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Physical rehabilitation services in South East Europe

GRANIER, Pascal
December 2004

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The report gives a comprehensive overview of Physical Medicine and Rehabilitation (PMR) services in South East Europe, and specifically in: Albania, Bosnia and Herzegovina (BiH), the Former Yugoslav Republic of Macedonia (FYROM), Serbia and Montenegro and the UN Administered Province of Kosovo. It also provides general information about the organisation of the health care system and an analysis of the existing educational system for PMR professionals in each country, giving the number of professionals working in PMR

Health information technology in primary health care in developing countries : a literature review

TOMASI, E
FACCHINI, L A
MAIA MDE, F
November 2004

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This study explores the debate and initiatives concerning the use of information technology (IT) in primary health care in developing countries. The literature from 1992-2002 was identified from searches of the MEDLINE, Latin American and Caribbean Health Science Literature Database (LILACS), Cochrane Library and Web of Science databases. For the analysis of advantages, problems and perspectives of IT applications and systems, 52 articles were selected according to their potential contribution to the primary health care processes in non-developed countries. countries. These included: 10 on electronic patient registries (EPR), 22 on process and programmatic action evaluation and management systems (PPAEM) and 20 on clinical decision-support systems (CDS). The main advantages, limitations and perspectives are discussed

Disabled persons are more vulnerable to HIV

DE VRIES, Christina
November 2004

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This article focuses on HIV prevention messages and measures for disabled people in developing countries. It highlights the fact that among disabled people certain groups are more at risk of HIV infection than others

Responding to children affected by HIV and AIDS : using external support to strengthen community initiative and motivation

WEAVER, Richard
October 2004

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Substantive international action on HIV and AIDS is not translating into effective responses for those worst affected by the epidemic, particularly children. Instead, it is community-based organisations and community initiatives which are most successful in reaching out to these children, often without being resourced by external sources. This briefing paper highlights the responses and lessons learned by a number of Southern-based partner organisations, and makes recommendations for DFID and other donors

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

Mobile phones keep track of HIV treatments

KHAN, Taman
September 2004

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Thi article reports on the Cell-Life project, which has developed a software and data management systems to allow health workers use their mobile phones to monitor patients' treatment. The data is transferred to a central database, which clinic staff can access over a secure Internet connection. In a successful pilot project 80 HIV counsellours where trained, and through the use of their mobiles are now able to keept track of nearly 800 patients

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

Integrating mental health and psychosocial interventions into World Bank lending for conflict-affected populations : a toolkit

BAINGANA, Florence
BANNON, Ian
September 2004

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"The toolkit begins with a general introduction that sets the stage for mental health and psychosocial interventions in the context of conflict affected populations. A discussion of programming issues then follows which is then followed by two sections that outline the steps to take to operationalise mental health and psychosocial interventions"

Knowledge, personal risk and experiences of HIV/AIDS among people with disabilities in Swaziland

YOUSAFZAI, Aisha K
et al
September 2004

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"The aim of this study was to explore whether disabled and non-disabled young adults in Swaziland have similar perceptions of HIV/AIDS similarly. A qualitative study using focus-group discussions was conducted. Four focus groups were conducted with a total of 56 non-disabled adults (aged 16-29 years) and four focus groups were conducted with a total of 32 adults with either a physical or hearing disability (aged 18-32 years). The focus-group schedule explored knowledge about HIV/AIDS, personal risk and experiences of health-seeking practices. Information and awareness about HIV/AIDS was good in both rural and urban areas among the non-disabled participants, who obtained their information from a wide range of sources. In contrast, participants with disability, who obtained information about HIV/AIDS from a limited range of sources, lacked knowledge about HIV/AIDS and were misinformed about modes of transmission...Further research is necessary to enable HIV/AIDS programmes to address the specific needs of people with disabilities"
International Journal of Rehabilitation Research, Vol 27, Issue 3

HIV/AIDS : what about very young children?

DUNN, Alison
July 2004

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This short paper reflects findings from research carried out to identify current responses to meet the needs of children age 0-8 living in HIV/AIDS affected communities. The overall results show that at local, national and international levels there are gaps in programming and policy to engage ideas and mobilise resources to address the needs and experiences of very young children both infected and affected by HIV/AIDS. The question is then raised: What can we actually do to include very young children in programming and policy responses in HIV/AIDS affected communities? Supporting existing family and community networks and current efforts that are being made by people confronting HIV/AIDS on a daily basis are important strategies. Conclusions are drawn indicating that services are required urgently to support very young children both directly and through the families and communities in which they live. Ways of listening to and including very young children in these processes need to be developed and used. Partnerships need to be developed between parents, families, NGOs, CBOs and government to ensure the holistic development of the child. At policy levels, very young children need to be included in programmes that address children, HIV/AIDS and community development. All government ministries can participate in meeting the needs of very young children in HIV/AIDS affected communities

Children on the brink 2004 : a joint report of new orphan estimates and a framework for action

UNITED NATIONS CHILDREN'S FUND (UNICEF)
JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
USAID
July 2004

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Millions of children are growing up without parents. Millions more are in households with family members sick or dying from AIDS; children in sub-Saharan Africa have been hardest hit. This report presents the latest statistics on historical, current and projected numbers of children under 18 who have been orphaned by AIDS and other causes. This edition of the biennial report underscores the changing needs of this vulnerable group as they progress through adolescence and calls for the urgent development and expansion of family and community support

The framework for the protection, care and support of orphans and vulnerable children living in a world with HIV and AIDS

UNITED NATIONS CHILDREN'S FUND (UNICEF)
July 2004

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A broad range of stakeholders from all sectors of society collaborated to produce this framework. It is targeted at senior leaders and decision makers around the world who can influence policies, programmes and resources for orphans and vulnerable children. Its purpose is to provide a common agenda for mounting an effective response

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

The journey of life : a community workshop to support children

REGIONAL PSYCHOSOCIAL SUPPORT INITIATIVE (REPSSI)
June 2004

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'The Journey of Life' is a community workshop curriculum to support children. This workshop seeks to address the increasing psychological and social needs of children affected by HIV/AIDS, war, and displacement. Its objective is to raise community awareness of the problems that children face growing up in a time of HIV/AIDS, war, and family disintegration. 'The Journey of Life' assists the community to identify children in need of social, emotional, intellectual, spiritual, and physical support. Through dialogue and reflection the community better understands how to use available resources in solving the problems that children encounter and to strengthen the resilience of their children. The workshop covers the areas of meeting children's needs; understanding children's problems; identifying children who need help; building children's strengths; and community mobilisation. The workshop manual can be used without additional training, though further training has been found to be helpful. A Facilitator's Guide accompanies the workshop

An action plan to prevent brain drain : building equitable health systems in Africa

FRIEDMAN, Eric A
June 2004

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The severe shortage of health professionals in Africa is a huge barrier to expanding AIDS treatment and care and other health goals. African countries, donor governments, and international institutions must link their responses to AIDS to a broader initiative to build equitable health systems in Africa, with special attention to strengthening human resources and ensuring the right to health care for all. This report provides an action plan for preventing the 'brain drain' of skilled health workers to developed countries. It addresses issues around building equitable health systems by offering a series of recommendations to meet people's health care needs by paying more attention to human resources. These proposals include improvements in health infrastructure, higher salaries and benefits for health workers, enhanced investment in training institutions, reduced recruitment by wealthy nations and capacity-building for human resources management

Attracting youth to voluntary counselling and testing services in Uganda

KIRUMIRA, Edward
et al
June 2004

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This summary presents findings from exit interviews conducted with youth 14 to 21 years old leaving services at the AIDS Information Center and Naguru Teenage Information and Health Center in Kampala to measure satisfaction by youth with services, and in-depth interviews with counsellors to learn their views of the job and the new youth-focused services

Lessons learned workshop : a review of assistance programmes for war wounded and other persons with disabilities living in mine-affected countries

HANDICAP INTERNATIONAL
June 2004

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This workshop and report were designed to gather from participants their collective experience to reflect on the impact of the Treaty to Ban Landmines, on victim assistance work and offer some clarity and focus to the international community. This resource would be useful for anyone with an interest in disability, advocacy and conflict situations

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

Clinical management of rape survivors : developing protocols for use with refugees and internally displaced persons

WORLD HEALTH ORGANIZATION (WHO)
June 2004

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"This guide describes best practices for clinical management of people who have been raped in emergency situations. It is intended for adaptation to each situation, taking into account national policies and practices, and availability of materials and drugs. This guide is intended for use by qualified health-care providers in developing protocols for the management of rape survivors in emergencies, taking into account available resources, materials, and drugs, and national policies and procedures. It can also be used in planning health-care services and training health-care providers. The document includes detailed guidance on the clinical management of women, men and children who have been raped"

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