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Increasing coverage of isoniazid preventive therapy and cotrimoxazole preventive therapy reduced risk of TB among HIV patients who started treatment. All people living with HIV should be screened for TB, but for patients who have advanced disease (WHO clinical stage III/IV, bedridden, and with hemoglobin level of 10 mg/dl), intensified screening is highly recommended during treatment follow-up.

Performance-based financing is increasingly being applied in a variety of contexts, with the expectation that it can improve the performance of health systems. However, while there is a growing literature on implementation issues and effects on outputs, there has been relatively little focus on interactions between PBF and health systems and how these should be studied. This paper aims to contribute to filling that gap by developing a framework for assessing the interactions between PBF and health systems, focusing on low and middle income countries. In doing so, it elaborates a general framework for monitoring and evaluating health system reforms in general.

The Republic of South Sudan has faced a lot of challenges, such as a lack of infrastructure, human resources and an enormous burden of vector borne diseases including malaria. While a national malaria strategic plan 2006-2011 was developed, the vector control component has remained relatively weak.

The HRH Action Framework is designed to assist governments and health managers to develop and implement strategies to achieve an effective and sustainable health workforce. By using a comprehensive approach, the Framework will help you address staff shortages, uneven distribution of staff, gaps in skills and competencies, low retention and poor motivation, among other challenges.

The Human Resources for Health Action Framework (HAF) was developed by representatives of multilateral and bilateral agencies, donors, partner countries, nongovernmental organizations (NGOs), and the academic community at a technical consultation in Washington, DC, on December 14–15, 2005. The World Health Organization (WHO) and the U.S.

The Human Resource Management (HRM) Rapid Assessment Tool offers a method for assessing an organization’s human resource management system and how well it functions. This tool helps users to develop strategies to improve the human resource management system and make it as effective as possible. It is designed to be used in public and private health organizations.

A broken health system is a silent killer. It results in more illness and death despite the fact that the public health and medical knowledge exists to greatly reduce illness and save millions of lives every year, especially in developing countries. What is missing is the leadership capacity to ensure that the management systems are in place to apply and scale up this knowledge.

An Open Mind and a Hard Back: Conversations with African Women Leaders is a summary of interviews conducted with over a dozen women leaders from Burkina Faso, Democratic Republic of the Congo, Liberia, Mauritius, Nigeria, Rwanda, Senegal, Seychelles, Sierra Leone, Swaziland, Uganda, and Zambia.

INSIDE STORY tells the story of Kalu, a rising Kenyan footballer, who moves from rural Kenya to urban Johannesburg to follow his dream and support his family. His path becomes more challenging when he falls in love with the coach’s daughter Ify and subsequently finds out he is HIV-positive.

This quarterly bulletin provides information on the activities of the Integrated Health Systems Strengthening Project (IHSSP). Funded by USAID and led by Management Sciences for Health, IHSPP combines evidence-based approaches, proven service delivery strategies, and extensive public health expertise to support the Rwandan Ministry of Health in building its health system. In this issue:

Drawing on their experience in a range of developing countries, including 20 years of long-term experience in Afghanistan, Cambodia, Indonesia, and the Philippines, Steve and Cathy Solter identify 10 important lessons about assisting ministries of health Pursuing true country ownership for effective programs requires a long-term approach involving persistence, patience, keen understanding of counterparts’ perspective, deference, building of trust, focus on priorities, technical competence, and sustained optimism.

The Multidrug Resistant Tuberculosis (MDR-TB) Cost Effectiveness Analysis Tool is a simple, user-friendly, generic tool that is allows countries to compare the cost-effectiveness of different MDR-TB diagnoses and treatment methods. The tool builds on previous studies about MDR-TB control cost-effectiveness and WHO guidelines on TB control costs and cost-effectiveness.

The themes emerging from this collection are straightforward and within our grasp. To be sure, there is an urgent need to strengthen earlier diagnosis of newborns to identify exposed and infected children and strategies for getting those children into HIV care and treatment services sooner than has been the norm.

Mobile health (mHealth) is the provision of health services and information via mobile and wireless technologies. The mobile phone has become ubiquitous in Africa, making mHealth an important tool with which to impact the health of Africans. When applied correctly, mHealth can make real contributions to improved health outcomes. 

Chronic diseases—including cancers, diabetes, cardiovascular diseases, and asthma—represent a rising health burden in developing countries. Of the 36-million annual chronic disease deaths, 80 percent occur in low- and middle-income countries. Eight million of these deaths are preventable through changes in lifestyle and access to quality, affordable health services.

The Ministry of Health’s Pharmacy Division and the Securing Ugandans’ Right to Essential Medicines (SURE) program developed the  Supervision, Performance Assessment, and Recognition Strategy (SPARS) to increase health workers’ ability to manage medicines through on- the-job training and support from a new cadre of Medicines Management Supervisors (MMS).

Ugandan daily newspaper, New Vision reports: Drug dealers and pharmacies have a two-year grace period to style up and meet the required good pharmaceutical practice or face closure.  This follows announcement by the health minister that all public sector pharmacies will be subjected to inspection just like the private sector.State minister for health in charge of general duties, Dr.

Prepared by the AIDSTAR-Two project, this technical brief presents the results of an extensive literature and tools review conducted in 2009 that identified critical needs in the area of capacity building, including improved monitoring and evaluation, increased focus on basing capacity building programs on assessment, and wider dissemination of tools and approaches.

Prepared by the USAID-funded AIDSTAR-Two project, this technical brief explores the types and causes of typical implementation challenges faced by local implementing organizations, and shares some promising practices and stories from the field that demonstrate the results of effective implementation of capacity building interventions by civil society organizations.

Prepared by the USAID-funded AIDSTAR-Two project, this technical brief discusses country ownership in the context of organizational capacity building in public institutions and civil society organizations in the health sector.

This technical brief developed by the AIDSTAR-Two project examines a specific cadre of health workers, child and youth care workers.

Santé pour le Développement et la Stabilité d’Haïti (SDSH) has helped over one million people receive HIV tests and learn their status. Every year SDSH made it possible for over 13,000 women to deliver their child with assistance from a facility- based, skilled provider, and has reached more than half a million children each year with nutrition services.

Why is Gender Responsiveness in Health Governance so important? Gender-responsiveness in governance has the potential to enhance positive health outcomes not only for women but also for the entire community. Women play three important roles in a health system: 1) as decision makers; 2) as health workers and health care providers; and 3) as users of services.

This resource was designed to help Kenyan civil society organizations (CSOs) working in the health sector to become more effective, efficient, results oriented, and sustainable.

Health Care Financing Reform has allowed health facilities to retain and use their revenue for health service quality improvements. Hospitals and health centers in the three big regions started to retain revenue in 2005-2006, and now it is being rolled out to all regions as a national program. As a result of revenue retention, health facility budgets have improved significantly.

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