On May 31, the global health community will mark World No Tobacco Day 2015. This year’s theme focuses on the public health priority of stopping the illicit trade of tobacco products. Perhaps this is a good occasion to clarify that raising tobacco taxes to make this habit-forming product unaffordable is not the cause of illicit trade. Let me explain.
As you prepare to take off for summer travels to parts unknown, leave your paperbacks behind and take that stack of must-read magazines to the recycling bin, because I’ve compiled a selection of recent articles related to PPPs that will engage, educate and inspire. It’s also intended to answer some common questions – because many people are not fully aware of the complexities of PPPs and how risks are shared between the public and private sectors.
For those in search of a broader perspective on how PPPs contribute to global development, their challenges and their potential, these articles will give you something to think about before, during and after your vacation.
Transparency is always an important issue, whether we are talking public procurement or PPPs, and there has been a push recently for all government contracts to be made public. The argument is that transparency not only inhibits corruption and builds trust in governments, but can help improve the contracts themselves. For example, in Slovakia, the publication of contracts led to a 50 percent increase in the average number of bids on government tenders. In Buenos Aires, Argentina, it reduced variation and lowered average prices for hospital supplies.
In this editorial, the authors make their case. But what does this mean for PPPs, where openness and commercial confidentiality must find a balance? Can the two be reconciled?
At 44%, the HIV infection rate is high among men who have sex with men (MSM) in Thailand. Despite efforts to promote safe sex, HIV infection rate will rise from 30% now to 59% by 2030 if there is no radical intervention.
Attempts to understand population growth and the determinants of fertility date as far back as the late 1700s, when Thomas Malthus wrote ‘An Essay on the Principle of Population.’
Postulating that fertility decisions are influenced by women’s opportunity cost of time (Becker, 1960), choice over fertility has been incorporated in more recent times into growth models in order to understand the joint behavior of population and economic development throughout history. The large majority of existing analyses examine individual countries in a closed-economy setting. However, in an era of ever-increasing integration of world markets, the role of globalization in determining fertility can no longer be ignored.
June is almost upon us, and in many parts of the world that means graduation ceremonies. While graduation may elicit images of black robes, flat square caps, and the flipping of tassels, in the Toledo District of Belize, this June, graduation will be all about medical kits, scales, and growth monitoring tools because … the community health workers (CHWs) are graduating!
Inequality begins early in life. In the Middle East and North Africa region it begins before birth, as prenatal care is not universal, and continues right through early childhood with different levels of access to vital nutrition, health services and early education. Missing out on any one of these key development factors can leave a child at a permanent disadvantage in school and adult life. There is also the risk that inequality entrenched early in life is passed on to the next generation, creating a cycle of poverty. A new World Bank report has calculated the different chances that a child from the region’s poorest 20% of households (least advantaged child) and a child from the region’s richest 20% of households (most advantaged child) have for healthy development.
Bangabandhu Sheikh Mujib Medical University (BSMMU) is a leading post-graduate medical institution and the only medical university in Bangladesh. It plays a unique role in enhancing the quality of medical education and research. BSMMU is one of the largest beneficiaries of the Academic Innovation Fund (AIF) under the Higher Education Quality Enhancement Project (HEQEP) which has brought about significant improvements in the quality of medical education and research.
Launching the first-ever virtual classroom for medical education in Bangladesh
Teaching quality in medical education and training is increasingly a thorny issue in Bangladesh. Teachers in medical colleges are inadequate both in quantity and quality. Currently there are only around 120 pharmacology teachers across 86 medical colleges in Bangladesh.
To address the challenge, the AIF supported the Department of Pharmacology of BSMMU to establish the first-ever virtual classroom system for medical college students in Bangladesh. The system has a great potential of changing the landscape of medical education and training in Bangladesh. The “Virtual Teaching-Learning Program on Pharmacology” sub-project was launched to pilot innovative use of information technology in medical education by establishing a virtual classroom environment. Under the pilot, medical college institutions across Bangladesh are connected to the virtual classroom. It allows senior medical professors in Dhaka and even international experts from abroad to deliver their lectures to students in medical colleges in different regions. Students can attend real-time online classes, download teaching materials, and assess their competence in self-administered test.
“So far 36 topics are available to the students for free. An online question bank has been uploaded containing about 4,000 questions. We also established a synchronous teaching system that is so far connected with 32 medical colleges. Professors in Dhaka now remotely teach classes to students outside of Dhaka, and sometimes international guest lecturers also give lectures via the synchronous system. It is an exceptional experience for students in remote areas to listen and ask questions to renowned medical professionals. The bandwidth of internet connectivity is the only challenge. BSMMU is connected to high-speed Bangladesh Research and Education Network (BdREN), whereas colleges in remote areas have only narrow-band connectivity and cannot receive our synchronous broadcasting. It is now essential for the colleges to get broad-band internet connectivity.” says Professor Mir Misbahuddin, the sub-project manager at Department of Pharmacology, BSMMU.
Establishing a world-class genetic research environment
The “Modernization of Genetic Research Facilities and Patient Care Services” sub-project by the Faculty of Basic Medical Sciences is another success at the BSMMU. The sub-project installed a Next Generation DNA Sequencer, the only one of its kind in the country, and established a modern fully equipped genetic research laboratory. The sub-project aims to promote research on human genetic diseases in Bangladesh, which have never been addressed due to the lack of proper facilities, and invites international experts in genetics and molecular biology to train medical researchers in Bangladesh.
“With this Next Generation Sequencer, we can now analyze the DNA sequence of Bangladeshi citizens and explore the genetic data of most prevalent genetic diseases in Bangladesh.’ explains Laila Anjuman Banu, sub-project manager and professor of Genetics & Molecular Biology. “Currently, we are developing a database of patients suffering from breast cancer and hypertrophic cardiomyopathy in Bangladesh. The database is useful for researchers in Bangladesh for further researches on developing molecular diagnostics and designing targeted therapeutics in the near future. This is a cutting-edge arena for medical research worldwide. We have published two papers already using this new sequencer.” she added.
AIF sub-projects awarded to other departments such as Anatomy, Urology, and Palliative Care have been equally successful.
It is Day Ten since the earthquake struck Nepal and the scale of the devastation is only just becoming evident. The official death toll has now crossed 7,000, of which 5,000 have been confirmed in remote rural areas. As many as 15,000 people are injured, many critically. Aftershocks continue to rattle central Nepal and most people are still too jittery to come to terms with what has happened.
At times, many of us have felt a sense of loss or detachment from our families, friends and regular routines. We also have experienced nervousness and anxiety about changes in our personal and professional lives, as well as real or imagined fears and worries that have distracted, confused and agitated us.