The WE ALL HAVE AIDS Campaign is a show of solidarity among, and an acknowledgment of, many of the world's most accomplished, devoted and inspiring AIDS activists and scientists of the last 20 years. Barefoot and determined, each participant has left a meaningful mark in cement, but more importantly in the fight against HIV/AIDS and the destructive STIGMA associated with this devastating disease. Visit the website to find out more.
Governance and participation in health
This paper provides an overview of the role radio broadcasting can play in promoting better health for poor people. It has been conceptualised within the context of global efforts to reduce the burden of disease and ill health on poor people and advocates a people-centred and rights-based approach to health communications that emphasises: working with poor communities to gain an understanding of the full range of epidemiological, behavioural and risk taking factors that drive disease and ill health.
The Kenya Partnership for Health (KPH) program began in 1999, and is currently one of the 12 field projects participating in the WHO's 'Towards Unity for Health initiative' implemented to develop partnership synergies in support of the Primary Health Care (PHC) approach. This paper illustrates how Program-linked Information Management by Integrative-participatory Research Approach (PIMIRA) as practised under KPH has been implemented within Trans-Nzoia District, Kenya to enhance community-based health initiatives. It shows how this model is strategically being scaled-up from one community to another in the management of political, social, cultural and economic determinants (barriers and enhancers) of health.
"Advocates of participatory approaches to service delivery see devolution as key to empowering people to take charge of their own affairs. Participation is portrayed as guaranteeing the delivery of services that are in line with user preferences. It is assumed that people are keen to participate in public affairs, that they possess the capacity to do so, and that all they need is opportunities. Using evidence from ethnographic research in Uganda, this article questions these views. It shows that, to succeed in the long term, devolution and participation must take place in the context of a strong state, able to ensure consistent regulation, and a well-informed public backed up by a participatory political culture."
This Agency for Co-operation and Research in Development (Acord) report features two country case studies (Uganda and Burundi) which explored the role of community-based research in responding to HIV stigma and discrimination. The research found that issues of stigma and discrimination reached all spheres of life, including the home, family, the workplace, school, health settings and the larger community. It also identified a number of key factors that contribute to stigma and discrimination. These include ignorance and fear, cultural norms and values, some religious teachings, the lack of legal sanctions, lack of rights awareness, the design of government and other programmes, and inaccurate or irresponsible media coverage.
Identifying new approaches to tuberculosis treatment that are effective and put less demand to meagre health resources is important. One such approach is community based direct observed treatment (DOT). The purpose of the study was to determine the cost and cost effectiveness of health facility and community based directly observed treatment of tuberculosis in an urban setting in Tanzania. The conclusion is that community based DOT presents an economically attractive option to complement health facility based DOT. This is particularly important in settings where TB clinics are working beyond capacity under limited resources.
The Kenya Partnership for Health (KPH) program began in 1999, and is currently one of the 12 field projects participating in the WHO's 'Towards Unity for Health initiative' implemented to develop partnership synergies in support of the Primary Health Care (PHC) approach. This paper illustrates how Program-linked Information Management by Integrative-participatory Research Approach (PIMIRA) as practised under KPH has been implemented within Trans-Nzoia District, Kenya to enhance community-based health initiatives. It shows how this model is strategically being scaled-up from one community to another in the management of political, social, cultural and economic determinants (barriers and enhancers) of health.
This study, from the Horizons programme, examines the potential of trained members of anti-AIDS clubs to contribute to care, support and stigma-reduction activities and attempts to determine the impact of their involvement in these activities on HIV-related beliefs and behaviours. The findings suggest that youth can be empowered to confront the realities of HIV in their own lives and communities and to confront the barriers of stigma, denial and ignorance, while serving as a resource to people in their communities. The study also demonstrates that organisations and youth clubs working in isolated rural and semi-urban areas can achieve high levels of participation.
It is an ongoing challenge to share health information with resource-poor communities that is locally relevant and owned by the communities themselves. When health information from outside the community goes against deeply held beliefs and attitudes about personal and sexual matters, this challenge becomes still greater. As positive a step as open discussion is, unless poor people can access and accept the information they need, they will not be able to make informed decisions regarding their lives and future, according to this article on the website of the Public Library of Science.
The newly appointed chief of UNICEF has come under heavy criticism from health activists worldwide. People's Health Movement, a global coalition of grass roots activists and academics, is launching a "UNICEF WATCH" to monitor the new director's 'anti-children' activities and thus defend UNICEF and the rights of children. Ms. Ann Veneman, former US Secretary of Agriculture, is set to begin a 5-year term as the Executive Director of UNICEF on May 2, 2005. "We will be monitoring her every move" said Todd Jailer, a spokesperson for the UNICEF WATCH.