Stakeholders

Achieving the Twin Objectives of Equity and Quality: Contracting Health Services with the Private Sector

This presentation reviews the global experience of contracting and discusses two spedific examples of contracting in Cambodia and Bangladesh.

Addressing the Human Resource in Health Crisis: Empowering the Private Not for Profit Health Training Institutions to Play Their Role

This presentation was part of the International Conference on Global Health session, "Answering the Call: Innovations in Human Resources by African Faith-Based Organizations." From the perspective of the Uganda Catholic Medical Bureau experience, the presentation discusses why the private not-for-profit sector is important in service provision and training; why nurses are in the midst of the human resource crisis; obastacles to increasing the training capacity; and what the PNFP health training institutions are doing to address their weaknesses. [adapted from author]

Advanced Training of Trainers

This training manual is designed to prepare trainers who already have skills as reproductive health trainers to proceed to a higher level of training implementation. This module prepares them to conduct a training needs assessment, develop detailed plans for training, develop and pilot test a training curriculum, conduct training using more advanced training techniques, conduct training follow up and evaluate training. [publisher's description]

Advancing Reproductive Health and Family Planning through Religious Leaders and Faith-Based Organizations

Pathfinder has provided community-based family planning and reproductive health services to women and men throughout the developing world for over 50 years. Partnerships with local governments and Nongovernmental Organizations (NGOs) allow Pathfinder access into communities to provide information and services. These local organizations provide a solid, established network through which Pathfinder reaches people. Faith-Based Organizations (FBOs) are a vital extension of this network. [author's description]
This report provides information on: the process of building relationships; partn

African Higher Education Institutions Responding to the HIV/AIDS Pandemic

Paper presented at the AAU Conference of Rectors, Vice Chancellors and Presidents of African Universities, 2003. The paper examines the situation of HIV/AIDS globally, and in Africa. The central message of the paper is that higher education institutions must develop a comprehensive HIV prevention programme which runs through and drives each of the following: HIV/AIDS policy and strategy development; developing culturally appropriate prevention messages; tackling socio-economic factors; establishing partnerships; sustaining awareness and education; challenging denial and stigma; situating prevention in a community context; linking care to prevention; rigorous scientific reflection.

Antiretroviral Treatment in Developing Countries: The Peril of Neglecting Private Providers

Action is underway to increase access to antiretroviral drugs, especially in countries with high rates of HIV. The role of private providers is largely ignored, although they are an important source of care for stigmatizing diseases in many poor countries. Evidence is emerging that antiretroviral drugs are leaking into formal and informal private markets. Uncontrolled use of drugs in the private sector will lead to rapid development of HIV resistance. Countries require guidance and support from international policy makers and pharmaceutical companies to implement strategies for working with private providers.

Appreciating Assets: Mapping, Understanding, Translating and Engaging Religious Health Assets in Zambia and Lesotho

This study documents the contribution made by religion and religious entities to the struggle for health and wellbeing in Zambia and Lesotho, in a context dominated by poverty, stressed public health systems and the HIV/AIDS pandemic. By mapping and understanding these Religious Health Assets (RHAs), the study calls for a greater appreciation of the potential they have for the struggle against HIV/AIDS and for universal access and offers recommendations for action by both public health and religious leaders at all levels. Through respectful engagement these assets have the potential to increase in strength and value and become more effective in the long-term sustainability, recovery and resilience of individuals, families and communities. [publisher's description]

Assessing the Impact of Educational Intervention for Improving Management of Malaria and Other Childhood Illnesses in Kibaha District Tanzania

The study was carried out to evaluate short term effects of one to one educational intervention approach, conducted with 40 drug sellers in order to improve the private sector's practices, compliance and performance in using the national treatment guidelines for malaria and other common childhood (diarrhoea, acute respiratory tract infection-ARI) illnesses in Kibaha district-Tanzania. [from abstract]

Assessing the Level of Preparedness of Private Health Providers for Clinical Management of HIV/AIDS Epidemic in Nassarawa State, Nigeria

Very little information is available on the extent to which the private health sector is involved in clinical management of HIV/AIDS in Nigeria. This study assessed the potentials and existing capacity of 15 private health facilities in Nassarawa state for clinical management of HIV/AIDS. [from abstract]

Assessment of Health Personnel Management and Cost Recovery Mechanisms Related to Capacity Building in Church Hospitals

This study is meant to enable the Christian Social Services Commission to strengthen the coordination of the health personnel hired by church hospitals. On the part of the administration of the hospitals, the study is meant to harmonize the criteria and principles on which the management of the health staff can be based. The study is ultimately to lead to a human resource policy package, which in turn should lead to the production of a Health Personnel Management Policy Manual for the church hospitals coordinated by the CSSC. [adapted from author]

Baltic Sea Regional HIV/AIDS Initiative: Case Studies from St. Petersburg and Kaliningrad

This report describes highlights from the Doctors We Trust Project in St. Petersburg and the Together We Are Stronger Project in Kaliningrad. Both projects focused onthe limitations of health care for vulnerable groups in St. Petersburg and Kaliningrad. The key strategy was to build cooperative links between government agencies and NGOs, uniting those who control public medical facilities and those who work most closely with vulnerable populations. The goal was to strengthen the NGOs’ capacity to provide care, while helping the governmental sector and medical personnel better understand and respond to the needs of people living with HIV and AIDS (PLHA) and other vulnerable groups.

Better Health Outcomes from Limited Resources: Focusing on Priority Services in Malawi

The present report deals with health financing issues in Malawi and analyzes trends in health expenditures in the 1990s, along with the prospects for improving resource mobilization, allocation and use in the health sector of that country. This review highlights the need to further prioritize the activities under the Malawi National Health Plan so that the plan will be a basis for government policy and budgetary commitments and also an instrument to marshal and orchestrate donor support to the sector. [from foreword]

Building Strategic Partnerships in Education and Health in Africa: Consultative Meeting on Improving Collaboration Between Health Professionals, Governments, and other Stakeholders in Human Resources for Health Development

The first meeting ever held in Africa on the crisis facing the health workforce in which a large number of stakeholders met face-to-face to exchange views and initiate processes that could lead to development of solutions. The meeting endorsed the relevance of education and training of health professionals to the health needs of the population served, the importance of forging new partnerships between the health and education sectors, the urgency of facilitating retention and optimal utilization of the health workforce in the African work environment, recognition of the impact of the HIV/AIDS pandemic on the health workforce, and the impact of globalization.

Business and Malaria: A Neglected Threat?

This report discusses the impacts of malaria on business. It reviews the academic literature on the impacts of malaria on economies and businesses, presents data from survey on the business impacts of malaria, discusses the actions the private sector can take to combat malaria, and reviews examples of business malaria programs. The final section makes some recommendations for businesses considering engagement in malaria control. [adapted from author]

Business as a Partner in Strengthening Public Health Systems in Developing Countries: an Agenda for Action

This publication is part of a series that highlights some of the key challenges, opportunities and practical examples that were identified in dialogues among over 400 leaders in business, government, development agencies, civil society, and academia to share good practices and identify practical and feasible models of collective business action and public-private partnership aimed at achieving more systemic and scalable solutions to global challenges. It makes recommendations for ways that companies can get directly engaged in specific initiatives on-the-ground. [adapted from author]

Business of Health in Africa: Partnering with the Private Sector to Improve People's Lives

This report describes opportunities for engaging and supporting a well managed and effectively regulated private sector to improve the region’s health. This report highlights the critical role the private sector can play in meeting health care needs in Sub-Saharan Africa. It also identifies policy changes that governments and international donors can make to enable the private sector to take on an ever more meaningful role in closing Africa’s health care gap. [adapted from publisher]

Business Response to HIV/AIDS: Impact and Lessons Learned

This report aims to provide assistance to business and associated partners in recognising the business case for further action against HIV/AIDS in the workplace and beyond. This is achieved through providing evidence of the impact that HIV/AIDS has on business activities and by highlighting the lessons learned from past and current responses. Guidance is provided in the form of policy tools, case studies and an examination of how to undertake successful partnerships in response to HIV/AIDS. This publication does not seek to provide standard models but tools to guide effective, efficient and needs-specific responses to HIV/AIDS.

Buying Results? Contracting for Health Service Delivery in Developing Countries

Contracting with non-state entities, including non-governmental organisations, has been proposed as a means for improving health care delivery, and the global experience with such contracts is reviewed here. The ten investigated examples indicate that contracting for the delivery of primary care can be very effective and that improvements can be rapid. [from author]

Can Working with the Private For-Profit Sector Improve Utilization of Quality Health Services by the Poor?: A Systematic Review of the Literature

This paper is a systematic literature review on the effectiveness of working with private for-profit providers to reach the poor. [adapted from abstract]

Capacity Building: What Does It Mean? Millennium Development Goal 6: Malaria, HIV

This presentation was given as part of the Christian Health Association's Conference: CHAs at a Crossroad Towards Achieving Health Millennium Development Goals. It provides an excellent overview of the challenges of Malaria and HIV/AIDS ; discusses the human resource needs in light of these challenges; and how to build and maintain capacity. [from author's description]

Challenges of retaining health workers in the PNFP Sector: the Case of Uganda Catholic Health Network

This paper looks at the HRH crisis as experienced by the Uganda Catholic Medical Bureau (UCMB) network giving the trend, examining the reasons, the destinations of attritional cases and what the network is trying to do to improve human resource stability. [from abstract]

Chiranjeevi: Involving Private Obstetricians to Reduce Maternal Mortality in Gujarat (India)

This PowerPoint was presented at the 2007 GHC expert panel "Making it Work: Private Sector Partnerships to Improve Women's Health." It discusses the challenges, costs and results of a program to use private practitioners for improving maternal and child survival.

Collaboration Between Open Universities in the Commonwealth: Successful Production of the First Ever Sri Lankan Nursing Graduates at the Open University of Sri Lanka by Distance Education

This paper discusses a collaborative effort between two universities in Sri Lanka and Canada to create a distance education program to train nurses in Sri Lanka.

College of Medicine in the Republic of Malawi: Towards Sustainable Staff Development

Malawi has a critical human resources problem particularly in the health sector. The College of Medicine (COM)is the only medical school. For senior staff it heavily depends on expatriates. We explore to what extent a brain drain took place among the COM graduates by investigating their professional development and geographical distribution.

Committing Donors to Building Health Workforces

A major report from the Joint Learning Initiative suggests that donors can support the growth and better performance of health workforces in developing countries by providing technical support and mobilising adequate financial resources. This article provides a brief overview of how donors should commit to helping countries address the multiple and interconnected workforce problems facing the health sector. [adapted from author]

Communication Action Groups: Promoting Broader Discussion of Reproductive Health

In 1996, the REWARD Project identified a need for effective interventions to increase women’s communication about reproductive health among themselves and with their husbands. Project staff formed women’s groups, called Communication Action Groups (CAGs), in three rural districts. The project provides group leaders with training on communication, leadership, group dynamics, condom use, condom negotiating skills, and HIV/AIDS and sexually transmitted infections (STIs). This study was designed to evaluate the effectiveness of the CAG program so that achievements and problems could be identified and program activities strengthened.

Community-Based Care

This issue of the HST Update covers topics such as: care from within the community; the Khayelihle example; and the role of organizations outside the government in community-based care.

Comparison of a Web-Based Package with Tutor-Based Methods of Teaching Respiratory Medicine: Subjective and Objective Evaluations

The aim of this study was to establish whether a web-based package on the diagnosis of respiratory disease would be as effective and as acceptable to final year medical students as tutor-led methods of teaching the same material. [from abstract]

Comprehensive Reproductive Health and Family Planning Training Curriculum: Module 14: Training of Trainers

This training manual is designed for use as part of the comprehensive family planning and reproductive health training of service providers. It is designed to be used to train physicians, nurses, and midwives. Sessions in this Training of Trainers (TOT) module include discussions, identification of trainer’s own learning style, training exercises, conducting training needs assessments, developing action plans, developing visual aids, and training practice sessions which are videotaped and critiqued. [from purpose]

Consultative Meeting on Strengthening the Role of Colleges of Medicine in the Production of Health Workers in the WHO African Region

This meeting discussed the role of medical schools in the process of development and implementation for national health policies and plans, the need for medical education reforms to respond to national health challenges within the context of global and regional health strategies, the way forward for enhancing the capacity of medical schools to produce adequate human resources for health, and the formulation of recommendations for regular institutional evaluation. [adapted from executive summary]