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Improving the Supply Chains for the Health Sector: What Role for Locally Manufactured and Imported Medicines and Medical Supplies in Kenya

"This Issue Paper presents some findings on research on supply within Kenya from local manufacturers to the health system. It compares the sourcing of local supplies and competing imports within the public, private and faith-based sectors of healt...

Local Supply Chains for Medicines and Medical Supplies in Kenya: Understanding the Challenges

"The project aimed to identify opportunities for improved local industrial supply of medical products to strengthen Kenyan and Tanzanian health system performance. This working paper briefly outlines project methods and key concepts. It then summa...

Value-added Tax in the Pharmaceutical Industry: What does it really mean for Kenya's Industralisation/

"A key issue for many countries is how to manage trade taxation policy in such a way that necessary public revenue can be acquired but not at the cost of long term industrialisation. An important area here is that of VAT and how best to levy it wi...

Spotlight on Pharmaceutical Pricing Regulation in Kenya: How Much does it Really Contribute to Access?

"Ensuring access to essential medicines by low income consumers is a challenge to many countries. Pharmaceutical expenditure is rising in Kenya, as is the health expenditure. However, our research found that on average, public sector facilities in...

Southern African Development Community Health Policy: Under Construction

Regional health policy in Southern Africa is still under construction. The SADC Protocol on Health, signed in 1999, lays the cornerstone for health development in the region. A pressing issue in the SADC region is a lack of coordinated access to h...

HIV/AIDS and Militaries in Africa

A range of military experts, civil society representatives, academics and policymakers from 28 African governments, Regional Economic Communities, the African Union and the United Nations contributed to the findings covered in this report. It add...

HIV/Aids and Human Security: An Agenda for Africa

The objective of the seminar was to consider the links between human security and the HIV/AIDS pandemic in Africa, and the potential role of African leadership in addressing this crisis. The seminar also sought to devise policy recommendations on...

Ill-prepared? Health Care Service Delivery in Zimbabwe

As Zimbabwe struggled to contain a deadly cholera outbreak in September-October 2018, questions focused again on failures of infrastructure and leadership that continue to leave the country vulnerable to such a preventable, “medieval” disease. Z...

Illness and Choice of Treatment in Urban and Rural Ethiopia

Using large data set from a nationally representative sample of households and discrete choice models, we examine the effect of access to roads, transport and liquidity on seeking treatment for illness and health care provider choice in urban and ...

67th State of the Nation Platform: “Confronting the Challenge of Child Mortality in Uganda: Scale-up and Consolidation of Gains from the CODES project”

Over the years, Uganda has made significant strides in reducing child mortality. Child mortality in Uganda declined from 156 per 1000 live births in 1990s, to 137 per 1000 live in 2005, 90 per 1000 live births in 2011 to the current 69 per 1000 li...

Infrastructure and PHC Services in Nigeria: The Case of Delta State

The emphasis of this policy brief is on the principle of accessibility. Accessibility emphasizes that health care services must be equally shared by all the people of the community irrespective of their race, creed or economic status. It shifts ...

Public Spending Effectiveness and Distribution of Education and Health Services Benefits in Nigeria

A direct relationship should exists between consistency and compliance of Government Agencies with the development agenda a nation adopts, and the level of socio-economic development it attains for public spending to be effective. The level of soc...

On Ownership, Trust and Decentralisation in Responding to Ebola in Sierra Leone

In this interview with Jamie Hitchen, policy researcher at Africa Research Institute, Sisay reflects on Sierra Leone’s handling of the emergency. At the outset, citizens’ lack of trust in the government and poor coordination of international assis...

Assessing Public Expenditure Governance of the Primary Health Care Programme in Uganda

The study set out to understand the differences in public expenditure governance practices and perceptions in the delivery of PHC, between the best performing and the poorly performing districts on the MoH district league table of FY 2016/17. Over...

Burkinabe See Improving Health Care Delivery, but Gaps in Serving the Poor and some Regions

Health is the most important problem that Burkinabe want their government to address, according to the most recent Afrobarometer public-opinion survey. Despite significant progress, the National Economic and Social Development Plan notes persisten...

Cyclones add to Mozambique's Public Health Challenges / Ciclones aumentam os desafios de saúde pública em Moçambique

After two cyclones leaving death and devastation in their wake, Mozambique faces a post-disaster danger – cholera. While endemic to Mozambique, cholera infections skyrocketed after the recent storms, leading the Ministry of Health and internationa...

Analysis of the Technical Efficiency of Public Hospitals in Togo: A Non-Parametric Approach

Most health facilities in Togo are poorly equipped. Consequently, the rate of post-natal consultation remains low and varies between 9.5% and 39.4%. Barely half of all deliveries (47.1%) take place in health facilities. In this study, we analysed ...

A Call To Action: Sepsis is Africa’s Neglected Silent Killer

Sepsis is a life-threatening condition resulting from severe infection and is a leading cause of preventable death worldwide. With its high burden of infection, Africa is expected to bear a disproportionate proportion of global sepsis. The huge hu...

Getting Treatment and Care to the Last Mile:Analyzing the Health Surveillance Assistance Cadre in Malawi

"As low- and middle-income countries face continued shortages of human resources for health and the double burden of infectious and chronic diseases, there is renewed international interest in the potential for community health workers (CHWs) to ...

Socio Economic Factors of Early Childhood Mortality in Ethiopia : Evidence from Demographic and Health Survey

The rates of childhood mortality are important summary indicators of social development, quality of life, overall health, maternal health and welfare. Childhood deaths are primarily caused by preventable and communicable diseases and poor coverage...

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