UN Population Division, Department of Economic and Social Affairs,
with support from the UN Population Fund (UNFPA)
|
| UN Population Division, Department of Economic and Social Affairs, with support from the UN Population Fund (UNFPA) |
|
HDDFLASH ISSUE No. 16, July 1, 1997
Electronic Newsletter and Archiving Service on human development issues
World Bank
Human Development Department
E-mail: hddlink@worldbank.org
http:/www.worldbank.org/html/hcovp/hdd/contents.html
___________________________________________________________________________=
__
In this issue....
* Indonesia Safe Motherhood Project: A Partnership and Family Approach
* New Publications to Note
* Conference Announcements
* Requests for Proposal
___________________________________________________________________________=
__
=20
***********************************************************************=
*** =20
=09=09=09INDONESIA SAFE MOTHERHOOD PROJECT:
=09=09=09A Partnership and Family Approach =09=09
=20
***********************************************************************=
***
=09
=09Indonesia's maternal mortality (390 per 100,000 live births) is high=
=20
relative to its neighbors, Malaysia (34 per 100,000 live births) and th=
e=20
Philippines (208 per 100,000 live births). One in 89 women of reproduct=
ive=20
age die of maternal causes. Women also suffer from non life-threatening=
=20
but debilitating reproduction-related morbidities, including anemia,=20
infections and other obstetric complications. Addressing the burden of=
=20
reproductive health problems will benefit a large segment of women.=20
=20
=09The high maternal mortality ratio and poor health status are=20
indicative of under-consumption of maternal health services. Cultural=
=20
norms and traditional values; and prices of services limit the demand. =
On=20
the supply side, quality and the availability of safe motherhood servic=
es=20
are inadequate.
=20
=09The Indonesia Safe Motherhood project, which will be in ten district=
s=20
in East and Central Java, proposes to address the under-consumption of=
=20
maternal health services by:
=20
* a demand driven approach that takes into account the social, cultural=
=20
and economic determinants of safe motherhood as well as service deliver=
y=20
and supply factors. This approach will focus at the individual, family =
and=20
community levels;
=20
*=09a partnership approach among the public, private and NGOs with an=
=20
interest in safe motherhood;
=20
*=09addressing supply-side constraints to service delivery and=20
sustainability of maternal health services. The emphasis will be the=20
sustainability of the village midwives (bidan di desa), the linchpin of=
=20
safe motherhood services at the village level;
=20
*=09addressing adolescent reproductive health needs to maintain the dem=
and=20
and prepare this cohort before they enter into reproductive age;
=20
* =09addressing the diversity in local needs and conditions by adopting=
=20
district and province specific interventions
=20
For more information about the project, contact task manager, Fadia Saa=
dah=20
<fsaadah@worldbank.org>.=20
=20
This Project Appraisal Document (PAD), report no, 16624-IND is availabl=
e=20
at any World Bank Public Information Center email: pic@worldbank.org=
=20
=20
In the US, tel: (202) 458-5454; fax: (202) 522-1500=20
Mail Address: 1818 H Street, N.W.=20
Room GC1-300=20
Washington, D.C. 20433, U.S.A .
=20
***********************************************************************=
*
=20
=09=09=09WHAT'S NEW ON THE HDDFLASH ARCHIVE?
=09
***********************************************************************=
**
=20
Filename=09Title
aed002 =09Preventing Maternal Mortality through Emergency Obstetric Ca=
re
=20
This paper by May Post of the SARA project discusses the barriers to
timely and appropriate emergency obstetric care (EOC), lessons learned =
and=20
best practices for improving EOC, the cost of EOC, and research needs a=
nd=20
information gaps. The report recommends interventions that can be=20
effectively carried out at various levels of the health system starting=
=20
from the community itself and community-level facilities to private sec=
tor
providers, donors, program managers, and policymakers.
=20
To request, send an email to: listserv@tome.worldbank.org=20
(Bank staff: include @internet extension when sending an All-in-1=20
message)
=20
In the body of the message, type: get hddflash filename
=20
e.g. get hddflash aed002
=20
NOTE: Do not add periods, quotes, or brackets around the filename.=20
Request only one article per message. Filenames must be in =20
lower-case letters. Only subscribers have access to the archive.
=09
If you are not a subscriber, but would like to receive HDDFLASH and=20
access to the archive, please send the following message:=20
=20
subscribe hddflash YourFirstName YourLastName
=20
e.g. subscribe hddflash Jane Doe
=20
to: listserv@tome.worldbank.org=20
=20
***********************************************************************=
*** =20
=20
=09 =09=09PUBLICATIONS TO NOTE
=20
***********************************************************************=
***
=20
1. =091997 World Development Indicators
=09World Bank, Washington, DC
=09
The World Bank has published the World Development Indicators (WDI) for=
=20
almost two decades as the statistical appendix to the World Development=
=20
Report. This year, the WDI has become a free-standing publication,=20
enlarged to include 80 data tables and 600 indicators for single-year=
=20
observations. This publication is a major source of information for the=
=20
development community, researchers, NGOs, and the private sector who ar=
e=20
analyzing business opportunities in developing countries and emerging=
=20
markets.=20
=20
The selection of indicators reflects a broad, integrated approach to=20
development. The WDI starts from the premise that development is about=
=20
quality of life. It places people and poverty reduction at the center o=
f=20
the development agenda. The report contains five main sections: human=
=20
capital development, environmental sustainability, macroeconomic=20
performance, private sector development, and the global links that=20
influence the external environment for development.
=20
A companion product, the Windows-based CD rom, contains 500 time series=
=20
(mostly 1970-1995) form the WDI database, plus 80 tables from the WDI a=
s=20
well as additional tables from the now discontinued Social Indicators o=
f=20
Development and the World Tables. The CD-rom includes powerful new=20
features -- mapping and charting and exporting data to other formats.=
=20
=20
Ordering information:
In the US, contact: World Bank, P.O. Box 7247-8619, Philadelphia, PA=20
19170-8619; tel: (703)661-1580 or fax: (703)661-1501=20
=09
WDI print edition: 400 pgs. Stock no. 13701 (ISBN 0-8213-3701-7) $60
CD rom: individual version stock no. 13703 (ISBN 0-8213-3703-3) $275
=09 network version stock no. 13702 (ISBN 0-8213-3702-5) $550
Update prices available for previous purchasers $75 single user and $15=
0=20
for network version.
=20
Questions about the WDI, please contact:
IEC Information Center, Development Data Group
World Bank Rm. N3-078
Hotline: (800)590-1906 or (202)473-7824; fax (202)522-1498
Email: info@worldbank.org
Website: www.worldbank.org/wdi
=20
2.=09E. Zuckerman and E. de Kadt (eds.)(1997)
=09The Public-Private Mix in Social Services: Health Care and Education=
=20
in Chile, Costa Rica and Venezuela=20
=09The Inter-American Development Bank, Washington DC
=20
The book explores concerns arising from recent public social expenditur=
e=20
cutbacks, weakened social services and attempts to restructure them=20
including: How does increasing social service privatization affect equi=
ty? =20
Chile's universal education vouchers and Venezuela's citizen-based heal=
th=20
sector solutions provide valuable lessons. Do public, private or mixed=
=20
service paradigms have any distinct advantages? The answer is no becau=
se=20
competition between and within sectors is key to achieving efficiency a=
nd=20
quality although the private sector has an edge in practice. What lesso=
ns=20
can other countries learn from Chile's hybrid, Costa Rica's public and=
=20
Venezuela's non-profit approaches, for eg,, how can indispensable=20
political support for social sector reform be generated?
=20
Ordering information:
IDB bookstore, 13th St entrance of the
IDB which is at 1300 New York Ave, Wash DC 20577; tel 202-623-1753;
EMail IDB-Books@IADB.ORG=09
=20
Questions about publication, contact Elaine Zuckerman at ezuck@sprynet.=
com
=20
3.=09M. Goodman, S. Morley, G. Siri and E. Zuckerman (1997)=20
=09Social Investment Funds in Latin America
=09Inter-American Development Bank, Washington, DC
=20
This book examines a decade of experience with Social Investment Funds=
=20
(SIFs) and recommends new directions for donor financing, especially mo=
re=20
flexibility and greater support for productive projects like microcredi=
t. =20
The book concludes that SIFs did not meet their objective of stimulatin=
g=20
job creation. However, they have been quite successful in supplying soc=
ial
infrastructure like schools and health posts to underserved areas.
=20
Ordering information:
IDB bookstore, 13th St entrance of the
IDB which is at 1300 New York Ave, Wash DC 20577; tel 202-623-1753;
EMail IDB-Books@IADB.ORG=09
=20
Questions about publication, contact Elaine Zuckerman at ezuck@sprynet.=
com
=20
4.=09Michael Hopkinson and Kees Kostermans (1996)
=09Building for Health Care: A Guide for Health Planners and Architects=
=20
of First and Second Level Facilities
World Bank, Washington, DC=09
=20
The planning for infrastructure seldom receives the attention it deserv=
es.=20
Ministries of Health tend to spend large proportions of investment budg=
ets=20
for the construction of facilities. These investments have large=20
implications for the recurrent budget of these ministries for many year=
s=20
after the original expenditure. Furthermore, a well planned facility ca=
n=20
result in more efficient delivery of services. For patients, it can mak=
e=20
an enormous positive difference if the facility has a spacious waiting=
=20
area or well ventilated wards.=20
=20
The book deals with all the steps involved in planning and construction=
of=20
health facilities, such as: Project Inception, Project Organization, =
=20
Project Brief, Design, Engineering, Cost Management, Planning for=20
Equipment, Commissioning and Evaluation. It draws heavily on the materi=
als=20
from the Regional Workshop on Civil Works for Health Care Facilities he=
ld=20
in Harare in May 1996.=20
=20
The book is available on the WWW http://www.worldbank.org/afth1/ =20
You can order copies of the book by sending an e-mail to:=20
< engegba@worldbank.org > or to: <ckostermans@worldbank.org >.
=20
5. Nutrition Country Fact Sheets
=20
A folder with the full collection of OMNI country fact sheets for Afric=
a,
Asia and Latin America is now available free upon request. =20
=20
Africa: Ethiopia, Ghana, Kenya, Madagascar, Malawi, Niger, South
Africa, Tanzania, Zambia
Northern Africa: Egypt, Morocco
Asia: Bangladesh, India, Indonesia, Nepal, Philippines, Sri Lanka
Latin America and the Caribbean: Bolivia, Ecuador, Peru, Guatemala,
Haiti, Honduras (available in both English and Spanish)
=
=20
Useful for program planners, public health and nutrition workers, and=
=20
others working in nutrition-related activities, each one-page,=20
double-sided sheet provides an overview of the current status of=20
micronutrient deficiencies in the country, including information on=20
vitamin A deficiency, iron deficiency, and iodine deficiency. In=20
addition, each sheet contains a box with basic country demographic and=
=20
nutrition data such as total population, urban population, life=20
expectancy, infant mortality, infants with low birth weight, children=
=20
exclusively breastfed 0-3 months, and children stunted under age five.=
=20
Where applicable, information on government policy and micronutrient=20
interventions and international cooperation relevant to nutrition=20
activities is also provided.=20
=20
To request a folder of country fact sheets, please contact:
OMNI
1616 North Fort Myer Dr, Suite 1100
Arlington, Virginia 22209=20
USA
Tel: 703 528-7474
Fax: 703 528-7480
E-mail: omni_project@jsi.com =20
WWW: http://www.jsi.com/intl/omni/home
=20
***********************************************************************=
*** =20
=20
=09=09=09CONFERENCE ANNOUNCEMENTS=09=09=09
=20
***********************************************************************=
***
=20
1. Food Fortification to End Micronutrient Malnutrition: State of the A=
rt
=09August 2, 1997, Montreal, Canada=20
=20
Food Fortification to End Micronutrient Malnutrition: State of the Art=
is
an official, satellite meeting to the 16th International Union of=20
Nutrition Scientists Congress. Experts from research institutions, foo=
d=20
industry and NGOs will review past achievements, provide current situat=
ion=20
analysis and highlight opportunities for the future. Participants will=
be=20
provided with a situation analysis and in-depth reviews of major techni=
cal=20
issues including: defining consumption and production patterns; selecti=
on=20
of fortificant and market forms; adapting and transferring food=20
fortification technology; packaging and distribution; quality assurance=
=20
and control; perspectives on costs and returns; and approaches to=20
public-private interactions.=20
=20
There is no registration fee.=20
=20
The program will focus on the state of art for fortification of five=20
groups of food vehicles generally considered most appropriate for the=
=20
elimination of micronutrient malnutrition including cereals and grains,=
=20
fats and oils, dairy products, salt, sugar and condiments.
=20
Space is limited, so please register by contacting:=20
Alison Greig=20
Micronutrient Initiative
250 Albert Street
Ottawa, Canada KIG 3HP
Fax: (613) 236-9579; E-Mail: agreig@idrc.ca
For more information please call: (613)236-6163 ext 2203 =20
=20
=20
2. Global Meeting INCLEN XV
Quer=E9taro, Mexico, February 16-21, 1998
=20
Synergistic Solutions for Global Health: Research that Crosses Geograph=
ic=20
and Disciplinary Lines=20
=20
INCLEN XV will highlight the value of multi-disciplinary and multi-site
research and explore ways to carry out such complex work successfully.
For many important health problems the intimate linkage with behavioral
determinants, national differences or economic circumstances makes it
particularly important to seek "synergistic solutions" which enhance th=
e
potential of designing interventions that eventually change health
practices. At INCLEN XV, particular focus will be placed on the
organization of transnational collaborative research, the importance of
behavioral interventions in health research, the linkage between
research and policy, and strategies for developing collaboration betwee=
n
clinical and public health researchers. A variety of workshops addressi=
ng=20
individual research interests is planned including one on new software =
to=20
support epidemiologic studies.=20
=20
Proposed subject areas for workshops include:
=20
Biostatistics=20
Clinical Economics=20
Health Social Science=20
Maternal mortality: opportunities for research and impact=20
New software applications for epidemiologic research=20
Scientific writing=20
Rational use of pharmaceuticals=20
Continuous Quality Improvement and health service research=20
=20
=20
INCLEN XV will be held in Quer=E9taro, Mexico at the Hotel Hacienda Jur=
ica
from February 16-21, 1998. Located two hours northwest of Mexico City,
this beautifully renovated XVI Century Hacienda has colonial
architectural features including volcanic stone walls.=20
=20
http://www.inclen.org/meeting.html
e-mail: inclen@inclen.org =20
=20
***********************************************************************=
*** =20
=20
=09 =09=09=09REQUEST FOR PROPOSAL=09=09=09
=20
***********************************************************************=
***
=20
1. THRASHER RESEARCH FUND
Food-based Approaches to Preventing Micronutrient Malnutrition
=20
=20
REQUEST FOR PROPOSALS
=20
The following may be of particular interest to local community=20
organizations and agencies, extensions services, non-governmental
organizations, technical/vocations colleges, and universities in countr=
ies
where micronutrient malnutrition is a problem.
=20
BACKGROUND
=20
In November 1995 the Thrasher Research Fund and the Food
Systems for Improved Health Working Group of Cornell University jointly
sponsored a workshop titled "Food-based Approaches to Preventing
Micronutrient Malnutrition." The intent of the workshop was to make
recommendations for priority research concerning overcoming the
barriers and limitations to using currently available knowledge, as wel=
l=20
as
generating new knowledge needed, to develop sustainable, food-based
approaches to preventing micronutrient malnutrition.
=20
OBJECTIVE
=20
To exploit the potential for food-based systems, the Thrasher
Research Fund invites the submission of proposals for process-related
and knowledge-generating research in the following priority areas:
=20
1. Increasing the effectiveness of foods and/or diets as sources of
key micronutrients.
=20
2. Increasing the supply of micronutrient-rich foods and increasing the
micronutrient densities of foods.
=20
3. Developing effective information, education and communication
methods to promote food-based micronutrient interventions.
=20
4. Developing programs and policies that influence the choices of
consumers and producers to increase the supply and consumption of
micronutrient-rich foods.
=20
5. Evaluating existing or planned food-based micronutrient
interventions to assess their impact in terms of acceptance,
effectiveness, efficiency, utilization and sustainability.
=20
POLICIES AND GUIDELINES
=20
1. Proposals will be accepted in the English language only.
=20
2. Proposals will be accepted until 31 December 1998, or until all fund=
s
designated for this program have been committed.
=20
3. Projects may have a duration of up to two years.
=20
4. Proposals should address one or more of the priorities described in
the "Objective" section.
=20
For information on application procedure, contact:
THRASHER RESEARCH FUND
50 E. North Temple Street
Salt Lake City, Utah 84150
USA
Phone (801) 240-4753
Fax (801) 240-1625
E-mail BusseJ@chq.byu.edu
=20
A complete application is available at http://www.jsi.com/intl/omni/hom=
e
(reposted from OMNI)
=20
2. CALL FOR APPLICATIONS FOR WORKSHOP ON MALARIA VACCINE TRIALS
=20
Applications are invited from African scientists currently employed by
African institutions/Ministries of Health interested in/likely to be=20
involved in the implementation of future malaria vaccine trials.
=20
Candidates should be middle level to senior investigators, must possess=
at
least a Masters or equivalent degree in parasitology, biochemistry,=20
immunology or molecular biology and have experience in malaria laborato=
ry=20
assays. Workshop participants will be selected on a competitive basis.
=20
The workshop will be held in Accra, Ghana at the Noguchi Memorial=20
Institute for Medical Research during late 1997. It will be the third o=
f a=20
series of training workshops in strengthening the potential for African=
=20
institutions to address various issues in malaria vaccine trials. The=
=20
following areas will be among those to be covered:
=20
* Pre-clinical research of malaria vaccine candidates
* Standard specifications for a Phase III malaria vaccine trial such =
as =20
primary trial objectives, study design and target groups and sample siz=
e
* Safety criteria including clinical criteria for exclusion from vacc=
ine =20
trials, criteria for inclusion of infants in trials
* Laboratory measurements of primary efficacy end points
* Recent innovations in malaria diagnosis
* Measurement of immunological responses in the course of vaccine tri=
als
* Measurement of prevalence of genetic factors that could affect the =
=20
response to malaria vaccines
* Laboratory measurements of possible confounding effects such as=20
anaemia, nutritional defects, concomitant infections and the consumptio=
n=20
of antimalaria drugs.
=20
These training activities are sponsored by the African Malaria Vaccine
Testing Network (AMVTN) with inputs from the WHO/TDR, WHO/AFRO and othe=
r
donors.
=20
Applicants wishing to participate in this workshop should forward the
following typewritten information to the address below by 31st July 199=
7:
=20
1. Full name in capital letters, with family name underlined.
2. Date of birth and nationality.
3. Name, full address, telephone number, telex number, fax number and
e-mail address where the applicant is employed.
4. Educational qualifications, including date, place of study and degre=
es =20
obtained.
5. Describe (12 lines maximum) the nature of your current post and the
post held immediately preceding your current post.
6. Current research interest (not more than 10 lines).
7. A list of your scientific publications especially those relating to
clinical/field trials.
8. Name and address of two referees (including their telephone, fax,
telex and e-mail numbers) who have been requested to provide letters=
of
recommendation, to be sent directly to the address below. One letter
should be an endorsement/letter of collaboration from the National M=
OH
or Malaria Control Programme Manager.
=20
All applications must be received by 31 July 1997 at the address below:=
=20
Prof. W. L. Kilama
CHAIRMAN, AMVTN COORDINATING COMMITTEE
c/o National Institute for Medical Research
P.O.Box 9653, Dar es Salaam, Tanzania
Tel. +255-51-30770 / 31864
+255-812-781332
Fax +255-51-30660
Telex 41919 NIMR TZ
Internet:wkilama@costech.gn.apc.org
=20
(reposted from TDR scientist list)
=20
3. RESEARCH CAPACITY STRENGTHENING GRANTS
=20
Tropical Disease Research (TDR) invites applications for the award of=
=20
Research Capability Strengthening grants from scientists who are nation=
als=20
of developing disease endemic countries (DECs) and whose research=20
programme is related to one or more of the TDR target diseases - malari=
a,
leprosy, leishmaniasis, schistosomiasis, lymphatic, filariasis,=20
onchocerciasis, African trypanosomiasis and Chagas disease. Applicatio=
ns=20
must be received in TDR by 15 August 1997.
=20
1. Research Group Development Grants (RGDs)
RGDs are aimed at strengthening DEC research groups (Principal DEC=20
Partners) through enabling links (or partnerships) with scientifically=
=20
stronger research groups (Supporting Partners).These grants are=20
specifically targeted to emerging research groups or institutions where=
=20
basic physical and human infrastructure already exist but where additio=
nal
interaction and support are required to consolidate research capacity. =
The=20
scientific partnership must pre-exist or be easily developed. The=20
Supporting Partner, a scientifically more mature research group, will=
=20
probably but not necessarily be situated in the North, and must be will=
ing=20
and able to collaborate in the scientific and capacity-building objecti=
ves=20
of the grant. Financial support per grant can be expected to be about=
=20
US$50 000 per year for an initial period of three years (subject to ann=
ual
review and satisfactory progress), with the possibility of further=20
extension where exceptional progress is demonstrated.
=20
2. Research Training Grants (RTGs) for Applied Field Research and=20
Biostatiscs=20
RTGs are awarded for studies leading to the acquisition of postgraduate=
=20
degrees or specialized skills in disciplines related to applied field=
=20
research, such as epidemiology, social sciences, biostatistics, health=
=20
education and communication, and health economics, or in research relat=
ed=20
to health interventions. TDR particularly encourages applications for=
=20
graduate training in applied biostatistics from persons currently emplo=
yed=20
in multidisciplinary research groups. Training may take place in the ho=
me=20
country, in developing countries or in developed countries. TDR reserv=
es=20
the right to select the institution, research programme or TDR-funded=
=20
Research & Development (R&D) project where it is felt the most suitable=
=20
training can be obtained.
=20
For further information, instructions and application forms, contact:
WHO/TDR - Research Capability Strengthening - Avenue
Appia - 1211 Geneva 27, Switzerland - Telephone:
(+41) 22 791 3909 Fax: (+41) 22 791 4854
E-mail: tdrnews@who.ch
=20
(reposted from TDR scientist list)
=20