Access: How Do Good Health Technologies Get to Poor People by Laura Frost, Michael R. Reich, Tadataka Yamada, Beth Anne

By Laura Frost, Michael R. Reich, Tadataka Yamada, Beth Anne Pratt, Alan Fenwick, Howard Thompson

many of us in constructing international locations lack entry to well-being applied sciences, even easy ones. Why do those difficulties in entry persist? What might be performed to enhance entry to solid wellbeing and fitness applied sciences, specially for bad humans in negative nations?

This ebook solutions these questions through constructing a accomplished analytical framework for entry and interpreting six case reports to provide an explanation for why a few healthiness applied sciences completed extra entry than others. The applied sciences comprise praziquantel (for the therapy of schistosomiasis), hepatitis B vaccine, malaria fast diagnostic exams, vaccine vial screens for temperature publicity, the Norplant implant contraceptive, and feminine condoms. according to learn reports commissioned by means of the invoice & Melinda Gates beginning to raised comprehend the advance, adoption, and uptake of well-being applied sciences in bad international locations, the ebook concludes with particular classes on concepts to enhance entry. those classes can be of willing curiosity to scholars of health and wellbeing and improvement, public wellbeing and fitness execs, and overall healthiness expertise developers—all who search to enhance entry to health and wellbeing applied sciences in terrible international locations.

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Extra info for Access: How Do Good Health Technologies Get to Poor People in Poor Countries? (Harvard Series on Population and International Health)

Example text

National adoption Acceptance of the technology by policy makers in developing countries’ government ministries, involving political commitment, regulatory approval, and adoption of treatment protocols. Provider adoption Acceptance of the technology by the provider and appropriate prescribing. End-user adoption and appropriate use Acceptance of the technology by the patient or consumer, which includes appropriate use of the technology. 20 | C H A P T E R 2 | T H E A C C E S S F R A M E W O R K Foundation and bilateral aid agencies.

We believe that the comprehensive approach we have taken in designing this framework is useful to explain past successes and failures in access. We feel the ideas can also assist product developers who have demonstrated that their product can improve the health of poor people in developing countries but then are confronted with a set of new problems. The framework can help in identifying critical bottlenecks and in proposing strategies for overcoming those problems. 3 | The access phases Phase 1 Product Development Phase 2 Introduction Phase 3 Scaling up Phase 4 Sustaining Access Outcome HEALTH IMPROVEMENT activities.

End-user affordability Affordability of the technology by individual patients and consumers. ADOPTION involves gaining acceptance and creating demand for a new health technology from global organizations, government actors, providers and dispensers, and individual patients. Global adoption Acceptance of the technology from international agencies such as WHO, UNICEF, UNAIDS, and UNFPA, and from technical experts. National adoption Acceptance of the technology by policy makers in developing countries’ government ministries, involving political commitment, regulatory approval, and adoption of treatment protocols.

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