Sustainable Management Development Program: celebrating 20 years of strengthening public health systems globally through effective leadership and management

To build a strong health infrastructure and improve public health outcomes, ministries of health require capable leadership, organizational management, and technical expertise to implement targeted and effective health programs. Without these assets in place, many important global health initiatives fall short of their goals. In 1992, the Centers for Disease Control and Prevention (CDC) established the Sustainable Management Development Program (SMDP) to assist leaders in low-and middle-resource countries in strengthening their health management systems. For the past two decades, SMDP has been successful in helping countries assess their management capabilities, create more efficient use of resources, and advance the use of evidence-based, practical management and leadership tools and approaches to improve accountability and organizational performance. SMDP's initiatives have been effective in building workforce management competencies for epidemiology, laboratory management, surveillance, and outbreak response. As SMDP's leadership and staff reflect on the past, and look towards the future, their goal is to continue to work collaboratively with ministries of health and other partners to develop leaders and managers with the expertise to manage wisely, improve organizational performance, and leverage investments to ensure that return on public health investment is significant.SMDP framework -- Highlights of SMDP's global health accomplishments (1992-2012) -- SMDP capabilities -- Highlights of SMDP in action across the globe 1992-2012.3/20/13 date from document properties."CS237087."Available via the World Wide Web as an Acrobat .pdf file (13.8 MB, 16 p.)

Pacific Visual Impairment Project

The primary goal of the Pacific Vision Impairment Project (VIP) is to increase the pool of fully credentialed, effective personnel educating students who are blind or have a Vision Impairment in remote areas where services either do not exist or need additional support

Exploring the impact of gender inequities on the promotion of cardiovascular health of women in Pakistan

Cardiovascular disease exerts an enormous burden on women\u27s health. The intake of a healthy diet may reduce this burden. However, social norms and economic constraints are often factors that restrain women from paying attention to their diet. Underpinned by critical realism, this study explores how gender/sex influences decision-making regarding food consumption among women of low socioeconomic status (SES). The study was carried out at two cardiac facilities in Karachi, Pakistan, on 24 participants (male and female from different ethnic backgrounds), who had received health education. Using an interpretive descriptive approach, the study identified major barriers to a healthy diet: proscribed gender roles and lack of women\u27s autonomy, power, male domination, and abusive behaviours. Cardiovascular risk and disease outcomes for the Pakistani women of low SES are likely to further escalate if individual and structural barriers are not reduced using multifactorial approaches

Strengths-Weaknesses-Opportunities-Threats analysis of carbon footprint indicator and derived recommendations

ABSTRACT: Demand for a low carbon footprint may be a key factor in stimulating innovation, while prompting politicians to promote sustainable consumption. However, the variety of methodological approaches and techniques used to quantify life-cycle emissions prevents their successful and widespread implementation. This study aims to offer recommendations for researchers, policymakers and practitioners seeking to achieve a more consistent approach for carbon footprint analysis. This assessment is made on the basis of a comprehensive Strengths-Weaknesses-Opportunities-Threats or SWOT Analysis of the carbon footprint indicator. It is carried out bringing together the collective experience from the Carbonfeel Project following the Delphi technique principles. The results include the detailed SWOT Analysis from which specific recommendations to cope with the threats and the weaknesses are identified. In particular, results highlight the importance of the integrated approach to combine organizational and product carbon footprinting in order to achieve a more standardized and consistent approach. These recommendations can therefore serve to pave the way for the development of new, specific and highly-detailed guidelines

Brine utilisation for cooling and salt production in wind-driven seawater greenhouses:Design and modelling

Brine disposal is a major challenge facing the desalination industry. Discharged brines pollute the oceans and aquifers. Here is it proposed to reduce the volume of brines by means of evaporative coolers in seawater greenhouses, thus enabling the cultivation of high-value crops and production of sea salt. Unlike in typical greenhouses, only natural wind is used for ventilation, without electric fans. We present a model to predict the water evaporation, salt production, internal temperature and humidity according to ambient conditions. Predictions are presented for three case studies: (a) the Horn of Africa (Berbera) where a seawater desalination plant will be coupled to salt production; (b) Iran (Ahwaz) for management of hypersaline water from the Gotvand dam; (c) Gujarat (Ahmedabad) where natural seawater is fed to the cooling process, enhancing salt production in solar salt works. Water evaporation per face area of evaporator pad is predicted in the range 33 to 83 m3/m2·yr, and salt production up to 5.8 tonnes/m2·yr. Temperature is lowest close to the evaporator pad, increasing downwind, such that the cooling effect mostly dissipates within 15 m of the cooling pad. Depending on location, peak temperatures reduce by 8–16 °C at the hottest time of year

A qualitative exploration of the human resource policy implications of voluntary counselling and testing scale-up in Kenya: applying a model for policy analysis

Background: Kenya experienced rapid scale up of HIV testing and counselling services in government health services from 2001. We set out to examine the human resource policy implications of scaling up HIV testing and counselling in Kenya and to analyse the resultant policy against a recognised theoretical framework of health policy reform (policy analysis triangle). Methods: Qualitative methods were used to gain in-depth insights from policy makers who shaped scale up. This included 22 in-depth interviews with Voluntary Counselling and Testing (VCT) task force members, critical analysis of 53 sets of minutes and diary notes. We explore points of consensus and conflict amongst policymakers in Kenya and analyse this content to assess who favoured and resisted new policies, how scale up was achieved and the importance of the local context in which scale up occurred. Results: The scale up of VCT in Kenya had a number of human resource policy implications resulting from the introduction of lay counsellors and their authorisation to conduct rapid HIV testing using newly introduced rapid testing technologies. Our findings indicate that three key groups of actors were critical: laboratory professionals, counselling associations and the Ministry of Health. Strategic alliances between donors, NGOs and these three key groups underpinned the process. The process of reaching consensus required compromise and time commitment but was critical to a unified nationwide approach. Policies around quality assurance were integral in ensuring standardisation of content and approach. Conclusion: The introduction and scale up of new health service initiatives such as HIV voluntary counselling and testing necessitates changes to existing health systems and modification of entrenched interests around professional counselling and laboratory testing. Our methodological approach enabled exploration of complexities of scale up of HIV testing and counselling in Kenya. We argue that a better understanding of the diverse actors, the context and the process, is required to mitigate risks and maximise impact