Cost-effectiveness of male circumcision in reducing HIV

Evaluation of the evidence on the effectiveness of male circumcision (MC) suggests that implementation should be accelerated in sub-Saharan Africa. Experts reviewing six simulation models agree that programmes that focus on subpopulations with a high HIV prevalence and incidence would have substantial impact on HIV incidence. The review of the six simulation models found estimates… Read more


Quality of maternal and newborn services – a learning resource for thinking and action

This freely accessible online learning resource produced by HEART provides an overview of the key issues in relation to quality of services (QoS) for maternal and newborn health (MNH), and signposts key resources for further reading. Originally designed for the cadre of Health Advisers at DFID, it has been adapted to suit a broad range of… Read more


Comparative advantages and disadvantages of “push” and “pull” mechanisms in pharmaceutical management

In pharmaceutical management, distribution schemes for medicines can be defined as “push” or “pull” systems. In a pull system, each level of the system determines the types and quantities of medicines needed and place orders with the supply source. In a push system, supply sources determine the types and quantities of medicines to be delivered… Read more


Adolescent sexual and reproductive health

This helpdesk identified a number of reviews on adolescent SRH. Key findings include: Facilitating school attendance reduces childbearing and schools are an effective platform for reproductive health education. To improve access and use one review recommends: enacting and implementing laws and policies requiring education and reproductive health services, building community support for contraception provision; providing… Read more


Quality of care in maternal, newborn and child health (MNCH) and sexual and reproductive health (SRH)

This helpdesk query looks at interventions to improve the quality of care in maternal, newborn, and child health (MNCH) and sexual and reproductive health (SRH). It includes evidence assessing which interventions are likely to have the best impact on service outputs and health outcomes, with an emphasis on cost effectiveness. The MNCH focus is on… Read more


Evidence for the greater cost-effectiveness of long acting methods in family planning

The key message from the evidence that although long acting and permanent methods of contraception incur higher initial costs than short acting methods, the long term protection that they provide and substantially greater effectiveness at preventing unintended pregnancies means that their overall cost-effectiveness is higher. Research included in this review describe this key message, including… Read more


Comparative advantage of the private sector in delivery of health services

There is a considerable body of evidence on the private provision of healthcare in low- and middle-income countries, often focusing on SSA. However, the evidence base is not robust. Evidence is often mixed and sometimes conflicting and policy implications are unclear. The arguments in favour of private healthcare suggest it is more responsive and efficient,… Read more


Challenges facing women and girls in accessing menstrual hygiene products in developing countries, and effective approaches to increasing their access

Access to menstrual hygiene products is a major challenge facing women and girls in developing countries and is an aspect of water, sanitation and hygiene that is often overlooked (Crofts et al., 2012). Lack of access to menstrual hygiene products can often mean that women and girls have considerable difficulty in going about their lives… Read more


Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria

This study examined the knowledge and practices of adolescent school girls in Kano, Nigeria around menstruation and menstrual hygiene. It argues that the majority had fair knowledge of menstruation, although deficient in specific knowledge areas. Institutionalising sexuality education in Nigerian schools; developing and disseminating sensitive adolescent reproductive health massages targeted at both parents and their… Read more


Feasibility study with traditional outlets, non traditional outlets & individuals to establish sanitary napkins supply chain management for adolescent girls and women

Menstrual health is one of the major areas of concern in reproductive health affecting a large number of women, starting from their adolescence. Menstrual hygiene and management has direct consequences on fertility and reproductive tract infections respectively. This study aimed to: investigate the availability of sanitary napkins in the operational villages of Block Chinhat in… Read more


Learning by doing something else: experience with alternatives and adoption of a high-barrier menstrual hygiene technology

The market for menstrual hygiene products in developing countries is expanding rapidly, driven both by private demand and by public efforts to improve girls’ educational outcomes as well as women’s health and dignity. However, many girls and women cannot consistently afford the monthly cost of disposable menstrual products and revert to less hygienic solutions when… Read more


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