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Bacterial meningitis is a medical emergency associated with high mortality rates. Cerebrospinal fluid (CSF) culture is the “gold standard” for diagnosis of meningitis and it is important to establish the susceptibility of the causative microorganism to rationalize treatment. The Namibia Standard Treatment Guidelines (STGs) recommends initiation of empirical antibiotic treatment in patients with signs and symptoms of meningitis after taking a CSF sample for culture and sensitivity. The objective of this study was to assess the antimicrobial sensitivity patterns of microorganisms isolated from CSF to antibiotics commonly used in the empirical treatment of suspected bacterial meningitis in Namibia. The common organisms isolated from CSF were Streptococcus Pneumoniae, Neisseria meningitidis,Haemophilus influenzae, Staphylococcus, and E. coli. All common organisms isolated from CSF showed high sensitivity to cephalosporins used in the empirical treatment of meningitis. The resistance of the common isolates to penicillin is high. Most ESBL K. pneumoniae were isolated from CSF samples drawn from neonates and were found to be resistant to the antibiotics recommended in the Namibia STGs. Based on these findings, it is recommended to use a combination of aminoglycoside and third-generation cephalosporin to treat non–ESBL Klebsiella isolates. Carbapenems (e.g., meropenem) and piperacillin/tazobactam should be considered for treating severely ill patients with suspected ESBL Klebsiella infection. Namibia should have a national antimicrobial resistance surveillance system for early detection of antibiotics that may no longer be effective in treating meningitis and other life-threatening infections due to resistance.

A public-private partnership in Tanzania launched the accredited drug dispensing outlet (ADDO) program to improve access to quality medicines and pharmaceutical services in rural areas. ADDO dispensers play a potentially important role in promoting the rational use of antimicrobials, which helps control antimicrobial resistance (AMR). The study objectives were to 1) improve dispensing practices of antimicrobials, 2) build ADDO dispensers' awareness of the consequences of misusing antimicrobials, and 3) educate consumers on the correct use of antimicrobials through the use of printed materials and counseling.The percentage of ADDO dispensers following good dispensing practices increased from an average of 67% in the first monitoring visit to an average of 91% during the last visit. After the intervention, more dispensers could name more factors contributing to AMR and negative consequences of inappropriate antimicrobial use, and over 95% of ADDO customers knew important information about the medicines they were dispensed. Conclusions: Providing educational materials and equipping ADDO dispensers with knowledge and tools helps significantly improve community medicine use and possibly reduces AMR. The number of community members who learned about AMR from ADDO dispensers indicates that they are an important source of information on medicine use.

Health Must Remain a Top Priority We believe the Post-2015 Development Agenda must accelerate progress on unmet MDGs and create a tangible, bold vision for achieving future health progress. It should have a strong emphasis on country ownership and empowering locals to take greater control over their own development. 

In most low-income countries, when people are sick enough to seek treatment, their first stop is usually a drug seller— an unlicensed drug seller. Too often, the medicine they receive is poor quality or costly—or even the wrong drug altogether. They stay sick, or worse, die from receiving the wrong drug. It doesn't have to be that way.

The Rwandan Ministry of Health, in collaboration with the USAID-funded Integrated Health Systems Strengthening Project (IHSSP), carried out a study to determine the costs of providing health centre services. The results of the costing were intended for use in re-designing insurance reimbursement mechanisms and levels.

Some countries have made great strides in expanding Tuberculosis (TB) control over the last few years, with significant assistance from donors, such as the Global Fund (GF) for Acquired Immune Deficiency Syndrome (AIDS), TB and Malaria. While there is still substantial donor funding for TB programs, these funds are expected to diminish in countries that have improving economies.

Indonesia has made great strides in expanding Tuberculosis (TB) control over the last few years, with significant assistance from donors, such as the Global Fund against Acquired Immune Deficiency Syndrome (AIDS), TB and Malaria (GFATM) and the United States Agency for International Development (USAID).

Understanding the economic burden to society from a disease like TB is important as it can be used as evidence when advocating for greater investment. This report describes the development of a tool to estimate the economic burden of TB in Indonesia and the results stemming from its use.

This report describes recommended actions for the National Tuberculosis Control Program (NTP) to consider in developing its Exit Strategy implementation plan. It also describes a set of recommended technical assistance and training activities aimed at supporting the NTP in this process.

In many countries tuberculosis (TB) control programs are scaling-up the detection and treatment of TB cases to reduce the burden on patients, their families and society. This will result in significantly increased costs over the next few years until prevalence begins to fall.

Based on Primary Health Care approaches, the Ministry of Health (Myanmar) had formulated four yearly People’s Health Plans from 1978 to 1990, followed by the National Health Plans from 1991-1992 to 2006-2011. These plans have been formulated within the framework of National Development Plans for the corresponding period.

The Rwandan Ministry of Health, in collaboration with the USAID-funded Integrated Health Systems Strengthening Project (IHSSP), carried out a study to determine the costs of providing hospital services. The results of the costing were intended for use in re-designing insurance reimbursement mechanisms and levels.

Ethiopia has a high prevalence of tuberculosis (TB) and is one of the 22 highest TB burden countries in the world. It is also one of the countries where many people who develop TB every year do not get treated. One of the reasons why infected people delay or do not seek diagnosis and treatment is economic access – the cost to patients and their families.

The purpose of this study was to develop estimates of the cost of the scaled-up scorecard interventions. Based on the action plans developed by the programmes, the interventions would require resources costing $79.9 million from 2007 through 2010 to achieve the targeted coverage levels.

The primary objective of this study was to model the costs and funding requirements of the Ministry of Health’s Minimum Package of Activities (MPA), which covers services provided by health centers.

Year Ended June 30, 2013, drawn from audited financial statements.

The Framework is intended to support implementation of Ebola response plans at the local level. It contains modules and worksheets to promote: Strengthening local area multisector response coordination Maintaining essential services (health and non-health) during and after the outbreak Limiting the spread of Ebola Supporting Ebola care and treatment protocols

The vision of universal health coverage (UHC) is that everyone has access to the quality prevention and treatment services they need, without enduring financial hardship as a result of essential health expenditures. UHC programmes pursue this aim by mobilising all viable financial resources, with an emphasis on increasing public funding; by using these resources to strengthen health systems and ensure service quality; and by establishing financial protection mechanisms.

The Guidelines for Cancer Management in Kenya is a systematically developed document designed to guide health care workers and allied disciplines in making decisions for man- aging cancer in a consistent and standardized manner. They encourage a uniform approach to prevention, control and treatment of cancer in different circumstances.

Global public health initiatives in developing countries have increased access to medicines including those for HIV/AIDS, Malaria, and Tuberculosis (TB). This access creates the need to systematically monitor and promote the safety and effectiveness of these medicines via national pharmacovigilance programs.

The Kenya Pharmacovigilance Electronic Reporting System (PV- ERS) is a suite of software applications for collection and processing of information on suspected Adverse Drug Reactions (sADRs) and suspected Poor Quality Medicinal Products (sPQMPs).

A poster presented at a MSH Kenya symposium, Achieving Universal Health Coverage through Stronger Health Systems, April 28, 2014, Crown Plaza Hotel, Nairobi Upper Hill.

A poster presented at a MSH Kenya symposium, Achieving Universal Health Coverage through Stronger Health Systems, April 28, 2014, Crown Plaza Hotel, Nairobi Upper Hill.

A poster presented at a MSH Kenya symposium, Achieving Universal Health Coverage through Stronger Health Systems, April 28, 2014, Crown Plaza Hotel, Nairobi Upper Hill.

A poster presented at a MSH Kenya symposium, Achieving Universal Health Coverage through Stronger Health Systems, April 28, 2014, Crown Plaza Hotel, Nairobi Upper Hill.

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