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Health, Education, Social Protection News & Notes 20/2011

A bi-weekly newsletter supported by GIZ (Deutsche Gesellschaft fr Internationale Zusammenarbeit)


24 September 2011
You can download back issues (2005 - 2011) of this newsletter at: http://german-practice-collection.org/en/links/newsletters/hesp-news-and-notes or search all issues there with:

Table of Contents: BOOKS ................................................................................ 4


World Development Report 2012: Gender Equality and Development .................................. 4 Education at a Glance 2011: OECD Indicators....................................................................... 4 Improving Health Sector Performance: Institutions, Motivations and Incentives - The Cambodia Dialogue................................................................................................................. 4 Frontiers in Development Policy: A Primer on Emerging Issues ............................................ 5 Manual of diagnostic ultrasound.............................................................................................. 5

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


Global Health.............................................................................................................. 5
Turning the Page from Emergency to Sustainability ............................................................... 5 Optimizing Global Fund Proposals to Promote Womens & Childrens Health....................... 6

HIV - AIDS - STI ......................................................................................................... 6


HIV and infant feeding - A Policy Statement ........................................................................... 6 HIV Interventions to Reduce HIV/AIDS Stigma: A Systematic Review .................................. 6 HIV & Me: A Guide to Living with HIV for Hispanics ............................................................... 7 Wank and Live!........................................................................................................................ 7 Call for Good Practice Case Studies: HIV Programming for Young People........................... 7

Sexual & Reproductive Health .................................................................................... 8


Reclaiming & Redefining Rights.............................................................................................. 8 Abortion care for young women: A training toolkit................................................................... 8

Maternal & Child Health.............................................................................................. 8


Innovating to improve women and childrens health ............................................................... 8 District Planning Tool for Maternal and Newborn Health Strategy Implementation................ 9 Nobody Remembers Us: Failure to Protect Womens and Girls Right to Health and Security in Post Earthquake Haiti............................................................................................ 9 Preventing Violence against Women and Children: Workshop Summary .............................. 9 WHO Recommendations for Prevention and Treatment of Pre-eclampsia and Eclampsia.. 10 Levels & Trends in Child Mortality - Report 2011.................................................................. 10 Boys and Girls in the Life Cycle ............................................................................................ 10 Solutions to End Child Marriage: What the Evidence Shows ............................................... 11 Guideline: Vitamin A supplementation in pregnant women .................................................. 11

Malaria ..................................................................................................................... 11
A Decade of Partnership and Results: Roll Back Malaria Partnership (RBM) ...................... 11 Maintaining the Gains in Malaria Control .............................................................................. 12 The Threat of Artemisinin-Resistant Malaria......................................................................... 12 Net Benefits: A Multicountry Analysis of Observational Data Examining Associations between Insecticide-Treated Mosquito Nets and Health Outcomes ..................................... 12 Predictors of mosquito net use in Ghana .............................................................................. 13 Cost analysis of school-based intermittent screening and treatment of malaria in Kenya.... 13

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Malaria in Turkey: Successful control and strategies for achieving elimination.................... 13 Universal Access to Malaria Diagnostic Testing ................................................................... 13 Interactions between worms and malaria: good worms or bad worms? ............................... 14 Antimalarial efficacy of piperaquine-based antimalarial combination therapies: facts and uncertainties .......................................................................................................................... 14

Tuberculosis ............................................................................................................. 14
Collaborative framework for care and control of tuberculosis and diabetes ......................... 14 Transmission of tuberculosis in hyperendemic regions ........................................................ 15

Other Infectious Diseases......................................................................................... 15


A Long-Lasting Measles Epidemic in Maroua, Cameroon 2008-2009: Mass Vaccination as Response to the Epidemic .................................................................................................... 15 Should outbreak response immunization be recommended for measles outbreaks in middleand low-income countries? An update .................................................................................. 16 Utility of Repeated Praziquantel Dosing in the Treatment of Schistosomiasis in High-Risk Communities in Africa: A Systematic Review ....................................................................... 16 Chagas disease in European countries: the challenge of a surveillance system ................. 16

Non-communicable Diseases ................................................................................... 17


Noncommunicable Diseases Country Profiles 2011 ............................................................. 17 Scaling up action against noncommunicable diseases: How much will it cost? ................... 17 Global Atlas on cardiovascular disease prevention and control ........................................... 17 Affordable Interventions to Prevent Noncommunicable Diseases Worldwide ...................... 18 Chronic Diseases Do Affect Youth ........................................................................................ 18 Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis ............................................................................................................................................... 18

Essential Medicines .................................................................................................. 18


The Role of Health Insurance in the Cost-Effective Use of Medicines ................................. 18 Essential Medicines for Non-Communicable Diseases (NCDs) ........................................... 19 Universal Access to Medicines for Non-Communicable Diseases: Within our Grasp but Outof-Reach ................................................................................................................................ 19 Developing, implementing, consolidating: The Drugs for Neglected Diseases initiative (DNDi) - 2010 Report ............................................................................................................ 19

Social Protection....................................................................................................... 20
Pensions in Africa.................................................................................................................. 20 Zap It to Me: The Short-Term Impacts of a Mobile Cash Transfer Program ........................ 20 The impact of reducing financial barriers on utilisation of a primary health care facility in Rwanda ................................................................................................................................. 20

Water, Sanitation & Hygiene..................................................................................... 21


Pathways to Progress: Transitioning to Country-Led Service Delivery Pathways to Meet Africas Water Supply and Sanitation Targets....................................................................... 21 Water and Climate Dialogue ................................................................................................. 21

Human Resources.................................................................................................... 21
Health Workers Reach Index ................................................................................................ 21 No Child out of Reach: Time to end the health worker crisis ................................................ 22

Health Systems & Research ..................................................................................... 22


At A Crossroads: Sierra Leones Free Health Care Policy ................................................... 22 Beginning with the end in mind: Planning pilot projects and other programmatic research for successful scaling up ............................................................................................................ 22 Governance for health in the 21st century: a study conducted for the WHO Regional Office for Europe.............................................................................................................................. 23 Linking public health training and health systems development in sub-Saharan Africa: Opportunities for improvement and collaboration ................................................................. 23 The Humanitarian Emergency Settings Perceived Needs Scale (HESPER): Manual with Scale...................................................................................................................................... 23 Improving Health in the United States: The Role of Health Impact Assessment.................. 24 Investing in Health for Africa: The Case for Strengthening Systems for Better Health Outcomes .............................................................................................................................. 24

Information & Communication Technology ............................................................... 24


Opportunities and Challenges of Cloud Computing to Improve Health Care Services......... 24

Education ................................................................................................................. 25
Cost and Cost-Effectiveness Analysis of School-Based Sexuality Education Programmes in Six Countries ......................................................................................................................... 25

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Reducing Exclusion and Educational Poverty Through Innovation ...................................... 25

Harm Reduction and Drug Use................................................................................. 25


A systematic review of interventions to increase the uptake of opiate substitution therapy in injecting drug users ............................................................................................................... 25

Millennium Development Goals ................................................................................ 26


Assessing Progress in Africa toward the Millennium Development Goals ........................... 26 Impact of Health Expenditure on Achieving the Health-related MDGs ................................. 26 Millennium Development Goal 8 - The Global Partnership for Development: Time to Deliver ............................................................................................................................................... 26 Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysis ............................................................................................ 27 MDG Progress Index 2011: The Good (Country Progress), the Bad (Slippage), and the Ugly (Fickle Data) .......................................................................................................................... 27 Assessing Development Strategies to Achieve the MDGs in Asia: Philippines.................... 27 Join up, scale up: How integration can defeat disease and poverty ..................................... 28

Development Assistance .......................................................................................... 28


The Evaluation of the Paris Declaration................................................................................ 28 Transparency of Chinese Aid: An analysis of the published information on Chinese external financial flows ........................................................................................................................ 28 Promoting transparency in the NGO sector: Examining the availability and reliability of selfreported data ................................................................................................................... 29 The World Bank Annual Report 2011: Year in Review ......................................................... 29 Real Aid: Ending Aid Dependency ........................................................................................ 29

Others ...................................................................................................................... 30
Review: indications for ultrasound use in low- and middle-income countries....................... 30 Compendium of new and emerging health technologies ...................................................... 30 Measuring the Economic Gain of Investing in Girls: The Girl Effect Dividend ...................... 30 World Disasters Report 2011: Focus on hunger and malnutrition ........................................ 31 World Alzheimer Report 2011: The benefits of early diagnosis and intervention ................. 31 Ageing and long-term care .................................................................................................... 31

TRAINING OPPORTUNITIES............................................ 31
HIV surveillance, and evaluation of HIV prevention in high-risk groups ............................... 31 Knowledge Management for Health and Development Organizations ................................. 32 For Protection and Promotion: The Design & Implementation of Effective Social Safety Nets ............................................................................................................................................... 32

CONFERENCES................................................................ 33
Third Peoples Health Assembly (PHA) ................................................................................ 33

CARTOON ......................................................................... 33 TIPS & TRICKS ................................................................. 33


Google Site Information......................................................................................................... 33 PDF my URL ......................................................................................................................... 34 Passwords secured ............................................................................................................... 34

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 GIZ or the editor of HESP-News & Notes. While we make every effort to ensure that all facts and figures quoted by authors are accurate, GIZ 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.

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BOOKS
World Development Report 2012: Gender Equality and Development
by Ana Revenga, Sudhir Shetty, Luis Benveniste et al. The World Bank, September 2011 452 pp. 18.6 MB(!): http://siteresources.worldbank.org/INTWDR2012/Resources/77781 05-1299699968583/7786210-1315936222006/Complete-Report.pdf The lives of girls and women have changed dramatically over the past quarter century. The pace of change has been astonishing in some areas, but in others, progress toward gender equality has been limited - even in developed countries. This years World Development Report argues that gender equality is a core development objective in its own right. It is also smart economics. Greater gender equality can enhance productivity, improve development outcomes for the next generation, and make institutions more repr esentative. ***

Education at a Glance 2011: OECD Indicators


by Paul Cmiel, Shannon Madden, Scott Matheson et al. Organisation for Economic Co-Operation and Development, September 2011 497 pp. 4.2 MB: http://www.oecd.org/dataoecd/61/2/48631582.pdf The 2011 edition of Education at a Glance enables countries to see themselves in the light of other countries performance. It provides a broad array of comparable indicators on education systems and represents the consensus of professional thinking on how to measure the current state of education internationally. The indicators show who participates in education, how much is spent on it, and how education systems operate. ***

Improving Health Sector Performance: Institutions, Motivations and Incentives - The Cambodia Dialogue
Editors: Hossein Jalilian and Vicheth Sen Institute of Southeast Asian Studies, 2011 430 pp. Soft cover ISBN: 978-981-4311-84-7, Price US$ 29.90 Download the introductory chapter (20 pp. 1.8 MB) at: http://bookshop.iseas.edu.sg/ISEAS/ViewPdf.jsp?cSeriesCode=IU28&cC hapterArticleNo=_&cRequestType=FOC&cWebOrderNo= The chapters in this volume come from papers presented at an international conference organized by the Cambodia Development Resource Institute in April 2010. With participation from local and international experts, the conference aimed at collecting major e xperiences and innovative solutions from inside and outside the country to improve health sector performance, with particular focus on institutions, motivations and incentives. The growing gap between the supply of health care professionals and the demand HESP-News & Notes - 20/2011 - page 4

for their services is recognized as a key issue for health and development worldwide. ***

Frontiers in Development Policy: A Primer on Emerging Issues


by Raj Nallari, Shahid Yusuf, Breda Griffith, Rwitwika Bhattacharya The World Bank, 312 pp., September 2011 Read online at: http://issuu.com/world.bank.publications/docs/9780821387856?cid=EXT _WBPubsAnnounce_BW_EXT The book, developed for courses at the World Bank and elsewhere, is a primer that examines interlinkages in various parts of the economy and the need for practical policy making to reach development goals in a globalized world of instabilities and complexities. This primer has been used by leading policy experts around the world and is intended for policy makers, practitioners-particularly government sector officials-and researchers from NGOs and think tanks interested in international development policy and marketing trends. ***

Manual of diagnostic ultrasound


Second edition Edited by Harald Lutz and Elisabetta Buscarini World Health Organization, August 2011 420 pp. 3.5 MB: http://whqlibdoc.who.int/publications/2011/9789241547451_eng.pdf With increasing use of ultrasonography in medical settings, the need for education and training became essential. WHO took up this challenge and in 1995 published its first training manual in ultrasonography. Soon, however, rapid developments and improvements in equipment and indications for the extension of medical ultrasonography into therapy indicated the need for a totally new ultrasonography manual. This new public ation, which covers modern diagnostic and therapeutic ultrasonography extensively, will certainly benefit and inspire medical professionals in improving health for all in both developed and emerging countries. See also: Review: indications for ultrasound use in low- and middle-income countries in this Newsletter.

ONLINE PUBLICATIONS
Global Health Turning the Page from Emergency to Sustainability
The Final Report of the High-Level Independent Review Panel on Fiduciary Controls and Oversight Mechanisms of the Global Fund to Fight AIDS, Tuberculosis and Malaria, September 19, 2011 by Michael O. Leavitt, Festus Mogae, Zeinab Bashir El Bakri et al. HESP-News & Notes - 20/2011 - page 5

152 pp. 1.6 MB: http://www.theglobalfund.org/documents/highlevelpanel/HighLevelPanel_Indepen dentReviewPanelOnFiduciaryControlsAndOversightMechanisms_Report_en/ An independent panel of distinguished individuals commissioned by the Global Fund to review its financial controls has recommended major changes in the way the Global Fund does its business and manages its grants. The Panel finds that the Global Fund needs to focus much more on its core business of managing grants to save and protect lives. It recommends improving financial and Board oversight, simplifying grant application processes, and putting in place a robust risk management framework. ***

Optimizing Global Fund Proposals to Promote Womens & Childrens Health


Partnership for Maternal, Newborn & Child Health (PMNCH) September 2011 2 pp. 2.0 MB: http://www.who.int/pmnch/topics/economics/20110809_globalfund_note.pdf The Global Fund Round 11 Call for Proposals is now open, with a submission date of 15 December 2011. Women and children bear a heavy burden of HIV/AIDS, Tuberculosis (TB) and malaria: more than two million women and children die every year from AIDS, TB and malaria. There is potential to expand the impact of Global Fund investments to improve the health of women and children even further.

HIV - AIDS - STI HIV and infant feeding - A Policy Statement


developed collaboratively by UNAIDS, UNICEF and WHO, 2011 6 pp. 21 kB: http://www.unaids.org/en/media/unaids/contentassets/dataimport/p ublications/irc-pub03/infantpol_en.pdf Given the vital importance of breastfeeding to a childs health, and the risk of HIV transmission through breastfeeding, the development of policies on HIV infection and infant feeding is crucial. This document provides policy-makers with key elements for the creation of the aforementioned policies, such as promoting and supporting breastfeeding, improving access to HIV counselling and testing, and preventing commercial pressures for artificial feeding. ***

HIV Interventions to Reduce HIV/AIDS Stigma: A Systematic Review


by Sohini Sengupta, Bahby Banks, Dan Jonas et al. AIDS Behav. 2011 August; 15(6): 1075-1087 20 pp. 534 kB:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3128169/pdf/nihms269079.pdf

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The authors reviewed the literature to determine the effectiveness of HIV-related interventions in reducing HIV/AIDS stigma. 14 of 19 studies demonstrated effectiveness in reducing HIV/ AIDS stigma. The authors conclude that future studies could improve by designing interventions that pay greater attention to internal validity, use validated HIV/AIDS stigma instruments, and achieve both statistical and public health significance. ***

HIV & Me: A Guide to Living with HIV for Hispanics


El VIH y Yo: Una gua para vivir con el VIH para hispanos Body Health Resources Corporation (TheBody.com), 2008 English version: (31pp. 2.0 MB): http://img.thebody.com/hivandme/hispanic_complete.pdf Spanish version: http://img.thebody.com/hivandme/spanish_complete.pdf The only purpose of this booklet is to educate and to inform. It is no substitute for professional care by a doctor or other medical professionals. TheBody.com neither endorses nor opposes any particular treatment option discussed in this booklet - instead, they encourage you to discuss all your options with a healthcare provider who specializes in treating HIV. ***

Wank and Live!


by Doug Racionzer Playboy South Africa, 01 September 2011, pp. 120-122 2 pp. 1.5 MB: http://german-practice-collection.org/en/downloadcentre/doc_download/972 Almost half the population now knows that HIV and AIDS can be caused by randomly fucking around without a condom. A recent survey by the South African Human Sciences Research Council (HSRC) showed that the other half, while having heard the messages about sex and HIV, either werent paying attention, have other ideas or seem not to have accepted this connection between sex and HIV. The author proposes to launch a campaign that encourages men and women to get creative, to love themselves, to reduce their external locus of control, to stimulate their fantasy lives and reg ularly engage in the most important expression of self love: masturbation. ***

Call for Good Practice Case Studies: HIV Programming for Young People
On behalf of the UNAIDS Inter-Agency Task Team (IATT) on HIV and Young People, Family Health International (FHI) 360 is putting out a call for programmes or interventions that illustrate best practices in HIV interventions for young people. Interventions can represent a wide range of HIV programming including, but not limited to, counselling and testing, family life or life skills education, mass media campaigns, HIV care and treatment, and medical interventions. Submitted programmes or interventions should be aligned with at least one of the six themes of the IATT Global Guidance Briefs, or specifically target young people living with HIV, or adolescent girls.

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Submissions will be assessed by a team of experts, and those that most compellingly illustrate best practices will be included as case studies in a publication and disseminated globally. You can submit a program or intervention online or by email. Submissions are due by October 17th. Please be sure to include complete contact information, as additional information may be requested.

Sexual & Reproductive Health Reclaiming & Redefining Rights


ICPD+15: Status of Sexual and Reproductive Health and Rights in Asia by Sivananthi Thanenthiran, Sai Jyothirmai Racherla, Shalini Teresa Fernandez et al. Asian-Pacific Resource & Research Centre for Women, October 2010 173 pp. 1.1 MB:
http://www.arrow.org.my/publications/ICPD+15/Reclaiming&Redefining%20Rights.pdf

The report on the status of sexual and reproductive health and rights in Asia paints a picture of uneven progress across 12 countries. The scope of this review covers the fo llowing four different, inter-linked components of SRHR: reproductive health, reproductive rights, sexual health, and sexual rights. ***

Abortion care for young women: A training toolkit


by Katherine L. Turner, Evelina Brjesson, Amanda Huber et al. Ipas, June 2011 210 pp. 10.5 MB(!): http://www.ipas.org/Publications/asset_upload_file257_6005.pdf This toolkit is designed to provide information and guidance on delivering and ensuring access to appropriate induced abortion care for young women (ages 10-24). It provides experienced trainers with the background information, materials, instructions and tips necessary to effectively facilitate training sessions. It is a global resource for health care providers, trainers, administrators and technical advisors of abortion care programs.

Maternal & Child Health Innovating to improve women and childrens health
by Daniel Altman, Helga Fogstad, Lars Grnseth et al. The Global Campaign for the Health Millennium Development Goals, July 2011 52 pp. 1.6 MB: http://www.who.int/pmnch/activities/jointactionplan/innovation_repor t_lowres_20110830.pdf Improving the health of women and children contributes extensively to economic develHESP-News & Notes - 20/2011 - page 8

opment. Collaboration between the public and private sectors will be important to realize this potential. This thematic report is published in support of the Every Woman, Every Child joint effort initiated by United Nations Secretary-General Ban Ki-moon. It is the first thematic report in a series from the Global Campaign that is intended to be both practical and inspirational. ***

District Planning Tool for Maternal and Newborn Health Strategy Implementation
A practical tool for strengthening Health Management System by Maurice Bucagu WHO, Department of Making Pregnancy Safer (MPS), September 2011 67 pp. 795 kB: http://whqlibdoc.who.int/publications/2011/9789241500975_eng.pdf This tool is based on country experiences and has been prepared to support WHO staff assisting countries in district level planning for Maternal and Newborn Health strategy implementation. Effective knowledge and tools exist to help reduce maternal and newborn suffering and death. And experience has shown that available interventions are affordable and can be effectively delivered even in the poorest countries. However, to be able to make a difference, they must reach all the mothers and their babies where and when they need them. ***

Nobody Remembers Us: Failure to Protect Womens and Girls Right to Health and Security in Post Earthquake Haiti
by Amanda M. Klasing, Meghan Rhoad, Liesl Gerntholtz et al. Human Rights Watch, August 2011 84 pp. 594 kB: http://www.hrw.org/sites/default/files/reports/haiti0811webwcover.pdf This report documents the lack of access to reproductive and maternal care in postearthquake Haiti, even with unprecedented availability of free healthcare services. The report also describes how hunger has led women to trade sex for food and how poor camp conditions exacerbate the impact of sexual violence because of difficulties accessing post-rape care. It looks at how recovery efforts have failed to adequately address the needs and rights of women and girls, particularly their rights to health and s ecurity. ***

Preventing Violence against Women and Children: Workshop Summary


by Deepali M. Patel Rapporteur, Forum on Global Violence Prevention; Institute of Medicine, 2011 236 pp. 2.1 MB: http://download.nap.edu/cart/download.cgi?&record_id=13139&free=1 Violence against women and children is a serious public health concern, with costs at multiple levels of society. Although violence is a threat to everyone, women and children are particularly susceptible to victimization because they often have fewer rights or lack HESP-News & Notes - 20/2011 - page 9

appropriate means of protection. Intervention strategies include preventing violence before it starts as well as preventing recurrence, preventing adverse effects (such as trauma or the consequences of trauma), and preventing the spread of violence to the next generation or social level. ***

WHO Recommendations for Prevention and Treatment of Pre-eclampsia and Eclampsia


by A. Metin Glmezoglu, Joo Paulo Souza, Matthews Mathai et al. World Health Organization, September 2011 44 pp. 808 kB: http://whqlibdoc.who.int/publications/2011/9789241548335_eng.pdf Among the hypertensive disorders that complicate pregnancy, pre-eclampsia and eclampsia stand out as major causes of maternal and perinatal mortality and morbidity. The majority of deaths due to pre-eclampsia and eclampsia are avoidable through the provision of timely and effective care to the women presenting with these complications. WHO has developed the present evidence-informed recommendations with a view to promoting the best possible clinical practices for the management of pre-eclampsia and eclampsia. ***

Levels & Trends in Child Mortality - Report 2011


Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation (IGME) by Danzhen You, Tessa Wardlaw, Ties Boerma et al. United Nations Childrens Fund (UNICEF), September 2011 24 pp. 3.5 MB: http://www.unicef.org/media/files/Child_Mortality_Report_2011_Final.pdf The UN Inter-agency Group for Child Mortality Estimation (IGME) updates its child mortality estimates annually after reviewing newly available data and assessing data quality. This report contains the latest IGME estimates of child mortality at the country, regional and global levels. Country-specific estimates and the data used to derive them are available at http://www.childmortality.org ***

Boys and Girls in the Life Cycle


Sex-disaggregated data on a selection of well-being indicators, from early childhood to young adulthood by Claudia Cappa, Colleen Murray, Tessa Wardlaw et al. United Nations Childrens Fund (UNICEF), Division of Policy and Practice, 2011 60 pp. 26.5 MB (!): http://www.unicef.org/media/files/Gender_hi_res.pdf This report highlights significant gaps in areas such as education and health, mostly f avouring males, as boys and girls in developing countries grow older. Data from the r eport, suggest that gender disparities are relatively small in childrens early years of life in the four areas examined - education, health, nutrition and protection but differences by HESP-News & Notes - 20/2011 - page 10

gender appear increasingly more pronounced during adolescence and young adulthood. ***

Solutions to End Child Marriage: What the Evidence Shows


by Anju Malhotra, Ann Warner, Allison McGonagle, Susan Lee-Rife International Center for Research on Women (ICRW), September 2011 36 pp. 742 kB: http://www.icrw.org/pdf_download/1584/download/f72a1741ef7f058 c01430f894b614e54 Child marriage is increasingly recognized as a serious problem, both as a violation of girls human rights and as a hindrance to key development outcomes. ICRW summ arizes a systematic review of child marriage prevention programs that have documented evaluations. Based on this synthesis of evaluated programs, the authors offer an analysis of the broader implications for viable solutions to child marriage. ***

Guideline: Vitamin A supplementation in pregnant women


by Lisa Rogers, Juan Pablo Pea-Rosas, Rajiv Bahl et al. World Health Organization, Department of Nutrition for Health and Development, September 2011 30 pp. 484 kB: http://whqlibdoc.who.int/publications/2011/9789241501781_eng.pdf Vitamin A supplementation in pregnancy as part of routine antenatal care is not recommended for the prevention of maternal and infant morbidity and mortality. In areas where vitamin A deficiency is a severe public health problem, vitamin A supplementation in pregnancy is recommended for the prevention of night blindness. The quality of the available evidence for maternal mortality was found to be high, whereas for all other critical outcomes it was moderate.

Malaria A Decade of Partnership and Results: Roll Back Malaria Partnership (RBM)
by Emily White Johansson, Holly Newby, Liliana Carvajal et al. RBM Progress & Impact Series Number 7 - September 2011 139 pp. 5.5 MB: http://www.rbm.who.int/ProgressImpactSeries/docs/report8-en.pdf The new report by the Roll Back Malaria Partnership (RBM) finds that the world has made remarkable gains against malaria in the past ten years, increasing optimism that an end to the disease is in sight. According to the report, global malaria deaths have dropped by an estimated 38%, with 43 countries (11 of them in Africa) cutting malaria cases or deaths by 50% or more, reversing the trend of the previous decade and saving over a million lives. *** HESP-News & Notes - 20/2011 - page 11

Maintaining the Gains in Malaria Control


Ethiopia, Rwanda, Senegal, Tanzania (Mainland and Zanzibar) - Country Briefs Clinton Health Access Initiative (CHAI) in partnership with E2Pi, the Evidence to Policy Initiative of the Global Health Group at the University of California San Francisco, and the African Leaders Malaria Alliance (ALMA), September 2011 32 pp. 4.1 MB:
http://www.alma2015.org/sites/default/files/events/maintaining_the_gains_booklet_sept_14.pdf

Aggressive campaigns to scale up malaria control have led to large reductions in the malaria burden in many African countries. These gains are impressive, but are fragile: if malaria control activities are reduced while the potential for transmission remains, the disease will rapidly resurge and the gains will be wiped out. Sustained control is a best buy in global health, costing only about US$ 5-8 per case averted, similar in cost effectiveness to childhood vaccination. Download the ALMA Scorecard for Accountability and Action (95 kB) at: http://www.alma2015.org/sites/default/files/scorecard/2011_q3_scorecard.pdf ***

The Threat of Artemisinin-Resistant Malaria


by Arjen M. Dondorp, Rick M. Fairhurst, Laurence Slutsker et al. N Engl J Med 2011; 365:1073-1075 (September 22, 2011) 3 pp. 436 kB: http://www.nejm.org/doi/pdf/10.1056/NEJMp1108322 The threat posed by emerging artemisinin resistance on the CambodiaThailand border is widely acknowledged, but an effective response requires that critical operational and basic research questions be answered quickly. Researchers, funders, and policy leaders must recognize the urgency of the problem, take action to address simultaneously several important knowledge gaps, and focus immediately on eliminating the threat of artemisinin resistance. It will be essential to coordinate research and containment efforts globally and to share data, research tools, and experiences. ***

Net Benefits: A Multicountry Analysis of Observational Data Examining Associations between Insecticide-Treated Mosquito Nets and Health Outcomes
by Stephen S. Lim, Nancy Fullman, Andrew Stokes et al. PLoS Med 8(9): e1001091 (6 September 2011) 13 pp. 692 kB:
http://clinicaltrials.ploshubs.org/article/fetchObjectAttachment.action;jsessionid=528C4A2207D5866F09BA312D E0DDB5BE.ambra02?uri=info%3Adoi%2F10.1371%2Fjournal.pmed.1001091&representation=PDF

The findings of this study suggest that the recent scale-up in Insecticide-Treated Mosquito Nets (ITN) coverage has likely been accompanied by significant reductions in child mortality and that additional health gains could be achieved with further increases in ITN coverage in populations at risk of malaria. HESP-News & Notes - 20/2011 - page 12

Predictors of mosquito net use in Ghana


by Carol A Baume and Ana Claudia Franca Koh Malaria Journal 2011, 10:265 (15 September 2011) 23 pp. 168 kB: http://www.malariajournal.com/content/pdf/1475-2875-10-265.pdf The results of this study suggest that net use would increase in Ghana if coloured nets were made available in mass distributions as well as in the commercial market; if pr ogrammes emphasize that malaria is caused only by night-biting mosquitoes, and that nets protect against mosquitoes better than coils and need to be used even if coils are burning; if donated nets are replaced more frequently so that households have nets that are in good condition; and if there were support for the commercial market so that those who can afford to purchase a net and want to choose their own nets can do so. ***

Cost analysis of school-based intermittent screening and treatment of malaria in Kenya


by Thomas L Drake, George Okello, Kiambo Njagi et al. Malaria Journal 2011, 10:273 (20 September 2011) 31 pp. 330 kB: http://www.malariajournal.com/content/pdf/1475-2875-10-273.pdf The control of malaria in schools is receiving increasing attention, but there remains currently no consensus as to the optimal intervention strategy. This paper analyses the costs of intermittent screening and treatment (IST) of malaria in schools, implemented as part of a cluster-randomized controlled trial on the Kenyan coast. ***

Malaria in Turkey: Successful control and strategies for achieving elimination


by Ahmet zbilgin, Seher Topluoglu, Saffet Es et al. Acta Tropica 120 (2011) 15-23 9 pp. 655 kB: http://www.malarianexus.com/articles/read/175/malaria-inturkey-successful-control-and-strategies-for-achieving-elimination/ Malaria has been known since the early ages of human history in Turkey and it was one of the leading diseases in Anatolian history. Today, chloroquine-sensitive Plasmodium vivax is the only agent of autochthonous malaria cases in Turkey. But one should never underestimate the epidemics risk of malaria in Turkey and maintain the successful policies against malaria. ***

Universal Access to Malaria Diagnostic Testing


An Operational Manual by Valrie DAcremont World Health Organization, September 2011 HESP-News & Notes - 20/2011 - page 13

160 pp. 3.8 MB: http://whqlibdoc.who.int/publications/2011/9789241502092_eng.pdf Last year, the WHO Global Malaria Programme issued revised guidelines for the treatment of malaria in which it was recommended that all suspected cases of malaria receive a diagnostic test prior to treatment. In many settings, especially in Africa, this represents a real paradigm change. The availability of inexpensive, quality assured rapid diagnostic tests for malaria means that parasite-based diagnosis is now not only achievable at peripheral health care facilities, but also at the community level. While achieving universal access to m alaria diagnostic testing will not be easy, some countries have already shown that is can be done. ***

Interactions between worms and malaria: good worms or bad worms?


by Mathieu Nacher Malaria Journal 2011, 10:259 (12 September 2011) 17 pp. 241 kB: http://www.malariajournal.com/content/pdf/1475-2875-10-259.pdf In the past decade, there has been an increasing number of studies on co-infections between worms and malaria. Despite the heterogeneity of study designs, reviewing the growing body of research may be synthesized into some broad trends: Ascaris emerges mostly as protective for malaria and its severe manifestations, whereas hookworm seems to increase malaria incidence. As efforts are made to de-worm populations in malaria endemic areas, there is still no clear picture of the impact these programmes have in terms of quantitative and qualitative changes in malaria. ***

Antimalarial efficacy of piperaquine-based antimalarial combination therapies: facts and uncertainties


by Nicola Gargano, Fabio Cenci, Quique Bassat Tropical Medicine & International Health - Article first published online: 13 September 2011 8 pp. 168 kB: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3156.2011.02855.x/pdf Piperaquine is a bisquinoline antimalarial included as one of the components of the artemisinin-based combination therapies (ACTs). Among them, dihydroartemisinin piperaquine (DHA-PQP) represents a new and extremely promising fixed combination. There is now sufficient evidence on the safety and efficacy of the DHA-PQP therapy and it is now recommended globally by the World Health Organization as an option for the first-line treatment of uncomplicated malaria.

Tuberculosis Collaborative framework for care and control of tuberculosis and diabetes
by Anthony D. Harries and Knut Lnnroth HESP-News & Notes - 20/2011 - page 14

Stop TB Department and Department of Chronic Diseases and Health Promotion, WHO and The International Union Against Tuberculosis and Lung Disease, August 2011 53 pp. 692 kB: http://whqlibdoc.who.int/publications/2011/9789241502252_eng.pdf Diabetes triples the risk of developing tuberculosis (TB). Consequently, rates of TB are higher in people with diabetes than in the general population, and diabetes is a common co-morbidity in people with TB. Diabetes can worsen the clinical course of TB, and TB can worsen glycaemic control in people with diabetes. Individuals with both conditions thus require careful clinical management. Strategies are needed to ensure that optimal care is provided to patients with both diseases: TB must be diagnosed early in people with diabetes, and diabetes must be diagnosed early in people with TB. ***

Transmission of tuberculosis in hyperendemic regions


by Pieter Uys - South African Centre for Epidemiological Modelling and Analysis (SACEMA) Quarterly, September 14, 2011 4 pp. 281 kB: http://www.sacemaquarterly.com/wp-content/uploads/2011/09/article1_Uys_Transmission-of-Tuberculosis.pdf Transmission of tuberculosis (TB) involves random processes operating at two very different levels. On the one hand, an infectious person must be in reasonably close proximity to a susceptible person for a minimum period of time. This is the macro-level. On the other hand, we consider the micro-level where minute droplets containing virus or bacteria entities exhaled by the infectious person are inhaled by the recipient. At both these levels the chance events can be described by a statistical formula, the Poisson distribution. An analysis of these two processes in this way reveals a surprising phenomenon that manifests in communities experiencing high incidences of TB disease.

Other Infectious Diseases A Long-Lasting Measles Epidemic in Maroua, Cameroon 2008-2009: Mass Vaccination as Response to the Epidemic
Francisco J. Luquero, Heloise Pham-Orsetti, D. A. T. Cummings et al. The Journal of Infectious Diseases 2011;204:S243S251 9 pp. 282 kB: http://fieldresearch.msf.org/msf/bitstream/10144/142276/1/497_A %20Long-Lasting%20Measles%20Epidemic%20in%20Maroua.pdf A measles outbreak occurred in Maroua, Cameroon, from January 2008 to April 2009. In accordance with recent WHO guidelines, an outbreak-response immunization (ORI) was conducted in January 2009. The aim of this study was to investigate the causes of the epidemic in order to guide vaccination strategies. The results confirm that insufficient vaccination coverage was the main reason for this epidemic. The ORI conducted in January 2009 contributed both to control the epidemic and to increase the vaccination coverage to desirable levels. HESP-News & Notes - 20/2011 - page 15

Should outbreak response immunization be recommended for measles outbreaks in middle- and low-income countries? An update
by K. Lisa Cairns, Robert T. Perry, Tove K. Ryman et al. J Infect Dis. 204 (suppl 1): S35-S46 (1 October 2011) 12 pp. 146 kB: http://fieldresearch.msf.org/msf/bitstream/10144/142209/1/501_C airns%20outbreak%20%20response%20JIDS%202011.pdf The impact and desirability of conducting measles outbreak response immunization (ORI) in middle- and low-income countries has been controversial. The authors searched literature published during 1995-2009 for papers reporting on measles outbreaks. ORI had a clear impact in 16 (42%) of these outbreaks. They conclude that these findings generally support ORI in middle- and low-income countries. However, the decision to conduct ORI and the nature and extent of the vaccination response need to be made on a case-by-case basis. ***

Utility of Repeated Praziquantel Dosing in the Treatment of Schistosomiasis in High-Risk Communities in Africa: A Systematic Review
by Charles H. King, Stephanie K. Olbrych, Margaret Soon et al. PLoS Negl Trop Dis 5(9): e1321 (20 September 2011) 15 pp. 1.7 MB: http://www.plosntds.org/article/fetchObjectAttachment.action?uri=info%3Adoi%2F 10.1371%2Fjournal.pntd.0001321&representation=PDF Controversy persists about the optimal approach to drug-based control of schistosomiasis in high-risk communities. In a systematic review of published studies, the authors examined evidence for incremental benefits from repeated praziquantel dosing, given 2 to 8 weeks after an initial dose, in Schistosoma-endemic areas of Africa. ***

Chagas disease in European countries: the challenge of a surveillance system


by L Basile, J M Jans, Y Carlier et al. Eurosurveillance, Volume 16, Issue 37, 15 September 2011 Read online at: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19968 A study of aggregate data collected from the literature and official sources was unde rtaken to estimate expected and observed prevalence of Trypanosoma cruzi infection, annual incidence of congenital transmission and rate of underdiagnosis of Chagas disease among Latin American migrants in the nine European countries with the highest prevalence of Chagas disease. Chagas disease is a public health challenge in the studied European countries. Urgent measures need to be taken to detect new cases of co ngenital transmission and take care of the existing cases with a focus on migrants without legal residency permit and potential difficulty accessing care. ***

HESP-News & Notes - 20/2011 - page 16

Non-communicable Diseases Noncommunicable Diseases Country Profiles 2011


by Ala Alwan, Timothy Armstrong, Melanie Cowan et al. World Health Organization, September 2011 209 pp. 2.0 MB: http://www.who.int/nmh/publications/ncd_profiles_report.pdf The report features information about the noncommunicable diseases (NCDs) situation in 193 countries. This includes details of what proportion of each countrys deaths are due to diseases such as cancer, heart and lung diseases, and diabetes. Using graphs, on a page-per country presentation format, the report provides information on prevalence, trends in metabolic risk factors (cholesterol, blood pressure, body mass index and blood sugar) alongside data on the countrys capacity to address the challenges posed by NCDs. ***

Scaling up action against noncommunicable diseases: How much will it cost?


by Dan Chisholm, Dele Abegunde, Shanthi Mendis et al. World Health Organization, September 2011 51 pp. 2.2 MB: http://www.who.int/entity/nmh/publications/cost_of_inaction.pdf The report describes a financial planning tool for scaling up delivery of a set of costeffective population-based and individual-level health care interventions in low- and middle-income countries. This tool can be used to forecast financial resource needs at national or sub-national level and also to generate a price tag at global level. It will enhance traditional budgeting mechanisms in countries and provide information to development agencies and international institutions on the resources needed to address the growing burden of NCDs. ***

Global Atlas on cardiovascular disease prevention and control


Editors: Shanthi Mendis, Pekka Puska and Bo Norrving World Health Organization in collaboration with the World Heart Federation and the World Stroke Organization, September 2011 164 pp. 11.5 MB(!): http://whqlibdoc.who.int/publications/2011/9789241564373_eng.pdf International efforts aimed at poverty reduction will be derailed if the rapidly growing global cardiovascular disease burden is ignored. In the absence of prevention strat egies, increasing numbers of people will succumb to heart attacks and strokes due to continuing exposure to risk factors. Millions of premature deaths due to cardiovascular disease can be prevented by scaling up the implementation of affordable, high impact interventions, which already exist. ***

HESP-News & Notes - 20/2011 - page 17

Affordable Interventions to Prevent Noncommunicable Diseases Worldwide


by Amanda Glassman and Kate McQueston Center for Global Development, September 2011 4 pp. 118 kB: http://www.cgdev.org/files/1425426_file_NCD_FINAL.pdf Noncommunicable diseases (NCDs) such as cancer, diabetes, respiratory and cardiovascular diseases, and mental illnesses are the leading cause of death and disability worldwide. The good news is that much of the NCD burden can be prevented through interventions that are affordable in most countries. The United States can help now by taking five low-cost or no-cost steps. ***

Chronic Diseases Do Affect Youth


by Wendy Baldwin, Toshiko Kaneda, and Lindsey Amato Population Reference Bureau, September 2011 Read online at: http://www.prb.org/Articles/2011/youth-and-chronic-diseases.aspx It may seem odd to put youth and chronic diseases in the same category. Worldwide, not many young people currently suffer from chronic diseases such as diabetes, heart disease, stroke, cancer, and lung disease, so why worry? The World Health Organization has made the answer abundantly clear. There is a global epidemic of noncommunicable diseases (NCDs). And the four primary risk factors for these chronic diseases tobacco, alcohol, lack of exercise, and poor nutrition - are typically initiated during adolescence or young adulthood, setting the stage for later disease. ***

Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis
by Mohammad H Forouzanfar, Kyle J Foreman MPH, Allyne M Delossantos et al. The Lancet, Early Online Publication, 15 September 2011 24 pp. 16.0 MB (!): http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673611613512.pdf Breast and cervical cancer are important causes of mortality in women aged 15 years. The authors undertook annual age-specific assessments of breast and cervical cancer in 187 countries. They conclude that more policy attention is needed to strengthen established health-system responses to reduce breast and cervical cancer, especially in developing countries.

Essential Medicines The Role of Health Insurance in the Cost-Effective Use of Medicines
Review Series on Pharmaceutical Pricing Policies and Interventions - Working Paper 2

HESP-News & Notes - 20/2011 - page 18

by Laura Faden, Catherine Vialle-Valentin, Dennis Ross-Degnan et al. World Health Organization and Health Action International, May 2011 75 pp. 1.3 MB:
http://www.haiweb.org/medicineprices/05062011/Health%20insurance%20final%20May2011.pdf

This report provides a description of strategies that can be used by health insurers to improve cost-effective use of medicines, an overview of the use of these strategies in high-income countries and a critical review of the literature on these strategies and their impact in low- and middle-income countries (LMIC). The report concludes with policy recommendations for LMIC and case studies on developing and implementing insurance strategies in four LMIC: Ghana, Jordan, Mexico and Thailand. ***

Essential Medicines for Non-Communicable Diseases (NCDs)


by Dele Abegunde, Clive Ondari, Richard Laing et al. World Health Organization, September 2011 31 pp. 141 kB: http://www.who.int/medicines/areas/policy/access_noncommunicable/EssentialM edicinesforNCDs.pdf Cost-effective medicines to treat noncommunicable diseases (NCDs) are available and in mostly low cost generic forms although they remain inaccessible and unaffordable to many who need them especially in low- and middle-income countries where the prevalence of NCDs are increasing. Concerted global efforts are important for improving access to NCD medicines and the emergence of a NCD global health initiative (GHI) could be a viable platform. This paper provides a comprehensive review of present situation, the underlying causes and the policy and programmatic options for scaling up access to essential NCD medicines in countries. ***

Universal Access to Medicines for Non-Communicable Diseases: Within our Grasp but Out-of-Reach
Briefing note for delegates to the NCD High Level Meeting, September 2011 by Health Action International (HAI), Amsterdam, September 2011 2 pp. 877 kB: http://www.haiweb.org/12092011/NCDSummitpaper13Sept2011.pdf Data in Health Action International's (HAIs) medicine price and availability database show that prices for NCDs are often high, treatments are not affordable for those on low wages, and availability is often abysmal especially in the public sector. So while effective treatments for the majority of the global NCD burden exist, universal access r emains out-of-reach. ***

Developing, implementing, consolidating: The Drugs for Neglected Diseases initiative (DNDi) - 2010 Report
80 pp. 10.0 MB(!):
http://www.dndi.org/images/stories/annual_report/2010/DNDi_AR2010_very%20low%20res.pdf

HESP-News & Notes - 20/2011 - page 19

The vision of the 'Drugs for Neglected Diseases Initiative' (DNDi) is to improve the quality of life and the health of people suffering from neglected diseases by using an alternative model to develop drugs for these diseases and by ensuring equitable access to new and field-relevant health tools. After eight years of existence, the time has come for DNDi to evaluate its performance and take the necessary steps to consolidate and further develop its business model in order to remain vigilant and responsive to the needs of neglected patients.

Social Protection Pensions in Africa


by Fiona Stewart and Juan Yermo OECD Working Papers on Insurance and Private Pensions, January 2009 34 pp. 461 kB: http://www.oecd.org/dataoecd/41/6/42052117.pdf This paper discusses why the development of pension systems is important for the African region. It also looks at the current pension arrangements in selected African countries. ***

Zap It to Me: The Short-Term Impacts of a Mobile Cash Transfer Program


by Jenny Aker, Rachid Boumnijel, Amanda McClelland, and Niall Tierney Center for Global Development - Working Paper 268, September 2011 42 pp. 800 kB: http://www.cgdev.org/files/1425470_file_Aker_et_al_Zap_It_to_Me_FINAL.pdf This paper reports on the first randomized evaluation of a cash transfer programme delivered via mobile phone. The trial households in targeted villages monthly cash transfers and finds that the mobile phone-based programme saves costs and has greater benefits for recipients. ***

The impact of reducing financial barriers on utilisation of a primary health care facility in Rwanda
by Ranu S. Dhillon, Matthew H. Bonds, Max Fraden et al. Global Public Health, 1-16, July 2011 16 pp. 203 kB: http://www.hsph.harvard.edu/research/matthewbonds/files/reducing_financial_barriers_global_health_journal_july_2011.pdf This study investigates the impact of subsidising community-based health insurance (mutuelle) enrolment, removing point-of-service co-payments, and improving service delivery on health facility utilisation rates in Mayange, a sector of rural Rwanda. The findings suggest that in order to achieve improved health outcomes, key short -term objectives include improved service delivery and reduced financial barriers. Based on this pilot, higher utilisation rates may be affected if broader swaths of the population are enHESP-News & Notes - 20/2011 - page 20

rolled in mutuelle and co-payments are eliminated.

Water, Sanitation & Hygiene Pathways to Progress: Transitioning to Country-Led Service Delivery Pathways to Meet Africas Water Supply and Sanitation Targets
Water and Sanitation Program - Africa Region, The World Bank, 2011 100 pp. 2.8 MB: http://www.wsp.org/wsp/sites/wsp.org/files/publications/CSOSynthesis-Report.pdf For individual country reports see: http://www.wsp.org/wsp/content/pathways-progress-status-water-and-sanitation-africa The African Ministers Council on Water (AMCOW) commissioned the production of a second round of Country Status Overviews (CSOs) on water supply and sanitation, to shed light on the factors that underpin progress in the sector. The World Bank, Water and Sanitation Program (WSP), and the African Development Bank implemented this task in close partnership with UNICEF, WHO, and the governments of 32 countries in Sub-Saharan Africa. ***

Water and Climate Dialogue


Adapting to Climate Change: Why We Need Broader and Out-of-the-Box Approaches United Nations World Water Assessment Programme, UNESCO, 2011 16 pp. 2.0 MB: http://www.unesco.org/new/fileadmin/MULTIMEDIA/HQ/SC/pdf/W WAPCOP16_BN_PICA_WEB_090811.pdf The challenge of securing safe and plentiful water for all is one of the most daunting challenges faced by the world today. Shortages of water contribute to poverty. They cause social hardship and impede development. They create tensions in conflict prone regions. Too often, where we need water we find guns.

Human Resources Health Workers Reach Index


Save the Children, September 2011 7 pp. 2.3 MB:
http://www.savethechildren.org.uk/en/docs/HealthWorkerIndexmain.pdf

A major new index by Save the Children has ranked the best and worst countries for a child to fall sick in. The index measures not only how many health workers there are but also their reach and impact. It also tracks the proportion of children who receive regular vaccinations and mothers who have access to life-saving emergency care at birth. The global health worker crisis is costing childrens lives every day. All the vaccines, lifesaving drugs and preventive care mean nothing when there are no skilled health workers to deliver them to the children who need them most.

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No Child out of Reach: Time to end the health worker crisis


by Patrick Watt, Nouria Brikci, Lara Brearley et al. Save the Children, UK, September 2011 48 pp. 950 kB: http://resourcecentre.savethechildren.se/rb?q=cmis/browser&id=wo rkspace://SpacesStore/ccbbfce2-85ca-4b96-aab4-846c073b3277/1.33 Health workers are the single most important element of any health service. Without them, no vaccines can be injected, no life-saving drugs prescribed, no woman given expert care when they give birth. As world leaders gather in New York on 20 September 2011 it is time for decisive action to tackle the staggering global shortfall of 3.5 million health workers and save millions of childrens lives. This new report sets out the scale and the causes of the crisis, and recommendations for how it can be overcome. Progress will require political action at the global level, backed by strong national efforts in every country with a critical shortage of health workers.

Health Systems & Research At A Crossroads: Sierra Leones Free Health Care Policy
Amnesty International, 2011 43 pp. 653 kB: http://www.amnesty.org/en/library/asset/AFR51/001/2011/en/4de27 bf1-aebb-4944-8005-1458b4c44edb/afr510012011en.pdf In this report, Amnesty International examines how gaps in monitoring and accountability are undermining the success of the recent health care reforms in Sierra Leone, in particular free access to essential drugs in pregnancy and childbirth. Amnesty International calls on the government of Sierra Leone to strengthen and establish monitoring and accountability mechanisms so that health care is accessible to women and girls and effective remedies are available if their human rights are violated. ***

Beginning with the end in mind: Planning pilot projects and other programmatic research for successful scaling up
by Ruth Simmons, Peter Fajans, Laura Ghiron et al. World Health Organization and ExpandNet, September 2011 26 pp. 1.3 MB: http://whqlibdoc.who.int/publications/2011/9789241502320_eng.pdf Pilot projects and other programmatic interventions in which health innovations are tested on a small scale often show impressive results. However, their influence tends to remain confined to the original target areas and their results are often not sustainable. One of the reasons for this failure is that the requirements of large-scale implementation are rarely taken into account at the time of pilot- or field-testing. This document is based on the premise that if scaling up is intended, one should begin with the end in mind and take steps to design the pilot in ways that enhance its potential for future largescale impact. HESP-News & Notes - 20/2011 - page 22

Governance for health in the 21st century: a study conducted for the WHO Regional Office for Europe
by Ilona Kickbusch and David Gleicher World Health Organization Regional Office for Europe, September 2011 108 pp. 1.5 MB: http://www.euro.who.int/__data/assets/pdf_file/0010/148951/RC61_InfDoc6.pdf In this study governance for health and well-being is defined as the attempts of governments and other actors to steer communities, whole countries or even groups of countries in the pursuit of health as integral to well-being through both whole-ofgovernment and whole-of-society approaches. The entire society must be understood as being responsible for its health. Governance for health gives strong legitimacy to health ministers and ministries and to public health agencies, to help them reach out and perform new roles in shaping policies to promote health and wellbeing. ***

Linking public health training and health systems development in subSaharan Africa: Opportunities for improvement and collaboration
by Sharon Fonna Journal of Public Health Policy (2011) 32, S44-S51 8 pp. 66 kB: http://www.palgravejournals.com/jphp/journal/v32/n1s/pdf/jphp201137a.pdf Although population health can be improved through specific health interventions that target high burden diseases, these interventions must be offered within a functional health system for optimal effectiveness. Schools of Public Health in Africa should respond to the many systemic issues that confound improvements in population level health through reviewing approaches to health professional training that incorporates a public health approach, focusing on health systems research; collaboration, advocacy and networking; and strengthening health systems management. ***

The Humanitarian Emergency Settings Perceived Needs Scale (HESPER): Manual with Scale
World Health Organization & Kings College London, 2011 94 pp. 1.8 MB: http://whqlibdoc.who.int/publications/2011/9789241548236_eng.pdf Needs assessments are vital to identify the needs that are present in an affected population, and to inform the humanitarian response. The HESPER Scale was developed to provide a method for assessing perceived needs in representative samples of populations affected by large-scale humanitarian emergencies in a valid and reliable manner. This manual includes the HESPER Scale, as well as a detailed explanation of how to use the HESPER Scale, how to train interviewers, and how to organise, analyze and report on a HESPER survey. ***

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Improving Health in the United States: The Role of Health Impact Assessment
Committee on Health Impact Assessment; National Research Council, National Ac ademic Press, September 2011 170 pp. 1.9 MB: http://download.nap.edu/cart/download.cgi?&record_id=13229&free=1 The report presents a six-step framework for conducting Health Impact Assessment (HIA) of proposed policies, programs, plans, and projects at federal, state, tribal, and local levels, including within the private sector. In addition, the report identifies several challenges to the successful use of HIA, such as balancing the need to provide timely information with the realities of variations in data, producing quantitative estimates of health effects, and engaging stakeholders. ***

Investing in Health for Africa: The Case for Strengthening Systems for Better Health Outcomes
by Netsanet W. Workie Harmonization for Health in Africa Steering Group, 2011 64 pp. 3.5 MB: http://www.afro.who.int/index.php?option=com_docman&task=do c_download&gid=6401 The Harmonization for Health in Africa will support governments in the development of national or sub-national investment cases and related advocacy and policy documents through the provision of technical support in the development of: analyses to support policy dialogue, evidence-based analytical papers, policy dialogue processes, and plans and policies. It will also support countries in reviewing, monitoring, and evaluating existing processes for tracking performance and commitments.

Information & Communication Technology Opportunities and Challenges of Cloud Computing to Improve Health Care Services
by Alex Mu-Hsing Kuo J Med Internet Res; 13(3):e67 (July - September 2011) Read online at: http://www.jmir.org/2011/3/e67/ Cloud computing is a new way of delivering computing resources and services. Many managers and experts believe that it can improve health care services, benefit health care research, and change the face of health information technology. However, as with any innovation, cloud computing should be rigorously evaluated before its widespread adoption. This paper discusses the concept and its current place in health care, and uses 4 aspects (management, technology, security, and legal) to evaluate the opportunities and challenges of this computing model.

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Education Cost and Cost-Effectiveness Analysis of School-Based Sexuality Education Programmes in Six Countries
by Jari Kivela, Evert Ketting, and Rob Baltussen UNESCO and Radboud University Nijmegen Medical Center, August 2011 151 pp. 2.3 MB: http://unesdoc.unesco.org/images/0021/002116/211604e.pdf This report documents the costs of sexuality education programmes in six countries (Nigeria, Kenya, Indonesia, India, Estonia and the Netherlands), and their impact and costeffectiveness in two countries (Kenya and Estonia). Knowing more about these topics will enable policy-makers to invest education and health resources more effectively in programmes that deliver better health outcomes, particularly in the context of HIV and AIDS. ***

Reducing Exclusion and Educational Poverty Through Innovation


Swiss Agency for Development and Cooperation SDC - Africa Brief 1/2011 8 pp. 743 kB: http://www.deza.admin.ch/ressources/resource_en_203736.pdf Regularly sending their children to school is a luxury many parents in various parts of the world cannot afford. The content of basic school curricula, which include the teaching of literacy skills, is often irrelevant and overlooks the first languages spoken by the pupils. Have solutions been found to enable African education systems to play their role in social, political and economic development?

Harm Reduction and Drug Use A systematic review of interventions to increase the uptake of opiate substitution therapy in injecting drug users
by Jonathan Roberts, Hugh Annett and Matthew Hickman J Public Health (2011) 33 (3): 378-384 7 pp. 206 kB: http://jpubhealth.oxfordjournals.org/content/33/3/378.full.pdf+html Opiate substitution therapy (OST) has multiple benefits and is a key component of overdose and blood-borne virus prevention in injecting drug users (IDUs). Interventions that can increase the uptake of OST and/or re-engage people in treatment could become an important component of harm reduction. The authors conclude that there appears to be a promising effect for the use of both motivational interventions (MI) and case management (CM) approaches to increase the uptake of IDUs into treatment. Further investigation of these interventions is warranted.

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Millennium Development Goals Assessing Progress in Africa toward the Millennium Development Goals
by Kasirim Nwuke, Adrian Gauci, Elizabeth Woldemariam et al. United Nations Development Programme (UNDP), September 2011 122 pp. 4.7 MB: http://www.undp.org/africa/documents/mdg/full-report.pdf This years report shows that, prior to the onset of the food and fuel crises and the global recession, African countries were making steady progress toward attainment of the MDGs. It portrays a continent that has secured progress in key areas such as net primary enrolment, gender parity in primary education, political empowerment of women, access to safe drinking water, and stemming the spread of HIV/AIDS. Antiretroviral treatment is becoming available in a large number of countries and maternal mortality rates are falling in some places. On the economic front, growth has begun to pick up after the global economic and financial crises. ***

Impact of Health Expenditure on Achieving the Health-related MDGs


by Clovis Freire and Nobuko Kajiura United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), August 2011 34 pp. 342 kB:
http://www.unescap.org/pdd/publications/workingpaper/wp_11_19.pdf

This paper analyzes the effect of public and private health expenditures on the achievement of health-related MDGs. It finds that three quarters of the variation of health-related MDG indicators can be explained by public and private health expenditure per capita when controlling for levels of income and demographic factors such as age dependency ratio, urbanization and population density. In addition, the analysis finds that marginal gain in health performance is higher for countries with low per capita public health expenditures. ***

Millennium Development Goal 8 - The Global Partnership for Development: Time to Deliver
by Jomo Kwame Sundaram, Olav Kjrven, Rob Vos et al. MDG Gap Task Force Report - United Nations, New York, 2011 98 pp. 1.4 MB: http://www.un.org/millenniumgoals/2011_Gap_Report/1138394%20(E)%20MDG%20Gap%20Report%202011_WEB.pdf The objective of MDG 8 is to assist all developing countries in achieving the goals through a strengthened global partnership for international development cooperation. This report challenges the international community and other stakeholders to intensify their efforts to realize the potential of the global partnership for development. There are many initiatives to monitor the implementation of the goals and the United Nations system is initiating a more comprehensive framework for holding all partners accountable HESP-News & Notes - 20/2011 - page 26

for what they are doing - and where they are falling short. ***

Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysis
by Rafael Lozano, Haidong Wang, Kyle J Foreman et al. The Lancet, Vol. 378, Issue 9797, pp. 1139-1165, 24 September 2011 27 pp. 7.0 MB: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61337-8/fulltext Even though progress on reducing maternal and child mortality in most countries is accelerating, most developing countries will take many years past 2015 to achieve the targets of the MDGs 4 and 5. Similarly, although there continues to be progress on maternal mortality the pace is slow, without any overall evidence of acceleration. Immediate concerted action is needed for a large number of countries to achieve MDG 4 and MDG 5. ***

MDG Progress Index 2011: The Good (Country Progress), the Bad (Slippage), and the Ugly (Fickle Data)
by Benjamin Leo and Ross Thuotte Center for Global Development, September 2011 8 pp. 613 kB: http://www.cgdev.org/files/1425429_file_Leo_Thuotte_MDG_Progr ess_Index_2011_FINAL.pdf This note explains the methodology of the MDG Progress Index and shows some of the trends emerging. For one, low-income countries progress has improved somewhat while middle-income progress has deteriorated slightly. Also, deficiencies in the data (missing data, revisions, and retractions) continue to make tracking progress on the MDGs difficult and highly sensitive to fickle information. ***

Assessing Development Strategies to Achieve the MDGs in Asia: Philippines


by Roehlano M. Briones, Francis Quimba, Jonathan B. Bungcayao et al. Philippine Institute for Development Studies, February 2011 45 pp. 307 kB: http://www3.pids.gov.ph/ris/dps/pidsdps1103.pdf The Philippines is a developing country with strong commitment to the Millennium Development Goals (MDGs); however, it faces challenges in closing MDG gaps, owing to mediocre growth, macroeconomic instability, and financing constraints. Progress has been made in child health, potable water, and sanitation. However, inroads against extreme poverty are complicated by an anomalous relationship between poverty and growth. The responsiveness of education outcome to public spending is apparently low; goals for education and maternal health remain elusive.

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Join up, scale up: How integration can defeat disease and poverty
Action Against Hunger, Action for Global Health, End Water Poverty et al., 2011 20 pp. 760 kB: http://www.defeatdd.org/sites/default/files/nodeimages/WaterAid_20pp_Integration_Report_pages.pdf Today, interest in integrated approaches is increasing. Decision-makers at both the policy and programme levels increasingly acknowledge the importance of tackling poverty issues through integrated strategies and coordinated approaches. High-quality integrated programmes can prove cost-effective for donors, secure efficiencies for policymakers, and provide more holistic services and greater impact for those who need them most.

Development Assistance The Evaluation of the Paris Declaration


Final Report by Bernard Wood, Julia Betts, Florence Etta et al. Danish Institute for International Studies, Copenhagen, May 2011 256 pp. 2.4 MB: http://www.bmz.de/en/publications/type_of_publication/evaluation/international_jo int_evaluations/EvalBericht_Paris_Erklaerung.pdf The Paris Declaration on Aid Effectiveness poses an important challenge both to the world of development cooperation in general and to the field of development evaluation. The overall purpose of this evaluation is to assess the relevance and effectiveness of the Paris Declaration and its contribution to aid effectiveness and ultimately to development effectiveness. ***

Transparency of Chinese Aid: An analysis of the published information on Chinese external financial flows
by Sven Grimm, Rachel Rank, Matthew McDonald et al. Centre for Chinese Studies at Stellenbosch University and Publish What You Fund, August 2011 42 pp. 1.8 MB: http://www.publishwhatyoufund.org/files/Transparency-of-Chinese-Aid_final.pdf There are many myths and misconceptions about the level of information publically available on Chinese efforts and activities in the developing world. The purpose of this paper is to map and assess the levels of aid information made available across Chinese agencies that engage in various forms of international cooperation. The paper explores opportunities to improve publicly available information on Chinese foreign assistance and how to ensure comparability with other donors. ***

HESP-News & Notes - 20/2011 - page 28

Promoting transparency in the NGO sector: Examining the availability and reliability of selfreported data
by Ronelle Burger and Trudy Owens Centre for Research in Economic Development and International Trade, University of Nottingham, August 2011 38 pp. 256 kB: http://www.nottingham.ac.uk/credit/documents/papers/08-11.pdf Amid widespread calls for NGOs to become more accountable and transparent, this work examines the prevalence of discrepancies between what NGOs say and what they do. It does so using a unique dataset of 300 NGOs in Uganda with corresponding beneficiary assessments. The analysis provides tentative indications that NGOs with antag onistic relations with the government may be more likely to hide information and be dishonest. It also lends some support to the view that excessive and unrealistic donor demands may be an obstacle to openness and transparency. ***

The World Bank Annual Report 2011: Year in Review


by the Executive Directors of the International Bank for Reconstruction and Development (IBRD) and the International Development Association (IDA), 2011 43 pp. 9.8 MB: http://wwwwds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2011/09/09/00035616 1_20110909023530/Rendered/PDF/644400PUB0Year0l0version0BOX361537B.pdf This annual report portrays the Bank's activities in helping developing countries meet their challenges, including the ravages caused by natural disasters, to manage the risks and seize the opportunities - not only through financial support and development advice, but also by linking developing countries so they can share knowledge gained from their experiences. ***

Real Aid: Ending Aid Dependency


by Anna Thomas, Iacopo Viciani, Jonathan Tench, Rachel Sharpe et al. ActionAid UK, 2011 64 pp. 1.3 MB: http://www.actionaid.org.uk/doc_lib/real_aid_3.pdf Aid is working - it is helping to bring women and men out of poverty. But more than that, developing countries dependency on aid is falling, even while the volume of aid increases. Aid dependency among 54 of the worlds poorest countries has declined by a third over the last decade. The report also reveals that since 2006 there has been an increase in good quality aid - real aid - from 51 per cent to 55 per cent. ***

HESP-News & Notes - 20/2011 - page 29

Others Review: indications for ultrasound use in low- and middle-income countries
by Reinou S. Groen, Jeffrey J. Leow, Vijay Sadasivam et al. Tropical Medicine & International Health, Article first published online: 1 September 2011 11 pp. 85 kB: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3156.2011.02868.x/pdf Ultrasound is a highly valuable diagnostic tool in low- and middle-income countries (LMICs) and its use should be considered essential for all district medical facilities. The use could be applied more widely, e.g., for tropical and non-communicable diseases. Additional research is needed to further characterize the impact of task shifting on ultr asound use in LMICs. ***

Compendium of new and emerging health technologies


by Adriana Velazquez-Berumen,Bjrn Fahlgren, Lisa Stroux et al. World Health Organization, September 2011 54 pp. 3.2 MB: http://www.healthunbound.org/sites/default/files/WHO_HSS_Emergi ng_Hlth_Tech_DIM_11%2002_eng.pdf The World Health Organization (WHO) has released a compendium of innovative technologies that may address global health complexities and improve health outcomes in low-resource settings. It presents a snapshot of technologies, either under development or commercialized, that address specific health problems and offer proposed solutions. Each technology is featured in a one-pager which showcases the product functionality and specifications, developer's claims of product benefits, usage information, development stage, as well as future work and challenges for the product. ***

Measuring the Economic Gain of Investing in Girls: The Girl Effect Dividend
by Jad Chaaban and Wendy Cunningham The World Bank, Human Development Network, August 2011 38 pp. 1.6 MB: http://wwwwds.worldbank.org/external/default/WDSContentServer/IW3P/IB/2011/08/08/000158349 _20110808092702/Rendered/PDF/WPS5753.pdf The objective of this paper is to quantify the opportunity cost of girls exclusion from productive employment with the hope that stark figures will lead policymakers to reconsider the current underinvestment in girls. The paper explores the linkages between investing in girls and potential increases in national income by examining three widely prevalent aspects of adolescent girls lives: early school dropout, teenage pregnancy and joblessness. The countries included in the analysis are: Bangladesh, Brazil, Burundi, China, HESP-News & Notes - 20/2011 - page 30

Ethiopia, India, Kenya, Malawi, Nigeria, Paraguay, Senegal, South Africa, Tanzania, and Uganda. ***

World Disasters Report 2011: Focus on hunger and malnutrition


by Lindsay Knight, Sue Armstrong, Mark Curtis et al. International Federation of Red Cross and Red Crescent Societies, September 2011 127 pp. 3.4 MB: http://www.ifrc.org/PageFiles/89755/Photos/307000-WDR-2011-FINAL-email1.pdf A new round of food inflation and severe hikes in the price of basic foodstuffs such as rice, maize, wheat, oil, sugar and salt is plunging many of the worlds poorest people, including millions across the Horn of Africa, into deeper poverty and into situations of severe hunger and malnourishment. The worst hit are poor people who typically spend between 50 and 80 per cent of their incomes on food. ***

World Alzheimer Report 2011: The benefits of early diagnosis and intervention
by Martin Prince, Renata Bryce and Cleusa Ferri Alzheimers Disease International (ADI), September 2011 72 pp. 1.7 MB: http://www.alz.co.uk/research/WorldAlzheimerReport2011.pdf The World Alzheimer Report 2011 shows that there are interventions that are effective in the early stages of dementia, some of which may be more effective when started earlier, and that there is a strong economic argument in favour of earlier diagnosis and timely intervention. ***

Ageing and long-term care


Eurohealth, Vol. 17 Nr. 2-3, 2011 48 pp. 1.0 MB: http://www.euro.who.int/__data/assets/pdf_file/0018/150246/Euroh ealth-Vol17-No-2-3-Web.pdf This issue of Eurohealth looks at meeting the challenge of ageing and long-term care. Articles cover European and OECD countries with topics including: future demand, cost projections, chronic diseases, remote care, workforce issues, etc.

TRAINING OPPORTUNITIES
HIV surveillance, and evaluation of HIV prevention in high-risk groups
14 - 18 November 2011, Zagreb, Croatia HESP-News & Notes - 20/2011 - page 31

WHO Collaborating Centre for Capacity Development in HIV/AIDS Surveillance The aim of this workshop is to provide participants with theoretical knowledge and practical skills in implementation of HIV surveillance methods in high-risk groups, as well as methods used to carry out studies that aim to evaluate HIV prevention interventions in high-risk groups. Target Audience: Epidemiologists, public health professionals, social scientists. For more information and online registration see: http://www.whohub-zagreb.org/133 ***

Knowledge Management for Health and Development Organizations


21 - 25 November, 2011 Centre for African Family Studies (CAFS) / Centre d'Etudes de la Famille Africaine (CEFA), Addis Ababa, Ethiopia Course Content: The concept and principles of knowledge management, conducting a knowledge audit, identifying knowledge gaps and barriers, improving research and knowledge generation, systems for capturing tacit knowledge for documentation (selection). Target Audience: Senior personnel of non-profit organizations, including civil society organizations, donor agencies, foundations, state and federal ministries and international development agencies. Language: English; Fees: US$ 1,000 For more information contact: Tel.: +254-20-273-1479 Fax: +254-20-273-1489 mailto:info@cafs.org See the course web site: http://www.cafs.org/courses/22 For more courses and conferences see also: http://www.going-international.at/index.php?lang=EN ***

For Protection and Promotion: The Design & Implementation of Effective Social Safety Nets
5 to 16 December 2011 World Bank Headquarters - Washington DC, USA This two-week core course aims to provide participants with an in-depth understanding of the conceptual and practical issues involved in the development of individual safety net programs and full safety net systems that protect poor and vulnerable population groups from income risk, link them to essential social services and help them escape poverty. The deadline for registration is October 7, 2011. For a course brochure (70 kB) see: http://siteresources.worldbank.org/SAFETYNETSANDTRANSFERS/Resources/2819451131468287118/1876750-1314735153635/Brochure_SNCC2011.pdf HESP-News & Notes - 20/2011 - page 32

CONFERENCES
Third Peoples Health Assembly (PHA)
July 2012, Cape Town, South Africa For more information see: http://www.phmovement.org/en/pha3/updates#booknode-6124 The Peoples Health Assembly (PHA) is a global event bringing together health activists from across the world to share experiences, analyse the global health situation, and d evelop civil society positions that promote health for all. It is an opportunity to reassess, redirect and re-inspire ourselves. PHA3 is not just about developing our movement. It is also about impacting directly on the struggle for social justice: on health for all, on decent living conditions for all, on work in dignity for all, on equity and on environmental justice.

CARTOON

TIPS & TRICKS


Google Site Information
Here is a Google trick that will help you find information on a given webpage, like what pages link to it, similar pages or pages that have the web address listed somewhere on the site. All you need to do is type info:(web site name) into the Google search box. Like this: info:http://german-practice-collection.org You wont get any results, but you will have around five options to choose from that will give you extended information on the web address you entered: German Practice Collection http://.german-practice-collection.org/ Google can show you the following information for this URL: HESP-News & Notes - 20/2011 - page 33

Show Google's cache of german-practice-collection.org Find web pages that are similar to german-practice-collection.org Find web pages that link to german-practice-collection.org Find web pages from the site german-practice-collection.org Find web pages that contain the term "german-practice-collection.org"

It is kind of fun, plus it is really handy for web designers and search engine optimizers (SEO). ***

PDF my URL
http://pdfmyurl.com/ If you are looking for a quick way to save a webpage for offline viewing, then it is suggested checking out PDFmyURL. Just go to the above URL and put the address of the site you want to save in the box. Now hit the nifty-looking P icon off to the right, let the site do its work, and when the download window pops up save it and open it in your PDF reader. ***

Passwords secured
In todays world almost all of us do some sort of online business that requires user names and passwords. From online banking and paying bills to shopping and checking your e-mails. It is nearly impossible to remember all of the passwords that are required without filling up a whole Roledex with every password we have ever made. Well, there is a free programme that will help you house all of your passwords that is simple yet extremely secure. It is called Passport. Passport is an easy-to-use password manager, which helps you to manage your passwords, user IDs, and related information together in a secure way. You can put all your passwords in one database, which is locked with one master key. So you only have to remember one single master password to unlock the whole database. No more worries about remembering your passwords. The databases are encrypted using the best and secure encryption algorithms. A built-in password generator helps you to create unique secure passwords, and easy to use form filling functionality automatically logs you into a web site or application. Download the small programme (443 kB) for free at: http://download.cnet.com/Passport/3000-18501_475331257.html?tag=dropDownForm;productListing#ixzz1YfHtNWSv

Best regards, Dieter Neuvians MD


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