2,113 research outputs found

    Research needs for an improved primary care response to chronic non-communicable diseases in Africa.

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    With non-communicable diseases (NCDs) projected to become leading causes of morbidity and mortality in developing countries, research is needed to improve the primary care response, especially in sub-Saharan Africa. This region has a particularly high double burden of communicable diseases and NCDs and the least resources for an effective response. There is a lack of good quality epidemiological data from diverse settings on chronic NCD burden in sub-Saharan Africa, and the approach to primary care of people with chronic NCDs is currently often unstructured. The main primary care research needs are therefore firstly, epidemiological research to document the burden of chronic NCDs, and secondly, health system research to deliver the structured, programmatic, public health approach that has been proposed for the primary care of people with chronic NCDs. Documentation of the burden and trends of chronic NCDs and associated risk factors in different settings and different population groups is needed to enable health system planning for an improved primary care response. Key research issues in implementing the programmatic framework for an improved primary care response are how to (i) integrate screening and prevention within health delivery; (ii) validate the use of standard diagnostic protocols for NCD case-finding among patients presenting to the local health facilities; (iii) improve the procurement and provision of standardised treatment and (iv) develop and implement a data collection system for standardised monitoring and evaluation of patient outcomes. Important research considerations include the following: selection of research sites and the particular NCDs targeted; research methodology; local research capacity; research collaborations; ethical issues; translating research findings into policy and practice and funding. Meeting the research needs for an improved health system response is crucial to deliver effective, affordable and equitable care for the millions of people with chronic NCDs in developing countries in Africa

    Legal Preconditions for Contractual Relations in the Transition to a Market Economy:

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    Summaries This article examines the process of transformation of the legal framework of contractual relationships in transition economies by looking at the case of Bulgaria in the period 1990–97. The aim is to throw light on the state of the legal preconditions for establishing an economic system based on freedom of contract and on enforcement of contractual obligations. The first part of the article focuses on the development of the substantive regulation of commercial contract and its problems in a post? totalitarian setting. The second part identifies the different mechanisms of conflict resolution and enforcement. The emphasis is on evaluating the role of the Judiciary and the factors accounting for that role

    Adult Cognitive and Non-cognitive Skills: An Overview of Existing PIAAC Data

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    As of summer 2019, more than 60 PIAAC datasets from participating countries worldwide were available for research purposes. These datasets can be differentiated, for example, in terms of their accessibility, the extent of the information provided, the population group in focus, and the design of the underlying study. PIAAC Public Use Files, for instance, are freely available and are therefore highly anonymised, whereas PIAAC Scientific Use Files are available only for scientific research purposes and provide access to more detailed variables. The majority of the PIAAC data are available as public use files, but some participating countries (e.g. Germany and the United States) have also made several scientific use files or other extended file versions available to the research community. Some of the available PIAAC datasets focus on specific population groups - for example, the incarcerated adult population in the United States. Regarding the design of the underlying studies, most available datasets are cross-sectional, but some longitudinal data already exist (e.g. PIAAC-L in Germany). The present chapter provides an overview of the structure, accessibility, and use of the PIAAC datasets available worldwide

    The Impacts of Politics and Ethnicity on Volunteering

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    This article examines how national and local ethno?politics impact on volunteering by taking a cross?country comparative perspective: Kenya and Mozambique. In both countries societal fragmentation along ethno?political lines is mirrored within the volunteer landscape and reduces the positive impacts of volunteering. The role of international volunteers (IVs) from the global North and, in the case of Kenya, national volunteers (NVs), to address these divisions is discussed. The effects of the support of the volunteering for development sector in such ethnically and politically fragmented contexts is also explored. The findings from the current research show that the perceived neutrality of the IV and NV means they may face less risk in attempting to step outside of existing political and ethnic confines than local volunteers or citizens functioning within these environments. Through this neutrality, IVs and NVs may be provided with a unique opportunity to use this position to assuage some of these societal fractions

    Rights-based Approaches and Bilateral Aid Agencies: More Than a Metaphor?

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    It could be argued that the rights based approach … is no more than ametaphor; a concept that catalyses a set of values into a phrase that many people can adopt and adapt. It is a general statement in favour of equitable development, involving widespread participation of those with no direct control of, or access to, the power of the state … If we still take rights as a legal concept then much of what passes as rights based is unlikely to be successful because there are often no state bodies committed to meeting the obligations implied. There is also a sense in that the “emperor has no clothes ” as there are too many people arguing about the details of what a rights approach should be and how it should be operationalised.Meanwhile, this is happening in the absence of any clear idea of what it is they are engaging with. (Pratt 2003: 2)
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