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This open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes. The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice:Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in GuatemalaHaiti’s National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient CareScaling Up a Quality Improvement Initiative: Lessons from Chamba District, IndiaPromoting Rational Use of Antibiotics in the Kyrgyz RepublicStrengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, TanzaniaImproving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale‐Up JourneyImproving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development. ACKNOWLEDGMENT:This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID). DISCLAIMER:The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government. div=""^
Dr David Henry Kanyumi, author of "Social Insecurity among the Vulnerable Groups in Tanzania", speaks from an authentic point of view to engage and inform readers of Tanzania's current social problems and how they can be fixed. Here, he provides a unique insight into the lives of everyone, from street orphans to battered women, as drawn from research and interviews. Standing alone as his first book, it takes readers into a country's seldom discussed areas.
All recent books on international social work mention Africa only briefly and few engage with the broader field of development studies. This book focuses solely on the unique African context engaging with issues relating to social work and development more broadly thus enabling a deeper examination and more complex and nuanced picture to emerge. Unlike most academic works, this book highlights multiple practitioner voices, with authors or co-authors that have recently been or are currently practising social workers. As an edited book, it draws from both academic research as well as lived practice experience, supported by strong theoretical positioning and guidance in introductory chapters, drawing on African literature, wherever possible. Looking at case-studies from Lesotho, Botswana, Kenya, Zimbabwe, Ethiopia, Namibia, Uganda, Nigeria, Kenya, South Africa, Rwanda, Zambia and Tanzania and covering established areas of practice such as child protection; working with older people; working with people with disabilities; mental health; and mainstream services targeting women as well as emerging areas of developmental social work practice, such as humanitarian assistance in post-conflict situations; work with immigrants and refugees; and the training of community-based workers, this book takes a future-oriented perspective that aims to move beyond well-worn critiques to envision constructive and sustainable futures for social work and social development in Africa from a critical perspective.
The existence of orphans is as inevitable to most African cities and the world as it is death. These orphans are caused by the death of one or both parents due to various reasons, including the scourge of HIV and AIDS. Being orphans, most of them are vulnerable to difficult lives because they have nobody to fend for them and take care of their lives. They lack adequate food, living expenses, school fees, and care since their current guardians are also in adverse economic situations. In such situations, orphans end up living a life of hopelessness and trauma, which makes them deeply remember their dead parents and the care they received from them before death. Following the vulnerable situation of most orphans, this book, through a study done in the Tanzanian context, challenges churches to extend their counseling and caring ministries to Orphans and Vulnerable Children (OVC). It purports that the use of narrative approach is the most effective way to enter into the world of vulnerable children in order to provide pastoral counseling to them. This approach helps pastoral counselors to use life stories, proverbs, biblical narratives, plays, arts, songs, riddles, poems, symbols, and images as healing and coping mechanisms for OVC. Therefore, this book is helpful not only to churches and their ministry to orphans and vulnerable children, but also to those who care for orphans in their homes. Moreover, it will be helpful to children who live in adverse conditions worldwide to find ways to cope with their situations through the stories of children used inside this book.
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Older people in Tanzania are disadvantaged and marginalized in many ways. They lack adequate formal social protection. They also suffer from diminishing family and community support. They face a series of multi-faceted problems and care for most AIDS-orphans, yet they are a much neglected target group in national social policy and international development programs. This book provides a theoretical discussion of aging issues and their linkage to social protection. It depicts various policy frameworks at international, Pan-African and national level. And it provides extensive empirical findings on older people's living conditions.
This ground-breaking book focuses on the experiences and perspectives of children and young people who care for a parent with HIV in the global North and South. Drawing on in-depth qualitative research from the UK and Tanzania, the book presents a unique insight into the similarities and differences in children's and parents' experiences across diverse socio-economic, cultural and welfare contexts. The book makes a significant contribution to the growing research evidence on children and young people with caring responsibilities ('young carers') and the impacts of HIV and AIDS on families globally. It examines caring relationships within families affected by HIV and AIDS; the outcomes of caregiving; children's and families' resilience; the factors influencing whether children become involved in care work; and local and global policy responses. It also provides insight into the perspectives of parents living with HIV and service providers working with families. This book will be of interest to policy makers and practitioners in the field of HIV and AIDS, and to researchers, academics and students concerned with international development, social policy, human geography, childhood and youth studies, social work, health and social care, education, children's services and nursing and palliative care.
The disproportional loss of individuals to HIV/AIDS in their most productive years raises concerns over the welfare of surviving members of affected families and communities. One consequence of the rapid increase in adult mortality is the rise in the proportion of children who are orphaned. Sub-Saharan Africa, accounts for about 90 percent of these. Mainly due to the staggering toll of HIV/AIDS, research effort has focused on treatment and prevention. Children have received attention primarily in relation to 'mother to child transmission' and paediatric AIDS. These issues are important and compelling but fail to capture the whole story - the unprecedented surge in the number of children made vulnerable by HIV/AIDS. In this book we reflect on the plight of children classified as vulnerable, review interventions implemented to improve their welfare and grapple with the concept of vulnerability as it relates to human rights and the African child.