5 research outputs found
La recherche sur les systèmes de santé :un moyen pour améliorer la qualité et la motivation.
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The cost effectiveness of integrated care for people living with HIV including antiretroviral treatment in a primary health care centre in Bujumbura, Burundi
No full textThe incremental cost effectiveness of an integrated care package (i.e., medical care including antiretroviral therapy (ART) and other services such as psychological and social support) for people living with HIV/AIDS was calculated in a not-for-profit primary health care centre in Bujumbura run by Society of Women against AIDS-Burundi (SWAA-Burundi), an African non-governmental organisation (NGO). Results are expressed as cost-effectiveness ratio 2007, constant US per DALY averted. The package of care provided by SWAA-Burundi is therefore a very cost-effective intervention in comparison with other interventions against HIV/AIDS that include ART. It is however, less cost effective than other types of interventions against HIV/AIDS, such as preventive activities
Responsiveness of the Canadian Occupational Performance Measure
No full textGeneral rights It is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulations If you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: https://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Abstract-This study evaluated the responsiveness of the Canadian Occupational Performance Measure (COPM), an individualized, client-centered outcome measure for the identification and evaluation of self-perceived occupational performance problems. We recruited 152 consecutive patients with various diagnoses, admitted to the outpatient clinic of two occupational therapy departments, to complete a COPM interview and three self-reported health status questionnaires on two occasions: prior to the start of occupational therapy treatment and 3 months later. The three questionnaires were the Sickness Impact Profile (SIP68), the Disability and Impact Profile (DIP), and the Impact on Participation and Autonomy (IPA). We assessed criterion responsiveness by calculating the area under the curve (AUC) for the receiver operating characteristic curve and the optimal cutoff values for the COPM scores. To determine construct responsiveness, we calculated correlations between the change in COPM scores and the change in the SIP68, DIP, and IPA scores. The AUC ranged from 0.79 to 0.85, and the optimal cut-off values for the performance scores and satisfaction scores ranged from 0.9 to 1.9. We found significant positive correlations between the COPM scores and the SIP68, DIP, and IPA scores. The capability of the COPM to detect changes in perceived occupational performance issues is supported. Key words: client-centered, COPM, needs assessment, occupational therapy, outcome assessment, patient participation, patient satisfaction, psychometrics, rehabilitation, treatment outcome. INTRODUCTION In rehabilitation, reducing disabilities and attaining independence and self-determination are important goal
Author Correction: Complex ecological interactions of Staphylococcus aureus in tampons during menstruation
No full textInternational audienceAn amendment to this paper has been published and can be accessed via a link at the top of the paper
The Politics of the Idea of Partnership: From contemporary aid policy to local health governance in practice in Zambia
No full textThis thesis explores the idea of partnership in contemporary aid policy and practice. Drawing on a multi-disciplinary body of literature that is broadly ‘constructivist’ in orientation, and using the Global Fund to Fight AIDS, Tuberculosis and Malaria, the health Sector-Wide Approach (SWAp) and the health sector in Zambia as case studies, the research uniquely explores how (and why) the idea of partnership is a pervasive feature in aid policy, and how this relates to and shapes local practice, including the practice of politics that this enjoins.
Drawing on textual analysis of policy documents and on qualitative field research conducted in Zambia between November 2008 and July 2009, the thesis provides a number of important and novel insights. Firstly, it shows how the idea of partnership began its contemporary life in the socio-political relations of aid institutions and in the context of an aid crisis in the 1990s. Secondly, it shows how the idea travelled ideationally and geographically, through an elite network of aid agency actors (cf. Mosse, 2007), eventually becoming an expected and symbolic motif of aid policy. Thirdly, the thesis suggests why partnership remains a pervasive policy idea; featuring in SWAp and Global Fund policy because it symbolically conceals the existence of different perspectives about the right relations of health and developmental governance. Fourthly, and at the same time, the thesis shows how partnership is dominantly constructed in aid policy in a depoliticised way – as a technical and economic way to organise action – due to the prevailing power of donor governments and aid agencies in the socio-political processes that produce aid policy and the context of inequality in which aid is governed. Finally, the thesis shows how the depoliticisation of policy is ‘unravelled’ in the health sector in Zambia as partnership is translated, in and through the politics of collaboration, contestation, and compromise (Mosse, 2007, p.2, 2005a p.645; Rossi, 2006; Bending and Rosendo, 2006). This shapes, contorts and constrains local health governance in diverse and unexpected ways
