Improving telemedicine and in-person management of rheumatic and autoimmune diseases,during and after COVID-19 pandemic outbreak. Definite need for more Rheumatologists. Response to: ‘Can telerheumatology improve rheumatic and musculoskeletal disease service delivery in sub-Saharan Africa?’ by Akpabio et al

AbstractThis note discusses the challenges of water service delivery before, during and after protracted armed conflict, focusing on barriers that may impede successful transition from emergency to development interventions. The barriers are grouped according to three major contributing factors (three “C”s): culture (organizational goals and procedures), cash (financing practices) and capacity (know-how). By way of examples, the note explores ways in which development agencies can overcome these barriers during the three phases of a protracted armed conflict, using examples of World Bank projects and experiences in the Middle East and Sub-Saharan Africa. Before the crisis, development agencies need to work to prevent armed conflict. In a situation of active armed conflict or when conflict escalates, development agencies need to remain engaged as much as possible, as this will speed up post-conflict recovery. When conflict subsides, development agencies need to balance the relative effort placed on providing urgently needed emergency relief and water supply and sanitation services with the effort placed on re-establishing sector oversight roles and capacity of local institutions to oversee and manage service delivery in the long term.

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E-Government Strategies in Sub-Saharan Africa

Advances in Electronic Government, Digital Divide, and Regional Development - Digital Access and E-Government ◽

10.4018/978-1-4666-5868-4.ch019 ◽

2014 ◽

pp. 297-312 ◽

Cited By ~ 5

Author(s):

Stephen M. Mutula ◽

Gbolahan Olasina

Keyword(s):

Human Rights ◽

Best Practices ◽

Service Delivery ◽

Good Governance ◽

Sub Saharan Africa ◽

Project Delivery ◽

Implementation Approach ◽

Sub Saharan

E-government if well implemented has the potential to reduce administrative bureaucracy and enhance development and service delivery. This chapter discusses strategies of e-government implementation in Sub-Saharan Africa and the implications for good governance, democracy, respect for human rights, accountability, integrity, and transparency. E-government in Sub-Saharan Africa is being undertaken in different administrative contexts and rationalities such as the need for reform, efficiency, and citizen-focus. An e-government implementation approach that facilitates and engenders the sharing of best practices, experiences, methods, and standards while reducing turnaround times and cost in project delivery would be desirable. This chapter is underpinned by UN e-government framework.

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Towards an Interactive E-Government System in Sub-Saharan Africa

Public Affairs and Administration ◽

10.4018/978-1-4666-8358-7.ch010 ◽

2015 ◽

pp. 213-228

Author(s):

Charles Conteh ◽

Greg Smith

Keyword(s):

Service Delivery ◽

Communication Technology ◽

Content Management ◽

Sub Saharan Africa ◽

Electronic Government ◽

Electronic Service ◽

Enterprise Content Management ◽

Future Challenges ◽

Key Issues ◽

Sub Saharan

Governments worldwide, including those in Africa, are embracing the promises and prospects of electronic service delivery (or e-government). In particular, countries in Sub-Saharan Africa are moving towards adopting system-wide Integrated Communication Technology (ICT) and Enterprise Content Management (ECM) systems to support Electronic Government (EG) services. There are reasons to believe that Africa stands at the threshold of a new experience in this century, but there are also considerable challenges ahead. This chapter examines some of the prospects and challenges of the continent's adoption of Electronic Government. The discussion focuses on the rationale and characteristics of e-government in Africa, as well as its strengths and weaknesses, with particular reference to two countries in the region – Ghana and Kenya. The chapter concludes with a synopsis of some of the key issues as well as salient lessons to highlight the broader future challenges and prospects of e-government in Africa.

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A lost opportunity to foster E-Democracy and service delivery: E-Government in Sub Saharan Africa

ESARBICA Journal Journal of the Eastern and Southern Africa Regional Branch of the International Council on Archives ◽

10.4314/esarjo.v29i1.64296 ◽

2011 ◽

Vol 29 (1) ◽

Author(s):

P Ngulube

Keyword(s):

Service Delivery ◽

Sub Saharan Africa ◽

Sub Saharan ◽

Lost Opportunity

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Integrating Oral PrEP Into Family Planning Services for Women in Sub-saharan Africa: Findings From a Multi-Country Landscape Analysis

Frontiers in Reproductive Health ◽

10.3389/frph.2021.667823 ◽

2021 ◽

Vol 3 ◽

Author(s):

Neeraja Bhavaraju ◽

Rose Wilcher ◽

Regeru Njoroge Regeru ◽

Saiqa Mullick ◽

Imelda Mahaka ◽

...

Keyword(s):

Family Planning ◽

Service Delivery ◽

Health Care Providers ◽

Sub Saharan Africa ◽

Management Service ◽

Care Providers ◽

Road Map ◽

Sub Saharan ◽

Exposure Prophylaxis ◽

Oral Prep

Integration of HIV and family planning (FP) services is a renewed focus area for national policymakers, donors, and implementers in sub-Saharan Africa as a result of high HIV incidence among general-population women, especially adolescent girls and young women (AGYW), and the perception that integrating HIV pre-exposure prophylaxis (PrEP) into FP services may be an effective way to provide comprehensive HIV and FP services to this population. We conducted a focused desk review to develop a PrEP-FP integration framework across five key categories: plans and policies, resource management, service delivery, PrEP use, and monitoring and reporting. The framework was refined via interviews with 30 stakeholders across seven countries at varying stages of oral PrEP rollout: Kenya, Lesotho, Malawi, South Africa, Uganda, Zambia, and Zimbabwe. After refining the framework, we developed a PrEP-FP integration matrix and assessed country-specific progress to identify common enablers of and barriers to PrEP-FP integration. None of the countries included in our analysis had made substantial progress toward integrated PrEP-FP service delivery. Although the countries made progress in one or two categories, integration was often impeded by lack of advancement in other areas. Our framework offers policymakers, program implementers, and health care providers a road map for strategically assessing and monitoring progress toward PrEP-FP integration in their contexts.

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Unlocking Policy Impediments for Service Delivery in Tourism Firms: Evidence from Small and Medium Sized Hotels in Sub-Saharan Africa

Sustainable Tourism Policy and Planning in Africa ◽

10.4324/9781003038832-5 ◽

2020 ◽

pp. 71-88

Author(s):

Tembi M. Tichaawa ◽

Albert Nsom Kimbu

Keyword(s):

Service Delivery ◽

Sub Saharan Africa ◽

Sub Saharan

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Evaluating the sustainability of differentiated service delivery interventions for stable ART clients in sub-Saharan Africa: a systematic review protocol

BMJ Open ◽

10.1136/bmjopen-2019-033156 ◽

2020 ◽

Vol 10 (1) ◽

pp. e033156

Author(s):

Nwanneka Ebelechukwu Okere ◽

Lisa Urlings ◽

Denise Naniche ◽

Tobias F Rinke de Wit ◽

Gabriela B Gomez ◽

...

Keyword(s):

Service Delivery ◽

Low Income ◽

English Literature ◽

Sub Saharan Africa ◽

People Living With Hiv ◽

Differentiated Service ◽

Middle Income ◽

Ethical Approval ◽

Quantitative Synthesis ◽

Sub Saharan

IntroductionIn 2015, WHO recommended immediate treatment for people living with HIV (PLHIV). As a result, the number of PLHIV needing antiretroviral therapy (ART) in sub-Saharan Africa (SSA) doubled from 12 million to over 25 million. This put a strain on already weak health systems and inspired the exploration of innovative service delivery models—differentiated service delivery (DSD). In DSD, services are tailored according to client clinical type and offer much-needed improvement in efficiency. The potential of achieving good outcomes for both clients and the health system plus the promise of sustainability motivates DSD promotion especially in low-income and middle-income countries. This review aims to evaluate the sustainability of DSD interventions.Methods and analysisWe will systematically review peer-reviewed English literature published between 2000 and 2019 identified by searching PubMed and EMBASE databases. Main inclusion criteria comprise studies describing DSD interventions conducted in SSA focused on stable adult ART clients, whether described alone or compared with clinic-based service delivery. Quality of included studies will be assessed employing the Down and Black’s and Joanne Briggs Institute checklists for quantitative and qualitative studies, respectively. We will apply a comprehensive sustainability framework including 40 individual constructs to evaluate, score and rank each intervention for sustainability. Narrative and quantitative synthesis will be conducted as appropriate.Ethics and disseminationNo ethical approval is required for this study as it is a review of published or publicly available data. Review results will be published in a peer-reviewed journal and presented at international conferences.PROSPERO registration numberCRD42019120891.

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