Abstract:
:Subsequent to recommendations from the 1994 United Nations International Conference on Population and Development, and given recent findings outlining the links between control of sexually transmitted infections (STIs) and a reduction in HIV incidence, many countries are now seeking to establish STI control programmes. In many cases this is through a policy of providing comprehensive reproductive health care through the maternal and child health/family planning (MCH-FP) system. This involves management of all reproductive tract infections including STIs. This paper demonstrates how such an approach may miss one of the largest target groups--men. In general, men are at higher risk of initially contracting STIs, but, once infected, their clinical management is usually simpler than treating equivalent infections in women. It is argued that these two factors alone make the inclusion of men in STI control programmes critical. The paper outlines the experiences of one programme in rural Bangladesh in establishing sexual health clinics for men within the existing service structure. In response to client demand, the clinics moved beyond simple STI care towards provision of comprehensive sexual health services. Finally, the paper argues that whilst including men in sexual health programmes should never be at the expense of providing services for women, excluding them from service provision may make the objectives of STI control programmes unattainable.
journal_name
Health Policy Planjournal_title
Health policy and planningauthors
Hawkes Sdoi
10.1093/heapol/13.2.121subject
Has Abstractpub_date
1998-06-01 00:00:00pages
121-30issue
2eissn
0268-1080issn
1460-2237journal_volume
13pub_type
杂志文章abstract:BACKGROUND:One billion children live in war-affected regions of the world. We conducted the first cost-effectiveness analysis of an intervention for war-affected youth in sub-Saharan Africa, as well as a broader cost analysis. METHODS:The Youth Readiness Intervention (YRI) is a behavioural treatment for reducing funct...
journal_title:Health policy and planning
pub_type: 杂志文章,随机对照试验
doi:10.1093/heapol/czv078
更新日期:2016-05-01 00:00:00
abstract::Many countries in sub-Saharan Africa face the problem of organizing health service delivery in a manner that provides adequate quality and coverage of health care to their populations against a background of economic recession and limited resources. In response to these challenges, different governments, including tha...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/14.1.59
更新日期:1999-03-01 00:00:00
abstract::How do practitioners respond to the mental distress of HIV-affected women and communities? And do their understandings of patients' distress matter? The World Health Organization (WHO) along with advocates from the Movement for Global Mental Health (MGMH) champion a primary mental health care model to address burgeoni...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu092
更新日期:2015-09-01 00:00:00
abstract::This article assesses whether social franchising of tuberculosis (TB) services in Myanmar has succeeded in providing quality treatment while ensuring equity in access and financial protection for poor patients. Newly diagnosed TB patients receiving treatment from private general practitioners (GPs) belonging to the fr...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czm007
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Integrating mental health with general medical care can increase access to mental health services, but requires helping generalists acquire a range of unfamiliar knowledge and master potentially complex diagnostic and treatment processes. METHOD:We describe a model for integrating complex specialty care wit...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu058
更新日期:2015-07-01 00:00:00
abstract::It is well known that cardiovascular diseases (CVD) are a growing cause of mortality and morbidity in low-and middle-income countries (LMIC). While hypertension (HTN), a leading risk factor for CVD, can be easily managed with widely available medicines, there is a huge gap in treatment for HTN in many LMIC. One such c...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czw080
更新日期:2016-12-01 00:00:00
abstract::The end of the Cold War brought with it opportunities to resolve a number of conflicts around the world, including those in Angola, Cambodia, El Salvador and Mozambique. International political efforts to negotiate peace in these countries were accompanied by significant aid programmes ostensibly designed to redress t...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/14.3.229
更新日期:1999-09-01 00:00:00
abstract::Traditional medicine is commonly assumed to be a crucial health care option for poor households in developing countries. However, little research has been done in Asia to quantify the reliance on traditional medicine and its determinants. This research contributes to filling in this knowledge gap using household surve...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv060
更新日期:2016-04-01 00:00:00
abstract::Growing evidence suggests that early life investments in health are associated with improved human capital and economic outcomes. Various recent global studies have simulated the expected economic returns from alternative packages of interventions in reproductive, maternal, newborn and child health (RMNCH). However, v...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czw078
更新日期:2016-12-01 00:00:00
abstract::There is increasing interest among health policymakers, planners and donors in how corruption affects health care access and outcomes, and what can be done to combat corruption in the health sector. Efforts to explain the risk of abuse of entrusted power for private gain have examined the links between corruption and ...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czm048
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVES:The Global Alliance for Vaccines and Immunization (GAVI) anticipated that growing demand for new vaccines could sufficiently impact the vaccines market to allow low-income countries (LICs) to self-finance new vaccines. But the time required to lower vaccine prices was underestimated and the amount that price...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czs123
更新日期:2013-12-01 00:00:00
abstract::This paper examines healthcare utilization behaviour in Sri Lanka with special emphasis on the choice between costly private and free public healthcare services. We use a data set that combines nationwide household survey data and district level healthcare supply data. Our findings suggest that even with universal pub...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czx085
更新日期:2017-11-01 00:00:00
abstract::The collection of accurate maternal outcome data enables causes of morbidity and mortality to be identified, which in turn permits interventions to be targeted appropriately. It also allows estimates to be made about the importance of various indicators in predicting birth outcome. These indicators can then be compare...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.2.170
更新日期:2000-06-01 00:00:00
abstract::Within the existing health financing literature, males are typically categorized as the household's decision-makers. While this view accurately reflects many local sociocultural realities, approximately a quarter of sub-Saharan African households are now headed by females. In light of various efforts to expand health ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czx152
更新日期:2018-03-01 00:00:00
abstract::Increasingly, low- and middle-income countries are looking to community-based health insurance (CBHI) as a means of ensuring access to health care for the poor. However, little evidence exists about the determining factors that affect poor individuals' insurance decisions. This article reviews the economic and social ...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czh050
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Concerns about appropriate pricing strategies and the high market share of subsidized condoms prompted Population Services International (PSI)/Myanmar to adopt a total market approach (TMA). This article presents data on the size and composition of the Myanmar condom market, identifies inefficiencies and rec...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu056
更新日期:2015-03-01 00:00:00
abstract::This paper investigates the key factors associated with the demand for Urban Resident Basic Medical Insurance (URBMI), which was established in 2007 and aims to cover all Chinese urban residents. Two waves of longitudinal household survey data are used, and a three-level random-intercept logit model is used for the an...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs014
更新日期:2012-12-01 00:00:00
abstract::Financial protection should be the principal objective of any health system. Commonly used indicators for financial protection are out-of-pocket (OOP) payments as a share of total health expenditure and the amount of households driven into poverty by catastrophic health expenditures (CHEs). In the last decade, OOP hea...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czt002
更新日期:2014-03-01 00:00:00
abstract::As in many developing countries, lack of reliable data and grossly inadequate appreciation and use of available information in planning and management of health services were two main weaknesses of the health information systems in Malawi. Malawi began strengthening its health management information system with an ana...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czi044
更新日期:2005-11-01 00:00:00
abstract::Low renewal rate is a key challenge facing the sustainability of community-based health insurance (CBHI) schemes. While there is a large literature on initial enrolment into such schemes, there is limited evidence on the factors that impede renewal. This article uses longitudinal data to analyse what determines renewa...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czw090
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Health-care financing should be equitable. In many developing countries such as Kenya, changes to health-care financing systems are being implemented as a means of providing equitable access to health care with the aim of attaining universal coverage. Vertical equity means that people of dissimilar ability t...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czt073
更新日期:2014-10-01 00:00:00
abstract::While the concept of gender mainstreaming has gained acceptance among many national and international development organizations, many obstacles are faced in translating the concept into tangible improvements in the health and well-being of women and men. This paper presents two qualitative case studies, one from Kenya...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czi017
更新日期:2005-05-01 00:00:00
abstract::Implementation of policies (decisions) in the health sector is sometimes defeated by the system's response to the policy itself. This can lead to counter-intuitive, unanticipated, or more modest effects than expected by those who designed the policy. The health sector fits the characteristics of complex adaptive syste...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs083
更新日期:2012-10-01 00:00:00
abstract::Zambia has one of the most liberal abortion laws in sub-Saharan Africa. However, rates of unsafe abortion remain high with negative health and economic consequences. Little is known about the economic burden on women of abortion care-seeking in low income countries. The majority of studies focus on direct costs (e.g. ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv138
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To determine whether an expansion in private sector contraceptive supply is associated with increased socio-economic inequality in the modern contraceptive prevalence rate (MCPR inequality). METHODS:Multiple rounds of Demographic and Health Surveys data were analysed for five countries that experienced an in...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czn035
更新日期:2008-11-01 00:00:00
abstract::In low- and middle-income countries (LMICs), making the best use of scarce resources is essential to achieving universal health coverage. The design of health benefits packages creates the opportunity to select interventions on the basis of explicit objectives. Distributional cost-effectiveness analysis (DCEA) provide...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa015
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Lebanon, characterized by a free-market health care system, has one of the highest reported per capita rates of cardiac catheterization facilities and coronary angiographies in the world. The aim of this study is to evaluate the appropriateness of performance of coronary angiography procedures in Lebanon. M...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czn005
更新日期:2008-05-01 00:00:00
abstract::The objective of this study was to assess the impact of National Health Insurance (NHI) on the utilization of neonatal care and childhood vaccination in Taiwan. Data are selected from two nationwide maternal and infant surveys undertaken in 1989 and 1996, which were funded by the Department of Health. The questionnair...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.4.384
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:In Nepal, women residing in rural areas tend to bypass local birth centres and deliver at urban hospitals, despite the availability of obstetric care in these centres. This study investigated the incidence of bypassing, characteristics of bypassers and their reasons for bypassing the birth centres. METHODS:...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czt090
更新日期:2015-02-01 00:00:00
abstract::Although logic models are now touted as an important component of health promotion planning, implementation and evaluation, there are few published manuscripts that describe the process of logic model development, and fewer which do so with community involvement, despite the increasing emphasis on participatory resear...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr001
更新日期:2011-11-01 00:00:00