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Progress of implementation of the World Health Organization strategy for HIV drug resistance control in Latin America and the Caribbean.
Revista Panamericana De Salud Publica. 2011 Dec; 30(6):657-62.By the end of 2010, Latin America and the Caribbean (LAC) achieved 63% antiretroviral treatment (ART) coverage. Measures to control HIV drug resistance (HIVDR) at the country level are recommended to maximize the efficacy and sustainability of ART programs. Since 2006, the Pan American Health Organization has supported implementation of the World Health Organization (WHO) strategy for HIVDR prevention and assessment through regional capacity-building activities and direct technical cooperation in 30 LAC countries. By 2010, 85 sites in 19 countries reported early warning indicators, providing information about the extent of potential drivers of drug resistance at the ART site. In 2009, 41.9% of sites did not achieve the WHO target of 100% appropriate first-line prescriptions; 6.3% still experienced high rates (> 20%) of loss to follow-up, and 16.2% had low retention of patients (< 70%) on first-line prescriptions in the first year of treatment. Stock-outs of antiretroviral drugs occurred at 22.7% of sites. Haiti, Guyana, and the Mesoamerican region are planning and implementing WHO HIVDR monitoring surveys or threshold surveys. New HIVDR surveillance tools for concentrated epidemics would promote further scale-up. Extending the WHO HIVDR lab network in Latin America is key to strengthening regional lab capacity to support quality assured HIVDR surveillance. The WHO HIVDR control strategy is feasible and can be rolled out in LAC. Integrating HIVDR activities in national HIV care and treatment plans is key to ensuring the sustainability of this strategy.
Geneva, Switzerland, UNAIDS, 2007 Mar. 97 p. (UNAIDS/07.08E; JC1311E)In April 2003, the Committee of Cosponsoring Organizations of the Joint United Nations Programme on HIV/AIDS (UNAIDS) approved a Learning Strategy to help UN system staff develop competence on HIV and AIDS. The goals of the Learning Strategy are: to develop the knowledge and competence of the UN and its staff so that they are able to best support national responses to HIV and AIDS; and to ensure that all UN staff members are able to make informed decisions to protect themselves from HIV and, if they are infected or affected by HIV, to ensure that they know where to turn for the best possible care and treatment. This includes ensuring that staff members fully understand the UN's HIV and AIDS workplace policies and how they are implemented. To support UN country teams to implement the Learning Strategy, Learning Facilitators were selected at country level and trained in a series of regional workshops. The Learning Facilitators were then expected to ensure - along with the country teams-that the standards of the Learning Strategy were realized. This report is comprised of UN HIV/AIDS Learning Strategy case studies from sixteen countries: Botswana, Brazil, Burkina Faso, Cape Verde, India, Indonesia, Macedonia, Madagascar, Morocco, Nigeria, the Pan American Health Organization headquarters (United States), Pakistan, Paraguay, Vienna (Austria), Viet Nam, and Yemen. It presents each country's unique experience in implementing the strategy since its adoption in 2003. (excerpt)
Atlanta, Georgia, CARE, 2005 Jun. 32 p. (Sexual and Reproductive Health Working Paper Series No. 1)In other words, keep digging below the surface. Getting rid of a thorny plant means digging right to the roots; it is not enough to just cut back the branches! But sometimes, fears of "getting it wrong" and other work pressures can leave staff unsure of how to deal with questions like: What do we really know about what is happening at field level? Do our project designs really achieve their intended effect? Why are we implementing projects this way? How do social and personal relationships in and around the project work? Who holds what power? Are we contributing enough to the creation of positive change in people's lives? How could we do more? These are not easy questions - and there are no simple answers. But by asking such questions throughout the project cycle, and looking for answers and amending work as a result, staff can increase project impact. Making one set of changes, however, is not enough. Staff must keep asking questions. Do the changes work? If so, who do they benefit? How? Where is the power now? Have inequities changed? And what else can be done to create greater change in people's lives? This approach is often referred to as "reflective learning," or learning by inquiry. It is closely linked with organizational learning. (excerpt)
The political economy of reform in Sub-Saharan Africa. Report of the Workshops on the Political Economy of Structural Adjustment and the Sustainability of Reform. Dalhousie University, Halifax, Canada, November 20-22,1986. World Bank, Washington, D.C., December 3-5,1986.
Washington, D.C., World Bank, 1988. 49 p. (EDI Policy Seminar Report No. 8)Toward the end of 1986, EDI organized two workshops on The Political Economy of Reform in Africa. Given the Bank's traditional stance, which emphasizes technical and economic factors in development, EDI's interest in this topic may surprise some readers. However, the Bank's recent experience of policy-based lending has underscored the need to broaden our understanding of political and public administration issues. Furthermore, recent EDI senior policy seminars in Africa have reinforced the view that political economy issues are amongst the main obstacles to the initiation and implementation of policy reform. For these reasons, EDI decided to design a series of three Senior Policy Seminars on Structural Adjustment and the Sustainability of Reform in Sub-Saharan Africa (SSA) during 1986-87. To prepare for these seminars with ministers and senior civil servants from all over sub-Saharan Africa, we decided to convene consultations with scholars in the field of political economy. These discussions would equip us to organize a forum for the exploration of policy processes, including political economy issues, with African practitioners. (excerpt)
Proceedings of the Workshop on Strategies for Implementation of Rajasthan Population Policy, Jaipur, January 20, 2000.
Jaipur, India, Rajasthan State Institute of Health and Family Welfare, Population Resource Centre, 2000. xiv, 50 p.The living standards of the people of the state can be improved only by formulating and implementing a policy that will effect appropriate changes in the size, structure and distribution of population. The Population Policy of Rajasthan indicates the qualitative demographic goals to be achieved, within a defined time frame and states the proposed interventions and innovations to achieve the specified goals. However, the strategy for implementation must have the active involvement of all stakeholders. A national workshop on developing strategies was held simultaneously with the release of the Policy. This report, which is the proceedings of the workshop, provides insight into the implementation of the Policy. (author's)