scholarly journals Management of HIV in resource-poor countries, with a focus on sub-Saharan Africa

2002 ◽  
Vol 73 (3) ◽  
pp. 268-275
Author(s):  
A. D. Harries
2018 ◽  
Vol 78 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Isabella Stelle ◽  
Anastasia Z. Kalea ◽  
Dora I. A. Pereira

Iron deficiency remains the largest nutritional deficiency worldwide and the main cause of anaemia. Severe iron deficiency leads to anaemia known as iron deficiency anaemia (IDA), which affects a total of 1·24 billion people, the majority of whom are children and women from resource-poor countries. In sub-Saharan Africa, iron deficiency is frequently exacerbated by concomitant parasitic and bacterial infections and contributes to over 120 000 maternal deaths a year, while it irreparably limits the cognitive development of children and leads to poor outcomes in pregnancy.Currently available iron compounds are cheap and readily available, but constitute a non-physiological approach to providing iron that leads to significant side effects. Consequently, iron deficiency and IDA remain without an effective treatment, particularly in populations with high burden of infectious diseases. So far, despite considerable investment in the past 25 years in nutrition interventions with iron supplementation and fortification, we have been unable to significantly decrease the burden of this disease in resource-poor countries.If we are to eliminate this condition in the future, it is imperative to look beyond the strategies used until now and we should make an effort to combine community engagement and social science approaches to optimise supplementation and fortification programmes.


2021 ◽  
Vol 71 (2) ◽  
pp. 347-367
Author(s):  
Isaac Kwesi Ampah ◽  
Gábor Dávid Kiss

AbstractThe countries in Sub-Saharan Africa (SSA) have experienced a positive growth rate of over five per cent per year, on average, since their transition from the Heavily Indebted Poor Countries Initiative in 1996 and the Multilateral Debt Relief Initiative in 2006. Despite this growth, poverty and inequality are still very high. Employing the Driscoll – Kraay standard panel estimation method and dataset from 1990 to 2015, this paper sets out to examine the implications of external debt and capital flight on the general welfare of the people. The estimation results reveal that both external debt and capital flight have a welfare inhibiting effect, suggesting that increases in external borrowing or capital flight may lead to a reduction in the welfare of the people in the sub-region. The study, therefore, recommends to policymakers and government in the sub-region the need to tackle the revolving nature of external borrowing and capital flight and take steps to halt all channels through which deservingly acquired capital leaves the sub-region.


Author(s):  
Alistair G. Tough

Concerns about sensitive content in born-digital records seem to be a major factor in inhibiting the deposit of public records in dedicated digital repositories in Western countries. These concerns are much exacerbated by the changed nature of the process of reviewing records. The University of Glasgow, working in collaboration with the Foreign and Commonwealth Office, received funding to investigate the technology-assisted sensitivity reviewing of born-digital records. As part of this research, some preliminary research in a commonwealth country in Sub-Saharan Africa was carried out. The research, reported in this chapter, was carried out in Malawi by the late Dr. Mathews J. Phiri. He found that already there is a real, albeit limited, demand for technology-assisted sensitivity reviewing of born-digital records in Malawi. The available evidence suggests that within the next decade there is likely to be an increase in the need for effective means of assessing sensitivity in born-digital records.


Author(s):  
Anna Bon ◽  
Jaap Gordijn ◽  
Hans Akkermans

E-Services have great potential, even in resource-poor environments such as in sub-Saharan Africa. However, contextual factors pose significant challenges for development, feasibility, deployment and sustainability of e-services. This chapter presents a case of e-service value co-creation in a rural context, with targeted end users in regions characterized by limited electricity infrastructure and poor or absent internet, strong diversity in languages spoken, high illiteracy rates and limited purchasing power. It offers a methodology to upfront analyze business model sustainability for e-service innovation in severely resource-constrained contexts. This is illustrated by an extensive case study in which a voice-based microblogging e-service was developed and deployed with local stakeholders in rural Mali.


Author(s):  
Barry Riley

The global food crisis of 1972–74 was the result of unusually poor harvests in many of the world’s major production areas. South Asia and Sub-Saharan Africa were particularly hard hit and needed to import basic foodstuffs to avert famine. Unfortunately, because of unprecedented purchases by the Soviet Union and decisions by oil-exporting countries to raise prices on oil, poor countries faced higher prices for both food and energy, while the food aid donors found themselves unable to find food aid commodities at affordable prices to send to countries desperately in need. This chapter describes how these events came about, the depth of the problem in the hardest-hit countries, and the nature—and constraints on—the U.S. response to them.


2012 ◽  
Vol 97 (11) ◽  
pp. 973-979 ◽  
Author(s):  
Jennifer Kasper ◽  
Francis Bajunirwe

A double jeopardy exists in resource-limited settings (RLS) in sub-Saharan Africa (SSA): there are a disproportionately greater number of acutely ill patients, but a paucity of healthcare workers (HCW) to care for them. SSA has 25% of the global disease burden but only 3% of the world's HCW. Thirty-two SSA countries do not meet the WHO minimum of 23 HCW per 10000 population. Contributing factors include insufficient supply, inadequate distribution and migration. Potential remedies include international workforce policies, non-governmental organisations, national and international medical organisations’ codes of conduct, inter-country collaborations, donor-directed policies and funding to train more people in-country, and health system strengthening and task-shifting. Collaborations among academic institutions from resource-rich and poor countries can help address HCW supply, distribution and migration. It is now opportune to harness bright, committed people from academic centres in resource-rich and poor settings to create long-term, collaborative relationships focused on training, clinical skills and locally relevant research endeavours, who mutually strive for HCW retention, less migration, and ultimately sufficient HCW to provide optimal care in all RLS.


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