Surgical and anaesthetic capacity of hospitals in Malawi: key insights
Conclusion COs form the backbone of Malawi’s surgical and anaesthetic workforce and should be supported with improvements in infrastructure as well as training and mentorship by specialist surgeons and anaesthetists. (Source: Health Policy and Planning)
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Henry, J. A., Frenkel, E., Borgstein, E., Mkandawire, N., Goddia, C. Tags: Original articles Source Type: research
Health insurance and accessibility to health services among Roma in settlements in Belgrade, Serbia--the journey from data to policy making
The Serbian constitution and health-related laws assert that citizens and residents are universally entitled to health care, provided that they hold health insurance. However, until 2010, persons who did not hold a national identification number (ID) were required to present a plethora of documents to be granted one. We assessed the relationship between citizenship, residency and possession of health insurance cards, together with utilization of health services, among Roma residing in disadvantaged settlements in Belgrade. The Roma Health and Nutrition Survey was conducted in 2009 to assess the social determinants of healt...
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Kaluski, D. N., Stojanovski, K., McWeeney, G., Paunovic, E., Ostlin, P., Licari, L., Jakab, Z. Tags: Original articles Source Type: research
Rewards and challenges of providing HIV testing and counselling services: health worker perspectives from Burkina Faso, Kenya and Uganda
This article presents provider perspectives on the challenges of obtaining consent, protecting confidentiality, providing counselling and helping clients manage disclosure. It also explores health workers’ fear of infection within the workplace and their reports on discrimination against HIV clients within health facilities. HIV care providers in Burkina Faso, Kenya and Uganda experienced substantial rewards from their work, including satisfaction from saving lives and gaining professional skills. They also faced serious resource constraints, including staff shortages, high workloads, lack of supplies and inadequate ...
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Bott, S., Neuman, M., Helleringer, S., Desclaux, A., Asmar, K. E., Obermeyer, C. M., the MATCH (Multi-country African Testing and Counselling for HIV) Study Group Tags: Original articles Source Type: research
Action learning for health system governance: the reward and challenge of co-production
This article seeks to present ‘methodological musings’ on these points, to prompt wider discussion on the practice of HPSR. It draws on one long-term collaborative action learning research project being undertaken in Cape Town, South Africa. The District Innovation and Action Learning for Health System Development project is an action research partnership between two South African academic institutions and two health authorities focused, ultimately, on strengthening governance in primary health care.
Drawing on this experience, the article considers three interrelated issues: The diversity and complexities of ...
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Lehmann, U., Gilson, L. Tags: Original articles Source Type: research
Resumenes en esta edicio n
(Source: Health Policy and Planning)
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Tags: Spanish Abstracts Source Type: research
Resumes dans ce numero
(Source: Health Policy and Planning)
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Tags: French Abstracts Source Type: research
本期摘要
(Source: Health Policy and Planning)
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Tags: Chinese Abstracts Source Type: research
The effectiveness of community-based loan funds for transport during obstetric emergencies in developing countries: a systematic review
Conclusion There is some evidence to suggest that community-based loan funds as part of a multifaceted intervention have positive effects. Conclusions are limited by challenges of study design and bias. Further studies which strengthen the evidence of the effects of loan funds, and mechanism for their functionality, are recommended. (Source: Health Policy and Planning)
Source: Health Policy and Planning - August 4, 2015 Category: Health Management Authors: Nwolise, C. H., Hussein, J., Kanguru, L., Bell, J., Patel, P. Tags: Review Source Type: research
Social solidarity and the right to health: essential elements for people-centred health systems
(Source: Health Policy and Planning)
Source: Health Policy and Planning - August 4, 2015 Category: Health Management Authors: London, L., Himonga, C., Fick, N., Stuttaford, M. Tags: Commentary Source Type: research
Community-based family-style group homes for children orphaned by AIDS in rural China: an ethnographic investigation
In this study, we describe the community-based family-style group homes (‘group homes’) in rural China. Guided by an ecological framework of children’s wellbeing, we conducted a series of ethnographic observations, in-depth interviews and group discussions in the rural areas of Henan Province, which has been severely impacted by the AIDS endemic through commercial blood collection. Based on our observations and discussions, group homes appear to provide stable and safe living environments for children orphaned by AIDS. Adequate financial support from non-government organizations (NGOs) as well as the cent...
Source: Health Policy and Planning - August 4, 2015 Category: Health Management Authors: Hong, Y., Chi, P., Li, X., Zhao, G., Zhao, J., Stanton, B., Li, L. Tags: Original articles Source Type: research
Supporting mental health in South African HIV-affected communities: primary health care professionals' understandings and responses
This study reports on an in-depth case study of primary mental health services in a rural HIV-affected community in Northern KwaZulu-Natal. Health professionals identified as the frontline staff working within the primary mental health care model (n = 14) were interviewed. Grounded thematic analysis of interview data highlighted that practitioners employed a critical and socially anchored framework for understanding their patients’ needs. Poverty, gender and family relationships were identified as intersecting factors driving HIV-affected patients’ mental distress. In a divergence from existing evidence, practi...
Source: Health Policy and Planning - August 4, 2015 Category: Health Management Authors: Burgess, R. A. Tags: Original articles Source Type: research
Attainments and limitations of an early childhood programme in Colombia
This article uses data from the Demographic Health Survey of 2010. The evidence suggests that the programme improved immunization status and the likelihood of health care for acute respiratory infection or fever. As expected, the programme has a greater impact on children from among the poorest people in the country. In the most advanced regions and for the beneficiaries of private health care, the effects of the programme have tended to be negligible. In this sense, our central policy recommendation is to optimize the programme for the poorest households in the country. (Source: Health Policy and Planning)
Source: Health Policy and Planning - August 4, 2015 Category: Health Management Authors: Carrillo, B., Iglesias, W. J., Trujillo, J. C. Tags: Original articles Source Type: research
Increased use of recommended maternal health care as a determinant of immunization and appropriate care for fever and diarrhoea in Ghana: an analysis pooling three demographic and health surveys
Conclusion This study proposes a linkage between MDGs; initiatives to improve maternal health through promoting increased use of recommended MHC may enhance children’s health-related care. This could be useful for countries with limited resources in achieving MDGs, especially in sub-Saharan Africa where under-five mortality is the highest. (Source: Health Policy and Planning)
Source: Health Policy and Planning - August 4, 2015 Category: Health Management Authors: McGlynn, N., Wilk, P., Luginaah, I., Ryan, B. L., Thind, A. Tags: Original articles Source Type: research
The value of building health promotion capacities within communities: evidence from a maternal health intervention in Guinea
This article presents results from a study that explored the association between community capacity for maternal health promotion and women’s use of preventive and curative maternal health services. Implemented in the Republic of Guinea, the intervention aimed to build the capacity of community-level committees to heighten awareness about maternal health risks and to promote use of professional maternal health services throughout pregnancy and childbirth. Data were collected through a population-based survey. A total of 2335 women of reproductive age were interviewed, including 878 with a live birth or stillbirth sin...
Source: Health Policy and Planning - August 4, 2015 Category: Health Management Authors: Brazier, E., Fiorentino, R., Barry, M. S., Diallo, M. Tags: Original articles Source Type: research
Economic cost of primary prevention of cardiovascular diseases in Tanzania
This article aims to estimate the cost of providing medical primary prevention interventions for cardiovascular disease (CVD) among at-risk patients, reflecting actual resource use and if the World Health Organization (WHO)’s CVD medical preventive guidelines are implemented in Tanzania. In addition, we estimate and explore the cost to patients of receiving these services. Cost data were collected in four health facilities located in both urban and rural settings. Providers’ costs were identified and measured using ingredients approach to costing and resource valuation followed the opportunity cost method. Unit...
Source: Health Policy and Planning - August 4, 2015 Category: Health Management Authors: Ngalesoni, F., Ruhago, G., Norheim, O. F., Robberstad, B. Tags: Original articles Source Type: research
