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Strengthening mental health system governance in six low- and middle-income countries in Africa and South Asia: challenges, needs and potential strategies

PETERSEN, Inge
et al
February 2017

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The aim of this study was to identify key governance issues that need to be addressed to facilitate the integration of mental health services into general health care in the six participating "Emerald" countries (Ethiopia, India, Nepal, Nigeria, South Africa, and Uganda).  The study adopted a descriptive qualitative approach, using framework analysis. Purposive sampling was used to recruit a range of key informants, to ensure views were elicited on all the governance issues within the expanded framework. Key informants across the six countries included policy makers at the national level in the Department/Ministry of Health; provincial coordinators and planners in primary health care and mental health; and district-level managers of primary and mental health care services. A total of 141 key informants were interviewed across the six countries. Data were transcribed (and where necessary, translated into English) and analysed thematically using framework analysis, first at the country level, then synthesised at a cross-country level.

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"
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Anchoring awareness in the community : issuing from an learning-from-experience process on the project "Improvement of HIV/AIDS prevention and treatment in the cross-border regions of Djibouti, in Ethiopia and in Somaliland"

DE LAMARZELLE, Julie
October 2009

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This report provides feedback from a "learning-from-experience processes" in order to improve HIV/AIDS prevention and treatment around Djibouti, Ethiopia and Somalia regions. It aims for stakeholders and projects’ leaders to integrate the lessons learned on other awareness development projects so future implementation techniques can be improved
Lessons from experience : know-how analysis

Opportunities for Africa's newborns : practical data, policy and programmatic support for newborn care in Africa

LAWN, Joy
KERBER, Kate
2006

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The African region has the highest rates of neonatal mortality in the world, and has shown the slowest progress so far in reducing neonatal deaths. New policies, however, seem to provide opportunities to accelerate progress for maternal, newborn and child health. Section 1 presents an overview of neonatal deaths, and lives that could be saved in Africa in order to guide policy and programme priority setting. Section 2 explores the the continuum of care through pre-pregnancy, pregnancy, childbirth and the postnatal period, highlighting current gaps in coverage of care and opportunities to address these gaps at all levels - family and community care, outreach services, and primary and referral care facilities. Section 3 contains an overview of the current situation for 9 key programmes related to newborn health. Section 4 discusses lessons learned and existing gaps between new policies and their implementation. Section 5, finally, contains a summary of relevant data for decision making for 46 countries in sub-Saharan Africa regarding maternal, newborn and child health status and policy. This accessible and comprehensive tool will be of use to policy makers, health and community workers and programme managers

Best practices in scaling up case study : Uganda, using a simple survey method for evidence-based decision making at the district level

NSABAGASANI, Xavier
et al
2006

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This document provides a case study of the Uganda Program for Human and Holistic Development (UPHOLD), and its use of the Lot Quality Assurance Sampling (LQAS) survey method. LQAS is used to collect district and sub-district data. This document highlights its importance, the country context before LQAS, the methodology behind it, results, steps in the scale-up process, best practice, lessons learned and challenges. The Ugandan government is currently considering expanding use of the LQAS into every district

Community-based health financing and child health

MAKINEN, Marty
PARTNERS FOR HEALTH REFORMPLUS (PHRplus)
et al
2006

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This brief reports on the effects that membership in community-based health financing schemes has on the use of health services when a member is ill or injured and, specifically, on priority child health services (immunisations, vitamin A supplementation, treatment of diarrhoeal disease, and prevention and treatment of malaria). The results come from household surveys performed by the Partners for Health Reformplus project (PHRplus) in the three West African countries of Ghana, Mali, and Senegal in 2004

Health care access of the very poor in Kenya

SOHANI, Salim B
2005

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This paper reviews a model of health care delivery for the poorest, developed in Kenya. "It illustrates that a pro-poor health system can be developed if the true representatives of the poorest are enabled to participate in health care delivery, and good governance and proper systems are established...With the active involvement of the community in a mutually supportive manner, the utilisation of services and access to basic health care for the poorest can be improved"

South African health review 2001

HEALTH SYSTEMS TRUST (HST)
March 2002

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This is a comprehensive, authoritative and independent review of the South African health system. It is published annually and this year's edition is is made up of 17 chapters grouped into four themes: listening to voices, equity, information for health, accountability and transformation. The review acts as a barometer for assessing the transformation processes and their impact on provision of equitable health care to all in South Africa

Current issues in sector-wide approaches for health development : Uganda case study

BROWN, Adrienne
2000

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This brief document reports on the broad achievements and constraints faced in the health sector in Uganda. Poverty-reduction funds are being channelled into primary care, and improved management of public funds is helping the situation. However, capacity beyond the Ministry of Health is limited, and decentralization, with unclear policy links in the regions, is a challenge. There is some evidence of success in using funding strategies to reorient services to primary care and prevention

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