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Robust health care systems are paramount for the health, security, and prosperity of people and countries as a whole. This book provides for the first time a chronicle of the struggle for, and eventual success of, universal health coverage (UHC) in Tanzania. Beginning with an introduction to primary health care in the country, from its historical foundations to the major milestones of implementation, this book then considers stewardship of this important aspect of health systems over time. Concluding with a look to the future, forecasting the changes and new solutions needed to adapt to a changing world, this book is a valuable reference for policy makers, global health practitioners, health system managers, researchers, students, and all those with an interest in primary health care and reforms - both in Tanzania and beyond.
According to the most recent data available , 4.5 billion people were not fully covered by essential health services in their countries in 2021. Likewise, in 2019, the total population experiencing financial hardship was estimated to be 2 billion people. To scale up action to leave no one behind, WHO’s Fourteenth General Programme of Work, 2025-2028 (GPW 14) has an explicit and strong commitment to equity. In support of this, WHO has released a handbook with methods for the identification of barriers to effective coverage with health services. The 8-module handbook applies mixed method research approaches -- grounded in the Tanahashi framework for effective coverage -- to focus on barriers experienced by potential users and non-users of health services. The handbook facilitates the capturing of evidence on the interface between the population and the services. The handbook has four objectives. 1.To orient national authorities and partners on key concepts, definitions, frameworks and principles relevant to barriers assessments. 2.To build the capacity of national authorities and partners to design a research plan and apply diverse methods (e.g. informant interviews, literature reviews, quantitative analysis and focus groups) in barriers assessments. 3.To provide guidance for reporting on barrier assessment findings in a clear and actionable manner and convening key stakeholders to deliberate next steps. 4.To adapt the methods for humanitarian contexts, accounting for the need for differentiated approaches.
Lens Diseases: Advances in Research and Treatment: 2011 Edition is a ScholarlyBrief™ that delivers timely, authoritative, comprehensive, and specialized information about Lens Diseases in a concise format. The editors have built Lens Diseases: Advances in Research and Treatment: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Lens Diseases in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Lens Diseases: Advances in Research and Treatment: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.
Over the past many years, new and novel antibiotics have been developed against resistant bacterial species, but their increased clinical usage has led to reduced bacterial susceptibility and increased bacterial resistance to these novel agents. When a new antibiotic is developed, bacterial species initially show susceptibility to the agent, but with the passage of time, as the use of the antibiotic increases, the bacterial species acquire resistance against the drug or even the drug class. This book provides a comprehensive overview of antimicrobial stewardship programs and the obstacles to implementing and maintaining such programs. Antimicrobial stewardship is an important part of a multifaceted approach to preventing the emergence of antibiotic resistance in various microbial species. The book highlights the basic and initial steps necessary for initiating an antimicrobial stewardship program, as well as explores the different strategies of antimicrobial stewardship.
Accreditation of health care facilities or organizations is a frequently applied intervention to improve quality of care. However, the evidence of its effectiveness is mixed, and its impact on wider health system goals is frequently unclear. This discussion paper explores its use globally as a health care quality intervention. The paper uses a broad evidence base of accreditation, quality interventions and health systems research, combined with global interdisciplinary experience and expertise, and outlines the linkages between accreditation and other key attributes of the health system. Using a health systems lens, the paper discusses strategic questions that a health system decision-maker might consider when deliberating accreditation or similar interventions. This paper is aimed at health system leaders looking to improve quality of care and wishing to understand how accreditation can impact on the wider health system and quality landscape. The audience also includes any organization wishing to further its understanding about the value and application of quality interventions.
The UHC Partnership (UHC-P) is a collaborative agreement between WHO, several donors (namely: the EU, the Grand Duchy of Luxembourg, Irish Aid, the Government of Japan, the French Ministry for Europe and Foreign Affairs, Germany, Canada, Belgium and the UK Department for International Development) and a number of partner countries (currently, 125 partner countries across all six WHO regions) to support policy dialogue on national health policies, strategies, and plans (NHPSPs) and UHC -and it is part of the WHO Special Programme on Primary Health Care (SP-PHC). Its overall objective being to improve health sector results in concerned countries, it aims at building country capacities (and strengthening country processes) for the development, negotiation, implementation, monitoring and evaluation of robust and comprehensive NHPSPs with a view on promoting UHC; health in all policies; and people-centered primary care -as indeed, investments in quality primary health care (PHC) will be the cornerstone for achieving UHC around the world. The purpose of this publication is to document accomplishments of the UHC-P in 2022 for the 125 partner countries. The annual UHC-P report serves as a single report to all nine donors supporting the Partnership. It will provide a synthesis of activities and results achieved in all the participating countries; present a range of country examples related to the major areas of work; and also elaborate on how the UHC-P achieved sustainable buy-in of partners and stakeholders at the country level in the different countries concerned.
This book focuses on Africa’s challenges, achievements, and failures over the past several centuries using an interdisciplinary approach that combines theory and fact and evidence-based practices and interventions in public health, and argues that most of the health problems in Africa are not a result of scarce or lack of resources, but of the misconceived and misplaced priorities that have left the continent behind every other on the globe in terms of health, education, and equitable distribution of opportunities and access to (quality) health as agreed by the United Nations member states at Alma-Ata in 1978.
Makes the case for systems thinking in an easily accessible form for a broad interdisciplinary audience, including health system stewards, programme implementers, researchers, evaluators, and funding partners.