The Lancet
Apr 05, 2014 Volume 383 Number 9924 p1183 – 1268
http://www.thelancet.com/journals/lancet/issue/current
Editorial
Mental health and wellbeing in children and adolescents
The Lancet
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On March 25, an important milestone was reached in making children’s and adolescents’ mental health, wellbeing, and development everyone’s business. A UK consortium, including the Royal College of Paediatrics and Child Health, the Royal College of Psychiatrists, the Royal College of General Practitioners, and others, launched a new website, MindEd, funded by the Department of Health and aimed at any adult who is working with children, young people, and families. It consists of free online information and education modules that support anyone interested in recognising what healthy behaviour and development is, how wellbeing can be supported, and which signs and symptoms need closer attention.
Long-term outcomes of patients with extensively drug-resistant tuberculosis in South Africa: a cohort study
Elize Pietersen, Elisa Ignatius, Elizabeth M Streicher, Barbara Mastrapa, Xavier Padanilam, Anil Pooran, Motasim Badri, Maia Lesosky, Paul van Helden, Frederick A Sirgel, Robin Warren, Keertan Dheda
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In South Africa, long-term outcomes in patients with XDR tuberculosis are poor, irrespective of HIV status. Because appropriate long-stay or palliative care facilities are scarce, substantial numbers of patients with XDR tuberculosis who have failed treatment and have positive sputum cultures are being discharged from hospital and are likely to transmit disease into the wider community. Testing of new combined regimens is needed urgently and policy makers should implement interventions to minimise disease spread by patients who fail treatment.
Viewpoint
Scaling up of family planning in low-income countries: lessons from Ethiopia
Daniel T Halperin
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Previous analyses have emphasised the crucial importance of family planning to achieve a range of health and other development objectives in developing countries. This Viewpoint focuses on the successful implementation of services in Ethiopia, Africa’s second most populous country. Ethiopia’s encouraging experience could challenge the widely held assumption that a decline in fertility must be preceded by sweeping economic and educational advancement, and offers other useful policy and programmatic lessons for other low-income countries, especially in sub-Saharan Africa.