Resource allocation and health financing

Responding to the Burden of Mental Illness

Harvey Whiteford, M. Teeson, R. Scheurer, Dean Jamison. CMH Working Paper No. WG1 : 12, July 2001 Commission on Macroeconomics and Health, WHO
Mental Disorders are found in all cultures, are prevalent, cause considerable disability and rank high on the league table of world disease burden. By extension, they constitute a significant economic burden in all countries. Better understanding the extent of this economic burden and the development of frameworks to deliver cost effective interventions will provide a basis for programs which not only reduce the disability associated with these disorders but also promote human development and economic productivity. International agencies such as the World Health Organisation are intensifying their focus on mental illness with the World Health Report 2001 dedicated to mental health. The World Bank has identified neuropsychiatric disorders as an important emerging public health problem for developing market economies.

Condom gap in Africa: evidence from donor agencies and key informants

Public discussions on combating HIV in Africa seem to be focusing on antiretroviral drugs rather than condoms, which are the mainstay of prevention. In sub-Saharan Africa most condoms are bought with funds from donors, although a few countries (such as South Africa and Botswana) buy them from national funds. We assessed provision of condoms in these countries.

Nigerian Government to Exclude People With HIV/AIDS from National Health Insurance Plan

The Nigerian government has drafted a plan for a national health insurance program that would eventually provide coverage for "all Nigerians," but certain individuals with "[h]igh-cost illnesses" such as HIV/AIDS would not be eligible to join, the Lancet reports.

Services for children with communication disorders
parents and professionals speak out

How can health services meet the needs of children with communication disorders in developing countries? What can health professionals and parents add to the debate? A study by the UK Institute of Child Health sought the opinions of specialist professionals and parents of children with communication disorders in Nigeria.

What mothers do: responses to childhood fever on the Kenyan Coast

Do rural and urban mothers differ in their choice of health providers when their children are ill? How does proximity to different health facilities affect a mother's decision? These questions are important for health planners responding to rising urban poverty and ill health, as sub-Saharan Africa has the highest rates of urbanisation in the developing world.

Miners may claim for illness

Thousands of desperately ill migrant mine workers in the Eastern Cape may be eligible for large sums of money in compensation. However, a concerted drive by health and community workers is needed to find the workers, and to assist them in claiming the money due to them. This is the recommendation of a team of scientists following a research project involving the migrant mine workers of Libode in the former Transkei.

UNION WANTS COMPREHENSIVE SANTA PROBE

The National Education, Health and Allied Workers Union (Nehawu) on Tuesday urged government to launch a wide-ranging and transparent probe into the South African National Tuberculosis Association (Santa). It was reacting to the government's decision on Monday to suspend Santa's R6,6-million subsidy and to undertake a forensic audit of the organisation. "We call on government to have a comprehensive and transparent investigation into how Santa uses money, quality of patient care, adherence to clinical protocols, quality of food given to clients, and all other related matters," the union said in a statement.

Mobilizing billions to fight AIDS in Africa: the way forward
Presentation to Conference of African Ministers of Finance Algiers, Algeria, 8 to 10 May 2001

A sustained campaign on a vast scale, building on pockets of success, is needed to reverse the destructive tide of HIV/AIDS in Africa. Such a campaign would include a broad range of actions to prevent new infections, care for the infected, and mitigate the negative impacts of the pandemic – all underpinned by expressions of the highest political will and by the commitment of substantial sums of money. This short paper outlines the case for billions of dollars for AIDS in Africa, puts forward a bold but achievable financing plan for mobilizing resources on such a scale, and points to a number of the actions that need to be taken today to implement large-scale resource mobilization for the fight against AIDS.

Further details: /newsletter/id/28643
Sanctions and Civil Conflict

Gershenson, Dmitriy, International Monetary Fund, IMF Institute Working Paper WP/01/66, May 2001
Using a general equilibrium framework, this paper analyses how sanctions imposed on the contestants in civil conflict affect the welfare of these contestants and the allocation of resources to conflict. It is shown that weak sanctions can hurt the contestants they are supposed to help, while strong sanctions augment the expected welfare of their intended beneficiaries. Moreover, sanctions are more likely to be sucessful if the contestant who is subject to sanctions can expect to derive a positive income in case of compliance. The likehood of success rises as this income increases.

Antenatal care reborn? Healthcare for pregnant women in developing countries

Antenatal care is important for identifying and responding to risk factors in pregnancy. But do mothers in the developing world receive adequate and appropriate antenatal care? Researchers from the Population Council and the UK University of Southampton investigated antenatal services in Kenya.

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