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

GIANNELLLI, Massimo
DEEPAK, Sunil
Eds
December 2004

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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

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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

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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

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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

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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

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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

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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

Conference 2003 : reproductive health from disaster to development

MATTHEWS, Julia
KRAUSE, Sandra
CHYNOWETH, Sarah
December 2003

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Provides the proceedings of the conference along with the presentations that were made. The presentations provide information on specific activities, projects or research, along with the methods used, the findings and the implications for future work (lessons learned)

Girls' education in Kenya

UNITED NATIONS CHILDREN'S FUND (UNICEF)
October 2003

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In January 2003 the Government of Kenya announced the introduction of free primary education. There are still wide gender disparities in some regions but overall children aged 5-8 now have greater access to primary education with girls enrolment at 69% and boys at 68%. Pre-school education age 3-5 years is also occurring within Kenya and pre-school enrolment rate is at 40%. UNICEF is working, among other things, to strengthen education on HIV/AIDS prevention and the care of orphans, and to promote an integrated approach to the implementation of ECD, HIV/AIDS and formal primary and non-formal education sub-projects

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

MAPONGA, Charles
ONDARI, Clive
May 2003

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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

Mtaa community dialogue on wife inheritance in relation to HIV/AIDS

BARASA, Mary Stella
et al
March 2003

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This baseline survey into the issue of wife inheritance was used to encourage the Mtaa community to openly discuss the issue of wife inheritance; encourage it to discard bad practices that might accelerate HIV/AIDS infection; and create awareness of the dangers related to wife inheritance in the face of HIV/AIDS. Group discussions and a plenary presentation were used to gather information from participants. The report outlines the findings and conclusions of the survey

Case study : the SATELLIFE PDA Project

March 2003

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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

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

LUSK, Diane
et al
2003

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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

Quality assurance resource pack for voluntary counselling and testing service providers

LIVERPOOL VCT (LVCT)
CARE KENYA
2003

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This resource pack is a helpful tool aimed at services, organisations and health professionals involved in the voluntary counselling and testing (VCT) centres in Kenya. VCT services offer HIV testing to asymptomatic individuals, and pre- and post-testing counselling. Compliance with quality requirements in the provision of the service is crucial to the achievement of the objectives. The National Guidelines for VCT set minimum standards for the registration and accreditation of sites and the Liverpool School of Tropical Medicine has devised a comprehensive quality assurance system to accompany the upscaling of the VCT programme, with an emphasis on individual and community involvement. This resource outlines the lessons learned in the implementation of quality assurance in VCT, and includes useful training materials and tools such as self-assessment and service supervision survey forms for the monitoring and evaluation of service delivery quality

Reproductive health and HIV/AIDS prevention campaign. Utilizing creative dramatized traditional Taita dance and music to increase public awareness about HIV/AIDS in Wongonyi community

MJOMBA, Leonard Majalia
2003

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This work attempts to show how traditional Taita dance and music can creatively be utilised to sensitise and mobilise for social change in a rural community in Kenya. A horizontal model of communication aimed at steering clear of the conventional top-down models is proposed so that by empowering the rural people, it is anticipated that they will be able to transmit messages concerning reproductive health and HIV & AIDS prevention in a manner that makes the messages intelligible to them, and within themselves, for long periods of time such that it leads to individual and community behaviour change

Labour savings technologies and practices for farming and household in eastern and southern Africa|Labour constraints and the impact of HIV/AIDS on rural livelihoods in Bondo and Busia districts western Kenya

BISHOP-SAMBROOK, Clare
2003

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This report presents the difficulties of, and threats to, rural livelihoods in western Kenya. The information is one component of a joint IFAD/FAO study entitled ‘Improving Women’s Access to Labour Saving Technologies and Practices in Sub-Saharan Africa’. It is divided into six related topics, which include tables, charts, diagrams and illustrations. This would be useful for stakeholders and policy makers interested in agricultural and rural development in western Kenya

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