Medicine

Optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting

Published by: 
World Health Organization

The World Health Organization’s recommendations on optimizing the roles of health workers aim to help address critical health workforce shortages that slow down progress towards the health-related Millennium Development Goals (MDGs). A more rational distribution of tasks and responsibilities among cadres of health workers can significantly improve both access and cost-effectiveness – for example by training and enabling ‘mid-level’ and ‘lay’ health workers to perform specific interventions otherwise provided only by cadres with longer (and sometimes more specialized) training.

Prevention and Control of Noncommunicable Diseases: Guidelines for primary health care in low resource settings

Published by: 
World Health Organization

The primary goal of the guideline is to improve the quality of care and the outcome in people with type 2 diabetes in low-resource settings. It recommends a set of basic interventions to integrate management of diabetes into primary health care. It will serve as basis for development of simple algorithms for use by health care staff in primary care in low-resource settings, to reduce the risk of acute and chronic complications of diabetes. The guideline was developed by a group of external and WHO experts, following the WHO process of guideline development. GRADE methodology was used to assess the quality of evidence and decide the strength of the recommendations.

SADC Regional Assessment Report of Policies and Programmes on Child and Adolescent HIV, TB and Malaria - 2011-2012

Published by: 
Southern African Development Community (SADC)

Member States (MS) of the Southern African Development Community (SADC) have made important progress in the last decades in reducing child mortality. However, with children under 18 years old representing 48% of the total population in the SADC region, child survival and development remains a key challenge. HIV, TB and malaria are important sources of morbidity and mortality in children. In 2009, there were more than 1 million children under the age of 15 years estimated to be living with HIV within SADC Member States, and in 2010 mother to child transmission of HIV (MTCT) resulted in more than 176,000 new infant infections in the region, with the percentage of MTCT across Member States ranging from 3 to 37%.

Health in South Africa: changes and challenges since 2009

Published by: 
The Lancet

Since the 2009 Lancet Health in South Africa Series, important changes have occurred in the country, resulting in an
increase in life expectancy to 60 years. Historical injustices together with the disastrous health policies of the previous
administration are being transformed. The change in leadership of the Ministry of Health has been key, but new
momentum is inhibited by stasis within the health management bureaucracy. Specific policy and programme changes
are evident for all four of the so-called colliding epidemics: HIV and tuberculosis; chronic illness and mental health;
injury and violence; and maternal, neonatal, and child health. South Africa now has the world’s largest programme of

Beginning of the end? Tracking global commitments on AIDS

Published by: 
One International

Tracking Global Commitments on AIDS

In 2011, ONE and many of our partners including NGOs, thought leaders, and scientists rallied around the idea that we could see the “beginning of the end of AIDS” in our lifetimes.  We highlighted this opportunity as part of our ongoing AIDS campaign work and celebrated when a number of world leaders and influentials came together on World AIDS Day 2011 to champion this vision.

Changes to South African Antiretroviral Treatment Guidelines 2012

Volume: 
2
Series Name: 
Kwik Skwiz
Published by: 
Health Systems Trust

THIS KWIK-SKWIZ: summarises the changes to the National Antiretroviral Treatment Guidelines. The current guidelines were released in 2010. The changes summarised here were released and implemented in 2012.

Memorandum: Initiation of ARV's to HIV positive children 5 years and under irrespective of CD4 count or WHO clinical staging

Published by: 
Department of Health (South Africa)

Please find the circular regarding the initiation of ARV's to HIV positive children 5 years and under irrespective of CD4 count and WHO clinical staging. Please note that this change is effective immediately and this must be communicated to, and implemented by all initiating facilities including those that are run by partners.

Childhood TB from Neglect to Action

Published by: 
ACTION

Even though it’s preventable and treatable, tuberculosis (TB) is a top ten killer of children worldwide.

ACTION has released its second brief on children and TB, issuing recommendations for the international community and affected countries to combat this neglected epidemic.

Since ACTION released its first Childhood TB brief last year, the global community has paid attention. 

But we need to keep the momentum going. Children are still misdiagnosed, unaccounted for, and lack access to appropriate pediatric TB drugs.

Making it work: Lessons learnt from three regional workshops to integrate human rights into national HIV strategic plans

Published by: 
UNAIDS

To strengthen the rights-based national response to HIV, the Joint United Nations Programme on HIV/AIDS (UNAIDS), with the technical support of the International HIV/AIDS Alliance (the Alliance), initiated a project in 2011 to help national stakeholders (national AIDS programme managers, officials from ministries of health, gender and justice, civil society representatives, members of affected communities and UN staff) integrate human rights programmes into National Strategic Plans (NSPs). This brief report outlines some short term outcomes and lessons learnt from this initiative.

Rapid Mortality Surveillance Report

Published by: 
Medical Research Council

A Rapid Mortality Surveillance (RMS) system was established to monitor the trend in the number of deaths recorded on the national population register at a time when there was a substantial time lag in the cause-of-death reports being produced by Stats SA. This report presents an analysis of the RMS data and provides empirical estimates of the mortality-based high-level indicators for Outputs 1 and 2 of the health-related outcomes of the NSDA to highlight the significant changes in mortality currently taking place in South Africa. By adjusting for known bias in the RMS data, it is possible to provide information about these key indicators two years sooner than the published vital registration data.