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"More of the same and try something new" : evaluation of the community based rehabilitation programme in Eritrea

GRUT, Lisbet
HJORT, Peter
EIDE, Arne H
December 2004

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"This evaluation of the CBR Program in Eritrea was carried out by SINTEF Health Research in August - September 2004. The methods applied are qualitative; interviews, group interviews, focus group discussions and observations, and utilisation of existing documentation. The objectives of the evaluation has been to i) assess the effectiveness, impact and relevance of the program, ii) examine and draw conclusions regarding the program's strengths and weaknesses, and iii) to propose recommendations that can strengthen the program. The evaluation has shown that the program is highly relevant, that it has been effective in achieving its goals to a certain extent, and that impact is demonstrated in certain areas. The strength of the program is its relevance for the country and for the population and its integration in local communities. The challenges are largely linked to lack of resources and need for capacity to be built"

Do unlikely partners contribute to an informed society? [whole issue]

MCBEAN, Bridget
December 2004

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This brief resource highlights the link between development and innovation, and knowledge and information accessibility. The process of creating an informed society depends not only on the availability of information technology and infrastructures, but also and primarily on people, as the creators and users of knowledge. The paper calls for improvements in the e-readiness of developing countries, higher literacy levels and better protection of the right to information

The treatment gap in mental health care

KOHN, Robert
et al
November 2004

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This study examines the extent of the gap between the high prevalence of mental disorders and the great number of individuals with psychiatric disorders who remain untreated, even though effective treatments exist. The study uses results from 37 studies on service utilisation worldwide and presents examples of the estimation of the treatment gap for WHO regions are presented. The treatment gaps are universally large but vary from region to region. The abstract to this report is given in French, Spanish and Arabic

Swaziland : grassroots approach to orphan care

Integrated Regional Information Networks (IRIN)
September 2004

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This news report shows steps taken by the Swazi government and UNICEF to collect ideas for development programmes aimed at orphans and vulnerable children. Workers are canvassing the country’s 55 rural districts to find grassroots ideas and responses and also to identify responsible volunteers and authorities who can be counted on to implement them

Ageing and mental health [whole issue]

September 2004

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Older people in low-income countries are more likely to develop mental problems, due to the stress and worries caused by the uncertainties and lack of security. Because of stigma and limited access to health services and treatment, their condition often goes undiagnosed. This issue reflects on how old age and poverty impact on mental health and suggests positive approaches and ways of promoting good mental health, such as the 'guided autobiography' which helps older people to plan their future. Includes articles on how to recognise depression, practical approaches to dementia and how to help carers to cope

PLACE in Central Asia : a regional strategy to focus AIDS prevention in Almaty and Karaganda, Kazakhstan; Osh, Kyrgyzstan; Tashkent, Uzbekistan. 2002

MEASURE EVALUATION
July 2004

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The PLACE method is designed to expose sexual and injection drug use networks, identify sites where high-risk populations overlap and help focus interventions where they are most needed. This report presents both a baseline assessment of HIV/AIDS risks and an evaluation of condom promotion programmes in four cities in Central Asia. The report shows that sexual and drug use networks are extensive and diffuse. The rate of new partnership formation is also very high, and the use of condoms with new partners is "quite high". Injection drug use is common, and needles are often shared. The report calls for programmes and interventions to concentrate their efforts on sites at high risk, where there is an overlap of high-risk populations (people meeting new partners, youth, injection drug users, sex workers)

Antiretroviral therapy in primary health care : experience of the Chiradzulu programme in Malawi. Case study

MEDECINS SANS FRONTIERES (MSF) MALAWI
July 2004

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The Chiradzulu programme is one of MSF's largest. MSF currently provides HAART to more than 13,000 patients in 56 projects spread across 25 countries. These programmes provide a continuum of care, including prevention efforts (health education, prevention of mother-to-child transmission of HIV), voluntary counselling and testing, prevention and treatment of opportunistic infections, HAART and nutritional and psychosocial support. Although the Chiradzulu project is still evolving, and treatment systems and point of care continue to be modified, the project has already shown that when treatment is adapted to local conditions and is supported by human and financial resources, rural health systems can effectively provide comprehensive HIV/AIDS care

Radio broadcasting for health : a decision makers' guide

SKUSE, Andrew
July 2004

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This DFID issues paper examines the contribution of community, national and international radio to health programmes in the developing world. It contextualises the relevance of radio as a strategic tool of human development and poverty reduction, examines its use by poor people, and advocates a people-centred and rights-based approach to health communications. It addresses a range of issues from the role of formative research and evaluation and the development of health messages, to a range of format options widely used in health broadcasting. It also examines the community, public and international radio sectors and in the process highlights a range of opportunities and constraints that these sectors face. Likewise, it highlights key synergies and linkages that could be enhanced to improve access to health information for radio producers, the poor, the 'at risk' and the vulnerable. In doing so, this paper raises a number of critical questions about capacity development, social mobilisation, and using radio in conjunction with other technologies such as the Internet and email

Childcare and early childhood development programmes and policies : their relationship to eradicating child poverty

PENN, Helen
June 2004

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The paper explores paradigms, arguments and evidence on which international agencies draw in discussing early childhood development (ECD). These include assumptions about poverty and the role of ECD in reducing poverty, assumptions about ‘the robustness’ of ECD and the contexts in which ECD takes place. Two case studies, one from Swaziland and one from Kazakhstan are used to explore strengths and limitations. The paper concludes that almost all the evidence for the effectiveness of ECD in determining cognitive, social and economic outcomes is drawn either directly from the North, particularly from the USA, or relies on assumptions drawn from work carried out in the North as a basis for recommendations in the South. The paper points out that ECD may be a useful form of practical relief to mitigate childhood poverty in particular circumstances and this could include children affected by HIV/AIDS. There is a section on page 35 on early childhood development and HIV/AIDs. Other vulnerable children are noted as those with time poor mothers and those in situations of war and conflict

Use of information to address TB/HIV in Cambodia: workshop proceedings from Banteay Meanchey, Battambang, Phnom Penh, and Sihanoukville

BONNET, Jayaseeli
PHAT, So
SEAK, Kunrath
June 2004

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Cambodia is one of the countries most severely affected by TB and HIV. Partners in Health Reformplus (PHRplus) is providing technical support to government pilot interventions, developing an information component to support HIV/TB activities. It is standardizing the information being collected across all sites and facilitating its use by implementing partners in order to increase case detection and strengthen case management of TB/HIV co-morbidity. In January - March 2004, PHRplus conducted workshops with the four sites to review information and data it had collected, to identify current pilot accomplishments and to recommend how work could be improved. This report presents the workshop findings

HIV/AIDS resource guide for extension workers

NATIONAL AGRICULTURAL ADVISORY SERVICES (NAADS)
June 2004

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This Resource Guide for extension workers suggests a series of actions and approaches to reducing the impact of HIV and AIDS on rural farming households and communities. Although it recommends collaboration at all levels (international, national, local government and community), it is aimed at extension workers and attempts to equip them with the skills to identify and support vulnerable groups

Prevalence, severity and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys

THE WHO WORLD MENTAL HEALTH SURVEY CONSORTIUM
June 2004

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This article provides estimates of the prevalence, severity, and treatment of mental disorders from the WHO World Mental Health Survey which included data from 14 countries (six less developed, eight developed) by conducting 60,463 face-to-face interviews with adult individuals representing the general population. The article concludes by recommending careful consideration of mild cases and a reallocation of treatment resources; however, it also acknowledges that structural barriers may exist to this reallocation
The Journal of the American Medical Association (JAMA), Vol 291, No 21

HIV prevention in the era of expanded treatment access

GLOBAL PREVENTION WORKING GROUP
June 2004

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This report by the Global HIV Prevention Working Group emphasises the need for a simultaneous and integrated expansion of both antiretroviral therapy (ART) and prevention programmes. Unless effective prevention programmes reduce the incidence of HIV, treatment will not be available to all who need it. It includes recommendations on treatment, prevention both for HIV-positive and HIV-negative people and funding priorities

The Senegalese antiretroviral drug access initiative : an economic, social, behavioural and biomedical analysis

DESCLAUX, Alice
et al
April 2004

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This very thorough analysis of the Senegalese Antiretroviral Drug Access Initiative (ISAARV) presents preliminary results from the initiative's first three years. The analysis explores four aspects of the programme: treatment access, adherence, therapeutic efficacy, and the impact of this treatment programme on the Senegalese health care system

HIV prevention and care with especially vulnerable young people : a framework for action

AGGLETON, Peter
CHASE, Elaine
RIVERS, Kim
April 2004

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This document sets out five core principles underpinning effective HIV/AIDS prevention programming with young people: putting the young person first; promoting meaningful participation; a commitment to rights; promoting gender equity; and tackling risk and vulnerability. It also offers a straightforward guide to priority setting, with a focus on action to reduce risk, action to reduce vulnerability and action to mitigate impact. Examples of successful implementation of this framework are presented in 'HIV prevention with especially vulnerable young people: case studies of success and innovation' (2006). This is a useful resource for policy-makers, practitioners and researchers working to promote young people's sexual health in resource-constrained settings

Empowering youth and connecting schools : lessons from the SchoolNet Namibia approach

BALLANTYNE, Peter
February 2004

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Schools in developing countries are beginning to get computers and access to the Internet. This article draws on the SchoolNet Namibia approach and its achievements. It suggests that programmes like this should give priority to the provision of affordable access using open platforms, pay attention to longer term cost of ownership issues, leverage change through partnerships, work closely with governments, involve school principals and teachers, and seek to ensure that necessary capacities are developed in schools themselves

Scaling up antiretroviral treatment in the public sector in Nigeria : a comprehensive analysis of resource requirements

KOMBE, Gilbert
GALATY, David
NWAGBARA, Chizoba
February 2004

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This report presents estimates of the total cost of providing comprehensive antiretroviral (ARV) treatment in the public sector in Nigeria, using the AIDSTREATCOST model to estimate the cost of providing Highly Active Antiretroviral Therapy (HAART), voluntary counseling and testing, and opportunistic infection (OI) treatment, and other resource requirements for implementing the national antiretroviral treatment programme. Drugs are not the only major cost of an ARV programme, but they are the largest single component ($368, or 50 percent of the total annual programme cost per patient); monitoring tests account for 23 percent and labor costs for 22 percent of total programme costs. A large proportion of current treatment costs is borne by the patient -- $170 per year for monitoring and a further $86 for their contribution to ARV drugs. This is equivalent to almost 75 percent of per capita GDP and therefore well beyond the resources of most Nigerians. Patients also are expected to pay for VCT services ($11), and for OI treatment costs when these arise. The development of an effective ARV programme, therefore, must include support not only for ARV drugs but all aspects of patient cost. The report also examines financial and human resources requirements for achieving the World Health Organization-recommended targets and recommends a number of strategies for the government and development partners to consider regarding program expansion, human resources training and requirements, support for VCT, the high cost of monitoring tests, and drug cost

Using incentives to encourage AIDS programs and policies in the workplace : a study of feasibility and impact in Thailand

BAKER, Simon
et al
February 2004

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This study took place in Thailand to examine the question of how to encourage the private sector to become actively involved in developing and improving workplace HIV & AIDS programmes. Researchers investigated the role of incentives in encouraging companies to adopt workplace policies and programmes that address stigma and discrimination and respond to the needs of workers for information and services

Integrating HIV voluntary counselling and testing services into reproductive health settings : stepwise guidelines for programme planners, managers and service providers

MYAYA, Mary
2004

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This guide aims to provide reproductive and sexual health programme planners, managers and providers with the information necessary to integrate voluntary counselling and testing (VCT) for HIV/AIDS within their services. In particular it considers integration within the context of family planning (FP) service provision. FP and VCT provision have similar aims of reaching sexually active people and promoting safe and healthy sexuality. FP settings therefore offer specific opportunities for reaching women with VCT. This guide looks at the continuum of possibilities available for integrating VCT. It is divided into 5 sections. Section 1 provides an introduction to VCT; section 2 details an assessment process for use when considering how to integrate VCT services; section 3 describes factors to consider when planning the integrated service; section 4 covers specific implementation issues; and section 5 focuses on monitoring and evaluation. The appendices contain checklists, sample monitoring tools and further reference material. Most of the references are available through the Internet

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