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All posts in low-income countries

Missing: confidence in Liberia’s health system

by Margaret E. Kruk, Associate Professor, Columbia University Mailman School of Public Health

“Fear of Ebola breeds a terror of physicians” proclaimed an article in the New York Times recently, observing that sick people in rural areas were more comfortable with seeking help from traditional healers than health system workers…

Applying behavioural economics to public policy

by Saugato Datta, Vice President, ideas42

Behavioural economics studies human behaviour in all its messy complexity. Its practitioners pay attention to all manner of things that standard neoclassical economics ignores (or waves away as unimportant: the context in which decisions are made, visual, aural or social cues, salience, social or…

Abolition of user fees: do we (really) know enough?

By Valéry Ridde and Emilie Robert, University of Montreal

“I think the bank was ideological”, in an interview with The Guardian last month the President of the World Bank surprised everyone by acknowledging that his institution had for years promoted user fees on the basis of an ideology.
Remember…

Muddling through the jungle of hospital priority setting

By Lydia Kapiriri, Associate Professor, Department of Health, Aging and Society, McMaster University

Have you ever wondered why patient X goes to a hospital and gets all the treatment they need, yet, patient Y goes to the same hospital and somehow fails to get the treatment they need? I will…

How much more evidence on community case management of pneumonia in sub-Saharan Africa?

By Joan Kalyango

Pneumonia is the leading cause of death among children under five years old worldwide, despite being preventable and treatable, mostly due to poor access to care. Sub-Saharan Africa (SSA) contributes more than half of the total deaths due to pneumonia. Community case management of pneumonia (CCMp…

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…

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…