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Academic Research
One hundred and eighteen years of German health insurance
A number of low and middle income countries (LMICs) are considering social health insurance (SHI) for adoption into their social and economic environment or striving to sustain and improve already existing SHI schemes. For each of the following lessons, this paper considers if and under which conditions they may be of relevance to LMICs.
Aid Effectivenss after Accra
This Briefing Paper examines aid effectiveness and the impact of the Paris Principles in the run-up to the Third High Level Forum, in Accra in September 2008. Drawing on research commissioned by ABIA, it concludes that political change in aid recipient countries is more important than anyone is admitting and that donor alignment efforts are compromised by a damaging mix of risk-avoidance and political correctness. It argues that both donors and country authorities should assume greater responsibility for their own incentive structures.
Promoting Mutual Accountability in Aid Relationships
This Briefing Paper asserts that the quality of aid must improve if poverty reduction objectives are to be met. There are two main challenges: first, changing donor practices to increase aid effectiveness (e.g. aid untying, harmonization), and second, donors recognizing that aid will only be successful if it is truly ‘owned’ by recipient countries. Mutual accountability goes to the heart of these two challenges. In the current aid system, recipients are highly accountable to donors, but donors are seldom accountable to recipients.
Acceptability of multiple micronutrient supplements by pregnant and lactating women in Mali
In Mali, an estimated 73% of pregnant women are anemic largely due to iron deficiency. National policy recommends women to take iron and folic acid supplements daily from first prenatal contact until 3 months postpartum. However, many pregnant women in Mali could benefit from multiple micronutrient supplements. The objective of this study was to assess pregnant women’s acceptability of and adherence to a daily multiple micronutrient supplementation scheme compared with the current daily iron and folic acid supplementation scheme.
Growth and Development of Adolescent Girls From the Segou Region of Mali (West Africa)
In Mali, adolescent girls face many physical stresses which, with a history of poor nutrition, can result in delayed growth and development. Despite the fact that adolescent girls encounter nutritional demands, most research in Mali has focused only on young children. This study examines anthropometric and reproductive data on 1,056 adolescent girls (aged 10–17 years) from the Segou Region of Mali. When compared to the reference population, the Malian girls exhibited poorer indicators of growth and development. Z-scores for height-for-age and weight-for-age were below 0 at all ages.
Differentials of fertility in North and South Gondar zones, northwest Ethiopia: A comparative cross-sectional study
Ethiopia is one of the most densely populated countries in Africa with an estimated population of 77.1 million in mid-2007. Uncontrolled fertility has adversely influenced the socioeconomic, demographic and environmental situations of the country. Even in the midst of crisis, it has maintained high levels of fertility. A comparative cross-sectional study which included 2424 women aged 25 years and above was undertaken in the Amhara region of Northwest Ethiopia. The study subjects were grouped into high fertile and low fertile categories.
Awareness and determinants of family planning practice in Jimma, Ethiopia
The continuing growth of the world population has become an urgent global problem. Ethiopia, like most countries in sub-Saharan Africa, is experiencing rapid population growth. Currently, the country’s population is growing at a rate of 3%, one of the highest rates in the world and if it continues unabated, the population will have doubled in 23 years, preventing any gain in the national development effort. The objective of this study was to determine the level and determinants of family planning awareness and practice in one Ethiopian town.
Delivering on the MDGs?: Equity and Maternal Health in Ghana, Ethiopia and Kenya
The Millennium Development Goals (MDGs) have put maternal health in the mainstream, but there is a need to go beyond the MDGs to address equity within countries. We argue that MDG focus on maternal health is necessary but not sufficient. This paper uses Demographic and Health Survey (DHS) data from Kenya, Ethiopia and Ghana to examine a set of maternal health indicators stratified along five different dimensions. The study highlights the interactive and multiple forms of disadvantage and demonstrates that equity monitoring for the MDGs is possible, even given current data limitations.
Sustainability and factors affecting the success of community-based reproductive health programs in rural Northwest Ethiopia
Various community-based reproductive health programs (CBRHPs) were initiated in many developing countries but their effectiveness has not been evaluated as much as needed. A comparative cross sectional study was carried out in February 2002 among women who participated in CBRHPs in South Gondar zone, Ethiopia. The study was conducted in eight kebeles taking successful and weak program areas for comparison. Qualitative methods included key informant interviews and focus group discussions with community-based reproductive health agents (CBRHAs).
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MLI Voices
Jun 22 2009 - 4:25pmSierra Leone
Even though I have worked in Sierra Leone in the past, the role of MLI Country Lead has given me the opportunity to build upon these previous experiences and to work closely with members of the Ministry of Health and Sanitation (MOHS), to support the implementation of health policies and reforms that they have prioritized.
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