holds the potential to create a borderless
world for health systems and health care delivery. What’s needed to foster e-health
growth in the developing world is thoughtful policy to facilitate patient mobility and data
exchange, across both international borders and regional boundaries within countries.

***

HESP-News & Notes - 25/2010 - page 23


Effects of a mobile phone short message service on antiretroviral treat-
ment adherence in Kenya (WelTel Kenya 1): a randomised trial

by Richard T Lester, Paul Ritvo, Edward J Mills et al.


The Lancet, Vol. 376, Issue 9755, pp. 1838-1845, 27 November 2010

8 pp. 250 kB:


http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673610619976.pdf?i
d=3d35b1b5aa0ec416:1662d569:12c8804a3fb:68841290778965608

Mobile (cell) phone communication has been suggested as a method to improve deliv-
ery of health services. However, data on the effects of mobile health technology on pa-
tient outcomes in resource-limited settings are limited. The study revealed that patients
who received SMS support had significantly improved ART adherence and rates of viral
suppression compared with the control individuals. Mobile phones might be effective
tools to improve patient outcome in resource-limited settings.

***

ICT4D and the Human Development and Capabilities Approach: The Poten-
tials of Information and Communication Technology

by Jean-Yves Hamel
United Nations Development Programme (UNDP) Publication 2010/37,
September 2010

77 pp. 496 kB:


http://hdr.undp.org/en/reports/global/hdr2010/papers/HDRP_2010_37.pdf

This study frames a review of information and communication technology for develop-
ment (ICT4D) within the human development and capabilities approach. Looking at the
basic dimensions of human development, which make up the core measurement of its
achievements: health, education and a income, and additionally at the dimensions of
participation and empowerment, a survey of research and evidence seeks to evaluate
whether or not ICTs have demonstrated positive outcomes for these dimensions of hu-
man development and more broadly to the practice of its approach.

Education

Tomorrow Today: Education for sustainable development

Edited by Michele Witthaus, Karen McCandless, Rebecca Lambert


United Nations Educational, Scientific and Cultural Organization
(UNESCO), 2010

194 pp. 6.4 MB:


http://unesdoc.unesco.org/images/0018/001898/189880e.pdf

“Tomorrow Today” relates the efforts of 75 authors working in education for sustainable
development at international, regional, national, municipal and local levels of activity.
The publication reflects the progress and challenges in these fields, highlighting good
practices in a wide variety of societies and disciplines. “Tomorrow Today” includes a
number of entries discussing ICT in education and development, and a review of strate-
gies to integrate ICT in to educational approaches.

HESP-News & Notes - 25/2010 - page 24


Harm Reduction and Drug Use

Out of harm’s way - Injecting drug users and harm reduction


An advocacy report

by Getachew Gizaw, Paul Conneally, Patrick Couteau et al.


The International Federation of Red Cross Red Crescent Societies
(IFRC), December 2010

24 pp. 3.2 MB:


http://www.ifrc.org/Docs/pubs/health/Harm%20reduction%20report-EN-LR.pdf

This report examines the extent to which governments and donors are failing injecting
drug users by imprisoning them and denying them access to the health services they
need – including substitution therapy, and needle and syringe exchange programmes –
and otherwise contravening their rights to health and personal security. The report notes
that, to date, current spending on harm reduction programmes is only 1.4 per cent of the
total 11.3 billion US dollars spent overall on HIV and AIDS programmes, which is negli-
gible compared to what is needed.
***

Enabling access to new WHO essential medicines: the case for nicotine
replacement therapies

by Sandeep P Kishore, Asaf Bitton, Alejandro Cravioto and Derek Yach


Globalization and Health 2010, 6:22 (19 November 2010)

22 pp. 263 kB:


http://www.globalizationandhealth.com/content/pdf/1744-8603-6-22.pdf

Nicotine replacement therapies (NRT) are powerful tools for the successful treatment of
nicotine addiction and tobacco use. Enabling global access to NRT remains a challenge
given ongoing confusion and misperceptions about their efficacy, cost-effectiveness,
and availability with respect to other tobacco control and public health opportunities. In
this commentary, the authors review existing evidence and guidelines to make the case
for global access to NRT highlighting the smoker's right to access treatment to sensibly
address nicotine addiction.

Millennium Development Goals

Thematic Papers on the Millennium Development Goals

UN Development Group Task Force on the MDGs, September 2010

287 pp. 8.5 MB:


http://www.undg.org/docs/11421/MDG-Report_for-website.pdf

The thematic papers on the Millennium Development Goals covered in


this publication identify promising or successful experiences in country efforts to move
towards the various Goals, and summarizes key lessons and future measures condu-
cive to accelerating MDG progress. The focus of the papers is, therefore, on the national
and local level; on country-led efforts; and on a range of immediate and underlying fac-
tors that appear to be important or essential in enabling progress under differing cond i-
tions and country circumstances.

HESP-News & Notes - 25/2010 - page 25


For separate reports of the MDG Thematic Papers and MDG Good Practices see:
http://www.undg.org/index.cfm?P=1392
***

Paths to 2015: MDG Priorities in Asia and the Pacific

by Nagesh Kumar, Syed Nuruzzaman, Jan Smit et al.


ESCAP/ADB/UNDP Regional Partnership, 2010

70 pp. 2.1 MB:


http://www.mdgasiapacific.org/files/MDG_RegionalReport20102011.pdf

This 2010/11 report refreshes the signals to reflect the latest information from the United
Nations MDG database to assess which countries and sub-regions are likely to miss or
achieve the Goals. But rather than addressing a new theme, this more concise report at-
tempts to encapsulate and update the discussions and recommendations of the earlier
reports. The report emphasises the inter-relationships between MDGs by identifying
some overall priorities and opportunities that countries can consider for achieving all the
goals.
***

Gender, Conflict and the MDGs

by Ceri Hayes
Women for Women International (WfWI), November 2010

4 pp. 1.1 MB:


http://www.womenforwomen.org/news-women-for-women/files/MDG_Briefing.pdf

The report finds violence against women is the single biggest threat to peace and coun-
tries are falling strikingly short on UN Millennium Development Goals (MDG’s) and UN
(SCR) 1325 development and security goals. Goals signed up to by UN members to
eliminate poverty and empower women, have fallen strikingly short of expectations.
While many countries are behind on their promises to meet the MDGs, particularly those
goals in which gender is explicit, conflict-affected countries, are further behind.

Development Assistance

Aid effectiveness for health

Save the Children Policy Brief 2010

4 pp. 85 kB:
http://www.savethechildren.org.uk/en/docs/ODA_briefing_final%281%29.pdf

Through the Paris Declaration in 2005 and the Accra Agenda for Action in
2008, donor governments committed to improve the effectiveness of official develop-
ment assistance (ODA) for health, by harmonising and aligning ODA with recipient go v-
ernments’ priorities, plans and processes. However, success in implementing these
principles has been limited. To accelerate progress on the health-related MDGs,
achieve universal coverage of good quality health services, and address prevailing in-
equities, significant reforms to the current aid architecture are urgently needed.

***

HESP-News & Notes - 25/2010 - page 26


Financing Global Health 2010: Development assistance and country spend-
ing in economic uncertainty

by Brent Anderson, Katherine Leach-Kemon, Christopher JL Murray et al.


Institute for Health Metrics and Evaluation, 2010

99 pp. 18.0 MB(!):


http://www.healthmetricsandevaluation.org/print/reports/2010/finan
cing/financing_global_health_report_FullReport_IHME_1110.pdf

The report shows the continued rise in development assistance for health globally and
provides a comprehensive picture of the total amount of health funding flowing from aid
agencies, governments, and private donors to developing countries. It provides a com-
prehensive picture of the total amount of health funding between 1990 and 2008 from
aid agencies and governments in 23 developed countries, multilateral institutions, and
hundreds of nonprofit groups and charities.

***

Diversity and Transformation of Aid Patterns in Asia’s “Emerging Donors”

by Hisahiro Kondoh, Takaaki Kobayashi, Hiroaki Shiga et al.


Japan International Cooperation Agency (JICA) Research In-
stitute, October 2010

82 pp. 624 kB:


http://jica-ri.jica.go.jp/publication/assets/JICA-RI_WP_No.21_2010.pdf

This paper analyses comparatively the aid patterns and their formulation of four emerg-
ing donor countries: China, South Korea, Thailand and India. The aim of the paper is to
increase understanding of how these countries’ aid patterns have been created and by
what factors.
***

Still Our Common Interest: Commission for Africa Report 2010

by Myles A Wickstead and Claire Hickson


Commission for Africa, September 2010

72 pp. 1.0 MB:


http://www.commissionforafrica.info/wp-
content/uploads/2010/09/cfa-report-2010-full-version.pdf

The report argues that responsibility for tackling poverty in Africa lay in the hands of Af-
ricans and that the rest of the world, particularly developed economies, should follow
their lead by providing resources, through aid and debt cancellation, but also by ending
the damage being done to Africa’s fortunes by unfair trade rules, ineffective aid, corrup-
tion, the trade in conflict resources and arms, and irresponsible business practices.

***

Progress can kill: How imposed development destroys the health of Tribal
Peoples
A Survival International Publication, 2010

HESP-News & Notes - 25/2010 - page 27


59 pp. 3.0 MB: http://assets.survival-
international.org/static/lib/downloads/source/progresscankill/full_report.pdf

According to this report, forcing 'development' or 'progress' on indigenous


people does not make them happier or healthier. The authors argue that
indigenous peoples' well-being is primarily affected by whether their land
rights are respected. Where this is not the case, and where indigenous
people are not given a role in guiding development actions, they suffer poorer health
outcomes, with increased rates of obesity and malnutrition, drug addiction, alcoholism,
and with a change to Western diets, diabetes.

***
The development myth

by Rasna Warah
Glocal Times, Issue 14, May 2010

Read online at:


http://www.glocaltimes.k3.mah.se/viewarticle.aspx?articleID=178&issueID=21

In this essay, Rasna Warah argues that advocates of more aid to Africa fail to address
social and historical injustices that are among the root causes of poverty and under-
development in the continent. The author provides a much-needed African perspective
on the development industry, and discusses why it has failed so miserably in lifting mil-
lions of people out of poverty.
***

Safety First: A safety and security handbook for aid workers

by Shaun Bickley
Save the Children UK, Second revised version 2010

222 pp. 3.9 MB:


http://www.eisf.eu/resources/library/SafetyFirst2010.pdf

Safety First has been developed primarily as a field guide for both nationally and inter-
nationally recruited staff working in Save the Children offices and field sites throughout
the world. However, the issues it covers are just as relevant to staff working with other
agencies, and therefore it can offer important guidance to all aid workers in the field or
individuals considering working in the humanitarian sector.

Others

International Agency for the Prevention of Blindness - 2010 Report

by Peter Ackland, Philip Albano, Asad Aslam Khan et al.

84 pp. 4.4 MB:


http://www.vision2020.org/documents/publications/SotWS%20Rep
ort_wth_Stop_Press.pdf

The facts present us with a dilemma: an estimated 47 million people are blind or vision
impaired, yet thanks to decades of research and the efforts of health care workers
worldwide, the causes of over 80% of blindness are now avoidable by known and cost-

HESP-News & Notes - 25/2010 - page 28


effective means. That means that most people who lose their sight today, do so need-
lessly.
***

State of World Population 2010


From conflict and crisis to renewal: generations of change

by Barbara Crossette, Upala Devi, Laura Laski et al.


United Nations Population Fund (UNFPA), November 2010

116 pp. 3.6 MB:


http://www.unfpa.org/webdav/site/global/shared/swp/2010/swop_2010_eng.pdf
For other language versions (Français, Español, Russian, Arabic) see:
http://www.unfpa.org/public/swp2010

The 2010 report is different from previous editions, which took an academic approach to
topics related to the mandate and work of UNFPA. The current report takes a more
journalistic approach, drawing on the experiences of women and girls, men and boys,
living in the wake of conflict and other catastrophic disruptions. They speak for them-
selves about the challenges they face, the ways their communities are coping and be-
coming more resilient and about how many of them have become involved in recon-
struction and renewal.
***

World of Work Report 2010: From one crisis to the next?

by Raymond Torres, Steven Tobin, Verónica Escudero et al.


International Institute for Labour Studies, November 2010

137 pp. 8.8 MB:


http://zunia.org/uploads/media/knowledge/user505245_user500181
_user500181_wcms_1450781290330102.pdf

The report assesses the state of labor markets worldwide amid the economic crisis and
analyzes the economic and social implications. The study acknowledges that three
years into the crisis, the global economy has resumed growing, with some countries wit-
nessing encouraging signs of employment recovery - significantly in emerging econo-
mies in Asia and Latin America. However, the report also warns that “despite these sig-
nificant gains ...new clouds have emerged on the employment horizon and the pros-
pects have worsened significantly in many countries”.

***

Chronic Disease News - Bangladesh

A Newsletter of the Centre for Control of Chronic Diseases in Bangladesh


(ICDDR,B) Vol. 2, Issue 1, May 2010

6 pp. 792 kB:


http://www.icddrb.org/uploads/originaluploads/CDNL%20May%202
010-English.pdf

According to WHO, Bangladesh has been experiencing an epidemiological transition


from communicable diseases to non-communicable diseases. Tertiary level hospital
data indicate that cardiovascular diseases have already appeared as one of the leading
causes of mortality. Contrary to common perception, 80 percent of chronic disease

HESP-News & Notes - 25/2010 - page 29


deaths occur in low and middle income countries.

***

Disability at a Glance 2010: A Profile of 36 Countries and Areas in Asia and


the Pacific

by Aiko Akiyama, Jeong Hong Kee, Yu Kanosue et al.


United Nations Economic and Social Commission for Asia and the Pacific
(ESCAP), 2010

148 pp. 835 kB:


http://www.unescap.org/sdd/publications/Disability/Disability-at-a-
Glance-2010.pdf

The publication is a compilation of disability-related data and information. Profiles of 35


countries and one area are grouped according to sub region and presented in alph a-
betical order. Each profile contains 27 indicators that have been grouped according to
the following seven subheadings: development indicators, demography, institutional
framework, legislative and policy framework, national efforts to promote an inclusive so-
ciety, financial commitment, and commitment to regional and international instruments
on disability.
***

Groin Hernia Repair - Revisited

Surgery in Africa Monthly Reviews is pleased to announce the December 2010


Review, "Groin Hernia Repair-Revisited" by Dr. Gwendolyn Hollaar and Dr. R.
Jayakrishnan. The current review is available at:

http://www.ptolemy.ca/members/current/Groin%20Hernia%20Repair-Revisited/index.html

One of the difficulties in comparing hernia repair studies is the lack of standardization or
differences between studies in what classification they have used (if any). But there
seems to be as much controversy about hernia classifications as there is with what her-
nia repair operation should be used.

ELECTRONIC RESOURCES
Atlas of Birth

http://www.atlasofbirth.com/

The Atlas of Birth is a clear, accessible guide to the global picture


of maternal health, told with maps, graphics and stories from many countries. It doc u-
ments the biggest killer of young women in developing countries, and reveals one of the
greatest opportunities of our time – to prevent the preventable – those maternal deaths
that happen every single minute of every single day.

***

Bulletin of the World Health Organization (BLT)


Volume 88, Number 11, November 2010, 797–876

HESP-News & Notes - 25/2010 - page 30


http://www.who.int/bulletin/volumes/88/11/en/index.html

IN THIS MONTH'S BULLETIN:


Africa: preventing malaria in infants; Africa: HIV infection among older
adults; Bangladesh: facing food insecurity; China: responding to viral
hepatitis; Kenya: hiring more nurses; Mongolia: surviving sepsis; New
Zealand: tobacco warnings; South Africa: bridging the gap; Global: cause-
of-death data; Global: water science and health; Global: measuring dis-
ability; Global: volunteer spirit or exploitation?; Global: ethics of human tissue transplan-
tation
***

Bulletin of the World Health Organization (BLT)


Volume 88, Number 12, December 2010, 877-953

http://www.who.int/bulletin/volumes/88/12/en/index.html

IN THIS MONTH'S BULLETIN:


Africa; Male circumcision: more research needed; Many more workers
needed to treat HIV; Changing disease patterns; China; Using the Internet to fight tu-
berculosis; Is acupuncture risky?; Mongolia; Too many antibiotics; Sierra Leone; Grand
plan, but who will pay?; Uganda; Surgical standards not up to scratch; Global; Are m o-
bile phone base stations making us sick?; Limit antibiotic use for prophylaxis; More
harm than good
***

Digital Research Tools (DiRT)

https://digitalresearchtools.pbworks.com/w/page/1780167
2/FrontPage

Digital Research Tools (DiRT) brings together snapshot reviews of software that can
help researchers - professors, students, think-tankers, teachers, librarians, corporate in-
telligence gatherers, and other inquisitive folks - do their work better. Whether you need
software to help you manage citations, author a multimedia work, or analyze texts, Dig i-
tal Research Tools will help you find what you are looking for.

INTERESTING WEB SITES


AIDSInfo

http://www.unaids.org/en/CountryResponses/default.asp

AIDSInfo is a data visualization and dissemination tool to facilitate the use of AIDS-
related data in countries and globally. It is populated with multi-sectoral HIV data from a
range of sources. The data provided by UNAIDS include AIDS spending, epidemiologi-
cal estimates, information on policies, strategies and laws, and other country-reported
data from government and civil society. The tool’s visualization capabilities allow for
rapid production of charts, maps and tables, for presentations and analysis.

***

HESP-News & Notes - 25/2010 - page 31


HIV Southern Africa Info

http://www.hivsouthernafrica.info/web/guest/home

The hivsouthernafrica.info web platform is a virtual community of prac-


tice for health workers, development programmers, activists and ad-
vocates focused on accelerating HIV prevention in southern Africa. The site is not
owned by any one organisation, but is a collaborative effort of numerous stakeholders.
Its focus is on capturing and sharing local knowledge and experiences to promote the
use of home grown solutions in the fight against the pandemic.

***

Essential Maternal, Newborn and Child Health (MNCH) Knowledge: A portal


to MNCH resources

http://portal.pmnch.org/

The Partnership for Maternal, Newborn and Child Health (PMNCH) pro-
vides a systemic mechanism, or gateway, to partners’ MNCH knowledge
resources and expert networks, and builds on the commitment of partner
organizations to share and translate knowledge to promote policies and
practice that in turn promote maternal, newborn, and child health.

***

The Global Health Diplomacy Network

http://www.ghd-net.org/

The Global Health Diplomacy Network (GHD.NET) brings together researchers and
practitioners with the common goal of improving capacity for health diplomacy. They
believe that better health negotiations can improve global health. They use training, r e-
search and information-sharing to ensure that all participants can be more engaged and
in a position to influence the outcomes of international negotiations.

***

The Procurement & Supply Management (PSM) Toolbox website

http://www.psmtoolbox.org

is a WHO/ AMDS repository of tools for health professionals, stu-


dents in health related sciences and consultants working on PSM
and other public health related areas. The database contains
PSM tools and resource documents for ARVs, TB & Malaria medicines and several
other health commodities. The main languages are English and French and links to
tools in Arabic, Chinese, Portuguese, Spanish and Russian have been mentioned
where available.
***

HESP-News & Notes - 25/2010 - page 32


TRAINING OPPORTUNITIES
Health in Emergencies and Refugee Health

11th April - 6th May, 2011


University of Copenhagen, Denmark

Course Content: The course addresses the following aspects related to disaster- and
conflict-related emergencies: conceptual and legal frameworks, operational aspects of
humanitarian interventions, and partnerships and roles in different stages of emergen-
cies.

Target Audience: Health professionals who wish to work with health related issues in
low and middle income societies, and individuals and professionals who are interested
in any or all parts of disaster management.

Language: English; Fees: DKK 25,000

Entry Requirements: A bachelor’s degree or equivalent in a relevant field of study (e.g.


health sciences, social sciences, engineering, etc.) and at least 2 years of relevant
working experience.

Application deadline for this course is 11 January 2011.

For more information contact:


Helle Trøst Nielsen
Tel./Fax: +45-35-326-091
mdma@sund.ku.dk or see:
http://globalhealth.ku.dk/courses/details/health_in_emergencies_and_refugee_health/

For more courses and conferences see also:


http://www.going-international.at/index.php?lang=EN

CARTOON

“On the Internet nobody knows you’re a dog”

HESP-News & Notes - 25/2010 - page 33


TIPS & TRICKS
Change “YouTube” Playback Quality

Some of us don’t have the speediest Internet connection, and this can
cause some issues - especially when trying to watch something on “YouTube”. This tip
shows you how to change YouTube’s playback settings to accommodate those with a
slower connection.

First, you will need to browse over to YouTube.com and log into your account. If you
don’t have one, then click “Create Account” in the upper right-hand corner of the screen.
Signing up only takes a moment. Once you have logged in, click your “Username”, then
“Account”.

On the Account Settings page, click “Playback Setup”, located in the left column.

Under “Video Playback Quality”, put a tick next to “I have a slow connection. Never play
higher-quality video.” and click the “Save Changes” button.

Now YouTube will play video while keeping your slow connection speed in mind. If you
ever need to switch back, just follow these steps again and re-select “Always choose the
best option for me based on my player size.”

***

Download YouTube Videos the Easy Way

This is a real quick and easy tip for all YouTube users out there. Say you really like a
video enough to want to download it. What do you do? Bookmark it and come back
every time you want to see it? Nope!

How about this: While on YouTube, navigate to a video you want to download to your
computer and up in the address bar of your browser, replace the “Y” in YouTube with a
number 3 and hit enter. Look at this picture for an example:

You will be taken to the 3ouTube site where you will have the choice of downloading in
MP4 or FLV formats in low, normal or high definition (HD) quality!

Best regards,

Dieter Neuvians MD
_____________________________________________________________________________
Fair Use:
This Newsletter is produced under the principles of 'fair use'. We source relevant news articles, resources and research
documents and strive to attribute sources by providing reference and/or direct links to authors and websites.

Disclaimer:
The views expressed in this newsletter, do not necessarily represent those of GTZ or the editor of HESP-News & Notes.
While we make every effort to ensure that all facts and figures quoted by authors are accurate, GTZ and the editor of the
Newsletter cannot be held responsible for any inaccuracies contained in any articles. Please contact dneuvians@gmx.de
if you believe that errors are contained in any article and we will investigate and provide feedback.

HESP-News & Notes - 25/2010 - page 34

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