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  1. 1
    332694

    Quantification of health commodities: HIV test kit companion guide. Forecasting consumption of HIV test kits.

    John Snow [JSI]. DELIVER

    Arlington, Virginia, JSI, DELIVER, 2009 Jun. [53] p. (USAID Contract No. GPO-I-01-06-00007-00)

    Successful implementation and expansion of HIV counseling and testing services is dependent on the continuous supply and availability of high-quality HIV test kits and the additional consumable supplies required at HIV testing sites. The variability in HIV testing procedures, the multiple purposes of testing, and the different types of HIV test kits available pose particular challenges in managing HIV test kit supply chains. The primary focus and purpose of this companion guide is to supplement the general guide on Quantification of Health Commodities: A Guide to Forecasting and Supply Planning for Procurement by describing in detail the specific methodology for forecasting consumption of HIV test kits as a critical step in the overall quantification process.
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  2. 2
    074435
    Peer Reviewed

    Policy instruments for pollution control in developing countries.

    Eskeland GS; Jimenez E

    WORLD BANK RESEARCH OBSERVER. 1992 Jul; 7(2):145-69.

    Economic development in developing countries must be accomplished in a manner that does not harm the environment with pollution. Pollution harms human health and productivity. Thus appropriate strategies must be developed that promote growth, reduce poverty, and protect the environment. A review of the current literature is performed with attention paid to cost-effective interventions i.e., comparisons of regulatory and fiscal instruments that can reduce pollution. Both direct instruments (like effluent charges, tradable permits, deposit refund systems, emission regulations and regulatory agency funding for purification, cleanup, waste disposal, and enforcement) and indirect instruments (like input/output taxes and subsidies, substitution subsidies, abatement inputs, regulation of equipment and processes, and development of clean technologies) are examined. Examples are used to show how indirect instruments can be successful when monitoring and enforcement is too costly. A careful examination of distributive concerns illustrate how the effect on the poor may need particular consideration and how groups with vested interests can help evaluate the probable success of such interventions.
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  3. 3
    267409

    [Bolivia: framework for population policy] Bolivia: marco referencial sobre politicas de poblacion.

    Carafa CR

    In: Luz y sombra de la vida: mortalidad y fecundidad en Bolivia [Light and dark of life: mortality and fertility in Bolivia], by Carlos Carafa, Gerardo Gonzalez, Valeria Ramirez, Rene Pereira, and Hugo Torrez La Paz, Bolivia, Proyecto Politicas de Poblacion, 1983. 1-42.

    Bolivia's population policy must be framed within 3 contexts: an economic and family structure which conditions production and reproduction; as part of Latin America, which is characterized by dependent development, structural heterogeneity, and social differentiation; and as a particlar socioeconomic structure with specific population dynamics. As a peripheral country subordinate to the developed capitalist nations, Bolivia has undergone a process of social differentiation. Mining, which has shaped the economy and society, is declining. Agriculture dominates in terms of jobs, but peasant farms cannot compete with agribusiness. A weak manufacturing sector and increasing urbanization have created vast underemployment and a swollen tertiary sector. Urban-rural disparities have widened. Only 2% of all rural health care needs are met; water and sewerage services are similarly deficient. As the main investor and largest employer, the government can guide development, but its policies have favored agroindustrial interests at the expense of the small farmer. These realities suggest the following working hypotheses: 1) the size, structure and growth of the population determines both the supply of labor and the demand for goods and services. 2) Bolivia's unbalanced occupational structure heightens class differences and disparities in life chances; reproductive patterns reflect the population's social and material circumstances. 3) Outmigration is the peasantry's response to the crisis of the rural areas; migratory movement follow economic activity. 4) Mortality and fertility differentials reflect socioeconomic and cultural differences; rural families see children as assets; 5) The costs fo bearing and raising children do not affect reproductive decisions among the peasantry. 6) Early marriages, low use of contraceptives, low education all interact to raise the fertility of peasant women; these factors are weaker among salaried workers. 7) Urbanization unleashes a number of changes which depress fertility; traditional values are eclipsed by the costs of childbearing. 8) Mortality risks are higher in the rural areas and affect all subgrups; urban areas exhibit greater variation. 9) Disparities in death and fertility rates suggest that different subgroups are at different stages of the demographic transition. Bolivia as a whole is in the 1st stage of this process.
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