Scaling-up health services in low- and middle-income settings

Scaling up health policies and services in low- and middle-income settings

Authors: Kara Hanson, Susan Cleary, Helen Schneider, Sripen Tantivess and Lucy Gilson

Attracting and retaining health workers in rural areas: investigating nurses’ views on rural posts and policy interventions

Kenya has bold plans for scaling up priority interventions nationwide, but faces major human resource challenges, with a lack of skilled workers especially in the most disadvantaged rural areas.

Authors: Kethi Mullei, Sandra Mudhune, Jackline Wafula, Eunice Masamo, Michael English, Catherine Goodman, Mylene Lagarde and Duane Blaauw

Financing equitable access to antiretroviral treatment in South Africa

While South Africa spends approximately 7.4% of GDP on healthcare, only 43% of these funds are spent in the public system, which is tasked with the provision of care to the majority of the population including...

Authors: Susan Cleary and Di McIntyre

Improving the evidence base of Markov models used to estimate the costs of scaling up antiretroviral programmes in resource-limited settings

Despite concerns about affordability and sustainability, many models of the lifetime costs of antiretroviral therapy (ART) used in resource limited settings are based on data from small research cohorts, toget...

Authors: Rory Leisegang, Gary Maartens, Michael Hislop, Leon Regensberg and Susan Cleary

Differences in antiretroviral scale up in three South African provinces: the role of implementation management

South Africa’s antiretroviral programme is governed by defined national plans, establishing treatment targets and providing funding through ring-fenced conditional grants. However, in terms of the country’s qu...

Authors: Helen Schneider, David Coetzee, Dingie Van Rensburg and Lucy Gilson

Scaling up cervical cancer screening in the midst of human papillomavirus vaccination advocacy in Thailand

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 Healt...

Authors: Jomkwan Yothasamut, Choenkwan Putchong, Teera Sirisamutr, Yot Teerawattananon and Sripen Tantivess

A pharmacy too far? Equity and spatial distribution of outcomes in the delivery of subsidized artemisinin-based combination therapies through private drug shops

Millions of individuals with malaria-like fevers purchase drugs from private retailers, but artemisinin-based combination therapies (ACTs), the only effective treatment in regions with high levels of resistanc...

Authors: Justin M Cohen, Oliver Sabot, Kate Sabot, Megumi Gordon, Isaac Gross, David Bishop, Moses Odhiambo, Yahya Ipuge, Lorrayne Ward, Alex Mwita and Catherine Goodman

Importance of strategic management in the implementation of private medicine retailer programmes: case studies from three districts in Kenya

The home-management of malaria strategy seeks to improve prompt and effective anti-malarial drug use through the informal sector, with a potential channel being the Private Medicine Retailers (PMRs). Previous ...

Authors: Timothy Abuya, Abdinasir Amin, Sassy Molyneux, Willis Akhwale, Vicki Marsh and Lucy Gilson

Methods for evaluating delivery systems for scaling-up malaria control intervention

Despite increased resources over the past few years the coverage of malaria control interventions is still inadequate to reach national and international targets and achieve the full potential of the intervent...

Authors: Jayne Webster, Daniel Chandramohan and Kara Hanson