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Publications
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Dynamics of Rural Innovation – a primer for emerging professionals
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Commercial and Inclusive Value Chains
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Randomized Single-Blinded Non-inferiority Trial Of 7 mg/kg Pentamidine Isethionate Versus 4 mg/kg Pentamidine Isethionate for Cutaneous Leishmaniaisis in Suriname.
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Ariadne’s Thread
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Gender Mainstreaming Critiques: Sign Posts or Dead Ends
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Gendered Citizenship in the post colony
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Moving to Mechanisation
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Shaping Sustainable Development through Eco-entrepreneurship
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Balancing risk and striving for impact – Providing finance to SMEs in developing countries
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The Joseph Initiative and Agricultural Transformation in the Maize Value Chain
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Performance of Community Health Workers
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Monitoring the response of cutaneous leishmaniasis patients to treatment with pentamidine isethionate by quantitative real-time polymerase chain reaction and identification of Leishmania parasites not responding to therapy.
Leishmania (Viannia) guyanensis is believed to be the principal cause of cutaneous leishmaniasis (CL) in Suriname. This disease is treated with pentamidine isethionate (PI), but treatment failure has increasingly been reported.
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Comparative Meta-Analysis of Tuberculosis Contact Investigation Interventions in Eleven High Burden Countries.
Screening of household contacts of tuberculosis (TB) patients is a recommended strategy to improve early case detection. While it has been widely implemented in low prevalence countries, the most optimal protocols for contact investigation in high prevalence, low resource settings is yet to be determined. This study evaluated contact investigation interventions in eleven lower and middle income countries and reviewed the association between context or program-related factors and the yield of cases among contacts
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Point-of-care management of urogenital Chlamydia trachomatis via Gram stained smear analysis in male high-risk patients. Diagnostic accuracy and cost effectiveness before and after changing the screening indication at the STI Clinic in Amsterdam.
To measure the effect of changing the point-of-care (POC) testing algorithm of urogenital chlamydia for all male high-risk patients to those with only symptoms with respect to: diagnostic accuracy, loss to follow-up, correctly managed consultations and costs.
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New policy-formulation methodology paves the way for sustainable laboratory systems in Europe.
Laboratories are an essential and fundamental part of all health systems and their goal to improve health. Reliable and timely laboratory-investigation results are fundamental elements in decision-making in almost all aspects of health services and so directly affect the health and well-being of individuals and countries. Reliable and timely laboratory services are also crucial to a nation’s health security and economy and its ability to meet obligations such as the International Health Regulations. Approximately 60–70% of medical decisions are based on laboratory results. The ongoing outbreak of Ebola virus disease in west Africa has highlighted not only the crucial role of a strong health system in responding to public health emergencies but also the immense cost of ignoring this need. Within such a strong health system, effective high-quality (accredited) laboratories and response networks must be on the front line/
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Trust and trust relations from the providers’ perspective: the case of the healthcare system in India
Commentators suggest that there is an erosion of trust in the relations between different actors in the health system in India. This paper presents the results of an exploratory study of the situation of providers in an urban setting in western India, the nature of their relations in terms of trust and what influences these relations. The data on relationships of trust were collected through interviews and focus group discussions with key informants, including public and private providers, regulators, managers and societal actors, such as patients/citizens, politicians and the media.
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Understanding the motivation and performance of community health volunteers involved in the delivery of health programmes in Kampala, Uganda: a realist evaluation
This paper presents the results of a realist evaluation that aimed to understand how, why and under what circumstances a Red Cross (RC) capacity building intervention influences the motivation and the performance of RC community health volunteers involved in the delivery of an immunisation programme in Kampala, Uganda
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Cost-effectiveness of community-based practitioner programmes in Ethiopia, Indonesia and Kenya
The aim of the present study is to assess the cost–effectiveness of community-based practitioner programmes with different design features across three countries – Ethiopia, Indonesia and Kenya – in which these initiatives have been implemented to scale.
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Recruitment and retention of health professionals across Europe: A literature review and multiple case study research
Many European countries are faced with health workforce shortages and the need to develop effective recruitment and retention (R&R) strategies. Yet comparative studies on R&R in Europe are scarce. This paper provides an overview of the measures in place to improve the R&R of health professionals across Europe and offers further insight into the evidence base for R&R; the interaction between policy and organisational levels in driving R&R outcomes; the facilitators and barriers throughout these process; and good practices in the R&R of health professionals across Europe. The study adopted a multi-method approach combining an extensive literature review and multiple-case study research. 64 publications were included in the review and 34 R&R interventions from 20 European countries were included in the multiple-case study. We found a consistent lack of evidence about the effectiveness of R&R interventions. Most interventions are not explicitly part of a coherent package of measures but they tend to involve multiple actors from policy and organisational levels, sometimes in complex configurations. A list of good practices for R&R interventions was identified, including context-sensitivity when implementing and transferring interventions to different organisations and countries. While single R&R interventions on their own have little impact, bundles of interventions are more effective. Interventions backed by political and executive commitment benefit from a strong support base and involvement of relevant stakeholders.
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How does context influence performance of Community Health Workers in low and middle income countries? Evidence from the literature
Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors intersect to influence CHW performance. A systematic review with a narrative analysis was conducted to identify contextual factors influencing performance of CHWs.