A Decade of Aid to the Health Sector in Somalia 2000-2009

Capobianco, Emanuele; Naidu, Veni

doi:10.1596/978-0-8213-8769-6

Cited by 6 publications

(5 citation statements)

References 2 publications

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“…Malaria and pneumonia are the leading causes of morbidity and mortality in under-five children in these countries [ 8 , 9 ]. In the study conducted in the rural communities of Somalia, the majority of fevers (84.4%) were associated with other symptoms, including cough, running nose, and sore throat, and only 37.5% of fever cases were managed at a formal health care facility [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Individual and community-level factors of treatment-seeking behaviour among caregivers with febrile children in Ethiopia: A multilevel analysis

et al. 2022

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Background Early diagnosis and treatment of childhood fever are essential for controlling disease progression and death. However, the Treatment-seeking behaviour of caregivers is still a significant challenge in rural parts of the African region. This study aimed to assess individual and community-level factors associated with treatment-seeking behaviours among caregivers of febrile under-five age children in Ethiopia. Method The recent Ethiopian Demographic and Health Survey data (EDHS 2016) was used for the study. The survey collected information among 1,354 under-five children who had a fever within two weeks before the survey. The data were extracted, cleaned, and recoded using STATA version 14. Multilevel logistic regressions were used to determine the magnitude and associated factors of treatment-seeking behaviour among caregivers with febrile children in Ethiopia. Four models were built to estimate both fixed and random effects of individual and community-level factors between cluster variations on treatment-seeking behaviour. The Adjusted Odds Ratios with 95% Confidence Intervals (CI) of the best-fitted model were reported at p<0.05. Result This study revealed that 491 (36.26%) caregivers seek treatment for their febrile children. Living in metropolitan and small peripheral regions, delivery at health institutions, being poorer, middle and richer wealth quintiles, having a child with diarrhoea, cough, short rapid breathing, and wasting were positively associated with treatment-seeking behaviour of caregivers. Conclusion The caregivers had poor treatment-seeking behaviour for their febrile children in Ethiopia. Health education programmers should emphasise the importance of seeking early treatment, taking action on childhood febrile illness signs.

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Section: Introductionmentioning

confidence: 99%

Individual and community-level factors of treatment-seeking behaviour among caregivers with febrile children in Ethiopia: A multilevel analysis

et al. 2022

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“…Studies have also raised concerns about the vertical nature of health services supported by GHIs. A study on Somalia questioned the necessity and effectiveness of Global Fund funding for tuberculosis programmes, particularly given the lack of resources for other acute health needs such as reducing the country’s high maternal death rates [ 27 ]. Similar concerns were raised with regards to substantial support from the Global Fund to fight HIV/AIDS in Sierra Leone which some in-country stakeholders believed was disproportionately high given the HIV prevalence is less than two per cent [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

Exploring the influence of the Global Fund and the GAVI Alliance on health systems in conflict-affected countries

2015

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BackgroundGlobal Health Initiatives (GHIs) respond to high-impact communicable diseases in resource-poor countries, including health systems support, and are major actors in global health. GHIs could play an important role in countries affected by armed conflict given these countries commonly have weak health systems and a high burden of communicable disease. The aim of this study is to explore the influence of two leading GHIs, the Global Fund and the GAVI Alliance, on the health systems of conflict-affected countries.MethodsThis study used an analytical review approach to identify evidence on the role of the Global Fund and the GAVI Alliance with regards to health systems support to 19 conflict-affected countries. Primary and secondary published and grey literature were used, including country evaluations from the Global Fund and the GAVI Alliance. The WHO heath systems building blocks framework was used for the analysis.ResultsThere is a limited evidence-base on the influence of GHIs on health systems of conflict-affected countries. The findings suggest that GHIs are increasingly investing in conflict-affected countries which has helped to rapidly scale up health services, strengthen human resources, improve procurement, and develop guidelines and protocols. Negative influences include distorting priorities within the health system, inequitable financing of disease-specific services over other health services, diverting staff away from more essential health care services, inadequate attention to capacity building, burdensome reporting requirements, and limited flexibility and responsiveness to the contextual challenges of conflict-affected countries.ConclusionsThere is some evidence of increasing engagement of the Global Fund and the GAVI Alliance with health systems in conflict-affected countries, but this engagement should be supported by more context-specific policies and approaches.

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“…In Somalia, the number of private pharmacies has been growing since the 1980s. They are not restricted to urban areas, though they are still largely concentrated there [21]. Although public facilities are kept track of, private pharmacies are not.…”

Section: Resultsmentioning

confidence: 99%

An examination of pharmaceutical systems in severely disrupted countries

Köhler

Pavignani

Michael³

et al. 2012

BMC Int Health Hum Rights

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This research assesses informal markets that dominate pharmaceutical systems in severely disrupted countries and identifies areas for further investigation. Findings are based on recent academic papers, policy and grey literature, and field studies in Somalia, Afghanistan, the Democratic Republic of Congo and Haiti. The public sector in the studied countries is characterized in part by weak Ministries of Health and low donor coordination. Informal markets, where medicines are regularly sold in market stalls and unregulated pharmacies, often accompanied by unqualified medical advice, have proliferated. Counterfeit and sub-standard medicines trade networks have also developed. To help increase medicine availability for citizens, informal markets should be integrated into existing access to medicines initiatives.

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A Decade of Aid to the Health Sector in Somalia 2000-2009

Cited by 6 publications

References 2 publications

Individual and community-level factors of treatment-seeking behaviour among caregivers with febrile children in Ethiopia: A multilevel analysis

Individual and community-level factors of treatment-seeking behaviour among caregivers with febrile children in Ethiopia: A multilevel analysis

Exploring the influence of the Global Fund and the GAVI Alliance on health systems in conflict-affected countries

An examination of pharmaceutical systems in severely disrupted countries

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