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Health

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 Format country analysis Health sector

FrontPage, Hiv-aids

 

RED = original text format country analysis

BLACK = link tekst

BLUE/PURPLE = link

 

 

Give insight into the demographic situation (with online links) (preferable include a population pyramid)

  1. Population size
  2. Annual growth rate
  3. Urbanisation rate

  4. Average annual growth of population

 

Health situation

General health indicators

A) WHO indicators (with online links) (at least MMR, IMR, UMR, CMR, CBR, life expectancy, Fertility rate) 

- WHO Core Health Indicators www3.who.int/whosis/core/core_select.cfm?strISO3_select=ALL&strIndicator_select=ALL&intYear_select=latest&language=english (Anita 25/3/7),

Country Profiles Earthtrends: population, health & human well-being:  earthtrends.wri.org/country_profiles/index.php?theme=4 (Anita 25/3)

UNFPA State of the world 2004: indicators http://www.unfpa.org/swp/2004/english/indicators/index.htm (Anke)

- World Bank Poverty & Health: Reports on individual countries 

http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTHEALTHNUTRITIONANDPOPULATION/EXTPAH/0,,contentMDK:20216960~menuPK:400482~pagePK:148956~piPK:216618~theSitePK:400476,00.html (Anke)

- Population Reference Bureau http://www.prb.org/DataFind/datafinder7.htm (Anke)

- Demographic and Health Surveys http://www.measuredhs.com/ (Anke)

- Online atlas of the MDGs (World Bank) http://devdata.worldbank.org/atlas-mdg/ (Anke)

- Fact Sheets for India’s 2005-2006 National Family Health Survey are Now Available. For more information about the survey, including the facts sheets for India and its 29 states, please go to www.nfhsindia.org (Anke 10/4/07)

- 2005 Cambodia Demographic and Health Survey Final Report, go to http://www.measuredhs.com/pubs/pub_details.cfm?ID=%20624&ctry_id=63&SrchTp=ctry&flag=sur (Anke 10/4/07)

1) Give comparisons with neighbouring countries + draw brief conclusions 

2)Trends over time  + draw brief conclusions

 

B) General description of the health situation

  1. Which diseases are most prevalent? Make a list of the top-10 most prevalent diseases

  2. What is the situation regarding the following diseases (even if they are not part of the top-10):

    - WHO global atlas. select: communicable diseases, topic. http://globalatlas.who.int/globalatlas/dataQuery/default.asp (anita 10/04/07)

     

        1. diarrhoeal diseases

        2. malaria

        3. Tuberculosis (TB)

          - WHO global TB databank: http://www.who.int/tb/country/global_tb_database/en/index.html (Anita 10/04/07)

        4. HIV-AIDS (see also HIV-AIDS context analyses)

  3. Hygiene: which issues play a role or in other words what are the factors or determinants in (poor) hygienic conditions; e.g.

        1. culture

        2. presence of latrines

          - data on sanitaion. Select: sanitation data, region, download pdf file of selected country http://www.wssinfo.org/en/welcome.html (Anita 10-04-07)

        3. clean water

          - Data on clean water. Select: water data, region, download pdf file of selected country. http://www.wssinfo.org/en/welcome.html(Anita 10-04-07)

          - International water & sanitation centre: http://www.irc.nl/ ( Anita 26-04-07)

        4. washing hands

  4. Are there regional differences within the country?

 

 

c) Which diseases and/or conditions cause marginalisation, stigmatisation; which diseases are taboo?

 

d) Sexual behaviour: data and/or (descriptive) information on:

- Risk and protective factors affecting adolescent reproductive health in developing countries (select: report)

http://www.who.int/child-adolescent-health/publications/ADH/ISBN_92_4_159227_3.htm (Anita 10/04/07)

 

      1. teenage pregnancies

      2. STDs

      3. condom use

      4. prostitution

      5. homosexuality

      6. youth and sexuality

      7. risk full behaviour

      8. customs

         

         

 e) Overall conclusions regarding the health situation

 

Health care

    1. Laws and regulations

      + how do laws function in practice?

      + are there marginalised groups?

      - WHO International digest of health legislation http://www3.who.int/idhl-rils/frame.cfm?language=english (Marijke 8/4/07)

    2. Government policies: national plans, health policies, PRSP’s, Country Strategic Plans. Summarize briefly what they say about health.

    3. Health care providers: public health system and others

  1. The Public Health System (PHS): 1st, 2nd, 3rd line care / curative – preventive

  2. Other providers of health care: private for profit / private non profit

    + how do these providers relate to the public health system: integrated / parallel

  3. Role of religious organisations in provision of health care. How much and what types of health care are offered through religious organisations. How do they position themselves in relation to other stakeholders?

  4. Control, registration, monitoring and quality care (both for PHS and other providers)

  5. Coverage: key indicators per person (WHO?)

    + regional differences (urban-rural, neglected regions)

    + equity: more difficult access for (ethnic / religious) minorities / access for the poor?

    + quality of the care.

  6. Health Finance: Sources of funding (for PHS and other providers: taxes, insurance systems, external funding)

    + types of insurance systems available: Social Health Insurance / Community Based Health Insurance / Private Insurance

    1. Other actors

      (also here: special attention for religious actors)

  1. Networks / fora

  2. Interest groups / lobby groups

  3. Donors: international, NGO’s: who, what, where, how much

 

    1. Data on manpower in health )

      1. e.g. number of doctors, ratio doctor per 1000 population

        - WHO Core Health Indicators. Select 'Health service coverage' 

        http://www3.who.int/whosis/core/core_select.cfm?strISO3_select=ALL&strIndicator_select=ALL&intYear_select=latest&language=english(Anita 3/4/7)

        - WHO, Global Atlas of Health Workforce: http://www.who.int/globalatlas/DataQuery/default.asp (Marijke 8/4/07)

        - Global distribution of health workers on WHO Member states: http://www.who.int/whr/2006/annex/06_annex4_en.pdf (Anita 10/04/07)

      2. existing educational system for health care personnel

    2. expenditure on health care, e.g. per capita

      - WHO core health indicators Select: 'Health systems' http://www3.who.int/whosis/core/core_select.cfm (Anita 10/4/7)

    3. Conclusions Health care

 

  1. Cross cutting issues

  1. What is the situation regarding disabilities

    -  statistics on disabilities http://unstats.un.org/unsd/demographic/sconcerns/disability/default.htm (Anita 10/04/07)

  2. What is the situation regarding Mental Health

  3. What is the situation regarding Sexual and Reproductive Health

  1. Policies and practices of family planning

  2. Policies and practices of abortion (legal and illegal)

 

Overall conclusions: what are the main problems identified?

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