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The introduction of confidential enquiries into maternal deaths and near-miss case reviews in the WHO European region.
Reproductive Health Matters. 2007 Sep; 15(30):145-152.Most maternal deaths can be averted with known, effective interventions but countries require information about which women are dying and why, and what can been done to prevent such deaths in future. This paper describes the introduction of two approaches to reviewing maternal deaths and severe obstetric complications in 12 countries in transition in the WHO European Region - national-level confidential enquiries into maternal deaths and facility-based near-miss case reviews. Initially, two regional meetings involving stakeholders from 12 countries were held in 2004-2005, followed by national meetings in seven of the countries. The Republic of Moldova was the first to pilot the review process, preceded by a technical workshop to make detailed plans, provide training in how to facilitate and carry out a review, finalise clinical guidelines against which the findings of the confidential enquiry and near-miss case review could be judged, and a range of other preparatory work. To date, near-miss case reviews have been carried out in the three main referral hospitals in Moldova, and a national committee appointed by the Ministry of Health to conduct the confidential enquiry has met twice. Several other countries have begun a similar process, but progress may remain slow due to continuing fears of punitive actions against health professionals who have a mother or baby die in their care. (author's)
WHO training course for TB consultants: RPM Plus drug management sessions in Sondalo, Italy, September 28 - October 1, 2006: trip report.
Arlington, Virginia, Management Sciences for Health, Center for Pharmaceutical Management, Rational Pharmaceutical Management Plus, 2006 Oct 18. 26 p. (USAID Cooperative Agreement No. HRN-A-00-00-00016-00; USAID Development Experience Clearinghouse DocID / Order No. PN-ACI-323)WHO, Stop-TB Partners, and NGOs that support country programs for DOTS implementation and expansion require capable consultants in assessing the capacity of countries to manage TB pharmaceuticals in their programs, developing interventions, and providing direct technical assistance to improve availability and accessibility of quality TB medicines. Beginning in 2001, RPM Plus, in addition to its own formal courses on pharmaceutical management for tuberculosis, has contributed modules and facilitated sessions on specific aspects of pharmaceutical management to the WHO Courses for TB Consultants in Sondalo. The WHO TB Course for TB Consultants was developed and initiated in 2001 by the WHO Collaborating Centre for Tuberculosis and Lung Diseases, the S. Maugeri Foundation, the Morelli Hospital, and TB CTA. The main goal of the course is to increase the pool of international level TB consultants. As of December 2005, over 150 international TB consultants have participated in the training, a majority ofwhom have already been employed in consultancy activities by the WHO and international donors. In 2006 fiscal year RPM Plus received funds from USAID to continue supporting the Sondalo Course, which allowed RPM Plus to facilitate sessions on pharmaceutical management for TB at four courses in May, June, July, and October of 2006. RPM Plus Senior Program Associate, Edgar Barillas, traveled to Sondalo from September 28 to October 1 to facilitate the TB pharmaceutical management session at the WHO course for TB Consultants in Sondalo, Italy. (excerpt)
Food and nutrition security in poverty alleviation: concepts, strategies, and experiences at the German Agency for Technical Cooperation.
Asia Pacific Journal of Clinical Nutrition. 2002; 11 Suppl:S341-S347.Poverty alleviation and food and nutrition security remain one of the priority areas of development policies for the German government. Poverty exists when individuals or groups are not able to satisfy their basic needs adequately. Poverty consists of at least three dimensions: (i) the availability of essential resources for basic needs; (ii) financial and other means of poor individuals and groups; and (iii) the physical, intellectual, social, and cultural status and position of poor individuals and groups. Following this model, the severity of poverty is the collective gap between the availability of the essential resources (i) and the individual ability to meet basic needs (ii) + (iii). Basic needs are not covered if individuals or groups are not able to develop themselves physically, intellectually, and/or socially according to their genetic potentials. As a result, growth retardation of children (‘stunting’), who are biologically and socially the most vulnerable individuals of the society, is a valid cultural independent indicator for poverty. One form of poverty is food and nutrition insecurity. Food security is achieved if adequate food (quantity, quality, safety, sociocultural acceptability) is available and accessible for and satisfactorily utilized by all individuals at all times to live a healthy and happy life. Food and nutrition programmes have four dimensions: (i) categorical; (ii) socio-organizational; (iii) managerial; and (iv) situationrelated dimensions. As shown in three examples of Indonesian–German programmes, despite the complexity of poverty and food and nutrition security, with adequate targeting of the most vulnerable population, adequate identification of problems for a proper selection of interventions and frequent evaluation, reduction of poverty and food insecurity can be achieved. (author's)
Rational Pharmaceutical Management Plus. Technical Advisory Group (TAG) -- 2nd Meeting on Tuberculosis: trip report.
Arlington, Virginia, Management Sciences for Health [MSH], Center for Pharmaceutical Management, Rational Pharmaceutical Management Plus, 2005 Oct. 15 p. (USAID Cooperative Agreement No. HRN-A-00-00-00016-00)RPM Plus has been substantially involved in TB activities in the E&E region both at the country and regional level since 1998, providing technical leadership to StopTB partners and technical assistance to countries in streamlining TB drug management systems as part of overall WHO DOTS strategy. In recognition of the RPM Plus role as a leader in pharmaceutical management, RPM Plus Program Manager for TB Andrey Zagorskiy was elected a member of the WHO/Euro Technical Advisory Group (TAG), with the first meeting in 2004 in Sinaia, Romania. In 2005, RPM Plus continued to provide technical leadership in pharmaceutical management for TB to WHO/Euro TAG, and participated in the second meeting in September 2005, in Copenhagen, Denmark. (author's)
International assistance to women's organizations. [Ayuda internacional a las organizaciones femeninas]
In: Women and civil war. Impact, organizations, and action, edited by Krishna Kumar. Boulder, Colorado, Lynne Rienner Publishers, 2001. 205-214.Several factors have led the international donor community to support women's organizations both during and after conflict. One obvious factor is that because of lack of resources, shortage of skilled personnel, and general decline in the morale of the staff, public bureaucracies become extremely fragile in war-torn societies. They are often unable to provide urgently needed social services to the suffering populace. Therefore, the international community tends to develop partnerships with voluntary organizations, including women's organizations, to provide essential assistance to the needy people. There are two additional reasons for the international donor community to support women's organizations. First, by virtue of their leadership and commitment, these organizations are better able to reach women than are male-dominated or mixed civil-society organizations. Their staff members can easily empathize with the intended women beneficiaries, who in turn feel more at ease in sharing their problems with them. Second, the international community also sees in women's organizations potential for empowering women. In addition to channeling assistance, they contribute to the social and psychological empowerment of women by teaching self-reliance and leadership skills. (excerpt)