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A challenge to make more effective use of scarce resources | Liverpool School of Tropical Medicine : annual report 2002-2003


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This page contain information on the Malaria Knowledge Programme at the Liverpool School of Tropical Medicine. The page notes the work carried out by the VHA on developing a framework that can be used to identify cross-sectoral and multi-disciplinary approaches to vulnerability to malaria, TB and HIV. It shows that few resources are being put into developing appropriate, cheap and accurate tools for malaria diagnosis. Evidence shows that what is needed is effective district laboratory services. It also mentions the Gates Malaria Partnership, which has supported a radio project in the Gambia. It is called ‘Bolonghodala’ which means ‘By the Riverside’. It is a radio drama set in a fictional but typical rural village and combines stories about people’s lives with malaria prevention

How will the reduction of tariffs and taxes on insecticide-treated bednets affect household purchases?

SIMON, Jonathon L
et al
November 2002

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Presents an approach for analysing the extent to which reforms of tariff and tax policy can be expected to increase ITN purchases. Considers the effect on retail prices if tariffs and taxes are eliminated; and the degree to which consumer demand reponds to changes in the retail price of ITNs. Concludes that the impact will be country-specific, and that information about market structure and cost conditions in each country is needed for accurate predictions

Reducing malaria's impact on child health, development and survival


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A concise publication on reducing the incidence of malaria among children. It provides some useful background facts on childhood mortality and other consequences such as low birth weight, anaemia, epilepsy, and learning difficulties. It then describes the tools to 'roll back malaria': insecticide-treated bednets, intermittent preventative treatment, antimalarial drug combination therapy, improving access to treatment, and strengthening health infrastructure

Managing complications in pregnancy and childbirth (MCPAC) : a guide for midwives and doctors


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This manual is written for midwives and doctors at the district hospital who are responsible for the care of women with complications of pregnancy, childbirth or the immediate postpartum period including immediate problems of the newborn. The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings (eg district hospital or health centre). The manual is arranged by symptoms (eg vaginal bleeding in early pregnancy). Because this symptom-based approach is different than most medical texts which are arranged by disease, a corresponding diagnosis table is provided. Links have been used extensively to facilitate navigation between symptoms and diagnosis. Cross-cutting issues like malaria and pregnancy are easy to locate through the index

Facts for life


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This book aims to put lifesaving knowledge about children‘s health into the hands of those who need it most: parents, caregivers, health workers, government officials, journalists and teachers. This edition has updated information on safe motherhood, early childhood development, nutrition, HIV/AIDS and other major causes of childhood illnesses and death. In simple language, it emphasises practical, effective, low-cost ways of protecting children‘s lives and promoting their development

Community involvement in malaria control and prevention [Chapter 8] | Malaria control during mass population movements and natural disasters


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This chapter considers malaria control in displaced populations and in the context of complex emergencies, and places community participation (reflecting both understanding and acceptability of interventions) at the centre of both prevention and control of malaria. It finds that the sociocultural context surrounding displacement situations needs to be considered when designing malaria control interventions, and that treatment-seeking behaviours are complex and poorly understood in the context of complex emergencies. It offers suggestions in assessing needs and gathering information to inform project planning

Enhancing communications and connectivity in Africa : the multilateral initiative on malaria (MIM) model | Medinfo 2001: Proceedings of the 10th World Congress on Medical Informatics


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The article describes the MIM project. The US National Library of Medicine, working in concert with the Multilateral Initiative on Malaria (MIM), has developed and implemented a unique organisational and technical strategy to connect malaria research sites to the Internet for purposes of facilitating North-South scientific communications and access to electronic information resources on the Web. The model employs microwave and VSAT technologies, and shares bandwidth and costs among participating malaria research sites and their respective research funders in Mali, Kenya, Ghana, Tanzania and other sub-Saharan locations affiliated with MIM

Using evidence to change antimalarial drug policy in Kenya

et al
November 2000

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This review analyses the range and quality of the evidence base that was used to change the drug policy in Kenya from chloroquine to SP and examines the process of consensus building and decision making. The review illustrates the difficulties in translating sensitivity data with gross geographical, temporal and methodological variations into national treatment policy. The process was complicated by limited options, unknown adverse effects of replacement therapies, cost, as well as limited guidance on factors pertinent to changing the drug policy for malaria. Although more than 50% of the studies showed parasitological failures by 1995, there was a general lack of consensus on the principles for assessing drug failures, the inclusion criteria for the study subjects and the relative benefits of parasitological and clinical assessments. A change in international recommendations for assessment of drug efficacy in 1996 from parasitological to clinical response further perplexed the decisions. There is an urgent need for international standards and evidence-based guidelines to provide a framework to assist the process by which decision-makers in malaria-endemic countries can make rational choices for antimalarial drug policy change

RBM advocacy guide


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A practical guide to advocacy work around malaria, including useful facts and statistics, and detailed information on advocacy strategies for social change. It presents a comprehensive tool for telling others about the Roll Back Malaria partnership and influencing their thinking around malaria control. It outlines four basic steps that are essential for an effective advocacy initiative: gathering the facts, packaging the message, working with the media and mobilising others. It contains specific examples and creative ideas. Political protocol, media etiquette and social values vary widely from country to country and the guide suggests cultural sensitivity. There is an advocacy resources chapter where readers may borrow successful ideas from others to creatively adapt and apply to their own situations and campaigns

Maintenance and sustained use of insecticide-treated bednets and curtains three years after a controlled trial in western Kenya

KACHUR, S Patrick
et al
November 1999

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While few questions remain about the efficacy of insecticide-treated materials (ITM) intervention, operational issues around how to implement and sustain ITM projects need attention. This article describes a study of the results of a small-scale ITM intervention trial, 3 years after the project ended, to assess how local attitudes and practices had changed