Monday, October 31, 2011

[EQ] Understanding chronic non-communicable diseases in Latin America: towards an equity based research agenda

Understanding chronic non-communicable diseases in Latin America:

towards an equity based research agenda

Fernando G De Maio, Department of Sociology, DePaul University, Chicago, USA

Globalization and Health – October 2011 - 7:36

Available online at: http://bit.ly/rpkisP


Although chronic non-communicable diseases are traditionally depicted as diseases of affluence, growing evidence suggests they strike along the fault lines of social inequality. The challenge of understanding how these conditions shape patterns of population health in Latin America requires an inter-disciplinary lens. This paper reviews the burden of chronic non-communicable diseases in the region and examines key myths surrounding their prevalence and distribution. It argues that a social justice approach rooted in the idea of health inequity needs to be at the core of research in this area, and concludes with discussion of a new approach to guide empirical research, the ‘average/deprivation/inequality’ framework….”

 

Content:
Introduction
The Burden of Chronic Diseases
Common Myths Surrounding Chronic Diseases
Chronic Disease and Health Inequity

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]
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Friday, October 28, 2011

[EQ] Feedback request for the programme of the Second Global Symposium in Beijing, 31 October - 3 November 2012

Second Global Symposium on Health Systems Research:
Inclusion and Innovation Towards Universal Health Coverage

Science to accelerate universal health coverage

Beijing, China -  31 October - 3 November 2012

The Alliance for Health Policy and Systems Research, in collaboration with the Symposium Secretariat, is organizing the technical programme for the 2nd Global Symposium on Health Systems Research 2012 and is asking for feedback.

Draft Programme overview: September 2011 PDF [6p.] at: http://bit.ly/vpHYMq

Feedback on the Second Global Symposium on Health Systems Research programme  http://bit.ly/uaCxiZ

Symposium website: http://bit.ly/nal9lr

Please send your comments and suggestions by 14 November 2011.

Programme overview

“……..The Symposium will commence on the evening of 31 October 2012 with an evening plenary session followed by a welcome reception. An official opening ceremony will take place on the morning of 1 November. Each day of the Symposium will be organized around one of the Symposium's three main themes:
(i)   Knowledge translation;
(ii)  state of the art research on HS, specifically its neglected topics; and
(iii) HSR methodologies.


The cross-cutting themes will be
a) Innovations in HS service delivery, research and governance; and
b) Stewardship, financing and capacity building on HSR.

Each day will open with a plenary session on a theme, and will be followed by a series of concurrent sessions -- both on topics related to the main theme and also on the cross cutting themes.

Knowledge Translation -- 1 November 2012

The focus for the day will be on the translation of HSR into policy and practice. In particular we encourage debates and joint presentations by researcher, policy-makers and programme implementers….”

Contact Information:

The Alliance for Heath Policy and Systems Research
Alexandra de Sousa, MD MSc PhD MPH, Scientist
Special Programme for Research and Training in Tropical Diseases (TDR)
World Health Organization WHO
20 Avenue Appia - CH 1211 Geneva 27 – Switzerland
Tel. +41 22 791 2856 E-mail  desousaa@who.int


 

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]
Washington DC USA

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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in error, please dispose of and delete this transmission.

Thank you.

[EQ] Closing the Cancer Divide: A Blueprint to Expand Access in Low and Middle Income Countries

Closing the Cancer Divide:
A Blueprint to Expand Access in Low and Middle Income Countries

Knaul, Felicia Marie, Frenk, Julio and Shulman, Lawrence
Global Task Force on Expanded Access to Cancer Care and Control in Developing Countries

Harvard Global Equity Initiative, Boston, MA, October 2011

Report available online PDF [286p.] at: http://bit.ly/s3YUA0

Symposium Live Online October 28, 2011 at: http://bit.ly/tLBYwp

 

“……….Low and middle income countries (LMICs) share a common, emerging, and largely unrecognized challenge: the burden of increasingly prevalent chronic and non-communicable diseases. This emerging challenge compounds the difficulty of responding to the backlog of disease and illness associated with poverty and “underdevelopment” often associated with preventable infections and reproductive health problems. Cancer – itself a complex set of devastating diseases – epitomizes the complexities and inequities of the epidemiological challenge faced by LMICs.

 

Cancer is also a challenge to economic and human development, as it is both a cause and an effect of poverty. The long-term disability and ongoing health care costs of cancer impoverish families and health systems, and contribute to social exclusion. At the same time, poverty, lack of access to education and health care, and discrimination expose populations to additional risks for presenting and dying from many cancers.

 

There are glaring disparities between rich and poor in incidence and death from preventable cancers and death from treatable cancers, as well as in the pain, suffering, and stigma associated with the disease. These disparities constitute a cancer divide and demonstrate that increasing access to cancer care and control is also an issue of equity.

 

Yet, many believe – and these myths persist –  that meeting the challenge of cancer in LMICs – with the exception of some basic prevention – is unnecessary, unaffordable, unattainable, and – perhaps the most pernicious – inappropriate because such an effort would take away resources from other high burden, communicable diseases. These four myths plague and undermine the work of the global community in cancer care and control (CCC), as well on other non-communicable disease (NCDs) and chronic illness.

 

These and other issues are confronted in the report: “Closing the Cancer Divide: A blueprint to improve cancer care in low and middle income countries” being presented on the 28th of October, 2011 in at Harvard University in Boston, Massachussetts.

The report is an outcome of the Global Task Force on Expanded Access to Cancer Care and Control in Developing Countries (GTC.CCC) and a consortium integrated by 30 leaders from the cancer and global health communities and convened by the Harvard School of Public Health, the Harvard Medical School, the Harvard Global Equity Initiative and Dana Farber Cancer Institute….”

 

Table of Contents

 

PART I: Much Should Be Done

 

Section 1: Overview

Felicia Marie Knaul, Paul Farmer

 

Section 2: The Global Cancer Divide: an Equity Imperative

Felicia Marie Knaul, Hector Arreola-Ornelas, Hans-Olov Adami, Nancy Keating, David Hunter, Megan O´Brien, Jim Cleary, Julio Frenk


Section 3: Investing in Cancer Care and Control

Felicia Marie Knaul, Hector Arreola-Ornelas, Ramiro Guerrero

 

PART II: Much Could be Done

 

Section 4: Health System Strengthening and Cancer: a Diagonal Response to the Challenge of Chronicity

Julio Frenk, George Alleyne, Rifat Atun, Peter Piot, Felicia Marie Knaul.   

 

Section 5: Core Elements for Provision of Cancer Care and Control in Low and Middle Income Countries

Lawrence Shulman, Julie Gralow, Eric Krakauer, Benjamin O Anderson, Peggy Porter, Mary Gospodarowicz, Sarah Feldman, Carlos Rodriguez-Galindo, Lindsay Frazier, Leslie Lehmann

 

PART III: Much Can Be Done

 

Section 6: Innovative Delivery of Cancer Care and Control in Low-Resource Scenarios,

Felicia Marie Knaul, Afsan Bhadelia, Julie Gralow, Ana Langer, Kathy Cahill

Section 7: Access to Affordable Medicines, Vaccines, and Health Technologies for Cancer: Overcoming Price and Non-Price Barriers to Access

Jonathan Quick, Niranjan Konduri, Julie Gralow

Section 8: Innovative Financing: Local and Global Opportunities

Rifat Atun, Felicia Marie Knaul, Yoko Akachi
           

Section 9: Evidence for Decision-Making: Strengthening Health Information Systems and the Research Base

             Nancy Keating, Felicia Marie Knaul

 

Section 10: Strengthening Stewardship and Leadership to Expand Access to Cancer Care and Control

Felicia Marie Knaul, Rifat Atun, Julio Frenk, Peter Piot

Spanish:

Lanzamiento del informe:
“Reduciendo la brecha del cáncer. Un marco para mejorar la atención del cáncer en países de ingresos bajos y medios”.

 

Los países de ingresos medios y bajos comparten un reto común, emergente y muy poco reconocido: el peso de la prevalencia de las enfermedades crónicas y no transmisibles que se incrementa continuamente. Este reto emergente incorpora la dificultad de responder al rezago de la enfermedad asociada a la pobreza y al “subdesarrollo”, frecuentemente vinculada con infecciones prevenibles y problemas reproductivos. El cáncer –por si mismo un conjunto complejo de enfermedades devastadoras- pone de relieve las complejidades e inequidades del reto epidemiológico que enfrentan los países de ingresos bajos y medios en el mundo.

 

El cáncer es también un reto para el desarrollo económico y humano debido que es al mismo tiempo una causa y un efecto de la pobreza. La discapacidad de largo plazo y los costos de la atención empobrecen a las familias y a los sistemas de salud, y contribuyen a la exclusión social. Al mismo tiempo, la pobreza, la falta de acceso a educación y atención a la salud y la discriminación exponen a las poblaciones a riesgos adicionales de presentar y morir de diversos tipos de cáncer.

 

Existen enormes disparidades entre ricos y pobres en incidencia y muerte por cánceres prevenibles y muerte por canceres tratables así como el dolor, sufrimiento y estigma asociados a la enfermedad. Estas disparidades constituyen una brecha generada por el cáncer y demuestran que la mejora en el acceso a la atención del cáncer y su control son también un tema de equidad.

 

Sin embargo, muchos piensan –y estos mitos persisten- que enfrentar el reto en países de ingresos bajos y medios, con excepción de algunos aspectos básicos de prevención, es innecesario, incosteable, no asequible y –quizás el mito más pernicioso- que es inapropiado debido a que un esfuerzo de tal envergadura distraerá recursos de enfermedades infecciosas que también tienen un peso importante en la carga de la enfermedad mundial. Estos cuatro mitos juegan en contra del esfuerzo de la comunidad global por lograr la atención y control del cáncer (CCC) así como de otras enfermedades no transmisibles y crónicas.

 

Estos y otros temas aparecen en el informe: “Reduciendo la brecha del cáncer. Un marco para mejorar la atención del cáncer en países de ingresos bajos y medios” que será presentado el próximo dia 28 de octubre de 2011 en la ciudad de Boston, Massachussetts. El informe es un producto del Global Task Force on Expanded Access to Cancer Care and Control in Developing Countries (GTC.CCC) y un consorcio de 30 líderes de las comunidades de salud global y cáncer, convocados por la Escuela de Salud Pública de Harvard, la Escuela de Medicina de Harvard, el Harvard Global Equity Initiative y el Dana Farber Cancer Institute.

 

Tabla de Contenidos

 

PARTE I: Mucho Debería Ser Hecho

 

Sección 1: Contexto

Felicia Marie Knaul, Paul Farmer

 

Sección 2: La Brecha Global del Cáncer: un imperativo de equidad

Felicia Marie Knaul, Hector Arreola-Ornelas, Hans-Olov Adami, Nancy Keating, David Hunter, Megan O´Brien, Jim Cleary, Julio Frenk


Sección 3: Invirtiendo en la Atención y Control del Cpancer

Felicia Marie Knaul, Hector Arreola-Ornelas, Ramiro Guerrero

PARTE II: Mucho Podría Ser Hecho

 

Sección 4: Fortalecimiento del Sistema de Salud y Cáncer: La respuesta diagonal al reto de la cronicidad

Julio Frenk, George Alleyne, Rifat Atun, Peter Piot, Felicia Marie Knaul.   

 

Sección 5: Elementos básicos para la provision de la Atención y el Control del Cáncer en Países de Ingresos Bajos y Medios

Lawrence Shulman, Julie Gralow, Eric Krakauer, Benjamin O Anderson, Peggy Porter, Mary Gospodarowicz, Sarah Feldman, Carlos Rodriguez-Galindo, Lindsay Frazier, Leslie Lehmann

 

PARTE III: Mucho Puede ser Hecho

 

Sección 6: Prestación innovadora para la Atención y Control del Cáncer en Escenarios de Escasez de Recursos.

Felicia Marie Knaul, Afsan Bhadelia, Julie Gralow, Ana Langer, Kathy Cahill

Sección 7: Acceso a Medicamentos Costeables, Vacunas y Tecnologías Sanitarias para el Cáncer: Superando la Barrera de los Precios para el Acceso

Jonathan Quick, Niranjan Konduri, Julie Gralow

Sección 8: Financiamiento innovador: Oportunidades locales y globales

Rifat Atun, Felicia Marie Knaul, Yoko Akachi
           

Sección 9: Evidencia para la Toma de Decisiones: Sistemas de Información y Fundamento Investigativo

             Nancy Keating, Felicia Marie Knaul

 

Sección 10: Fortaleciendo la Rectoría y el Liderazgo para Expandir el Acceso de la Atención y el Control del Cáncer.

Felicia Marie Knaul, Rifat Atun, Julio Frenk, Peter Piot
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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]
Washington DC USA

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
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IMPORTANT: This transmission is for use by the intended
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transmission to the intended recipient, you may not
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any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission.

Thank you.

[EQ] Facilitating the use of research evidence - Milbank Quarterly

Facilitating the use of research evidence

Milbank Quarterly - 2011 Milbank Memorial Fund

Edited By: Bradford H. Gray

Facilitating the use of research is the topic of a newly published virtual issue of The Milbank Quarterly. The issue includes, in chronological order, twenty-two articles and two commentaries that were published in the Quarterly between 2001 and 2011.

The editor's introduction and the entire issue are available at no charge at http://bit.ly/sGtfDf

Evidence-Based Management: From Theory to Practice in Health Care
Walshe, K. and T.G. Rundall. 2001

Examining the Role of Health Services Research in Public Policymaking
Lavis, J.N., S.E. Ross, J.E. Hurley, J.M Hohenadel, G.L. Stoddart, C.A. Woodward, and J. Abelson. 2002

How Can Research Organizations More Effectively Transfer Research Knowledge to Decision Makers?
Lavis, J.N., D. Robertson, J.M. Woodside, C.B. McLeod, J. Abelson, and the Knowledge Transfer Study Group. 2003

On Being a Good Listener: Setting Priorities for Applied Health Services Research
Lomas, J., N. Fulop, D. Gagnon, and P. Allen. 2003

Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations
Greenhalgh, T., G. Robert, F. Macfarlane, P. Bate, and O. Kyriakidou. 2004

Translating Evidence-Based Depression Management Services to Community-Based Primary Care Practices
Kilbourne, A.M., H.C. Schulberg, E.P. Post, B.L. Rollman, B.H. Belnap, H.A. Pincus. 2004

Evidence-Based Medicine, Heterogeneity of Treatment Effects, and the Trouble with Averages
Kravitz, R.L., N. Duan, and J. Braslow. 2004

Consulting as a Strategy for Knowledge Transfer
Jacobson, N., D. Butterill, and P. Goering. 2005

Evidence into Policy and Practice? Measuring the Progress of U.S. and U.K. Policies to
Tackle Disparities and Inequalities in U.S. and U.K. Health and Health Care

Exworthy, M., A. Bindman, H. Davies, A.E. Washington. 2006

Developing an Evidence Base for Policies and Interventions to Address Health Inequalities:
The Analysis of “Public Health Regimes

Asthana, S., and J. Halliday. 2006

Knowledge Transfer and Exchange: Review and Synthesis of the Literature
Mitton, C., C.E. Adair, E. McKenzie, S.B. Patten, and B.W. Perry. 2007

Health Research Funding Agencies’ Support and Promotion of Knowledge Translation: An International Study
Tetroe, J.M., I.D. Graham, R. Foy, N. Robinson, M.P. Eccles, M. Wensing, P. Durieux, F. Légaré, C.P. Nielson,
 A. Adily, J.E. Ward, C. Porter, B. Shea, and J.M. Grimshaw. 2008

“Developing Good Taste in Evidence”: Facilitators of and Hindrances to Evidence-Informed Health Policymaking in State Government
Jewell, C.J., and L.A. Bero. 2008

Comparative Effectiveness Research and Evidence-Based Health Policy: Experience from Four Countries
Chalkidou, K., S. Tunis, R. Lopert, L. Rochaix, P.T. Sawicki, M. Nasser, and B. Xerri. 2009

Toward a Transdisciplinary Model of Evidence-Based Practice
Satterfield, J.M., B. Spring, R.C. Brownson, E.J. Mullen, R.P. Newhouse, B.B. Walker, and E.P. Whitlock. 2009

Comparative Effectiveness Research in Ontario, Canada: Producing Relevant and Timely Information for Health Care Decision Makers
Whicher, D.M., K. Chalkidou, I.A. Dhalla, L. Levin, and S. Tunis. 2009

Translating Medical Effectiveness Research into Policy: Lessons from the California Health Benefits Review Program
Coffman, J.M., M.K. Hong, W.M. Aubry, H.S. Luft, and E. Yeslin. 2009

Research and Advice Giving: A Functional View of Evidence-Informed Policy Advice in a Canadian Ministry of Health
Lomas, J., and A.D. Brown. 2009

Enhancing Policymakers’ Understanding of Disparities: Relevant Data from an Information-Rich Environment
Roos, N.P., L.L. Roos, M. Brownell, and E.L. Fuller. 2010

Knowledge Exchange Processes in Organizations and Policy Arenas: A Narrative Systematic Review of the Literature
Contandriopoulos, D., M. Lemire, J.-L. Denis, and É. Tremblay. 2010

Commentaries:
History Matters for Understanding Knowledge Exchange
What Is The Knowledge That We Seek to "Exchange"?

Maximizing the Impact of Systematic Reviews in Health Care Decision Making: A Systematic Scoping Review of Knowledge-Translation Resources
Chambers, D., P.M. Wilson, C.A. Thompson, A. Hanbury, K. Farley, and K. Light. 2011

Systematic Reviews and Health Policy: The Influence of a Project on Perinatal Care since 1988
Fox, Daniel M. 2011

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]
Washington DC USA

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
------------------------------------------------------------------------------------
PAHO/WHO Website
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
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IMPORTANT: This transmission is for use by the intended
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confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
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any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission.

Thank you.