In sub-Saharan Africa, more than 2 million people die each year as a result of malaria; most victims are pregnant women and children under the age of 5. In Mali, malaria is the Number 1 killer of young children.Insecticide-treated mosquito nets are one of the most effective methods for preventing malaria. Studies conducted since the early 1990s show that their use has decreased severe malaria by 45 percent, premature births by 42 percent and all causes of child mortality by 20 percent. The NetMark Alliance represents a time-limited investment by the U.S. Agency for International Development (USAID) to reduce the burden of malaria in sub-Saharan Africa by increasing the commercial supply of insecticide-treated nets.
Public-Private Mix
Health sector reforms usually involve changes in the organisation and management of health care systems, including a re-examination of the roles of the public and private sectors in the delivery of health care. From a gender perspective there is silence about the unpaid provision of health services in which women in the household and community are the main providers. This silence pervades most of the literature on privatisation.
Water, the most precious global resource, was the subject of World Water Day on March 22. This was preceded by the World Water Forum, held between 16-22 March, where officials from 140 countries met to discuss how to achieve the UN Millennium Development Goal of halving the proportion of people without sustainable access to safe drinking water by 2015. Patrick Bond discusses the “water wars” – the battle by activists against the global trend that seeks to turn the delivery of water into a commercial enterprise.
Having endured months of uncertainty in the wake of protracted legal wrangling over government’s initial proposals on dispensing fees, introduced in April 2004, pharmacists say they are uneasy about the latest model unveiled by the health department on Thursday.
Through the theme: "Saving lives, Saving money," Ugandan businesses are being sponsored with modules designed to prevent the spread of HIV/Aids through training programmes and awareness campaigns on better access to ARVs. This presents a detailed argument for the care of employees with HIV/AIDS.
Public-private partnerships are becoming a popular mode of tackling large, complicated, and expensive public health problems. The idea of partnerships for public health has emerged in national and international policy discussions, in both rich and poor countries. Yet we are still learning about how best to manage these new partnerships, as is discussed in this book.
This report, from Rational Pharmaceutical Management (RPM) Plus, examines a number of innovative field interventions to increase access to medicines for child health through the private sector in Tanzania. The first part of the report details a number of programmes and interventions that are currently in operation in Tanzania. These include projects on: shopkeeper interventions; low-interest loans to Accredited Drug Dispensing Outlets (ADDOs); voucher schemes; and microfinance schemes.
Global Public Goods for Health addresses the growing globalization of health from the unique perspective of the economic concept of public goods. This concept identifies where a ‘good’ or service (such as knowledge of an infectious disease outbreak) which would be of benefit globally will not be produced or disseminated if left to ‘the market’, because of a lack of incentive: no-one can be excluded from accessing the good, no charge can be levied for use and no costs recouped.
Poverty is a major factor in the continuing burden of malaria in sub-Saharan Africa. The gross national product (GNP) per capita is around US$306, or less than $1 per day. On average, these countries spend less than $20 per head of population per year on health care. Patients urgently need new therapies to combat malaria. However, malaria is not an economically viable disease for drug developers and new antimalarials are therefore usually developed within public–private partnerships.
Speaking in December at the 14th International Conference on HIV/AIDS and Sexually Transmitted Infections in Africa (ICASA), in Abuja, Nigeria, Jim Yong Kim, Director of the World Health Organization (WHO) HIV/AIDS Department, emphasized the importance of a public health approach in promoting long-term sustainability and equity of HIV treatment access programmes in resource-limited settings.
