Publications

  • Leprosy control strategies and the integration of health services: an international perspective

    Over the past decades the number of new leprosy patients detected worldwide has been more or less stable (WHO, 2002). In 2001 more than 750,000 new patients were diagnosed (WHO, 2002). It is very likely that a significant number of new patients will continue to occur for many years. Hence, leprosy control activities should be sustained, and to guarantee sustainable leprosy services they should be integrated within the general health services (ILA, 2002).

    Authors
    J. Visschedijk, A. Engelhard, P. Lever, M. Aparecida de Faria Grossi, P. Feenstra
    Year of Publication
    2003
    Downloads
    Download 557_Leprosy-control-strategies
  • Un guide pour la recherche agricole régie par la demande

    Au cours des dernières décennies, la recherche et la vulgarisation agricole en Afrique subsaharienne ont connu d’importantes réformes institutionnelles et organisationnelles. Les bailleurs de fonds et les Gouvernements nationaux étaient les principales forces de réorganisation et de restructuration.

    Authors
    W. Heemskerk, N. Lema, D. Guindo, C. Schouten, Z. Semgalawe, H. Verkuijl, Bart de Steenhuijsen Piters, P. Penninkhoff
    Year of Publication
    2003
    Downloads
    Download 526_2054.COR-Guide-FR-125-176
  • \’Client satisfaction\’ – guidelines for assessing the quality of leprosy services from the clients\’ perspective

    Every year, over half a million new leprosy are detected. Since there is no evidence that the transmission in high endemic countries has been substantially interrupted, it is expected that in the coming years considerable numbers of leprosy patients will continue to report to health facilities.

    Authors
    M. van Dijk, J. Visschedijk, Anke van der Kwaak
    Year of Publication
    2003
    Links
    Downloads
    Download 558_Client-satisfaction
  • Governing for equity

    The conference ‘Governing for Equity’ was the outcome of a process in which many individuals and institutions have been involved over a period of three years beginning in 1999. In that year KIT Gender, at the Royal Tropical Institute in Amsterdam, initiated a three-year programme entitled ‘Gender, Citizenship and Governance’.

    Authors
    M. Mukhopadhyay
    Year of Publication
    2003
    Downloads
    Download 472_Governing-for-Equity-Conference-Report
  • NIRP 17: Drought planning and rainwater harvesting for arid-zone pastoralists

    This study deals with problems of drought and drought-coping mechanisms among pastoralists living in arid zones in Kenya and the Negev (Israel). Its final objective is to provide input and formulate policy recommendations for the development of integrated drought contingency planning. The results are based on a cooperative effort by Kenyan, Israeli and Dutch researchers carried out under the NIRP programme between 1994 and 1999.

    Authors
    J.M. Bruins, J.J. Akong’a, M.M.E.M. Rutten, G.M. Kressel
    Year of Publication
    2003
    Downloads
    Download 624_NIRP17
  • Managing research for agricultural development

    Authors
    N.M. Lema, L. Schouten, T. Schrader
    Year of Publication
    2003
    Downloads
    PDF version
  • ‘Elimination’ of leprosy and the need to sustain leprosy services, expectations, predictions and reality

    The International Leprosy Association (ILA) Technical Forum report, The Current Leprosy Situation, Epidemiology and Control and the Organization of Leprosy Services, gives a lot of attention to the goal for elimination of leprosy as a public health problem. In 1991, this was defined by the World Health Organization (WHO) as a prevalence smaller than one per 10,000 population. Underlying this elimination strategy was the hypothesis that because leprosy patients are assumed to be the sole source of infection, early detection and treatment with multidrug therapy (MDT) would reduce transmission of Mycobacterium leprae. It was expected that once the prevalence fell below this level, the chain of transmission would be broken, and leprosy would disappear naturally. In 1993, WHO made predictions regarding the expected trends of the prevalence, number of registered cases, incidence, and number of cases detected till the year 2000 (Fig. 1) (12). The expectation was that by the end of the year 2000, the prevalence and incidence would both be about 200,000. But, what was the actual situation by the end of 2000

    Authors
    P. Feenstra
    Year of Publication
    2003
    Downloads
    Download 559_Elimination-of-leprosy
  • Bulletin 356 – Challenges for a viable decentralisation process in rural Burkina Faso

    A landlocked Sahelian country, Burkina Faso has an estimated population of
    around 12 million inhabitants and covers 274 000 km2. Its location presents considerable challenges for the economic development of the country. The climate can be classified as Sudanese, with two contrasting seasons, a rainy and a dry season lengthening into the more northern reaches of Burkina. Rainfall varies from one year to another and droughts can take a heavy toll on agricultural production, which is the mainstay of the Burkinabé economy.

    Authors
    A.S. Bagré, H. Bary, A. Ouattara, M. Ouédraogo, D. Thiéba, T. Hilhorst, G. Baltissen
    Year of Publication
    2003
    Links
    Downloads
    Download 601_sarahs_merge356
  • NIRP 18: The village doctors in different ownership clinics in China’s countryside

    This study examines the relationship between medical practice and type of clinic ownership in HeBei province in the People’s Republic of China. The objective was to find out whether the kind of clinic ownership affects health care delivery patterns and access to health care. The study was carried out between 1995 and 2000 by a team of researchers from China, Israel and the Netherlands.

    Authors
    O. Anson, S. Sun, W. Zhang, F.H. Haanappel
    Year of Publication
    2003
    Downloads
    Download 626_NIRP18
  • The institutionalisation of gender equality in the Slovak Republic

    Authors
    M. Pigott, M. Appel
    Year of Publication
    2003
    Downloads
    PDF version
  • HIV/AIDS and water, sanitation and hygiene

    AIDS has become the most devastating global epidemic the world has ever faced. At the end of 2004, an estimated 40 million people globally were infected with HIV. More than five million people are newly infected each year and more than 6,000 lives are lost every day to the disease.

    Authors
    E. Kamminga, M. Wegelin-Schuringa
    Year of Publication
    2003
    Links
    Downloads
    Download 560_TOP2HIV_AIDS05
  • Measuring leprosy stigma – a preliminary review of the leprosy literature

    A literature review was conducted to review work done to date on measuring stigma related to leprosy. References were obtained through a PubMed (Medline) search and through examining relevant bibliographies. Twelve papers were selected that addressed the issue of measurement of stigma and that contained a sample of the instrument used. Three unpublished studies were also included in the review

    Authors
    W.H. van Brakel
    Year of Publication
    2003
    Links
    Downloads
    Download 477_Measuring-leprosy-stigma
  • Introduction of a HIV vaccine in developing countries: social and cultural dimensions

    In the 19th century smallpox vaccination was introduced into what are now called developing countries. In the 20th century both the range of available vaccines and immunization coverage increased considerably. In course of time the emphasis in immunization shifted from the containment of epidemics to their prevention. Vaccination technology also proved to be an instrument for the eradication or elimination of infectious diseases, with smallpox and polio as outstanding examples, although the initial optimism about this has become less. Presently, in immunization in developing countries emphasis is on routine vaccination of pregnant women and children, with occasionally a vaccination campaign in case there is or might be an epidemic. This picture will change significantly when a vaccine to prevent HIV becomes available to restrict the further transmission of HIV and as a consequence contain the HIV/AIDS epidemics that profoundly affect society in many developing countries.

    Authors
    P. Streefland
    Year of Publication
    2003
    Links
    Downloads
    Download 597_HIV-Vaccine
  • Farming systems approaches training manual

    Authors
    T.N. Kirway, N.M. Lema, S.D. Lyimo, R.O. Kileo, B.W. Kapange, C. Schouten, T. Schrader
    Year of Publication
    2003
    Links
    Downloads
    PDF version
  • Gender, leprosy and leprosy control – Nigeria

    Authors
    O. Alubo, P. Lever, C.M. Varkevisser
    Year of Publication
    2002
  • Cost-effectiveness of different treatment strategies for tuberculosis in Egypt and Syria

    TUBERCULOSIS (TB) is an increasing public health problem, presently accounting for 3% of global mortality.1 To tackle this problem, the World Health Organization (WHO) recommends the directly observed treatment, short course (DOTS) TB control strategy, which entails the use of short- course regimens of effective drug combinations, direct supervision of treatment for at least the first 2 months, and evaluation of treatment for each patient.2 As a broad TB control strategy, DOTS also includes drug supply, monitoring and case detection based on microscopy. Directly observed treatment (DOT), as opposed to DOTS, refers to the treatment component alone.

    Authors
    A. Vassall, S. Bagdadi, H. Bashour, H. Zaher, P.V. Maaren
    Year of Publication
    2002
    Downloads
    Download 606_Cost-effectiveness
  • Epidemiology of leprosy on five isolated islands in the Flores Sea, Indonesia.

    Authors
    M.I. Bakker, M. Hatta, A. Kwenang, P.R. Klatser, L. Oskam
    Year of Publication
    2002
  • The Impact of HIV and AIDS Funding and Programming on Healt h Syst em Strengthening in Malawi

    Authors
    M. J. van Liere
    Year of Publication
    2002
    Downloads
    PDF version
  • NIRP 16: Continuity and change in rural organisation in Nicaragua

    This publication is based on a study carried out between February 1997 and August 2000 by researchers from Nicaragua, Israel and the Netherlands. It identifies the pros and cons of the participation of rural households in production cooperatives in Nicaragua and their motives for affiliation with various other types of rural organisations, such as secondary service cooperatives, farmers’ associations, traders’ networks, rural finance institutions, NGOs and development projects. It presents an innovative approach which makes use of the concept of social capital.

    Authors
    R. Ruben, Z. Lerman, G. Siles
    Year of Publication
    2002
    Downloads
    Download 622_NIRP16
  • Towards integrated soil fertility management in Tanzania

    Authors
    G. Baltissen, G. Ley, W. Veldkamp
    Year of Publication
    2002