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Assessing changes in HIV-related legal and policy environments: Lessons learned from a multi-country evaluation
L. Ferguson; A. Nicholson; I. Henry; et al.
PLOS One; US National Library of Medicine National Institutes of Health (PMC); NCBI
(2018)
CC
PLOS ONE | https://doi.org/10.1371/journal.pone.0192765 February 23, 2018
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Health Evidence Network synthesis report 53
Paying for performance (P4P) provides financial incentives for providers to increase the use and quality of care. P4P can affect health care by providing incentives for providers to put more effort into specific activities, and by increasing the amount of resources available to finance the delivery ...of services. This paper evaluates the impact of P4P on the use and quality of prenatal, institutional delivery, and child preventive care using data produced from a prospective quasi-experimental evaluation nested into the national rollout of P4P in Rwanda. Treatment facilities were enrolled in the P4P scheme in 2006 and comparison facilities were enrolled two years later. The incentive effect is isolated from the resource effect by increasing comparison facilities’ input-based budgets by the average P4P payments to the treatment facilities. The data were collected from 166 facilities and a random sample of 2158 households. P4P had a large and significant positive impact on institutional deliveries and preventive care visits by young children, and improved quality of prenatal care. The authors find no effect on the number of prenatal care visits or on immunization rates. P4P had the greatest effect on those services that had the highest payment rates and needed the lowest provider effort. P4P financial performance incentives can improve both the use of and the quality of health services. Because the analysis isolates the incentive effect from the resource effect in P4P, the results indicate that an equal amount of financial resources without the incentives would not have achieved the same gain in outcomes.
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Inhaltsangabe: Vorwort; Trauma bei Kindern und JugendlichenTraumatisierte Kinder im pädagogischen; Sekundäre Traumatisierung des Helfer_innensystems – Der Versuch
zu verstehen und ein Pläydoyer für Enttabuisierung und Prävention; Trauma und Traumafolgen im Kindesalter; Zusammenarbeit mit E...ltern traumatisierter Kinder; „Traumasog“ – oder wie halte ich meine Arbeit eigentlich (noch) aus?; Pädagogisches Arbeiten mit traumatisierten Kindern; Pädagogisches Arbeiten mit traumatisierten Kindern; Traumata zwischengeschlechtlich geborener Kinder und co-traumatische Belastungen für deren Familien; Sexüll übergriffige Buben und Burschen: eigene Traumatisierung ein Thema?; Gefühle unter dem Mikroskop und im Hirnscanner
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Esta guía trata de la primera ayuda psicológica, un modo práctico y humano para ayudar y apoyar a nuestros semejantes en graves situaciones de crisis. Se ha pensado para personas que se tienen la posibilidad de ayudar a
otras que han experimentado un hecho extremadamente angustiante. Proporciona... un marco de
trabajo para apoyar a las personas respetando su dignidad, cultura y capacidades. A pesar de su
nombre, la primera ayuda psicológica se ocupa tanto del apoyo social como del psicológico.
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Los residuos generados por las actividades sanitarias, desde agujas infectadas hasta isótopos radiactivos, pueden ser una fuente de infecciones o lesiones y su gestión inadecuada puede tener graves consecuencias para la salud pública y efectos nocivos para el medio ambiente.
...staca los aspectos clave de la gestión segura de los residuos médicos para orientar a los responsables políticos, a los profesionales y a los gestores de las instalaciones para mejorar estos servicios en los centros sanitarios. more
...staca los aspectos clave de la gestión segura de los residuos médicos para orientar a los responsables políticos, a los profesionales y a los gestores de las instalaciones para mejorar estos servicios en los centros sanitarios. more
Community-based strategies play a significant role in many health systems in low- and middle-income countries, especially in light of critical shortages in the health workforce. The term community health worker has been used to refer to volunteers and salaried, professional or lay health workers wit...h a wide range of training, experience, scope of practice and integration in health systems. In the context of this study, we use the term community-based practitioner (CBPs) to reflect the diverse nature of these cadres of health workers.
CBPs provide preventive, promotive, curative and palliative services across a range of areas, including reproductive, maternal, newborn and child health, HIV, tuberculosis, malaria, control of other endemic diseases, and noncommunicable diseases. Significant evidence has emerged over the past two decades on their effectiveness, which has triggered interest in the potential to use their services to expand access to care, in particular in rural and underserved areas where deployment and retention of more qualified health workers is problematic. Calls have been made to integrate CBP programmes in human resources and health strategies, and to scale up rapidly the extent and coverage of CBP initiatives.
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Community health workers in Lesotho: Experiences of health promotion activities
T. Seutloali; L. Napoles; N. Bam
African Journal of Primary Health Care & Family Medicine; AOSIS
(2018)
C2
African Journal of Primary Health Care & Family Medicine
ISSN: (Online) 2071-2936, (Print) 2071-2928
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