The FHS-India team has been engaged in research on the human health status in the Indian Sundarbans since 2009 and came up with a comprehensive report in 2010. A more in-depth report on the health of children of the Indian Sundarbans was published in 2013 in the name of Sundarbans Health Watch. In this present endeavor we have reflected on the pathways of climate change impacts on the health of the Sundarbans’ children. This report is based on a mixed method study conducted in Sagar, one of the six most vulnerable blocks out of the nineteen administrative blocks of the Sundarbans. This study has made an attempt to find out the present condition of different aspects of child health under climate crisis, to identify the gaps in service delivery and possible ways out on the basis of scientific evidence.Read More
Filtering by Category: Project document
Health impacts of the living conditions of people residing in informal settlements in Freetown: Report on the Future Health Systems (FHS) research in Freetown
The rapid pace of urbanisation in most countries in Africa makes urban environments a major determinant of population health. In Freetown, urban growth is associated with the proliferation of informal settlements/slums owing largely to the prevalent poverty, overcrowded and filthy living conditions. Therefore, health outcomes are generally worse with intermittent disease outbreaks which can sometimes spread beyond a single neighbourhood to overwhelm the entire city. But, while a number of studies have documented evidences on the urban health situation in Freetown, such studies have not sufficiently explained the specific and community-wide health risks that people in each informal settlement are faced with. The study describes the living conditions in informal settlements, and explore how these relate to the health of people living there, as told and understood by the residents themselves and as reported in routine statistics.Read More
Scoping study on the urban health situation in Sierra Leone: A study funded by Future Health Systems (FHS)
There is growing concern in recent times about the health burdens faced by urban populations, particularly by those living in informal settlements in Sierra Leone. Many informal settlement dwellers face a variety of health risks which are exacerbated by the rapid urbanization of cities and the subsequent overcrowded living condition of settlements. Though rapid urbanization has negative effects for all in Freetown, those in low-income and disadvantaged groups are disproportionately affected.
Unfortunately, official health statistics and surveys often do not capture sufficient detail on the range of health problems faced by the urban poor who live in slum-like informal settlements. Many health surveys collect data on an aggregate level and are not specifically designed with the urban settings in mind. The lack of disaggregated data on the different informal communities and their residents suggests that appropriate policies which clearly reflect the different demography and health situations may not be in place. Given the dearth of information on how slum living conditions are likely to impact health systems and exacerbate care-seeking barriers, this study was undertaken to provide insights on the current state of knowledge on urban health situation in Sierra Leone.Read More
Living conditions of people living in urban informal settlements are characterized by inhumane conditions, underpinned by lack of essential services like water and sanitation services including toilets and waste disposal dumps, housing and health services. The current state of service provision in Freetown’s informal settlements is in part a product of growing informality, in response to gaps in the provision of public services, notably in sanitation and health care. This policy brief provides an insight into the current state of living conditions in informal settlements of Freetown and how these link to health.Read More
Innovations for Universal Health Coverage: A South-South Collaboration to Transform Health Systems in Africa and India
The Public Health Foundation of India (PHFI), Amref Health Africa and the Institute of Development Studies (IDS) have agreed to collaborate in an effort to explore ways that technological innovations can contribute to government strategies for making progress towards universal health coverage (UHC). This means substantially increasing access by those whose basic health care needs are not being met. This report presents the outcome of a meeting held in Bengaluru, India. At this meeting, people with direct experience of different aspects of the development, piloting and taking to scale of technological innovations in India and a number of African countries explored the factors that influence this process.Read More
ICT-Facilitated Accountability and Engagement in Health Systems: a Review of Making All Voices Count mHealth for Accountability Projects
Information and communication technologies (ICTs) and mHealth innovations hold great potential to improve health systems and health outcomes while at the same time enhancing citizen engagement and accountability. Yet there has been little assessment of the impact of mHealth innovations on the ground.
This paper reviews the experiences of seven mHealth initiatives funded by the Making All Voices Count programme: OurHealth, eThekwini WACs and Thuthuzela Voices (all in South Africa), Mobile Mapping for Women’s Health (Tanzania), Text2Speak (Nigeria), SMS Gateway (Indonesia) and Citizen Journalism for Quality Governance of Universal Health Insurance Scheme (also Indonesia). It discusses the accountability model adopted by each project, and the challenges they faced.Read More
From 19-21 July 2017, the IDS programme on “Accountability for Health Equity” held a workshop bringing together over 80 activists, researchers, public health practitioners and policy makers to examine critically the forces that shape accountability in health systems, from local to global levels.
This report is a record of the presentations and discussions that occurred over the course of workshop. It is by no means exhaustive, but aims to represent accurately the debates that emerged.Read More
Welcome to the first edition of Showcase, which is débuting at the third Global Symposium on Health Systems Research in Cape Town, South Africa. Showcase is published by the Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study to share news and lessons from the studyRead More
Every year, the ministry of Health (MoH) commemorates the Safe Motherhood week in October. The national commemoration this year (October 2013) was held in Apac district in Northern Uganda. As part of the events for the week, MoH and its partners held a symposium on the theme: “Teenage pregnancy an obstacle to maternal health; let us stop it now!”. This report therefore contains proceedings of this symposium that attracted safe motherhood partners from across the country.
Teenage pregnancy is a major issue for maternal health and partners in the area of reproductive health came together in this symposium to share their experiences and most importantly to discuss how they could individually and collectively make better progress in addressing the challenge of teenage pregnancy.
In this report you will find discussions and useful insight on the problem of teenage pregnancy, its magnitude in Uganda, as well as the interventions that are being undertaken. You will also find challenges to its control as well as recommendations by different stakeholders on what needs to be done to tackle the problem in a more effective way.
The Makerere University School of Public Health (MakSPH) has conducted several maternal health related projects over the years. MakSPH held a Maternal and Newborn Health symposium on May 14, 2014 in Kampala to herald a new beginning in dealing with key stakeholders. This publication recaps the key takeaways from the symposium and captures various views of participants.Read More
The goal of Future Health Systems (FHS) is to improve access, affordability and quality of health services for the poor. In order to build resilient health systems for the future, we generate high quality scientific knowledge about how health systems can better deliver basic health services to the world’s poor. FHS supports its country research teams to identify and respond to health system challenges identified by local stakeholders. This annual report from the period 2012-13 captures our ongoing research, research uptake, and capacity building activities.Read More