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The IMF, the global crisis and human resources for health : still constraining policy space

LEFRANÇOIS, Fabien
February 2010

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This report "...examines evidence from nine IMF country programmes, chosen based on their HIV prevalence rates, and finds that although the IMF has changed its tune and is talking about greater flexibility, these changes are not enough and are only temporary. "In 2006, the World Health Organisation (WHO) estimated that 57 countries were facing a severe health workforce crisis.... Addressing this shortage, and action alongside it to strengthen health systems around the world, requires substantial, concerted effort from both aid donors and recipient governments. The current global downturn threatens to undermine steps taken in this direction so far and jeopardise progress towards the health-related Millennium Development Goals. "...the IMF has adapted its rhetoric so that it now claims its programmes are more flexible on fiscal and monetary policies, which determine to what extent governments can maintain or increase spending - including of foreign aid - and stimulate economic activity"

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"

Seizing the opportunity on AIDS and health systems

OOMMAN, Nandini
BERNSTEIN, Michael
ROSENZWEIG, Steven
August 2008

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This is a comparison of donor interactions with national health systems in Mozambique, Uganda, and Zambia - specifically: the health information systems, the supply chain systems for essential medicines, and human resources for health. It focuses on the US President’s Emergency Plan for AIDS Relief, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank’s Africa Multi-Country AIDS Program

Local voices : a community perspective on HIV and hunger in Zambia

DUCK, Natalie
HAUENSTEIN SWAN, Samuel
2008

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This report documents the findings of a six month qualitative research project that provided HIV orphans, vulnerable children and their carers, living in the Kitwe district in Zambia, with the opportunity to discuss and document the difficulties they face providing food, water and healthcare for their families. The report shows the direct impact of HIV & AIDS on the economic and social well being of both household and communities

Missing the target #5 : improving AIDS drug access and advancing health care for all

INTERNATIONAL TREATMENT PREPAREDNESS COALITION (ITPC)
December 2007

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This report documents how the mobilisation around AIDS is driving health systems advancement in China, Dominican Republic, Zimbabwe, Russia, Kenya, India, Cameroon, Zambia and Cambodia, and it highlights the need for improvements in broader systems of care and services to meet the needs of people living with HIV & AIDS and the communities in which they live. It also considers ARV procurement, registration and stock-outs in Argentina, Belize, Cambodia, China, Dominican Republic, India, Malawi, Morocco, Nigeria, Philippines, Russia, Uganda, Zambia, Zimbabwe

Pain relieving drugs in 12 African PEPFAR countries : mapping current providers, identifying current challenges, and enabling expansion of pain control provision in the management of HIV/AIDS

HARDING, Richard
et al
January 2007

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This study aims to identify current opioid prescribing services and regulatory bodies within 12 African PEPFAR (Presidents Emergency Plan for AIDS Relief ) countries, and to examine the barriers to, and appraise the potential for, expansion in the number of opioid providers, for people with HIV and AIDS according to the World Health Organization pain ladder. It concludes that while there are common issues raised by services and International Narcotics Control Board competent authorities, it is clear that these key stakeholders have concerns regarding the potential roll-out of opioids

Challenges of care : VSO-RAISA regional conference 2007 report back

HAMILTON, Robin
PORTER, Stephen
2007

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"The aim of the conference was to bring together stakeholders from different sectors, in order to create a forum for discussing innovative solutions to emerging issues affecting caregivers in community based organisations. Objectives included focusing on the challenges of care to women and children, identifying good home-based care practices, discussing policy and legal frameworks for home-based care, raising awareness of caregivers’ needs, exploring how to engage men in home-based care, and establishing networks for lobbying and advocacy"

Using social transfers to improve human development

DEPARTMENT FOR INTERNATIONAL DEVELOPMENT (DFID)
February 2006

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This note provides an introduction to how social transfers - particularly cash transfers and vouchers - can improve human development, particularly for the extreme poor and socially excluded

More than words? action for orphans and vulnerable children in Africa : Monitoring progress towards the UN Declaration of Commitment on HIV/AIDS

YOUNG, Helen
Ed
2005

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This qualitative research looks at how far the rights and needs of orphans and vulnerable children are being met in four of the worst-affected countries in sub-Saharan Africa. Based on surveys and focus group discussions with children, parents, caregivers and officials in Ethiopia, Mozambique, Uganda and Zambia, this report offers an insight into how far commitments are being met and provides practical recommendations for action at both a national and an international level

Community care, change and hope : local responses to HIV in Zambia

LUCAS, Sue
2004

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This case study documents a successful model for facilitating a strong community response to HIV and AIDS. The Salvation Army Change Programme in Ndola and Choma Districts in Zambia illustrates the facilitation process stimulating an appropriate local response to HIV and AIDS and essential component of human capacity development. The model builds on local strengths and resources, stimulating ordinary people to address the barriers that prevent them from using HIV and AIDS information and services to prevent new infections, compassionately care for those who are infected and mitigate the effects of the epidemic on families and the community. Only by addressing personal risk, stigma and the potential for personal and societal change will the demand for and use of voluntary counselling and testing, prevention of mother to child transmission and antiretroviral therapy services increase

Voices from the communities : the impact of HIV/AIDS on the lives of orphaned children and their guardians

FAMILY HEALTH INTERNATIONAL (FHI); SCOPE-OVC
July 2003

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Voices from the Communities is a follow-up qualitative study by Family Health International (FHI) and Strengthening Community Partnerships for the Empowerment of Orphans and Vulnerable Children (SCOPE-OVC) to a 2001 quantitative survey. The quantitative study sought to determine the psychosocial and emotional needs of orphans and vulnerable children in sixteen communities in four districts of Zambia: Livingstone, Lusaka, Mongu and Kitwe. Voices extends the original research by ascertaining the psychosocial and emotional needs of OVC in greater detail. In Voices, 10 focus group discussions were held during 2002 in two townships; Itimpi in Kitwe and Chawama in Lusaka. The study sample of one hundred and eighty one discussants consisted of orphaned children, child heads of household and adult heads of household

Mobilizing young people for the care and support of people living with HIV/AIDS in Zambia

ESU-WILLIAMS, Eka
et al
March 2002

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Many young people are already providing care to sick family members, although few have the appropriate knowledge and skills to deal with the complex health needs and social issues associated with HIV & AIDS, such as stigmatisation. Training young people as caregivers and as agents of stigma reduction may help communities cope better with the impact of HIV & AIDS and help motivate young people to practice protective behaviours

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