scholarly journals Medical Ethics and Bedside Rationing in Low‐Income Countries: Challenges and Opportunities

Author(s):  
Lydia Kapiriri

2010 ◽  
Vol 468 (10) ◽  
pp. 2598-2603 ◽  
Author(s):  
Kathryn Doughty ◽  
Linda Rothman ◽  
Luke Johnston ◽  
Kim Le ◽  
Joanna Wu ◽  
...  


2019 ◽  
Vol 23 (2) ◽  
pp. 241-251 ◽  
Author(s):  
A. D. Harries ◽  
V. Schwoebel ◽  
I. Monedero-Recuero ◽  
T. K. Aung ◽  
S. Chadha ◽  
...  


2019 ◽  
Vol 4 (2) ◽  
pp. 59-64
Author(s):  
Kwabena Frimpong-Boateng ◽  
Frank Edwin

AbstractSurgical care has been described as one of the Cinderellas in the global health development agenda, taking a backseat to public health, child health, and infectious diseases. In the midst of such competing health-care needs, surgical care, often viewed by policy makers as luxurious and the preserve of the rich, gets relegated to the bottom of priority lists. In the meantime, infectious disease, malnutrition, and other ailments, viewed as largely affecting the poor and disadvantaged in society, get embedded in national health plans, receiving substantial funding and public health program development. It is often stated that the main reason for this sad state of affairs in surgical care is the lack of political will to improve matters in the health sector. Indeed, in 2001, the Commission on Macroeconomics and Health concluded that the lack of political will to sufficiently increase spending on health at the sub-national, national, and international levels was perhaps the most critical barrier to improving health in low-income countries. However, at the root of this lack of political will is a lack of political priority for surgical care.



2010 ◽  
Vol 09 (03) ◽  
pp. 203-225
Author(s):  
Sonali Bhattacharya

India, along with some of the other middle low income countries like Brazil, Russia, China and the Republic of Korea is competing with high income developed nations like USA and Japan in the knowledge sector. India has to its advantage a big pool of knowledge workers like scientists, engineers, and researchers available at low cost. The pertinent question is whether the flow of knowledge has resulted in inclusive growth. This research paper is a critical analysis of the challenges and opportunities on the pathway to India's journey towards becoming a global leader in knowledge economy with respect to the four pillars as defined by the Knowledge Assessment Model (KAM) of the World Bank, namely, economic and institutional regime, education, information and communication technology, and innovation.



2017 ◽  
Vol 11 (2) ◽  
pp. 7
Author(s):  
Joselyne Nájera

<p><strong>Resumen</strong></p><p>Las cadenas de valor global a menudo representan una opción, para las empresas y proveedores locales en los países en desarrollo, para obtener acceso a mercados de alto valor y nuevas tecnologías. Considerando que los beneficios potenciales de las cadenas de valor globales para los países en desarrollo están bien documentados, los estudios que se ocupan del impacto en los países en vías de desarrollo son escasos. El objetivo principal del artículo es analizar los principales retos y oportunidades que se derivan de la inserción de los pequeños agricultores en las cadenas de valor globales. El artículo sugiere que los pequeños agricultores se enfrentan a desafíos y oportunidades para el desarrollo dentro del mercado globalizado actual. Asimismo, se propone un modelo para la inserción sostenible y competitiva que pueda ser puesto en práctica, dado que aspectos como la educación, el acceso a la tecnología, el acceso a las finanzas, el apoyo a las políticas y la innovación pueden contener la clave para convertir una crisis en una oportunidad.</p><p> </p><p><strong>Abstract</strong></p><p>Global value chains often represent an option for local firms and suppliers in developing countries to get access to high-value markets and new technologies. Whereas the potential benefits from global value chains for medium-income developing countries are well documented, the studies dealing with the impact on low-income countries are scarce. The  objective of the article is to analyze the main challenges and opportunities derived from the insertion of small farmers in global value chains.The article suggests that small farmers are intertwined between both challenges and opportunities for development in this globalized market, nonetheless a model for sustainable and competitive insertion can be placed under consideration since aspects like education, access to technology, access to finance, policy support, and innovation can hold the key for turning a crisis into an opportunity.</p>



2018 ◽  
Vol 2 (1) ◽  
pp. 18-27
Author(s):  
TILAHUN SISAY

Sisay T. 2018. Review: Agriculture-industry linkage and technology adoption in Ethiopia: Challenges and opportunities. Trop Drylands 2: 18-27. High rate of agricultural growth has far-reaching positive implications for economic development of low-income countries in terms of increasing employment and accelerating poverty reduction. For Ethiopia to achieve middle-income status by 2025 and make substantial inroads against food insecurity, concerted and strategic investment and strategic choices in the agricultural sector are vital. Agricultural linkage encloses generating and transferring agricultural technologies to enhance productivity, reduce loss, and improve the livelihoods of beneficiaries as well as the country’s economy. The objective of this paper was to review the current status of linkage between agriculture-industry actors, extent of technology adoption system, challenges and opportunities in Ethiopia. The result of the review study shows that different factors are constraining the system. Most of the agriculture industry linkage and technologies promoted through the extension system and adoption levels are far below the possible expectation in the country. Agriculture research industries lack effective mechanisms of transferring their technologies to the end users, inadequate technological skilled manpower, poor market linkage between technology multiplication enterprises and technology users, lack of responsible body to transfer technology were the major challenges in Ethiopia. Factors constraining the linkage between stakeholders and technology adoption level of Universities, TEVTs, agriculture Research institutions and agriculture sector are wide ranging from poor linkage between stakeholders and weak involvement of professionals are among the main problems that constraining the system. Weak link between research, education, and extension and the contact of these organizations have with farmers is among the main bottlenecks in agricultural technology development, adoption level. Therefore, strong University and Research-industry linkage is needed in the country.



2021 ◽  
Author(s):  
Patrick Develtere ◽  
Huib Huyse ◽  
Jan Van Ongevalle

Over the past 60 years high-income countries have invested over 4000 billion euros in development aid. With varying degrees of success, these investments in low-income countries contributed to tackling structural problems such as access to water, health care, and education. Today, however, international development cooperation is no longer restricted to helping by giving. Instead, it is rather about opportunities, mutual interests, risk taking, and an inclusive societal approach. With the arrival of major new actors such as China, India, and Brazil, and the manifestation of private companies and foundations like the Bill and Melinda Gates Foundation, development aid is being eclipsed by new forms of international cooperation, increasingly accompanied by investments, trade, and give-and-take exchanges. The agenda for sustainable development, adopted by all United Nations Member States in 2015 and to be realised by 2030, is a case in point of new influential frameworks that usher in a global rather than a traditional North-South perspective. This book reviews 60 years of international development aid and its relevant actors, outlining today’s challenges and opportunities. Richly illustrated with case studies and examples, International Development Cooperation Today maps successes and failures and synthesizes visions and discussions from all over the world. By pointing out the radical shift from the traditional North-South perspective to a global paradigm, this book is essential reading for all practitioners, academics, and donors involved in development aid.



Author(s):  
Davor Petrović ◽  
Vida Čulić ◽  
Zofia Swinderek-Alsayed

AbstractJoubert syndrome (JS) is a rare congenital, autosomal recessive disorder characterized by a distinctive brain malformation, developmental delay, ocular motor apraxia, breathing abnormalities, and high clinical and genetic heterogeneity. We are reporting three siblings with JS from consanguineous parents in Syria. Two of them had the same homozygous c.2172delA (p.Trp725Glyfs*) AHI1 mutation and the third was diagnosed prenatally with magnetic resonance imaging. This pathogenic variant is very rare and described in only a few cases in the literature. Multinational collaboration could be of benefit for the patients from undeveloped, low-income countries that have a low-quality health care system, especially for the diagnosis of rare diseases.



2013 ◽  
pp. 121-136
Author(s):  
Duong Pham Bao

The objective of this article is to review the development of the rural financial system in Vietnam in recent years, especially, after Doi moi. There are two opposite schools of thought in the literature on rural credit policies in developing countries. One is the conventional supply-side (government-led) approach while the other is called “a new paradigm” that emphasizes the importance of the viability of financial providers and the well functioning of rural credit markets. Conventional theories of rural finance contend that rural finance in low-income countries is generally accompanied by many failures. Contrary to these theories, rural finance in Vietnam does not encounter the above-mentioned failures so far. Up to the present time, it is progressing well. Using a supply-side approach, methodologically, this study reviews the development of the rural financial system in Vietnam. The significance of this study is to challenge the extreme view of dichotomizing between the old and the new credit paradigms. Analysis in this study contends that a rural financial market that, (1) is initiated and spurred by government; (2) operates principally under market mechanisms; and (3) is strongly supported by rural organizations (semi-formal/informal institutions) can progress stably and well. Therefore, the extremely dichotomizing approach must be avoided.



EMJ Radiology ◽  
2020 ◽  

Retained foreign bodies have become very rare in countries where the safety rules in the operating theatre are very rigorous and follow precise guidelines. There are low-income countries where hospital structures are precarious, in which the implementation of surgical safety rules has only been effective recently. Surgical teams in these countries are not yet well trained in the observance of the guidelines concerning swab count, meaning that textilomas are not uncommon. Abdominal textiloma may be asymptomatic, or present serious gastrointestinal complications such as bowel obstruction, perforation, or fistula formation because of misdiagnosis. It may mimic abscess formation in the early stage or soft tissue masses in the chronic stage. This case report presents a 27-year-old female who underwent an emergency laparotomy in a rural surgical centre for an ectopic pregnancy. Two months later, a swelling had appeared on the left side of her abdomen, gradually increasing in size, which was not very painful but caused digestive discomfort and asthenia. Intermittent fever was described and treated with antibiotics. The patient was referred to a better equipped centre to benefit from a CT scan. A textiloma was strongly suspected on the CT but a left colic mass was not excluded. Laparotomy confirmed the diagnosis of textiloma and the postoperative course was uneventful. Prevention rules must be strengthened in these countries where patients can hardly bear the costs of iterative surgeries for complications that are avoidable.



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