All posts in low-income countries

Understanding the role of uncertainty in preparing for the unpredictable

By Prashant Yadav

The risk of a flu pandemic is amongst the top global risks today.  Scientists and public health experts seem to agree that it is a question of ‘when’ and not ‘if’ it happens.  It has been nearly 100 years since the Spanish flu pandemic in 1918, which…

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Medicine pricing and purchasing in LMICs: looking under the wrong street lamp?

By Warren Kaplan

The increase in global spending on medicines has been dramatic, with an approximate per capita increase of 50% between 1995 and 2006.  In a recently published paper, Nguyen et al. reviewed the literature on pharmaceutical pricing and purchasing policies. They found that no one option is preferred…

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Posting and transfer holds clues to the health of health services

By Kabir Sheikh

A contract health worker is posted in a remote health post, 700 km away from where his spouse and children live. He sees them once a year, using up most of his annual leave of 18 days, in travel. He has been applying unsuccessfully to be posted…

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Why are women at higher risk of HIV than men in sub-Saharan Africa?

By Shelley Lees

HIV is the leading cause of death amongst women of reproductive age worldwide. In sub-Saharan Africa, the HIV epidemic is disproportionally affecting women – they make up 60% of those living with HIV in the region. These inequalities are driven by gender norms related to masculinity and…

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Physician salaries: one ingredient in the cake of retention

By Kate Tulenko

With the global migration of health workers increasing and population growth outstripping the training of new health workers in more and more countries, there is increasing emphasis on finding effective ways to retain health workers in country. In an effort to add light to this issue Edward…

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The road to universal health coverage in Kenya

By Adam Koon

Successful health finance reforms in several upper and lower middle-income countries have helped drive universal health coverage (UHC) to the top of the global health agenda. Unfortunately, low-income countries have few examples to guide them towards UHC. Instead they will largely be weighing the positive…

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2014: the year for every newborn

By Lara Brearley

2014 must be the year of the newborn. As Smith’s recent article states, despite huge strides in child survival, progress during the neonatal period has been disproportionately slow. Inaction is no longer an option – in many countries, persistently high rates of newborn mortality will hold countries…

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What can we learn from trans fat policies in the Americas?

By Modi Mwatsama

In May 2013, the World Health Assembly adopted the Omnibus Resolution on non-communicable diseases (NCDs). This landmark publication includes the global NCD action plan, goals and monitoring framework. It follows 20 months of negotiations by governments and global stakeholders after the United Nations High Level Meeting…

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Addressing the burden of injury in LMICs

By Richard Matzopoulos

There is no question that injuries impose a substantial health burden on low- and middle-income countries. It is also true that they receive much less attention than a plethora of competing conditions that affect these same countries, which in turn compromises our ability to prioritise, devise…

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Systematic reviews: who is asking the question?

By Gill Walt

A recently published paper by de Jongh et al. reports on a study commissioned by the Global Fund to Fight AIDS, Tuberculosis and Malaria. It offers a robust defence of the substantial financial investment donors have made with regard to these three diseases, demonstrating that their funds…

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