Perceptions, attitude and uptake of rapid syphilis testing services in antenatal clinics in North-Western Tanzania
Infection with syphilis during pregnancy could cause spontaneous abortion, low birth weight and stillbirth. To prevent adverse pregnancy outcomes caused by syphilis, the World Health Organization (WHO) recommends syphilis screening and treatment of all pregnant women attending antenatal care (ANC) services. Rapid syphilis testing (RST) demonstration project was introduced at ANC clinics in Tanzania in 2009, to assess the feasibility, acceptability and its impact on uptake of syphilis screening service. Data collection was composed of in-depth interviews with health workers and pregnant women attending ANC. Additionally, fr...
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Nnko, S., Changalucha, J., Mosha, J., Bunga, C., Wamoyi, J., Peeling, R., Mabey, D. Tags: Original Articles Source Type: research
Access to integrated community case management of childhood illnesses services in rural Ethiopia: a qualitative study of the perspectives and experiences of caregivers
Conclusion: Caregivers in Ethiopia face many challenges in using HEWs at the health post, potentially resulting in low demand for iCCM services. Efforts to minimize barriers to care seeking and to improve demand should be incorporated into the iCCM strategy in order to achieve reductions in child mortality and promote equity in access and child health outcomes. (Source: Health Policy and Planning)
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Shaw, B., Amouzou, A., Miller, N. P., Tafesse, M., Bryce, J., Surkan, P. J. Tags: Original Articles Source Type: research
Task shifting--perception of stake holders about adequacy of training and supervision for community mental health workers in Ghana
There is growing interest in the effectiveness of task shifting as a strategy for addressing expanding health care challenges in settings with shortages of qualified health personnel. The aim of this study is to examine the perception of stakeholders about the adequacy of training, supervision and support offered to community mental health workers (CMHWs) in Ghana. To address this aim we designed and administered self-completed, semi-structured questionnaires adapted to three specific stakeholder groups in Ghana. The questionnaires were administered to 11 psychiatrists, 29 health policy implementers/coordinators and 164 CM...
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Agyapong, V. I. O., Osei, A., Mcloughlin, D. M., McAuliffe, E. Tags: Original Articles Source Type: research
Health and economic benefits of scaling up a home-based neonatal care package in rural India: a modelling analysis
Approximately 900 000 newborn children die every year in India, accounting for 28% of neonatal deaths globally. In 2011, India introduced a home-based newborn care (HBNC) package to be delivered by community health workers across rural areas. We estimate the disease and economic burden that could be averted by scaling up the HBNC in rural India using IndiaSim, an agent-based simulation model, to examine two interventions. In the first intervention, the existing community health worker network begins providing HBNC for rural households without access to home- or facility-based newborn care, as introduced by India’s re...
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Nandi, A., Colson, A. R., Verma, A., Megiddo, I., Ashok, A., Laxminarayan, R. Tags: Original Articles Source Type: research
Resource needs and gap analysis in achieving universal access to HIV/AIDS services: a data envelopment analysis of 45 countries
Background—To manage the human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS) epidemic, international donors have pledged unprecedented commitments for needed services. The Joint United Nations Programme on HIV/AIDS (UNAIDS) projected that low- and middle-income countries needed $25 billion to meet the 2010 HIV/AIDS goal of universal access to AIDS prevention and care, using the resource needs model (RNM).
Methods—Drawing from the results from its sister study, which used a data envelopment analysis (DEA) and a Tobit model to evaluate and adjust the technical efficiency of 61 countrie...
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Zeng, W., Shepard, D. S., Avila-Figueroa, C., Ahn, H. Tags: Original Articles Source Type: research
Fifteen years of sector-wide approach (SWAp) in Bangladesh health sector: an assessment of progress
This article explores the progress made, both in terms of achievement of health outcomes and systems strengthening results, since the implementation of the SWAp for Bangladesh’s health sector. Secondary analyses of survey data from 1993 to 2011 as well as a literature review of published and grey literature on health SWAp in Bangladesh was conducted for this assessment. Results of the assessment indicate that the MOHFW made substantial progress in health outcomes and health systems strengthening. SWAps facilitated the alignment of funding and technical support around national priorities, and improved the government&r...
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Ahsan, K. Z., Streatfield, P. K., Ijdi, R. -E.-, Escudero, G. M., Khan, A. W., Reza, M. M. Tags: Original Articles Source Type: research
Do academic knowledge brokers exist? Using social network analysis to explore academic research-to-policy networks from six schools of public health in Kenya
In conclusion, SNA is a valuable tool for identifying academic-policymaker networks in Kenya. More efforts to conduct similar network studies would permit SPH leadership to identify existing linkages between faculty and policymakers, shared linkages with other SPHs and gaps so as to contribute to evidence-informed health policies. (Source: Health Policy and Planning)
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Jessani, N. S., Boulay, M. G., Bennett, S. C. Tags: Original Articles Source Type: research
The uncertain future of lay counsellors: continuation of HIV services in Lesotho under pressure
Between 2006 and 2011, when antiretroviral therapy (ART) was scaled up in a context of severe human resources shortages, transferring responsibility for elements in human immunodeficiency virus (HIV) care from conventional health workers to lay counsellors (LCs) contributed to increased uptake of HIV services in Lesotho. HIV tests rose from 79 394 in 2006 to 274 240 in 2011 and, in that same period, the number of people on ART increased from 17 352 to 83 624. However, since 2012, the jobs of LCs have been at risk because of financial and organizational challenges. We studied the role of LCs in HIV care in Lesotho between 2...
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Bemelmans, M., Goux, D., Baert, S., van Cutsem, G., Motsamai, M., Philips, M., van Damme, W., Mwale, H., Biot, M., van den Akker, T. Tags: Original Articles Source Type: research
Overweight and obesity in India: policy issues from an exploratory multi-level analysis
This article analyses a nationally representative household dataset—the National Family Health Survey (NFHS-3) conducted in 2005 to 2006—to examine factors influencing the prevalence of overweight/obesity in India. The dataset was disaggregated into four sub-population groups—urban and rural females and males—and multi-level logit regression models were used to estimate the impact of particular covariates on the likelihood of overweight/obesity. The multi-level modelling approach aimed to identify individual and macro-level contextual factors influencing this health outcome. In contrast to most stud...
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Siddiqui, M. Z., Donato, R. Tags: Original Articles Source Type: research
Targeting vulnerable households in urban Burkina Faso: effectiveness of geographical criteria but not of proxy-means testing
The 2007/2008 food prices hike has increased the interest in social safety nets programmes to fight food insecurity. Targeting the most in need is central to achieve effectiveness of such interventions. In 2009 in Ouagadougou, Burkina Faso, a food voucher (FV) programme targeted the 25 000 most vulnerable households (8.3% of the population). Targeting used a two-stage process: first geographical selection of poorest districts (~90 000 households); then, in those districts, identification of the most vulnerable households according to a proxy-means test (PMT). Targeted households were entitled to receive FV for 1 year. A fi...
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Fortin, S., Kameli, Y., Ouattara, A., Castan, F., Perenze, M. L., Kankouan, J., Traore, A., Kouanda, S., Conte, A., Martin-Prevel, Y. Tags: Original Articles Source Type: research
The composition of demand for newly launched vaccines: results from the pneumococcal and rotavirus vaccine introductions in Ethiopia and Malawi
We describe the post-launch demand for the first dose of pneumococcal conjugate vaccine (PCV1) in Ethiopia and Malawi and the first dose of rotavirus vaccine (Rota1) in Malawi, with focus on the new birth cohort and the ‘backlog cohort’, comprised of older children who are still eligible for vaccination at the time of launch. PCV1 and Rota1 uptake were compared with the demand for the first dose of pentavalent vaccine (Penta1), a routine immunization that targets the same age group and immunization schedule. In the first year, the total demand for PCV1 was 37% greater than that of Penta1 in Ethiopia and 59% gre...
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Williams, B. A., Kidane, T., Chirwa, G., Tesfaye, N., Prescott, M. R., Scotney, S. T., Valle, M., Abebe, S., Tambuli, A., Malewezi, B., Mohammed, T., Kobayashi, E., Wootton, E., Wong, R., Dosani, R., Subramaniam, H., Joseph, J., Yavuz, E., Apple, A., Le T Tags: Original Articles Source Type: research
Donning the mask: effects of emotional labour strategies on burnout and job satisfaction in community healthcare
This study brings forth the neglected issues of emotions and their implications for these healthcare workers in low and middle-income countries who are a vital link that delivers healthcare to weaker section of the society. The findings have relevance not merely for the individual providing this service but the beneficiary and the organization that facilitates this delivery. Interventions based on demographic, community, national and occupational factors have also been presented. (Source: Health Policy and Planning)
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Pandey, J., Singh, M. Tags: Original Articles Source Type: research
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Source: Health Policy and Planning - April 12, 2016 Category: Health Management Tags: Spanish Abstracts Source Type: research
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Source: Health Policy and Planning - April 12, 2016 Category: Health Management Tags: Chinese Abstracts Source Type: research
The emergence and effectiveness of global health networks: findings and future research
This article presents key findings from a research project on the emergence and effectiveness of global health networks addressing tobacco use, alcohol harm, maternal mortality, neonatal mortality, tuberculosis and pneumonia. Although networks are only one of many factors influencing priority, they do matter, particularly for shaping the way the problem and solutions are understood, and convincing governments, international organizations and other global actors to address the issue. Their national-level effects vary by issue and are more difficult to ascertain. Networks are most likely to produce effects when (1) their mem...
Source: Health Policy and Planning - April 10, 2016 Category: Health Management Authors: Shiffman, J., Peter Schmitz, H., Berlan, D., Smith, S. L., Quissell, K., Gneiting, U., Pelletier, D. Tags: Original articles Source Type: research
