Neurodevelopmental trajectory of HIV-infected children accessing care in Kinshasa, Democratic Republic of Congo

OBJECTIVE:To assess the effect of HIV care (including highly active antiretroviral therapy if eligible) on neurodevelopment. DESIGN: Prospective cohort study. METHODS: Motor and mental development of 35 HIV-infected children (aged 18-71 months) was assessed at entry into care and after 6 and 12 months using age-appropriate tools. Developmental trajectory was compared with 35 HIV-uninfected, affected,… Read more

Maternal mental health in the context of community based home visiting: “Acting urgently, building slowly”

On 12 June 2014, Professor Mark Tomlinson from Stellenbosch University, South Africa, gave a seminar to DFID health advisors on maternal mental health in the context of community based home visiting. The seminar highlighted that in low and middle income countries women and girls carry a significant care burden. They are twice as likely as… Read more

Let’s invest in private hospitals as they are more efficient compared to other hospitals, right?

My co-authors and I recently published a paper in which assess whether the efficiency of a hospital is affected by its type of ownership. Interestingly, in parallel unrelated efforts, the US think tank Centre for Global Development is also currently publishing a series of papers and blogs that seek to re-examine the role of hospitals… Read more

Kara Hanson on enhancing the resilience and responsiveness of health systems

In this short video Kara Hanson from London School of Hygiene and Tropical Medicine (LSHTM) explains how universal health coverage (UHC) aims to make services available to everyone, without leading to financial impoverishment. The challenge is to provide the services that are needed while at the same time maintaining quality. To achieve UHC, health financing… Read more

“Working for health is equal to a pastor who works for God” – an update on REACHOUT in Mozambique

The REACHOUT programme is an ambitious international research project helping to understand and develop the role of close-to-community providers of health care in preventing, diagnosing, and treating major illnesses and health conditions in rural and urban areas in Africa and Asia. The REACHOUT consortium is composed of eight partners and is co-ordinated by the Liverpool School… Read more

The challenge of providing reproductive health services in rural areas

Access to reproductive health services remains a big challenge in rural remote areas in Tanzania, due to limited health personnel, the public’s poor health seeking behaviour, distance between the villages and facilities as well as medicine stock-outs in public facilities. Due to these reasons, people resort to visiting informal providers based in their communities such… Read more

The Financial Burden from Non-Communicable Diseases in Low- and Middle-income Countries: a literature review

Document Summary: Non-communicable diseases (NCDs) were previously considered to only affect high-income countries. However, they now account for a very large burden in terms of both mortality and morbidity in low- and middle-income countries (LMICs), although little is known about the impact these diseases have on households in these countries. This paper presents a literature… Read more

Cost Effectiveness of Malaria Interventions

There have been many academic studies and analyses of malaria interventions and their cost effectiveness. Unfortunately however, as the studies have varying methodologies and countries of focus, they are difficult to compare. The information in this report outlines cost effectiveness data and conclusions. One article did a comparison of various trials which led the authors… Read more

Centre for Progressive Health Financing Scoping Mission

A proposal on how the Centre for Progressive Health Financing can help improve the delivery of pro-poor health services in Liberia The provision of quality and accessible health services to improve the country’s health status is a stated priority of the Government of Liberia. The Ministry of Health and Social Welfare (MoH) has made considerable… Read more

Nutrition and Malaria

This review looks at articles relating to malaria and nutrition. These addressed different stages of the lifecycle, both vivax and falciparum malaria, and varying nutritional interventions. Of these, the 5-10 most-cited trials and reviews relating to each of general undernutrition, micronutrient deficiency, vitamin A, or zinc were selected for review and the ten most relevant… Read more

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