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This case study outlines and assesses the Khayelitha programme, which focused on ART provision and aimed to document the feasibility of low-cost treatment and primary health care provision in developing countries. The document details the clinical outcomes of the programmes, the strategy used to ensure adherence and the contribution made by Treatment Action Campaign (TAC) to raise awareness and pressurise the government to develop an adequate response to the epidemic. The provision of ART in Khayelitsha had also a positive impact on prevention, making more HIV-positive people aware of their status, reducing stigma, being the catalyst of educational initiatives, improving the morale of health workers and keeping families intact and less at risk. The case study concludes with a comprehensive list of lessons learned and with key recommendations for the future, which include consolidation of nurse-based care, more training activities, integration of HIV/AIDS and TB services, educational programmes aimed at improving adherence to ART and a greater focus on paediatric AIDS and ART provision in rural remote areas

This report raises awareness of the global burden of mental and neurological disorders, and its cost in human, social and economic terms. It also aims to dismantle the barriers which prevent millions of sufferers of mental and neurological disorders from receiving the treatment they need and deserve. The report describes how mental health problems can be solved (eg. by drug therapy, psycho-social rehabilitation and psychotherapy, vocational rehabilitation, housing), and gives examples of the effectiveness of these treatments for a wide range of mental disorders

[Publisher's abstract:] Summarizes lessons learned in five countries which are attempting to implement a sector-wide approach to health development. The sector-wide approach is a comparatively recent mechanism for coordinating the roles of governments and donors. A significant characteristic of this approach is the use of all significant funding to support a single sector policy and expenditure programme, under government leadership, with eventual reliance on the government to disburse and account for all funds. The approach also involves a transition of donor contributions away from project-funded vertical programmes and towards a single budget administered by the government. Case studies of the successes and failures of this approach were conducted in Cambodia, Mozambique, Tanzania, Uganda, and Viet Nam. Although these countries represent a range of different stages of implementing the approach, the review reached a number of conclusions about shared problems and impediments to progress. These include weaknesses in government monitoring procedures and a corresponding reluctance of donors to relinquish control, increased demands on staff within ministries of health, and a management complexity that can overwhelm government capacity. On the positive side, the review found evidence of greater agreement on a more restricted range of priorities, better integration of individual programmes within the budget planning process, better links between policy and implementation, and improved understanding of barriers to service utilization, including the role of corruption and incentive problems. On the basis of this assessment, the review issues six key recommendations for improved sector-wide management of projects and resources

There is a well-evidenced need for public education in the appropriate use of drugs, with potential benefits to the individual, community and policy-makers. This study looks at public education interventions in rational drug use in order to identify the type and rationale of such public education activities; how the activities are planned, implemented and evaluated; success rates; facilitating and constraining factors; organisations and bodies; areas which require further investigation / support; and how to best take public education forward. The report makes recommendations regarding funding for such activities, advocacy, training and tools, coalitions and partnerships, reporting / evaluation, and infrastructure

The International Conference on Health Promotion, held in Sweden in 1991, focused on the interdependence of health and the environment in all its aspects. This handbook puts forward the theory and principles on which action aimed at creating supportive environments should be based. Stories provided by delegates to the conference are used to illustrate practical issues, approaches and methods, and offer a broad range of examples of efforts to bring about a healthier environment