scholarly journals COVID‐19 calls for health systems strengthening in Africa: A case of Nigeria

2021 ◽  
Author(s):  
Emmanuel Ebuka Elebesunu ◽  
Gabriel Ilerioluwa Oke ◽  
Yusuff Adebayo Adebisi ◽  
Ifeanyi McWilliams Nsofor
Keyword(s):  
Health Systems ◽  
Health Systems Strengthening

scholarly journals Exploring the role of gender and women in the political economy of health in armed conflict: a narrative review

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Kristen Meagher ◽  
Bothaina Attal ◽  
Preeti Patel
Keyword(s):  
Political Economy ◽  
Health Systems ◽  
Armed Conflict ◽  
Narrative Review ◽  
Health Systems Strengthening ◽  
The Political ◽  
Systems Research ◽  
Political Economy Of Health ◽  
And Gender

Abstract Background The ripple effects of protracted armed conflicts include: significant gender-specific barriers to accessing essential services such as health, education, water and sanitation and broader macroeconomic challenges such as increased poverty rates, higher debt burdens, and deteriorating employment prospects. These factors influence the wider social and political determinants of health for women and a gendered analysis of the political economy of health in conflict may support strengthening health systems during conflict. This will in turn lead to equality and equity across not only health, but broader sectors and systems, that contribute to sustainable peace building. Methods The methodology employed is a multidisciplinary narrative review of the published and grey literature on women and gender in the political economy of health in conflict. Results The existing literature that contributes to the emerging area on the political economy of health in conflict has overlooked gender and specifically the role of women as a critical component. Gender analysis is incorporated into existing post-conflict health systems research, but this does not extend to countries actively affected by armed conflict and humanitarian crises. The analysis also tends to ignore the socially constructed patriarchal systems, power relations and gender norms that often lead to vastly different health system needs, experiences and health outcomes. Conclusions Detailed case studies on the gendered political economy of health in countries impacted by complex protracted conflict will support efforts to improve health equity and understanding of gender relations that support health systems strengthening.

The Role of International NGOs in Health Systems Strengthening: The Case of Timor-Leste

2014 ◽  
Vol 44 (2) ◽  
pp. 323-335 ◽  
Author(s):  
Mary Anne Mercer ◽  
Susan M. Thompson ◽  
Rui Maria de Araujo
Keyword(s):  
Health Systems ◽  
Health Systems Strengthening ◽  
Timor Leste ◽  
International Ngos

scholarly journals 677. Using a Multisectoral One Health Approach to Prioritize Zoonotic Diseases in the United States

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S244-S244
Author(s):  
Vikram Krishnasamy ◽  
Casey Barton Behravesh ◽  
Kate Varela ◽  
Grace Goryoka ◽  
Nadia Oussayef ◽  
...  
Keyword(s):  
United States ◽  
Health Systems ◽  
Disease Surveillance ◽  
One Health ◽  
The United States ◽  
Zoonotic Disease ◽  
Zoonotic Diseases ◽  
Health Systems Strengthening ◽  
Transmission Potential ◽  
Us Government

Abstract Background Emerging and endemic zoonoses continue to have adverse global impacts. One Health approaches promoting multisectoral, transdisciplinary collaboration are important methods to address zoonoses threats through disease surveillance, prevention, control, and response. We conducted a One Health Zoonotic Disease Prioritization (OHZDP) workshop in the United States (US) to identify zoonotic diseases of greatest national concern that should be jointly addressed by the Centers for Disease Control (CDC), US Department of Agriculture (USDA), Department of the Interior, and partners. Methods We used CDC’s OHZDP tool to prioritize zoonoses. Workshop participants selected criteria for prioritization, and developed questions and weights for each criterion. Questions were answered using available literature and expert opinion with subsequent scoring resulting in a ranked zoonotic disease list. After agreeing on a final prioritized disease list, participants used components of the One Health Systems Mapping and Analysis Resource Toolkit, developed by USDA and University of Minnesota, to review multidisciplinary coordination processes for the prioritized zoonotic diseases. Results Participants selected epidemic or pandemic potential, disease severity, economic impact, introduction or increased transmission potential, and national security as criteria to prioritize 56 zoonoses. The eight prioritized zoonotic diseases for the US were zoonotic influenzas, salmonellosis, West Nile virus, plague, emerging coronaviruses (e.g., SARS, MERS), rabies, brucellosis, and Lyme disease. Agencies then discussed recommendations to enhance One Health approaches to surveillance, response, prevention, and control of the prioritized zoonoses. Key themes and next steps for further implementation of One Health approaches were identified. Conclusion This OHZDP workshop represents the first use of a One Health approach to zoonotic disease prioritization in the United States. It is a critical step forward in US government agency collaboration using One Health approaches. Further, the workshop created a foundation for future US government One Health systems strengthening for the prioritized zoonoses. Disclosures All authors: No reported disclosures.

scholarly journals Health systems strengthening: a common classification and framework for investment analysis

2010 ◽  
Vol 26 (4) ◽  
pp. 316-326 ◽  
Author(s):  
G. Shakarishvili ◽  
M. A. Lansang ◽  
V. Mitta ◽  
O. Bornemisza ◽  
M. Blakley ◽  
...  
Keyword(s):  
Health Systems ◽  
Health Systems Strengthening ◽  
Investment Analysis

Post 9/11 Somalia: the strategic role of health systems strengthening in global security

2011 ◽  
Vol 27 (4) ◽  
pp. 205-210
Author(s):  
Alexander E.T. Finlayson ◽  
Jorge Zeron ◽  
Luke Beaumont ◽  
Jibril Handuleh ◽  
Andy Leather
Keyword(s):  
Health Systems ◽  
Health Systems Strengthening ◽  
Global Security ◽  
Strategic Role

scholarly journals A multi-center prospective cohort study to evaluate the effect of differential pricing and health systems strengthening on access to medicines and management of hypertension and diabetes in Ghana: A study protocol

2018 ◽  
Vol 2 ◽  
pp. 6 ◽  
Author(s):  
Linda Meta Mobula ◽  
Stephen Sarfo ◽  
Lynda Arthur ◽  
Gilbert Burnham ◽  
Jacob Plange-Rhule ◽  
...  
Keyword(s):  
Health Systems ◽  
Teaching Hospital ◽  
Pragmatic Trial ◽  
Access To Medicines ◽  
Health Systems Strengthening ◽  
Health System Strengthening ◽  
Access To Treatment ◽  
Middle Income ◽  
District Hospitals ◽  
Differential Pricing

Background: There is evidence to suggest that the prevalence of non-communicable diseases (NCDs), in particular cardiovascular diseases and diabetes, are being recognized as forming a substantial proportion of the burden of disease among populations in Low- and Middle-Income Countries (LMICs).  Access to treatment is likely a key barrier to the control and prevention of NCD outcomes.  Differential pricing, an approach used to price drugs based on the purchasing power of patients in different socioeconomic segments, has been shown to be beneficial and leads to improved access and affordability. Methods: This is a quasi-experimental study, with a pragmatic trial design, to be conducted over the course of three years. A mixed methods design will be used to evaluate the effects of health systems strengthening and differential pricing on the management of diabetes, hypertension and selected cancers in Ghana. A public private partnership was established between all sites that will receive multi-level interventions, including health systems strengthening  and access to medicines interventions. Study populations and sites: Study participants will include individuals with new or recently diagnosed hypertension and diabetes (n=3,300), who present to two major referral hospitals, Komfo Anokye Teaching Hospital and Tamale Teaching Hospital, as well as three district hospitals, namely Kings Medical Centre, Agogo Presbyterian District Hospital, and Atua Government Hospital. Discussion: The objective of this study aims to test approaches intended to improve access to drugs for the treatment of hypertension and diabetes, and improve disease control. Patients with these conditions will benefit from health systems strengthening interventions (education, counseling, improved management of disease), and increased access to innovative medicines via differential pricing. Pilot programs also will facilitate health system strengthening at the participating institutions, which includes training of clinicians and updating of guidelines and production of protocols for the treatment of diabetes, hypertension and cancer.

scholarly journals Global Surgery indicators and pediatric hydrocephalus: a multicenter cross-country comparative study building the case for health systems strengthening

2021 ◽  
Author(s):  
Kevin Paul Ferraris ◽  
Eric Paolo Palabyab ◽  
Sergei Kim ◽  
Hideaki Matsumura ◽  
Maria Eufemia Yap ◽  
...  
Keyword(s):  
Health Systems ◽  
Statistical Tests ◽  
The Philippines ◽  
Global Surgery ◽  
Health Systems Strengthening ◽  
Time Interval ◽  
Late Time ◽  
Csf Diversion ◽  
Cross Country ◽  
To Receive

Abstract Purpose: The aim of this study is to compare specific three-institution, cross-country data that are relevant to the Global Surgery indicators and the functioning of health systems. Methods: We retrospectively reviewed clinical and socioeconomic characteristics of pediatric patients who underwent CSF diversion surgery for hydrocephalus in three different centers: University of Tsukuba Hospital in Ibaraki, Japan (HIC), Jose R. Reyes Memorial Medical Center in Manila, Philippines (LMIC), and the Federal Neurosurgical Center in Novosibirsk, Russia (UMIC). The outcomes of interest were timing of CSF diversion surgery and mortality. Statistical tests included descriptive statistics, Cox proportional hazards model, and logistic regression. Nation-level data were also obtained to provide the relevant socioeconomic contexts in discussing the results. Results: In total, 159 children were included—13 from Japan, 99 from the Philippines, and 47 from the Russian Federation. The median time to surgery at the specific neurosurgical centers were 6 days in the Philippines and 1 day in both Japan and Russia. For the cohort from the Philippines, non-poor patients were more likely to receive CSF diversion surgery at an earlier time (HR=4.74, 95%CI 2.34–9.61, p<0.001). In the same center, those with infantile or post-hemorrhagic hydrocephalus (HR=3.72, 95%CI 1.70–8.15, p=0.001) were more likely to receive CSF diversion earlier compared to those with congenital hydrocephalus, and those with post-infectious (HR=0.39, 95%CI 0.22–0.70, p=0.002) or myelomeningocele-associated hydrocephalus (HR=0.46, 95%CI 0.22–0.95, p=0.037) were less likely to undergo surgery at an earlier time. For Russia, older patients were more likely to receive or require early CSF diversion (HR=1.07, 95%CI 1.01–1.14, p=0.035). EVD insertion was found to be associated with mortality (cOR 14.45, 95% CI 1.28–162.97, p = 0.031). Conclusion: In this study, Filipino children underwent late time-interval of CSF diversion surgery and had mortality differences compared to their Japanese and Russian counterparts. These disparities may reflect on the functioning of the respective country’s health systems.

The politics of health systems strengthening

2018 ◽  
pp. 114-121
Author(s):  
Katerini T. Storeng ◽  
Ruth J. Prince ◽  
Arima Mishra
Keyword(s):  
Health Systems ◽  
Health Systems Strengthening
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