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Understanding community responses to the situation of children affected by AIDS : lessons for external agencies. Draft paper prepared for the UNRISD project HIV/AIDS and Development

FOSTER, Geoff
March 2002

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This is a key report that documents community responses and coping mechanisms towards the HIV/AIDS pandemic in relation to children affected by AIDS (CABA) and orphans and vulnerable children (OVC). Fostering families are under enormous strain and local initiatives at the community level have been little studied or documented, and few organisations have sought to encourage their development. The paper analyses some of these initiatives and encourages external agencies to support them through building the capacity of local responses rather than imposing external solutions

New products into old systems : The Global Alliance for Vaccines and Immunization (GAVI) from a country perspective

STARLING, Mary
BRUGHA, Ruairi
WALT, Gill
January 2002

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Based on research in four countries - Mozambique, Ghana, Lesotho and Tanzania - this report examines the impact of GAVI on national health priorities and public health systems. It focuses on country experiences of applying for support, the capacity of systems to incorporate and utilise new vaccines effectively, and sustainably. The report finds that, while most countries are glad of the political interest immunisation systems are gaining through GAVI, they have concerns about a number of issues: the pressure to make rapid decisions on vaccine selection; the usefulness of reward and evaluation criteria; delays in vaccine availability; and problems related to needle disposal

Children with hydrocephalus and spina bifida in East Africa : can family and community resources improve the odds?

MILES, M
2002

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Hydrocephalus and spina bifida are life threatening conditions that often result in severe dsabilities. Risks are much reduced by immediate surgery and careful managment, but neither has been available for most of the sub-Saharan African population. This paper traces the growth of solutions and some socio-cultural resources that historically have supported family and community care for children with severe disabilities, mainly in Tanzania, and nearby countries. Some community-based rehabilitation (CBR) work with children with spina bifida and hydrocephalus is described, and challenges to the CBR approach are noted from the increased survival of people with disabilities requiring complex care. More appropriate information, recognition of indigenous knowledge, enlistment of community resources and financial assistance are needed to enhance the lives of East Africans with hydrocephalus, spina bifida and other severely disabling conditions

Ancient remedies, new disease : involving traditional healers in incresing access to AIDS care and prevention in East Africa

KING, Rachel
2002

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This report presents three initiatives, in Kenya, Tanzania and Uganda, that have used an integrated approach to HIV prevention and treatment, combining traditional and biomedical health systems. In resource poor countries, traditional healers become part of the solution, helping provide a comprehensive response to the challenges of the disease, particularly when provided with adequate training. The report shows that implementation of programmes of this kind at larger scale could have the potential of bringing appropriate AIDS information and effective treatment to isolated communities at little cost

Training for work in the informal sector : new evidence from Kenya, Tanzania and Uganda

HAAN, Hans Christiaan
2002

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This study is a collection of literature surveys and case studies that discusses the effectiveness of ILO training for people involved in informal micro and small enterprises (SME), especially focusing upon case studies from Kenya, Tanzania and Uganda. The ILO provides trainings for the informal sector in development and transitional countries to enhance skill development. This document would be useful for practitioners interested in training for work in the informal sector

HIV/AIDS and communication for behavior and social change : programme experiences, examples, and the way forward

SINGHAL, Arvind
June 2001

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The purpose of this workshop was to: map out strategies for implementation of communication programmes for behaviour and social change; strengthen links between communication programmes and priority issues in HIV and AIDS in developing countries; and increase technical soundness in communication programmes, projects and strategies of organisations working on HIV and AIDS prevention, care and treatment. Several recommendations about the role of communication for behaviour and social change in HIV and AIDS programmes emerged from the workshop’s deliberations

HIV/AIDS and security

CARBALLO, M
CILLONIZ, J
BRAUNSCHWEIG, S
2001

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This report provides a comprehensive analysis of the ways in which the growing HIV/AIDS pandemic is affecting national and human security. It looks at the impact of sexually transmitted diseases on the military and other uniformed services, what is known about the incidence / prevalence of the problem, and where and why military personnel are most vulnerable. It also reviews what some of the main international agencies and NGOs are doing in this field and provides information on selected case studies

Social capital : a multifaceted perspective

DASGUPTA, Partha
SERAGELDIN, Ismail
Eds
2001

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This collection of essays debates the definition of social capital, broadly understood as the the effect social networks and shared attitudes can have on economic performance, and asks how the concept can be applied to development policy and analysis. Among the questions debated are how do social capital theories help broaden thinking about development?; what impact do informal social networks have on the state and other formal organisations?; and what role does trust play within large organizations? This book is of interest to people seeking a better understanding of social capital and its impact on development efforts

Multi-country evaluation of IMCI effectiveness, cost and impact (MCE) : progress report May 2000-April 2001

WORLD HEALTH ORGANIZATION (WHO). Department of Child and Adolescent Health and Development
2001

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Integrated Management of Childhood Illness (IMCI) is a strategy for improving the health of children. The objectives of the multi-country evaluation (MCE) are to evaluate the impact of the IMCI strategy on child health, and the cost-effectiveness of the strategy. The report provides a summary of the evaluation work to date and directions for the future. The chapters cover the methods used in the MCE, summaries of progress and plans in each of the four countries where the evaluation has taken place, and a list of the products of the MCE in terms of evaluation tools, capacity building and the establishment of new knowledge about IMCI implementation. These demonstrate how the MCE is strengthening the knowledge base and capacity for child health programming in developing countries

Collaboration with traditional healers in HIV/AIDS prevention and care in sub-Saharan Africa : a literature review

KING, Rachel
September 2000

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This report gives an update on AIDS and traditional medicine in Africa. It continues to discuss the integration and collaboration of traditional medicine with national health care systems. Eight intervention projects in the resource-constrained settings of sub-Saharan Africa are selected from all interventions involving traditional healers and then compared

Current issues in sector-wide approaches for health development : Tanzania case study

BROWN, Adrienne
2000

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[Publisher's abstract:] A case study of experiences with an advanced sector-wide approach for health development in Tanzania, where a significant number of activities in the health sector are supported by pooled donor funds disbursed through the government system. These funds are integrated into the government budget cycle, with donors increasingly agreeing to make commitments and disbursements in line with government budgetary requirements. The case study opens with an overview of the country's economic, political, and health situation, concentrating on the implications of recent public sector and government reforms. The next section explains the financing, monitoring, and management of the country's sector-wide approach to donor coordination and budgeting. Eight strategies, adopted to improve the availability and quality of essential health services, are also briefly discussed to illustrate how adoption of a sector-wide approach can help tackle inequities in the health system. Having examined key features of the country's advanced sector-wide approach, the case study considers lessons learned and their applicability to similar efforts in other countries. Questions discussed include the importance of government leadership and ownership, the role of donor involvement in joint disbursement procedures, and the extent to which signed agreements can make donor funds more predictable. The study concludes that, despite high aid dependency, government ownership of the programme is growing, and national commitment to sector programmes and public expenditure reform has created a positive environment for expansion. The high costs of transactions and the additional administrative burden imposed on governments remain major problems

Best practices on indigenous knowledge

UNITED NATIONS EDUCATION SCIENCE AND CULTURE ORGANIZATION (UNESCO). Management of Social Transformations Programme (MOST)
NETHERLANDS ORGANIZATION FOR INTERNATIONAL COOPERATION IN HIGHER EDUCATION. Centre for International Research and Advisory Networks (NUFFIC/CIRAN)
Eds
1999

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This publication provides a series of case studies to illustrate how indigenous knowledge (IK) can be used to create sustainable development. It aims to suggest, by example, guidelines for development planning, as the practices described may give policy makers and development practitioners a deeper insight into the ecological and cultural complexity of sustainable development. Includes basic definition of IK and related terms, and indexes by country and theme

The ageing and development report : a summary. Poverty, independence and the world's older people

RANDEL, Judith
GERMAN, Tony
EWING, Deborah
Eds
1999

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This is a summary of a report on the circumstances of older people in developing countries and countries in transition. It has chapters on economic security, health, family and community life, poverty, gender, and emergencies. It also includes information on demographic trends and ageing in specific countries and regions. It is suitable for planners, managers, trainers and students

Safe motherhood initiatives : critical issues

BERER, Marge
SUNDARI RAVINDRAN, T K
REPRODUCTIVE HEALTH MATTERS PROJECT
Eds
1999

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This book raises critical issues arising from the national and international policies, programmes and services whose aim is to prevent maternal mortality and morbidity. It analyses where safe motherhood initiatives stand today, what has been achieved and what remains to be done, and offers perspectives on making pregnancy, childbirth and abortion safer for women in future. The book reviews work in Bangladesh, Indonesia, Kenya, Uganda, Vietnam, India, Tanzania, Mexico, Nigeria, Bolivia, Ghana and South Africa

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