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  • 1
    Online Resource
    Online Resource
    Care for Hypertension and Other Chronic Conditions in Samoa : Understanding the Bottlenecks and Closing the Implementation Gaps (2020)
    Washington, D.C : The World Bank
    Details
    UID:
    b3kat_BV048272918
    Format: 1 Online-Ressource
    Series Statement: World Bank E-Library Archive
    Content: The study findings inform Samoa's policy formulation, intervention implementation and the World Bank's Samoa NCD control project. As the first in the Pacific Region to do an implementation cascade study, other Pacific Island Countries (PICs) may also draw on the findings of the study
    Language: English
    DOI: 10.1596/33256
    URL: Volltext  (URL des Erstveröffentlichers)
    URL: Deutschlandweit zugänglich
    Library Location Call Number Volume/Issue/Year Availability
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    Online Resource
    Online Access
    Open Access Request
    UB Potsdam
    EUV Frankfurt
    HTW Berlin
    MPI Bildungsforschung
  • 2
    Online Resource
    Online Resource
    Improving Health Services and Redesigning Health Systems : Using Care Cascade Analytics to Identify Challenges and Solutions, Volume 1. Population-level Cascade Analytics (2022)
    Washington, D.C : The World Bank
    Details
    UID:
    b3kat_BV049080689
    Format: 1 Online-Ressource
    Series Statement: Other Health Study
    Content: This practical, interactive guide walks health program implementers through how to use cascade analytics to improve service delivery and client outcomes. For policy-makers, it explains the power of the cascade framework as an analysis tool and how it can help identify bottlenecks and solutions, and inform quality improvements and in-service reforms for more efficient, client-centered services. Cascade analytics also offer a practical way to track progress and demonstrate the concrete impact that specific changes in service delivery have on outcomes. In applications, we have found that cascades provide a powerful visual summary of where care processes stall and impact is lost. The guide helps readers master key concepts and guides them through the process of designing and conducting cascade analytics. It engages the reader and facilitates step-by-step learning with interactive features and real-life examples. The guide contains tried and tested templates for cascade analytics especially for non-communicable disease programs, and a worked example on hypertension care. The tools can also be used to better understand why clients are dropping out of care and what opportunities exist to bring them back and keep them in the program to attain their treatment targets
    Language: English
    DOI: 10.1596/36993
    DOI: 10.1596/36993
    URL: Volltext  (URL des Erstveröffentlichers)
    URL: Deutschlandweit zugänglich
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Online Resource
    Online Access
    Open Access Request
    UB Potsdam
    EUV Frankfurt
    HTW Berlin
    MPI Bildungsforschung
  • 3
    Online Resource
    Online Resource
    A Comprehensive Review of Empirical and Modeled HIV Incidence Trends (1990-2012) (2014)
    Washington, D.C : The World Bank
    Details
    UID:
    b3kat_BV048266475
    Format: 1 Online-Ressource (83 p)
    Content: An accurate measurement of HIV incidence is a key for policy makers and HIV program managers directing national HIV response. However, there is no perfect method to measure or estimate the rate at which new HIV infections occur in a population. This review compiles and triangulates longitudinal HIV incidence and prevalence data from published studies and trials, national reports and surveys, and the Joint United Nations Programme on HIV/AIDS estimates from the Spectrum model, focusing on 20 countries in Sub-Saharan Africa with generalized HIV epidemics. Three main points can be taken from this analysis of HIV incidence trends. First, modeled HIV incidence and nationally reported HIV prevalence levels in young females suggest that national HIV incidence has declined since 2000 in all except three countries analyzed (stable estimated HIV trends in Burkina Faso, Burundi, and Uganda), but trial and survey data suggest that in some demographics, HIV incidence remains critically high. Second, all modeled national HIV incidence curves and most empirically observed trends commenced a downward trajectory prior to the introduction of anti-retroviral therapy programs around 2004, suggesting the contribution of other factors, such as HIV prevention programs and natural epidemic dynamics, to this decline. Third, modeled HIV incidence estimates, including the incidence peaks in the past, exhibit much variation between Spectrum model versions and when new data are added, emphasizing the uncertainty of model outputs and the need to use incidence estimates with caution
    Additional Edition: Taaffe, Jessica A Comprehensive Review of Empirical and Modeled HIV Incidence Trends (1990-2012)
    Language: English
    URL: Volltext  (URL des Erstveröffentlichers)
    URL: Volltext  (Deutschlandweit zugänglich)
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Online Resource
    Online Access
    UB Potsdam
    EUV Frankfurt
    HTW Berlin
    MPI Bildungsforschung
  • 4
    Online Resource
    Online Resource
    A Comprehensive Review of Empirical and Modeled HIV Incidence Trends (1990-2012) (2014)
    Washington, D.C : The World Bank
    Details
    UID:
    b3kat_BV049073813
    Format: 1 Online-Ressource (83 Seiten)
    Edition: 2014
    Content: An accurate measurement of HIV incidence is a key for policy makers and HIV program managers directing national HIV response. However, there is no perfect method to measure or estimate the rate at which new HIV infections occur in a population. This review compiles and triangulates longitudinal HIV incidence and prevalence data from published studies and trials, national reports and surveys, and the Joint United Nations Programme on HIV/AIDS estimates from the Spectrum model, focusing on 20 countries in Sub-Saharan Africa with generalized HIV epidemics. Three main points can be taken from this analysis of HIV incidence trends. First, modeled HIV incidence and nationally reported HIV prevalence levels in young females suggest that national HIV incidence has declined since 2000 in all except three countries analyzed (stable estimated HIV trends in Burkina Faso, Burundi, and Uganda), but trial and survey data suggest that in some demographics, HIV incidence remains critically high. Second, all modeled national HIV incidence curves and most empirically observed trends commenced a downward trajectory prior to the introduction of anti-retroviral therapy programs around 2004, suggesting the contribution of other factors, such as HIV prevention programs and natural epidemic dynamics, to this decline. Third, modeled HIV incidence estimates, including the incidence peaks in the past, exhibit much variation between Spectrum model versions and when new data are added, emphasizing the uncertainty of model outputs and the need to use incidence estimates with caution
    Additional Edition: Taaffe, Jessica A Comprehensive Review of Empirical and Modeled HIV Incidence Trends (1990-2012)
    Language: English
    URL: Volltext  (URL des Erstveröffentlichers)
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Online Resource
    Online Access
    EUV Frankfurt
    HTW Berlin
  • 5
    Online Resource
    Online Resource
    Care for Hypertension and Other Chronic Conditions in Samoa : Understanding the Bottlenecks and Closing the Implementation Gaps (2020)
    Washington, D.C. :The World Bank,
    Details
    UID:
    edoccha_9960786770402883
    Series Statement: Other Health Study
    Content: The importance of non-communicable diseases (NCD) for the health status of Samoa's population cannot be overstated - NCD causes are responsible for 7 of 10 pre-mature deaths with 3 of 10 due to cardiovascular causes alone1. Many adults are hypertensive while rates of type diabetes and obesity are among the highest in the world and on an increasing trend. The 2013 Stepwise Approach to Surveillance (STEPS) survey found that 28.9 percent of the Samoa population are hypertensive, and 24.8 percent have diabetes. In response, the Government of Samoa has made NCD control and people, centered health services a priority in its Strategy for the Development of Samoa 2016/17-2019/20 and issued the National NCD Policy 2019-2023. In 2015, it contextualized and piloted WHO's Package of Essential Non-communicable diseases (PEN) interventions and collected implementation experiences. The PEN Fa'a Samoa is oriented toward community participation and outreach services. It places emphasis on early detection of NCDs, effective referral and increasing population awareness of NCD risk factors. However four years after initiating PEN Fa'a Samoa program, it had only been rolled out to 17 out of total 431 villages in the country indicating the stagnant status of the screening. A World Bank study of NCD cost analysis in 2017 flagged low hypertension (HTN) treatment levels in Samoa as an issue of concern. The widespread HTN and the significant cardiovascular disease burden and high premature deaths suggest that the continuum of HTN care is sub-optimal in Samoa. To support the Government in improving NCD care, the World Bank joined the Ministry of Health (MOH) in 2018 to conduct a study on HTN and chronic care. The primary aim was to identify breakpoints and gaps in the continuum of HTN care and determine issues in chronic care and propose potential solutions. The study findings inform Samoa's policy formulation, intervention implementation and the World Bank's Samoa NCD control project. As the first in the Pacific Region to do an implementation cascade study, other Pacific Island Countries (PICs) may also draw on the findings of the study.
    Language: English
    DOI: 10.1596/33256
    Library Location Call Number Volume/Issue/Year Availability
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    Online Resource
    Open Access Request
    Charité
  • 6
    Online Resource
    Online Resource
    The Economics, Financing and Implementation of HIV Treatment as Prevention : What Will it Take to Get There? (2014)
    [s.l.] : Taylor and Francis
    Details
    UID:
    gbv_1017865205
    Format: Online-Ressource
    Content: The 2013 Lancet Commission Report, Global Health 2035, rightly pointed out that we are at a unique place in history where a “grand convergence” of health initiatives to reduce both infectious diseases, and child and maternal mortality – diseases that still plague low income countries – would yield good returns in terms of development and health outcomes. This would also be a good economic investment. Such investments would support achieving health goals of reducing under-five (U5) mortality to 16 per 1 000 live births, reducing deaths due to HIV/AIDS to 8 per 100 000 population, and reducing annual TB deaths to 4 per 100 000 population. Treatment as prevention (TasP) holds enormous potential in reducing HIV transmission, and morbidity and mortality associated with HIV/AIDS – and therefore contributing to Global Health 2035 goals. However, TasP requires large financial investments and poses significant implementation challenges. In this review, we discuss the potential effectiveness, financing and implementation of TasP. Overall, we conclude that TasP shows great promise as a cost-effective intervention to address the dual aims of reducing new HIV infections and reducing the global burden of HIV-related disease. Successful implementation will be no easy feat, though. The dramatic increases in the numbers of persons who need antiretroviral therapy (ART) under a TasP approach will pose enormous challenges at all stages of the HIV treatment cascade: HIV diagnosis, antiretroviral (ARV) initiation, ARV adherence and retention, and increased drug resistance with long-term enrollment on ART. Overcoming these implementation challenges will require targeted implementation, not focusing exclusively on TasP, most-at-risk population (MARP)-friendly services for key populations, integrating services, task shifting, more efficient program management, balancing supply and demand, integration into universal health coverage efforts, demand creation, improved ART retention and adherence strategies, the use of incentives to improve HIV treatment outcomes and reduce unit costs, continued operational research and tapping into technological innovations.
    Language: English
    URL: Volltext  (kostenfrei)
    Library Location Call Number Volume/Issue/Year Availability
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    Online Resource
    Fulltext
    Stabi Berlin
  • 7
    Online Resource
    Online Resource
    The City of Johannesburg can end AIDS by 2030 : Modelling the Impact of Achieving the Fast-Track Targets and What it Will Take to Get There
    Wiley
    Details
    UID:
    gbv_1780659245
    Format: 1 Online-Ressource
    Content: In 2014, city leaders from around the world endorsed the Paris Declaration on Fast-Track Cities, pledging to achieve the 2020 and 2030 HIV targets championed by UNAIDS. The City of Johannesburg – one of South Africa's metropolitan municipalities and also a health district – has over 600,000 people living with HIV (PLHIV), more than any other city worldwide. We estimate what it would take in terms of programmatic targets and costs for the City of Johannesburg to meet the Fast‐Track targets, and demonstrate the impact that this would have
    Note: Africa , South Africa
    Language: Undetermined
    URL: kostenfrei
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Online Resource
    Stabi Berlin
  • 8
    Online Resource
    Online Resource
    Improving Services for Chronic Non-communicable Diseases in Samoa : An Implementation Research Study Using the Care Cascade Framework
    John Wiley and Sons, Inc
    Details
    UID:
    gbv_1780651805
    Format: 1 Online-Ressource
    Content: Samoa needs to intensify the response to the growing non-communicable disease burden. This study aimed to assess bottlenecks in the care continuum and identify possible solutions. The mixed-methods study used the cascade framework as an analysis tool and hypertension as a tracer condition for chronic non-communicable diseases. Household survey data were integrated with medical record data of hypertension patients and results from focus group discussions with patients and healthcare providers. Hypertension prevalence was 38.1% but only 4.7% of hypertensive individuals had controlled blood pressure. There were large gaps in the care continuum especially at screening and referral due to multiple socio-cultural, economic and service delivery constraints. In Samoa, care for chronic non-communicable diseases is not effectively addressing patient needs. This calls for better health communication, demand creation, treatment support, nutritional interventions and health service redesign, with a focus on primary healthcare and effective patient and community engagement
    Note: East Asia and Pacific , Samoa
    Language: Undetermined
    URL: kostenfrei
    Library Location Call Number Volume/Issue/Year Availability
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    Online Resource
    Stabi Berlin
  • 9
    Online Resource
    Online Resource
    A Comprehensive Review of Empirical and Modeled HIV Incidence Trends (1990-2012) / (2014)
    Washington, D.C., : The World Bank,
    Details
    UID:
    edoccha_9958143957402883
    Format: 1 online resource (83 pages)
    Series Statement: Policy research working papers.
    Content: An accurate measurement of HIV incidence is a key for policy makers and HIV program managers directing national HIV response. However, there is no perfect method to measure or estimate the rate at which new HIV infections occur in a population. This review compiles and triangulates longitudinal HIV incidence and prevalence data from published studies and trials, national reports and surveys, and the Joint United Nations Programme on HIV/AIDS estimates from the Spectrum model, focusing on 20 countries in Sub-Saharan Africa with generalized HIV epidemics. Three main points can be taken from this analysis of HIV incidence trends. First, modeled HIV incidence and nationally reported HIV prevalence levels in young females suggest that national HIV incidence has declined since 2000 in all except three countries analyzed (stable estimated HIV trends in Burkina Faso, Burundi, and Uganda), but trial and survey data suggest that in some demographics, HIV incidence remains critically high. Second, all modeled national HIV incidence curves and most empirically observed trends commenced a downward trajectory prior to the introduction of anti-retroviral therapy programs around 2004, suggesting the contribution of other factors, such as HIV prevention programs and natural epidemic dynamics, to this decline. Third, modeled HIV incidence estimates, including the incidence peaks in the past, exhibit much variation between Spectrum model versions and when new data are added, emphasizing the uncertainty of model outputs and the need to use incidence estimates with caution.
    Language: English
    DOI: 10.1596/1813-9450-7042
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Online Resource
    Open Access Request
    Charité
  • 10
    Online Resource
    Online Resource
    Improving Health Services and Redesigning Health Systems : Using Care Cascade Analytics to Identify Challenges and Solutions, Volume 1. Population-level Cascade Analytics (2022)
    World Bank, Washington, DC
    Details
    UID:
    gbv_1806284952
    Format: 1 Online-Ressource
    Content: This practical, interactive guide walks health program implementers through how to use cascade analytics to improve service delivery and client outcomes. For policy-makers, it explains the power of the cascade framework as an analysis tool and how it can help identify bottlenecks and solutions, and inform quality improvements and in-service reforms for more efficient, client-centered services. Cascade analytics also offer a practical way to track progress and demonstrate the concrete impact that specific changes in service delivery have on outcomes. In applications, we have found that cascades provide a powerful visual summary of where care processes stall and impact is lost. The guide helps readers master key concepts and guides them through the process of designing and conducting cascade analytics. It engages the reader and facilitates step-by-step learning with interactive features and real-life examples. The guide contains tried and tested templates for cascade analytics especially for non-communicable disease programs, and a worked example on hypertension care. The tools can also be used to better understand why clients are dropping out of care and what opportunities exist to bring them back and keep them in the program to attain their treatment targets
    Note: Bangladesh , Eswatini , Samoa , South Africa , Tajikistan , Ukraine , English
    Language: English
    URL: kostenfrei
    Library Location Call Number Volume/Issue/Year Availability
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    Online Resource
    Stabi Berlin
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