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A survey of health reform in Central Asia

KLUGMAN, Jeni G
SCHIEBER, George
et al
1996

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This paper surveys health reform in the former Soviet republics of Central Asia, in the aftermath of their independence and transition from the Soviet command economy. Socio-economic, epidomiological and institutional realities face the countries. Section 2 sets out demographic and epidemiological trends, which suggest the scope and priorities for health services. The next section analyzes recent economic performance, highlighting worsening financial constraints. The existing health systems are evaluated in Section 4, centering on their primary strengths and weaknesses. Section 5 addresses critical institutional elements of the reform process, including decentralization and staffing issues. The reform agenda facing health policymakers in Central Asia is then investigated in Section 6, focusing upon empirical and descriptive aspects, in order to provide a reliable basis for discussing future options. Section 7 concludes that the large declines in real health spending signal that each country will have to do more with less. Consequently, current public health programs like maternal and child health programs will need to be restructured; improvement incentives to induce consumers and providors to behave more efficiently will have to be issued; and modorn management and quality assurance systems will have to be introduced. Although the reform debate focuses on financial sustainability, particularly attempts to bring in additional non-budget revenues, equally important is the need to focus on basic public health activities and delivery system restructuring.

Participatory monitoring and evaluation

February 1988

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One of the PLA Notes special editions, includes articles on: tracking change together; monitoring and evaluating in the Nepal-UK Community Forest Project; particpatory self-evaluation of World Neighbors, Burkino Faso; institutional issues for monitoring local development in Ecuador; growing from the grassroots: building participatory planning, monitoring and evaluation methods in PARC; ELF - 3 year impact evaluation: experiences and insights; Participatory monitoring and evaluation in flood proofing pilot project, CARE-Bangladesh

MandE News

DAVIES, Rick
Ed

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This valuable service includes an electronic discussion forum, numerous papers and resources on evaluation, news and upcoming events, and links to other evaluation resources and practitioners. There is a special section on network evaluation and the use of social analysis in development projects

LEAP : the learning and evaluation action program

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The Learning and Evaluation Action Program (LEAP) is an initiative to promote a coordinated and comprehensive approach to learning about the use of knowledge and ICTs in international development. It hosts an e-mail discussion list called LEAP-Impact, a community of practice open to all individuals and organisations interested in the evaluation of information services, projects and products. The website includes posted messages, documents and links to further resources on knowledge management, learning and evaluation for development

Charities Evaluation Services website

CHARITIES EVALUATION SERVICES (CES)

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Improving Quality is the quality scheme written to be used both as a self assessment tool as well as external assessment. Its focus is on elements that all not for profit organisations need. Although written to target small organisations, it is equally applicable to larger ones.

IQ addresses all the key areas of organisational life in 4 elements

Accountable – Good Governance, Leadership and management
Welcoming – Involving Service users, managing and developing Staff and Volunteers, Equality and Diversity and working with others
Effective – refers to the services that an organisations provides and the planning, delivery, monitoring and evaluation that the organisations carries out
Sustainable – How the organisation manages, risk, money and the resources to make service delivery happen

Childwatch International Research Network

CHILDWATCH INTERNATIONAL

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This network seeks to strengthen child-centred research to contribute towards real improvement in children's well-being. It was founded in 1993 as a response from the research community to the UN Convention on the Rights of the Child. The Convention serves as a common agenda for research aimed at improving children's living conditions, well-being and participation. The aim of the website's Resources page is to compile lists of relevant links to child-centred research institutions, on-line research reports and journals, and bibliographies. The page is by no means complete, and the intention is to add links continuously. Also on the resources page are a selected number of child rights related links which are not primarily research based, but which could be helpful in research on children’s issues. A news section with relevant information is also available. There is also a list of well-working child rights related mailing lists

Disability Rights Promotion International

DISABILITY RIGHTS PROMOTION INTERNATIONAL (DRPI)

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DRPI is a collaborative project to establish a comprehensive, sustainable international system to monitor human rights of people with disabilities. The website explains the history of the project and its current status, provides an introduction to a human rights approach to disability, and includes a brief overview of the United Nations human rights system. DPRI's publications and other related rights resources are available on the site, as well as project links to news, information and resources from each region

UN Millennium Development Goals

UNITED NATIONS

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This United Nations website provides information on the MDGs. It lists the goals, their status in 2004, and access to the Millennium Declaration. It includes a host of other MDG related materials as well

The concept of ‘special’ measures in international human rights law

OFFICE OF THE UNITED NATIONS HIGH COMMISSIONER FOR HUMAN RIGHTS (UNHCHR)

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The purpose of this paper is to review the concept of 'special measures' with regard to the convention on the rights of persons with disabilities and existing core human rights treaties. Specifically, the aim is to clarify the concept of 'measures aimed at accelerating de facto equality of persons with disabilities’ in relation to existing policies and legislation

Centre for social protection

INSTITUTE OF DEVELOPMENT STUDIES (IDS)

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This website reviews, monitors and creates social protection policy designed to foster growth and development. The Centre for Social Protection aims to advance thinking and practice by: examining theoretical and applied research; providing advice to policy makers to help design policy and implement programmes; evaluate social protection interventions; deliver training courses; and share learning. This resource would be useful for anyone with an interest in policy development, advocacy and social protection

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