Publications

The fascination for globalizing agricultural markets dominates the development agenda. In many developing countries however, domestic markets are growing, and offer significantly more potential than export-oriented chains, in terms of their contributions to the local economy, food security and poverty alleviation. This Policy Brief argues for an increased focus on domestic market development, particularly in sub-Saharan Africa.

We developed and piloted a methodology to establish TB related work load at primary care level for clinical and laboratory staff. Workload is influenced by activities to be implemented, time to perform them, their frequency and patient load. Of particular importance is the patient pathway for diagnosis and treatment and the frequency of clinic visits. Using observation with checklists, clocking, interviews and review of registers, allows assessing the contribution of different factors on the workload.

“At the health centres, you are asked many questions like: ‘Have you given birth, what is your age, whom do you live with, are you in your menses…?” a respondent said. “But in the chemist, you are injected without questions,” another said. And yet another respondent said: “In chemists it is business.” “You only say what you came for, are told to lie down and injected without questions in the chemists,” another respondent said.