CANCHID is cross-posting Issue No. 17 of the World Bank's HDDFLASH as a
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---------- Forwarded message ----------
Date: Thu, 31 Jul 97 16:09:22 EDT
From: [log in to unmask]
Reply-To: [log in to unmask]
To: Multiple recipients of the list hddflash <[log in to unmask]>
Subject: HDDFLASH ISSUE no. 17
HDDFLASH ISSUE No. 17, August 1, 1997
Electronic Newsletter and Archiving Service on human development issues
World Bank
Human Development Department
E-mail: [log in to unmask]
http:/www.worldbank.org/html/hcovp/hdd/contents.html
_____________________________________________________________________________
In this issue....
* World Bank Strategy for the Health, Nutrition and Population Sector
* New Publications to Note
* Request for Proposals
* Job Announcements
_____________________________________________________________________________
Dear HDDFLASH subscribers:
This is my last issue of the newsletter as editor and administrator.
My personal thanks to the many who have provided invaluable contributions to
the newsletter in my two years as editor. I have enjoyed working and speaking
to many of you, in person and/or electronically. We continue to value your
patronage and participation.
At this time, I would like to introduce HDDFLASH's new editor, Homira Nassery
who will be joining us sometime late August.
Best wishes to all,
Vivian Hon
[log in to unmask]
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Sector Strategy for Health, Nutrition and Population
*************************************************************************
The Health, Nutrition and Population (HNP) Sector Strategy Paper is the first
in a series of Sector Strategy Papers (SSPs) that are intended to complement
Bank Country Assistance Strategies (CASs). It goes beyond past approaches to
sectoral reviews and strategies to reflect lessons learned; to determining
Network priorities for research, staffing and policy work; and contributing to
CAS by identifying country sectoral issues.
Section 1 of the report reviews the gains in the HNP sector and addresses
future development challenges and policy directions. Despite remarkable
historic gains, 2 million vaccine preventable childhood deaths and 7.5 million
perinatal deaths occur annually. Poor countries with rapid population growth
are placing increasing burdens on their health and social services.
Furthermore, weak government implementation capacity and market imperfections
in the private sector result in limiting access of health services to the
poor. Factors such as dissatisfaction with poor health outcomes, low quality
of care, cost escalation have led to a wave of health reforms throughout the
world.
Section II addresses the Bank's involvement in the HNP sector since the early
1970s and lessons learned in its overall lending portfolio. At the end of
FY96, there were 154 active HNP projects in 82 countries valued at
US$ 9.2 billion and 94 completed projects. Roughly, one-half of Bank financing
from FY94-96 was in IDA credits targeted to poor countries. Interestingly, the
study found that the real source of aid effectiveness in the sector is reforms
resulting from policy advice and not the loan themselves, which often
substitutes for government spending. Other concerns include a relatively high
number of unsatisfactory projects; sustainability of projects and their
contributions to institutional developments; and the decrease in analytical
and policy work.
The last section sets the challenges and the strategy for the Bank into the
21st century. The report lists the Bank's objectives as assisting client
countries in:
(i) improving the HNP outcomes, especially the poor;
(ii) enhancing the performance of the health care systems by promoting
equitable access to quality services that are affordable, effective, efficient
and client-responsive;
(iii) securing sustainable health care financing by mobilizing sufficient
resources, establishing risk-pooling mechanisms and maintaining effective
control over public and private expenditures in health.
The report proposes greater partnerships between client countries and NGOs;
mutual collaboration between the Bank and international health community,
building on each organization's comparative advantage. It also recognizes the
need to address staffing issues and improving clients services through
knowledge management.
The "Sector Strategy Paper: Health, Nutrition and Population" report no.
R97-168 is available at any World Bank Public Information Center email:
[log in to unmask]
In the US, tel: (202) 458-5454; fax: (202) 522-1500
Mail Address: 1818 H Street, N.W.
Room GC1-300
Washington, D.C. 20433, U.S.A .
or contact Sancta Watley at [log in to unmask]
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NEW PUBLICATIONS TO NOTE
**************************************************************************
Schieber, George (ed.) Innovations in Health Care Financing.
Proceedings of a World Bank Conference, March 10-11, 1997. World
Bank Discussion Paper no. 365.
Health care expenditures account for 9% of total global product.
Financing health care is a critical concern for the developed and
developing world. This proceedings contains thirteen papers
presented at the World Bank's Conference on Innovations in Health
Care Financing held in Washington, D.C.
The conference brought together 400 participants from more than 70
countries to consider a wide range of issues relating to health
financing in low- and middle-income countries. The conceptual and
operation policy contexts were addressed. Issues ranged from user
charges and informal risk-pooling schemes to the more recent
innovations such as medical savings accounts and managed
competition.
266 pages / 8½ x 11 / (ISBN 0-8213-3964-8) / Stock no. 13964 /
$20.00 / Price code S20
This publication is available at the World Bank bookstore (202)
473-2941 or fax: (202) 477-0604.
To order by phone, in the US, contact: World Bank, P.O. Box
7247-8619, Philadelphia, PA 19170-8619; tel: (703)661-1580 or fax:
(703)661-1501
##################
Health Conditions in the Caribbean, Pan American Health Organization (PAHO)
*** SPECIAL Pre-publication Discount
The PAHO, regional office of the World Health Organization, is pleased to
announce its forthcoming publication, "Health Conditions in the Caribbean."
Now, for the first time, you can turn to one comprehensive source for
accurate information about the health situation in the Caribbean.
In "Health Conditions in the Caribbean," the PAHO presents an overview of
the challenges and conditions faced by health systems in the Caribbean
Community (CARICOM) member countries.
The 326-page book consists of two major sections and an appendix of
statistical tables. Section I highlights the general health status of
the Caribbean people and its social context. The first two chapters cover
the socioeconomic and political situation and include morbidity and
mortality statistics. The following chapter deals with two of the
priorities of the CCH initiative: health infrastructure and human resources
development. Other chapters cover the history and development of health
legislation in the subregion; health promotion; and women, health and
development.
Section II describes those health program areas which correspond to the
major causes of morbidity and mortality in the Caribbean. Five of the eight
chapters concern priorities identified by the CCH: maternal and child
health, food and nutrition, control of noncommunicable diseases, AIDS
prevention and control, and environmental protection, including disaster
management. The remaining chapters focus on the elderly-- a growing segment
of the populations of these countries-- mental health, and oral health.
The result of painstaking data collection and investigations by public
health experts from across the subregion, "Health Conditions in the
Caribbean" (SP 561) is anticipated to be available in August, 1997.
The list price for this publication is US$ 36.00.
PAHO is pleased to offer HDD Flash subscribers a 10% pre-publication
discount. To order, mail your check or money order for US$ 32.40, plus
$7.00 s&h, along with shipping information and quantity desired. Include a
copy of this promotion (Ref. HDDF01) and mail to:
PAHO Sales and Distribution Center
PO Box 27
Annapolis Junction, MD 20701-0027, U.S.A.
Or, expedite your order using Visa or MasterCard: send order
information, plus card account no./ expiration date, and fax to (301)
206-9789, or E-mail to [log in to unmask] Reference promotion HDDF01.
Visit PAHO's web site at http://www.paho.org, click on publications,
or E-mail [log in to unmask], for more information.
##################
Amy O. Tsui, Judith N. Wasserheit, and John Haaga (eds.), Reproductive
Health in Developing Countries: Expanding Dimensions, Building Solutions,
National Academy Press.
This is the final report of the Panel on Reproductive Health, a
multidisciplinary, international group of experts commissioned by the
Committee on Population of the National Research Council/National Academy
of Sciences.
The panel, chaired by Tsui and Wasserheit, was asked to assess the
magnitude of reproductive health problems in developing countries and
what is known about the effectiveness and costs of interventions to deal
with them. Its work was funded by the US Agency for International
Development, the Andrew Mellon Foundation, and the William and Flora
Hewlett Foundation.
The report deals with policies and programs to promote healthy sexuality,
healthy pregnancy and childbearing, and to prevent reproductive tract
infections and sexually transmitted diseases and unintended births.
Cross-cutting themes include lessons learned about program design and
delivery, costs and financing.
The volume (ISBN 0-309-05644-6, 328 pp. 6X9, index, hardbound) is
available for $44.95 plus shipping and handling charge ($4.00 for first
book, $0.50 for each additional book) from National Academy Press, 2101
Constitution Avenue NW, Lockbox 285, Washington DC 20055 (phone
800-624-6242 or 202-334-3313; fax 202-334-2451). Order via Internet at
http://www.nap.edu.
The volume is available on the Internet at http://www.nap.edu or
http://www2.nas.edu/cpop.
##################
Bobadilla, J.L., C. A. Costello, and F. Mitchell (eds.). Premature Death in
the New Independent States, The National Academy Press
The volume includes selected papers originally presented at workshops on
adult mortality and health priorities in the countries of the former Soviet
Union, organized by the Committee on Population of the National Research
Council/ National Academy of Sciences and funded by the US Agency for
International Development (USAID). The chapters in the first two sections
of the volume deal with mortality levels and trends, causes of death,
issues of data quality, and the epidemiologic transition. A final section
includes chapters on major risk factors associated with the alarming fall
in life expectancy, especially for adult men -- alcohol and tobacco use and
poor diets -- and on possible lessons from public health programs both in
the New Independent States and elsewhere. The volume should interest
demographers, epidemiologists, and health policy analysts working on any of
the formerly socialist economies of Eurasia.
Copies of the report (ISBN 0-309-05734-5, 404 pages paperback, 6X9,
index) are available ($59.00, plus $4.00 shipping and handling for the
first book and $0.50 for each additional book) from National Academy
Press, 2101 Constitution Avenue NW, Box 285, Washington DC 20055, or by
phone (800-624-6242 or 202-334-3313) or Internet (http://www.nap.edu).
The full text of the report is available on the Internet
(http://www.nap.edu or from the Committee on Population site,
http://www2.nas.edu/cpop).
##################
Post, May. Preventing Maternal Mortality through Emergency Obstetric Care
Academy for Educational Development, 1997.
The Safe Motherhood Initiative, launched in 1987, aimed to reduce the
number of maternal deaths by the year 2000. In 1996, new estimates of
maternal mortality and indicated that 80,000 more women died from
complications of pregnancy and labor than earlier estimates had
suggested. The majority of maternal deaths seem to be directly due to
obstetric complications such as hemorrhage, unsafe abortion,
hypertensive disorders, sepsis, and obstructed labor.
To date, the focus of safe motherhood programs in most countries has
been on delivery of maternal services rather than emergency obstetric
care (EOC). The challenge in reducing maternal mortality is to
concentrate on improving efficient delivery of care for emergency
obstetric complications in addition to ongoing maternal health care
services. Preventing Maternal Mortality through Emergency Obstetric
Care discusses the barriers to timely and appropriate EOC, lessons
learned and best practices for improving EOC, the cost of EOC, and
research needs and information gaps. The report recommends interventions
that can be effectively carried out at various levels of the
health system starting from the community itself and community-level
facilities to private sector providers, donors, program managers, and
policymakers.
Preventing Maternal Mortality through Emergency Obstetric Care
May Post, Academy for Educational Development,
SARA Project
Washington, D.C. (April 1997)
21 pp - also available in French
To request a copy of Preventing Maternal Mortality through
Emergency Obstetric Care, please contact:
SARA Project
Academy for Educational Development
1255 23rd St., NW
Washington, DC 20037 USA
Tel: (202) 884-870
Fax: (202) 884-8701
email: [log in to unmask]
The full text is also available in the HDDFLASH archive under filename
aed002.
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REQUEST FOR PROPOSAL
**************************************************************************
Health Alliance/USAID Seek US Health Care Institutions and Systems for
Partnership Projects in the Russian Federation
WASHINGTON, DC -- The American International Health Alliance, Inc. (AIHA)
and the USAID announce the planned expansion of their health care
partnership program with up to three new short-term partnerships in the
Russian Federation. AIHA is soliciting expressions of interest from
qualified US health care institutions and systems willing to devote
substantial in-kind resources, mainly in the form of human resources
committed on a voluntary basis, to a one-year partnership project with
counterparts in the Russian Federation. US institutions and systems to be
considered will be those which have already-existing programs with Russian
counterpart institutions and which have demonstrated a clear commitment
and capacity to develop a health care improvement project at the
institutional or system level for which supplementary funding is critical
to achieve effective completion. In addition, the US partners should be
prepared at the end of one year to document and disseminate significant
outcomes from the implementation of the partnership project.
The new health care partnerships will be part of an ongoing health care
development program financed through USAID and managed by AIHA which
includes forty partnerships in eleven republics of the New Independent
States (NIS) and in nine countries of Central and Eastern Europe (CEE).
AIHA partnerships have enabled American health care providers to work with
their colleagues abroad to address significant mortality and morbidity
issues, improve health care organizations and introduce market-oriented
solutions to health system delivery problems. The partnership program
emphasizes professional exchanges involving physicians, nurses,
administrators and technicians. AIHA partnerships also collaborate with
related ministries of health, local and regional health systems
administrations, and schools of health sciences to ensure that critical
areas of health education and administration are adequately addressed at
these higher institutional levels, and that the capacity to carry out
other developmental assistance efforts is enhanced.
The funding cycle for these new partnership projects will be for one year,
beginning approximately September 1, 1997 through August 31, 1998.
Funding will be established and monitored against a clearly defined
workplan directed toward a significant improvement in health care services
management or organization. Proposed projects should facilitate a health
care delivery system which emphasizes cost-effective and efficient
integration of ambulatory and inpatient care within the broad context of
public health.The workplan must reflect strong collaboration and mutually
agreed upon objectives and strategies between the US and Russian partners.
AIHA/USAID funding supplements the voluntary and in-kind contributions of
the partners and their respective communities in the US and abroad.
Existing AIHA partnerships have leveraged nearly three dollars for every
US government dollar expended. AIHA/USAID funds mainly support travel and
other costs essential in establishing and realizing the full potential of
each partnership's specific project. Awards under this program are not
expected to exceed $50,000 each. AIHA staff in Washington, DC and in the
Russian Federation will provide logistical support and assist in
monitoring the progress of the partnerships.
Interested US partners must have the willingness and capacity to meet the
specific health care delivery needs described above, and must satisfy the
following criteria:
-- Be institution-based -- e.g., a hospital or group of hospitals, schools
of health professions, a managed cared organization or other consortia of
health care providers. If a group of institutions is involved, a lead
institution must be designated;
-- Be supported by the institution's senior leadership and Board and
clearly identify an overall partnership coordinator;
-- Make substantial voluntary commitment to the partnership through a
significant contribution of resources, including human resources;
-- Actively involve the local community served by the US partners,
including any significant emigre community that may be present;
-- Share information openly and participate fully in AIHA's efforts to
exchange information with other US/NIS and US/CEE partnerships through the
AIHA Partnership Clearinghouse and dissemination conferences and seminars;
-- Adhere to AIHA's rigorous objective-setting and results-oriented
approach, including:
(a) Enter into a formal Memorandum of Understanding (MOU) and work
within the overall coordination and guidance of AIHA and its designated
program coordinator;
(b) Develop demonstration-type interventions with significant training
components and capacity for replication;
(c) Establish mechanisms (such as training programs and conferences)
for the diffusion of partnership successes; and
(d) Participate in regular program evaluations to assess partnership
progress and achievements.
Health care institutions and systems wishing to be considered for
participation in the new one-year Russian partnership projects should
submit proposals (15 pages maximum) by August 1, 1997 describing their
proposed project, projected outcomes, relevance as a model and potential
for replication, and detailing their interest and ability to carry out the
proposed project under the AIHA model. The statement should describe the
institution=s or system=s prior and current commitments to their Russian
counterparts, its commitment to the partnership program, the human and
material resources it will devote to the proposed project, and specific
strengths of both the institution and its Russian partner. Working with
USAID, AIHA will select the institution or groups of institutions which
best fulfill the criteria listed above and offer the greatest potential
for a successful project.
Statements should be directed to:
Mr. Donald W. Harbick
Director for NIS Programs
American International Health Alliance, Inc.
1212 New York Avenue, NW, Suite 750
Washington, DC 20005
For additional information, please contact Mr. Harbick. Tel: (202)
789-1136, fax: (202) 789-1277, E-Mail: [log in to unmask]
#####################
WHO Collaborating Centre for Health Economics
Faculty of Economics, Chulalongkorn University
WHO 50th ANNIVERSARY
Best Health Economics Essay Awards
CALL FOR ENTRIES
To celebrate the 50th Anniversary of WHO, the Centre for Health
Economics, Faculty of Economics, Chulalongkorn University in
collaboration with WHO Geneva, SEARO and WHO Representative to Thailand,
we would like to invite competition for Best Health Economics Essay Awards
from nationals who are permanent residents of countries in Asia and the
Pacific.
To be accepted an essay must be an original work which has never
been published anywhere. It must be written in English, A4 typed, with at
least 5,000 words which can be on all aspects of health economics.
Applicants to the competition must complete the Application Form which
must reach the Centre for Health Economics by 30 September 1997.
Application Form can be obtained from WHO Representative Office, Ministry
of Health, and major universities in each country, or directly from the
Centre for Health Economics. The award of prizes will be adjudicated by an
independent international panel of experts in health economics. The Panel
will reserve the right not to award any prize if no work is qualified.
For a copy of the application form, contact the address below. Application
and essay for the competition should reach the Centre for Health Economics
by 15 December 1997.
Director
Centre for Health Economics
Faculty of Economics
Chulalongkorn University
Bangkok 10330
Thailand
Tel: (66-2) 2186280/81
Fax: (66-2) 2186279
E-mail: [log in to unmask]
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JOB ANNOUNCEMENTS
**************************************************************************
Institute for Advanced Studies in Immunology and Aging (IASIA)
1819 Pennsylvania Avenue, NW
Washington, DC 20006-3603
Telephone: (202) 333-8845
Fax: (202) 333-8898
PROGRAM DIRECTOR
Immediately available
Reports to President
Research Institute, small office in downtown DC, seeks a Program Director
to design and administer scientific and education meetings and symposia.
The individual will work with the Board of Directors and Scientific
Advisory Committee, government representatives and other collaborators and
should have strong organizing and communications skills.
A team player, the individual should have experience in providing staff
leadership in managing multiple tasks within an organization and will be
responsible for generating most of his/her word processing. The
individual will have had previous experience in developing publications,
including design, editing, coordination of printing and distribution.
Computer skills should include formatting, graphics, and database entry.
Previous experience in fund raising will be a plus.
Salary: high twenties - low thirties, depending on experience.
Please fax resume and cover letter or a request for a copy of job
description to 202-333-8898.
IASIA is a World Health Organization Collaborating Center for Aging and
Health
PROGRAM COORDINATOR AND OFFICE ADMINISTRATOR/SECRETARY:
Duties: as coordinator for Influenza/Pneumonia Adult Vaccine Action Group,
the individual will coordinate and evaluate meetings and projects, liase
with partners of advocacy group; prepare and distribute reports; some
travel. As office administrator, individual will have excellent computer
skills, some bookkeeping, manage database, phone and fax, desktop
publishing. IASIA prefers to fill these two part-time positions with one
full-time person.
Qualifications: MPH or Health Educator or related field with 3-6 years
experience in public health, health ED or related.
Salary: high 20s.
Fax cover and resume to (202) 333-8898 or mail:
IASIA, Suite 400, 1819 Pennsylvania Avenue, Washington, DC 20006.
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