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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 assista…

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. Overal…

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 persistent …

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 international …

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 te…

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 huma…

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 ta…

Despite Gains, Barriers Keep Health Care High on Africa's Priority List

"Access to health care gained the spotlight on national and international development agendas when the 1978 Alma Ata Declaration outlined a strategy for achieving universal access to primary health care by the year 2000. The Millennium Development …

The Place of Policy in Applied Health Care and Technology with Special Reference to African Traditional Medicine

"The author was assigned the task of addressing the role of policy in applied health technology with special reference to African traditional medicine. Perhaps what is intriguing in this theme is that despite the fact that African traditional medic…

Health Spending in Uganda Implications on the National Minimum Health Care Package

This policy brief is part of Public Expenditure Governance (PEG) study of the health sector in Uganda. The research objective overall was to examine the links between public spending, governance, and outcomes in the health sector and the specific o…

National Legislation, Policies, Strategies and Programmes to Ensure Appropriate Protection and Benefit-sharing of Traditional Herbal Medicinal Knowledge with and by Traditional Herbalists in Uganda

"Today, the importance of Traditional Knowledge (TK) in Uganda cannot be overemphasized given the country’s widespread cultural wealth in knowledge, creativity and innovation. To-date, however, there is a limited number of established laws, policies…

National Policies and Legal Frameworks Governing Traditional Knowledge and Effective Intellectual Property Systems in Southern and Eastern Africa: The Case of Traditional Healers in Tanzania

"The study has explored the existing policy and legal frameworks and the community protection mechanisms of traditional knowledge in Tanzania. The major objective of the study was to build a body of knowledge in the area of protection of traditio…

Frameworks for Intellectual Property Protection of Traditional Knowledge in Tanzania

This study revealed that protection mechanisms among the community is mainly secrecy, which cannot be recommended as a means of protecting the TK. Leakage of the secrets could lead to no protection. As TK is not documented, there is a danger of losi…

Traditional Healers and Their Provision of Mental Health Services in Cosmopolitan Informal Settlements in Nairobi, Kenya

One of the major challenges for the Government is the provision of health services for its people, which is a basic need. However, Kenya just like other developing economies is generally constrained by lack of sufficient resources to sustain this de…

Policy Implications for Intellectual Property Systems for Traditional Healers in Lesotho

Traditional Medicine is part of the daily life of the Basotho. Every village in ancient times had a traditional healer living near the chief's main house. Traditional healers are popular as they are affordable, accessible, adaptable and culturally f…

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 health …

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 summari…

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 with…

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 inte…

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 hea…

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