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Author: Ebongué Mbondji Publisher: ISBN: Category : Maternal health services Languages : en Pages :
Book Description
In 2000, United Nations member states committed in the fifth Millennium Development Goal (MDG 5) to improve maternal health in order to combat poverty. Despite this strong commitment, the number of maternal deaths is still high in Sub-Saharan Africa. Monitoring indicators shows that Cameroon will not reach the 2015 s target for MDG 5. The Demography Health Surveys conducted in Cameroon show an increasing maternal mortality since 1998 while several studies show that most of the maternal deaths are preventable and occur at peripheral level. In view of the age-old problem of limited clinical capacities at the peripheral level, the optimal and effective use of public health evidence to develop strong and efficient local reproductive/maternal health strategic plans, appears as a supplementary option to address maternal health issues. The overall goal of this research was to develop a tool that will enable district managers to strengthen maternal health planning and practices in their district. We examined the barriers limiting the planning process at district level and we explored the opportunities to improve it. Methodology: A cross sectional, descriptive and process based research analysis was conducted through a literature review followed by interviews of stakeholders. A tool was then developed based on analysing the results from the interviews. The tool was reviewed during a national workshop by the relevant stakeholders involved in the policy and planning process in Cameroon, and tested by two district teams before its finalization. Findings The research revealed that the subject of maternal health is covered as a component of the reproductive health policy, which was developed with contributions from all the key stakeholders identified by the Ministry of Health. However, some limitations in the process tend to narrow the scope of the policy; the peripheral level had little involvement in the process and there was no national strategic and implementation plan; which explains the failure of the implementation of the policy by the peripheral level. Prioritization at the peripheral level is likely to be mostly influenced by the availability of funds. The planning at peripheral level is done by a district team, with very little support from the higher level or the local partners. Outcome The tool was developed in the form of an integrated matrix of priority activities, introducing the concept of Package of Priority Activities (PPA), and designed as a dynamic cross-table. The whole idea was to identify priority activities for each national health programme in a cross table, and see which under-resourced priority activity can be covered by similar or overlapping resourced programme s priority activity. The tool was tested by districts before its finalization. Conclusion The tool is designed to enable implementation of priority maternal health interventions. The tool should also contribute to improving the effectiveness of the integrated primary healthcare system, which is the ideal way to go in order to reduce the burden of maternal mortality in Sub-Saharan Africa.
Author: Ebongué Mbondji Publisher: ISBN: Category : Maternal health services Languages : en Pages :
Book Description
In 2000, United Nations member states committed in the fifth Millennium Development Goal (MDG 5) to improve maternal health in order to combat poverty. Despite this strong commitment, the number of maternal deaths is still high in Sub-Saharan Africa. Monitoring indicators shows that Cameroon will not reach the 2015 s target for MDG 5. The Demography Health Surveys conducted in Cameroon show an increasing maternal mortality since 1998 while several studies show that most of the maternal deaths are preventable and occur at peripheral level. In view of the age-old problem of limited clinical capacities at the peripheral level, the optimal and effective use of public health evidence to develop strong and efficient local reproductive/maternal health strategic plans, appears as a supplementary option to address maternal health issues. The overall goal of this research was to develop a tool that will enable district managers to strengthen maternal health planning and practices in their district. We examined the barriers limiting the planning process at district level and we explored the opportunities to improve it. Methodology: A cross sectional, descriptive and process based research analysis was conducted through a literature review followed by interviews of stakeholders. A tool was then developed based on analysing the results from the interviews. The tool was reviewed during a national workshop by the relevant stakeholders involved in the policy and planning process in Cameroon, and tested by two district teams before its finalization. Findings The research revealed that the subject of maternal health is covered as a component of the reproductive health policy, which was developed with contributions from all the key stakeholders identified by the Ministry of Health. However, some limitations in the process tend to narrow the scope of the policy; the peripheral level had little involvement in the process and there was no national strategic and implementation plan; which explains the failure of the implementation of the policy by the peripheral level. Prioritization at the peripheral level is likely to be mostly influenced by the availability of funds. The planning at peripheral level is done by a district team, with very little support from the higher level or the local partners. Outcome The tool was developed in the form of an integrated matrix of priority activities, introducing the concept of Package of Priority Activities (PPA), and designed as a dynamic cross-table. The whole idea was to identify priority activities for each national health programme in a cross table, and see which under-resourced priority activity can be covered by similar or overlapping resourced programme s priority activity. The tool was tested by districts before its finalization. Conclusion The tool is designed to enable implementation of priority maternal health interventions. The tool should also contribute to improving the effectiveness of the integrated primary healthcare system, which is the ideal way to go in order to reduce the burden of maternal mortality in Sub-Saharan Africa.
Author: Publisher: World Bank Publications ISBN: 0821362615 Category : Medical Languages : en Pages : 242
Book Description
"This companion guide to Disease Control Priorities in Developing Countries, 2nd edition speeds the diffusion of life-saving knowledge by distilling the contents of the larger volume into an easily read format. Policy makers, practitioners, academics, and other interested readers will get an overview of the messages and analysis in Disease Control Priorities in Developing Countries, 2nd edition; be alerted to the scope of major diseases; learn strategies to improve policies and choices to implement cost-effective interventions; and locate chapters of immediate interest."
Author: World Health Organization Publisher: World Health Organization ISBN: 9241548630 Category : Health & Fitness Languages : en Pages : 123
Book Description
"The Handbook on health inequality monitoring: with a special focus on low- and middle-income countries is a resource that enables countries to do just that. It presents a comprehensive yet clear overview of health inequality monitoring in a user-friendly manner. The handbook succeeds in giving those involved in health inequality monitoring an appreciation of the complexities of the process, as well as building the practical knowledge and skills for systematic monitoring of health inequalities in low- and middle-income countries. The use of the handbook will enable countries to better monitor and evaluate their progress and performance with a high degree of accountability and transparency, and allow them to use the results to formulate evidenced-based policies, programmes and practices to tackle inequalities in an effective manner."--Publisher's description.
Author: World Health Organization Publisher: World Health Organization ISBN: 9241563176 Category : Business & Economics Languages : en Pages : 237
Book Description
The 2006 World Health Report focuses on the chronic shortages of doctors, midwives, nurses and other health care support workers in the poorest countries of the world where they are most needed. This is particularly true in sub-Saharan Africa, which has only four in every hundred global health workers but has a quarter of the global burden of disease, and less than one per cent of the world's financial resources. Poor working conditions, high rates of attrition due to illness and migration, and education systems that are unable to pick up the slack reflect the depth of the challenges in these crisis countries. This report considers the challenges involved and sets out a 10-year action plan designed to tackle the crisis over the next ten years, by which countries can strengthen their health system by building their health workforces and institutional capacity with the support of global partners.
Author: Dean T. Jamison Publisher: World Bank Publications ISBN: 0821361805 Category : Medical Languages : en Pages : 1449
Book Description
Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.
Author: UNICEF. Publisher: UNICEF ISBN: 9280643185 Category : Business & Economics Languages : en Pages : 168
Book Description
Having a child remains one of the biggest health risks for women worldwide. Fifteen hundred women die every day while giving birth. That's a half a million mothers every year. UNICEF's flagship publication, The State of the World's Children 2009, addresses maternal mortality, one of the most intractable problems for development work.The difference in pregnancy risk between women in developing countries and their peers in the industrialised world is often termed the greatest health divide in the world. A woman in Niger has a one in seven chance of dying during the course of her lifetime from complications during pregnancy or delivery. That's in stark contrast to the risk for mothers in America, where it's one in 4,800 or in Ireland, where it's just one in 48,000. Addressing that gap is a multidisciplinary challenge, requiring an emphasis on education, human resources, community involvement and social equality. At a minimum, women must be guaranteed antenatal care, skilled birth attendants and emergency obstetrics, and postpartum care. These essential interventions will only be guaranteed within the context of improved education and the abolition of discrimination.
Author: United Nations Publications Publisher: ISBN: 9789211483239 Category : Political Science Languages : en Pages : 22
Book Description
This booklet is based on the Estimates and Projections of Family Planning Indicators 2019, which includes estimates at the global, regional and country level of contraceptive prevalence, unmet need for family planning and SDG indicator 3.7.1 "Proportion of women who have their need for family planning satisfied by modern methods".
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309477891 Category : Medical Languages : en Pages : 399
Book Description
In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Author: Joint Learning Initiative Publisher: Global Equity Initiative, Harvard University ISBN: Category : Medical Languages : en Pages : 220
Book Description
In this analysis of the global workforce, the Joint Learning Initiative, a consortium of more than 100 health leaders, proposes that mobilization and strengthening of human resources for health, neglected yet critical, is central to combating health crises in some of the world's poorest countries and for building sustainable health systems everywhere. Worker shortage, skill mix imbalance, maldistribution, negative work environments, and weak knowledge bases challenge nearly all countries. Especially in the poorest countries, the workforce is under assault by a triple threat of HIV/AIDS, out-migration, and inadequate investment. Effective country strategies should be launched and backed by international reinforcement. These include urgently mobilizing one million more health workers for Africa, and focusing efforts on the unremunerated community-level health workers, the majority of whom are women. Ultimately, the crisis in human resources is a shared problem requiring shared responsibility for cooperative action. Alliances for action are recommended to strengthen the performance of all actors while expanding space and energy for new ones.
Author: Ebongué Mbondji
Author: Ebongué Mbondji
Author: 
Author: World Health Organization
Author: World Health Organization
Author: Dean T. Jamison
Author: UNICEF.
Author: United Nations Publications
Author: National Academies of Sciences, Engineering, and Medicine
Author: Joint Learning Initiative
Author: World Health Organization