Comments on: Malaria, pneumonia, and advocacy for health http://topnaman.com/advocacy/malaria-pneumonia-and-advocacy-for-health/ malaria news and discussion Tue, 18 May 2010 19:18:21 -0500 http://wordpress.org/?v=2.8.6 hourly 1 By: manish http://topnaman.com/advocacy/malaria-pneumonia-and-advocacy-for-health/comment-page-1/#comment-5605 manish Fri, 21 Aug 2009 19:40:12 +0000 http://topnaman.com/?p=317#comment-5605 proper diet in pneumonia. pneumonia come after the malaria treatment what % of risk in this type. proper diet in pneumonia. pneumonia come after the malaria treatment what % of risk in this type.

]]> By: naman http://topnaman.com/advocacy/malaria-pneumonia-and-advocacy-for-health/comment-page-1/#comment-5536 naman Wed, 15 Jul 2009 17:19:41 +0000 http://topnaman.com/?p=317#comment-5536 Eric, these are indeed some key health systems questions people have been asking. I don't think they have any easy answers but keep at it - and thanks for the link! Eric, these are indeed some key health systems questions people have been asking. I don’t think they have any easy answers but keep at it – and thanks for the link!

]]> By: egbutter http://topnaman.com/advocacy/malaria-pneumonia-and-advocacy-for-health/comment-page-1/#comment-5534 egbutter Wed, 15 Jul 2009 14:35:47 +0000 http://topnaman.com/?p=317#comment-5534 We really do need to shift the emphasis back onto strengthening primary healthcare. Many of these developing countries have so many inadequacies in basic healthcare self-sufficiency, so vertical healthcare strategies like oncho and shisto programs are putting the cart before the horse. This is just like the Jeffrey Sachs versus Bill Easterly development argument. IMO if we can make *individuals* in these development agencies directly accountable for their programs and shift the power and money to the local administrators, there will be fewer of these "bumper sticker" programs (whether another UNAID shisto drug rollout or another MVP village) because the admin´s will know that if they make big promises and fail they will actually be held responsible for a change! This way, maybe we will finally see a capacity buildup at the level of the primary healthcare providers. Another problem, though, is making sure that the local leaders -- all the healthcare workers with a SS education -- are taught ethics and critical thinking (see a great speech by Pat Awuah http://www.ted.com/talks/patrick_awuah_on_educating_leaders.html), are well-compensated, and are held accountable for their actions. Another problem: what incentives can governments or citizens provide to facilitate these changes? We really do need to shift the emphasis back onto strengthening primary healthcare. Many of these developing countries have so many inadequacies in basic healthcare self-sufficiency, so vertical healthcare strategies like oncho and shisto programs are putting the cart before the horse. This is just like the Jeffrey Sachs versus Bill Easterly development argument.

IMO if we can make *individuals* in these development agencies directly accountable for their programs and shift the power and money to the local administrators, there will be fewer of these “bumper sticker” programs (whether another UNAID shisto drug rollout or another MVP village) because the admin´s will know that if they make big promises and fail they will actually be held responsible for a change! This way, maybe we will finally see a capacity buildup at the level of the primary healthcare providers. Another problem, though, is making sure that the local leaders — all the healthcare workers with a SS education — are taught ethics and critical thinking (see a great speech by Pat Awuah http://www.ted.com/talks/patrick_awuah_on_educating_leaders.html), are well-compensated, and are held accountable for their actions. Another problem: what incentives can governments or citizens provide to facilitate these changes?

]]>