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Mapping malaria risk in Africa

MAPPING MALARIA RISK IN AFRICA / ATLAS DU RISKE DE LA MALARIA EN AFRIQUE (MARA/ARMA)
December 2004

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This site presents maps of malaria risk and endemicity (the presence of malaria) in Africa, drawing on published and unpublished data, and through spatial modelling of malaria distribution, seasonality and endemicity. Many factors, especially endemicity, affect the choice of control methods. In the absence of such data it is impossible to rationalize the allocation of limited resources for malaria control. This site presents an opportunity to rethink endemicity and how we may map malaria risk in order to better support planning and programming of malaria control

Succession planning in Uganda : early outreach for AIDS-affected children and their families

HORIZONS
MAKERERE UNIVERSITY DEPARTMENT OF SOCIOLOGY
PLAN, UGANDA
December 2004

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This is the report on an intervention study that evaluated the effectiveness of a succession planning programme in Uganda. The programme works with children and their families while their HIV-positive parents are still living and in a position to plan for their children’s long-term well-being. The focus of this report is on the impact of the succession planning intervention on HIV-positive parents’ and standby guardians’ efforts to prepare for the future of children who will experience parental loss. The report also presents findings on the impact of the programme on children and discusses the programme and policy implications of the research

Impact of public-private partnerships addressing access to pharmaceuticals in low and middle income countries : A synthesis report from studies in Botswana, Sri Lanka, Uganda and Zambia

CAINES, Karen
LUSH, Louisiana
September 2004

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This report provides an overview, with general conclusions and recommendations, from a series of studies in Uganda (the pilot country) plus Botswana, Sri Lanka and Zambia, designed to assess the health and health systems impact of public-private partnerships for improving access to pharmaceuticals in relation to tropical diseases and/or HIV and AIDS, where pharmaceutical companies are involved as partners in supplying free or discounted drugs

Processes and issues for improving access to medicines : willingness and ability to utilise TRIPS flexibilities in non-producing countries

BAKER, Brook K.
August 2004

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This paper addresses the varied ways by which a non-medicine producing country may lawfully utilise the agreement on Trade Related Aspects of Intellectual Property Rights (TRIPS) flexibilities, primarily by importing. However, it also briefly discusses means for promoting local production through pharmaceutical capacity building and through both compulsory and voluntary licensing. To help decision-makers in understanding and evaluating the opportunities and constraints of each alternative, the paper briefly describes their respective advantages and disadvantages in terms of developing countries’ sustainable access to more affordable medicines, highlighting differing legal interpretations, political realities and pragmatic administrative and economic constraints

The use of information and communication technologies (ICTs) in African public library services

ROSENBURG, Diana
July 2004

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This article concerns the use of computers in public libraries in developing countries. To investigate the current level of use of ICTs and plans for the future within the public library environment, a survey was undertaken of 22 public library services in ten English-speaking African countries. The results indicate great disparities in the level of access to computers between the countries, and within country, and indicate a need for more funding and appropriate training

HIV/AIDS resource guide for extension workers

NATIONAL AGRICULTURAL ADVISORY SERVICES (NAADS)
June 2004

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This Resource Guide for extension workers suggests a series of actions and approaches to reducing the impact of HIV and AIDS on rural farming households and communities. Although it recommends collaboration at all levels (international, national, local government and community), it is aimed at extension workers and attempts to equip them with the skills to identify and support vulnerable groups

Attracting youth to voluntary counselling and testing services in Uganda

KIRUMIRA, Edward
et al
June 2004

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This summary presents findings from exit interviews conducted with youth 14 to 21 years old leaving services at the AIDS Information Center and Naguru Teenage Information and Health Center in Kampala to measure satisfaction by youth with services, and in-depth interviews with counsellors to learn their views of the job and the new youth-focused services

Emerging challenges and opportunities in drug registration and regulation in developing countries

HILL, Suzanne
JOHNSON, Kent
May 2004

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This study describes current drug regulation and registration processes in selected countries, in order to understand how they affect the quality and availability of medicines in developing countries. It puts forward policy recommendations as to how systems can more efficiently allow appropriate quality drugs to be marketed and examines the emerging challenges and requirements posed by compulsory licensing, drugs for neglected diseases, anti-retroviral (ARV) and anti-tuberculosis (TB) drugs

Double burden : a situation analysis of HIV/AIDS and young people with disabilities in Rwanda and Uganda

YOUSAFZAI, Aisha
EDWARDS, Karen
2004

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This analysis was carried out by Save the Children UK after reports from the field suggested that disabled people were not accessing HIV prevention information or services, despite being at higher risk of infection. It outlines ways in which disabled people are not fully included in safer-sex communications: for instance blind people hear talk about condoms, but have never held one; the necessity to have a sign-language interpreter for deaf people compromises their right to confidentiality; young girls with disabilities are more likely to be raped and are less able to negotiate safe sex. It recommends the greater integration of disabled people into health and HIV communications and further research to develop disabled-friendly means of communication

Taking better care? Review of a decade of work with orphans and vulnerable children in Rakai, Uganda

WITTER, Sophie
CALDER, George
AHIMBISIBWE, Timothy
2004

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Taking Better Care looks at the situation facing orphaned and vulnerable children in the Rakai District in Uganda and at the legacy of Save the Children's Child Social Care Project (CSCP) there. The report examines the impact of the CSCP, implemented between 1991 and 1996, and at trends in Rakai since the CSCP ended, as well as outlining the lessons learned and providing recommendations for future action. It concludes that in order to support orphans and vulnerable children in a long-term, sustainable way, child-care models now need to incorporate a maximum of state support and civil society mobilisation, combined with more traditional family support

Stepping back from the edge : the pursuit of antiretroviral therapy in Botswana, South Africa and Uganda

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
2004

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This report looks at what is being done to challenge the pace of progress on access to antiretroviral medicines in three very different African countries - Botswana, South Africa and Uganda. It describes who is driving these initiatives at grass-roots level and how. It offers insights and draws on lessons from firsthand experiences that can help those already working towards better access to antiretrovirals, and encourages others to embark on similar initiatives. It is intended for all those with an interest in this issue, from policy- and decision-makers with the power to create a favourable environment for antiretroviral treatment, to those working on the front line in health services, NGOs and AIDS service organizations, as well as those living with HIV, whose role in the battle for wider access is vital

Measuring welfare for small but vulnerable groups : poverty and disability in Uganda

HOOGEVEEN, Johannes G
2004

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When vulnerable groups such as disabled people are surveyed, representative welfare estimates from non-purposive sample surveys becomes an issue. This paper takes the example of Uganda and describes the connections between disability, poverty, wellbeing and social welfare. This is possibly the first time that statistically representative information on income poverty amongst disabled people has been generated for a developing country

Low cost access and connectivity : local solutions

UN ICT TASK FORCE
2004

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This publication, a UN ICT Task Force Working Group Paper, brings together case studies of local initiatives which highlight innovation in meeting the information and communication needs in developing countries. Seven papers explore connectivity and access issues in different countries. Papers on Benin and Cameroon are in French

RBM communications assessment : challenges and opportunities in Ghana, Mali, Senegal, Tanzania and Uganda

SHUFFELL, Sara
2004

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This report is from an assessment carried out between October 2002 and April 2003 in Ghana, Mali, Senegal, Tanzania and Uganda. It was part of a Roll Back Malaria Communications Assessment as an initial stage in the process to develop effective and inclusive national malaria communication strategies in RBM participating countries across Africa. It notes the challenges that are raised in the context of development communications in Africa: the absence of basic malaria communications strategies, poor visibility of National Malaria Control Programmes, and lack of regional coordination and information sharing to name a few. There are, however, many opportunities to develop better malaria communications listed in the report

ICT for development : empowerment or exploitation

BEARDON, Hannah
2004

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A mid-term review of the Reflect ICT project, which uses a participatory approach to ICT and communication for development and empowerment. The review reinforces Reflect's position that it is the process whereby ICTs are chosen and introduced which determines their impact, as much or more than the investment itself, and describes pilot projects in Uganda, Burundi and India which illustrate the Reflect approach and inform the 'lessons learned' in the final section

Improving management of childhood malaria in Nigeria and Uganda by improving practices of patent medicine vendors

GREER, George
et al
2004

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"A number of studies from Sub-Saharan African (SSA) have shown that between 15 and 82 per cent of the population choose to first consult private drug shops and informal providers for advice about and assistance with treatment of childhood illnesses. It has also been found for private shops that a large percentage of the drugs provided or dosages given, or both, are inappropriate, indicating the need for innovative and effective approaches to achieve rational prescribing practices. The Ministries of Health in Nigeria and Uganda, in collaboration with partners, designed approaches to utilize private providers for delivery of basic child survival strategies and products to those populations less served by the public sector. These two distinct exploratory models built on lessons from similar efforts in SSA and elsewhere to develop approaches suited to the present situations in Nigeria and Uganda. This report describes the design, implementation, and results of those interventions"

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