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Moving towards universal health coverage: health insurance reforms in nine developing countries in Africa and Asia

Lagomarsion G.
Garabrant A.
Adyas A.
Otoo N.
Muga R.
et al
September 2012

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The implementation of national health insurance reforms designed to move towards universal health coverage by 9 low-income and lower-middle-income countries in Africa and Asia  is reported. Five countries at intermediate stages of reform (Ghana, Indonesia, the Philippines, Rwanda, and Vietnam) and four at earlier stages (India, Kenya, Mali, and Nigeria) are considered. These countries’ approaches to raising prepaid revenues, pooling risk, and purchasing services are described using the functions-of-health-systems framework. Their progress across three dimensions of coverage: who, what services, and what proportion of health costs is assessed using the coverage-box framework. Patterns in the structure of these countries’ reforms including use of tax revenues to subsidise target populations and steps towards broader risk pools are identified. Trends in progress towards universal coverage, including increasing enrolment in government health insurance and a movement towards expanded benefits packages are reported. Common, comparable indicators of progress towards universal coverage are needed.

The labour market for human resources for health in low and middle-income countries

SCHEFFLER, Richard
BRUCKNER, Tim
SPETZ, Joanne
July 2012

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This paper provides an introduction to the terms and tools of labour market analysis and connects these labour market principles to real-world case studies from LMIC. Three examples are provided of issues: workforce shortage in Thailand; unfilled posts in Kenya; and ghost workers in Rwanda. The labour market for health workers is considered and an integrated framework is provided. The technical structure and dynamics of the health worker market is discussed and applied to the first two examples. Task shifting, health worker performance and health worker productivity are also discussed.

Human Resources for Health Observer, No. 11

Making Kenya ODF

MUSYOKI, Samuel
March 2012

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This community-led total sanitation (CLTS) blog outlines progress on CLTS in Kenya, noting the difference in approach in Ghana and Ethiopia, and highlights the new approaches taken by some disabled people, working towards the goal of making Kenya open defecation free (ODF)

Independent living for people with disabilities in Kenya : charting the way forward

KAMUNDIA, Elizabeth
2012

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This paper explores the concept of independent living and living in the community from the perspective of a developing country, Kenya. The author examines the positions taken by African countries during the negotiations of the CRPD, and notes that a significant amount of literature exists on the meaning of independent living with regard to developed countries, but not much has been written from the perspective of developing countries. It examines the measures taken by the government of Kenya towards providing support to persons with disabilities and argues that independent living is as important to the developing world as it is to the developed world. The author notes that in Africa the emphasis has been on habilitation and rehabilitation, with the aim of making people with disabilities independent. The focus has been on persons with physical and sensory disabilities, while persons with intellectual, psychosocial, dual diagnosis and multiple disabilities have been excluded.  This paper will be useful to anyone interested in independent living and its implementation in Kenya

Disability and poverty in developing countries : a snapshot from the World Health Survey

MITRA, Sophie
POSARAC, Aleksandra
VICK, Brandon
April 2011

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This paper outlines the economic and poverty situation of working-age persons with disabilities and their households in 15 developing countries. Using data from the World Health Survey, the study presents estimates of disability prevalence, individual-level economic well-being, household-level economic well-being, and multidimensional poverty measure. Detailed appendices are provided to support the results of the study. This paper is useful for people interested in the social and economic conditions of people with disabilities in developing countries
Social Protection Discussion Paper No 1109

Helping the most vulnerable in Dadaab

BEALS, Greg
2011

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This article presents the difficulties disabled persons face when attempting to flee during conflict based upon individual stories of Somali displaced persons in Dadaab refugee camp, Kenya. The article highlights their difficulties and the assistance that is being provided by UNHCR

Strategic funding : strengthening partnernship for real development

HEALTHLINK WORLDWIDE
June 2010

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'This learning paper considers how strategic funding allows community based and non-governmental organisations the flexibility to develop their responses to HIV and AIDS; it creates the space for organisational development to enable those changes and for organisations to learn from, and share with, each other'

HIV & AIDS "train the trainers" manual

AFRICA UNION OF THE BLIND (AFUB)
2010

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"This manual is for use by Trainers of Trainers. i.e. trainers of visually impaired Peer Educators. It has been developed to provide awareness and training on HIV&AIDS prevention, treatment, care and support and to equip blind and partially sighted participants with Peer Educations skills. It is hoped that blind and partially sighted participants will become effective Peer Educators in training other visually impaired persons in their communities"
The user has given permission for the uploaded document to be reproduced and made publicly available on the Source website

Testing youth transitions in Kenya : are young people with disabilities falling through the cracks?

MUGO, John Kabutha
ORANGA, Josephine
SINGAL, Nidhi
2010

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"This paper focuses on the situation of young people with disabilities and examines the transitional opportunities available to them in Kenyan society, considering three principal areas: education, employment and social participation. The paper utilises the findings of a systematic analysis of relevant government reports and documents. Some of the issues raised are contextualised using data collected from one secondary school for the blind in Nairobi. (The) analysis indicates that, although their numbers are significant, young people with disabilities face difficult obstacles in progressing to higher levels of education. They are faced with limited employment opportunities and are at a greater risk of being exploited in the social sphere. Some policy options to tackle this situation are indicated"
Working Paper No 34

Examining factors impacting community based rehabilitation in a refugee camp : an exploratory case study

WEE, Joy
2010

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"This paper examines factors that impact the ability of refugees within a refugee camp in Kenya to participate in their communities through community-based rehabilitation (CBR). Exploratory case study design was employed. Data triangulation combined observations from teaching encounters, clinics, available reports, individual interviews, and focus groups involving participants from various sectors within the refugee camp. Themes arising from this study reveal that persons with disability and their families are disadvantaged because of issues relating to distribution systems and physical access, discrimination, security, access to information, and lack of community awareness of the capabilities of persons with disability. The existing emergency mode of operation appears to perpetuate disability. Barriers for persons with disability were reported by all participants from differing sectors in the refugee camp. Though many barriers exist, CBR seems feasible and ongoing efforts should be encouraged and supported in the refugee camp setting"
Asia Pacific Disability Rehabilitation Journal, Vol 21, No 2

Youth to youth|Disability-sensitive youth to youth : methodologies in HIV and AIDS

HANDICAP INTERNATIONAL KENYA
2010

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This video features HIV and AIDS prevention and education initiatives in Kenya. It particularly targets the youth population due to a lack of available information and risk behaviours, such as sexuality, drug use and alcohol use. In order to prevent risks and present treatment options for the youth who are AIDS-carriers, several youth groups organized the following activities to prevent and fight the disease: street theatre for awareness-raising, group education sessions, and promotion of VCT services for communication and information. This video contains several testimonies and one features Mercy, a young girl who has AIDS after working as prostitute to feed her two children and is now involved in a support group

Diabetes prevention and control projects in countries with limited resources|Lessons from experience : know-how analysis

BONARERI, Elizabeth
et al
December 2009

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This analysis paper presents the ‘know-how’ acquired by Handicap International in its diabetes prevention and control projects. It provides six practical know-how analysis sections focusing upon stakeholder mobilisation, services in communities, the decentralisation of diabetes care, diabetes clubs for persons with diabetes, supporting associations of persons with diabetes and conducting a study on a disabling disease project. This report would be useful to anyone interested in diabetes prevention and control in developing countries

Disability in national strategic plans on HIV and AIDS : a review on the national response to the interrelations of disability and HIV in eastern and southern Africa|Final report

GRANT, Kitty
STRODE, Ann
HANNASS-HANCOCK, Jill
December 2009

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This report examines national AIDS and HIV strategic plans (NSPs) in eastern and southern Africa and includes findings, discussions and best practice examples on the integration of disability throughout the countries. "Generally, the findings of the report show that less than 50% of the countries in Eastern and Southern Africa recognise disability as an issue of concern, or specifically recognise the vulnerability of people with disabilities to HIV and AIDS within their NSPs. Furthermore, it found that even where countries have recognised disability as an issue, there is limited specific guidance within the NSP on HIV-related service provision to meet the needs of people with disabilities. Only one country, South Africa, showed extensive integration of disability into the various focus areas of its NSP." The report concludes with recommendations and provides detailed appendices of national reports for each country surveyed

Let’s make disability visible in the fight against HIV

HANDICAP INTERNATIONAL KENYA
November 2009

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This issue's aim is to capture local voices from grassroots disability organisations that implement HIV and AIDS activities, with a focus on rural and remote areas. It would be of of interest to those interested in disability and HIV and AIDS projects and campaigns in Kenya

Capacity building in network organisations : experiences from and practical guidelines for HIV and other networks

SLUIJS-DOYLE, José
November 2009

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This report assesses seven capacities of organisations of people living with HIV and other HIV network organisations to see what makes a well-functioning network. These capacities are: involvement and accountability; partnership alliances; leadership; knowledge and skills; internal communication; impact, outputs and external communication; and management and finance. The report looks at four network organisations in Eastern and Southern Africa, with secondary research drawn from networks in Bangladesh, Nepal and India. The findings and recommendations cannot be applied universally to capacity strengthening in all network organisations, but need to be adapted to the context of each particular group

"I washed and fed my mother before going to school" : understanding the psychosocial well-being of children providing chronic care for adults affected by HIV/AIDS in Western Kenya

SKOVDAL, Morten
OGUTU, Vincent O
August 2009

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This paper presents three case studies of young people each of whom is a primary caregiver for a relative living with HIV. They are drawn from a study in Western Kenya of how well children cope with the challenges of chronic care and the psycho-social impact it has on them

The health worker shortage in Africa : are enough physicians and nurses being trained?

KINFU, Yohannes
et al
February 2009

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"The health worker shortage in sub-Saharan Africa derives from many causes, yet the dynamics of entry into and exit from the health workforce in many of these countries remain poorly understood. This limits the capacity of national governments and their international development partners to design and implement appropriate intervention programmes. This paper provides some of this information through the first systematic estimates of health worker inflow and outflow in selected sub-Saharan African countries"

Inspiring futures : learning from memory work in Africa

DUNN, Alison
HAMMOND WARD, Sarah
2009

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This learning paper looks at the experiences of applying memory work as part of broader strategies to mitigate the impact of HIV and AIDS in five African countries. It explores how six NGOs in sub-Saharan Africa established memory work as a key component of their community-based HIV programmes and draws on the experience of people living with HIV and AIDS, children and young people who participated in the initiative, partner organisations' own learning and analysis and the end of project evaluation report

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