We investigate whether and to what extent Chinese development finance affects infant mortality, combining 92 demographic and health surveys (DHS) for a maximum of 53 countries and almost 55,000 sub-national locations over the 2002-2014 period. We address causality by instrumenting aid with a set of ...interacted variables. Variation over
time results from indicators that measure the availability of funding in a given year. Cross-sectional variation results from a sub-national region’s “probability to receive aid.” Controlled for this probability in tandem with fixed effects for country-years and provinces, the interactions of these variables form powerful and excludable instruments. Our results show that Chinese aid increases infant mortality at sub-national scales, but decreases mortality at the countrylevel. In several tests, we show that this stark contrast likely results from aid being fungible within recipient countries.
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Strengthening health financing to accelerate progress towards universal health coverage. Total Government Health Expenditure exceeds the commitment by African Union member states to commit at least 15% of their budgets to the health sector. With a sector allocation of 16.6% of total budget in 2022/...23 and average per capita spending estimated at US$407 (N$6,500.00), health spending in Namibia is one of the highest in SADC. The Government is thus encouraged to sustain this level of investment to safeguard the gains achieved and make progress towards SDGs. This could be achieved through the development of a national health financing strategy to mobilise additional and innovative resources for the sector.
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Zambia has completed the implementation of the National TB Strategic Plan (2017-2021) that set in motion the TB elimination agenda in Zambia through coordinated and accelerated TB response. During this period, the National TB and Leprosy Programme (NTLP) registered tremendous success.
The NTLP is ...poised to attain the ambitious goal pronounced by the government of eliminating TB by 2030, in line with the Sustainable Development Goals (SDGs) and the World Health Organization End TB Strategy. The programme exponentially increased TB notifications from as low as 35,922 people with TB in 2018 to 40,726 in 2020 and in 2021 the TB notifications rose to 50,825 (a 25% increase against 2020 performance). The NTLP also registered incredible success in sustaining high TB Preventive Treatment (TPT) initiations among persons living with HIV and a high TB treatment success rate among drug-susceptible TB cases. New and relapse TB notifications in children below 15 years increased by 43%, from 2,724 in 2020 to 3,890 in 2021. TB notifications ratio between children aged 0-4 and 5-14 was 0.9, an improvement from what we achieved in 2018 (the ratio was 0.7). The proportion of TB patients who are HIV positive continued to decrease, reaching 34% in 2021 from 39% in 2020. Sustained increases in TB notifications, treatment success rate, and TPT initiations have resulted in a rapid decrease in the TB incidence rate that reached 307 per 100,000 population in 2021 against a rate of 391 in 2015.
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IN NUMBERS
60 MILLION people affected globally at present.
32 MILLION people food insecure in Southern Africa.
10.2 MILLION people in Ethiopia need emergency food assistance.
50 PERCENT crop losses in Haiti due to El Niño-influenced drought.
Cultural Anthropology
Since early 2014, the international coverage of Africa has been dominated by the Ebola outbreak in West Africa. Much of that coverage represents the region as helpless and hopeless, a tragic victim of illogical beliefs and dangerous cultural practices. The contributors to this... Hot Spots series offer their personal and professional experience in this region as a critical counter-argument. Please read the articles online http://www.culanth.org/fieldsights/585-ebola-in-perspective
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In the early morning of 6 February 2023, a magnitude 7.8 earthquake occurred in southern Türkiye near the
northern border of Syria. The earthquake was followed 11 minutes later by a magnitude 6.7 aftershock. Many
aftershocks are still being felt across the region. Whilst the impact is still bei...ng assessed, initial reports evidence
significant damage in the areas of southern Türkiye and northern Syria.
In response, the Syria Ministry of Health (MoH) activated its emergency operations centre (EOC) on 6 Feb 2023
under the chairmanship of the Deputy Minister. In all affected governorates, public and private health facilities
and medical convoys have been repurposed to support the response and are being managed by the National
Ministry of Health (MoH) and Directorate of Health (DoH) at governorate level. Support has been directed to
affected areas, with medical convoys including 28 ambulances and 7 mobile clinics, deployed from the health
directorates of Damascus, Rural Damascus, Quneitra, Homs, Tartous, Aleppo and Latakia
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M. Zaman et al. (eds.), Measuring Emission of Agricultural Greenhouse Gases
and Developing Mitigation Options using Nuclear and Related Techniques,
https://doi.org/10.1007/978-3-030-55396-8_
Cancer is an emerging public health problem in sub-Saharan Africa due to population growth, ageing and westernisation of lifestyles. In this piece, we use data from Mozambique over a 50-year period to illustrate cancer epidemiological trends in low-income and middle-income countries to hypothesise ...potential circumstances and factors that could explain changes in cancer burden and to discuss surveillance weaknesses and potential improvements. This epidemiological transition deserves increasing policy attention.
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The war in Gaza has resulted in many hundreds of spinal cord injuries (SCI), which will have a devastating impact on those injured and their families for the rest of their lives.
The optimal management of SCI requires effective pre-hospital care, early specialized imaging (using CT or MRI) and in... many cases early surgical interventions by a highly specialised neurosurgical team. Surgery requires many hours of use of a sterile operating room environment and supportive critical care capacity, as well as intensive post-operative care – none of which is currently possible due to the ongoing war, destruction, and disruption of health services in Gaza.
An alternative to surgery is conservative management – this requires intensive nursing care under full spinal precautions for many weeks in order to allow for bone and soft tissue healing and prevent further injury to the spinal cord. The patient is unable to move independently in bed during this period. Those caring for the patient need to be able to safely reposition them every 2 hours, and manage all their bowel and bladder care needs. The patient needs good nutrition and hydration at all times, as well as access to medication to support bowel care, manage pain (including neuropathic pain). A caregiver must remain with the patient to be trained to provide ongoing care and assist with daily care.
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Analysis with WorldView-3 Data Acquired 07 March 2015
This map illustrates the IDP camp at the UNMISS Protection of Civilian (PoC) area adjacent to the UNMISS base in Bentiu, Rubkona County, Unity State, South Sudan. Using high-resolution optical satellite imagery collected by the WorldView-3 sat...ellite on 07 March 2015, UNOSAT identified a total of 9,713 structures. Approximately 9,515 of these were classified as tent shelters and 198 as administrative buildings. This is a preliminary analysis and has not yet been validated in the field. Please send ground feedback to UNITAR / UNOSAT.
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Refugees1 with disabilities have specific needs and face particular forms of discrimination. As highlighted in the Executive Committee Conclusion No. 110 (LXI)–2010, it is important for UNHCR to ensure that the rights of persons with disabilities who are of concern to the Office are met without di...scrimination. This places an onus on offices to develop a thorough
understanding of the circumstances of persons with disabilities under their care. This note provides staff with guidance on a range of issues to consider in meeting these responsibilities.
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Rising levels of inflation, debt and macrofiscal tightening are putting expenditures on the social sectors including health under immense scrutiny. Already, there are worrying signs of reductions in social sector investments. However, even before the pandemic, evidence showed the significant returns... on investments in health equity and its social determinants. Emerging data and trends show that these potential returns have increased during the COVID-19 pandemic - investments in social determinants can mitigate widespread reductions in human capital and the increasing likelihood of costly syndemics, while promoting access to healthcare innovations that have thus far been inequitably distributed. Therefore, we argue that, despite immediate fiscal pressures, this is exactly the time to invest in health equity and its broader social determinants, as the returns on such investments have never been greater.
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In: Bonk M., Ulrichs T. (eds). Global Health: Das Konzept der Globalen Gesundheit. Berlin: De Gruyter, 2021, pp. 557–580
Aktuelle Themen und perspektiven für eine gesundheitsfördernde stadtentwicklungWeltweit nimmt die Urbanisierung zu: Inzwischen lebt mehr als die Hälfte der Weltbevölkerung in Städten, in Europa sind es deutlich mehr als 70% der Bevölkerung (WHO, 2010a). Aufgrund die...ser Entwicklung hat sich »Urban Health« als neues Forschungsfeld etabliert, in dem der Einfluss der städtischen Umwelt auf die Gesundheit unter-sucht wird (Vlahov & Galea, 2003; Galea & Vlahov, 2005a; Heaton et al., 2010; Braür & Hystad, 2014).
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Überall auf der Welt mangelt es an qualifiziertem Gesundheitspersonal. Nach Berechnungen der Weltgesundheitsorganisation (WHO) fehlen derzeit weltweit über 17 Millionen Gesundheitsfachkräfte, davon 2,6 Millionen Ärzt*innen sowie 9 Millionen Krankenpfleger*innen und Hebammen. Die WHO errechnet di...ese Zahlen an Hand des aus den Nachhaltigkeitszielen (SDGs) abgeleiteten Mindestbedarfs von 44,5 Gesundheitsfachkräften (Ärzt*innen, Pflegekräfte und Hebammen) pro 10.000
Menschen
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Liebe Lehrende,
das Recht auf Gesundheit ist ein weltweites Menschenrecht. Dennoch gestalten sich die vielen ge-sundheitlichen Facetten in jedem Land der Erde ganz unterschiedlich. So kann dieses Menschen-recht in vielen Ländern leider oftmals nicht vollständig oder sogar überhaupt nicht eingeha...lten werden und viele Menschen leiden bis heute unter gesundheitlichen Problemen, denen sie hilflos ausgeliefert sind.Die DAHW Deutsche Lepra- und Tuberkulosehilfe e.V. hat sich daher bereits vor über 60 Jahren zum Ziel gesetzt, dieser Ungerechtigkeit entgegenzuwirken. Da Gesundheit vor allem in den ärmeren Ländern der Erde nicht rechtmäßig gewährleistet werden kann, liegt der Fokus der Organisation auf der Bekämpfung der Krankheiten der Armut und ihren Folgen. So besteht die Vision der DAHW da-rin, mit ihrer Tätigkeit dazu beizutragen, eine Welt zu schaffen, in der kein Mensch unter Lepra, Tuberkulose und anderen Krankheiten der Armut und ihren Folgen wie Behinderung und Ausgren-zung leidet. Dafür ist sie in 19 Ländern der Erde tätig.Der Einsatz für weltweite Gerechtigkeit und Gesundheit kann jedoch nur gelingen, wenn jeder Mensch dafür seine Verantwortung und Handlungsmöglichkeiten erkennt. So möchten wir mit die-sem Arbeitsheft Ihnen und Ihrer Lerngruppe Material zur Hand geben, das sich intensiver mit dem Thema „Gesundheit weltweit“ auseinandersetzt. Durch unterschiedliche Arbeitsaufträge soll damit das persönliche Bewusstsein über die Facetten der Gesundheitsthematik gefördert, zum eigenen Urteilen über Ungerechtigkeiten angeregt und zum selbstständigen Handeln für eine bessere Ein-haltung des Menschenrechtes motiviert werden.
Wir wünschen viel Spaß dabei!
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The Health Sector Policy gives general orientations for the sector which are further developed in the various sub-sector policies guiding key health programs and departments. All health sub-sector policies will be updated in line with this new policy. The Health Sector Policy is the basis of nationa...l health planning and the first point of reference for all actors working in the health sector. The overall aim of this policy is to ensure universal accessibility (in geographical and financial terms) of equitable and affordable quality health services (preventative, curative, rehabilitative and promotional services) for all Rwandans. It sets the health sector’s objectives, identifies the priority health interventions for meeting these objectives, outlines the role of each level in the health system, and provides guidelines for improved planning and evaluation of activities in the health sector. A companion Health Sector Strategic Plan (HSSP) elaborates the strategic directions defined in the Health Sector Policy in order to support and achieve the implementation of the policy, and more detailed annual operational plans describe the activities under each strategy.
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(August 28 – October 10, 2017)
A nutrition and mortality assessment using SMART methodology was applied and the survey covered 15 statistical (14 districts plus 1) domains countrywide. The main objective of the survey was to assess the current nutrition status of the population, especially ch...ildren 6-59 months old and women of reproductive age (15-49 years of age). The survey also looked at the major contextual factors contributing to undernutrition such as infant and young child feeding (IYCF) practices; food security indicators; water, sanitation and hygiene indicators; and health situation in Sierra Leone
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This report is the first of its kind. It brings together various data sets to present the current status of hand hygiene, highlight lagging progress, and call governments and supporting agencies to action, offering numerous inspiring examples of change.
During the COVID-19 pandemic, hand hygiene ...received unprecedented attention and became a central pillar in national COVID prevention strategies. However, concern with hand hygiene should not only be as temporary public health measure in times of crisis, but as a vital everyday behaviour that contributes to health and economic resilience. Hand hygiene is a highly cost-effective investment, providing outsized health benefits for relatively little cost.
Despite efforts to promote hand hygiene, the rates of access to hand hygiene facilities remain stubbornly low. If current rates of progress continue, by the end of the SDG era in 2030, 1.9 billion people will still lack facilities to wash their hands at home.
This report presents a compelling case for investment in five key ‘accelerators’ as a pathway towards achieving hand hygiene for all – governance, financing, capacity development, data and information, and innovation. These accelerators are identified under the UN-Water SDG 6 Global Acceleration Framework.
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After five consecutive below-average rains, the humanitarian crisis in the Horn of Africa is expanding and deepening.
Combined with insecurity and macroeconomic volatility, the impact of the drought on food and nutrition security has been devastating. Across Ethiopia, Kenya and Somalia, an estima...ted 22 million people are now acutely food insecure because of the drought. The malnutrition situation is also critical. Some 5.1 million children across drought-affected areas of the three countries are acutely malnourished in 2023, with dire implications for their health, growth and survival. Concerningly, the upcoming March-May 2023 rains are also forecast to be below-average. Should these rains fail, and humanitarian assistance not be delivered at scale, food insecurity will continue to deteriorate.
Regardless of how the 2023 rains perform, extremely high humanitarian needs will persist through 2023 while a full recovery from a drought of this magnitude will take years. To address the devastating drought-induced hunger and malnutrition across the region, WFP is pursuing an integrated dual track approach; meeting immediate life-saving food and nutritional needs while simultaneously building resilience to extreme climate variability.
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