Digital Health Information Systems (HIS) have potential to improve the finances of health-care organisations in lower income countries through better tracking of patients and procedures, more timely billing, greater professional accountability and more informed decisions. However, little is known about how HIS influence these processes in such settings or how contextual and social factors mediate their implementation and impacts. This study investigated whether, and through what mechanisms, the implementation of a modular HIS influenced revenue capture from patient billing in a large referral hospital in Malawi, drawing on the perspectives of complex socio-technical systems, health system strengthening and ICT for good-governance.
Knowledge translation (KT) is a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically sound application of knowledge to yield beneficial outcomes for society. Effective KT requires researchers to play an active role in promoting evidence uptake. This paper presents a systematised review of evidence on low- and middle-income country (LMIC) researchers’ KT capacity, practice and interventions for enhancing their KT practice (support) with the aim of identifying gaps and informing future research and interventions. You can find the article here, for the open-access PDF. Authors: Violet I. Murunga, Rose N. Oronje, Imelda Bates, Nadia Tagoe, and Justin Pulford […]
This paper discusses our experiences and lessons from the Strengthening Capacity for Evidence Use in Health Policy (SECURE Health) project implemented in Kenya and Malawi to strengthen capacity for evidence use within the ministries of health (MoHs). The intervention implemented simultaneous activities to build technical skills at the individual level, strengthen institutional policies and structures that enable evidence use, and cultivate a supportive political environment for enabling increased demand and use of evidence in health policy-making in Kenya and Malawi. This paper discusses fresh, context-specific lessons and insights in strengthening institutional and individual capacities in government agencies for evidence use in Kenya and […]
Nutritional interventions to prevent stunting of infants and young children are most often applied in rural areas in low- and middle-income countries (LMIC). Few interventions are focused on urban slums. The objective of this systematic review was to assess the impact of nutritional interventions to reduce stunting in infants and children under five years old in urban slums from LMIC and the effect of nutritional interventions on other nutritional (wasting and underweight) and non‐nutritional outcomes (socioeconomic, health and developmental) in addition to stunting. You can find the article here. Authors: Authors: Sophie M Goudet, Barry A Bogin, Nyovani J Madise and […]
Despite growing interest in evidence among parliamentarians and some emerging literature on evidence use in decision making in parliaments, there is still a notable gap in knowledge on the ecosystem of evidence in parliaments. This paper seeks to contribute to filling this gap by discussing the contribution of a loose regional network, the Network of African Parliamentary Committees on Health (NEAPACOH), to the evidence ecosystem in African parliaments. Although the network was not set up to strengthen evidence use, its mechanisms for realising its goal of strengthening parliamentary committees of health to effectively tackle health challenges in Africa provide an […]
Worldwide, more than one-third of women have experienced either sexual or physical violence, often perpetrated by an intimate partner, while about 7% have been sexually assaulted by a non-partner. Such violence is not only a crime, but also a public health concern since it is associated with ill-health including depression, low birthweight babies, and infection from HIV. The study by Julie Pannetier and colleagues in The Lancet Public Health provides evidence of forced sex and HIV infection in female migrants in Europe. Article: Download For journal article link click here Authors: Nyovani Janet Madise, Bernard Onyango
Increasingly, decision makers are recognising the value of evidence in formulating sound and sustainable policies. More researchers have also become concerned with ensuring that their evidence reaches policy makers. It is emerging that researchers and policy makers do not speak to each other as much as they should. This commentary shares examples of how population researchers and communications experts have collaborated to overcome the research-to-policy gap and to connect policy makers with research evidence. To access article click here. Authors: Diana Warira, Eunice Mueni, Elizabeth Gay, and Marlene Lee
In recent years, the demographic dividend has garnered enormous traction in policy circles as African policy-makers, especially in ministries of finance and development planning, see it as central to achieving their economic growth targets. The demographic dividend is the economic benefit arising from a change in a society’s age structure, from a structure dominated by child dependents to one with a greater proportion of working-age adults. It is estimated that a quarter to a third of the phenomenal socioe-conomic development experienced by East Asian countries like Malaysia, South Korea, and Thailand between 1970 and 2000 can be attributed to this […]
Enhancing accountability in health systems is increasingly emphasised as crucial for improving the nature and quality of health service delivery worldwide and particularly in developing countries. Accountability mechanisms include, among others, health facilities committees, suggestion boxes, facility and patient charters. However, there is a dearth of information regarding the nature of and factors that influence the performance of accountability mechanisms, especially in developing countries. This study examines community members’ experiences of one such accountability mechanism, the health facility charter in Kericho District, Kenya. Full text available here Authors: Atela, M, Bakibinga, P, Ettarh, R, Kyobutungi, C, Cohn, S.
The aim of this journal article was to assess effectiveness of guidelines for referral for elective surgical assessment using systematic review with descriptive synthesis.
Participant non-response in an HIV serosurvey can affect estimates of HIV prevalence. Nonresponse can arise from a participant’s refusal to provide a blood sample or the failure to trace a sampled individual.
While early sexual experiences are a key marker of the transition from childhood to adulthood, it is widely acknowledged that precocious initiation of sexual activity predisposes adolescents to negative health and psychological outcomes.