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Barriers to sustainable access of children and families to ART centres in rural India : a report on operations research conducted in Maharashtra and Manipur

December 2009

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This report identifies barriers that children and families face in accessing anti-retroviral therapy (ART) centres in rural India. The report also seeks to find solutions to these barriers based on an operations research conducted in Maharashtra Pradesh and Manipur. Operations research objectives: * To build an understanding among policy makers of the barriers faced by children and caregivers accessing ART services in rural communities. * To assess and highlight a basic minimum level of standards for ART centres in terms of adequacy, quality and timeliness of support needed. * To explore opportunities for linkages with state and district level departments and/or local self-governing institutions

Report on the second expert consultation on increasing access to health workers in remote and rural areas through improved retention


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This report presents a synthesis of the presentations and discussions held in plenary and working groups at the second full expert meeting of a WHO programme to increase access to health workers in remote and rural areas through improved retention. The provisional agenda, list of presentations, and the list of participants are given in thre three Annexes

Taking critical services to the home : scaling-up home-based maternal and postnatal care, including family planning, through community midwifery in Kenya

WARREN, Charlotte

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This publication is the report of a project to scale-up a community-based model, in Kenya, that enabled women to give birth safely at home or be referred to a hospital when attended by a self-employed skilled midwife living in the community. The findings of the project were that community midwifery contributed to increasing the proportion of women assisted by skilled attendants during birth in the four districts in which the scheme was trialed, amounting to just under half of all skilled attended births in the districts. Although the skilled birth attendant rate in these districts was well below the national average of 42 percent, there was a steady increase in the proportion of attended deliveries since CMs were introduced in 2005. The districts also reported an increase in postnatal assessments in the first 48 hours and increase in immunization coverage

Rural healthcare delivery : connecting communities through technology

December 2002

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The report aims to provide an overview of practical technology solutions for rural providers and to help them get started. It assists readers in understanding technology and provides case examples of technology solutions. It raises practical issues in getting started and provides a list of other resources on the subject. The report is geared to a US-based audience and does not specifically cover developing country issues


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