Cost-effectiveness of interventions for improving adolescent sexual and reproductive health

Research on the cost-effectiveness of interventions to improve SRH for adolescents is limited. This rapid review includes research on some interventions which focus specifically on girls and some research on programmes for both boys and girls. Three studies were identified that specifically analysed cost-effectiveness of SRH interventions for adolescents in low- and middle-income countries (see… Read more




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




Narrative report to accompany the 2016 annual review of the Working to Improve Nutrition in Northern Nigeria (WINNN) programme

This Narrative Report has been written to accompany the 2016 Annual Review of the Working to Improve Nutrition in Northern Nigeria (WINNN) programme. The WINNN programme aims to deliver evidence-based, cost effective interventions in five northern states in Nigeria: Zamfara, Katsina, Kebbi, Jigawa, and Yobe, while improving government capacity, leadership, and financial commitment in relation… Read more




Working to Improve Nutrition in Northern Nigeria (WINNN) Annual Review – summary sheet

The Working to Improve Nutrition in Northern Nigeria (WINNN) programme continues to be successful achieving most of its objectives, is well managed and year on year is improving its effectiveness and increasing its reach. This summary sheet captures the headlines on programme performance, agreed actions and learning over the course of the review period. Summary… 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




Early childhood development (ECD) in emergencies

Introduction to the topic The international evidence that high quality early childhood development (ECD) programmes benefit all children’s development, life experiences, and life chances is overwhelming. The evidence comes from studies of all kinds, including well-known large quantitative longitudinal studies (e.g. High/Scope Perry studies in the USA and the work of Heckman at http://heckmanequation.org/) to… 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




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