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  • Document

    Keeping an eye on costs – community health workers monitor TB treatment

    id21 Development Research Reporting Service, 2002
    The World Health Organisation (WHO) estimates that only 32 percent of the world’s population has access to DOTS – a TB treatment strategy that requires health workers to watch patients taking their drugs. How can policy-makers improve the availability of DOTS? Community health workers may provide a cost-effective solution.
  • Document

    Bad influence – does patient demand lead to irrational prescribing?

    id21 Development Research Reporting Service, 2002
    Irrational and excessive prescribing is wasteful and potentially very harmful. It is very common in developing countries which can ill afford to waste medicines. How can this practice be reduced? Researchers from the Britain Nepal Medical Trust (BNMT) and the UK’s South Bank University studied the influence of patient demand and user fees on prescription rates in Nepal.
  • Document

    Unwrapping the truth about Bangladesh’s essential service package

    id21 Development Research Reporting Service, 2002
    In 1998 Bangladesh began a sector wide approach to extend healthcare to vulnerable groups. Per capita healthcare spending is about US$ 11. Just under US$ 3 of this is spent by the public sector, of which two- thirds is allocated through an essential service package (ESP). A study by the Ministry of Health and Family Welfare asked whether these resources actually reach the intended beneficiaries.
  • Document

    An unlikely couple? Linking private and public sectors in TB control

    id21 Development Research Reporting Service, 2002
    Private practitioners treat up to half of tuberculosis (TB) patients in urban Nepal, even though free treatment is available in the public sector. Quality of TB care by private practitioners is inconsistent. What is the best way to improve TB control through the private sector?
  • Document

    Own goal: TB treatment targets exclude the poor in India

    id21 Development Research Reporting Service, 2002
    India introduced the Revised National Tuberculosis Control Programme (RNTCP) in the mid 1990s, based on the World Health Organisation’s DOTS strategy. Researchers from New Delhi’s Lala Ram Sarup Institute and the London School of Hygiene and Tropical Medicine report on operational research at two pilot sites for the programme in New Delhi.
  • Document

    Medication and education: tackling TB in Pakistan

    id21 Development Research Reporting Service, 2002
    What is the best way to deliver tuberculosis (TB) treatment? What specific constraints and opportunities influence TB treatment in Pakistan? Researchers from the Association for Social Development and Dataline, Pakistan, and the UK Nuffield Institute for Health, investigated TB healthcare provision in rural Pakistan.
  • Document

    Women’s needs for household security and conservation: impossible to reconcile?

    id21 Development Research Reporting Service, 2002
    Integrated conservation and development projects (ICDPs) are supposed to combine rural development with the conservation of natural resources. Do they work? How does gender shape the ways local people participate in, and benefit from, ICDPs? Are they implemented with regard to social equity issues? How can women’s role in their planning, management and evaluation be enhanced?
  • Document

    Fighting motor madness: rethinking urban transport through a poverty lens

    id21 Development Research Reporting Service, 2002
    How should planners respond to increased travel demand in the developing world’s burgeoning cities? Can transport policies contribute to poverty reduction? What is the impact of government expenditure on transport infrastructure? What are the health and education outcomes of improvements / deterioration in transport conditions?
  • Document

    Improving urban transport systems: towards a pro-poor, user-centred approach

    id21 Development Research Reporting Service, 2002
    How should we judge whether a transport system is facilitating or hindering the economic development of a city in a developing country? Can a sustainable livelihoods approach help to better plan transport services for low-income communities in urban areas?
  • Document

    Access for all: the delivery of water and sanitation in urban Bangladesh

    id21 Development Research Reporting Service, 2002
    Do the poorest households have access to clean water at a price they can afford? Are the new sanitation services available to the poorest? To what extent are the poorest included in community based management? A study by Planning Alternatives for Change and Pathway assesses whether WaterAid Bangladesh’s Urban Programme benefits the urban poor of slums in Dhaka and Chittagong.

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