Resources search

Building bridges with SIPAA : lessons from an African response to HIV and AIDS

DUNN, Alison
HEALTHLINK WORLDWIDE
2005

Expand view

This document examines the key lessons from the Support to the International Partnership against AIDS in Africa (SIPAA) programme implemented between 2001 and 2005 in nine African countries. The programme's main focus was on African leadership and ownership, involvement and participation of people living with or affected by HIV and AIDS and mobilisation of national and regional partners. Lessons learned include: meaningful involvement of people living with HIV and AIDS; supporting associations according to potential rather than proven track record; networks support; support for local leaders; making connections through National AIDS Councils; building strong partnerships; sharing information and knowledge across Africa; making the most of African skills and resources

An electronic medical record system for ambulatory care of HIV-infected patients in Kenya

SIIKA, A M
et al
2005

Expand view

The faculty at Moi University in Kenya and Indiana University in the USA opened adult and pediatric HIV clinics in a national referral hospital, a district hospital, and six rural health centers in western Kenya using a newly developed electronic medical record system (EMR) to support comprehensive outpatient HIV/AIDS care. The EMR contains more than 30,000 visit records for more than 4,000 patients, almost half taking antiretroviral drugs. This article describes the development and structure of this EMR and plans for future development that include wireless connections, tablet computers, and migration to a Web-based platform

Mapping malaria risk in Africa

MAPPING MALARIA RISK IN AFRICA / ATLAS DU RISKE DE LA MALARIA EN AFRIQUE (MARA/ARMA)
December 2004

Expand view

This site presents maps of malaria risk and endemicity (the presence of malaria) in Africa, drawing on published and unpublished data, and through spatial modelling of malaria distribution, seasonality and endemicity. Many factors, especially endemicity, affect the choice of control methods. In the absence of such data it is impossible to rationalize the allocation of limited resources for malaria control. This site presents an opportunity to rethink endemicity and how we may map malaria risk in order to better support planning and programming of malaria control

Disability and rehabilitation status : review of disability issues and rehabilitation services in 29 African countries

GIANNELLLI, Massimo
DEEPAK, Sunil
Eds
December 2004

Expand view

This report provides information related to disability issues and rehabilitation services, provided by 29 countries of Africa, and includes demographics, the presence of national policies and NGOs. The report is divided into the following three parts: a global review of information, the country profiles and a summary table of the information provided in individual countries. This report is useful for people interested in disability and rehabilitation services in Africa

Willingness and ability to use TRIPs flexibilities : Kenya case study

LEWIS-LETTINGTON, Robert
MUNYI, Peter
September 2004

Expand view

This paper examines Kenyan legislation and policy in light of the international intellectual property rights framework, in particular the World Trade Oorganization’s Doha Ministerial Declaration decision. It considers the existing sources of supply and associated trends in pricing of pharmaceutical products in Kenya, placing the focus on medicines that are, or are likely to be, affected by these rights

The use of information and communication technologies (ICTs) in African public library services

ROSENBURG, Diana
July 2004

Expand view

This article concerns the use of computers in public libraries in developing countries. To investigate the current level of use of ICTs and plans for the future within the public library environment, a survey was undertaken of 22 public library services in ten English-speaking African countries. The results indicate great disparities in the level of access to computers between the countries, and within country, and indicate a need for more funding and appropriate training

Palliative care in Sub-Saharan Africa : an appraisal

HARDING, Richard
HIGGINSON, Irene
2004

Expand view

This report was written from the belief that palliative care is, and will be for the forseeable future, an essential component in the continuum of managing HIV/AIDS in sub-Saharan Africa. There is now a wealth of experience in sub-Saharan Africa about the ways in which palliative care can be delivered both affordably and effectively. However, there remains a lack of properly documented evidence and research to demonstrate the importance of this work and promote its development. This report provides a review of existing evaluations of palliative care projects in sub-Saharan Africa with an emphasis on isolating the factors that lead to sustainability, local ownership and scaling up; the role of palliative care in the management of HIV/AIDS and how to integrate palliative care and Anti-Retroviral Therapy (ART); primary health based care projects in two countries, Kenya and Malawi, that could provide lessons for the implementation of palliative care; lessons from other parallel programmes which mirror palliative care delivery, for example, tuberculosis programmes, and primary care programmes with good links to local clinics and hospitals, and community mobilization and empowerment projects linked to health facilities. In this way it contributes to the effort of providing an evidence base to demonstrate the importance of palliative care and provides a source of reference for policy makers, practitioners, donors and researchers

Women's stories, women's lives : experiences with cervical cancer screening and treatment

BOYD, Anne R
BURNS, Michele
Eds
2004

Expand view

This publication is a collection of stories based on interviews with women in developing countries who participated in ACCP programmes. These women's stories illustrate the unnecessary suffering cervical cancer can cause women and their families and how prevention programs can save women's lives. ACCP projects have focused on regions in which cervical cancer incidence and mortality are highest: sub-Saharan Africa, Latin America and South Asia, and have also focused on reaching women in their 30s and 40s

Gender differences in time use among adolescents in developing countries : implications of rising school enrollment rates

RITCHIE, Amanda
LLOYD, Cynthia B
GRANT, Monica
2004

Expand view

Three research questions are addressed in this paper : 1) How does time use change during the transition to adulthood? 2) Does gender role differentiation intensify during the transition? 3) Does school attendance attenuate gender differences? The research addresses significant gaps in the literature, in particular the lack of attention to how time use is affected by school attendance. The study documents differences in time use patterns between students and non-students. Although female adolescent students still work longer hours than male adolescent students, the gender division of labour that typically develops during adolescence is greatly attenuated among students when time spent at work is measured by combining labour market work with noneconomic household work

Adherence to antiretroviral therapy in adults : a guide for trainers

HORIZONS. Population Council
2004

Expand view

Successful HIV therapy requires 95% adherence. As antiretrovirals are becoming more widely available and an increasing number of ARV programmes are launched in developing countries, HIV patients need to be helped to strictly follow a treatment plan. This manual, one of the first adherence training tools developed in Africa, has been designed for health professionals in the province of Mombasa, but can be adapted to other contexts. It consists of four modules, each including Power Point presentations, suggested activities and additional informative material. Module 1 provides basic information on adherence, highlighting the consequences of non-adherence. Module 2 deals with all aspects of patient preparation for adherence and module 3 aims to provide trainees with specific skills in preparatory counseling for patients prior initiating ARV treatment. Finally, module 4 is designed to help health care providers assist patients during treatment

The quality of anti-malarials : a study in selected African countries

MAPONGA, Charles
ONDARI, Clive
May 2003

Expand view

This was a pilot study to assess the quality of anti-malarials in selected African countries, and to determine whether the quality of these products was related to the level of the distribution chain at which the samples were collected. The data from this study indicate significant problems of substandard anti-malarial products circulating within the drug distribution chains in the African region. It therefore recommends that quality surveillance systems be set up within drug regulatory authorities in the region and that support be given to manufacturers to improve compliance with good manufacturing practices

Case study : the SATELLIFE PDA Project

March 2003

Expand view

The article describes the SATELLIFE Personal Digital Assistant (PDA) Project that explored questions related to the selection and design of appropriate, affordable technology and locally relevant content for use in African healthcare environment. The project was specifically targeted at assessing the usefulness of the PDA for (1) data collection and (2) information dissemination. This report describes a number of valuable lessons leaned from the project that can be applied to further deployment of PDAs in developing countries. A number of obstacles to technology use have also been identified, which will need to be overcome in order to promote the widespread adoption of the technology in this context

Mobilising the community : a PILLARS guide

CARTER, Isabel
2003

Expand view

This guide looks at an example of community mobilisation that is based on using outside facilitators and workshops. However, recognising that resources to employ external facilitators and run such workshops may not be available, it takes the basis of the mobilisation process and shares it in a way that will help a well-organised and motivated group to use the process without outside help. It looks at participatory methodologies that can be used to focus on key community issues, how to gather information, presenting information and planning the action. It will be helpful to small groups or NGOs seeking to bring changes that benefit local people

State of the world's children 2004 : ­girls, education and development

BELLAMY, Carol
2003

Expand view

This year's report focuses on girls' education and its implica- tions for development. It presents the many benefits of educat- ing girls, examines the barriers that keep more girls out of school and the lasting impact such exclusion has on a country's development, details why education is the most effective means of combating many of the most profound challenges to human development and presents concrete and practical recommendations for the way forward

Sustaining community-based health initiatives

SOHANI, Salim
FOX, John
Eds
2003

Expand view

This policy briefing is based on a review of reports of the Kisumu Primary Health Care project that ran from 1983 to 1997. It sets out to answer three questions around the sustainability of primary health care projects after donors withdraw: how and why do communities carry on the activities after the donor has withdrawn; what can programmes do to encourage such persistence; and what lessons from the Kisumu project can be applied elsewhere?

Building a dispensary health management information system

SOHANI, Salim
SHARIF, Shanaaz
FOX, John
Eds
2003

Expand view

This policy brief focuses on the outcomes of the Kwale Health Systems Strengthening Project (KHSSP), which aims to improve the quality of health care at the dispensary level. The project increased the participation of the local community in the running of the dispensaries and in the development and operation of the health information system that was used. This brief outlines the projects work and lessons that can be learned from it

Speak for the child : community care for orphans and affected children. Case study Kenya

LUSK, Diane
et al
2003

Expand view

This is a rare case study of a pilot project to address the specific needs of children under 5 affected by HIV/AIDS who are typically ignored at the programming level and often miss the benefits of general HIV/AIDS interventions. The project operated in Western Kenya and the study contains evidence of the work carried out, a lessons learned catalogue of the processes and tools developed, and a set of suggestions of how the tools and processes might be adapted to other groups in other contexts. It is an excellent example of a community based response to the needs of very young children and addresses the key challenges faced in attempting to do so

Pages

E-bulletin