Implementing the Agenda for Global Action on human resources for health : Analysis from an international tracking survey

Peer reviewedPublisher PD

Removal of childbirth delivery fees : the impact on health workers in Ghana

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Differences in Emergence Date and Size Between the Sexes of \u3ci\u3eMalacosoma Americanum\u3c/i\u3e the Eastern Tent Caterpillar (Lepidoptera: Lasiocampidae)

Malacosoma americanum males were smaller and began to pupate earlier than females. Since the sexes spent the same amount of time as pupae, males also emerged earlier. The adaptive significance of these results is discussed. Emergence data revealed an interesting sidelight; no moths emerged from cocoons inside tents

Estimating the Number of Eggs per Egg Mass of the Forest Tent Caterpillar, Malacosoma Disstria (Lepidoptera: Lasiocampidae)

Calculation of the number of eggs per egg mass of the forest tent caterpillar, Malacosoma disstria Hiibner, is required in survey and population studies. Eggs are usually laid in cylindrical masses around twigs of trees. Hodson (1941) determined the number of eggs in egg masses of the forest tent caterpillar by counting the number of eggs around the circumference and multiplying by the number of rows. This technique is apparently reliable for comparative counts, but because the eggs are frequently laid in oblique rather than straight rows on the twig, counts of both length and circumference are subject to error. In addition, adjacent rows are often offset to form a honeycomb pattern which leads to inaccuracies in length and circumference counts. Because of these shortcomings, we developed a quicker and more accurate method not subject to the effects of oblique or honeycomb egg patterns

The Role of Tree Clinics in Urban Forestry

A tree clinic analyzes tree problems and recommends appropriate actions to the public. The objective of tree clinics is to inform the citizen about urban trees. This paper is based on the experiences of 30 tree clinics held in Ann Arbor during the last eight years. The ingredients necessary for a successful tree clinic are discussed: (I) active sponsor, (2) suitable date and time, (3) good location, (4) proper publicity, (5) diversified experts, (6) proper organization, (7) sizable public turnout, and (8) follow-up publicity and acknowledgments

Start-stop funding, its causes and consequences : a case study of the delivery exemptions policy in Ghana

This article looks at the issue of sustaining funding for a public programme through the case study of the delivery exemptions policy in Ghana. The Government of Ghana introduced the policy of exempting users from delivery fees in September 2003 in the four most deprived regions of the country, and in April 2005 it was extended to the remaining six regions in Ghana. The aim of the policy of free delivery care was to reduce financial barriers to using maternity services. Using materials from key informant interviews at national and local levels in 2005, the article examines how the policy has been implemented and what the main constraints have been, as perceived by different actors in the health system. The interviews show that despite being a high-profile public policy and achieving positive results, the delivery exemptions policy quickly ran into implementation problems caused by inadequate funding. They suggest that facility and district managers bear the brunt of the damage that is caused when benefits that have been promised to the public cannot be delivered. There can be knock-on effects on other public programmes too. Despite these problems, start-stop funding and under-funding of public programmes is more the norm than the exception. Some of the factors causing erratic funding—such as party politics and intersectoral haggling over resources—are unavoidable, but others, such as communication and management failures can and should be addressed.This work was undertaken as part of an international research programme— Initiative for Maternal Mortality Programme Assessment (IMMPACT), funded by the Bill & Melinda Gates Foundation, the Department for International Development, the European Commission and USAID

Abolishing user fees for children and pregnant women trebled uptake of malaria-related interventions in Kangaba, Mali.

Malaria is the most common cause of morbidity and mortality in children under 5 in Mali. Health centres provide primary care, including malaria treatment, under a system of cost recovery. In 2005, Médecins sans Frontieres (MSF) started supporting health centres in Kangaba with the provision of rapid malaria diagnostic tests and artemisinin-based combination therapy. Initially MSF subsidized malaria tests and drugs to reduce the overall cost for patients. In a second phase, MSF abolished fees for all children under 5 irrespective of their illness and for pregnant women with fever. This second phase was associated with a trebling of both primary health care utilization and malaria treatment coverage for these groups. MSF's experience in Mali suggests that removing user fees for vulnerable groups significantly improves utilization and coverage of essential health services, including for malaria interventions. This effect is far more marked than simply subsidizing or providing malaria drugs and diagnostic tests free of charge. Following the free care strategy, utilization of services increased significantly and under-5 mortality was reduced. Fee removal also allowed for more efficient use of existing resources, reducing average cost per patient treated. These results are particularly relevant for the context of Mali and other countries with ambitious malaria treatment coverage objectives, in accordance with the United Nations Millennium Development Goals. This article questions the effectiveness of the current national policy, and the effectiveness of reducing the cost of drugs only (i.e. partial subsidies) or providing malaria tests and drugs free for under-5s, without abolishing other related fees. National and international budgets, in particular those that target health systems strengthening, could be used to complement existing subsidies and be directed towards effective abolition of user fees. This would contribute to increasing the impact of interventions on population health and, in turn, the effectiveness of aid

Development of Empirical Models to Rate Spruce-Fir Stands in Michigan\u27s Upper Peninsula for Hazard From the Spruce Budworm (Lepidoptera: Tortricidae): A Case History

The procedure used to develop empirical models which estimate potential spruce budworm impact to spruce-fir stands in Michigan\u27s Upper Peninsula is reviewed. Criteria used to select independent variables, to select the best of alternative multiple linear regression models. and to validate final models are discussed. Preliminary, intermediate, and final results demonstrate a cyclic pattern to the development procedure. Validation is emphasized as an important step in the procedure. Implications of using the hazard-rating system as a pest management tool in the stand management process are discussed