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Health systems factors affecting maternal health service delivery. By Angela Kisakye

In Uganda maternal health is still on top of the agenda for the government despite the improvements registered in maternal mortality ratio (MMR) over the years. The most common systems issues underlying maternal health care have been found to be the human resource structures and financing mechanisms. The functionality of the different health system building blocks is critical in ensuring that health care systems are able...

Senegal Disseminates: Deliberative Dialogue For Better Laboratory Testing For Pregnant Women- A Perspective  By Dr. Suzanne Kiwanuka

I had the singular pleasure to represent the KTNET Africa Secretariat at the recently concluded SOCIALAB dissemination in Dakar, Senegal. Although the two-day meeting (16th -17th February) was conducted in French (with English translation), It went without a flaw and was a truly enriching experience. I highlight some of the things that transpired at this meeting.

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 Strengthening the capacity of community stakeholders is a key to successful participation: The case of Kayogoro health committee in Makamba health province, Burundi. By Dr. Georges Nsengiynuva

Although the WHO Constitution (WHO, 1948) states that an informed public opinion and active cooperation from the public is of paramount importance for improving the health of populations, "it is only in the 1970s that the concept of community participation began to attract the attention of health professionals. This was especially true after the Alma Ata conference on primary health care in...

Towards more effective KT: Stepping out of the  “Impact Factor” (“IF”) Box

Not everything that can be counted counts and not everything that counts can be counted.

 Albert Einstein

Most researchers still lean towards traditionally accepted approaches to knowledge transfer. The few strategies they prefer are mostly influenced by academic standards and rarely by the need to influence policy. The old catch phrase “publish or perish” makes many a researcher aim first (and frequently only) for the holy grail of publication in high impact journals rather than directly...

KTNET Africa Summary Blogs for January 2016. By Angela Kisakye

 

This month, we read from the Ms. Angela Kisakye a member of the KTNET Africa secretariat. Ms. Kisakye shared with us lessons learned from Mali and Rwanda expanding community based health insurance. In Africa, Rwanda is one of the countries that has registered success in the community based health insurance scheme with over 65 percent of the population covered by the scheme.  In Mali, the community based health insurance...

What are the lessons learned from Rwanda and Mali expanding community-based health insurance? By Angela Kisakye

Community-based health insurance has been expanding in sub-Saharan African since the late 1990s and still remains one of the most effective and shortest avenues to reach people in rural areas.  This is especially because of the fact that traditional health insurance is difficult to establish in rural areas in Africa because most people work in the informal agricultural sector. They do not have an employer to chip in...

Worldwide, there has been a renewed dedication to improving the health of women and children through reducing maternal mortality and achieving universal access to reproductive health services. Over the years, there has been a broad agreement on the technical interventions needed to improve maternal health, including access to quality, affordable health systems and services. Barriers to improving maternal health include limited availability and quality of health information and services; and gender and social norms, cultural acceptability, cost and distance,...

Health financing is part of an action research project that aims to eliminate malaria (MEPR project) in the community of Ruhuha in southern east Rwanda. The main thrust of the project is local community involvement and (co-)financing of interventions that can tackle malaria. A study component has recently established that rice farming in the area creates significant malaria risk, which is in line with earlier work that documents this link between rice cultivation and malaria in various settings. So far, none of the interventions that...

Governments in Africa are constrained in their capacity to finance health, as evidenced by the low levels of public health spending in most African countries.  Financing health care is not only an indication of the government’s commitment to the population’s well being but it also addresses issues of equity especially for the vulnerable and the poor who cannot afford private health care.  In Uganda, where 67% of the population is either poor or highly vulnerable to poverty, Universal health coverage would be a worthwhile investment by the government.      More than money is required for a...

In Luwero district Uganda,  members of Bajja Basaaga loans and savings group in Dekabusa Village, Luwero Sub-county have in recent months found a new way to improve their household hygiene and sanitation. They started a new initiative dubbed Kagwirawo (meaning ‘instant cash’), through which they make cash contributions that are passed on to a different member every week. The cash is then used to improve a selected aspect of domestic hygiene and sanitation in the members’ homes.

Cash rounds are not a new initiative in the area. Groups of different sizes have been meeting in the past...

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