Infectious Diseases of Poverty
http://www.idpjournal.com/content
[Accessed 2 July 2016]

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Research Article
Progress towards onchocerciasis elimination in the participating countries of the African Programme for Onchocerciasis Control: epidemiological evaluation results
The African Programme for Onchocerciasis Control (APOC) was created in 1995 to establish community-directed treatment with ivermectin (CDTi) in order to control onchocerciasis as a public health problem in 20 …
Afework H. Tekle, Honorath G. M. Zouré, Mounkaila Noma, Michel Boussinesq, Luc E. Coffeng, Wilma A. Stolk and Jan H. F. Remme
Infectious Diseases of Poverty 2016 5:66
Published on: 27 June 2016

JAMA
June 28, 2016, Vol 315, No. 24
http://jama.jamanetwork.com/issue.aspx
Viewpoint
A Yellow Fever Epidemic: A New Global Health Emergency? FREE
Daniel Lucey, MD, MPH; Lawrence O. Gostin, JD

Journal of Humanitarian Logistics and Supply Chain Management
Volume 6 Issue 2 2016
http://www.emeraldinsight.com/toc/jhlscm/6/2

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Type: Research paper
Supply chain agility in humanitarian protracted operations
Cécile L’Hermitte , Peter Tatham , Ben Brooks , Marcus Bowles
Abstract:
Purpose
The purpose of this paper is to extend the concept of agility in humanitarian logistics beyond emergency operations. Since the humanitarian logistics literature focuses primarily on emergencies and sees longer-term and regular operations as being conducted in relatively stable and predictable environments, agile practices are usually not associated with humanitarian protracted operations. Therefore, this paper explores the logistics and supply chain environment in such operations in order to identify their basic features and determine if agility is an important requirement.
Design/methodology/approach
Using a case study of the United Nations World Food Programme, we collected and analysed qualitative and quantitative data on the characteristics of protracted operations, the risks and uncertainties most frequently encountered, their impact, and the ways that field logisticians manage contingencies.
Findings
Our research demonstrates that unpredictability and disruptions exist in protracted operations. Therefore, short-term operational adjustments and agile practices are needed in order to support the continuity of humanitarian deliveries.
Research limitations/implications
Future research should focus on a wider range of humanitarian organisations and move from a descriptive to a prescriptive approach in order to inform practice. Notwithstanding these limitations, our study highlights the need for academics to broaden the scope of their research beyond emergencies and to address the specific needs of humanitarian organisations involved in longer-term operations.
Originality/value
This paper is the first empirical research focusing exclusively on the logistics features of humanitarian protracted operations. It provides a more concrete and complete understanding of these operations.

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Introducing PEARL: A Gini-like index and reporting tool for public accountability and equity in disaster response
Type: Research paper
Claire Elizabeth Carlson , Paul A. Isihara , Roger Sandberg , David Boan , Kaile Phelps , Kyu Lim Lee , Danilo R. Diedrichs , Daniela Cuba , Johnny Edman , Melissa Gray , Roland Hesse , Robin Kong , Kei Takazawa
Abstract:
Purpose
The need in disaster response to assess how reliably and equitably funding was accounted for and distributed is addressed by a standardized report and index applicable to any disaster type.
Design/methodology/approach
Data from the Nepal earthquake (2015), typhoon Haiyan (2013), the Haiti earthquake (2010), Sri Lankan ood (2011) and Hurricane Sandy (2012) illustrate uses of a Public Equitable Allocation of Resources Log (PEARL). Drawing from activity-based costing and the Gini index, a PEARL spreadsheet computes absolute inequity sector by sector as well as a cumulative index. Response variations guide index value interpretation.
Findings
Index values indicates major inequity in Nepal hygiene kit distribution and Haiti earthquake (both PEARL indices near .5), moderate inequity for the Sri Lankan flood (index roughly .75) and equitable distributions for Typhoon Haiyan and Hurricane Sandy (both indices approximately .95). Indices are useful to approximate proportions of inequity in the total response and investigate allocation under uncertainty in sector need specification.
Originality/value
This original tool is implementable using a website containing a practice PEARL, completed examples and downloadable spreadsheet. Used across multiple sectors or for a single sector, PEARL may signal need for additional resources, correct inequitable distribution decisions, simplify administrative monitoring / assessment, and foster greater accounting transparency in summary reports. PEARL also assists historical analysis of all disaster types to determine completeness of public accounting records and equity in fund distribution.

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A SCOR framework to measure logistics performance of humanitarian organizations
Type: Research paper
Qing Lu , Mark Goh , Robert De Souza
Abstract:
Purpose
In humanitarian logistics operations, performance measurement is crucial for effective operation. We seek to develop a set of indicators for humanitarian relief organizations (HROs) for their organizational level logistics operations.
Design/methodology/approach
We apply the Supply Chain Operations Reference (SCOR) framework to the context of humanitarian supply chains. By taking a bottom-up approach with the support of a large HRO, we identify the most important metrics through examining its supply chain processes. The initial metrics are then validated by seven HROs to ensure their applicability in humanitarian logistics operations.
Findings
A hierarchical benchmarking framework is proposed, and a set of twenty-six metrics is identified. The validation of these metrics supports our initial work with all metrics deemed important. It also highlights the implementation difficulty as only five indicators are readily available. We further suggest the automation of key logistics processes, which would significantly increase the number of implementable metrics to fourteen.
Research limitations/implications
The sample size of the validation is small, and the last mile delivery is not covered by our metrics.
Practical implications
With these performance metrics, HROs are able to monitor their logistics performance better with processed-based measures, which may lead to their policy and process adjustments for performance improvement.
Originality/value
Our work contributes to performance measurement in humanitarian logistics with a framework of a generic metrics set. The validation result is also original to reveal the state of performance measurement on the ground.

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Capabilities and competencies in humanitarian operations
Type: Research paper
Aruna Apte , Paulo Goncalves , Keenan Yoho
Abstract:
Purpose
Both the military and non-military Organizations (NMO) bring assets, skills and capabilities to a humanitarian crisis, however, their competencies and capacities are very diverse. Identification of the specific competencies and capabilities that are core to these types of organizations can enable better planning by both military and NMOs, allowing them to achieve greater effectiveness and efficiency in the humanitarian response. For this purpose our research explores the core capabilities of the military and NMOs engaged in humanitarian operations.
Design/methodology/approach
Our work builds on existing literature on the core competency of the corporation. We extend the concept of the ability to identify, cultivate and exploit the core capabilities in the private sector to the organizations that want to respond efficiently and effectively to disasters. We develop a Core Competencies Test for such organizations.
Findings
Our research identifies the competencies and capabilities that are core to the U.S. military and NMOs for humanitarian assistance and disaster relief. By identifying such abilities we establish a vein of research for exploring the role of such organizations to facilitate greater understanding among academics, policy makers and decision makers in public administration, public health, and international aid.
Originality/value
Existing literature in humanitarian logistics does not adequately address identification of those competencies and capabilities that are core to the military organizations and NMOs and are most needed during the operational life cycle of a humanitarian crisis. In addition to identifying them, we compare the core capabilities of the military and non-military organizations.

The Lancet
Jul 02, 2016 Volume 388 Number 10039 p1-102
http://www.thelancet.com/journals/lancet/issue/current

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Viewpoint
Virginity testing in professional obstetric and gynaecological ethics
Amirhossein Moaddab, Laurence B McCullough, Frank A Chervenak, Gary A Dildy, Alireza Abdollah Shamshirsaz
Summary
Doctors around the world might be asked to provide virginity testing. The ethical framework for the assessment of the physician’s role in virginity testing is based on the professional responsibility model of ethics in obstetrics and gynaecology and its three core ethical principles: beneficence, respect for autonomy, and justice. Beneficence-based objections are that virginity testing has no clinical indications and has substantial biopsychosocial risks. Autonomy-based objections are that virginity testing might be the result of social and cultural pressures that result in non-voluntary requests and, by being undertaken mainly for the benefit of others and not the female patient, impermissibly violates the patient’s human right to privacy.

Nature
Volume 534 Number 7609 pp589-732 30 June 2016
http://www.nature.com/nature/current_issue.html

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Comment
Policy: Social-progress panel seeks public comment
Marc Fleurbaey and colleagues explain why and how 300 scholars in the social sciences and humanities are collaborating to synthesize knowledge for policymakers.
…That vision is the mission of a new panel convened last year, the International Panel on Social Progress (IPSP). It comprises more than 300 social-science and humanities scholars coordinated by the Fondation Maison des Sciences de l’Homme in Paris and by Princeton University in New Jersey. The IPSP is preparing a report on directions that could be taken in the twenty-first century to create better societies. We are members of the panel’s steering committee, and two of us (R.K. and H.N.) are co-chairs of its scientific council. In the next few months, the IPSP will release the first draft of its report.

We call on researchers, policymakers, think tanks, companies, non-governmental organizations (NGOs) and citizens to provide us with feedback during the comment period. From August to December 2016, interested parties will be able to weigh in on the panel website, http://www.ipsp.org, which will host a comment platform, discussion forums and surveys. Informed by these views, we hope that the final report will reflect an open and broad international debate on ‘mobilizing utopias’

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Comment
Make climate-change assessments more relevant
Stéphane Hallegatte, Katharine J. Mach and colleagues urge researchers to gear their studies, and the way they present their results, to the needs of policymakers.

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Perspectives
Paris Agreement climate proposals need a boost to keep warming well below 2 °C
Joeri Rogelj, Michel den Elzen, Niklas Höhne, Taryn Fransen, Hanna Fekete
+ et al.
The objective of the Paris climate agreement is to limit global-average temperature increase to well below 2 degrees Celsius above pre-industrial levels and to further pursue limiting it to 1.5 degrees Celsius; here, the adequacy of the national plans submitted in preparation for this agreement is assessed, and it is concluded that substantial enhancement or over-delivery on these plans is required to have a reasonable chance of achieving the Paris climate objective.

New England Journal of Medicine
June 30, 2016 Vol. 374 No. 26
http://www.nejm.org/toc/nejm/medical-journal

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Perspective
Saving the World’s Women from Cervical Cancer [Free full text]
V. Tsu and J. Jerónimo

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Original Articles
Seven-Year Efficacy of RTS,S/AS01 Malaria Vaccine among Young African Children
A. Olotu and Others
2519-2529
Free Full Text
Abstract
Background
The candidate malaria vaccine RTS,S/AS01 is being evaluated in order to inform a decision regarding its inclusion in routine vaccination schedules.
Full Text of Background…
Methods
We conducted 7 years of follow-up in children who had been randomly assigned, at 5 to 17 months of age, to receive three doses of either the RTS,S/AS01 vaccine or a rabies (control) vaccine. The end point was clinical malaria (temperature of ≥37.5°C and infection with Plasmodium falciparum of >2500 parasites per cubic millimeter). In an analysis that was not prespecified, the malaria exposure of each child was estimated with the use of information on the prevalence of malaria among residents within a 1-km radius of the child’s home. Vaccine efficacy was defined as 1 minus the hazard ratio or the incidence-rate ratio, multiplied by 100, in the RTS,S/AS01 group versus the control group.
Full Text of Methods…
Results
Over 7 years of follow-up, we identified 1002 episodes of clinical malaria among 223 children randomly assigned to the RTS,S/AS01 group and 992 episodes among 224 children randomly assigned to the control group. The vaccine efficacy, as assessed by negative binomial regression, was 4.4% (95% confidence interval [CI], −17.0 to 21.9; P=0.66) in the intention-to-treat analysis and 7.0% (95% CI, −14.5 to 24.6; P=0.52) in the per-protocol analysis. Vaccine efficacy waned over time (P=0.006 for the interaction between vaccination and time), including negative efficacy during the fifth year among children with higher-than-average exposure to malaria parasites (intention-to-treat analysis: −43.5%; 95% CI, −100.3 to −2.8 [P=0.03]; per-protocol analysis: −56.8%; 95% CI, −118.7 to −12.3 [P=0.008]).
Full Text of Results…
Conclusions
A three-dose vaccination with RTS,S/AS01 was initially protective against clinical malaria, but this result was offset by rebound in later years in areas with higher-than-average exposure to malaria parasites. (Funded by the PATH Malaria Vaccine Initiative and others; ClinicalTrials.gov number, NCT00872963.)

PLOS Currents: Disasters
http://currents.plos.org/disasters/
[Accessed 2 July 2016]

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Research Article
How Bad Is It? Usefulness of the “7eed Model” for Scoring Severity and Level of Need in Complex Emergencies
June 28, 2016 ·
Background: Humanitarian assistance is designated to save lives and alleviate suffering among people affected by disasters. In 2014, close to 25 billion USD was allocated to humanitarian assistance, more than 80% of it from governmental donors and EU institutions. Most of these funds are devoted to Complex Emergencies (CE). It is widely accepted that the needs of the affected population should be the main determinant for resource allocations of humanitarian funding. However, to date no common, systematic, and transparent system for needs-based allocations exists. In an earlier paper, an easy-to-use model, “the 7eed model”, based on readily available indicators that distinguished between levels of severity among disaster-affected countries was presented. The aim of this paper is to assess the usefulness of the 7eed model in regards to 1) data availability, 2) variations between CE effected countries and sensitivity to change over time, and 3) reliability in capturing severity and levels of need.
Method: We applied the 7eed model to 25 countries with CE using data from 2013 to 2015. Data availability and indicator value variations were assessed using heat maps. To calculate a severity score and a needs score, we applied a standardised mathematical formula, based on the UTSTEIN template. We assessed the model for reliability on previous CEs with a “known” outcome in terms of excess mortality.
Results: Most of the required data was available for nearly all countries and indicators, and availability increased over time. The 7eed model was able to discriminate between levels of severity and needs among countries. Comparison with historical complex disasters showed a correlation between excess mortality and severity score.
Conclusion: Our study indicates that the proposed 7eed model can serve as a useful tool for setting funding levels for humanitarian assistance according to measurable levels of need. The 7eed model provides national level information but does not take into account local variations or specific contextual factors.

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Research Article
Socio-demographic Predictors for Urban Community Disaster Health Risk Perception and Household Based Preparedness in a Chinese Urban City
June 27, 2016 ·
Objectives: There is limited evidence on urban Asian communities’ disaster risk perceptions and household level preparedness. Hong Kong is characterized by high population density, and is susceptible to large-scale natural disasters and health crises such as typhoons, fires and infectious disease outbreaks. This research paper investigates the rates and predictors of urban community disaster risk perception, awareness and preparedness, at individual and household levels.
Methods: A randomized cross-sectional, population-based telephone survey study was conducted among the Cantonese-speaking population aged over 15 years in Hong Kong. Descriptive statistics were reported. A stepwise multivariate logistic regression analysis was conducted to determine the independent associations between risk perceptions, socioeconomic factors, household characteristics, and personal background.
Findings: Final study sample comprised of 1002 respondents with a 63% response rate. The majority of respondents (82.3%) did not perceive Hong Kong as a disaster-susceptible city. Half (54.6%) reported beliefs that the local population had lower disaster awareness than other global cities. Infectious disease outbreak (72.4%), typhoon (12.6%), and fire (7.1%) were ranked as the most-likely-to-occur population-based disasters. Although over 77% believed that basic first aid training was necessary for improving individual disaster preparedness, only a quarter (26.1%) of respondents reported participation in training.
Conclusion: Despite Hong Kong’s high level of risk, general public perceptions of disaster in Hong Kong were low, and little preparedness has occurred at the individual or household levels. This report has potential to inform the development of related policies and risk communication strategies in Asian urban cities.

PLoS Medicine
http://www.plosmedicine.org/
(Accessed 2 July 2016)
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Editorial
A Global Champion for Health—WHO’s Next?
The PLOS Medicine Editors
| published 28 Jun 2016 | PLOS Medicine
http://dx.doi.org/10.1371/journal.pmed.1002059
[Excerpt]
… WHO’s next Director-General should be a proven leader and advocate, perhaps from a low-income or middle-income country. The new recruit will be greeted by a full in-tray, and featuring prominently are likely to be the constraints imposed by WHO’s current funding mechanisms. A substantial proportion of WHO’s existing budget is earmarked for specific projects, leaving the organization with little financial flexibility to respond to unanticipated demands. However, any improved funding mechanism is likely to follow, and be dependent on, organizational reform. According to Kruk, “WHO is both essential and hamstrung…the election of the Director-General should be a moment for member countries and other funders to reflect on whether they want an implementation agency for their favored health agenda, or an independent institution with the intelligence, agility, and operational capacity to tackle the coming global health challenges.”

Above all, the incoming leader of WHO will need to be open-minded and creative. More than one of the experts we contacted emphasized the fluid nature of the threats to human health to which WHO should shape the world’s response. WHO must be able to lead responses in some areas of global health, but, in other areas, working together with more nimble and focused organizations will be pragmatic. Large-scale infectious disease outbreaks are continuing, and noncommunicable diseases, including cancer, dementia, and mental illnesses, are growing in prevalence and increasing demand for treatment and care. The resources and ingenuity of researchers and clinicians will need to be harnessed, and interventions adapted to new settings, with much greater dynamism. The secular issues of population ageing, conflict, climate change, migration, and others will produce health problems that only an organization with a global reach, responsible to all, can hope to meet. We look forward to welcoming a new leader for WHO with the energy and vision to remold the organization to meet the health needs of the world’s people and societies for the 21st century.

PLoS Medicine
http://www.plosmedicine.org/
(Accessed 2 July 2016)
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Guidelines and Guidance |
Guidelines for Accurate and Transparent Health Estimates Reporting: the GATHER statement
Gretchen A. Stevens, Leontine Alkema, Robert E. Black, J. Ties Boerma, Gary S. Collins, Majid Ezzati, John T. Grove, Daniel R. Hogan, Margaret C. Hogan, Richard Horton, Joy E. Lawn, Ana Marušić, Colin D. Mathers, Christopher J. L. Murray, Igor Rudan, Joshua A. Salomon, Paul J. Simpson, Theo Vos, Vivian Welch, The GATHER Working Group
published 28 Jun 2016 | PLOS Medicine
http://dx.doi.org/10.1371/journal.pmed.1002056

Measurements of health indicators are rarely available for every population and period of interest, and available data may not be comparable. The Guidelines for Accurate and Transparent Health Estimates Reporting (GATHER) define best reporting practices for studies that calculate health estimates for multiple populations (in time or space) using multiple information sources. Health estimates that fall within the scope of GATHER include all quantitative population-level estimates (including global, regional, national, or subnational estimates) of health indicators, including indicators of health status, incidence and prevalence of diseases, injuries, and disability and functioning; and indicators of health determinants, including health behaviours and health exposures. GATHER comprises a checklist of 18 items that are essential for best reporting practice. A more detailed explanation and elaboration document, describing the interpretation and rationale of each reporting item along with examples of good reporting, is available on the GATHER website (gather-statement.org).

PLoS Medicine
http://www.plosmedicine.org/
(Accessed 2 July 2016)
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Agreements between Industry and Academia on Publication Rights: A Retrospective Study of Protocols and Publications of Randomized Clinical Trials
Benjamin Kasenda, Erik von Elm, John J. You, Anette Blümle, Yuki Tomonaga, Ramon Saccilotto, Alain Amstutz, Theresa Bengough, Joerg J. Meerpohl, Mihaela Stegert, Kelechi K. Olu, Kari A. O. Tikkinen, Ignacio Neumann, Alonso Carrasco-Labra, Markus Faulhaber, Sohail M. Mulla, Dominik Mertz, Elie A. Akl, Dirk Bassler, Jason W. Busse, Ignacio Ferreira-González, Francois Lamontagne, Alain Nordmann, Viktoria Gloy, Heike Raatz, Lorenzo Moja, Shanil Ebrahim, Stefan Schandelmaier, Xin Sun, Per O. Vandvik, Bradley C. Johnston, Martin A. Walter, Bernard Burnand, Matthias Schwenkglenks, Lars G. Hemkens, Heiner C. Bucher, Gordon H. Guyatt, Matthias Briel
| published 28 Jun 2016 | PLOS Medicine
http://dx.doi.org/10.1371/journal.pmed.1002046
Abstract
Background
Little is known about publication agreements between industry and academic investigators in trial protocols and the consistency of these agreements with corresponding statements in publications. We aimed to investigate (i) the existence and types of publication agreements in trial protocols, (ii) the completeness and consistency of the reporting of these agreements in subsequent publications, and (iii) the frequency of co-authorship by industry employees.
Methods and Findings
We used a retrospective cohort of randomized clinical trials (RCTs) based on archived protocols approved by six research ethics committees between 13 January 2000 and 25 November 2003. Only RCTs with industry involvement were eligible. We investigated the documentation of publication agreements in RCT protocols and statements in corresponding journal publications. Of 647 eligible RCT protocols, 456 (70.5%) mentioned an agreement regarding publication of results. Of these 456, 393 (86.2%) documented an industry partner’s right to disapprove or at least review proposed manuscripts; 39 (8.6%) agreements were without constraints of publication. The remaining 24 (5.3%) protocols referred to separate agreement documents not accessible to us. Of those 432 protocols with an accessible publication agreement, 268 (62.0%) trials were published. Most agreements documented in the protocol were not reported in the subsequent publication (197/268 [73.5%]). Of 71 agreements reported in publications, 52 (73.2%) were concordant with those documented in the protocol. In 14 of 37 (37.8%) publications in which statements suggested unrestricted publication rights, at least one co-author was an industry employee. In 25 protocol-publication pairs, author statements in publications suggested no constraints, but 18 corresponding protocols documented restricting agreements.
Conclusions
Publication agreements constraining academic authors’ independence are common. Journal articles seldom report on publication agreements, and, if they do, statements can be discrepant with the trial protocol.

PLoS Neglected Tropical Diseases
http://www.plosntds.org/
[Accessed 2 July 2016]

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Editorial
Southern Europe’s Coming Plagues: Vector-Borne Neglected Tropical Diseases
Peter J. Hotez
| published 30 Jun 2016 | PLOS Neglected Tropical Diseases
http://dx.doi.org/10.1371/journal.pntd.0004243
[Excerpts]
The factors responsible for promoting the vector-borne NTDs in Southern Europe are under investigation, but there are some key lead possibilities to consider:.
Poverty.
Throughout the world’s low- and middle-income countries, poverty is a major social determinant promoting the ongoing transmission of NTDs. Previous findings have determined that comparable levels of extreme poverty can also be found among the G20 countries and are also contributing to widespread NTDs [32,33]. It is interesting to note how the emergence or re-emergence of Southern Europe’s major NTDs roughly coincides with the European debt crisis that began in 2009 when countries such as Greece, Portugal, and Spain experienced difficulties in repaying their government debts without outside assistance. Ultimately, Greece defaulted on its debt to the International Monetary Fund in 2015, thereby precipitating a financial crisis linked to high unemployment. There is an important need to better understand the link between poverty and NTDs. So far, it has been found that NTDs flourish in impoverished settings, but also that NTDs exhibit a unique ability to reinforce poverty through their debilitating effects on workers, women, and growing and developing children.

Mass human migrations.
Still another key social factor may be the humanitarian crisis linked to hundreds of thousands of people fleeing conflicts in Libya, Syria, and Iraq due to the occupation of ISIS [34]. In so doing, they could be introducing or re-introducing NTDs endemic to the Middle East and North Africa, including the vector-borne NTDs highlighted above. For example, cutaneous leishmaniasis in Syria, where it is often known as “Aleppo Evil,” has reached hyperendemic proportions due to breakdowns in health systems and lack of access to essential medicine, with at least tens of thousands of new cases annually [35]. Quite possibly both cutaneous leishmaniasis and sand fly vectors are being routinely re-introduced into Southern Europe.

Climate change.
Finally, it has been noted that outside of the Arctic region, Europe’s single largest temperature increases associated with serious heat waves are now occurring in Southern Europe [36]. The factors promoting climate change include increased greenhouse gas emissions as a result of agriculture; burning of coal, oil, and gas (fossil fuels); landfills; and industrial pollutants [36]. Increased temperatures are helping to facilitate the survival and longevity of insects and snails with the capacity to transmit NTDs. Climate change may also promote the spread of some of Southern Europe’s vector-borne NTDs to Northern Europe, including WNV and leishmaniasis [19,37]…

PLoS One
http://www.plosone.org/
[Accessed 2 July 2016]

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Research Article
Monitoring and Evaluating Psychosocial Intervention Outcomes in Humanitarian Aid
Kaz de Jong, Cono Ariti, Saskia van der Kam, Trudy Mooren, Leslie Shanks, Giovanni Pintaldi, Rolf Kleber
Research Article | published 17 Jun 2016 | PLOS ONE
http://dx.doi.org/10.1371/journal.pone.0157474
Abstract
Existing tools for evaluating psychosocial interventions (un-validated self-reporting questionnaires) are not ideal for use in non-Western conflict settings. We implement a generic method of treatment evaluation, using client and counsellor feedback, in 18 projects in non-Western humanitarian settings. We discuss our findings from the perspective of validity and suggestions for future research. A retrospective analysis is executed using data gathered from psychosocial projects. Clients (n = 7,058) complete two (complaints and functioning) rating scales each session and counsellors rate the client’s status at exit. The client-completed pre- and post-intervention rating scales show substantial changes. Counsellor evaluation of the clients’ status shows a similar trend in improvement. All three multivariable models for each separate scale have similar associations between the scales and the investigated variables despite different cultural settings. The validity is good. Limitations are: ratings give only a general impression and clinical risk factors are not measured. Potential ceiling effects may influence change of scales. The intra and inter-rater reliability of the counsellors’ rating is not assessed. The focus on client and counsellor perspectives to evaluate treatment outcome seems a strong alternative for evaluation instruments frequently used in psychosocial programming. The session client rated scales helps client and counsellor to set mutual treatment objectives and reduce drop-out risk. Further research should test the scales against a cross-cultural valid gold standard to obtain insight into their clinical relevance.

Science
01 July 2016 Vol 353, Issue 6294
http://www.sciencemag.org/current.dtl

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Feature
South Africa’s bid to end AIDS
By Jon Cohen
Science01 Jul 2016 : 18-21
The tools exist, but the country’s epidemic—the largest in the world—won’t yield easily.
Summary
South Africa has more people living with HIV, an estimated 6.6 million, than any country in the world. About half are now receiving antiretroviral (ARV) treatment, which has greatly stressed the country’s health care system. Now, South Africa plans to encourage all infected people to learn their status and start treatment as part of the drive to end its epidemic. The cornerstone of the campaign is the fact that HIV-infected people who take ARVs and fully suppress their virus rarely transmit to others. Mathematical models suggest that 73% of the infected population has to achieve this to slow spread and start the epidemic’s downward spiral. South Africa has pledged to hit this target by 2020, in keeping with a global goal set by the Joint United Nations Programme on HIV/AIDS, but many experts doubt it can succeed by then—and others question the model itself. When the biannual International AIDS Conference takes place in Durban, South Africa, later this month, these issues likely will be in center stage.

Social Science & Medicine
Volume 158, Pages 1-172 (June 2016)
http://www.sciencedirect.com/science/journal/02779536/156

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Regular articles
Long-term health implications of school quality
Original Research Article
Pages 1-7
Rebecca N. Dudovitz, Bergen B. Nelson, Tumaini R. Coker, Christopher Biely, Ning Li, Lynne C. Wu, Paul J. Chung
Abstract
Objective
Individual academic achievement is a well-known predictor of adult health, and addressing education inequities may be critical to reducing health disparities. Disparities in school quality are well documented. However, we lack nationally representative studies evaluating the impact of school quality on adult health. We aim to determine whether high school quality predicts adult health outcomes after controlling for baseline health, socio-demographics and individual academic achievement.
Methods
We analyzed data from 7037 adolescents who attended one of 77 high schools in the Unites States and were followed into adulthood from the National Longitudinal Study of Adolescent to Adult Health. Selected school-level quality measures—average daily attendance, school promotion rate, parental involvement, and teacher experience—were validated based on ability to predict high school graduation and college attendance. Individual adult health outcomes included self-rated health, diagnosis of depression, and having a measured BMI in the obese range.
Results
Logistic regressions controlling for socio-demographics, baseline health, health insurance, and individual academic performance demonstrated that school quality significantly predicted all health outcomes. As hypothesized, attending a school with lower average daily attendance predicted lower self-rated health (Adjusted Odds Ratio (AOR) 1.59, p = 0.003) and higher odds of depression diagnosis (AOR 1.35, p = 0.03); and attending a school with higher parent involvement predicted lower odds of obesity (AOR 0.69, p = 0.001). However, attending a school with higher promotion rate also predicted lower self-rated health (AOR1.20, p < 0.001).
Conclusions
High school quality may be an important, but complex, social determinant of health. These findings highlight the potential inter-dependence of education and health policy.

The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 25 June 2016

This weekly digest is intended to aggregate and distill key content from a broad spectrum of practice domains and organization types including key agencies/IGOs, NGOs, governments, academic and research institutions, consortia and collaborations, foundations, and commercial organizations. We also monitor a spectrum of peer-reviewed journals and general media channels. The Sentinel’s geographic scope is global/regional but selected country-level content is included. We recognize that this spectrum/scope yields an indicative and not an exhaustive product. Comments and suggestions should be directed to:

David R. Curry
Editor &
Founding Managing Director
GE2P2 – Center for Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

pdf version: The Sentinel_ week ending 25 June 2016

:: Journal Watch

The Sentinel will track key peer-reviewed journals which address a broad range of interests in human rights, humanitarian response, health and development. It is not intended to be exhaustive. We will add to those monitored below as we encounter relevant content and upon recommendation from readers. We selectively provide full text of abstracts and other content but note that successful access to some of the articles and other content may require subscription or other access arrangement unique to the publisher. Please suggest additional journals you feel warrant coverage.

BMC Infectious Diseases
http://www.biomedcentral.com/bmcinfectdis/content
(Accessed 25 June 2016)
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Research article
Clinical features of suspected Ebola cases referred to the Moyamba ETC, Sierra Leone: challenges in the later stages of the 2014 outbreak
The last ebola virus disease (EVD) outbreak has been the most important since 1976. EVD cases decreased drastically in Sierra Leone at the beginning of 2015. We aim to determine the clinical findings and evolu…
Javier Arranz, Karen Marie Lundeby, Shoaib Hassan, Luis Matías Zabala Fuentes, Pedro San José Garcés, Yngvar Lunde Haaskjold, Hakon Angell Bolkan, Kurt Osthuus Krogh, James Jongopi, Sindre Mellesmo, Ola Josendal, Asmund Opstad, Erling Svensen, Alfred Sandy Kamara, David P. Roberts, Paul D. Stamper…
BMC Infectious Diseases 2016 16:308
Published on: 22 June 2016

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Debate
Towards cash transfer interventions for tuberculosis prevention, care and control: key operational challenges and research priorities
Cash transfer interventions are forms of social protection based on the provision of cash to vulnerable households with the aim of reduce risk, vulnerability, chronic poverty and improve human capital.
Delia Boccia, Debora Pedrazzoli, Tom Wingfield, Ernesto Jaramillo, Knut Lönnroth, James Lewis, James Hargreaves and Carlton A. Evans
BMC Infectious Diseases 2016 16:307
Published on: 21 June 2016

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Research article
Dual rapid lateral flow immunoassay fingerstick wholeblood testing for syphilis and HIV infections is acceptable and accurate, Port-au-Prince, Haiti
Dual rapid tests for HIV and syphilis infections allow for detection of HIV infection and syphilis at the point-of-care. Those tests have been evaluated in laboratory settings and show excellent performance but…
Claire C. Bristow, Linda Severe, Jean William Pape, Marjan Javanbakht, Sung-Jae Lee, Warren Scott Comulada and Jeffrey D. Klausner
BMC Infectious Diseases 2016 16:302

BMC Medicine
http://www.biomedcentral.com/bmcmed/content
(Accessed 25 June 2016)

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Opinion
Beyond viral suppression of HIV – the new quality of life frontier
Jeffrey V. Lazarus, Kelly Safreed-Harmon, Simon E. Barton, Dominique Costagliola, Nikos Dedes, Julia del Amo Valero, Jose M. Gatell, Ricardo Baptista-Leite, Luís Mendão, Kholoud Porter, Stefano Vella and Jürgen Kurt Rockstroh
BMC Medicine 2016 14:94
Published on: 22 June 2016
Abstract
Background
In 2016, the World Health Organization (WHO) adopted a new Global Health Sector Strategy on HIV for 2016–2021. It establishes 15 ambitious targets, including the ‘90-90-90’ target calling on health systems to reduce under-diagnosis of HIV, treat a greater number of those diagnosed, and ensure that those being treated achieve viral suppression.
Discussion
The WHO strategy calls for person-centered chronic care for people living with HIV (PLHIV), implicitly acknowledging that viral suppression is not the ultimate goal of treatment. However, it stops short of providing an explicit target for health-related quality of life. It thus fails to take into account the needs of PLHIV who have achieved viral suppression but still must contend with other intense challenges such as serious non-communicable diseases, depression, anxiety, financial stress, and experiences of or apprehension about HIV-related discrimination. We propose adding a ‘fourth 90’ to the testing and treatment target: ensure that 90 % of people with viral load suppression have good health-related quality of life. The new target would expand the continuum-of-services paradigm beyond the existing endpoint of viral suppression. Good health-related quality of life for PLHIV entails attention to two domains: comorbidities and self-perceived quality of life.
Conclusions
Health systems everywhere need to become more integrated and more people-centered to successfully meet the needs of virally suppressed PLHIV. By doing so, these systems can better meet the needs of all of their constituents – regardless of HIV status – in an era when many populations worldwide are living much longer with multiple comorbidities.

BMC Pregnancy and Childbirth
http://www.biomedcentral.com/bmcpregnancychildbirth/content
(Accessed 25 June 2016)

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Research article
Knowledge, practice and associated factors of essential newborn care at home among mothers in Gulomekada District, Eastern Tigray, Ethiopia, 2014
Haftom Gebrehiwot Misgna, Haftu Berhe Gebru and Mulugeta Molla Birhanu
Published on: 21 June 2016
Abstract
Background
Around the world, more than three million newborns die in their first months of life every year. In Ethiopia during the last five years period; neonatal mortality is 37 deaths per 1000 live births. Even though there is an improvement compared to the past five years, there is still high home delivery 90 %, and high neonatal mortality about the Millennium Development Goal, which aims to be less than 32/1000 live births in Ethiopia. The purpose of this study is to assess maternal knowledge, practice and associated factors of essential newborn care at home in Gulomekada District Eastern Tigray, Ethiopia.

Methods
A community-based cross-sectional study is conducted in 296 mothers from Gulomekada District by using simple random sampling technique. Data entry and analysis is carried out by using Statistical Package for Social Sciences-20. The magnitude of the association between different variables about the outcome variable is measured by odds ratio with 95 % confidence interval. A binary logistic regression analysis is made to obtain odds ratio and the confidence interval of statistical associations. The goodness of fit had tested by Hosmer-Lemeshow statistic and all variables with P-value greater than 0.05 are fitted to the multivariate model. Variables with P < 0.2 in the bivariate analysis are included in the final model, and statistical significance is declared at P < 0.05.

Result
Eighty percent (80.4 %) study participants had good knowledge on essential new born care and 92.9 % had the good practice of essential new born care. About 60 % of mothers applied butter or oil on the cord stump for their last baby. Marital status and education are significantly associated with knowledge, whereas urban residence mothers with good knowledge on essential newborn care and employed mothers are significantly associated with mothers’ practice of essential newborn care.

Conclusion
Almost all mothers know and practice essential newborn care correctly except oil or butter application to the cord stump is highly practiced which should be avoided. Only marital status and educational status are significantly associated with mothers’ knowledge.

BMC Research Notes
http://www.biomedcentral.com/bmcresnotes/content
(Accessed 25 June 2016)

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Research article
Involving hard-to-reach ethnic minorities in low-budget health research: lessons from a health survey among Moluccans in the Netherlands
Adee J. Bodewes and Anton E. Kunst
BMC Research Notes 2016 9:319
Published on: 21 June 2016
Abstract
Background
There is little evidence on which strategies are effective in recruiting minority groups in low-budget health surveys. We evaluated different recruitment strategies for their impact on response rates in a hard-to-reach minority population in the Netherlands.
Methods
We conducted a health survey in 19 Moluccan districts (MDs). Each MD had its own set of recruitment strategies, such as information meetings, involving social or local media, involving community organizations, and door-to-door collection. The association between recruitment strategies and MD-specific response rates was assessed with logistic regression analysis.
Results
The overall response rate was 24 %, and varied from 9 to 58 %. Higher rates were obtained when the strategy included door-to-door collection (OR 1.57) and ‘active’ key informants (OR 1.68). No positive associations with response rates were observed of the other strategies.
Conclusions
The overall low response rate in this study may be due to high levels of distrust, segmentation within the community and high respect for privacy among Moluccans. Our study shows that in such communities, response may be increased by a highly personal recruitment approach and a strong commitment and participation of community key-figures.