FIRST GLOBAL SYMPOSIUM ON HEALTH SYSTEMS RESEARCH. Jennifer Bryce Institute for International Programs The Johns Hopkins University
|
|
- Dorothy Henderson
- 6 years ago
- Views:
Transcription
1 FIRST GLOBAL SYMPOSIUM ON HEALTH SYSTEMS RESEARCH Jennifer Bryce Institute for International Programs The Johns Hopkins University
2 Outline 1. Lessons from the evaluation of the ACCELERATING CHILD SURVIVAL AND DEVELOPMENT (ACSD) Program 2. Lessons from prospective evaluations of the CATALYTIC INITIATIVE TO SAVE ONE MIIILION LIVES (CI) to date 3. Large-scale evaluations: A new business model
3 ACSD, countries in Africa Support from CIDA and other partners Implemented through UNICEF Aim: To reduce mortality among children less than 5 years of age Strategy: Accelerate coverage with three packages of highimpact interventions (EPI+, IMCI+, ANC+), with a special focus on community-based delivery Cape Verde Senegal Gambia Guinea Bissau Guinea Sierra Leone Liberia High Impact Package EPI + Expansion Mauritania Mali Burkina Faso Côte d Ivoire Ghana Benin Togo Niger Nigeria Equatorial Guinea Sao Tome & Principe Accelerated Child Survival and Development Gabon CIDA funded project Cameroon Congo Chad Central African Republic Congo - Democratic Republic
4 The retrospective independent evaluation of ACSD High-impact districts in Benin, Ghana, Mali Stepwise design Standard indicators Existing DHS/MICS with oversampling National comparison areas Documentation of program implementation & contextual factors
5 Documentation of ACSD program: implementation Ghana example Activities EPI + ITN IPTp Facility & Community IMCI Facility Community 2001 Surveys DHS Limited Coverage DHS Lmt d ITNs Available Partial Coverage Key: Bars represent districts in the following order: Builsa, Bawku East, Kasena-Nankana, Bolgatanga, Bawku West, Bongo
6 Coverage for IMCI+ interventions before and after ACSD, in HIDs Key Before ACSD After ACSD Benin Ghana Mali * * * * * * * No coverage gains, and some significant losses, in sick child care. Exclusive breastfeeding increased in Ghana, declined in Mali. * Change was significant at p < 0.05.
7 Bryce J, Gilroy K, Jones G, Hazel E, Black RE, Victora CG. The Accelerated Child Survival and Development program in west Africa: a retrospective evaluation. Lancet 2010; 375: Under-five mortality in the ACSD HIDs 20% 19% (p=0.10) (p=0.10)
8 Bryce J, Gilroy K, Jones G, Hazel E, Black RE, Victora CG. The Accelerated Child Survival and Development program in west Africa: a retrospective evaluation. Lancet 2010; 375: Under-five mortality in the ACSD HIDs and national comparison areas Declines in U5M in ACSD focus districts, but not greater than national comparison areas.
9 Why did ACSD not accelerate mortality declines relative to the remainder of each country? 1. Missed opportunities in prioritization of interventions No consistent gains in tx for pneumo, diarrhea and malaria Undernutrition given low priority in program 2. Key policies not in place No community-based treatment for pneumonia 3. Essential commodities not continuously available ACTs recommended in policies, but drugs not available Global stockouts of ITNs 4. Community component weak No remuneration for CHWs, few incentives Weak supervision Too many messages, many unrelated to impact
10 Contributors & acknowledgements Contributors Jennifer Bryce Kate Gilroy Elizabeth Hazel Gareth Jones Robert Black Cesar Victora Acknowledgements Ministries of Health, National Statistics Offices, UNICEF country staff, Collaborators in documentation UNICEF regional and global staff Genevieve Begkoyian, Mark Young, Sam Bickel Technical consultants Trevor Croft, Macro International UNICEF leadership for their commitment to learning and change
11 Part 2 EVALUATING THE CATALYTIC INITIATIVE TO SAVE A MILLION LIVES
12 Two Linked Evaluations The Catalytic Initiative to Save a Million Lives Independent Evaluation of the MNCH Rapid Scale-Up Overall objective: Provide proof of concept that proven interventions can be scaled up rapidly to reduce newborn and child mortality. Supported by: BMGF Implementing partners: Governments and UNICEF, WHO, UNFPA Countries: Burkina Faso, Malawi Real-time Mortality Monitoring (RMM) Overall objective: To monitor changes in under-five mortality in real-time. Supported by: CIDA Implementing partners: Governments and UNICEF Countries: Ethiopia, Ghana, Malawi, Mali, Mozambique, Niger
13 Design process Assessment visits Estimation of program impact Design of RMM/Evaluation Prepare
14 CI evaluation designs at a glance Designs include comparable measures and methods All country designs do not include all components; challenges of partner coordination and funding Inputs Process Outputs Outcomes Impact Documentation of program implementation Quality of care assessments in facility & community Coverage surveys (Consensus indicators) Costs and Cost-effectiveness; Equity Contextual Factors Measured ( real-time mortality monitoring) Modeled using LiST
15 Challenges similar to those faced by other new initiatives Results focus demands comparable outcome and impact indicators, but strategies for delivery and implementation contexts will differ widely. Simultaneous implementation of multiple programs with overlapping objectives. Health systems strength a critical part of all program strategies and must be assessed. Flexible evaluation design required because evaluators do not control pace or quality of implementation and strategy could/should change over time. Cooperation & collaboration needed to implement full evaluation design
16 Lesson 1: Intermediate results welcomed and used by MOHs and partners Community case management by trained HSAs in Malawi, 2009 Correct tx ARI Correct tx fever/ malaria ORS Rational use of AB Correct referral
17 Lesson 2: Implementation takes time In Mali, the MoH scheduled a forum to decide on CCM for childhood pneumonia & malaria. Original date (cancelled) Planned (cancelled) Planned (cancelled) Forum held; agreed YES on CCM Discussions about how to implement are still under way July 2008 November 2008 February 2009 March 2009 November 2010 Months = 7 months in a 3-year CI project
18 Lesson 3: Virgin comparison areas do not exist; new designs needed Simultaneous implementation of multiple programs Separate, uncoordinated, inefficient evaluations, if any Mozambique
19 Contributors In-country partners Burkina Faso: ISSP, INSP Ghana: Noguchi Institute, University of Ghana Malawi: National Statistics Office, Department of Economics, University of Malawi IIP-JHU Agbessi Amouzou, Abdullah Baqui, Robert Black, Jennifer Bryce, Kate Gilroy, Elizabeth Hazel, Gareth Jones, Marjorie Opuni, Jeremy Schiefen, Cesar Victora Mali: CREDOS
20 Part 3 LARGE-SCALE EVALUATIONS: A NEW BUSINESS MODEL
21 Large-scale evaluations: A new business model Business as usual Retrospective Summative Divorced from routine monitoring Short time line External evaluators Single, one-off report What is needed Prospective Formative & summative Linked to and building upon routine monitoring Informs program design & continues throughout Evaluators who are independent but linked Regular feedback with intermediate results
22 Further details at
Debriefing on the External Retrospective Evaluation of ACSD
Institute for International Programs An international evaluation consortium ACCELERATING CHILD SURVIVAL AND DEVELOPMENT IN AFRICA (ACSD) Debriefing on the External Retrospective Evaluation of ACSD 19 February
More informationPROGRESS REPORT ON THE ROAD MAP FOR ACCELERATING THE ATTAINMENT OF THE MILLENNIUM DEVELOPMENT GOALS RELATED TO MATERNAL AND NEWBORN HEALTH IN AFRICA
5 July 2011 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Sixty-first session Yamoussoukro, Côte d Ivoire, 29 August 2 September 2011 Provisional agenda item 17.1 PROGRESS REPORT ON THE ROAD MAP FOR
More informationPROGRESS REPORT ON CHILD SURVIVAL: A STRATEGY FOR THE AFRICAN REGION. Information Document CONTENTS
29 June 2009 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Fifty-ninth session Kigali, Republic of Rwanda, 31 August 4 September 2009 Provisional agenda item 9.2 PROGRESS REPORT ON CHILD SURVIVAL: A
More informationAboubacar Kampo Chief of Health UNICEF Nigeria
Aboubacar Kampo Chief of Health UNICEF Nigeria Many thanks to UNICEF colleagues in Supply Division-Copenhagen and NY for contributing to this presentation Thirty-five countries are responsible for 98%
More informationMalaria Funding. Richard W. Steketee MACEPA, PATH. April World Malaria Day 2010, Seattle WA
Malaria Funding Richard W. Steketee MACEPA, PATH April World Malaria Day 2010, Seattle WA Malaria Funding Is there a plan? Is there money? Where does the money come from? Is the money moving efficiently?
More informationIMMUNIZATION VACCINES & EMERGENCIES
No report No data No data IMMUNIZATION VACCINES & EMERGENCIES ROUTINE IMMUNIZATION PERFORMANCE IN THE AFRICAN REGION October 2013 issue Number of children vaccinated with the 3 rd dose of DTPcontaining
More informationAIDS in Africa. An Update. Basil Reekie
AIDS in Africa An Update Basil Reekie Contents General Statistics The trend of HIV in Africa Ugandan experience UNAIDS 2006 Latest African Statistics by Country HIV Intervention Light at the end of the
More informationIMMUNIZATION & VACCINE PREVENTABLE DISEASES
IMMUNIZATION & VACCINE PREVENTABLE DISEASES MONTHLY IMMUNIZATION UPDATE IN THE AFRICAN REGION July-August 2015 (Vol 3, issue N 6 ) Special issue on WHO/UNICEF Estimates of National Immunization Coverage
More informationAnnex 2 A. Regional profile: West Africa
Annex 2 A. Regional profile: West Africa 355 million people at risk for malaria in 215 297 million at high risk A. Parasite prevalence, 215 Funding for malaria increased from US$ 233 million to US$ 262
More informationOuagadougou Declaration
Ouagadougou Declaration on Primary Health Care and Health Systems in Africa: Achieving Better Health for Africa in the New Millennium A declaration by the Members States of the WHO African Region 30 April
More informationMaternal, Newborn and Child Health in ECOWAS Member States. Let us join hands to save the mother and the newborn child
Maternal, Newborn and Child Health in ECOWAS Member States Let us join hands to save the mother and the newborn child Dr. Placido CARDOSO DG WAHO Obudu, October, 23rd, 2009 Outline Introduction A few statistics
More informationCONTENTS. Paragraphs I. BACKGROUND II. PROGRESS REPORT ON THE AFRICAN REGIONAL IMMUNIZATION STRATEGIC PLAN
23 September 2013 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Sixty-third session Brazzaville, Republic of Congo, 2 6 September, 2013 Agenda item 14 IMMUNIZATION IN THE AFRICAN REGION: PROGRESS REPORT
More informationWhat is this document and who is it for?
Measles and Rubella Initiative s Standard Operating Procedures for Accessing Support for Measles and Rubella Supplementary Immunization Activities During 2016 In the context of measles and rubella elimination
More informationAfrica s slow fertility transition
Africa s slow fertility transition John Bongaarts Population Council, New York Süssmilch Lecture Max Planck Institute, Rostock 3 Sep 215 Billions 4 3 Population projections for sub-saharan Africa 215 projection
More informationPOLIOMYELITIS ERADICATION: PROGRESS REPORT. Information Document CONTENTS BACKGROUND PROGRESS MADE NEXT STEPS... 12
5 August 9 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Fifty-ninth session Kigali, Republic of Rwanda, August 4 September 9 POLIOMYELITIS ERADICATION: PROGRESS REPORT Information Document CONTENTS
More informationScaling Up Nutrition Action for Africa
Scaling Up Nutrition Action for Africa Where are we and what challenges are need to be addressed to accelerate malnutrition? Lawrence Haddad Global Alliance for Improved Nutrition Why should African political
More informationHealth systems and HIV: advocacy. Interagency Coalition on AIDS and Development
Health systems and HIV: Priorities for civil society advocacy Michelle Munro Interagency Coalition on AIDS and Development 1 Overview GTAG, civil society and health systems advocacy Health systems and
More information1) SO1: We would like to suggest that the indicator used to measure vaccine hesitancy be DTP 1 to measles first dose dropout.
To SAGE Secretariat, WHO Dear Professor Helen Rees, Dear Dr. Jean Marie Okwo-Bele, On behalf of the Civil Society Constituency of the GAVI Alliance, we would like to thank SAGE and its members for the
More informationAddressing Malaria in Pregnancy: A Comprehensive Approach to Maternal and Newborn Health Outcomes
Addressing Malaria in Pregnancy: A Comprehensive Approach to Maternal and Newborn Health Outcomes Malaria is a major public health crisis, especially in sub-saharan Africa, where 90% of all malaria-related
More informationPOLIO ERADICATION IN THE AFRICAN REGION: PROGRESS REPORT. Information document EXECUTIVE SUMMARY
7 July 2006 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Fifty-sixth session Addis Ababa, Ethiopia, 28 August 1 September 2006 Provisional agenda item 10.1 POLIO ERADICATION IN THE AFRICAN REGION: PROGRESS
More informationFighting Harder and Smarter Against Malaria. Dr.Bernard Nahlen Deputy US Global Malaria Coordinator University of Georgia, February 23, 2010
Fighting Harder and Smarter Against Malaria Dr.Bernard Nahlen Deputy US Global Malaria Coordinator University of Georgia, February 23, 2010 Outline Burden of malaria Global support for rolling back malaria
More information! Multisectoral Information, Data, Research & Evidence - for Health, Population, Human & Social Development!
Pan African Campaign To End Forced Marriage of Under Age Children Advancing Multi-sectoral Policy & Investment for Girls, Women, & Children s Health 2015 Africa Scorecard On Maternal Health & Maternal
More informationWHO Consultation on universal access to core malaria interventions in high burden countries: main conclusions and recommendations
WHO Consultation on universal access to core malaria interventions in high burden countries: main conclusions and recommendations 12-15 February 2018 Salle XI, ILO Building, Geneva, Switzerland Country
More informationTHE DOUBLE DIVIDEND. Presented at 6 th HIV Paediatric Workshop, Melbourne 19 th July 2014
THE DOUBLE DIVIDEND Action to improve survival of HIV exposed infected and uninfected children in the era of emtct and renewed child survival campaigns: Outcome of Harare Think Tank Consultation Presented
More informationMaternal, Newborn and Child Health: Global initiatives and priority products for MNCH Dr. Mark W. Young Senior Health Specialist, UNICEF-New York
Maternal, Newborn and Child Health: Global initiatives and priority products for MNCH Dr. Mark W. Young Senior Health Specialist, UNICEF-New York Copenhagen, Denmark 23 September 2013 Visit www.everywomaneverychild.org
More informationPrioritizing Emergency Polio Eradication Activities
Prioritizing Emergency Polio Eradication Activities Managing the Financing Gap the other half of the Emergency Hamid Jafari GPEI Financing 2012-13: Budget = $2.23 b - Confirmed contributions = $1.14 b
More informationANNEX Page. AFR/RC61/11 4 July 2011 ORIGINAL: ENGLISH REGIONAL COMMITTEE FOR AFRICA
4 July 2011 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Sixty-first session Yamoussoukro, Côte d Ivoire, 29 August 2 September 2011 Provisional agenda item 16 PROGRESS REPORT ON POLIOMYELITIS ERADICATION
More informationYellow fever Vaccine investment strategy
Yellow fever Vaccine investment strategy Background document #5 November 2013 Executive summary Since 2001, GAVI has spent ~$250M on yellow fever control $102M on routine vaccination in 17 countries ~$160M
More informationIMMUNIZATION VACCINE DEVELOPMENT
IMMUNIZATION VACCINE DEVELOPMENT MONTHLY IMMUNIZATION AND POLIO UPDATE IN THE AFRICAN REGION January February 2017 (Vol 5 issue N 1) District data completeness and coverage of DTP3 containing vaccine per
More informationExpert Group Meeting on the Regional Report for the African Gender and Development Index
Expert Group Meeting on the Regional Report for the African Gender and Development Index 9-10 October 2017 United Nations Conference Centre, Addis Ababa, Ethiopia Aide Memoire July 2017 I. Background and
More informationRegional Consultation on Nutrition and HIV/AIDS in French Speaking Countries in Africa Region
Regional Consultation on Nutrition and HIV/AIDS in French Speaking Countries in Africa Region Evidence, lessons and recommendations for action Ouagadougou, Burkina Faso 17-20 November 2008 CONCEPT PAPER
More information( A JICA-IRRI-PhilRice Initiative) Presented by Noel Magor, Head Unit Impact Acceleration and Training Center, IRRI
( A JICA-IRRI-PhilRice Initiative) Presented by Noel Magor, Head Unit Impact Acceleration and Training Center, IRRI Long partnership between; IRRI & PhilRice IRRI & JICA PhilRice & JICA The Season Long
More informationPneumococcal Conjugate Vaccine: Current Supply & Demand Outlook. UNICEF Supply Division
Pneumococcal Conjugate Vaccine: Current Supply & Demand Outlook UNICEF Supply Division Update: October 2013 0 Pneumococcal Conjugate Vaccine (PCV) Supply & Demand Outlook October 2013 Update Key updates
More informationMDGs to Agenda 2063/SDGs
MDGs to Agenda 2063/SDGs Towards an integrated and coherent approach to sustainable development in Africa Infographics booklet MDG 1 ERADICATE EXTREME HUNGER AND POVERTY PROGRESS TOWARDS REDUCING POVERTY
More informationGlobal initiatives and priority products for MNCH
Global initiatives and priority products for MNCH Dr. Mark W. Young Senior Health Specialist, UNICEF-New York Copenhagen, Denmark 22 September 2014 Reductions in absolute numbers of child deaths The total
More informationEXPLANATION OF INDICATORS CHOSEN FOR THE 2017 ANNUAL SUN MOVEMENT PROGRESS REPORT
UNICEF / Zar Mon Annexes EXPLANATION OF INDICATORS CHOSEN FOR THE 2017 ANNUAL SUN MOVEMENT PROGRESS REPORT This report includes nine nutrition statistics, as per the 2017 Global Nutrition Report. These
More informationPlan of Presentation
CONTINENTAL CONFERENCE ON MATERNAL, INFANT AND CHILD HEALTH IN AFRICA Plan of Presentation Regional Frameworks on SRH Maputo Plan of Action Five-Year Review of MPoA What is CARMMA? Why CARMMA? What is
More informationCOLD CHAIN EQUIPMENT OPTIMISATION PLATFORM (CCEOP)
COLD CHAIN EQUIPMENT OPTIMISATION PLATFORM (CCEOP) Sushila Maharjan Senior Manager, Innovative Finance International Conference on Sustainable Cooling World Bank Washington DC - 29 November 2018 Reach
More informationUsing routine data to estimate numbers of women with female genital mutilation / cutting in European countries
Using routine data to estimate numbers of women with female genital mutilation / cutting in European countries Alison Macfarlane Division of Midwifery and Radiography, City University London Efua Dorkenoo
More informationAFRICA. The continent of All challenges
AFRICA The continent of All challenges Part of Resources and burden of the disease in Africa Africa=25% Rest of the World=75% Africa=0.6% Rest of the World=99.4% 0% 20% 40% 60% 80% 100% 57 Critical shortage
More informationUpdate on PMTCT. African Health Profession Regulatory Collaborative for Nurses and Midwives. Johannesburg, Republic of South Africa, June 18-22, 2012
PMTCT Update Update on PMTCT Margarett Davis, MD, MPH Chief, Maternal and Child Health Branch Division of Global HIV/AIDS Centers for Disease Control and Prevention (CDC) African Health Profession Regulatory
More informationGlobal reductions in measles mortality and the risk of measles resurgence
Global reductions in measles mortality 2000 2008 and the risk of measles resurgence Measles is one of the most contagious human diseases. In 1980 before the use of measles vaccine was widespread, there
More informationMEASLES ELIMINATION BY 2020: A STRATEGY FOR THE AFRICAN REGION. Report of the Secretariat. Executive Summary
16 June 2011 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Sixty-first session Yamoussoukro, Côte d Ivoire, 29 August 2 September 2011 Provisional agenda item 13 MEASLES ELIMINATION BY 2020: A STRATEGY
More informationChildren in Africa. Key statistics on child survival, protection and development
Children in Key statistics on child survival, protection and development Key Statistics In, mortality rates among children under five decreased by 48 per cent between 199 and 13, but still half of the
More informationEBOLA SITUATION REPORT
EBOLA SITUATION REPORT 11 FEBRUARY 2015 CASES/ DEATHS (data up to 8 February 2015) Guinea Liberia Sierra Leone Mali Nigeria Senegal Spain United Kingdom United States of America Total 8 6 20 8 1 0 1 0
More informationMONITORING THE IMPLEMENTATION OF THE HEALTH MILLENNIUM DEVELOPMENT GOALS. Report of the Secretariat. Executive Summary
22 June 2011 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Sixty-first session Yamoussoukro, Côte d Ivoire, 29 August 2 September 2011 Provisional agenda item 14 MONITORING THE IMPLEMENTATION OF THE
More informationEBOLA SITUATION REPORT
25 FEBRUARY 205 CASES/ DEATHS (data up to 22 February 205) Guinea Liberia Sierra Leone Mali Nigeria Senegal Spain United Kingdom United States of America Total 8 6 20 8 0 0 0 4 355 209 4037 346 9238 9604
More informationFertility and Family Planning in Africa: Call for Greater Equity Consciousness
Fertility and Family Planning in Africa: Call for Greater Equity Consciousness Eliya Msiyaphazi Zulu President, Union for African Population Studies Director of Research, African Population & Health Research
More informationUpdate from GAVI Aurelia Nguyen
Update from GAVI Aurelia Nguyen (Copenhagen, Denmark, 27 June 2012) GAVI vaccine support Currently supported vaccines: pentavalent, pneumococcal, rotavirus, meningitis A, human papillomavirus (HPV), rubella,
More informationASLM Anti-microbial Resistance in Africa and Global Health Security. 9TH INTEREST WORKSHOP May 2015 Harare
ASLM Anti-microbial Resistance in Africa and Global Health Security 9TH INTEREST WORKSHOP 2015 8 May 2015 Harare Recent Jim O Neil Report commissioned by the UK government predicts dire consequences of
More informationPROGRESS ON HEALTH-RELATED MILLENNIUM DEVELOPMENT GOALS AND THE POST 2015 HEALTH DEVELOPMENT AGENDA. Report of the Secretariat CONTENTS ANNEXES
26 November 2015 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Sixty-fifth session N Djamena, Republic of Chad, 23 27 November 2015 Agenda item 8 PROGRESS ON HEALTH-RELATED MILLENNIUM DEVELOPMENT GOALS
More informationGABON. Neglected tropical disease treatment report profile for mass treatment of NTDs
GABON Neglected tropical disease treatment report 2017 1 2017 profile for mass treatment of NTDs NEGLECTED TROPICAL DISEASES Neglected tropical diseases (NTDs) are a group of preventable and treatable
More informationHPV Vaccine Lessons Learned & New Ways Forward
HPV Vaccine Lessons Learned & New Ways Forward The Gavi Alliance June 2016, Geneva www.gavi.org Overview 1 Background 2 Lessons learned 3 New Way Forward 2 1 Background 3 HPV Background HPV is responsible
More informationEBOLA SITUATION REPORT
4 MARCH 205 CORRIGENDUM CASES/ DEATHS (data up to March 205) Guinea Liberia Sierra Leone Mali Nigeria Senegal Spain United Kingdom United States of America Total 8 6 20 8 0 0 0 4 329 229 47 3546 9249 9807
More informationGender, Poverty, and Health in Sub-Saharan Africa: A Framework for Analysis
Gender, Poverty, and Health in Sub-Saharan Africa: A Framework for Analysis Pathways to Improved Health Outcomes Health outcomes Households/ Communities Household behaviors & risk factors Community factors
More informationSupplementary appendix
Supplementary appendix This appendix formed part of the original submission and has been peer reviewed. We post it as supplied by the authors. Supplement to: Pronyk PM, Nemser B, Maliqi B, et al, for the
More informationAgeing and mental health resources for older persons in the African region of the World Health Organization
Ageing and mental health resources for older persons in the African region of the World Health Organization Carlos Augusto de Mendonça Lima Instituto de Psiquiatria CDA, Universidade Federal do Rio de
More informationHealth situation analysis in the African Region. Basic indicators 2006
Health situation analysis in the African Region Basic indicators 2006 Health situation analysis in the African Region Basic indicators 2006 World Health Organization. Regional Office for Africa, 2006
More informationUNAIDS 2013 AIDS by the numbers
UNAIDS 2013 AIDS by the numbers 33 % decrease in new HIV infections since 2001 29 % decrease in AIDS-related deaths (adults and children) since 2005 52 % decrease in new HIV infections in children since
More informationIMMUNIZATION VACCINE DEVELOPMENT
IMMUNIZATION VACCINE DEVELOPMENT MONTHLY IMMUNIZATION UPDATE IN THE AFRICAN REGION July-August 2016 (Vol 4, issue N 5) Special issue on 2015 WHO/UNICEF Estimates of National Immunization Coverage (WUENIC)
More informationComparative Analyses of Adolescent Nutrition Indicators
Comparative Analyses of Adolescent Nutrition Indicators Rukundo K. Benedict, PhD The DHS Program Stakeholders Consultation on Adolescent Girls Nutrition: Evidence, Guidance, and Gaps October 30 31, 2017
More informationUpdate on Meningococcal A Vaccine Development and Introduction
Update on Meningococcal A Vaccine Development and Introduction WHO Product Development for Vaccines Advisory Committee Meeting (PD-VAC) @ Geneva, 7-9 September 2015 Dr Marie-Pierre Preziosi, WHO Initiative
More informationStep Up the Pace: Towards an AIDS-free generation in West and Central Africa
1 Step Up the Pace: Towards an AIDS-free generation in West and Central Africa Throughout this report, the term children applies to all children below the age of 18 years, including adolescents, as defined
More informationFRAMEWORK FOR IMPLEMENTING THE GLOBAL STRATEGY TO ELIMINATE YELLOW FEVER EPIDEMICS (EYE), IN THE AFRICAN REGION. Report of the Secretariat
13 June 2017 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Sixty-seventh session Victoria Falls, Republic of Zimbabwe, 28 August 1 September 20177 Provisional agenda item 11 FRAMEWORK FOR IMPLEMENTING
More informationDemographic Transitions, Solidarity Networks and Inequality Among African Children: The Case of Child Survival? Vongai Kandiwa
Demographic Transitions, Solidarity Networks and Inequality Among African Children: The Case of Child Survival? Vongai Kandiwa PhD Candidate, Development Sociology and Demography Cornell University, 435
More informationProgress has been made with respect to health conditions.
health Strong performers in reducing child mortality 199-2 Niger Guinea-Bissau Guinea Ethiopia Benin 2 199 Strong performers in reducing maternal mortality 199-2 Djibouti Madagascar Eritrea Comoros Somalia
More informationTHE WHO FRAMEWORK CONVENTION ON TOBACCO CONTROL: 10 YEARS OF IMPLEMENTATION IN THE AFRICAN REGION
THE WHO FRAMEWORK CONVENTION ON TOBACCO CONTROL: 10 YEARS OF IMPLEMENTATION IN THE AFRICAN REGION AFRO Library Cataloguing-in-Publication Data The WHO Framework Convention on Tobacco Control: 10 years
More informationYellow fever laboratory capacity on-site assessments in Africa: preliminary findings
Yellow fever laboratory capacity on-site assessments in Africa: preliminary findings Maurice Demanou*, Barbara W. Johnson, Gamou Fall, Jean-Luc Betoulle, Chantal Reusken, Marion Koopmans, Lee Hampton,
More informationCANCER OF THE CERVIX IN THE AFRICAN REGION: CURRENT SITUATION AND WAY FORWARD
23 June 2010 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: FRENCH Sixtieth session Malabo, Equatorial Guinea, 30 August 3 September 2010 Provisional agenda item 7.4 CANCER OF THE CERVIX IN THE AFRICAN REGION:
More informationPrivate Sector Opportunities to Support Family Planning and Access to Reproductive Health Services
Private Sector Opportunities to Support Family Planning and Access to Reproductive Health Services March 1, 2017 10:00 AM 11:00 AM ET Expert Connections Webinar in partnership with United Nations Population
More informationHIBA ABDALRAHIM Capsca Focal Point Public Health Authority
HIBA ABDALRAHIM Capsca Focal Point Public Health Authority Introduction Definition Symptom Transmission Global situation Local situation Control Content Introduction Yellow fever (YF) is a mosquito-borne
More informationTFI Proceedings, Recommendations and implications for 2005
January 2005 N 053 TFI 2004 - Proceedings, Recommendations and implications for 2005 The 12th meeting of the Task Force on Immunization (TFI) in Africa and the 11th meeting of the Africa Regional Inter-
More informationFunding for AIDS: The World Bank s Role. Yolanda Tayler, WB Bi-regional Workshop for the Procurement of ARVs Phnom Penh, Cambodia
Funding for AIDS: The World Bank s Role Yolanda Tayler, WB Bi-regional Workshop for the Procurement of ARVs Phnom Penh, Cambodia Outline New resources needs estimates Bridging the gap Global overview of
More informationInfluenza Surveillance In the WHO African Region
Vol. 2 N 52, Updated on 2 January 207 Contents Highlights ackground Methodology Review of 206 influenza virus circulation Seasonal patterns of influenza transmission Way forward Conclusion Editor Dr Ibramima
More informationSourcing of ARVs & HIV diagnostics. Procurement for Impact P4i
Sourcing of ARVs & HIV diagnostics Procurement for Impact P4i AMDS ANNUAL STAKEHOLDERS AND PARTNERS MEETING 29 September 2014 Global Fund: Procurement for Impact: P4i Our objective was straightforward:
More informationGlobal Fund Results Fact Sheet Mid-2011
Global Fund Results Fact Sheet Mid-2011 This fact sheet outlines some of the common questions and answers regarding results reported by Global Fund-supported programs, including the principles and approach
More informationGlobal Malaria Initiative
Global Malaria Initiative Appeal No. MAA00031 21/04/2009 This report covers the period 01/01/2008 to 31/12/2008. Volunteers from the Madagascar Red Cross participate in malaria behaviour change communication
More informationCHILD SURVIVAL IN SUB-SAHARAN AFRICA TAKING STOCK
CHILD SURVIVAL IN SUB-SAHARAN AFRICA TAKING STOCK This publication was produced by the Support for Analysis and Research in Africa (SARA) Project, operated by the Academy for Educational Development (AED)
More informationMeasles Supplementary Immunization Activities and GAVI Funds as Catalysts for Improving Injection Safety in Africa
SUPPLEMENT ARTICLE Measles Supplementary Immunization Activities and GAVI Funds as Catalysts for Improving Injection Safety in Africa Edward J. Hoekstra, 1 Maya M. V. X. van den Ent, 1 Halima Dao, 1 Hala
More informationImpact of Pathology Implementation Strategies in Sub Saharan Africa
Impact of Pathology Implementation Strategies in Sub Saharan Africa June 2015 ascp.org PATHOLOGY IN AFRICA Large abdominal wall mass What do you do?? Large lesion non-diagnostic? Have to do additional
More informationRotavirus vaccines: Issues not fully addressed in efficacy trials
Rotavirus vaccines: Issues not fully addressed in efficacy trials TM Umesh D. Parashar Lead, Viral Gastroenteritis Team CDC, Atlanta, USA uparashar@cdc.gov 1 Two New Rotavirus Vaccines Licensed in 2006
More informationStatus Report on WSS MDG Roadmaps and Country Status Overviews WSP Africa
Status Report on WSS MDG Roadmaps and Country Status Overviews WSP Africa Ede Ijjasz Global Manager Water and Sanitation Program World Water Forum, Mexico, March 18, 2006 Outline 1. The Water Supply and
More informationBlood safety in Africa: Progress made during the last decade and major challenges for the Future
Blood safety in Africa: Progress made during the last decade and major challenges for the Future By J.B.Tapko Regional Advisor for Blood Safety WHO Regional Office for Africa Outline Introduction: WHO
More informationPROGRESS REPORT ON DECADE OF TRADITIONAL MEDICINE IN THE AFRICAN REGION. Progress Report. CONTENTS Paragraphs BACKGROUND PROGRESS MADE...
5 July 2011 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Sixty-first session Yamoussoukro, Côte d Ivoire, 29 August 2 September 2011 Provisional agenda item 17.2 PROGRESS REPORT ON DECADE OF TRADITIONAL
More informationFEMALE GENITAL MUTILATION/CUTTING: What might the future hold?
FEMALE GENITAL MUTILATION/CUTTING: What might the future hold? UNICEF/NYHQ213-42/Asselin The mutilation or cutting of female genitals, also known as FGM/C, has been practised for centuries among population
More informationWhat is the recent experience of programs that distribute contraceptives free of charge versus for a price?
What is the recent experience of programs that distribute contraceptives free of charge versus for a price? A Review of the Literature Jane T. Bertrand and Rebecca Emel 8 October 2015 @rhsupplies @rh_supplies
More informationENHANCING THE ROLE OF TRADITIONAL MEDICINE IN HEALTH SYSTEMS: A STRATEGY FOR THE AFRICAN REGION. Report of the Secretariat EXECUTIVE SUMMARY
3 September 2013 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Sixty-third session Brazzaville, Republic of Congo, 2 6 September 2013 Agenda item 10 ENHANCING THE ROLE OF TRADITIONAL MEDICINE IN HEALTH
More informationAfrican Gender and Development Index
African Gender and Development Index EXPERTS MEETING ON METHODOLOGIES FOR REGIONAL INTEGRATION INDEX 26 SEPTEMBER 2018 ADDIS ABABA, ETHIOPIA Outline 1. The African Gender and Development Index 2. Gender
More informationUpdate from the GAVI Alliance Seth Berkley, MD Chief Executive Officer
Update from the GAVI Alliance Seth Berkley, MD Chief Executive Officer SAGE meeting Geneva, 8-10 November 2011 Topics to cover Update on new vaccine introduction Introductions New approvals Co-financing
More informationFinal Report The Retrospective Evaluation of ACSD: Benin
ACCELERATING CHILD SURVIVAL AND DEVELOPMENT (ACSD) Final Report The Retrospective Evaluation of ACSD: Benin Submitted to UNICEF on 7 October 2008 Institute for International Programs Johns Hopkins University
More informationRATIONALIZATION OF IMPLEMENTING PARTNERS AND SERVICES
Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV Rationalization of Implementing Partners and Services in the Democratic Republic of the Congo 1 Optimizing HIV Treatment Access
More informationAtlas of the African Health Statistics
Atlas of the African Health Statistics 2017 1 P a g e Introduction, objectives and methods The 2017 edition of the atlas of the African health statistics describes the health situation and trends in the
More informationFinancing the HIV response in sub- Saharan Africa from domestic sources: moving beyond a normative approach
Financing the HIV response in sub- Saharan Africa from domestic sources: moving beyond a normative approach Michelle Remme 1, Mariana Siapka 1, Olivier Sterck 2, Mthuli Ncube 2, Charlotte Watts 1 & Anna
More informationEBOLA SITUATION REPORT
09 SEPTEMBER 2015 SUMMARY There were 2 confirmed cases of Ebola virus disease (EVD) reported in the week to 6 September: 1 in Guinea and 1 in Sierra Leone. Overall case incidence has remained stable at
More informationForeword. For further information please contact Dr Nivo Ramanandraibe at and Dr Ahmed E. Ogwell Ouma at
Bans on tobacco advertising, promotion and sponsorship in the African Region, 2013 Foreword Banning tobacco advertising, promotion and sponsorship is an obligation under Article 13 of the WHO Framework
More informationo A solid evidence base
School-Based Deworming An Education Policy Priority o A solid evidence base o A simple, safe and cost-effective solution Lesley Drake University of California, Berkeley, April 2010 400 000 000 children
More informationIMMUNIZATION VACCINE DEVELOPMENT
IMMUNIZATION VACCINE DEVELOPMENT MONTHLY IMMUNIZATION UPDATE IN THE AFRICAN REGION November December 2016 (Vol 4, issue N 7) District data completeness and coverage of DTP3 containing vaccine per country
More informationPharmacovigilance BMGF Perspective. Raj Long Bill & Melinda Gates Foundation
Pharmacovigilance BMGF Perspective Raj Long Bill & Melinda Gates Foundation Overview 1. Key challenges -Recap Safety Surveillance Working Group (2012/2013) 2. Overall BMGF strategy and approach 3. Key
More informationThis also applies to all travellers transiting through countries with risk of transmission of yellow fever.
JAMAICA YELLOW FEVER ENTRY REQUIREMENTS 29 MAY 2016 Vaccination against yellow fever is required to prevent the importation of yellow fever virus into Jamaica where the disease does not occur but where
More informationGlobal Campaign to end Obstetric Fistula
Global Campaign to end Obstetric Fistula The Cost of Giving Birth Complications of pregnancy and Childbirth = 12.5% of DALYs lost globally, and much more in low-income countries Every 2 minutes, 1 woman
More information