16 research outputs found
āļāđ āļēāđāļĄāđ āļāļąāļāļĨāļļ āļÂ āļĨāļāļāļĢāļ§āļāļŠāļāļāļāļ· āļāļāđ āļēāđāļāļ·āļāļāđāļāļēāļāļĢāļĢāļāļąāļÂ āļŦāļĨāļąāļāļāļāļāļĨāļļāđāļĄāļāļīāļāļāļī āļāļĨāļāļļāļāļĢāļļāļ
 āļāļđāđāļŠāļ·āļāļāđ āļēāļ§āļĢāļēāļĒāļāļēāļāļāļēāļāļāļąāļāļŦāļ§āļąāļāļāļąāļāļĨāļļ āļ āļāļēāļāļāļĢāļāļĩ āļāļĨāļļāđāļĄāļāļēāļĒāļāļļ āļ āđāļĨāļ°āļāļđ āđ āļĄāļĩ āļāļī āļāļāļī āļāļĨāđāļāļāļ·āđāļāļāļĩāđ āļāļąāļāļŦāļ§āļąāļāļāļąāļāļĨāļļ āļ āļāļļ āļāļĢāļļ āļāļāđ āļēāļāđ āļāļāđāļģ āļāļąāļāđāļāđ āļ āļāđ āļāđāļĄāđ āđāļŦāļāđ  āđāļāļ·āļāļāļĨāļđ āļāļĒāļēāļāļāļēāļĢāļēāđāļ āđāļāļāļĢāļąāļāļĐāļēāļāļąāļāļāļļ āđ āļŠāļąāļāļ§āđ āļāđ āļēāđāļāļ· āļāļāđāļāļē āļāļĢāļĢāļāļąāļ āđāļāļāđ āļāļāļāļĩ āļ.āļāļĨāļāļāđāļŦāļāđ  āļ.āļāļ°āđāļŦāļĄāļ āļ.āļāļąāļāļĨāļļ āļ āļŦāđ āļēāļāļāļēāļāļŦāļāđ āļ§āļĒ āļāļī āļāļąāļāļĐāđ āļāđ āļēāļāđāļģāļāļāļĨāļēāļāđāļāļĒ āđāļāļĩ āļĒāļāđāļĄāđ āļāļķ āļ 300 āđāļĄāļāļĢ āđāļāđ āļĢāļąāļāļāļ§āļēāļĄāđāļŠāļĩ āļĒāļŦāļēāļĒāļāļąāļ āļāļąāļāđāļĢāđ  āđāļāļĒāļāļāļ§āđ āļē āļāļēāļāđāļāļĨāļāļāļđ āļāļāļąāļāđāļāđ āļāļāđ āļāđāļĄāđ āļāļāļēāļāđāļŦāļāđ  āđāļāļĩ āļĒāļāđāļĄāđ āļāļĩāļ§āļąāļāđāļāđ āļēāļāļąāđāļ āļāļĢāđ āļāļĄāļāļąāđāļāļŠāļąāļāļĢāļāļāļāđ āļāđāļĄāđ āļāļāļēāļāđāļŦāļāđ āđāļāļ·āļāđāļŦāđ āļĒāļ· āļāļāđ āļāļāļēāļĒāļāļĩ āļ āļāđ āļēāļāļ§āļāļĄāļē
Scaling up cervical cancer screening in the midst of human papillomavirus vaccination advocacy in Thailand
<p>Abstract</p> <p>Background</p> <p>Screening tests for cervical cancer are effective in reducing the disease burden. In Thailand, a Pap smear program has been implemented throughout the country for 40 years. In 2008 the Ministry of Public Health (MoPH) unexpectedly decided to scale up the coverage of free cervical cancer screening services, to meet an ambitious target. This study analyzes the processes and factors that drove this policy innovation in the area of cervical cancer control in Thailand.</p> <p>Methods</p> <p>In-depth interviews with key policy actors and review of relevant documents were conducted in 2009. Data analysis was guided by a framework, developed on public policy models and existing literature on scaling-up health care interventions.</p> <p>Results</p> <p>Between 2006 and 2008 international organizations and the vaccine industry advocated the introduction of Human Papillomavirus (HPV) vaccine for the primary prevention of cervical cancer. Meanwhile, a local study suggested that the vaccine was considerably less cost-effective than cervical cancer screening in the Thai context. Then, from August to December 2008, the MoPH carried out a campaign to expand the coverage of its cervical cancer screening program, targeting one million women. The study reveals that several factors were influential in focusing the attention of policymakers on strengthening the screening services. These included the high burden of cervical cancer in Thailand, the launch of the HPV vaccine onto the global and domestic markets, the countryâs political instability, and the dissemination of scientific evidence regarding the appropriateness of different options for cervical cancer prevention. Influenced by the countryâs political crisis, the MoPHâs campaign was devised in a very short time. In the view of the responsible health officials, the campaign was not successful and indeed, did not achieve its ambitious target.</p> <p>Conclusion</p> <p>The Thai case study suggests that the political crisis was a crucial factor that drew the attention of policymakers to the cervical cancer problem and led the government to adopt a policy of expanding coverage of screening services. At the same time, the instability in the political system impeded the scaling up process, as it constrained the formulation and implementation of the policy in the later phase.</p
Are Proposed African Monetary Unions Optimal Currency Areas? Real and Monetary Policy Convergence Analysis
A spectre is hunting embryonic African monetary zones: the EMU crisis. The introduction of common currencies in West and East Africa is facing stiff challenges in the timing of monetary convergence, the imperative of bankers to apply common modeling and forecasting methods of monetary policy transmission, as well as the requirements of common structural and institutional characteristics among candidate states. Inspired by the premise of the EMU crisis, this paper assesses real and monetary policy convergence within the proposed WAM and EAM zones. In the analysis, monetary policy targets inflation and financial dynamics of depth, efficiency, activity and size while real sector policy targets economic performance in terms of GDP growth at macro and micro levels. Findings suggest overwhelming lack of convergence; an indication that candidate countries still have to work towards harmonizing cross-country differences in fundamental, structural and institutional characteristics that hamper the convergence process
Are Proposed African Monetary Unions Optimal Currency Areas? Real, Monetary and Fiscal Policy Convergence Analysis
Purpose â A spectre is hunting embryonic African monetary zones: the EMU crisis. This paper assesses real, monetary and fiscal policy convergence within the proposed WAM and EAM zones. The introduction of common currencies in West and East Africa is facing stiff challenges in the timing of monetary convergence, the imperative of central bankers to apply common modeling and forecasting methods of monetary policy transmission, as well as the requirements of common structural and institutional characteristics among candidate states.
Design/methodology/approach â In the analysis: monetary policy targets inflation and financial dynamics of depth, efficiency, activity and size; real sector policy targets economic performance in terms of GDP growth at macro and micro levels; while, fiscal policy targets debt-to-GDP and deficit-to-GDP ratios. A dynamic panel GMM estimation with data from different non-overlapping intervals is employed. The implied rate of convergence and the time required to achieve full (100%) convergence are then computed from the estimations.
Findings â Findings suggest overwhelming lack of convergence: (1) initial conditions for financial development are different across countries; (2) fundamental characteristics as common monetary policy initiatives and IMF backed financial reform programs are implemented differently across countries; (3) there is remarkable evidence of cross-country variations in structural characteristics of macroeconomic performance; (4) institutional cross-country differences could also be responsible for the deficiency in convergence within the potential monetary zones; (5) absence of fiscal policy convergence and no potential for eliminating idiosyncratic fiscal shocks due to business cycle incoherence.
Practical implications â As a policy implication, heterogeneous structural and institutional characteristics across countries are giving rise to different levels and patterns of financial intermediary development. Thus, member states should work towards harmonizing cross-country differences in structural and institutional characteristics that hamper the effectiveness of convergence in monetary, real and fiscal policies. This could be done by stringently monitoring the implementation of existing common initiatives and/or the adoption of new reforms programs.
Originality/value â It is one of the few attempts to investigate the issue of convergence within the proposed WAM and EAM unions