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IRIN Examines Decline Of Public Health Services In Lesotho

IRIN reports on a decline in public health services in Lesotho, writing, “In 2007, the government of Lesotho and [the Christian Health Association of Lesotho], which runs 75 health centers and eight hospitals … signed a Memorandum of Understanding with the aim of making health services more accessible to ordinary Basotho who could not afford even the nominal fees that both state and CHAL-run health facilities charged. Patients would now get free medical services and drugs at health centers and subsidized medical care and drugs at hospitals. However, the resulting influx of patients put a huge strain on health centers and their supply of drugs and many over-burdened government and CHAL health centers have taken to referring patients to private clinics and pharmacies.”

Despite Increase In Health Care Spending In Angola, Quality Of Care Remains Low

“Angola has tripled its spending on health care since 2006, but for the vast majority of Angolans who can’t afford sparkling new private clinics — or better yet, care abroad — a trip to the hospital is still a nightmare,” Agence France-Presse reports. “Despite its oil wealth, in 2006 Angola ranked ninth from the bottom in the world on health spending, which accounted for just 2.5 percent of gross domestic product. Since then, spending per person has tripled from $64 to $204, according to World Health Organization data,” according to AFP.

Health Workers Key To 'Effective Health Care Delivery'

In addition to “essential money,” “the right policies, government commitment and citizen accountability” are needed to decrease child mortality and improve other global health indicators, “[b]ut the sine qua non for effective health care delivery is health workers. Whether it’s prevention, treatment or care, it’s all about health workers,” Jonathan Glennie, a research fellow at the Overseas Development Institute, writes in a post on the Guardian’s “Poverty Matters Blog.”

Test To Properly Diagnose Fever In Children Needed 'Desperately'

“[F]ar too many children in Kenya and other African countries continue to suffer unnecessarily each year due to the misdiagnosis of fever, which contributes to the deaths of nearly three million children of less than five years of age from malaria and pneumonia,” Willis Akhwale, head of Kenya’s Department of Disease Prevention and Control in the Ministry of Public Health and Sanitation, writes in a Daily Nation opinion piece, saying that health care workers “desperately need a test that can quickly and accurately identify and distinguish between fever-causing diseases.”

Gates Foundation's Ananya Alliance Aims To Improve Newborn Health In India

Usha Kiran Tarigopula, deputy director in global health at the Bill & Melinda Gates Foundation, writes about the Foundation’s partnership with the state of Bihar, India through the Ananya Alliance “aimed at reducing maternal, newborn, and child mortality by 40 percent by 2015,” in this “Inpatient Optimists” blog post, which is part of a series called “Global Conversations on Newborn Health in India.” She writes, “The emphasis is on family planning, pre- and post-delivery care for mothers and their newly born infants, immediate and exclusive breastfeeding, care and nutrition for children up to two years old, and routine immunization. Coverage for treatment of diarrhea and pneumonia, as well as some neglected diseases and sanitation, is also a part of the plan” (9/7).

Women Struggling To Find Truly Free Health Care In Sierra Leone's System, Amnesty International Report Says

“Sierra Leone’s free health care plan for pregnant women and young children is dysfunctional and hobbled by corruption and a lack of accountability,” according to a report (.pdf) released Tuesday by Amnesty International, Agence France-Presse reports. The nation’s free health care program for pregnant women, nursing mothers and children under five years old was launched in April 2010 with support from UNICEF, the World Bank, the WHO and the U.K. Department for International Development, AFP notes (9/6).

Information And Communications Technology Revolution In The Developing World

Charles Ebikeme, a writer who “has worked for many years as a research scientist on African sleeping sickness,” examines a health revolution in information and communications technology (ICT) taking place across the developing world in this “End the Neglect” blog post, writing, “The initial concept of telemedicine now spans a…

'Sustainable Global Pharmacovigilance' Systems Needed To Monitor ARVs, Other Drugs

With more widespread access to antiretroviral (ARV) drugs “comes a greater need to monitor and promote the safety and effectiveness of these essential medicines in the new environments, which are distinct from those of pre-market studies and the resource rich countries that have had ARV access for years. Without sufficient monitoring systems in place, we can’t efficiently identify and stop counterfeiting of ARV drugs,” Jur Strobos, deputy director of the Forum for Collaborative HIV Research, and Andy Stergachis, professor of epidemiology and global health and director of the Global Medicines Program at School of Public Health at the University of Washington, write in an opinion piece in The Scientist.

Money Alone Cannot Fix Russia's 'Demographic Crisis'

Russia “is in a demographic crisis, shedding 2.2 million people (or 1.6 percent of the population) since 2002, and the government is trying to encourage more women to bring Russian citizens into the world,” journalist Natalia Antonova writes in a Foreign Policy opinion piece, in which she describes her experience with the Russian medical system after “unexpectedly” becoming pregnant shortly after receiving her visa to work in Moscow.