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Article from mms-bulletin:

Bulletin No. 74, October 1999

"Es ist ja klar, dass ich zuwenig Blut habe"

Geschichten aus der Schweiz (1)

(D | Switzerland | Swiss Tropical Institute)

Iris Stucki, Judith Baumgartner-Bicer

Bulletin No. 101, June 2006

"Have fun, learn about HIV/AIDS, and change behaviour"

Young Africans in Tanzania and Switzerland winning in the 2005 Scenarios from Africa contest

(E | Switzerland, Tanzania | Swiss Tropical Institute)

Dorothea Coppard, Ricarda Merkle, Claudia Kessler Bodiang | In March 2005, young Africans all over the continent and for the first time in selected European countries were writing their story lines for short films on HIV/AIDS in the frame of the contest Scenarios from Africa. The Swiss Centre for International Health of the Swiss Tropical Institute (SCIH/STI) was involved in coordinating the contest in Switzerland in the frame of the Afrimedia project (1), and in Tanzania in the frame of the PASHA project (2).

Bulletin No. 74, October 1999

"Im Spital haben sie gesagt, dass es vom Stress kommt"

Geschichten aus der Schweiz (2)lead:

(D | Switzerland | Swiss Tropical Institute)

Iris Stucki, Judith Baumgartner-Bicer

Bulletin No. 72, April 1999

"STI-Rauchfrei"

Ein mutiger Schritt - zur Nachahmung empfohlen:

(D | Switzerland | Swiss Tropical Institute)

Felix Roth | Seit dem 1. Januar 1999 ist das Schweizerische Tropeninstitut (STI) eine rauchfreie Zone geworden. Wie ist es dazu gekommen, und welche erste Erfahrungen wurden mit der Einführung von "STI-Rauchfrei" gemacht?

Bulletin No. 83, December 2001

A close look at DOT

The directly observed therapy revisited

(E | Swiss Tropical Institute)

Christian Auer | DOTS, the Directly Observed Treatment, Short-course, is "the most effective strategy available for controlling the TB epidemic today" (WHO). The element of DOTS that gave the strategy its name, namely the so-called Directly Observed Therapy DOT, has evoked partly passionate discussions. DOT means that a member or representative of the health system observes each drug intake of the TB patient, at least for the initial two months of treatment. Since patients' non-adherence to treatment is common, supervision of treatment is essential. DOT, developed in the 1960ies1, is seen to address the problem of patient non-adherence to treatment. Good adherence to treatment prevents the development of drug resistance. This article tries to give a balanced view of the different advantages and disadvantages of the various forms of DOT.

Bulletin No. 112, April 2009

A complete package for change in health systems

Health Worker Incentives and Safe Motherhood Indicators in Burundi

(E | Burundi | Swiss Tropical Institute)

Judith Cowley | Experience from Burundi shows that although health worker incentives can contribute to safer motherhood, other interventions such as increasing the numbers of skilled staff and ensuring adequate basic and post-basic education programmes are equally if not more important. Women also need to be able to access care financially and in a timely manner if Burundi is to achieve the millennium development goals 4 and 5.

Bulletin No. 112, April 2009

A health care supply side incentive scheme on a national scale: operational issues and effectiveness

Health Care’s supply side incentive scheme in Rwanda: processes, tools and effectiveness

(E | Rwanda | Swiss Tropical Institute)

Bonaventure Savadogo et.al. | There is a growing interest, particular in the developing world, to achieve health goals by paying for performance. Numerous strategies labelled under multiple appellations are being set up in different contexts, which make the assessment of such strategies complicated and polemic. The present article is an analytical description based on an on-going field experience which aims at sharing the Rwandan experience and at feeding the reflection on this strategy.

Bulletin No. 83, December 2001

An all-embracing approach to controlling TB

Eliminate poverty and injustice!

(E | Philippines | Swiss Tropical Institute)

Christian Auer | Modern short-course chemotherapy to treat tuberculosis (TB) is one of the most cost-effective intervention tools that exist against any major disease. Much could be achieved by using this tool more efficiently, but chemotherapy, and other interventions, like improved vaccines, are unlikely to provide a permanent solution to the problem. It must not be forgotten that the dramatic decline of TB in industrialised countries was brought about more by improved socio-economic conditions than by medical interventions. To quote a recent article in the Lancet (1), "The best tuberculosis control strategy is undoubtedly elimination of poverty."

Bulletin No. 92, April 2004

Buruli-Ulkus: eine lange Zeit ignorierte Infektionskrankheit

Viele noch ungelöste Fragen

(D | Swiss Tropical Institute)

Gerd Pluschke | An Buruli-Ulkus, einer von einem Verwandten der Tuberkel- und Leprabazillen hervorgerufenen Infektion, erkranken vor allem Menschen in Feuchtgebieten Afrikas. Von den Bakterien ausgelöste fortschreitende Gewebezerstörungen sind mit den etablierten Antbiotikatherapien nicht aufzuhalten. Die einzige gegenwärtig empfohlene Behandlung, das grossflächige Herausschneiden der Infektionsherde, scheitert oft an logistischen Problemen, die in den betroffenen entlegenen Gebieten nur schwer zu lösen sind. Da die chirurgische Behandlung häufig auch nur unbefriedigende Ergebnisse liefert, sind Forschungsaktivitäten zur Entwicklung von besseren Behandlungs-, Diagnose- und Vorbeugungsmassnahmen dringend erforderlich

Bulletin No. 73, July 1999

Cairo, Jamaica, and Real Life in the Streets of the Ghetto

Prevention and management of reproductive tract infections in a slum in Kingston, Jamaica

(E | Jamaica | Swiss Tropical Institute)

Denise Chevannes-Vogel | An important shift has occurred in population thinking in the last 25 years. In 1974 the first World Population Conference in Bucharest advanced the argument that "development is the best contraceptive’ and underscored the rights of couples to family planning, education and services. However, by 1994 this had evolved into a much broader mandate so that the consensus of the International Conference on Population and Development (ICPD) convened in Cairo in that year called for innovative, development-related policies grounded on notions of human rights, equality and equity. Notably, population issues of fertility, mortality and family planning were now located in the broader, integrated context of reproductive and sexual health, human rights and sustainable development. But 5 years later, what practical significance does ICPD hold for poor families in developing countries? Have those ideals which were proclaimed in the spotlight of global fora trickled down to the streets of urban slums far away from the limelight? Citing from empirical research conducted in Jamaica, this article will focus a micro-level perspective on the reproductive health behaviours of men and women in the social and economic periphery, those persons whose well-being and full participation, the ICPD asserts, is so critical to sustainable development. The article concludes that reproductive health is not only a human rights issue but also one whose absence signals existing social, economic and political inequalities within countries as well as between the First and Third World.

Bulletin No. 112, April 2009

Can conditional cash transfers contribute to health systems strengthening?

Introduction

(E | Swiss Tropical Institute)

Kaspar Wyss, Don de Savigny | In the past few years there has been a rapid increase in both the interest and the application of performance based funding and other incentives intended to strengthen health systems in developing and transition countries. One of the most attractive performance enhancers today is the conditional cash transfer (CCT) to health system clients, and Pay for Performance (P4P) for health system providers. CCTs and P4P are particular instruments of performance based funding (PBF) that provide monetary payments conditional on the achievement of pre-specified and agreed on health seeking behaviour or service performance targets.

Bulletin No. 70, September 1998

Capacity building in der Ausbildung und Lehre

(D | Tanzania | Swiss Tropical Institute)

Karin Wiedenmayer | Der Unterricht an einer afrikanischen Universität, verbunden mit der Förderung der lokalen Ausbildungskapazität, kann als aktuelles Beispiel der personellen Zusammenarbeit gelten. Besonders gilt dies in einem Fach, das wohl im Syllabus verankert, von der WHO gefördert sowie eine Komponente der nationalen Gesundheitssektoreform ist, wo aber die lokale Expertise noch weitgehend fehlt.

Bulletin No. 88, April 2003

Carrying forward health sector reform in Tajikistan

Sharing responsibility for better health care

(E | Tajikistan | Swiss Agency for Development and Cooperation SDC , Swiss Tropical Institute)

Kaspar Wyss, Mouazamma Djamalova | The Swiss Agency for Development and Cooperation supported ”Health Sector Reform and Family Medicine Support Project” helps the Ministry of Health of Tajikistan to develop affordable and sustainable models for Primary Health Care and family medicine services, ensuring increased access for the poor. Activities concentrate on the two pilot rayons Dangara and Varzob. The project is designed to complement a World Bank financed PHC reform project and other projects focusing on the strengthening of family medicine services. SDC funded activities aim at increasing human resources capacities by enhancing staff skills and abilities rather than by making investments in infrastructure and equipment.

Bulletin No. 105, July 2007

Closing the gap in a globalised world

Challenges and opportunities around positive motherhood

(E | Swiss Tropical Institute)

Helen Prytherch, Claudia Kessler Bodiang | In the wealthy countries of the “North” interventions are routinely available that reduce the risk of vertical HIV transmission – that is the infection of the newborn in the womb, or during delivery or breastfeeding – to less than 2%. However, the prevailing inequities that continue to scar our globalised world result in half a million of children being infected with HIV every year- the great majority through vertical transmission. Only 11% of pregnant women in resource poor countries today have access to effective prevention of mother to child transmission or antiretroviral treatment services. Main challenges remain: Should opt-out or opt-in testing replace voluntary testing and counselling? How can weak health systems be strengthened so that the new WHO proposed regimen for prophylaxis and treatment becomes feasible? Which infant feeding policy to propose? How to offer comprehensive prevention, treatment and care using a multisectoral approach?

Bulletin No. 99, January 2006

Community Action for Health in Conflict

Symposium: “Community Action for Health”: Nepal

(E | Nepal | Swiss Agency for Development and Cooperation SDC , Swiss Tropical Institute)

Kate Molesworth | The Swiss Development Cooperation’s Rural Health Development Project (RHDP), based on principles of inclusion, empowerment and community action for health, provides an example of how even in the context of civil war, this approach can fill the gap in state provision of health services, while encouraging good governance and conflict mitigation at the grass-roots level.

Bulletin No. 104, May 2007

Complexity can’t be allowed to stand in the way of action

Initiatives addressing Human resource for Health in the United Republic of Tanzania

(E | Tanzania | Swiss Tropical Institute)

Helen Prytherch, Ricarda Merkle | Tanzania is a key partner country of the German Development Cooperation with support for the health sector being a priority focus. Experience indicates the inherent complexity of mobilising and coordinating a politically strong, multidisciplinary response for tackling human resource development. The need for long-term health systems based support and close collaboration with other processes such as decentralisation and civil service reform is clearly reflected.

Bulletin No. 100, April 2006

Culture matters

Negotiating sexual and reproductive health

(E | Swiss Agency for Development and Cooperation SDC , Swiss Tropical Institute, UNFPA)

Kate Molesworth | The United Nations Population Fund (UNFPA) and other organisations working to achieve the goal of universal access to reproductive health have to negotiate highly sensitive and embedded beliefs and practices. In certain contexts challenging female genital cutting, child marriage and instituting gender equity, access to contraception, sexual and reproductive health and information are highly contentious issues. Rather than perceiving cultural perspectives to constrain positive social change, UNFPA’s Culture Matters approach illustrates how development actors might work sensitively with the dynamics of culture to enhance the achievement of development objectives and human rights within a variety of social, cultural and spiritual settings.

Bulletin No. 91, December 2003

Da führt kein Weg daran vorbei...

Editorial

(D | Switzerland, Tanzania | Medicus Mundi Switzerland, Swiss Tropical Institute)

Nicolaus Lorenz | „Wir werden heute versuchen auszuloten, wie mit den weltweit knapper werdenden Ressourcen für den Gesundheitssektor umgegangen und eine bessere Mittelverteilung erreicht werden kann.“ - Ein Überblick über Mittelverteilung und Prioritätensetzung im Gesundheitswesen auf der Grundlage von Erfahrungen in der Schweiz und in Tansania.

Bulletin No. 89, July 2003

Dar es Salaam Urban Health Project

Viele Wege führen zu Gesundheit: Projekte schweizerischer Organisationen

(D | Tanzania | Swiss Tropical Institute)

Nicolaus Lorenz | Das Projekt zeigt exemplarisch, dass Primary Health Care sehr facettenreich ist und es ein Irrweg wäre, wenn man sich auf einzelne Aspekte, beispielsweise die Kurativmedizin in Krankenhäusern oder die reine Aufklärungsarbeit auf Gemeindeebene konzentrieren würde.

Bulletin No. 71, December 1998

Das Ziel: Nachhaltige Versorgung mit Antidiabetika bis im Jahr 2000

Dezentraliserte Behandlung der Zuckerkrankheit in Dar es Salaam, Tansania

(D | Tanzania | Swiss Tropical Institute, Stiftung Ernährung und Diabetes)

Karin Wiedenmayer, Arthur Teuscher | Chronische Erkrankungen wie Diabetes gewinnen in Ländern wie Tansania immer mehr an Bedeutung. Beispielsweise geht man heute davon aus, dass in Dar es Salaam, der Hauptstadt von Tansania, mehrere Tausend Menschen daran leiden. Man weiss heute, dass Diabetes keine Wohlstandserkrankung ist und auch die Ärmsten davon betroffen sein können. Die Einführung einer dezentralisierten und von den Patienten mitfinanzierten Diabetesbehandlung soll den Zuckerkranken in Dar es Salaam neue Hoffnung geben.

Bulletin No. 74, October 1999

Die Gesundheit von Mensch und Tier im Auge behalten

Gesundheitsdienste für Nomaden im Tschad

(D | Chad | Swiss Tropical Institute)

Jakob Zinsstag | Die Gesundheit von Nomaden ist für diese untrennbar mit der Gesundheit ihrer Tiere verbunden. Im Folgenden soll der Frage, wie Gesundheitsdienste für Nomaden zu organisieren sind, aus der Sicht der Tiermedizin nachgegangen werden.

Bulletin No. 68, March 1998

Die Medikamentenpolitik des Schweizerischen Tropeninstituts

Richtlinien gemeinsam erarbeiten - und umsetzen!

(D | Swiss Tropical Institute)

Karin Wiedenmayer, Nicolaus Lorenz | Die Versorgung mit Medikamenten spielt eine zentrale und oft kostenaufwendige Rolle in vielen Projekten, die vom Schweizerischen Tropeninstitut STI unterstützt werden. Grundlage für jede Beschaffung von Medikamenten ist einerseits die Modelliste unentbehrlicher Medikamente (Essential Drugs) der Weltgesundheitsorganisation WHO, andererseits die lokale Heilmittelgesetzgebung im jeweiligen Partnerland. Ebenso wichtig sind die vor Ort ermittelten Gesundheitsbedürfnisse. Darüber hinaus sind aber klare Richtlinien notwendig, wie Medikamente optimal ausgewählt, beschafft, gelagert, verteilt und verschrieben und von den Patient/-innen verwendet werden.

Bulletin No. 78, October 2000

Editorial

Zeit zum Handeln

(D | Swiss Tropical Institute)

Marcel Tanner

Bulletin No. 104, May 2007

Editorial

(E | Swiss Tropical Institute)

Kaspar Wyss

Bulletin No. 89, July 2003

Eine Umfrage zur Aktualität der Erklärung von Alma Ata

Gesundheit und Entwicklung – Entwicklung und Gesundheit

(D | AIDS & CHILD, Missionary Department of the Protestant Churches, World Health Foundation of Switzerland, Fédération genevoise de coopération FGC, Hilfswerk der Evangelischen Kirchen der Schweiz HEKS, IAMANEH Switzerland, INTERTEAM, medico international switzerland, mediCuba-Suisse, Novartis Foundation for Sustainable Development, Swiss Red Cross, Swiss Tropical Institute, terre des hommes switzerland, World Vision Switzerland)

Entwicklung ist Voraussetzung für Gesundheit. Gesundheit, insbesondere Basisgesundheitsversorgung, ist Voraussetzung für Entwicklung: Sind diese beiden Grundaussagen der Erklärung von Alma Ata heute noch gültig? Und wo setzen schweizerische Organisationen in der Auseinandersetzung mit Gesundheit den Hauptakzent? Bei gesundheitsspezifischen Interventionen oder bei Interventionen in anderen Sektoren, die auch Auswirkungen auf die Gesundheit der Menschen haben? – Die Antworten auf eine von Medicus Mundi Schweiz durchgeführte Umfrage ergeben ein sehr vielfältiges Bild.

Bulletin No. 88, April 2003

Equity and access in the health sector in Eastern Europe and Central Asia

"To have and have not"

(E | Bulgaria, Kyrgyzstan, Romania, Tajikistan, Ukraine | Swiss Tropical Institute)

Guy Hutton | During 2002 a study was conducted examining issues of access to health care services, and related indicators, in five countries from this region - Kyrgyzstan, Tajikistan, Ukraine, Bulgaria, and Romania. The study drew principally on grey as well as published literature, identifying data available on key indicators that reflect access and equity of health systems in these countries.

Bulletin No. 112, April 2009

Establishment of a sustainable system of net distribution

(E | Swiss Tropical Institute)

Kara Hanson, Christian Lengeler

Bulletin No. 79, December 2000

Financial resources and their use in the governmental health care sector in Dar es Salaam, Tanzania

Where has all the money gone...

(E | Tanzania | Swiss Tropical Institute)

Kaspar Wyss, Deo Mtasiwa | The World Health Report 2000 on "Health Systems: Improving Performance" has pointed out that governments have too little information on financial flows and the generation of human and material resources. This information is considered as crucial for influencing policy and strategy, for providing a consistent framework for modelling reforms, and for monitoring their effects. In Tanzania financing of the health sector has only been documented in a rudimentary way and there exists only limited and incomplete knowledge of national health spending. This article assesses using the example of Dar es Salaam, the sources, the flow and the uses of financial resources in the public health sector.

Bulletin No. 112, April 2009

Food Supplements for Tuberculosis Patients – do they reach the target group?

Food Supplements for Adherence to DOTS in Tajikistan

(E | Tajikistan | Swiss Tropical Institute)

Raffael Ayé, Kaspar Wyss | Tuberculosis has made the headlines of media in recent years because the epidemic is still rampant in many low-income countries and because drug-resistant strains have led to outbreaks in different parts of the world. For the control of the tuberculosis epidemic and for minimisation of resistance, adherence to treatment is key. In order to improve treatment adherence for tuberculosis, patients in Tajikistan are incentivised with food supplements.

Bulletin No. 88, April 2003

Gesundheit im Umbruch

Editorial

(D | Swiss Tropical Institute)

Manfred Zahorka

Bulletin No. 79, December 2000

Gesundheitsfinanzierungssyteme – eine Übersicht

Den Zugang zu Gesundheitsdiensten sicherstellen

(D | Swiss Tropical Institute)

Zsuzsa Varvasovszky, Guy Hutton | Armut und Gesundheit sind eng miteinander verbunden. Krankheit beeinträchtigt die Arbeitsfähigkeit und damit auch das Einkommen. Mit weniger Einkommen kann sich eine arme Person in der Regel weniger Gesundheitsdienste leisten, falls diese Dienste bezahlt werden müssen. Wenn Ersparnisse vorhanden sind, gehen dies durch die krankheitsbedingten Ausgaben schnell zur Neige. Das Ganze wird schnell zu einer Teufelsspirale in Richtung Armut. Eine Aufgabe von Gesundheitssystemen ist es deshalb, durch geeignete Finanzierungssysteme den direkten Zusammenhang zwischen individueller Zahlungsfähigkeit und Zugang zur Gesundheitsversorgung zu durchbrechen.

Bulletin No. 96, April 2005

Health and human rights issues of a large energy infrastructure development in Africa

The Chad-Cameroon petroleum and development project

(E | Chad | Swiss Tropical Institute)

Jürg Utzinger | There is rapid expansion of both on-shore and off-shore oil and gas development in West and Central Africa. A recent example is the Chad-Cameroon petroleum development and pipeline project. This project has prompted considerable discussion from the planning stages through implementation. Private citizens, civil society, non-governmental organizations (NGOs) and academia put forth concerns, particularly on environmental and human rights issues. Critical appraisal of potential health impacts received less attention.

Bulletin No. 88, April 2003

Health Care Reform in Romania: Reorganisation of Neonatology Services

Under pressure...

(E | Romania | Swiss Tropical Institute)

Manfred Zahorka | Based on a request of the Romanian Government the Swiss Agency for Development and Cooperation (SDC) supports the Romanian Swiss Neonatology Project (RoNeonat) aiming at the reduction of neonatal mortality in Romania.

Bulletin No. 99, January 2006

Health Reform and Family Medicine Support Project (Sino)

Swiss Tropical Institute, Tajikistan

(D | Tajikistan | Swiss Tropical Institute)

Bulletin No. 88, April 2003

HIV/AIDS in Eastern Europe

The fastest-growing epidemic in the world

(E | Kyrgyzstan, Romania, Russian Federation, Tajikistan, Ukraine, Belarus | Swiss Tropical Institute)

Manfred Zahorka | Eastern Europe and Central Asia were largely unaffected by HIV/AIDS up to the early 1990s. As recently as 1994, no country in this region was reporting more than a few HIV infections, with an estimated total of 30,000 infections. A first outbreak with rapid increase in registered cases started a year later mainly in Ukraine, Belarus and the Russian Federation. Since then the situation has dramatically changed. In only two years time the number of infected people has increased more than five-fold with a rapid increase in the incidence (1) of the disease. With an HIV/AIDS prevalence (2) of up to 1% of the general population (Ukraine) the region is currently not experiencing a situation like the one prevailing in some African or South-East Asian countries. The alarming sign however is the dramatic increase of the incidence, the number of new cases per year. The region is now experiencing the fastest-growing epidemic in the world.

Bulletin No. 87, December 2002

HIV/AIDS Prevention for Sub Saharan African Migrants living in Switzerland

HIV/AIDS: 46 responses to a global challenge

(E | Switzerland | Bundesamt für Gesundheit BAG, Swiss Red Cross, Swiss Tropical Institute)

Claudia Kessler Bodiang

Bulletin No. 104, May 2007

Human Resources - the Heart of every Health System

An overview

(E | Swiss Tropical Institute)

Karin Martin, Kaspar Wyss, Svenja Weiss, Nicolaus Lorenz | Strong and well-functioning health systems are a prerequisite for efforts to reach the Millennium Development Goals. Human Resources for Health play a central role – right at the heart of every health system! While strong national leadership and stewardship are of utmost importance to initiate the structural changes needed to overcome the human resource crisis, global alliances are also much needed to provide capacity building, scientific knowledge transfer and funding support.

Bulletin No. 90, October 2003

Human Resources for Health (HRH)

A crucial element for achieving international development targets

(E | Tajikistan | Swiss Agency for Development and Cooperation SDC , Swiss Tropical Institute)

Daniel Mäusezahl, Kaspar Wyss | International plans put Human Resources for Health development at the forefront

Bulletin No. 74, October 1999

If nobody really cares...

Health care provision for migrants in the African context

(E | Swiss Tropical Institute)

Kaspar Wyss | This article reviews the access to health care for migrants in African countries as well as interventions targeting these people. Obstacles for access to health care for migrants are for example, the existence of racism, communication and language skills, knowledge about available health care in the host setting or altered cultural concepts of health and disease. Although large scale interventions implemented by bi- and multilateral and non-governmental institutions for specific groups of migrants such as refugees do exist, there are enormous gaps in the knowledge how best to provide cost-efficient, adequate and acceptable health services to other groups of migrants such as migrant workers or nomadic people.

Bulletin No. 88, April 2003

Impact of economic transition on health care in Eastern Europe and the Newly Independent States

Facing the Challenge

(E | Swiss Tropical Institute)

Manfred Zahorka | For most of the countries of Central Asia and Eastern Europe the transition period from Soviet style governance to a free market economy and democratic governance has brought deterioration in living standards, accompanied by shortcomings in the health and education sectors. There are tremendous challenges for the public health system in Eastern Europe and the need for reform is evident.

Bulletin No. 78, October 2000

Insecticide-treated nets: from social marketing to national programmes

Expanding the use of an effective malaria control tool

(E | Tanzania | Swiss Tropical Institute)

Christian Lengeler | In April 2000, African Heads of State met in Abuja (Nigeria) and endorsed a far-reaching plan to Roll Back Malaria in Africa. One of the three key targets they pledged to reach by the year 2005 was that at least 60% of African children would sleep protected by a bednet (mosquito net) treated with insecticide. This "licence to kill mosquitoes" has been taken seriously by the major international health agencies and many plan to expand the use of insecticide-treated nets (ITNs) in their programmes.

Bulletin No. 90, October 2003

Instrumente des Human Resource Development für die praktische Arbeit in Organisationen

Den Schlüssel finden

(D | Swiss Tropical Institute)

Axel Hoffmann | Human Resource Development (HRD), im deutschen mit dem Begriff „Personalentwicklung“ leider nur unzureichend übersetzt und zudem nur sehr eingeschränkt verwendet, spielt eine wesentliche Rolle, wenn es darum geht, eine Organisation im Entwicklungshilfebereich erfolgreich bestehen zu lassen. Doch Instrumente, die die vorhandene Situation in einer Partnerorganisation verlässlich einschätzen und andererseits möglichen Problemlösungen ansprechen, sind nicht leicht zu finden.

Bulletin No. 79, December 2000

Issues in choosing which health care interventions to provide

Required: best value for money

(E | Swiss Tropical Institute)

Guy Hutton | "To require the health system to obtain the greatest possible level of health from the resources devoted to it, is to ask that it be as cost-effective as it can be. This is the basis for emphasising those interventions that give the greatest value for money, and giving less priority to those that, much as they may help individuals, contribute little per dollar spent to the improvement of the population’s health" (WHO World Health Report 2000, page 52).

Bulletin No. 80, April 2001

Le secteur de santé privé à Lomé dans un contexte de crise économique

20 structures publiques - 1000 structures privées

(F | Togo | Swiss Tropical Institute)

Kaspar Wyss, Mohamed Lamine Touré | Vu la présence massive du secteur privé lucratif et tenant compte de la faiblesse du secteur public à Lomé, il ne reste que la voie d’une réorientation stratégique du rôle et des fonctions de l’État dans le domaine de la santé pour garantir une attribution adéquate des services de santé à la population de la capitale togolaise.

Bulletin No. 87, December 2002

Mainstreaming HIV/AIDS into International Development Cooperation

HIV/AIDS: 46 responses to a global challenge

(E | Swiss Tropical Institute)

Claudia Kessler Bodiang

Bulletin No. 78, October 2000

Malariaprophylaxe bei Langzeitaufenthaltern

"Wie halten Sie es damit?"

(D | Switzerland | Swiss Tropical Institute)

Christoph Hatz | Das Thema Malariaprophylaxe ist ein Dauerbrenner auf Cocktailparties und anderen sozialen Anlssen in Malariagebieten. Viele Langzeitaufenthalter sind verunsichert, da die Datenlage bei dieser Gruppe ohne natrliche Abwehr gegen die Malaria ungengend ist. Dies fhrt zu einer Flle von widersprchlichen Empfehlungen. Im folgenden wird deshalb kurz auf die belegten Tatsachen des aktuellen Wissens eingegangen.

Bulletin No. 84, April 2002

Manageable Bamako Initiative schemes

Economical solidity a precondition for equity

(E | Swiss Tropical Institute)

Felix Küchler | Based on experience with implementing revolving drug funds at district level in subsaharan Africa focus is put on the manageability of such schemes. The community itself should have ownership over drugs, materials and money. People's representatives must be able to manage the scheme in a safe and sustainable way. A well functioning community financing scheme has many positive effects besides health. It contributes to education, independency, self-assertiveness, commitment, motivation, and it diminishes poverty.

Bulletin No. 74, October 1999

Migration, Gesundheit und Kommunikation

Editorial

(D | Swiss Tropical Institute)

Christoph Hatz

Bulletin No. 69, June 1998

Nachhaltigkeit - Gesundheit - Partnerschaft: Streiflichter und Ausblicke

Nachhaltige Gesundheitszusammenarbeit – nachhaltige Gesundheitsversorgung:

(D | Swiss Tropical Institute)

Marcel Tanner | Wollen wir die Nachhaltigkeit der Entwicklungszusammenarbeit im Gesundheitssektor besprechen, so stehen die Begriffe Nachhaltigkeit, Gesundheit und Partnerschaft im Zentrum. Sie sollen in dieser Reihenfolge kurz beleuchtet werden, was zu Leitsätzen für die Diskussion, wie Gesundheitsentwicklung eingeleitet, getragen und für kommende Generationen gesichert werden kann, führen soll.

Bulletin No. 74, October 1999

Nicht die medizinische Infrastruktur ist das Problem, sondern die Anerkennung von Machtstrukturen

Geschichten aus dem Tschad (1)

(D | Chad | Swiss Tropical Institute)

Frank Krönke

Bulletin No. 80, April 2001

Nichtstaatliche Leistungserbringer im Gesundheitswesen

Editorial

(D | Medicus Mundi Switzerland, Swiss Tropical Institute)

Nicolaus Lorenz

Bulletin No. 84, April 2002

Nomaden im Tschad: Hilf Dir selbst...

Mit 25 essentiellen Medikamenten in der Tasche...

(D | Chad | Swiss Tropical Institute)

Hans Peter Bollinger | Die Gesundheitsversorgung von Nomaden ist wegen ihrer mobilen Lebensform grundsätzlich schwierig. Ein vom Schweizerischen Tropeninstitut in Basel betreutes und im Tschad vom Centre de Support en Santé Internationale in N’Djaména durchgeführtes Projekt unterstützt in den Präfekturen Chari-Baguirmi und Kanem den Aufbau eines für Pastoralnomaden verbesserten Gesundheitssystems. Während eines Nachdiplomstudium-Projekteinsatzes der ETH Zürich (NADEL) untersuchten wir in diesem Rahmen die Verfügbarkeit und den Zugang zu "westlichen" Medikamenten. Das Ziel war, Lösungsansätze zu testen, mit denen der Zugang und Gebrauch von Medikamenten für Nomaden in der Umgebung des Tschad-Sees verbessert werden kann.

Bulletin No. 78, October 2000

Optionen der Malariabekämpfung

Das Unmögliche möglich machen

(D | Swiss Tropical Institute)

Marcel Tanner | Noch immer leben gut zwei Milliarden Menschen in Gebieten, wo die Gefahr besteht, dass sie durch Mückenstiche mit Malariaerregern infiziert werden. Inzwischen haben Forschende und klinisch Tätige, aber auch Entscheidungsträger der von der Malaria betroffenen Länder und der internationalen Organisationen erkannt, dass es gegen die Malaria nie ein Wundermittel geben wird. Das Engagement für eine nachhaltige Malariabekämpfung hat langfristige Dimensionen und benötigt integrierte Strategien. So kann das Unmögliche vielleicht doch möglich gemacht werden.

Bulletin No. 81, June 2001

Partizipative Projektimplementierung über Freiwilligenarbeit mit einer Jugendgruppe im Süden des Tschad

"Jingomirodji" – "Schützen wir uns!"

(D | Chad | Swiss Tropical Institute)

Sebnem Jahn, Eva Schmid | Eine Gruppe von Jugendlichen will der subjektiven Bedrohung durch Aids etwas entgegenzusetzen und Zugang zu Information erhalten. Neben dem eigenen Informationsbedarf formulieren die Jugendlichen auch den Wunsch, andere Teile der Bevölkerung zu informieren. Die Zusammenarbeit mit den Jugendlichen zeigt, das Freiwillige einen wirkungsvollen Beitrag zur gesamtgesellschaftlichen Entwicklung leisten können, wenn entscheidende Voraussetzungen erfüllt sind.

Bulletin No. 82, October 2001

Plädoyer für ein verbessertes Ressourcenmanagement

"...weil der Bohrer nicht funktioniert"

(D | Swiss Tropical Institute)

Martin Raab | Wie viele Einrichtungen, Medikamente und Geräte sind notwendig, um angemessene Gesundheitsdienste der Bevölkerung zu bieten? Wieviel Personal mit welcher Ausbildung wird benötigt? Soviel steht fest: Egal, auf welches Land wir den Scheinwerfer richten, ein Mangel an Personal und Materialien wird fast immer beklagt. Ein konkretes Beispiel zeigt jedoch, dass die absolute "Menge" der Ressourcen oft nicht das Problem ist. Eine erhebliches Potential zur Lösung von Mengen-Problemen schlummert in der verbesserten Organisation und Bewirtschaftung der Gesundheitseinrichtungen.

Bulletin No. 67, December 1997

primum nil nocere

Kommentar

(D | Swiss Society of Tropical Medicine and Parasitology, Swiss Tropical Institute)

Bernhard Beck

Bulletin No. 68, March 1998

Printed material alone has little effect...

Improving rational drug use in Dar es Salaam, Tanzania, by elaborating and implementing Standard Treatment Guidelines (STG)

(E | Tanzania | Swiss Tropical Institute)

Karin Wiedenmayer | The objective of the Tanzanian National Drug Policy is "to make available to all Tanzanians at all times the essential pharmaceutical products which are of quality, proven effectiveness and acceptable safety at a price that the individual and the community can afford." In addition to making pharmaceutical products available, the National Drug Policy aims at rationalizing use of drugs through better information, prescription and compliance. A Project in Dar es Salaam shows the effectiveness of integrated Standard Treatment Guidelines as well as its limitations.

Bulletin No. 69, June 1998

Reflections and prospects

Sustainable health development – sustainable health services

(E | Swiss Tropical Institute)

Marcel Tanner | Discussing sustainable health development entails three key issues: Sustainability, health and partnership. They will be briefly reviewed and possible principles guiding the health development process and assuring it for future generations are proposed in the concluding section.

Bulletin No. 92, April 2004

Research on Neglected Diseases

High Time to Take Action

(E | Swiss Agency for Development and Cooperation SDC , Swiss Tropical Institute)

Christian Burri | Infectious and parasitic diseases affect almost exclusively poor and marginalized populations living in settings where poverty is widespread and resources or access to livelihood opportunities are scarce (1). Hence, women, children, ethnic minorities as well as people living in remote and isolated communities with no access to health care or basic services for education, nutrition, housing, clean water and sanitation are amongst those most affected. Such diseases constitute a serious obstacle to socioeconomic development and quality of life at all levels.

Bulletin No. 104, May 2007

Shortage of health staff– what is being done?

The contribution of the German Development Cooperation to solving the Human Resources for Health Crisis in developing countries

(E | Swiss Tropical Institute)

Kaspar Wyss, Helen Prytherch | In November, 2006 the Swiss Centre for International Health was mandated to compile a report for the German Federal Ministry of Economic Cooperation and Development looking into the contributions the German Development Cooperation is making towards solving the crisis of human resources for health in developing countries. By taking up contact with people working for the various German agencies challenges and lessons learned were illustrated and openings for future efforts identified.

Bulletin No. 100, April 2006

Striking contrasts

Cultural dimensions of suicidal behaviour in the Sundarban region, India, and Basel, Switzerland

(E | India, Switzerland | Swiss Tropical Institute)

Sohini Banerjee, Claudia Sauerborn | Cultural barriers to health care and treatment are often exclusively discussed as prevalent in non-western settings or among minority groups in the Euro-American context. The research and prevention efforts of suicidal behaviour in Switzerland and India described in this paper show that even though patient identified the same socio-cultural problems leading to their suicide attempt, treatment and prevention efforts are structurally and culturally different. While in Switzerland prevention efforts are exclusively based on the assessment of psychiatric illnesses, efforts in the Sundarban region, where mental health services are absent, can only address the socio-cultural context through community participation. Successful prevention efforts of suicidal behaviour in the Euro-American and Asian countries have to combine clinical and community approaches taking into account local cultural and structural differences.

Bulletin No. 82, October 2001

Technology Assessment in Healthcare

Modern Technologies: scapegoat for rising costs or magic bullet for improved healthcare?

(E | Swiss Tropical Institute)

Martin Raab | Technology is revolutionising medicine, the future of healthcare is challenging and changes are necessary. Making the best use of new technologies for the population depends on our ability to confront the challenge: Health Technology Assessment (HTA) is an important tool to do so.

Bulletin No. 88, April 2003

The challenge of modernising maternal and child health services in Ukraine

”Under Construction”

(E | Ukraine | Swiss Tropical Institute)

Andrei Solodarenko, Martin Raab | The past decade of economic, political and social transformation has severely affected Ukraine’s health services and the health status of the population. An Ukraine – Swiss cooperation aims at facilitating the changes necessary to achieve international standards.

Bulletin No. 104, May 2007

The pharmacist - a neglected workforce?

The potential of a health professional

(D | Swiss Tropical Institute)

Karin Wiedenmayer | Pharmacists represent the third largest healthcare professional group in the world. The majority of pharmacists practice in private retail pharmacies, few in hospitals and other medical facilities. However, pharmacists are hardly ever mentioned as key health professional. They tend to run under “others”. Pharmacists have been a neglected healthcare workforce. Yet, pharmacists can make a unique contribution to the outcome of drug therapy, to their patients’ quality of life and to public health. Pharmacists have a critical role to play and a gap to fill in the health workforce.

Bulletin No. 93, June 2004

Treatment and care for all

Introduction to the aidsfocus conference

(E | Swiss Agency for Development and Cooperation SDC , Swiss Tropical Institute)

Claudia Kessler Bodiang | ”When 'treatment and care for all’ is discussed within the frame of this conference we should keep in mind that at the core we are talking about people, about human suffering, about inequities, inequalities and injustice.” - A brief introduction to some of the issues discussed throughout the aidsfocus-conference on April 20, 2004, in Berne.

Bulletin No. 88, April 2003

Tuberculosis control in prisons in countries of the former Soviet Union

Quite an unhealthy environment

(E | Swiss Tropical Institute)

Manfred Zahorka | Prisoners very often originate from the most vulnerable groups of society: the poor, the mentally ill, those dependent on alcohol or drugs. These groups have an increased risk of diseases such as tuberculosis (TB) already before entering the penitentiary system. Once in prison, the risk of being infected or falling sick is amplified by poor living conditions, overcrowding, poor ventilation, poor nutritional status, physical and emotional stress, including an atmosphere of violence, humiliation and disempowerment. Since TB is transmitted by airborne spread of infectious droplets, tuberculosis thrives in prisons, where inmates share rooms with many others and overcrowding is a prominent problem. Prisons are also a locus of HIV infection, a significant risk factor for acquiring and developing TB and for dying of TB.

Bulletin No. 83, December 2001

Tuberkulosekontrolle bei Flüchtlingspopulationen

Aus aktuellem Anlass...

(D | Swiss Tropical Institute)

Claudia Kessler | Die geographische Überschneidung der Regionen, die sowohl unter der Last der Flüchtlingsbewegungen als auch derjenigen der Tuberkuloseepidemie leiden, macht TB-Kontrollmassnahmen bei Flüchtlingspopulationen zu einer prioritären Aufgabe.

Bulletin No. 98, October 2005

Un rôle salutaire pour la recherche scientifique

Appui au processus de réconciliation et à la reconstruction post-conflit du secteur sanitaire dans l’Ouest de la Côte d’Ivoire

(F | Ivory Coast | Centre Suisse de Recherches Scientifiques en Côte d’Ivoire (CSRS), Swiss Agency for Development and Cooperation SDC , Swiss Tropical Institute)

Eliézer K. N’Goran, Marcel Tanner, Guéladio Cissé, Andres B. Tschannen, Jürg Utzinger, Olivier Girardin | Les centres de recherches internationaux peuvent être confrontés à des crises sociopolitiques dans les pays où ils établissent leur siège. Grâce à leur expérience et présence sur le terrain, ces centres sont dans une position unique pour participer au processus de réconciliation, donner un appui humanitaire et contribuer à la reconstruction post-conflit. A titre d’exemple, l’article présente le cas du Centre Suisse de Recherches Scientifiques en Côte d’Ivoire (CSRS) et son rôle dans l’appui au système sanitaire pendant la récente crise militaro-politique dans ce pays.

Bulletin No. 74, October 1999

Unfruchtbarkeit, Verzweiflung und Resignation durch chronische Gonorrhöe

Geschichten aus dem Tschad (2)

(D | Chad | Swiss Tropical Institute)

Frank Krönke

Bulletin No. 102, October 2006

Vaccination: les enfants et les mères, mais aussi leurs animaux!

Améliorer l’accès aux soins préventifs du couple mère-enfant en milieu nomade du Tchad à travers des campagnes de vaccination

(F | Chad | Swiss Tropical Institute)

Jakob Zinsstag, Mahamat Bechir Mahamt, Esther Schelling, Bassirou Bonfoh, Daniel Weibel, Mahamat Abdoulaye Ahmed, Doumagoum Moto Daugla, Toguina Madjiadé | Cette contribution se situe dans le cadre d’un projet d’appui à la couverture sanitaire au profit des pasteurs nomades du Chari Baguirmi et du Kanem au Tchad. Le but du projet initié par l’Institut Tropical Suisse consiste à offrir des soins préventifs aux mères nomades et à leurs enfants à travers des campagnes de vaccination afin de les protéger contre les maladies cibles du Programme Élargi de Vaccination ainsi qu’à travers da formation d’accoucheuses nomades.

Bulletin No. 92, April 2004

Vernachlässigte Krankheiten?

Editorial

(D | Swiss Tropical Institute)

Christian Burri

Bulletin No. 79, December 2000

Von Angebot und Nachfrage

Editorial

(D | Swiss Tropical Institute)

Guy Hutton

Bulletin No. 70, September 1998

Wenn Mediziner zur Minderheit werden...

Anforderungsprofil an Personal im Bereich von Gesundheitsprogrammen

(D | Swiss Tropical Institute)

Nicolaus Lorenz | Mit dem Wandel der Gesundheitszusammenarbeit haben sich auch die Anforderungen an das in diesem Bereich tätige Personal grundlegend geändert. Eine aktuelle Bestandesaufnahme aus der Sicht des Schweizerischen Tropeninstituts.

Bulletin No. 68, March 1998

Why worry about drug management?

Better use of resources though more effective drug supply management

(E | Swiss Tropical Institute)

Karin Wiedenmayer | Considering that pharmaceutical expenditures at public and private facilities in Africa typically make up to one third of total recurrent costs of a health care budget and can represent a large percentage at household level, good management of drug supply systems including promotion of rational drug use by qualified pharmaceutical manpower is imperative both economically and for good quality of health care.

Bulletin No. 75, December 1999

«Les choses qui nous donnent les maladies...»

Recours aux soins des enfants de la rue à N'Djaména (Tchad)

(F | Chad | Swiss Tropical Institute)

Abdias Laoubaou Nodjiadjim, Kaspar Wyss | Les enfants et les jeunes de la rue sont parmi les nouveaux acteurs qui revèlent la ville. Parmi les multiples problèmes auxquels ils sont quotidiennement confrontés, on il y a notamment les maladies et les difficultés d'accès aux soins. L'article suivant décrit, à l'exemple de N'Djaména (Tchad), leurs problèmes de santé ainsi que des efforts pour une meilleure prise en charge de leur santé.

Bulletin No. 100, April 2006

“With scientific rigour and respect for cultural boundaries”

Research and development of affordable AIDS medicines for the developing countries

(E | Esperanza Medicines Foundation, Swiss Tropical Institute)

Rainer von Mielecki, Marcel Tanner, Alex Matter | The goal of Esperanza Medicines Foundation is to discover and develop novel, efficacious and safe treatment and prevention modalities that can be produced locally, with the technologies that are already available, at little or even negligible cost.

Documents:

Med in Switzerland:

25 Jahre WHO-Liste der unentbehrlichen Arzneimittel
Qualität, Wirksamkeit und Erschwinglichkeit als Ziel

(D) Karin Wiedenmayer | Auch 25 Jahre nach der Publikation der ersten WHO-Liste unentbehrlicher Arzneimittel müssen wir uns weiterhin unermüdlich auf allen Ebenen dafür einsetzen, dass Medikamente weltweit möglichst sinnvoll verwendet werden. Dies mit dem Ziel, unnötiges Leiden zu verhindern und die medizinische Versorgung zu verbessern.

Es ist schon lange fünf vor zwölf
Gesundheitsprobleme in armen Ländern

(D) Nicolaus Lorenz | Wie im ausgehenden 19. und beginnenden 20. Jahrhundert in Europa, findet auch in den armen Ländern des Südens eine Verschiebung von Infektionskrankheiten zu chronischen Krankheiten statt. Wie sich in den Ländern des ehemaligen Ostblocks zeigt, ist dieser Prozess aber nicht unumkehrbar. Ein Tour d’horizon durch die gesundheitlichen Probleme in den armen Ländern.

Von der staatlichen Gratismedizin zur Gemeindebeteiligung
Auswege aus der Finanzkrise im Gesundheitsbereich - Die Bamako Initiative

(D) Felix Küchler | Finanzknappheit im Gesundheitsbereich: im Norden wie im Süden gewinnt dieser Problemkreis an Bedeutung, wenn auch aus unterschiedlichen Gründen. In der Schweiz erreichen die Gesundheitskosten bald Dimensionen, die volkswirtschaftlich nicht mehr tragbar sind. Die Staaten des Südens sind unter dem Druck von Strukturanpassungsprogrammen der Weltbank und des Internationalen Währungsfonds gezwungen, den Staatshaushalt durch rigide Ausgabenkürzungen zu sanieren. Während ein Leistungsabbau in der Schweiz noch verkraftet werden kann, sind die Folgen im Süden unter Umständen verheerend. Um wenigstens die Grundversorgung mit Medikamenten aufrecht zu erhalten, wurden in den letzten Jahren Modelle der Kostenbeteiligung durch die Bevölkerung entwickelt.

Event:

News:

"...a very significant role in promoting collaboration in the international research and development community"
EDCTP Plays a Significant Role in Promoting Collaboration

(E) STI | "To prepare the ground for extending its 2003-2009 Programme beyond 2010, the European & Developing Countries Clinical Trials Partnership (EDCTP) mandated the SCIH of the STI to conduct an internal assessment of its success. The Programme’s objective is to accelerate the development of new or improved drugs and vaccines against HIV/AIDS, Malaria and Tuberculosis in Sub-Saharan Africa. For the majority ...

"...a very significant role in promoting collaboration in the international research and development community"
EDCTP Plays a Significant Role in Promoting Collaboration

A Swiss alliance against the killer disease malaria
Swiss Malaria Group

(E) SDC | On 25 April 2008, World Malaria Day, the Swiss Malaria Group (SMG) – a Swiss Agency for Development and Cooperation (SDC) initiative – will be making its first official appearance before the Press in Basel. The Swiss Malaria Group consists of Swiss-based players from the public and private sectors, as well as from civil society, with the shared aim of spearheading the fight against an infectious ...

Aus dem STI ist das STPH geworden
Das Schweizerische Tropen- und Public Health-Institut (Swiss TPH ) – eine neue Grösse in nationaler und internationaler Gesundheit
(D) Switzerland

STPH | Mit Beginn des Jahres 2010 tritt das Schweizerische Tropeninstitut, erweitert um die Kompetenzen des früheren Instituts für Sozial- und Präventivmedizin der Universität Basel, unter neuem Namen an die Öffentlichkeit: Als Schweizerisches Tropen und Public Health Institut (Swiss TPH) wird das Institut sein Mandat, durch Lehre, Forschung und Dienstleistungen die Gesundheit lokal, national und international ...

East – East Collaboration Strengthened Through SDC Funded Projects
SCIH: Potential of learning from each ohter

(E) STI/SCIH | The Swiss Centre for International Health of the Swiss Tropical Institute has a long standing experience implementing Perinatal Health related projects funded by the Swiss Agency for Development and Cooperation (SDC) and other donors in Eastern Europe and the Balkans. Sharing experience and lessons learnt amongst these projects has been particularly interesting and rewarding due to the fact that most ...

East – East Collaboration Strengthened Through SDC Funded Projects
SCIH: Potential of learning from each ohter

Eine schweizerische Allianz gegen Malaria
Swiss Malaria Group

(D) DEZA | Die Swiss Malaria Group besteht aus Schweizer Akteuren aus dem öffentlichen Sektor, der Privatwirtschaft und der Zivilgesellschaft. Gemeinsam ist ihnen eine Pionierrolle im Kampf gegen eine Infektionskrankheit, die noch immer alle 30 Sekunden einem Kind das Leben kostet. Das Schweizerische Tropeninstitut, die Direktion für Entwicklung und Zusammenarbeit, die Novartis Stiftung für Nachhaltige Entwicklung, ...

Europäische Rezepte zu gesundheitlichen Erfolgen in Afrika?
Basel, 9. April 2008

(D) Europainstitut / Universität Basel | Vortrag von Prof. Marcel Tanner, Epidemiologe, Schweizerisches Tropeninstitut/Universität Basel im Rahmen der Vortragsreihe des Europainstituts der Universität Basel zum Thema "Europa und Afrika".

GAVI Coverage
Study of the methods to estimate immunisation coverage

(E) SCIH | SCIH has been awarded a contract to conduct a study of the methods to estimate immunisation coverage by the GAVI Alliance. The work to be done will contribute to clarify growing concerns in the international health community that information on coverage is not accurate enough and that national or global figures mask great inequities (e.g. rural population have less access to immunisation than urban ones.

GAVI Coverage
Study of the methods to estimate immunisation coverage

Gesundheit für die Ärmsten: Verantwortung von Staat, NGOs, Forschung und Pharmaindustrie
Basel, 29. April 2010

(D) MMS | Jedes Jahr sterben Millionen von Menschen an leicht behandelbaren Krankheiten. Das Recht auf Gesundheit bleibt in vielen Entwicklungs- und Schwellenländern ein unerfülltes Postulat. Der Zugang zu guten Gesundheitsdiensten und sicheren Medikamenten ist für die dort lebenden Menschen hürdenreich oder ganz versperrt. Was tun Politik, Industrie, Wissenschaft und Zivilgesellschaft, um die Situation ...

Gesundheit für die Ärmsten: Verantwortung von Staat, NGOs, Forschung und Pharmaindustrie
Basel, 29. April 2010

Health System Strengthening: Role of incentives?
Basel, 27-28 November 2008

(E) STI | In the past year there has been a rapid increase in interest and application of cash transfers and other incentives intended to strengthen health systems in developing and transition countries. The Swiss Tropical Institute (STI) is organizing its 12th Symposium assembling researchers as well as policy and decision makers interested in international health to examine this experience.

Health System Strengthening: Role of incentives?
Basel, 27-28 November 2008

Joint Meeting RSTM&H and SSTMP
Basel, 22-23 September 2006

(D) SSTMP | The Joint Meeting of the Royal Society of Tropical Medicine & Hygiene (RSTM&H) and the Swiss Society of Tropical Medicine and Parasitology (SSTMP) is hosted by the Swiss Tropical Institute, Basel.

Joint Meeting RSTM&H and SSTMP
Basel, 22-23 September 2006

Macedonia: National Perinatal Strategy
STI signed contract
(E) Macedonia

sti | STI signed a contract with UNICEF Macedonia to develop the National Perinatal Health Strategy for this country. For this purpose SCIH teams up with CRED Romania. The 140 day contract consists of the introduction of a planning model for developing Perinatal Care, provide training on assessment tools (situation analysis, quality assessment on perinatal care), supervise and facilitate the assessment ...

Macedonia: National Perinatal Strategy
STI signed contract
(E) Macedonia

Neglected Diseases Under the Microscope
Swiss Tropical Institute's director on neglected diseases

(E) IPS | "Neglected diseases, neglected people. Marcel Tanner uses the phrase to emphasise the attitude of drug developers towards tropical diseases that primarily affect the marginalised poor."

Neglected Diseases Under the Microscope
Swiss Tropical Institute's director on neglected diseases

(E) IPS | "Neglected diseases, neglected people. Marcel Tanner uses the phrase to emphasise the attitude of drug developers towards tropical diseases that primarily affect the marginalised poor."

New brand: STI becomes Swiss TPH
Social and Preventive Medicine of the University of Basel integrated
(E) Switzerland

STPH | In June 2009 the Institute for Social and Preventive Medicine of the University of Basel, internationally recognized in the areas of environmental epidemiology and women’s health, was integrated into the STI. With the beginning of the year 2010, the physical integration of our offices take place, and the whole Institute publicly take on its new name, the “Swiss Tropical and Public Health Institute”, also to be known as the “Swiss TPH”.

One for all and all for one
The need to have a systemic view in sustainable health development without forgetting the needs of the individual

(D) MMS | "Setting priorities for health planning is not unlike the logic of triage: when resources are not available to treat all patients, tough choices must be made. Even though there is a growing consensus that health is a basic human right, the debate over the minimum package of health is still a matter of serious discussion. There are tools to determine such priorities and – although it is rarely done ...

Philanthropy in Global Health - Governance and Effectiveness Criteria
Papers and presentations from the conference

(E) Basel Institute on Governance, sti | The conference on "Philanthropy in Global Health - Governance and Effectiveness Criteria" organised organised by the Basel Institute on Governance in partnership with the Swiss Tropical Institute in Basel on 10 and 1 April 2008 allowed participants to gain a better understanding of new paradigms of the world health situation, in particular with respect to developing countries, that are the result of ...

Philanthropy in Global Health - Governance and Effectiveness Criteria
Papers and presentations from the conference

Position of project manager in Tajikistan
Swiss Centre for International Health of the Swiss Tropical Institute
(E) Tajikistan

STI | The Swiss Centre for International Health of the Swiss Tropical Institute conducts consultancy, project management, training and applied research work in international health. We are seeking for the position of project manager in Tajikistan from July 2009 onwards: Expert in the area of Public Health or Family Medicine with relevant work experience in low and middle-income countries.

Position of project manager in Tajikistan
Swiss Centre for International Health of the Swiss Tropical Institute
(E) Tajikistan

Preparing health professionals for development cooperation and humanitarian aid
New handbook "Go International!"

(E) STI/SCIH | "Go International!" a new handbook for preparing health professionals for development cooperation and humanitarian aid is hot off the press. Published (in German) by Hans Huber and edited by Elgin Hackenbruch, the book includes chapters on ‘HIV/Aids: Much More than a Health Problem’ authored by Claudia Kessler of the SCIH and ‘Strategic Project Management: Project Cycles and Planning’ by Axel ...

Preparing health professionals for development cooperation and humanitarian aid
New handbook "Go International!"

Renforcement du système de santé: rôle des incitations conditionelles?
Le bulletin 112 de MMS est paru

(F) MMS | Le nouveau bulletin de Medicus Mundi Suisse publient les présentations du Symposium de l'Institut Tropical Suisse du novembre 2008.

Rural Health Development Project in Nepal
Review for the decision making process
(E) Nepal

STI | Kate Molesworth has returned from three weeks in Nepal leading the External Review of the Rural Health Development Project on behalf of SDC. The Review has the purpose of assisting SDC and the Government of Nepal in the decision-making process regarding the continuation of the project and any required modifications to project approaches. The report on the External Review is expected to provide substantial ...

Rural Health Development Project in Nepal
Review for the decision making process
(E) Nepal

Scaling Up the Stock of Health Workers
A Review

(E) STI/SCIH | "Under the leadership of the Institute of Hygiene and Tropical Medicine (Lisbon) and with complementary inputs by the World Health Organization (WHO) and the National Association of Nurses of Malawi, the Swiss Centre for International Health has substantially contributed to a scientific review on the “Scaling Up the Stock of Health Workers”. Helen Prytherch and Kaspar Wyss are co-authors of the ...

Scaling Up the Stock of Health Workers
A Review

Sensitising the population in rural areas
Video for the promotion of hygiene and prevention of diarrhoeal diseases amongst small children in Rwanda
(E) Rwanda

STI | A health promotion video has be produced in Rwanda in the frame of the “Programme de Renforcement de la Santé Publique dans les Districs de Karongi et Rutsiro”, financed by SDC and implemented by the Swiss Centre for International Health (SCIH) of the Swiss Tropical Institute. The video, which will be played continuously in the waiting rooms of the health centres in the programme areas, aims at ...

Sensitising the population in rural areas
Video for the promotion of hygiene and prevention of diarrhoeal diseases amongst small children in Rwanda
(E) Rwanda

Sex, Youth and Health…The Discussion Goes On
Symposium's documentation

() Swiss TPH | This year’s Swiss TPH Spring Symposium, “Sex, Youth and Health” brought some 100 participants and speakers together to share experiences and discuss issues related to adolescent sexual and reproductive health (SRH). The head of the Adolescent Health and Development (ADH) team at the WHO, Dr Chandra Mouli, presented an overview, followed by presentations from various international experts and ...

Social Marketing Approaches
Forum Régional des Jeunes en lutte contre le SIDA dans la Zone CEMAC
(E) DR Congo, Guinea, Cameroon, Chad, Central African Republic

STI | Within the project for HIV/AIDS prevention in the Central African Region , 50 participants met for the second annual “Forum Régional des Jeunes en lutte contre le SIDA dans la Zone CEMAC” (FREJES) meeting in Yaounde, Cameroon between 1st and 3rd April 2009. The participants discussed how to move forward in the process of regionalising approaches regarding prevention and social marketing approaches ...

Social Marketing Approaches
Forum Régional des Jeunes en lutte contre le SIDA dans la Zone CEMAC
(E) DR Congo, Guinea, Cameroon, Chad, Central African Republic

Solar disinfection in rural Bolivia: Health impact below expectations
A study of the Swiss Tropical Institute
(E) Bolivia

STI | About 1.8 million people - mainly children under 5 years old - die every year from diarrhoeal diseases, mainly because of limited access to safe drinking water and poor sanitation. A promising solution is solar water disinfection (SODIS) a low-cost, point-of-use water purification method. Daniel Mäusezahl of the MMS member organisation Swiss Tropical Institute and colleagues conducted a cluster-randomized ...

Solar disinfection in rural Bolivia: Health impact below expectations
A study of the Swiss Tropical Institute
(E) Bolivia

STI Biennial Report
2005-2006

(E) STI | "Again two years have passed and we can share with you our achievements in the fi elds of research, teaching & training and service provision within the framework of our mandate to contribute to health development at the national and international level." (Foreword)

STI Symposium: Environmental Health: Here and There
Basel, 10-11 December 2009

(E) STI | To commemorate the integration of the Institute of Social and Preventive Medicine (ISPM) into the Swiss Tropical Institute (STI), the 14th STI Symposium is built around the theme of “Environmental health: here and there”. A diverse set of case studies will be featured, both from industrialized countries and developing world settings. This thematic focus reflects the substantial body of research, ...

STI Symposium: Environmental Health: Here and There
Basel, 10-11 December 2009

Stärkung der Gesundheitssysteme: Welche Rolle spielen Anreizsysteme?
MMS Bulletin 112 erschienen

(D) MMS | Stellen Anreizsysteme eine Möglichkeit dar, um Gesundheitssysteme zu stärken? Die Idee ist bestechend: Höhere Löhne für das Gesundheitspersonal, wenn es mehr schwangere Frauen überzeugt, für die Geburt eine ausgebildete Hebamme beizuziehen. Bargeld für junge Frauen und Männer, deren Testergebnisse auf sexuell übertragbare Krankheiten negativ bleiben. Das eben erschienene Bulletin von Medicus ...

Summer School: Courses in Public Health Policy, Economics and Management
Lugano, 9-20 August 2010

() Swiss TPH | Courses are intended for professionals and managers of health administrations, hospitals and other services and facilities within the health sector, policy-makers and any student registered for one of the continuous education programs coordinated and supported by the SSPH+. The Summer School is an opportunity to meet new colleagues and peers, to exchange knowledge, build networks, and share insights. ...

Summer School: Courses in Public Health Policy, Economics and Management
Lugano, 9 to 20 August 2010

Summer School: Courses in Public Health Policy, Economics and Management
Lugano, 9-20 August 2010

Summer School: Courses in Public Health Policy, Economics and Management
Lugano, 9 to 20 August 2010

Tanzania HIV Policy Making
SCIH supported process
() Tanzania

Swiss TPH | The Tanzanian government in cooperation with the Tanzania Commission of AIDS (TACAIDS) is in the final stages of drafting an HIV Prevention Strategy for the Tanzania Mainland. This process was supported by the SCIH (Swiss Centre for International Health/Swiss TPH) Senior Education Advisor Heinrich Heinrichs. The HIV Prevention Strategy for Tanzania Mainland is based on a thorough review of HIV epidemiology ...

Tellowayan memorial hospital in Liberia
Expertise of SCIH

(E) STI | On 20th of March the Tellowayan memorial hospital in Voinjama, Liberia was inaugurated in the presence of HE Mrs. Johnson-Sirleaf, president of Liberia and her government, Mr. Fust, general director of SDC and the Swiss Ambassador Mr. Langenbacher. SDC funded the rehabilitation and extension of the former hospital. It plans to support the running of the hospital for the next few years. The Swiss Centre ...

Tellowayan memorial hospital in Liberia
Expertise of SCIH

Ten Steps to “Systems Thinking”
“Systems Thinking for Health Systems Strengthening”

(E) STI | "The Alliance for Health Policy and Systems Research released its latest Flagship Report, “Systems Thinking for Health Systems Strengthening”, on Tuesday 17 November 2009 at the Global Forum for Health Research in Havana, Cuba. The report offers a practical approach to strengthening health systems through "systems thinking". In its "Ten steps to systems thinking," the report shows how we can better ...

Ten Steps to “Systems Thinking”
“Systems Thinking for Health Systems Strengthening”

The Uganda health sector SWAp
(E) Uganda

ELDIS | "This paper from the Swiss Tropical Institute explores some of the factors for the success of a sector wide approach (SWAp) in the Ugandan health sector.. The paper seeks to understand why it is working, the factors for success, what has not worked well and why, and draws out lessons for other countries. The author highlights how decentralisation became more fully effective, with increased funds and ...

Tod am Kilombero - Marcel Tanners Kampf gegen die Malaria
Fernsehsendung vom 22. November 2006

(D) SFDRS | "Alle 30 Sekunden stirbt in Afrika ein Kind an Malaria, weltweit sind es Jahr für Jahr bis zu drei Millionen Menschen. Der Kampf gegen den grössten Killer der dritten Welt scheint aussichtslos. Und doch hat die Malaria einen hartnäckigen Gegner – aus Basel. Marcel Tanner, Direktor des Schweizer Tropeninstituts, hat es sich zur Lebensaufgabe gemacht, an vorderster Front und auch mit unkonventionellen ...

Trial and error
The war on malaria
(E) Tanzania

The Observer | It is the world's deadliest disease, killing more than 900,000 a year in Africa alone. But can Bill Gates's dollars create a vaccine that would save a continent's children? Article from "The Observer", Sunday February 17 2008

Trial and error
The war on malaria
(E) Tanzania

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Partners of aidsfocus.ch 08. 2005
Swiss platform HIV/AIDS and International Cooperation

(E) aidsfocus.ch | "HIV/Aids affects every organization involved in international cooperation. Aidsfocus.ch provides an expert platform for Swiss organisations working in the field of health or any other sector of international cooperation, which are engaged in the fight to control Aids and its ramifications. 'Partners of aidsfocus.ch' is the term used to refer to organisations which are actively involved in the platform and which also provide financial support"

Research Projects at the Swiss Tropical Institute 08. 2005
(E) Burkina Faso, China, Ivory Coast, The Gambia, Ghana, Cameroon, Kenya, Mali, Mauritania, Mongolia, Niger, Senegal, Sudan, Tanzania, Chad, Uganda

STI | "Work in the STI increasingly emphasises interdisciplinary approaches and national and international partnerships. In addition, we continue to combine field, laboratory and clinical activities, thus making use of the long-standing ability to generate fruitful synergies in research, services and teaching. We have two research and training departments: Medical Parasitology and the Biology of Infection, and Public Health and Epidemiology."

Swiss Centre for International Health (SCIH) 08. 2005
Projects
(E) Egypt, Equatorial Guinea, Angola, Burkina Faso, Djibouti , The Gambia, Jordan, Cameroon, Kenya, Lebanon, Madagascar, Malawi, Mongolia, Mozambique, Nepal, Poland, Rwanda, Romania, Russian Federation, Sao Tome & Principe, Switzerland, Tajikistan, Tanzania, Chad, Ukraine, Belarus

STI | "The Swiss Centre for International Health (SCIH) is the leading competence centre for Public Health and International Health in Switzerland. It is a department within the Swiss Tropical Institute (STI), based in Basel."

The sector-wide approach: a blessing for public health? 07. 2005

(E) "Given the wide range of activities initiated or supported by a SWAp and the high level of support given by donors and recipient governments, the dearth of evidence on health impact is surprising. What is clear from the case studies reported is that there emerge patterns under which a SWAp can and will work, while other conditions are less favourable." (Guy Hutton and Marcel Tanner, Swiss Tropical ...