scholarly journals Integration of TB into child health policies in Africa’s high-burden countries: a normative analysis

2021 ◽  
Vol 11 (4) ◽  
pp. 167-170
Author(s):  
J. Ehrlich ◽  
A. L. Garcia-Basteiro ◽  
A. Brands ◽  
S. Verkuijl ◽  
A. Ndongosieme ◽  
...  
Keyword(s):  
Child Health ◽  
Health Policies ◽  
Child Health Services ◽  
National Guidelines ◽  
Reduce Child Mortality ◽  
Strategic Plans ◽  
Childhood Tb ◽  
And Child Health ◽  
Health Programmes ◽  
Normative Integration

Integration of paediatric TB care into decentralised child health services has the potential to reduce the large proportion of childhood TB that remains undiagnosed. We performed a review of national guidelines and policies for TB and child health to evaluate the normative integration of paediatric TB into existing child health programmes in 15 high TB burden countries in Africa. While integration is addressed in 80% of the national strategic plans for TB, the child health strategies insufficiently address TB in their plans to reduce child mortality. Emphasis needs to be put on multi-sectoral collaboration among national health programmes.

The India Local Initiatives Program: A Model for Expanding Reproductive and Child Health Services

2005 ◽  
Vol 36 (3) ◽  
pp. 203-220 ◽  
Author(s):  
John M. Paxman ◽  
Abu Sayeed ◽  
Ann Buxbaum ◽  
Sallie Craig Huber ◽  
Charles Stover
Keyword(s):  
Child Health ◽  
Health Services ◽  
Child Health Services ◽  
Local Initiatives ◽  
Reproductive And Child Health ◽  
And Child Health

Child Saving and Child Spacing in Africa: The Evolution of a Concept

1973 ◽  
Vol 3 (4) ◽  
pp. 765-768
Author(s):  
Robert D. Wright
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Maternal And Child Health ◽  
Child Death ◽  
Child Health Services ◽  
Tropical Africa ◽  
Low Visibility ◽  
Child Spacing ◽  
High Level ◽  
And Child Health

In tropical Africa the primordial presence of enormous young child death rates precludes a successful frontal attack on birth rates through specialized programs. Experience in Nigeria indicates that gradual, quiet pressure can influence the power structure to tolerate and eventually espouse child spacing as an integral part of a program of services for child saving. The approach involves four phases: a low visibility start; obtaining high level acceptance; establishment of a federal training center to train cadres for state training programs; and deployment of trained primary care auxiliaries as a local maternal and child health-family planning service. In tropical Africa governmental attitudes toward family planning range from positive policy, to neutrality, to strong opposition. At present most Anglophone countries are favorable. Most Francophone countries are opposed. The general trend is toward a more favorable attitude toward family planning when it is a part of maternal and child health services.

THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1949 ◽  
Vol 4 (6) ◽  
pp. 839-845
Keyword(s):  
United States ◽  
Child Health ◽  
Medical Care ◽  
Undergraduate Students ◽  
The United States ◽  
Child Health Services ◽  
The Public ◽  
The Status ◽  
Infant And Child Health ◽  
And Child Health

The eloquent statement on the status of Negro medical care and education in the United States by the eminent anatomist, Dr. W. Montague Cobb (Brown America's Medical Diaspora: A Paradox of Democracy, in The Pediatrician and The Public, Pediatrics 3:854, 1949) requires the attention of all physicians interested in the distribution of medical care. Although pediatricians cannot begin to assume responsibility for this entire problem, it is possible to demonstrate leadership in the same manner in which the Academy study of infant and child health services provided leadership to the profession and the public. We refer specifically to an extension of training facilities in pediatrics for Negro physicians. Certainly 15 certified Negro pediatricians in a country with 14,000,000 Negro people represents a serious discrepancy in the distribution of training facilities. Admittedly most of the problem has its origin in the distribution of training facilities for undergraduate students and the basic problems responsible for this situation. However, we have observed—as has Dr. Cobb—that many Negro physicians desiring training in pediatrics (as well as other specialties) are discouraged from applying for training because of what seems to be a dearth of positions open to them. It has been our impression, however, that many centers would consider Negroes for training appointments if qualified applicants applied. Would it not be advisable, therefore, for the American Board of Pediatrics to circularize the approved training centers in pediatrics in order to establish a roster of those centers which would consider Negro applicants for training positions?

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