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Item A quién acudimos cuando buscamos salud?(Programa de las Naciones Unidas para el Desarrollo (PNUD), Guatemala City, GT, 2008) Garcés de Marcilla del Valle, Ana Lucía; Garcés de Marcilla del Valle, Clara IsabelItem À quoi sert une révolution si on ne peut pas danser?(Urgent Action Fund for Women's Human Rights, Boulder, CO, US, 2007) Barry, Jane; Đorđević, JelenaItem À quoi un système de santé africain financièrement accessible et durable devrait-il ressembler au XXIe siècle(CRDI, Ottawa, ON, CA, 2006) Yonkeu, SamuelItem Abetting surrogacy(Frontline, IN, 2008) Rajalakshmi, T.K.A Bill that seeks to legalize commercial surrogate motherhood focuses more on protecting private-sector interests than on providing a regulatory mechanism. The Assisted Reproductive Technology (Regulation) Bill and Rules, (2008), did not involve at any stage women’s groups or public health activists in its drafting. The article provides information and commentary about Assisted Reproductive Technologies (ARTs) and their licensing and legal instruments. A question that activists, health experts and women’s groups are asking is whether surrogacy can be pursued and promoted as a public policy in India, given the abysmal track record as far as the health of women is concerned.Item Abolishing user fees for patients in West Africa : lessons for public policy(Agence française de développement (AFD), 2013-05) Ridde, Valéry; Olivier de Sardan, Jean-PierreThis work is based on five articles that focus on three poor West African countries: Mali, Niger and Burkina Faso. The articles address healthcare fee exemption policies, more specifically: decision making processes, free healthcare, the targeted clientele, actual implementation procedures, quality of care, difficulties encountered and some results of the studies. Due to lack of preparation, communication, effective management and most of all, adequate funding, the operation of measures is chaotic and inconsistent in most cases. Many unexpected effects were revealed by the research, notably the fact that quality of care is far from reliable due to shortages in supplies.Item Abolition sélective du paiement direct en Afrique subsaharienne : une opportunité pour le renforcement des systèmes de santé?(2011) Ridde, Valéry; Meessen, Bruno; Kouanda, SeniEn Afrique, nombreux sont ceux qui recommandent l’abolition ciblée du paiement direct des soins de santé pour les femmes et les enfants de moins de cinq ans. Mais des difficultés de mise en oeuvre sont apparues au cours d’expériences menées par quelques pays précurseurs d’Afrique de l’Ouest. De nombreux goulots d’étranglement du système de santé sont apparus et cet article permet d’en mettre au jour un certain nombre. Mais en même temps, nous croyons qu’ils constituent autant d’opportunités de renforcement des systèmes de santé, si l’on envisage de procéder notamment aux changements suivants : accroître de manière significative le financement de la santé et en améliorer la fiabilité, adopter des politiques de santé érigeant l’équité au rang de priorité, mettre en oeuvre des réformes alignées sur les principes de la « Nouvelle Gestion Publique », assurer l’apport en intrants de qualité, renforcer les différentes composantes du secteur de la santé, et réaliser davantage d’évaluations dans ce même secteur.Item Accès à la terre : un terrain miné pour les femmes; l’exemple du Sénégal, atelier de Nairobi du 13 au 16 septembre 2010(2010) Mbengue Ndiaye, AminataItem Accesibilidad y participación ciudadana en el sistema de salud : una mirada desde la psicología(Editorial Fin de Siglo, Montevideo, UY, 2009) Rudolf, Susana; Bagnato, Maria Jose; Güida, Carlos; Rodríguez, Ana Carina; Ramos, Federico; Suárez, Zulema; Arias, Maria AlejandraItem Access to justice for Indonesian women migrant domestic workers in the United Arab Emirates(International Institute of Social Studies (ISS), Erasmus University of Rotterdam, NL, 2013) Irianto, SulistyowatiWomen domestic workers currently account for 75-80% of the total flow of international labour migration to Middle-Eastern and Asian countries, including the United Arab Emirates (UAE). Despite their significance, women migrant domestic workers have limited or no access to justice; neither are they explicitly mentioned in current legislation. Based on an analysis of labour migration from Indonesia to the United Arab Emirates, this policy brief indicates significant negative impacts for access to justice and the protection of migrant domestic workers. Measures are suggested towards legal empowerment of these women throughout the different phases of the labour migration process.Item Access to land and land based resources among women in pastoralist and forest-dwelling communities in EA : exploring multiple exclusions and their impacts on women’s citizenship(2010) Kameri-Mbote, PatriciaThe study aims to illustrate how women’s entitlements are mediated through sub-national/ethnic citizenship and the implications that this has on their national citizenship, where citizenship is critical for entitlements, participation and protection of women. The presentation provides information regarding women in pastoralist communities. National laws and policies increasingly recognise women’s rights and marginalised communities’ rights to land and land-based resources. More research is necessary to examine the implementation of new policy.Item Accompagnement stratégique dans un contexte de changement : la recherche des outils de gestion du processus de décentralisation au Cameroun(Zenü Network, Bafoussam, CM, 2010) Djateng, FlaubertItem Acercamiento a la articulación local y distrital en salud y desplazamiento : informe de proceso(Pontificia Universidad Javeriana, Bogotá, CO, 2005) Naranjo Gómez, Claudia; Hernández Bello, AmparoItem Achieving community participation in primary health care service delivery : what should we do?(2015) Centre for Population and Environmental Development (CPED); Onokerhoraye, Andrew G.The survey of primary health care facilities in Delta State shows that community involvement in the management and delivery of primary health services is lacking. The empowerment and participation of women of child bearing age is needed as a key component of any strategy to involve community members towards effective delivery of maternal and child health care. This policy brief is based on the findings of ongoing research, “Strengthening the health system in Nigeria through improved equitable access to Primary Health Care (PHC): The Case of Delta State, Niger Delta region.”Item Action learning for health system governance : the reward and challenge of co-production(Oxford University Press, 2014) Lehmann, Uta; Gilson, LucyHealth policy and systems research (HPSR) is centrally concerned with people, their relationships and the actions and practices they can implement towards better health systems. These concerns suggest that HPS researchers must work in direct engagement with the practitioners and practice central to the inquiry, acknowledging their tacit knowledge and drawing it into generating new insights into health system functioning. Social science perspectives are of particular importance in this field because health policies and health systems are themselves social and political constructs. However, how can social science methodologies such as action research and narrative and appreciative enquiry enable such research, and how can methodologies from different disciplines be woven together to construct and make meaning of evidence for ‘this’ field? This article seeks to present ‘methodological musings’ on these points, to prompt wider discussion on the practice of HPSR. It draws on one long-term collaborative action learning research project being undertaken in Cape Town, South Africa. The District Innovation and Action Learning for Health System Development project is an action research partnership between two South African academic institutions and two health authorities focused, ultimately, on strengthening governance in primary health care. Drawing on this experience, the article considers three interrelated issues: The diversity and complexities of practitioner and research actors involved in co-producing HPSR; The nature of co-production and the importance of providing space to grapple across different systems of meaning; The character of evidence and data in co-production. There is much to be learnt from research traditions outside the health sector, but HPSR must work out its own practices—through collaboration and innovation among researchers and practitioners. In this article, we provide one set of experiences to prompt wider reflection and stimulate engagement on the practice of HPSR for people-centred health systems.Item Action pour la santé et la recherche médicale en faveur des personnes vulnérables et des pays émergents : VIe Forum des jeunes chercheurs(Les Études Hospitalières, 2012-06) Duguet, Anne-MarieItem Action research project : securing women’s access to land in the context of gender biased green revolution policies: Manhiça district, Mozambique; presented to IDRC Symposium, Nairobi, 14-16 Sept(Forum Mulher, 2010) Samo, GraçaThe presentation provides the context of land ownership in Mozambique in terms of state ownership and women’s access to the land for agricultural purposes. The project analyzes how women respond to and negotiate access and control of land in relation to Customary and Statutory Laws. Findings reveal that land use is shifting from subsistence farming to commercial agriculture (land grabbing) and urban development. State investment is in monoculture for exports. Subsistence agriculture is undermined, leading to food insecurity.Item Active case treatment lebih cost effective untuk pengobatan TB paru tahap awal(Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID, 2012) Ketut Ardani, Ni; Nurul Rochmah, Thinni; Umbul Wahyuni, ChatarinaBackground: Estimated one third of world population have been infected with Mycobacterium tuberculosis. Infected person will lose 3-4 months work time and will decrease 20%- 30% of income per year. Finding and treating TB patients are the best endeavor to stop TB spreading with a correct intervention. Jember Regency is executing Passive Case Treatment (PCT), which lung TB patients should come to puskesmas to take the Tuberculosis Drug (ATD) in a certain day and hour. The method was not effective, proven by the increase of default rate for 3 years: 5.08% in 2007, 5.14% in 2008 and 6.18% in 2009, followed by the decrease of conversion rate for 3 years: 95.26% in 2007, 93.09% in 2008 and 92.08% in 2009. It is raising alertness for increased re-treatment which will lead to MDR, where MDR is clearly affecting TB patients’ quality of life. Afterward, an idea to create an ATD delivery to patients’ homes was executed, it is called Active Case Treatment (ACT). Method: This study was a Quasy Experimental Research with a prospective design. Conducted in 16 Puskesmas with default rate more than 5% and conversion rate less than 80% in 2009. Begin in September until November 2010, using total sampling technique. The sample was all lung TB patients who came for treatment in September 2010, with criteria were: new case, 15-50 years of age, did not suffer HIV and Diabetes Mellitus, was not malnourished, and was not allergic to ATD. Data collection was done through interview, filling questionnaires and exploring documents. Then followed the calculation of the total cost (direct and indirect cost) and Quality of Life (QoL) of both PCT and ACT. Later, total cost was compared to QoL, the lesser amount was considered more cost effective. Result: Research result showed that to increase 1 scale of Quality of Life (QoL) of PCT needed an amount of IDR. 35,295.00, while to increase 1 QoL scale ACT was IDR 14,377.00. ACT was smaller than PCT. Conclution: Conclusion derived from the result was that ACT is more cost effective than PCT. Recommendation to be presented is to endorse lung TB treatment with ACT in Jember Regency particularly in Puskesmas with the same characteristics with this research.Item Acuerdos de paz : 12 años después(Guatevision, 2011)