Publications

  • Population survey to determine risk factors for Mycobacterium leprae transmission and infection

    Leprosy is an infectious disease caused by Mycobacterium leprae and is endemic in many developing countries. The World Health Organization (WHO) has adopted the goal of eliminating leprosy as a public health problem by the year 2005, defined as reducing the national prevalence below 1/10 000.1 Until now, the prevalence decreased mainly due to the introduction and subsequent shortening of multidrug treatment (MDT). Leprosy control strategies are designed to stop transmission through early case detection and treatment with MDT, but do not seem to have the desired effect. The number of new cases—719 330 in 20002—did not decline over the last 15 years, indicating that transmission is continuing at the same level.

    Authors
    M.I. Bakker, M. Hatta, A. Kwenang, William R. Faber (ed.), S.M. van Beers, P.R. Klatser, L. Oskam
    Year of Publication
    2004
    Downloads
    Download Population survey to determine risk factors for Mycobacterium leprae transmission and infection
  • Técnicas e práticas para dar respostas localmente apropriadas ao HIV/AIDS

    No ano 2001, a UNAIDS deu início ao desenvolvimento de uma ‘caixa de ferramentas’ contendo um conjunto de técnicas e práticas para a capacitação na área de AIDS, em um esforço conjunto entre a Secretaria da UNAIDS, com os Grupos Temáticos das Nações Unidas em diferentes países e membros da Rede Técnica da UNAIDS para Repostas Localmente Apropriadas para HIV/AIDS

    Authors
    M. Wegelin-Schuringa, G. Tiendrebeogo
    Year of Publication
    2004
    Links
    Downloads
    Download 476_Techniques.PO_
  • Creating voice and carving space

    Authors
    M. Mukhopadhyay, S. Meer
    Year of Publication
    2004
    Downloads
    Download 646_2111.bw_.CreatingVoice
  • An Approach to Understanding the Transmissionof Mycobacterium leprae Using Molecular and Immunological Methods: Results from the MILEP2 Study

    Important developments have taken place over the past decade in tackling the global leprosy burden. There has been a very significant reduction of over 90% in the total number of leprosy patients registered for treatment through the implementation of multidrug therapy regimes that have dramatically reduced the duration of treatment. However, despite this reduction in registered prevalence of leprosy, there has been no parallel reduction in the global case detection. This is a serious barrier to aspirations to eradicate leprosy in the future.

    Authors
    W.C.S. Smith, C.M. Smith, I.A. Cree, R.S. Jadhav, M. Macdonald, V.K. Edward, L. Oskam, S.M. van Beers, P.R. Klatser
    Year of Publication
    2004
    Downloads
  • Bulletin 357 – Financer la décentralisation rurale

    Dans plusieurs pays d’Afrique de l’Ouest, les gouvernements ont pris l’engagement politique de lancer ou d’approfondir le processus de décentralisation afin, notamment, d’accroître la démocratie locale, de rapprocher les services publics des populations et de promouvoir le développement local. La décentralisation est un processus complexe et de longue haleine qui va bien au-delà d’un réaménagement du territoire. L’Etat doit assurer un transfert effectif des compétences et des ressources financières et soutenir le renforcement des capacités locales de gouvernance et de gestion. La réussite de la décentralisation dépend d’une part de la volonté politique de redéfinir les relations entre l’Etat central et les collectivités territoriales, d’autre part de l’adhésion de la population. Bien que légales, les nouvelles collectivités, surtout les communes, doivent encore acquérir une légitimité auprès de la population

    Authors
    N. Bako-Arifari, A. B. Dicko, M. Doevenspeck, B. W. Sanou, U. Singer, T. Hilhorst, G. Baltissen
    Year of Publication
    2004
    Links
    Downloads
    Download 602_sarahs_merge357
  • NIRP 19: Rural development and fertility changes in the Côte d’Ivoire

    Authors
    A, Kouamé, J. Schellekens, A. Bosch
    Year of Publication
    2004
    Downloads
    PDF version
  • ‘3 by 5’ – What are the implications?

    “There has never been such an overwhelming move to increase access to medicines in such a short period”. In one sentence, a conference speaker had given participants a view of the magnitude of the debate that conference organizers, KIT, Share-Net and Aids Fonds, ignited when they asked: “3 by 5: what are the implications?” The HIV/AIDS pandemic had been put in the right dramatic context without using dramatic effects. But by referring to the history of public health care, the speaker went beyond the limitations of the conference question, suggesting that traditional approaches will be far from sufficient to address the problem of HIV/AIDS.

    Year of Publication
    2004
    Links
    Downloads
    Download 645_sarahs_3by5
  • Tuberculosis services in partnership

    Tuberculosis is still one of the major public health problems in the world. Countries in the Eastern Mediterranean Region have been working hard for several years to promote directly observed treatment, short course (DOTS) and reach the regional target of DOTS ALL OVER. As a result, 18 out of 22 countries in the Region have already achieved DOTS ALL OVER. Somalia and Yemen are in the final stage of achieving this target, whilst Pakistan and Afghanistan, currently at 45% and 35% DOTS coverage respectively, are making progress towards achieving DOTS ALL OVER.

    Authors
    A. Vassall, E. Elmoghazy, A. Galal, M.V. Cleeff
    Year of Publication
    2004
    Links
    Downloads
    Download 596_Tuberculosis-Egypt
  • Dealing with the Dutch

    Authors
    Jacob Vossestein
    Year of Publication
    2004
    Links
  • Bulletin 360 – International sustainable chain development

    Sustainable chain management maps out the economic, ecological and social effects that occur during the life cycle of a product and focuses on measures that improve the sustainability.

    Authors
    H. Verhagen
    Year of Publication
    2004
    Links
    Downloads
    Download 497_bw.-B-360-NIPS-Final
  • NIRP 20: Development of a culturally-sensitive psychiatric screening instrument for Ethiopian populations

    Recognising inter-cultural differences in the way people experience and express emotional problems and the difficulties that consequently may arise in properly diagnosing mental health problems, this study seeks to develop and validate a tool for screening psychiatric disorders in Ethiopian populations. The study was carried out in Ethiopia as well as among Ethiopian Jews in Israel, among groups at different levels of exposure to western medicine. It was a collaborative effort between researchers from Israel, Ethiopia and the Netherlands.

    Authors
    N. Zilber, R. Youngmann, F. Workneh, R. Giel
    Year of Publication
    2004
    Downloads
    Download 629_NIRP20
  • Making public-private partnerships work for development

    For many years, official development assistance (ODA) to low and middle income countries seemed incompatible with private sector initiatives. ODA had its roots in charity while the private sector was looking for profits. ODA interests were on the side of recipients; the private sector’s interests were on the side of shareholders.

    Authors
    L. Leertouwer, J. Toonen, I. Segal, P. Leeuw
    Year of Publication
    2004
    Downloads
    Download 933_Report-on-Helffer-award-rev3 (1)
  • NIRP 21: Sexual attitude and behaviour among adolescents in Zambia

    This study encompasses the results of a comprehensive survey among different groups of Zambian adolescents concerning sexual behaviour and attitudes which affect the risk of HIV infection and AIDS. It deals with the factors that influence the youngsters’ knowledge about AIDS, their perceptions with regard to prevention and their engagement in risky sexual activities. The study was carried out by a team of Israeli and Zambian researchers between 1997 and 2002.

    Authors
    V. Slonim-Nevo, L. Mukuka
    Year of Publication
    2004
    Downloads
    Download 630_NIRP21
  • Improving reproductive health care within the context of district health services

    This manual is an action-oriented document which will facilitate improved coverage and quality of SRH services. Its main target audience are those individuals, alone or as part of the district health management team (DHMT), who have responsibility for the planning and management of sexual and reproductive health/ primary health care services in the district.

    Authors
    I. Reerink, B. Campbell
    Year of Publication
    2004
    Downloads
    Download 519_bw.-SRH-Final
  • The prognostic importance of detecting mild sensory impairment in leprosy: a randomized controlled trial (TRIPOD 2)

    This study was designed to investigate whether leprosy patients diagnosed with mild sensory impairment have a better prognosis when treated with steroids than similarly impaired patients treated with placebo.

    Authors
    W.H. van Brakel, A.M. Anderson, S. G. Withington, R. P. Croft, P. G. Nicholls, J. H. Richardus, W.C.S. Smith
    Year of Publication
    2003
    Links
    Downloads
    Download 553_Prognostic-importance-leprosy
  • Identifying factors for job motivation of rural health workers in North Viet Nam

    Many Ministries of Health are trying to improve the functioning of their health care system by introducing changes in resource allocation, better management and changes in the role of the government, such as more responsibility at lower levels through decentralisation. A prerequisite of a well-functioning system is a well-motivated workforce. The Ministry of Health in Viet Nam gives great importance to the development of a public health network, in order to provide good quality health care services. As most people live in rural areas, an extensive public health network is required in rural areas so as to provide appropriate care close to the people. This implies the need to keep sufficient qualified and motivated human resources in the rural areas.

    Authors
    M. Dieleman, P. Viet Cuong, L. Vu Anh, T. Martineau
    Year of Publication
    2003
    Downloads
    Download 468_Identifying-factors
  • WHO disability grading: operational definitions

    A ‘disability classification’ for use in leprosy has been advocated by who since 1960. Two revisions of this grading system were subsequently published, a 4-point scale in 1970 and a 3-point scale in 1988.

    Authors
    J.W. Brandsma, W.H. van Brakel
    Year of Publication
    2003
    Links
    Downloads
    Download 554_Who-disability-grading
  • Bulletin 354 – Building partnerships for sustainable development

    Authors
    H. Verhagen, N. Dorji, Biaou G., L. Abarca
    Year of Publication
    2003
    Links
    Downloads
    PDF version
  • Life skills and HIV education in Africa: methods and evaluations

    Over the past several years the HIV/AIDS pandemic in Africa has been recognized as being more than simply a health issue. HIV/AIDS impacts every sector, including education. In the high HIV-prevalence countries of southern and eastern Africa, the education sector is currently being hit by massive teacher shortages due to death, absenteeism, and attrition as teachers fall ill, care for sick family members, or fill vacancies in other fields. At the same time, the needs of learners are changing as young people must learn at an earlier age how to protect themselves from HIV/AIDS and care for affected family members and friends.

    Authors
    G. Tiendrebeogo, S. Meijer, G. Engelberg
    Year of Publication
    2003
    Downloads
    Download 469_Life-skills-and-HIV-education-in-Africa
  • Bulletin 351 – Enjeux et viabilité des communes rurales au Burkina Faso

    Authors
    A.S. Bagré, H. Bary, A. Ouattara, M. Ouédraogo, D. B. Sanou, D. Thiéba, T. Hilhorst, G. Baltissen
    Year of Publication
    2003
    Links
    Downloads
    PDF version