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Tuberculosis. Testimony of Dr. Kent R. Hill, Assistant Administrator for Global Health, U.S. Agency for International Development, before the Subcommittee on Africa and Global Health, Committee on Foreign Affairs, U.S. House of Representatives, March 21, 2007.
[Unpublished] 2007.  p. (USAID Development Experience Clearinghouse DocID / Order No. PD-ACJ-067)I know we are here to talk about Africa - where the TB problem is indeed severe -- but it is also important and relevant to keep in mind the global TB situation. Sixty percent of the global burden of TB is in the Asia and the Western Pacific regions - notably in countries such as India, China, Indonesia, Bangladesh, Pakistan, The Philippines, Viet Nam, and Cambodia. While many of these countries have made tremendous progress in recent years, there is still much more that needs to be done to ensure sustainability. In Latin America, while there has been much success in controlling TB, sustaining that progress will require TB services reaching the poorest and marginalized groups in all countries. We also can not forget Eastern Europe and Eurasia, where gaining commitment to internationally recognized TB control standards continues to be an uphill struggle. While the recent outbreak of XDR TB in South Africa has made the headlines and must be urgently and effectively dealt with, 17 of the 21 priority countries identified in the WHO's Global MDR and XDR TB response plan are in Asia and the Western Pacific. We must increase attention to Africa, but we can not overlook the other regions where TB is still a serious problem and where MDR and XDR TB are a looming threat. Between 2000 and 2006, USAID provided about $500 million for TB programs worldwide. Our FY 2006 funding level was about $90 million which supported bilateral TB programs in 37 countries (of which 19 are USAID high priority TB countries), as well as other key activities including global surveillance and research on new anti-TB drugs and diagnostics. In FY 2006, USAID provided $5 million to the STOP TB Partnership's Global TB Drug Facility (GDF), an important mechanism that provides drugs to countries in need. Our programs are fully aligned with the new STOP TB Strategy, which builds on the WHO recommended "Directly Observed Treatment, Shortcourse" or DOTS by giving attention to DOTS quality and as well as expansion, TB/HIV-AIDS and MDR TB, engaging all care providers, empowering people with TB and communities, contributing to health system strengthening, and research. (excerpt)
The projected use of client and provider information in analyzing the demand for primary health services in Mexico.
[Unpublished] 1993. Presented at the Expert Meeting on Information Systems and Measurement for Assessing Program Effects, Washington, D.C., September 9-10, 1993. Sponsored by National Academy of Sciences Committee on Population. 5 p.The World Bank has been financing a project designed to improve the quality of public primary health care centers in the poorest states of Mexico, Chiapas, Oaxaca, Hidalgo, and Guerrero, where indigenous people have the worst health indicators, social security coverage, and public health facilities. The Secretary of Health and the World Bank decided to probe why these investments have not lead to the increase in the use of primary health care centers backed up by a group of national and international experts. Information was collected from public primary health care providers and potential clients. A non-random sample of clinics was selected within each of the 4 states. The field work was conducted in August-September 1993. Interviews with public health staff were conducted at the clinics and focus groups interviews of potential clients were conducted by two-person teams of anthropologists speaking the indigenous language. Within the Department of Evaluation and Statistics, the quality of secondary and tertiary level services was evaluated to be extended to primary health care centers in the near future. From the clinics, information will be collected on the availability of medicines, state of physical facilities, and costs and availability of services. Medical staff will identify the names of the most important traditional illnesses in the communities. The findings will be presented to the directors of the health services of these states over a two-day seminar. Subsequently, there will be a pilot test using 300 households whose data will be presented to the directors of the health services at a second seminar. A second qualitative study is planned to identify catchment areas where there is a relatively high and low utilization of public health services. The final step is the presentation of results to the directors of the health services in these states in July 1994.
[Unpublished] 1978. Paper presented at National Workshop on Innovative Projects in Family Planning and Rural Institutions in Bangladesh, Dacca, Bangladesh, Feb. 1-4, 1978. 21 p.The author describes the establishment of a rural health service in Companigonj thana in Bangladesh done jointly by the government and international relief agencies. Provision was made for integrated health services including family planning, child health services, maternal health services, nutrition programs, and both curative and preventive medicine. Field workers, mostly female, were trained to provide medical services not requiring a doctor's presence. The author finds a marked increase in attendance at the health service over a period of years. The government should intensify its participation in the health service component for the program to have a chance of taking hold. Tables to illustrate the experience of the program in money expended; numbers of patients; cost per patient; clinic attendance by age, sex; hospital deliveries; new family planning acceptors; contraceptive usage; mortality and birth rate and causes of death by age; and antenatal follow up.
Kuala Lumpur, IPPF East and South East Asia and Oceania Region, Nov. 1976. 60 p.Add to my documents.