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Searching with a thematic focus on Health systems
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Monitoring global health: time for new solutions
British Medical Journal, 2004This article from the British Medical Journal explores the problems and potential solutions to the gaps in global health monitoring systems.DocumentEffect of a participatory intervention with women’s groups on birth outcomes in Nepal: cluster-randomised controlled trial
The Lancet, 2004This article, published in The Lancet, reports on the effects of a community-based participatory intervention to reduce neonatal (newborn) mortality in rural Makwanpur district, Nepal. The intervention was conducted among random clusters or groups of local women. In each cluster, a local female facilitator convened nine group meetings each month.DocumentDeterminants of maternal health care utilisation in India: evidence from a recent household survey
National Council of Applied Economic Research, India, 2002In India, utilisation of basic health services has remained poor. The reasons may include low levels of household income, illiteracy and ignorance, and traditional attitudes to health care.DocumentFree trade agreement between the USA and Thailand threatens access to HIV/AIDS treatment
Oxfam, 2004This Oxfam briefing note outlines how the future of Thailand’s HIV/AIDS treatment programmes could be threatened by new intellectual property (IP) standards in a Free Trade Agreement (FTA) with the United States. The article outlines how the Thai treatment programmes lack important medicines to scale up. These patented medicines are too expensive for wide scale distribution.DocumentUsing mid-level cadres as substitutes for internationally mobile health professionals in Africa: a desk review
Human Resources for Health, 2004This article, from Human Resources for Health, examines the experiences of using substitute health workers (SHW) in Africa. The review focuses mainly on physicians and reviews data from Tanzania, Congo, Kenya, Malawi, Mozambique, Zambia and Ghana. Findings demonstrate the cost-effectiveness of using SHWs and higher rates of retention within countries and in rural communities.DocumentThe impacts of decentralization on health behaviors in Uganda
MEASURE Evaluation, 2003This paper from Measure studies the impacts of a public sector decentralisation programme on the demand for health care in Uganda in the 1990s. The authors examine how local allocation decisions impact upon individual-level health behaviours. Ultimately, the goal of the paper is to determine whether decentralisation can actually help to improve the health status of the population.DocumentWorking to achieve health equity with an ethnic perspective: what has been done and best practices
Pan American Health Organization, 2004This document from the Pan American Health Organization addresses issues relating to health equity and racial discrimination. The document examines what has been done and highlights examples of best practice. The author outlines a number of policies, collections of disaggregated information and the creation of new institutions within state reform as examples of best practice.DocumentThe global migration of nurses: importing skills, exporting shortages
id21 Development Research Reporting Service, 2005Facing nursing shortages, health systems in developed countries are recruiting nurses from other developed and developing countries. What is the impact of this short term solution on recipient and source countries? How can health systems plan for the effects of increasing migration of nursing staff?DocumentAntiretroviral therapy in primary healthcare: Experience of the Khayelitsha programme in South Africa
World Health Organization, 2003This paper, published by the World Health Organization, discusses the experience of a Médecins Sans Frontières programme to offer antiretroviral (ARV) treatment within primary health care centres in Khayelitsha township, Cape Town, South Africa.It provides an overview of the treatment programme, and outlines a range of positive outcomes.These include dramatic improvements in health aDocumentFreedom to do the job: barriers to females health workers practising in Pakistan
id21 Development Research Reporting Service, 2003In strict Muslim societies, many women face barriers to finding, holding down, and being able to do their jobs to the best of their abilities. In Pakistan, the government, along with several other countries in South Asia, has introduced female health workers to make sure that women are able to receive the health care they need. However, these health workers face the same cultural constraints asPages
