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Health, Education, Social Protection

News & Notes 14/2010


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

You can download back issues (2005 - 2010) of this newsletter at:
http://german-practice-collection.org/en/newsletters/hesp-news-and-notes

Table of Contents:

BOOKS ................................................................................ 4
International Travel and Health ............................................................................................... 4
Hepatology - A Clinical Textbook ............................................................................................ 4
African Women’s Report: Measuring Gender Inequalities in Africa - Experiences and
Lessons from the African Gender and Development Index .................................................... 4
World Social Science Report 2010: Knowledge Divides......................................................... 5
Geographical Distribution of Financial Flows to Developing Countries 2004-2008 ................ 5
UNCTAD Handbook of Statistics 2009 ................................................................................... 5

ONLINE PUBLICATIONS .................................................... 6


HIV - AIDS - STI ........................................................................................................... 6
Central Asia: hotspot in the worldwide HIV epidemic ............................................................. 6
Innovative Responses for Preventing HIV Transmission: The Protective Value of
Population-Wide Interruptions of Risk Activity ........................................................................ 6
No Time To Quit: HIV/AIDS Treatment Gap Widening In Africa............................................. 6
HIV Prevention with MSM: Balancing Evidence with Rights-based Principles of Practice..... 7
HIV transmission risk through anal intercourse: systematic review, meta-analysis and
implications for HIV prevention ............................................................................................... 7
Midterm Review 2010: HIV/AIDS National Strategic Plan 2007-2011.................................... 7
Challenges Encountered in Capacity Building: Review of Literature and Selected Tools...... 8
Interactions between HIV/AIDS and the Environment ............................................................ 8
International Labour Standard on HIV/AIDS ........................................................................... 8
Sexual & Reproductive Health ..................................................................................... 8
“They Took Me and Told Me Nothing”: Female Genital Mutilation in Iraqi Kurdistan ............. 8
Community-level intimate partner violence and the circumstances of first sex among young
women from five African countries .......................................................................................... 9
Cost-Effectiveness of an Intervention to Reduce HIV/STI Incidence and Promote Condom
Use among Female Sex Workers in the Mexico–US Border Region ..................................... 9
Maternal & Child Health ............................................................................................... 9
Sub-Saharan Africa’s Mothers, Newborns, and Children: Where and Why Do They Die? .... 9
Sub-Saharan Africa’s Mothers, Newborns, and Children: How Many Lives Could Be Saved
with Targeted Health Interventions? ..................................................................................... 10
Closing the Gaps: From Science to Action in Maternal, Newborn, and Child Health in Africa
............................................................................................................................................... 10
Progress and barriers for the control of diarrhoeal disease .................................................. 10
Economic Status, Education and Empowerment: Implications for Maternal Health Service
Utilization in Developing Countries ....................................................................................... 11
Malaria........................................................................................................................ 11
Malaria Elimination in Zanzibar: A Feasibility Assessment................................................... 11
System effectiveness of a targeted free mass distribution of long lasting insecticidal nets in
Zanzibar, Tanzania................................................................................................................ 11
Bed net ownership in Kenya: the impact of 3.4 million free bed nets ................................... 12

HESP-News & Notes - 14/2010 - page 1


Retrospective Analysis of School Based Malaria Treatment Programme and Impact on
Health and Education Outcomes in Mangochi District, Malawi............................................. 12
A Randomised Trial to Compare the Safety, Tolerability and Efficacy of Three Drug
Combinations for Intermittent Preventive Treatment in Children .......................................... 12
International population movements and regional Plasmodium falciparum malaria
elimination strategies............................................................................................................. 13
WHO policy development processes for a new vaccine: case study of malaria vaccines.... 13
Tuberculosis ............................................................................................................... 13
Antiretrovirals and isoniazid preventive therapy in the prevention of HIV-associated
tuberculosis in settings with limited health-care resources ................................................... 13
The Prevalence and Drug Sensitivity of Tuberculosis among Patients Dying in Hospital in
KwaZulu-Natal, South Africa: A Postmortem Study.............................................................. 14
Other Infectious Diseases .......................................................................................... 14
How to (or Not to) Integrate Vertical Programmes for the Control of Major Neglected
Tropical Diseases in Sub-Saharan Africa ............................................................................. 14
The Bumpy Road to Polio Eradication .................................................................................. 14
Essential Medicines.................................................................................................... 15
Access to Medicine Index 2010 ............................................................................................ 15
Bridging the Gap: Better, Faster and Cheaper Clinical Trials for Health Products for
Neglected Diseases .............................................................................................................. 15
WHO Drug Information Vol. 24, No. 2, June 2010................................................................ 15
Social Protection ........................................................................................................ 15
Social Protection in Germany: Current challenges and lessons learnt from an ongoing
reform process ...................................................................................................................... 15
An evaluation of the Ghana national health insurance scheme in the context of the health
MDGs .................................................................................................................................... 16
Evaluating the Health Effects of Micro Health Insurance Placement: Evidence from
Bangladesh ........................................................................................................................... 16
Human Resources...................................................................................................... 17
Costing the scaling-up of human resources for health: lessons from Mozambique and
Guinea Bissau ....................................................................................................................... 17
Health Systems & Research ...................................................................................... 17
A systematic review of the evidence on integration of targeted health interventions into
health systems ...................................................................................................................... 17
Is there an association between PEPFAR funding and improvement in national health
indicators in Africa? A retrospective study ............................................................................ 17
The African Health Monitor: Health Systems Strengthening in the African Region .............. 18
Engaging the public in health research ................................................................................. 18
Information & Communication Technology ................................................................ 18
Bridging the gaps in the Health Management Information System in the context of a
changing health sector .......................................................................................................... 18
Bridging the Gender Divide: How Technology Can Advance Women Economically ........... 18
Guide to Measuring Information and Communication Technologies (ICT) in Education...... 19
ICT for Disaster Risk Reduction............................................................................................ 19
Education ................................................................................................................... 19
Bilateral Support to Primary Education ................................................................................. 19
Gender Equality in and through Education ........................................................................... 20
Minimum Standards for Education: Preparedness, Response, Recovery............................ 20
1-1 in Education: Current Practice, International Comparative Research Evidence and
Policy Implications................................................................................................................. 20
Harm Reduction and Drug Use .................................................................................. 21
World Drug Report 2010 ....................................................................................................... 21
Survival and cessation in injecting drug users: prospective observational study of outcomes
and effect of opiate substitution treatment ............................................................................ 21
Passive smoking and children............................................................................................... 21
Coerced addiction treatment: Client perspectives and the implications of their neglect....... 22
An approach to heroin use disorder intervention within the South African context: A content
analysis study........................................................................................................................ 22
Global Health.............................................................................................................. 22
The 10 challenges of global health governance ................................................................... 22

HESP-News & Notes - 14/2010 - page 2


What can global health institutions do to help strengthen health systems in low income
countries?.............................................................................................................................. 22
Examining the Global Health Arena: Strengths and Weaknesses of a Convention Approach
to Global Health Challenges ................................................................................................. 23
From G8 to G20, is health next in line?................................................................................. 23
Achieving Sustainable Health Development in the African Region ...................................... 23
Where Is the Future in Public Health? .................................................................................. 24
Millennium Development Goals.................................................................................. 24
Millennium Development Goals Report 2010........................................................................ 24
The MDGs Beyond 2015....................................................................................................... 24
Millennium Development Goals Report Card: Learning from Progress................................ 25
Halving Hunger: Meeting the MDG through "Business as Unusual"..................................... 25
Impacts of the Economic Crisis on Human Development and the MDGs in Africa .............. 25
Development Assistance............................................................................................ 25
21st Century Aid: Recognising success and tackling failure................................................. 25
Muskoka Accountability Report: Assessing Action and Results against Development-
Related Commitments........................................................................................................... 26
Aid Flows in Times of Crises ................................................................................................. 26
Others......................................................................................................................... 27
Diabetes in sub-Saharan Africa ............................................................................................ 27
Prevention and Treatment of Cancer of the Cervix in Africa II.............................................. 27
Poverty Lines across the World ............................................................................................ 27
Sterilization Manual for Health Centers................................................................................. 27

ELECTRONIC RESOURCES ............................................ 28


Newsletter of the German BACKUP Initiative - Issue No. 11, June 2010............................. 28
Bulletin of the World Health Organization (BLT) ................................................................... 28
Community Eye Health Journal - Vol. 23 No. 72, March 2010 ............................................. 28
HIV and AIDS Treatment Documents ................................................................................... 29
The Procurement & Supply Management (PSM) Toolbox.................................................... 29
Gapminder............................................................................................................................. 29

INTERESTING WEB SITES .............................................. 29


The Center for Health Market Innovations (CHMI)................................................................ 29
The Rape-aXe anti rape condom .......................................................................................... 30

TRAINING OPPORTUNITIES............................................ 30
Project Cycle Management-1: Planning................................................................................ 30
Health Issues in Humanitarian Crises ................................................................................... 30
Health and Human Rights Course ........................................................................................ 31
Online Course on Cervical Cancer Prevention (Low-Resource Settings) ............................ 31
The Management Development Institute - A Management Development Program for
Managers and Leaders of HIV & AIDS Organizations .......................................................... 31

CONFERENCES................................................................ 32
4th Global Summit on HIV/AIDS, Traditional Medicines & Indigenous Knowledge .............. 32

CARTOON ......................................................................... 32

TIPS & TRICKS ................................................................. 32


Multiple browsers .................................................................................................................. 32
Lock Your Computer Up!....................................................................................................... 33

HESP-News & Notes - 14/2010 - page 3


BOOKS
International Travel and Health
Situation as on 1 January 2010

Editors: Gilles Poumerol and Annelies Wilder-Smith


World Health Organization, 2010

264 pp. 3.4 MB:


http://www.who.int/ith/ITH2010.pdf

This book explains how travellers can stay healthy and provides WHO guidance on vac-
cinations, malaria chemoprophylaxis and treatment, personal protection against insects
and other disease vectors, and safety in different environmental settings. It covers all
the principal risks to travellers’ health, both during their journeys and at their destina-
tions. It describes all relevant infectious diseases, including their causative agents,
modes of transmission, clinical features and geographical distribution, and provides de-
tails of prophylactic and preventive measures.

***

Hepatology - A Clinical Textbook


Second Edition

Editors: Stefan Mauss, Thomas Berg, Jürgen Rockstroh et al.


Flying Publisher, June 2010

509 pp. 16.5 MB(!):


http://www.hepatologytextbook.com/Hepatology2010_2ndEdition.pdf

Therapeutic options and diagnostic procedures in hepatology have quickly advanced


over the last decade. In particular, the management of viral hepatitis has completely
changed since the early nineties. With the increasing number of publications, guidelines
and expert opinions it is getting more and more difficult to stay upto-date and to make
the best choices for the patients. In this respect the book is a very useful new tool which
gives a state-of-the art update on various aspects of HAV, HBV, HCV, HDV and HEV in-
fections.
***

African Women’s Report: Measuring Gender Inequalities in Africa - Experi-


ences and Lessons from the African Gender and Development Index

by Thokozile Ruzvidzo, Tacko Ndiaye, Beatrice Duncan et al.


United Nations Economic Commission for Africa (UNECA)

262 pp. 1.9 MB:


http://www.reliefweb.int/rw/lib.nsf/db900sid/EGUA-
86XQZT/$file/uneca-women-oct09.pdf?openelement

The central message of the report is that gender equality cannot be adequately imple-
mented and monitored without appropriate data. The report highlights difficulties that
countries are facing with respect to the full realization of women’s rights due, among
other things, to the persistence of negative cultural and religious beliefs and attitudes
towards women. High Maternal Mortality Rates as highlighted during the ICPD and Bei-

HESP-News & Notes - 14/2010 - page 4


jing +15 regional reviews of October and November 2009 and further established in this
report is an issue of catastrophic concern.

***

World Social Science Report 2010: Knowledge Divides

by Françoise Caillods, Laurent Jeanpierre, Elise Demeulnaere et al.


United Nations Educational, Scientific and Cultural Organization
(UNESCO) and International Social Science Council (ISSC), 2010

443 pp. 11.2 MB:


http://unesdoc.unesco.org/images/0018/001883/188333e.pdf

Social science from Western countries continues to have the greatest global influence,
but the field is expanding rapidly in Asia and Latin America, particularly in China and
Brazil. In sub-Saharan Africa, social scientists from South Africa, Nigeria and Kenya
produce 75% of academic publications. In South Asia, barring some centres of excel-
lence in India, social sciences as a whole have low priority. The Report is the first com-
prehensive overview of the field in over a decade.

***

Geographical Distribution of Financial Flows to Developing Countries


2004-2008
Disbursements, Commitments, Country Indicators
Organisation for Economic Co-Operation and Development (OECD),
2010

277 pp. 3.4 MB:


http://website1.wider.unu.edu/lib/pdfs/OECD-Geographical-
Distribution-2004-2008.pdf

This book provides comprehensive data on the volume, origin and types of aid and
other resource flows to around 150 developing countries. The data show each country’s
intake of Official Development Assistance, as well as other official and private funds
from members of the Organization for Economic Co-operation and Development’s De-
velopment Assistance Committee, multilateral agencies and other key external funders.
Key development indicators are given for reference.

***

UNCTAD Handbook of Statistics 2009

United Nations Conference on Trade and Development (UNCTAD), 2010

536 pp. 27.0 MB(!):


http://www.unctad.org/en/docs/tdstat34_enfr.pdf

The UNCTAD Handbook of Statistics provides a comprehensive collection


of statistical data relevant to the analysis of international trade, investment and devel-
opment, for individual countries and for economic and trade groupings. It presents ref-
erence statistics considered of particular importance for describing, in the context of
globalization, how developing countries have evolved in recent decades.

HESP-News & Notes - 14/2010 - page 5


ONLINE PUBLICATIONS
HIV - AIDS - STI

Central Asia: hotspot in the worldwide HIV epidemic

by Claire Thorne, Nina Ferencic, Ruslan Malyuta et al.


The Lancet Infectious Diseases, Vol. 10, Issue 7, pp. 479-488, July 2010

10 pp. 135 kB:


http://download.thelancet.com/pdfs/journals/laninf/PIIS1473309910
701183.pdf?id=3d35b1b5aa0ec416:-256c6e20:1295ed18624:486f1277204341089

The HIV epidemic in central Asia (Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan,


and Uzbekistan) has accelerated since 2000. This expansion in the epidemic is largely
attributable to escalating injection drug use, reflecting central Asia’s geographic position
along major drug trafficking routes. Some recent progress has been made towards scal-
ing-up prevention, treatment, and care services, including harm reduction for IDUs, al-
though key challenges remain.
***

Innovative Responses for Preventing HIV Transmission: The Protective


Value of Population-Wide Interruptions of Risk Activity

by Justin O Parkhurst and Alan Whiteside


Southern African Journal of HIV Medicine (2010) 11 (1) 19-21

3 pp. 200 kB:


http://groups.google.com/group/health-education-social-protection-
news-notes/web/Month-of-abstinence.pdf

The authors come up with a very innovative way to prevent HIV transmission: sexual
abstinence for one month, Ramadan-style. A population-wide ‘safe sex/no sex’ effort
could make a significant contribution to global prevention efforts. The authors claim the
impressive soccer ‘community mobilization’ of South African people during the World
Cup football inspired their thinking. It could work.

***

No Time To Quit: HIV/AIDS Treatment Gap Widening In Africa

Médecins Sans Frontières, May 2010

32 pp. 3.4 MB:


http://www.doctorswithoutborders.org/publications/reports/2010/MS
F-No-Time-to-Quit-HIV-AIDS.pdf

Since the start of the epidemic, HIV/AIDS has created an acute public health crisis in
many countries requiring an emergency response to the resulting high mortality and the
spread of the disease. To date, much has been done to tackle HIV, but the urgency of
the situation still calls for a sustained and expanded response over a long period of time
- the battle is not over yet.
***

HESP-News & Notes - 14/2010 - page 6


HIV Prevention with MSM: Balancing Evidence with Rights-based Princi-
ples of Practice

by George Ayala, Pato Hebert, Krista Lauer et al.


Global Forum on MSM and HIV (MSMGF), June 2010

8 pp. 1.5 MB:


http://msmgf.org/documents/MSMGF_Policy_Brief_Prevention.pdf

This document details the current context for the development and implementation of
HIV prevention efforts targeting men who have sex with men (MSM), provides an over-
view of available MSM-specific HIV prevention strategies, and offers a look at recent
guidelines from global health institutions.
***

HIV transmission risk through anal intercourse: systematic review, meta-


analysis and implications for HIV prevention

by Rebecca F Baggaley, Richard G White and Marie-Claude Boily


International Journal of Epidemiology - Advance Access, published online
on April 20, 2010

16 pp. 703 kB:


http://ije.oxfordjournals.org/cgi/reprint/dyq057v1

Anal intercourse drives the HIV epidemic amongst gay and bisexual men. Moreover a
substantial proportion of heterosexuals have anal sex but tend to use condoms less fre-
quently than for vaginal sex, and this may contribute to heterosexual epidemics in sub-
Saharan Africa and elsewhere. The authors estimated that each single act of receptive,
unprotected anal sex involved a 1.4% risk of HIV transmission. This was 18 times higher
than the risk arising from a single instance of unprotected vaginal sex.

***

Midterm Review 2010: HIV/AIDS National Strategic Plan 2007-2011

by Cindy Carlson, Peter Barron, Chiweni Chimbwete et al.


South African National AIDS Council (SANAC), June 2010

452 pp. 3.5 MB:


http://www.irinnews.org/pdf/Mid_Term_Review_of_the_NSP_(pr
eliminary_report).pdf

The world’s largest antiretroviral (ARV) programme may be operating in the dark most of
the time, according to a long-awaited review of the HIV/AIDS national strategic plan
(NSP). Some of the news is good. SANAC’s preliminary draft shows that since the
NSP’s inception in 2007, reported condom use has almost doubled, treatment coverage
among adults living with HIV has almost tripled, and prevention of mother-to-child HIV
transmission (PMTCT) services among HIV-positive pregnant women has reached 76
%. Some of it is not so good. The uptake of dual ARV therapy PMTCT has been prob-
lematic, and there are major shortcomings in monitoring and evaluation (M&E) that
could leave decision-makers operating in a vacuum, the report warned.

***

HESP-News & Notes - 14/2010 - page 7


Challenges Encountered in Capacity Building: Review of Literature and
Selected Tools

Management Sciences for Health Position Paper No. 10, April 2010

45 pp. 1.6 MB:


http://www.msh.org/resource-center/publications/upload/PP10-English-web-final-16Jun.pdf

As the responses to the AIDS pandemic change from emergency services to long-term
care for those infected and affected and as the responses by governments and interna-
tional and local organizations put greater emphasis on implementing country-owned,
sustainable programs to address the spread of the disease, the need for capacity build-
ing within the HIV/AIDS community becomes increasingly apparent. Growing demand
for and recognition of the importance of capacity building in HIV/AIDS work leads to a
corresponding need to ensure that capacity building is implemented effectively, effi-
ciently, and sustainably.
***

Interactions between HIV/AIDS and the Environment


A Review of the Evidence and Recommendations for Next Steps

by Susan Bolton and Anna Talman


International Union for Conservation of Nature and Natural Resources
(IUCN), Nairobi, May 2010

73 pp. 976 kB:


http://cmsdata.iucn.org/downloads/hiv_aids_and_environment.pdf

This report presents a broad review of the published literature regarding the potential
links between HIV/AIDS and the environment to assess the evidence for these connec-
tions and to provide guidance for possible next steps in addressing them through basic
or operations research and intervention.
***

International Labour Standard on HIV/AIDS


Text of the Recommendation concerning HIV and AIDS and the World of Work
Texte de la recommandation concernant le VIH et le SIDA et le monde du travail

International Labour Organization (ILO), June 2010

28 pp. 1.6 MB:


http://www.ilo.org/wcmsp5/groups/public/---ed_norm/---
relconf/documents/meetingdocument/wcms_141906.pdf

The standard is the first internationally sanctioned legal instrument aimed at strengthen-
ing the contribution of the world of work to universal access to HIV prevention, treat-
ment, care and support and contains provisions on potentially life-saving prevention
programmes and anti-discrimination measures at national and workplace levels.

Sexual & Reproductive Health

“They Took Me and Told Me Nothing”: Female Genital Mutilation in Iraqi


Kurdistan

HESP-News & Notes - 14/2010 - page 8


by Nadya Khalife, Marianne Mollmann, Liesl Gerntholtz et al.
Human Rights Watch, 2010

86 pp. 1.6 MB:


http://www.hrw.org/sites/default/files/reports/wrd0610webwcover.pdf

While internationally recognized as a form of violence against women


and girls, the tragedy is that female genital mutilation is perpetuated by mothers, aunts
and other women who love and want the best for their children, who see the practice as
ensuring that girls are marriageable, are conforming to the tenets of Islam, and are
growing up to be respectable and respected members of Kurdish society.

***

Community-level intimate partner violence and the circumstances of first


sex among young women from five African countries

by Anu Manchikanti Gomez and Ilene S Speizer


Reproductive Health 2010, 7:11d (19 June 2010)

25 pp. 148 kB:


http://www.reproductive-health-journal.com/content/pdf/1742-4755-7-11.pdf

Gender-based violence is an important risk factor for adverse reproductive health (RH).
Using nationally representative data from five African countries, the association between
community-level physical or sexual intimate partner violence (IPV) and the circum-
stances of first sex among young women (ages 20-29) was examined. The findings indi-
cate that context matters for RH. Individualized efforts to improve RH may be limited in
their effectiveness if they do not acknowledge the context of young women’s lives. Pro-
grams should target prevention of violence to improve RH outcomes of youth.

***

Cost-Effectiveness of an Intervention to Reduce HIV/STI Incidence and


Promote Condom Use among Female Sex Workers in the Mexico–US Bor-
der Region

by José L. Burgos, Julia A. Gaebler, Steffanie A. Strathdee et al.


PLoS ONE 5(6): e11413 (30 June 2010)

10 pp. 373 kB:


http://www.plosone.org/article/fetchObjectAttachment.action;jsessionid=F02C7B632D4DBD92DAC4FBF8
A0241223.ambra02?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0011413&representation=PDF

Previous research demonstrated efficacy of a brief behavioural intervention to reduce


incidence of HIV and sexually transmitted infections (STIs) among female sex workers
(FSWs) in Tijuana and Ciudad Juarez, Mexico, cities on Mexico’s border with the US.
The authors assessed this intervention’s cost-effectiveness and conclude that this brief
intervention was cost-effective among FSWs in two Mexico-US border cities and may
have application for FSWs in other resource-limited settings.

Maternal & Child Health

Sub-Saharan Africa’s Mothers, Newborns, and Children: Where and Why


Do They Die?

HESP-News & Notes - 14/2010 - page 9


by Mary V. Kinney, Kate J. Kerber, Robert E. Black et al.
PLoS Med 7(6): e1000294 (21 June 2010)

9 pp. 613 kB:


http://www.plosmedicine.org/article/fetchObjectAttachment.action;jsessionid=67720415C4DA2FB189660
B91DB89884B.ambra02?uri=info%3Adoi%2F10.1371%2Fjournal.pmed.1000294&representation=PDF

In the first article in a series on maternal, newborn, and child health in sub-Saharan Af-
rica, the authors outline where and why deaths among mothers and children occur and
what known interventions can be employed to prevent these deaths.

***

Sub-Saharan Africa’s Mothers, Newborns, and Children: How Many Lives


Could Be Saved with Targeted Health Interventions?

by Ingrid K. Friberg, Mary V. Kinney, Joy E. Lawn et al.


PLoS Med 7(6): e1000295 (21 June 2010)

8 pp. 201 kB:


http://www.plosmedicine.org/article/fetchObjectAttachment.action;jsessionid=F08460558B90B236AAB51
6F87FDA7014.ambra02?uri=info%3Adoi%2F10.1371%2Fjournal.pmed.1000295&representation=PDF

As part of the series on maternal, neonatal, and child health in sub-Saharan Africa, the
authors estimated mortality reduction for 42 countries and conclude that the use of local
data is needed to prioritize the most effective mix of interventions.

***

Closing the Gaps: From Science to Action in Maternal, Newborn, and Child
Health in Africa

by Sara Bennett and Freddie Ssengooba; PLoS Med 7(6): e1000298 (29 June 2010)

3 pp. 70 kB:
http://www.plosmedicine.org/article/fetchObjectAttachment.action;jsessionid=405CF3AEAF50FC0AE319
B9A0C75082F5.ambra02?uri=info%3Adoi%2F10.1371%2Fjournal.pmed.1000298&representation=PDF

As part of a series on maternal, neonatal, and child health in sub-Saharan Africa, the
authors discuss the challenges of getting science into policy in Africa.

***

Progress and barriers for the control of diarrhoeal disease

by Mathuram Santosham, Aruna Chandran, Sean Fitzwater


et al.
The Lancet, Vol. 376, Issue 9734, pp. 63-67, 3 July 2010

5 pp. 233 kB:


http://download.thelancet.com/pdfs/journals/lancet/PIIS014067361060356X.pdf

Diarrhoea continues to be a leading cause of child death with consistent mortality rates
during the past 5 years. New methods for prevention, management, and treatment of
diarrhoea - including an improved oral rehydration formulation, zinc supplementation,
and rotavirus vaccines - make now the time to revitalise efforts to reduce diarrhoea mor-
tality worldwide.

HESP-News & Notes - 14/2010 - page 10


Economic Status, Education and Empowerment: Implications for Maternal
Health Service Utilization in Developing Countries

by Saifuddin Ahmed, Andreea A. Creanga, Duff G. Gillespie, Amy O. Tsui


PLoS ONE 5(6):e11190 (23 June 2010)

6 pp. 622 kB:


http://www.plosone.org/article/fetchObjectAttachment.action;jsessionid=795E7EEE3759EF251FD4676CE
CA5C42E.ambra01?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0011190&representation=PDF

Relative to the attention given to improving the quality of and access to maternal health
services, the influence of women’s socio-economic situation on maternal health care
use has received scant attention. The objective of this paper is to examine the relation-
ship between women’s economic, educational and empowerment status, introduced as
the 3Es, and maternal health service utilization in developing countries. The authors
conclude that efforts to expand maternal health service utilization can be accelerated by
parallel investments in programs aimed at poverty eradication (MDG 1), universal pri-
mary education (MDG 2), and women’s empowerment (MDG 3).

Malaria

Malaria Elimination in Zanzibar: A Feasibility Assessment

by Aarthi Belani, Abdullah Ali, Akira Kaneko et al.


Zanzibar Malaria Control Program, Ministry of Health and Social Welfare,
October 2009

92 pp. 6.7 MB:


http://www.malariaeliminationgroup.org/sites/default/files/MalariaEliminationZanzibar.pdf

Due to the recent success that Zanzibar has achieved in reducing its malaria burden,
the Zanzibar Malaria Control Program (ZMCP) is facing an important decision of
whether to continue sustaining malaria control or to seek malaria elimination. Conclu-
sions on the short- and long-term challenges of achieving and sustaining elimination are
outlined as well as strategies that will be critical for elimination to succeed. The ZMCP
has already begun implementing several of the recommended strategies, most notably
strategies to enhance surveillance capacity, which are paramount for any elimination ef-
fort.
***

System effectiveness of a targeted free mass distribution of long lasting


insecticidal nets in Zanzibar, Tanzania

by Netta Beer, Abdullah S Ali, Don de Savigny et al.


Malaria Journal 2010, 9:173 (18 June 2010)

32 pp. 247 kB:


http://www.malariajournal.com/content/pdf/1475-2875-9-173.pdf

Targeted free mass distribution of long-lasting insecticide-treated nets (LLINs) can result
in high and equitable bed net coverage among children under five. However, in order to
sustain high effective coverage, there is need for complimentary distribution strategies
between mass distribution campaigns. Considering the community's preferences prior to
a mass distribution and addressing the communities concerns through information, edu-
cation and communication, may improve the LLIN usage.

HESP-News & Notes - 14/2010 - page 11


Bed net ownership in Kenya: the impact of 3.4 million free bed nets

by Allen Hightower, Rebecca Kiptui, Ayub Manya et al.


Malaria Journal 2010, 9:183 (24 June 2010)

35 pp. 296 kB:


http://www.malariajournal.com/content/pdf/1475-2875-9-183.pdf
In July and September 2006, 3.4 million long-lasting insecticide-treated bed nets (LLINs)
were distributed free in a campaign targeting children 0-59 months old (CU5s) in the 46
districts with malaria in Kenya. The campaign was successful in reaching the target
population, families with CU5s, the risk group most vulnerable to malaria. Targeted dis-
tribution strategies will help Kenya approach indicator targets, but will need to be com-
bined with other strategies to achieve desired population coverage levels.

***

Retrospective Analysis of School Based Malaria Treatment Programme


and Impact on Health and Education Outcomes in Mangochi District, Ma-
lawi

by Bertha Nhlema M. Simwaka, Kisukyabo Simwaka and George Bello


Global Development Network (GDN), March 2010

41 pp. 2.0 MB:


http://depot.gdnet.org/newkb/submissions/Health%20Project_41.pdf

This report presents a retrospective evaluation of the school based malaria treatment
programme implemented in Mangochi district, Malawi. The teachers were trained to
identify and treat children suffering from malaria. The results showed significant reduc-
tions in general absenteeism and grade repetition by students. Treating the cost-savings
arising from the reduced rate of repetition as the benefits of the program, the study
showed that benefits far outweighed costs.

***

A Randomised Trial to Compare the Safety, Tolerability and Efficacy of


Three Drug Combinations for Intermittent Preventive Treatment in Children

Kalifa Bojang, Francis Akor, Ousman Bittaye et al.


PLoS ONE 5(6): e11225 (21 June 2010)

9 pp. 242 kB:


http://clinicaltrials.ploshubs.org/article/fetchObjectAttachment.action;jsessionid=DFAC8A7E7165579C5F9
A506814155477.ambra01?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0011225&representation=PDF

Intermittent Preventive Treatment (IPT) in infants and children provides significant pro-
tection against clinical malaria. Sulfadoxine-pyrimethamine (SP) given alone or in com-
bination with other drugs has been used for most IPT programmes. However, SP resis-
tance is increasing in many parts of Africa. The authors have investigated whether SP
plus AQ, SP plus piperaquine (PQ) and dihydroartemisinin (DHA) plus PQ might be
equally safe and effective when used for IPT in children in an area of seasonal trans-
mission. They conclude that all the three regimens of IPT in children were safe and
highly efficacious.
***

HESP-News & Notes - 14/2010 - page 12


International population movements and regional Plasmodium falciparum
malaria elimination strategies

Andrew J. Tatem and David L. Smith


Proceedings of the National Academy of Sciences of the United States of
America (Published online before print ), 21 June 2010

6 pp. 669 kB:


http://www.pnas.org/content/early/2010/06/07/1002971107.full.pdf

Evidence from the previous global malaria eradication program and more recent trans-
border control campaigns have shown the importance of accounting for human move-
ment in introducing infections to areas targeted for elimination. Results of this study in-
dicate that certain groups of countries, such as those in West Africa and central Asia are
much more strongly connected by relatively high levels of population and infection
movement than others. For more isolated countries, a nationally focused control or
elimination program is likely to stand a better chance of success than those receiving
high levels of visitors and migrants from high-transmission regions.

***

WHO policy development processes for a new vaccine: case study of ma-
laria vaccines

by Julie Milstien, Vicky Cárdenas, James Cheyne et al.


Malaria Journal 2010, 9:182 (24 June 2010)

43 pp. 273 kB:


http://www.malariajournal.com/content/pdf/1475-2875-9-182.pdf

Recommendations from the World Health Organization (WHO) are crucial to inform de-
veloping country decisions to use, or not, a new intervention. This article analysed the
WHO policy development process to predict its course for a malaria vaccine.

Tuberculosis

Antiretrovirals and isoniazid preventive therapy in the prevention of HIV-


associated tuberculosis in settings with limited health-care resources

by Stephen D Lawn, Robin Wood, Kevin M De Cock et al.


The Lancet Infectious Diseases, Vol. 10, Issue 7, pp. 489-498, July 2010

10 pp. 137 kB:


http://download.thelancet.com/pdfs/journals/laninf/PIIS1473309910700785.pdf?id
=3d35b1b5aa0ec416:-256c6e20:1295ed18624:486f1277204341089

Antiretroviral therapy and isoniazid preventive therapy (IPT) are both effective interven-
tions to prevent HIV-associated tuberculosis, but work via different mechanisms. The
authors propose that these two interventions might best be used as complementary
strategies at different stages of HIV progression.

***

HESP-News & Notes - 14/2010 - page 13


The Prevalence and Drug Sensitivity of Tuberculosis among Patients Dying
in Hospital in KwaZulu-Natal, South Africa: A Postmortem Study

by Ted Cohen, Megan Murray, Kristina Wallengren et al.


PLoS Med 7(6): e1000296 (22 June 2010)

8 pp. 114 kB:


http://www.plosmedicine.org/article/fetchObjectAttachment.action;jsessionid=A7D0F5D9359440F962715
876E84E913C.ambra01?uri=info%3Adoi%2F10.1371%2Fjournal.pmed.1000296&representation=PDF

The authors found that 50 percent of deceased patients at a hospital in the South Afri-
can province of KwaZulu-Natal were infected with active tuberculosis, and 17 percent of
those with active TB had a multi-drug resistant strain. Post-mortem examinations of 240
patients, who were between the ages of 20 to 45 revealed that 94 percent of them were
also HIV-positive. The findings suggest that improving the early diagnosis of tuberculo-
sis and speedier initiation of treatment for both tuberculosis and HIV could reduce the
global death toll from tuberculosis.

Other Infectious Diseases

How to (or Not to) Integrate Vertical Programmes for the Control of Major
Neglected Tropical Diseases in Sub-Saharan Africa

by Narcis B. Kabatereine, Mwele Malecela, Mounir Lado et al.


PLoS Negl Trop Dis 4(6): e755 (29 June 2010)

8 pp. 1.1 MB:


http://www.plosntds.org/article/fetchObjectAttachment.action;jsessionid=AC79D10A1359435D2B6E533E
DC9A1DAA.ambra02?uri=info%3Adoi%2F10.1371%2Fjournal.pntd.0000755&representation=PDF

Combining the delivery of multiple health interventions has the potential to minimize
costs and expand intervention coverage. Integration of mass drug administration is
therefore being encouraged for delivery of preventive chemotherapy (PCT) to control
onchocerciasis, lymphatic filariasis, schistosomiasis, soil-transmitted helminthiasis, and
trachoma in sub-Saharan Africa, as there is considerable geographical overlap of these
neglected tropical diseases (NTDs). By sharing experiences from Uganda, Tanzania,
Southern Sudan, and Mozambique, this article aims to outlines key challenges and solu-
tions to assist countries in establishing efficient integrated NTD programmes.

***

The Bumpy Road to Polio Eradication

by John F. Modlin
N Engl J Med, Vol. 362:2346-2349, 24 June 2010

4 pp. 926 kB:


http://content.nejm.org/cgi/reprint/362/25/2346.pdf

In the past decade persisting reservoirs of naturally occurring (wild-type) poliomyelitis


have proven stubbornly resistant to control, for various reasons. Perhaps the biggest
bump in the road to polio eradication has been the emergence of circulating vaccine-
derived polioviruses, genetically unstable Sabin-strain viruses that revert toward the pro-
file of the virulent parent strain as they circulate for extended periods in a population
with low immunity levels.

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


Essential Medicines

Access to Medicine Index 2010

by Afshin Mehrpouya, April Cody, Suzanne Edwards et al.


Access to Medicine Foundation, Netherlands, June 2010

285 pp. 5.3 MB:


http://www.accesstomedicineindex.org/sites/www.accesstomedicin
eindex.org/files/publication/Access_to_Medicine_Index_2010_Full_Report.pdf

The Access to Medicine Index ranks 20 of the world’s largest pharmaceutical companies
on their efforts to make sure that medicines are made for, and reach, people in develop-
ing countries. Compared to 2008, when the first Index was published, pharma compa-
nies have given more insight into their policies and actions to increase people’s access
to medicines.
***

Bridging the Gap: Better, Faster and Cheaper Clinical Trials for Health
Products for Neglected Diseases

by Thomas J. Bollyky
Center for Global Development - Working Paper 217, June 2010

28 pp. 918 kB:


http://www.cgdev.org/files/1424250_file_Bollyky_Bridging_the_Gap_FINAL.pdf

There has been tremendous progress over the last decade in the development of health
products for neglected diseases. Two substantial bottlenecks, however, threaten our
capacity to bring such products to those in need. First, the research and regulatory ca-
pacity in many neglected disease-endemic settings is not adequate to support the clini-
cal trials that need to occur there in order to complete the development of these prod-
ucts. Second, current levels of financing are insufficient to support the clinical develop-
ment of these products under current cost assumptions.

***

WHO Drug Information Vol. 24, No. 2, June 2010


Quality Assurance and Safety: Medicines

44 pp. 244kB:
http://www.who.int/medicines/publications/druginformation/DrugInf
o2010_Vol24-2.pdf

The second issue for 2010 features an overview of WHO Prequalification Programmes
in the areas of diagnostics, medicines and vaccines. This follows with a report from the
WHO Prequalification of Medicines Programme concerning inspection of finished phar-
maceutical product manufacturers.

Social Protection

Social Protection in Germany: Current challenges and lessons learnt from


an ongoing reform process

HESP-News & Notes - 14/2010 - page 15


by Roland Hackenberg
Discussion Papers on Social Protection - Issue No. 4, June 2010

7 pp. 323 kB:


http://www2.gtz.de/dokumente/bib/gtz2010-0383en-social-
protection-germany.pdf

This paper aims to provide an overview of Germany's current social protection system
with a strong focus on unemployment benefits, especially regarding the conditional cash
transfer instrument. It discusses the main arguments and lessons learnt within this on-
going reform process. It aspires to provide relevant insights about the trade-offs be-
tween costs and benefits of the current system that hopefully could enrich the ongoing
discussions and reform processes within developing and emerging economies.

For previous issues of “Discussion Papers on Social Protection” see:


http://german-practice-collection.org/en/newsletters/discussion-papers-on-social-protection

***

An evaluation of the Ghana national health insurance scheme in the con-


text of the health MDGs

by Joseph Mensah, Joseph R. Oppong, Kofi Bobi-Barimah et al.


Global Development Network (GDN), March 2010

69 pp. 2.4 MB:


http://depot.gdnet.org/newkb/submissions/Health%20Project_40.pdf

This study evaluates the NHIS (National Health Insurance Scheme) to determine
whether it is fulfilling the needs for which it was established. The authors accomplish this
task by focusing on the health status of women to see whether the NHIS has yielded
any positive health outcomes regarding maternal and child health in Ghana. With this
approach, they are able to situate their evaluation in the context of the Health MDGs,
two of which (#4 and #5) deal specifically with the health of women and children.

***

Evaluating the Health Effects of Micro Health Insurance Placement: Evi-


dence from Bangladesh

by Syed Abdul Hamid, Jennifer Roberts and Paul Mosley


Department of Economics, University of Sheffield, April 2010

35 pp. 156 kB:


http://www.shef.ac.uk/content/1/c6/10/93/15/SERPS2010009.pdf

The authors examine the impact of micro health insurance (MHI) placement on health
awareness, healthcare utilization and health status of microcredit members in rural
Bangladesh, using data from 329 households in the operating areas of Grameen Bank.
The results are based on econometric analysis conditioned on placement of the
scheme, and show that placement has a positive association with all of the outcomes.
The study makes an important contribution to the literature as it provides evidence on
the impact of MHI on a broad set of health outcomes.

HESP-News & Notes - 14/2010 - page 16


Human Resources

Costing the scaling-up of human resources for health: lessons from Mo-
zambique and Guinea Bissau

by Amanda K Tyrrell, Giuliano Russo, Gilles Dussault and Paulo Ferrinho


Human Resources for Health 2010, 8:14 (25 June 2010)

33 pp. 427 kB:


http://www.human-resources-health.com/content/pdf/1478-4491-8-14.pdf

In the context of the current human resources for health (HRH) crisis, the need for com-
prehensive Human Resources Development Plans (HRDP) is acute, especially in re-
source-scarce sub-Saharan African countries. However, the financial implications of
such plans rarely receive due consideration, despite the availability of much advice and
examples in the literature on how to conduct HRDP costing.

Health Systems & Research

A systematic review of the evidence on integration of targeted health inter-


ventions into health systems

by Rifat Atun, Thyra de Jongh, Federica Secci et al.


Health Policy and Planning 2010;25:1-14 (2 December 2009)

14 pp. 288 kB:


http://heapol.oxfordjournals.org/cgi/reprint/25/1/1.pdf

A longstanding debate on health systems organization relates to benefits of integrating


health programmes that emphasize specific interventions into mainstream health sys-
tems to increase access and improve health outcomes. This analysis shows few in-
stances where there is full integration of a health intervention or where an intervention is
completely non-integrated. Instead, there exists a highly heterogeneous picture both for
the nature and also for the extent of integration. Health systems combine both non-
integrated and integrated interventions, but the balance of these interventions varies
considerably.
***

Is there an association between PEPFAR funding and improvement in na-


tional health indicators in Africa? A retrospective study

by Herbert C Duber, Thomas J Coates, Greg Szekeres et al.


Journal of the International AIDS Society 2010, (12 June 2010)

29 pp. 311 kB:


http://www.jiasociety.org/content/pdf/1758-2652-13-21.pdf

In this study, the authors sought to examine associations between receiving PEPFAR
focus-country designation and non-HIV-specific health outcomes in the WHO Africa Re-
gion, the area most affected by the HIV/AIDS epidemic. A comparison of PEPFAR focus
and non-focus countries found no significant difference in the fractional change among
13 of 14 health indicators during the study period. The authors conclude that vertical
programs, even one the scale of PEPFAR, may have little or no impact on health out-
comes not explicitly targeted.

HESP-News & Notes - 14/2010 - page 17


The African Health Monitor: Health Systems Strengthening in the African
Region

World Health Organization, Regional Office for Africa, Issue 12, April-
June 2010

76 pp. 4.7 MB:


http://ahm.afro.who.int/issue12/ahm-12.pdf

The aim of the African Health Monitor is to promote and facilitate evi-
dence-based policy and decisions to strengthening programmes for health promotion,
protection, and restoration in the African Region. In order to achieve its aim, the Monitor
serves as a medium for publication of articles that monitor the health situation and
trends, and track progress toward the health-related Millennium Development Goals and
other internationally agreed-upon goals.
***

Engaging the public in health research

http://healthexchangenews.com

The latest issue of Health Exchange contains a range of articles showing how communi-
ties can engage with science and health research. Articles from Brazil, Suriname,
Uganda and other countries show examples of interesting projects that open new
spaces for the general public to explore what science is, and what health research
means for their daily experiences. They also show how scientists and scientific ap-
proaches are challenged by local power and knowledge of health and environmental is-
sues.

Information & Communication Technology

Bridging the gaps in the Health Management Information System in the


context of a changing health sector

by Angelo S Nyamtema
BMC Medical Informatics and Decision Making 2010, 10:36 (25 June 2010)

17 pp. 164 kB:


http://www.biomedcentral.com/content/pdf/1472-6947-10-36.pdf

The Health Management Information System (HMIS) is crucial for evidence-based pol-
icy-making, informed decision-making during planning, implementation and evaluation of
health programs; and for appropriate use of resources at all levels of the health system.
This study explored the gaps and factors influencing HMIS in the context of a changing
health sector in Tanzania.
***

Bridging the Gender Divide: How Technology Can Advance Women Eco-
nomically

by Kirrin Gill, Kim Brooks, Janna McDougall et al.


International Center for Research on Women (ICRW), 2010

HESP-News & Notes - 14/2010 - page 18


36 pp. 1.4 MB:
http://www.icrw.org/files/publications/Bridging-the-Gender-Divide-
How-Technology-can-Advance-Women-Economically.pdf

Intention and innovation can generate real economic benefits to women


in the developing world. In this study, ICRW examines technology initia-
tives that have enabled women to develop their economic potential, be-
come stronger leaders and more effective contributors to their families, communities and
domestic economies. The report also offers innovators practical recommendations on
how to design and deploy technologies that women can't afford not to use.
***

Guide to Measuring Information and Communication Technologies (ICT) in


Education

by Willem Johan Pelgrum, Claude Akpabie, Katja Frostell et al.


United Nations Educational, Scientific and Cultural Organization
(UNESCO), 2009

139 pp. 2.2 MB:


http://www.uis.unesco.org/template/pdf/cscl/ICT/ICT_Guide_EN.pdf

This manual presents a set of internationally comparable indicators on the use of ICT in
education, along with standardised definitions of key concepts, detailed measurement
specifications, and practical guidance on appropriate interpretation of the indicators, in-
tended to address policy needs at both national and international levels.

***
ICT for Disaster Risk Reduction

by Shanta Halder, Tasdiq Ahmed, Manzul Hazarika et al.


United Nations Asian and Pacific Training Centre for Information and
Communication Technology for Development (UN-APCICT/ESCAP), May
2010

151 pp. 5.5 MB:


http://www.preventionweb.net/files/14390_ICTDCaseStudy2.pdf

This document discusses the ways in which ICT has positively impacted the various
phases of disaster management. Noting the use of ICT during and in the immediate af-
termath of disasters like the Indian Ocean Tsunami, and most recently the Haiti Earth-
quake, the case studies examine the important role ICTs play in disaster preparedness,
response and mitigation. Case Study 2 shares the lessons learned by disaster man-
agement practitioners who have deployed ICT in response to disasters in countries like
Bangladesh, China, Sri Lanka, and Haiti.

Education

Bilateral Support to Primary Education


Department for International Development (DFID)

Report by the Comptroller and Auditor General, 18 June 2010

HESP-News & Notes - 14/2010 - page 19


46 pp. 658 kB:
http://www.nao.org.uk/idoc.ashx?docId=134fd82e-fdaf-4a38-8f58-
1a0515f67d2f&version=-1

The Department for International Development (DFID) has successfully supported de-
veloping countries in progress against goals of universal enrolment in primary education
and improved educational prospects for girls. However, quality of education and levels
of attainment remain low and pupil and teacher absenteeism is still too high. The report
concludes that, given tight resources for education in developing countries, a greater
emphasis on quality and cost-effectiveness to achieve good value for money is espe-
cially important.
***

Gender Equality in and through Education

by Siobhán Foran, Gurcharan Virdee, Victoria Rames et al.


Inter-Agency Network for Education in Emergencies (INEE), 2010

78 pp. 1.4 MB:


http://www.reliefweb.int/rw/lib.nsf/db900sid/NROI-
86U7RL/$file/INEE_Pocket_Guide_to_Gender_EN.pdf?openelement

This Pocket Guide to Gender distils essential gender equality programming principles
and provides concrete strategies for putting gender equality into practice. It is intended
for anyone working to provide, manage or support education services as part of emer-
gency preparedness, response or recovery.

***

Minimum Standards for Education: Preparedness, Response, Recovery


2nd edition
Inter-Agency Network for Education in Emergencies (INEE), 2010

139 pp. 1.7 MB:


http://www.ineesite.org/uploads/documents/store/Minimum_Standar
ds_English_2010.pdf

The new handbook outlines minimum standards for setting up education programmes in
natural disasters and conflict zones, reflects changes the sector has undergone since
the last published edition in 2004. These include the since-formed education "cluster" - a
coordination group of UN agencies and non-profits working in education, and a new fo-
cus on the links between education and disaster risk reduction as well as conflict mitiga-
tion.
***

1-1 in Education: Current Practice, International Comparative Research


Evidence and Policy Implications

by Oscar Valiente
Organisation for Economic Co-operation and Development (OECD)
Education Working Papers, No. 44, March 2010

20 pp. 238 kB:


http://www.oecdilibrary.org/docserver/download/fulltext/5kmjzwfl9vr2.pdf?expires=1277573840
&id=0000&accname=freeContent&checksum=4CA84A8868C5294E833A6E49C7B74001

HESP-News & Notes - 14/2010 - page 20


Over the last decade, more and more public and private stakeholders, in developed and
developing countries, have been supporting 1:1 initiatives in education (i.e. every child
receives her/his own personal computing device). These 1:1 initiatives represent a quali-
tative move forward from previous educational experiences with ICT, inasmuch as every
child is equipped with ubiquitous access to a personal device (usually laptops, net
books or handhelds).

Harm Reduction and Drug Use

World Drug Report 2010

by Sandeep Chawla, Justice Tettey, Beate Hammond et al.


United Nations Office on Drugs and Crime (UNODC), July 2010

313 pp. 10.9 MB:


http://www.unodc.org/documents/wdr/WDR_2010/World_Drug_Re
port_2010_lo-res.pdf

This year’s World Drug Report opens with an analytical discussion of three key transna-
tional drug markets: the markets for heroin, cocaine and amphetamine-type stimulants.
The market discussion is followed by a presentation of statistical trends for all major
drug categories. The latest information on drug production, seizures and consumption is
presented. Finally, there is a discussion on the relationship between drug trafficking and
instability.
***

Survival and cessation in injecting drug users: prospective observational


study of outcomes and effect of opiate substitution treatment

by Jo Kimber, Lorraine Copeland, Matthew Hickman et al.


BMJ 2010;341:c3172 (1 July 2010)

8 pp. 137 kB:


http://www.bmj.com/cgi/reprint/341/jul01_1/c3172

Opiate substitution treatment in injecting drug users in primary care reduces the risk of
mortality, with survival benefits increasing with cumulative exposure to treatment.
Treatment does not reduce the overall duration of injecting.

***
Passive smoking and children

A report by the Tobacco Advisory Group of the Royal College of Physi-


cians, March 2010

26 pp. 829 kB:


http://www.rcplondon.ac.uk/professional-Issues/Public-
Health/Documents/Preface-to-passive-smoking-and-children-March-
2010.pdf

The report quantifies the effects of second-hand smoke on children’s health, and the re-
lated costs, and identifies ways in which smoke-free legislation could be improved to af-
ford greater protection to children. Most importantly, it calls for a radical rethink of the
acceptability of smoking anywhere in the presence of children.

HESP-News & Notes - 14/2010 - page 21


Coerced addiction treatment: Client perspectives and the implications of
their neglect

by Karen A Urbanoski
Harm Reduction Journal 2010, 7:13 (20 June 2010)

32 pp. 154 kB:


http://www.harmreductionjournal.com/content/pdf/1477-7517-7-13.pdf

This synthesis of the available research on coerced addiction treatment suggests that it
remains largely unclear to what extent many of the commonly employed methods for
getting people into treatment may be detrimental to the treatment process and longer-
term outcomes. The impact of coercion upon individual clients, treatment systems, and
population health has not been adequately dealt with by addiction researchers to date.

***

An approach to heroin use disorder intervention within the South African


context: A content analysis study

by Monika ML dos Santos, Solomon T Rataemane, David Fourie et al.


Substance Abuse Treatment, Prevention, and Policy 2010, 5:13 (23 June 2010)

23 pp. 146 kB:


http://www.substanceabusepolicy.com/content/pdf/1747-597x-5-13.pdf

The field of heroin use disorder intervention has been in transition in South Africa since
the outbreak of the heroin epidemic. Yet despite growing evidence of an association be-
tween heroin users' use of supplementary intervention services and intervention out-
comes, heroin use disorder intervention programmes in South Africa generally fail to
meet international research-based intervention standards.

Global Health

The 10 challenges of global health governance

Global Health Europe - A platform for European engagement in Global Health, 28 June
2010

6 pp. 246 kB:


http://www.globalhealtheurope.org/index.php?view=article&catid=60%3Ayour-opinion&id=306%3Athe-10-
challenges-of-global-health-governance&format=pdf&option=com_content&Itemid=108

In a presentation delivered at the June 2010 "Global Health: Together we can make it"
conference in Brussels, Professor Ilona Kickbusch, Director of the Global Health Pro-
gramme at the Graduate Institute, Geneva and Chair of the Global Health Europe Task
Force, summarized the key challenges that have to be tackled in order to improve global
governance for health.
***

What can global health institutions do to help strengthen health systems in


low income countries?

by Dina Balabanova, Martin McKee, Anne Mills et al.

HESP-News & Notes - 14/2010 - page 22


Health Research Policy and Systems 2010, 8:22 (29 June 2010)

30 pp. 186 kB:


http://www.health-policy-systems.com/content/pdf/1478-4505-8-22.pdf

Weaknesses in health systems contribute to a failure to improve health outcomes in de-


veloping countries, despite increased official development assistance. Changes in the
demands on health systems, as well as their scope to respond, mean that the situation
is likely to become more problematic in the future. Diverse global initiatives seek to
strengthen health systems, but progress will require better coordination between them,
use of strategies based on the best available evidence obtained especially from evalua-
tion of large scale programs, and improved global aid architecture that supports these
processes.
***

Examining the Global Health Arena: Strengths and Weaknesses of a Con-


vention Approach to Global Health Challenges

by Just Balstad and John-Arne Røttingen


Norwegian Knowledge Centre for the Health Services Report No. 12,
2010

82 pp. 444 kB:


http://www.kunnskapssenteret.no/binary?download=true&id=14187

The purpose of the report is to contribute towards resolving the challenges related to
poor health amongst the world’s poorest and least healthy population. As such, it repre-
sents an initiative from the Norwegian public administration towards informing national
and international governmental bodies of strengths and weaknesses of a global health
convention approach to structure the international work on global health.

***

From G8 to G20, is health next in line?

by Sudeep Chand, J Stephen Morrison, Peter Piot, David L Heymann


The Lancet, published online June 23, 2010

3 pp. 103 kB:


http://download.thelancet.com/flatcontentassets/pdfs/S014067361060997X.pdf

The authors assess whether and how the G20 could be involved in global health. A
consortium of think tanks from several of the G8 countries will meet to initiate a discus-
sion on the current and potential role for the G20. Innovation and sharing of lessons are
obvious options.
***

Achieving Sustainable Health Development in the African Region

Margaret Chan, Antoine Kabore, Amidou Baba-Moussa et al.


World Health Organization, Regional Office for Africa, Brazzaville, 2010

31 pp. 944 kB:


http://www.reliefweb.int/rw/lib.nsf/db900sid/EGUA-
86MQDU/$file/who-strategic-directions2010-2015.pdf?openelement

HESP-News & Notes - 14/2010 - page 23


Building on the successes of the past and on the lessons learnt, this document details
the main directions for the work of WHO in the African Region for the period 2010–2015
and opens new horizons for regional response to the global health agenda, including
new policies and tools for programs related to the Millennium Development Goals
(MDGs). These strategic directions which could contribute to the achievement of sus-
tainable health development are particularly opportune since 2015 will be the year of
evaluation of the MDGs.
***

Where Is the Future in Public Health?

by Hilary Graham
The Milbank Quarterly, Vol. 88, No. 2, 2010 (pp. 149-168)

20 pp. 747 kB:


http://www.milbank.org/quarterly/8802featGraham.pdf

Today’s societies have far-reaching impacts on future conditions for health. Against this
backdrop, this article explores how the future is represented in contemporary public
health, examining both its conceptual base and influential approaches through which
evidence is generated for policy.

Millennium Development Goals

Millennium Development Goals Report 2010

Department of Economic and Social Affairs of the United Nations Secre-


tariat (DESA), June 2010

80 pp. 6.3 MB:


http://www.un.org/millenniumgoals/pdf/MDG%20Report%202010
%20En%20r15%20-low%20res%2020100615%20-.pdf
The report is also available in: Arabic, Chinese, French, Russian and Spanish

Though the economic crisis took a heavy toll on jobs and incomes around the world, the
world is still on track to achieve the MDG target of cutting the rate of extreme poverty in
half by 2015, the report notes. It also cites big gains in getting children into primary
schools in many poor countries, especially in Africa; strong interventions in addressing
AIDS, malaria and child health; and a good chance to reach the target for access to
clean drinking water.
***
The MDGs Beyond 2015

by Selim Jahan
Institute of Development Studies (IDS) Bulletin Volume 41, Number 1, January 2010

9 pp. 108 kB:


http://www3.interscience.wiley.com/cgi-bin/fulltext/123239286/PDFSTART

With six years to go, the world has a mixed record with regard to the achievement of the
MDGs – a set of time-bound quantitative development targets the world set for itself in
2000 to reduce human poverty. The progress towards the MDGs has been halted be-
cause of recent food, fuel and financial crises. This article portrays a picture for beyond
2015.
***

HESP-News & Notes - 14/2010 - page 24


Millennium Development Goals Report Card: Learning from Progress

by Liesbet Steer and Matthew Geddes


Overseas Development Institute (ODI), 2010

12 pp. 979 kB:


http://www.odi.org.uk/resources/download/4908.pdf

This summary is part of initial findings from an ongoing review of devel-


opment progress, which will include a set of ‘MDG indicators to construct league tables’
highlighting progress on these indicators. It provides evidence that the MDG picture in
Africa is better than usually appears from (negative) media coverage.

***

Halving Hunger: Meeting the MDG through "Business as Unusual"

by Shenggen Fan
International Food Policy Research Institute, June 2010

28 pp. 895 kB:


http://www.reliefweb.int/rw/lib.nsf/db900sid/EGUA-
86PMV6/$file/ifpri-halving-hunger-jun2010.pdf?openelement

In 2000, the world’s leaders set a target of halving the percentage of hungry people be-
tween 1990 and 2015. This rather modest target constitutes part of the first Millennium
Development Goal, which also calls for halving the proportion of people living in poverty
and achieving full employment. The goal of halving hunger by 2015 can still be
achieved, but business as usual will not be enough. What is needed is “business as un-
usual” - a smarter, more innovative, better focused, and cost-effective approach to re-
ducing hunger.
***

Impacts of the Economic Crisis on Human Development and the MDGs in


Africa

by Pedro Conceição, Shantanu Mukherjee, Shivani Nayyar


United Nations Development Programme, April 2010

39 pp. 1.4 MB:


http://zunia.org/uploads/media/knowledge/Economic_crisis_Africa[1
]1277751122.pdf

Will the crisis have long term consequences for human development and MDG
achievement in Africa? What policies can address them? This paper examines similar
episodes in the past and uses a simple framework to assess the impact on human de-
velopment and MDGs. It demonstrates how the crisis can lead to slow-down or rever-
sals in the rate of progress.

Development Assistance

21st Century Aid: Recognising success and tackling failure

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


by Jasmine Burnley, Mark Fried, Richard King et al.
Oxfam Briefing Paper 137 - 20th May 2010

58 pp. 1.6 MB:


http://www.oxfam.org.uk/resources/policy/debt_aid/downloads/bp1
37_21st_century_aid_en_200510.pdf

Aid that does not work to alleviate poverty and inequality - aid that is
driven by geopolitical interests, which is too often squandered on expensive consultants
or which spawns parallel government structures accountable to donors and not citizens -
is unlikely to succeed. This report examines the evidence, and finds that whilst there is
much room for improvement, good quality 21st century aid not only saves lives, but is
indispensable in unlocking poor countries’ and people’s ability to work their own way out
of poverty.
***

Muskoka Accountability Report: Assessing Action and Results against De-


velopment-Related Commitments

G8 Accountability Working Group, June 2010

92 pp. 1.5 MB:


http://www.reliefweb.int/rw/lib.nsf/db900sid/MYAI-
86M3G8/$file/g8-jun2010.pdf?openelement

At the Gleneagles G8 Summit in 2005, the G8 countries committed themselves to pro-


viding Africa with US$ 25 billion additional dollars by 2010. According to the Muskoka
Accountability report, released by the G8 itself, the commitment has fallen short by at
least US$ 7 billion. The report is so self-serving and opaque that it is frankly impossible
to divine the exact figure, but even taking it at its best, it means that the G8 will fall short
by almost 30%.
***
Aid Flows in Times of Crises

by Andrew Mold, Annalisa Prizzon, Emmanuel Frot, Javier Santiso


Conference on Development Cooperation in Times of Crisis and on
Achieving the MDGs, IFEMA Convention Centre (Madrid), 9-10 June
2010

65 pp. 2.4 MB:


http://www.reliefweb.int/rw/lib.nsf/db900sid/EGUA-
86PMJW/$file/EU--Aid-Flows-in-times-of-crisis-jun2010.pdf?openelement

This report provides an overview on the different forms of development finance and then
looks more specifically at the details on Official Development Assistance (ODA). While
the econometric analysis shows little evidence of a strong relationship between eco-
nomic growth in the OECD countries and the subsequent budgetary decisions on devel-
opment aid, it is worth stressing the depth of the current crisis is unparalleled since the
1930s. This report reviews evidence on aid levels and aid efficiency in the wider context
of the financing needs of developing countries.

***

HESP-News & Notes - 14/2010 - page 26


Others

Diabetes in sub-Saharan Africa

by Jean Claude N Mbanya, Ayesha A Motala, Eugene Sobngwi et al.


The Lancet, Vol. 375, Issue 9733, pp. 2254-2266, 26 June 2010

13 pp. 394 kB:


http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673610605508.pdf?i
d=40bade4753939e7f:389b5add:129730cc820:-236b1277538312184

In Sub-Saharan Africa, prevalence and burden of type 2 diabetes are rising quickly.
Rapid uncontrolled urbanisation and major changes in lifestyle could be driving this epi-
demic. The increase presents a substantial public health and socioeconomic burden in
the face of scarce resources. A multisectoral approach to diabetes control and care is vi-
tal for expansion of socioculturally appropriate diabetes programmes in sub-Saharan Af-
rican countries.
***

Prevention and Treatment of Cancer of the Cervix in Africa II

Surgery in Africa Monthly Reviews is pleased to announce the above July


2010 Review, available online at: http://www.ptolemy.ca/members/

***

Poverty Lines across the World

by Martin Ravallion
The World Bank Development Research Group, April 2010

38 pp. 622 kB:


http://www-
wds.worldbank.org/external/default/WDSContentServer/IW3P/IB/2010/04/27/000158349
_20100427143536/Rendered/PDF/WPS5284.pdf

National poverty lines vary greatly across the world, from under US$ 1 per person per
day to over US$ 40 (at 2005 purchasing power parity). What accounts for these huge
differences, and can they be understood within a common global definition of poverty?
For all except the poorest countries, the absolute, nutrition-based, poverty lines found in
practice tend to behave more like relative lines, in that they are higher for richer coun-
tries. Prevailing methods of setting absolute lines allow ample scope for such relativity,
even when nutritional norms are common across countries.

***

Sterilization Manual for Health Centers

by Silvia I. Acosta-Gnass and Valeska de Andrade Stempliuk


Pan American Health Organization, 2009

175 pp. 1.5 MB:


http://www.lachealthsys.org/index.php?option=com_docman&task
=doc_download&gid=565&Itemid=

HESP-News & Notes - 14/2010 - page 27


The purpose of this manual is to inform health workers on the protocols and simple pro-
cedures that have been developed to prevent healthcare-associated infections. The
guidelines included in this handbook show which steps to follow in cleaning, preparing,
sterilizing, storing, and transporting hospital equipment so as to guarantee sterile mate-
rials--awareness of which is crucial in providing patients with safe health care. This page
provides a summary and access to the full text in Spanish.

ELECTRONIC RESOURCES
Newsletter of the German BACKUP Initiative - Issue No. 11, June 2010

4 pp. 100 kB:


http://www.gtz.de/de/dokumente/gtz201006-en-backup-news.pdf

The German BACKUP Initiative is a sector programme funded by the German Federal
Ministry for Economic Co-operation and Development (BMZ). Since 2002, BACKUP
supports partner countries worldwide to take more advantage of funding opportunities
provided by the Global Fund to Fight AIDS, Tuberculosis and Malaria. The initiative pro-
vides technical support for responses to HIV, tuberculosis and malaria, in a context of
strengthening health systems, engendering national responses to HIV, enhancing com-
munity systems strengthening and building national and regional capacity. While
BACKUP initially focused on Global Fund proposal development, it has increasingly
shifted its work towards improving the quality of grant negotiation and implementation to
a large number of government and civil society partners. BACKUP Newsletter offers you
a regular update on developments within the German BACKUP Initiative.

***

Bulletin of the World Health Organization (BLT)


Volume 88, Number 7, July 2010, 481-560

http://www.who.int/bulletin/volumes/88/7/en/index.html

IN THIS MONTH'S BULLETIN:


Africa; Does poverty drive the HIV epidemic?; Cameroon, Nigeria & Uganda; Involving
communities in health; Côte d’Ivoire; Care for HIV-infected children; India; Breaking cy-
cle of heath-care debt; Price for piped water?; Indonesia; Reducing neonatal deaths; Li-
beria; After the war; Pacific islands; Heavy price for poor diet; United Republic of Tan-
zania; Digitizing data in the field; Global; Applying human rights for health; Improving the
use of evidence
***

Community Eye Health Journal - Vol. 23 No. 72, March 2010


“When your eye patient is a child”

20 pp. 7.2 MB:


http://www.cehjournal.org/download/ceh72.pdf

The Community Eye Health Journal publishes practical and informative


peer-reviewed articles based on research and real-world experience to support, inform,
and inspire a wide range of health care and related workers, with an emphasis on eye
care workers.
***

HESP-News & Notes - 14/2010 - page 28


HIV and AIDS Treatment Documents

http://www.aidstar-one.com/treatment-documents

AIDSTAR-One has developed a database of documents related to treatment of HIV and


AIDS from various experts in the field as well as governments and international health
organizations. The database is updated on an ongoing basis and includes national HIV
and AIDS treatment guidelines, technical briefs, case studies and other related materi-
als.
***

The Procurement & Supply Management (PSM) Toolbox

http://www.psmtoolbox.org

The Procurement & Supply Management Toolbox is a WHO/AMDS repository of tools


for health professionals, medical and pharmacy students and consultants working on
PSM and several health/pharmacy related areas worldwide. The database now contains
185 English and 62 French PSM tools and resource documents for ARVs, TB & malaria
medicines and several other health commodities. Links to tool translations into Arabic,
Chinese, Portuguese, Spanish and Russian have been mentioned where available.

***

Gapminder

http://www.gapminder.org/

Gapminder is a non-profit venture - a modern ‘museum’ on the


Internet - promoting sustainable global development and achieve-
ment of the United Nations Millennium Development Goals. The ini-
tial activity was to pursue the development of the Trendalyzer software. Trendalyzer
sought to unveil the beauty of statistical time series by converting boring numbers into
enjoyable, animated and interactive graphics. The current version of Trendalyzer is
available since March 2006 as Gapminder World, a web-service displaying time series
of development statistics for all countries.

INTERESTING WEB SITES


The Center for Health Market Innovations (CHMI)

http://healthmarketinnovations.org/

The Center for Health Market Innovations (CHMI) is a global network of partners that
seeks to improve the functioning of health markets in developing countries with large
numbers of private health care providers. As a publicly accessible global knowledge
platform consisting of a network of partners that collect, analyze, and disseminate infor-
mation about Health Market Innovations in developing countries, the CHMI website fa-
cilitates the exchange of knowledge and the creation of strategic linkages among key
stakeholders.
***

HESP-News & Notes - 14/2010 - page 29


The Rape-aXe anti rape condom

http://www.antirape.co.za/intro.htm

Rape-aXe is a new product that aids in the prevention rapes. The Rape-
aXe system consists of a latex sheath, which contains razor-sharp barbs.
The device is worn in her vagina like a tampon. When the attacker at-
tempts vaginal penetration the barbs attach themselves to the penis, caus-
ing great discomfort. The device must be surgically removed, which will
result in the positive identification of the attacker and subsequent arrest.

TRAINING OPPORTUNITIES
Project Cycle Management-1: Planning

Participatory planning and design of projects

2 - 6 August 2010 - Arusha, Tanzania


MDF Training & Consultancy

This one week course gives an introduction to Project Cycle Management emphasising
project formulation. Crucial in proper project planning is a thorough analysis of objec-
tives that the project intends to achieve. This course enables participants to employ
clear, sequential planning methods such as the logical framework.

For more information see:


http://www.mdf.nl/page/MDF-SERVICES/Management-Services/Training-Courses/project-
cycle-management-1-planning?mod[MDFCourseCalendarModule][item]=37

***

Health Issues in Humanitarian Crises

7 - 11 September, 2010
Universität Bielefeld, Germany

Course Content: Medical care in disaster situations, epidemiological tools for outbreaks
and in emergencies, organising emergency response, setting up a camp and basic
health care facilities, NGOs and the military, international law, socio-political scenario in
disasters, war, peace and health.

Target Audience: Students in fields related to public Health, in social and political sci-
ences, in technical fields related to provision of basic needs, personnel with a medical
background.
Language: English; Fees: EUR 150 - 300
For more information contact:
Eva Berens
Tel.: +49-521-106-3881
Fax: +49-521-106-6465
mailto:eva-maria.berens@uni-bielefeld.de
or see: http://iph-partnership.org/index.php?title=Summer_School_2010

For more courses and conferences see also:


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

HESP-News & Notes - 14/2010 - page 30


Health and Human Rights Course

20 September - 1 October, 2010


Institute for Public Health - University of Heidelberg, Germany

The course is a partnership between UN agencies (WHO, ILO, UNFPA) and the Univer-
sity of Heidelberg.

This course covers the general concepts and principles of human rights, their relation-
ship to, and impact within the health sector. It has a practical approach, using case stud-
ies from numerous low and middle-income countries, combined with the experiences of
lecturers and participants to examine the vital role of human rights in the health sector.

For more details and registration see:


http://www.klinikum.uni-heidelberg.de/Human-Rights.108377.0.html

***

Online Course on Cervical Cancer Prevention (Low-Resource Settings)

http://www.globalhealthlearning.org/courseguide.cfm?course=70
(The courses on this site are free and available to all who are interested - free registra-
tion required.)

Cervical cancer is preventable and curable when detected at an early stage. However,
cervical cancer remains the leading cause of cancer death among women in developing
countries. This course will provide essential knowledge about the burden of cervical
cancer; effective and low-cost tools available to detect and treat precancerous lesions;
information about the human papillomavirus (HPV) vaccine; links between HIV, HPV,
and cervical cancer; and proven program approaches applied in low-resource settings to
combat this preventable killer.
***

The Management Development Institute - A Management Development


Program for Managers and Leaders of HIV & AIDS Organizations

For Southern African leaders in Cape Town, South Africa:


22 - 28, August 2010
For West African leaders, in Accra, Ghana:
29 August - 4 September 2010

The application deadline for the August/September 2010 programmes is 12 July 2010!

The Management Development Institute (MDI) for HIV & AIDS service providers is a
one-week intensive program designed to enhance the leadership and management
skills of program managers and leaders of African organizations devoted to the care,
treatment and support of people and their families living with this disease.

For more information see: http://www.anderson.ucla.edu/mdi.xml


or download the course brochure (6 pp. 307 kB) at:
http://www.anderson.ucla.edu/Documents/areas/ctr/jandj/2010%20MDI%20Brochure.pdf

HESP-News & Notes - 14/2010 - page 31


CONFERENCES
4th Global Summit on HIV/AIDS, Traditional Medicines & Indigenous
Knowledge

2-5 August 2010 - Cape Coast, Ghana

Among other things, the summit will review the level of progress national governments
have made in empowering traditional medicine practitioners to provide safe, effective,
and quality products and practices as an integral part of their primary healthcare sys-
tems.
For more information, visit: http://www.africa-first.com/4thglobalsummit/default.asp

CARTOON

TIPS & TRICKS


Multiple browsers

There are so many browsers available these days, it is hard to know which
one will perform the best for you. There is Internet Explorer, Firefox, Chrome,
Opera, Safari etc. So, instead of choosing just one browser to use, why not
use two or three or even four? As long as your computer can handle that
much data, there is not really any reason not to. Most differing browsers
connect well with each other and will cause you no additional problems.

But why should you use more than one browser. Why does it matter? The
biggest thing is having a back-up resource. If one browser fails and breaks
down, you will always have another one to back you up. Another big pro on
the multiple browser’s side is that when you are trying to access a Web
page, etc. and it is giving you trouble, you can always test it on another
browser. That way, you will be able to see if it is the actual browser, the Web
site or if it is something with your connection or firewall.

In other words, using more than one Web browser keeps you safe from vulnerabilities

HESP-News & Notes - 14/2010 - page 32


and with more than one browser on your side, you won’t ever have to worry
about being shut down. You can always continue on with your work and get
the job done. Just download your chosen browser, install, and you are all set.
When you want to use your alternate browser, just open it up.

***

Lock Your Computer Up!

Here is a quick tip for everyone out there using Windows XP through
Windows 7. If you want to lock your computer the super-quick way just
press your Windows Key + L.

Enter any password and - Voila! Your computer is locked! (You have to enter the same
password again to unlock!)

Best regards,

Dieter Neuvians MD

------------------------------
Fair Use:
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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
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HESP-News & Notes - 14/2010 - page 33

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