Meeting the information challenge: exploring partnerships with Africa

Africa suffers from the disadvantages of marginality within the global technical system and a legacy of externally driven infrastructure. Developments in information and communication technologies now offer the chance to redress these but the technologies require skills and capacities which are scarce. The technologies themselves can be used to leverage existing resources so that the necessary skills can be developed. However this process needs to take account of African priorities and requirements if the current inequitable situation is not to be reproduced in a new global infrastructure. The key to this is a balance between external partnership and internal collaboration. The African diaspora offers a means of moderating such relationships

Service delivery interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review.

BackgroundVoluntary medical male circumcision (VMMC) remains an essential component of combination HIV prevention services, particularly in priority countries in sub-Saharan Africa. As VMMC programs seek to maximize impact and efficiency, and to support World Health Organization guidance, specific uptake-enhancing strategies are critical to identify.MethodsWe systematically reviewed the literature to evaluate the impact of service delivery interventions (e.g., facility layout, service co-location, mobile outreach) on VMMC uptake among adolescent and adult men. For the main effectiveness review, we searched for publications or conference abstracts that measured VMMC uptake or uptake of HIV testing or risk reduction counselling within VMMC services. We synthesized data by coding categories and outcomes. We also reviewed studies assessing acceptability, values/preferences, costs, and feasibility.ResultsFour randomized controlled trials and five observational studies were included in the effectiveness review. Studies took place in South Africa, Tanzania, Uganda, Zambia, and Zimbabwe. They assessed a range of service delivery innovations, including community-, school-, and facility-based interventions. Overall, interventions increased VMMC uptake; some successfully improved uptake among age-specific subpopulations, but urban-rural stratification showed no clear trends. Interventions that increased adult men's uptake included mobile services (compared to static facilities), home-based testing with active referral follow-up, and facility-based HIV testing with enhanced comprehensive sexual education. Six acceptability studies suggested interventions were generally perceived to help men choose to get circumcised. Eleven cost studies suggested interventions create economies-of-scale and efficiencies. Three studies suggested such interventions were feasible, improving facility preparedness, service quality and quantity, and efficiencies.ConclusionsInnovative changes in male-centered VMMC services can improve adult men's and adolescent boys' VMMC uptake. Limited evidence on interventions that enhance access and acceptability show promising results, but evidence gaps persist due to inconsistent intervention definition and delivery, due in part to contextual relevance and limited age disaggregation

From Surviving to Thriving: Evaluation of the International Diabetes Federation Life for a Child Program

IDF-LFAC aims to provide: (1) insulin and syringes; (2) blood glucose monitoring (BGM) equipment; (3) appropriate clinical care; (4) HbA1c testing; (5) diabetes education; and (6) technical support and training for health professionals, as well as 7) facilitating relevant clinical research, and where possible 8) assisting with capacity building. IDF-LFAC receives financial and in-kind support from private foundations, individuals, and corporations. Insulin and blood glucose monitoring equipment distribution is made possible by donations of insulin and the purchase of blood glucose monitors and strips at a reduced price from large pharmaceutical companies.The goal of this evaluation is to assess IDF-LFAC's organizational structure, strategic framework, processes, program impact, and potential to catalyze longterm sustainable improvements to T1D care delivery systems in its partner countries. LSHTM were commissioned to undertake the evaluation in 2014 when IDF-LFAC had active programs in 45 countries

What are the impacts and cost-effectiveness of strategies to improve performance of untrained and under-trained teachers in the classroom in developing countries?

What are the impacts and cost effectiveness of strategies to improve performance of untrained and under-trained teachers in the classroom in developing countries

The Role of the Food & Beverage Sector in Expanding Economic Opportunity

The food and beverage industry has a unique role in expanding economic opportunity because it is universal to human life and health. The industry operates at multiple levels of society where billions of people grow, transform, and sell food, particularly in developing countries where agriculture dominates all other economic sectors. Yet a vast share of these workers cannot both satisfy their immediate consumption needs and earn sufficient income from food markets to improve their lives. This report applies the results of primary and secondary research to a number of case studies to draw lessons on strategies for expanding economic opportunity in the food & beverage sector. Primary research consisted of telephone interviews and secondary research included a review of reports, studies, and articles from a range of sources for each case study. The result is a paper that provides insight into how pioneering large firms are breaking this dilemma and building economic opportunity around food beverage value chains

Proposal to Strenghern Health Information System [HIS]

\ud The HMIS Program described in this document aims at improving and strengthening the current Health Management Information System (HMIS) in Tanzania, known as MTUHA. The consortium behind the HMIS Program is headed by the Ministry of Health & Social Welfare (MOHSW) and consists of the following additional partners; Ifakara Health Research and Development Centre, University of Dar es Salaam and the University of Oslo, representing national and international capacity in HMIS. The HMIS Program is linked to the Payment for performance (P4P) funding scheme which is initiated by the Norway Tanzania Partnership Initiative. The P4P has a focus on maternal and child health and relies upon quality indicators on performance in these areas from health facilities and districts. The provision of quality data and indicators on MDG 4 & 5 is therefore a key target for the HMIS Program. The chosen approach is, however, to derive these data from the HMIS and not to establish a separate data collection structure, hence the HMIS Program. Quality information by way of essential indicators, such as for monitoring the Millennium Development Goals 4 & 5, are crucial for health services delivery and program management as well as for M&E. Currently, however, the HMIS is not providing such needed data of sufficient completeness, timeliness and quality, leading health programs and funding agencies to establish their own structures for data collection, and thus creating fragmentation and adding to the problem. The HMIS Program aims at changing this negative trend and turning the HMIS into the key source of shared essential quality information in Tanzania by; focusing on action oriented use of information for management at each level of the health services and by providing timely quality information to all stakeholders, including all health programs and funding agencies in the HMIS strengthening process – making it an all-inclusive national process, focusing on capacity development; on-site support and facilitation, short courses and continuous education, building capacity in the MOHSW and establishing a national network of HMIS support, and by building on experience, methods and tools from Africa’s “best practices” HMIS, such as South Africa – and Zanzibar Within this proposal the aim is to carry out the HMIS strengthening process in 1/3 of the districts in the country, 7 regions, during the first 3 years. The objective, however, is to cover the entire country during the 5 years duration of the NTPI. By aiming at quick and tangible results, the expectation is that other funding agencies will join forces and thereby ensuring national coverage.\ud \u

Tackling Ultra-Poverty Through the Graduation Approach: Situating Sustainable Livelihoods in the Landscape of Social Protection and Safety Nets

BRAC was founded in Bangladesh in 1972 and now works in nine other countries with very impoverished populations: Afghanistan, Pakistan, Myanmar, Philippines, Uganda, Tanzania, South Sudan, Sierra Leone and Liberia. From its years of experience designing and implementing microfinance and other programs, BRAC gained the insight that a unique set of interventions is required to bring out of extreme poverty those who they, and now others, call the "ultra-poor": people living on half or less of a US $1.25-a-day poverty threshold. BRAC pioneered the approach in 2002 by combining social safety nets with support for income-generating, and named it the Graduation approach, or Targeting the Ultra Poor (TUP) program. Graduation programs complement small cash stipends and in-kind asset transfers with several other sequenced interventions including savings, training, social integration and health care services. Over the last decade the Consultative Group to Assist the Poor (CGAP), the Ford Foundation, and other donors have supported ten pilots across different continents which have been carefully analyzed, and in which over 75% of participants have met Graduation requirements. This paper summarizes the landscape and institutional context within which the Targeting the Ultra-poor program sits, in order to help BRAC and other organizations to expand its scale and encourage others to support and adopt this approach, thereby helping an additional one million families graduate from ultra-poverty by 2020