29 research outputs found

    Digital inequality in a developing context

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    Digital inequality in a developing context: A multifaceted approach critically explores the complex and persistent nature of the digital divide in South Africa, addressing a notable gap in existing scholarship. Drawing on secondary data, the book examines how digital inequalities manifest across key sectors such as education, healthcare, and agriculture – sectors vital to national development and individual well-being. These disparities are shaped by intersecting socio-economic, technical, and geographical factors, particularly the urban–rural divide. The volume underscores the importance of infrastructure development, digital literacy, affordability, and equitable access as central to bridging the digital gap. It argues that without targeted and sustained interventions in these areas, digital inequality will continue to hinder socio-economic progress and deepen existing structural inequalities. This scholarly book offers fresh perspectives and practical insights for researchers, policymakers and practitioners seeking to advance digital inclusion in developing contexts

    Clinical perspectives on treatment of rifampicin-resistant/multidrug-resistant TB.

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    Rapid diagnostics, newer drugs, repurposed medications, and shorter regimens have radically altered the landscape for treating rifampicin-resistant TB (RR-TB) and multidrug-resistant TB (MDR-TB). There are multiple ongoing clinical trials aiming to build a robust evidence base to guide RR/MDR-TB treatment, and both observational studies and programmatic data have contributed to advancing the treatment field. In December 2019, the WHO issued their second 'Rapid Communication´ related to RR-TB management. This reiterated their prior recommendation that a majority of people with RR/MDR-TB receive all-oral treatment regimens, and now allow for specific shorter duration regimens to be used programmatically as well. Many TB programs need clinical advice as they seek to roll out such regimens in their specific setting. In this Perspective, we highlight our early experiences and lessons learned from working with National TB Programs, adult and pediatric clinicians and civil society, in optimizing treatment of RR/MDR-TB, using shorter, highly-effective, oral regimens for the majority of people with RR/MDR-TB

    An African Looks at Federation

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    Clinical perspectives on treatment of rifampicin-resistant/multidrug-resistant TB

    Full text link
    Rapid diagnostics, newer drugs, repurposed medications, and shorter regimens have radically altered the landscape for treating rifampicin-resistant TB (RR-TB) and multidrug-resistant TB (MDR-TB). There are multiple ongoing clinical trials aiming to build a robust evidence base to guide RR/MDR-TB treatment, and both observational studies and programmatic data have contributed to advancing the treatment field. In December 2019, the WHO issued their second ‘Rapid Communication´ related to RR-TB management. This reiterated their prior recommendation that a majority of people with RR/MDR-TB receive all-oral treatment regimens, and now allow for specific shorter duration regimens to be used programmatically as well. Many TB programs need clinical advice as they seek to roll out such regimens in their specific setting. In this Perspective, we highlight our early experiences and lessons learned from working with National TB Programs, adult and pediatric clinicians and civil society, in optimizing treatment of RR/MDR-TB, using shorter, highly-effective, oral regimens for the majority of people with RR/MDR-TB.</jats:p
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