Fee-for-service – a bold measure by the Afghan health ministry

The Afghan Ministry of Public Health has recently announced a User Fee Regulation under which user fees will be levied for services in secondary and tertiary public health facilities. The details of how much will be charged, for what services, and when the regulation will actually come into effect are yet to be known. What […]

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Is India’s national health policy geared towards achieving the Sustainable Development Goals?

The adoption of Sustainable Development Goals (SDG’s) in 2015 marked a shift in the global development agenda from the earlier Millennium Development Goals (MDGs) era. SDGs are particularly important for the health sector, since they reaffirm the premise of the Alma Ata declaration that health cannot exist in isolation. SDG’s intrinsically link health with actions […]

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R N Karuga: “Building a resilient and responsive health system needs strong community support”

“Forget about these people in the national office,” said Maria (not her real name). “They are not in touch with reality!” Maria is a district health manager in Kenya. This was her response when I asked how closely she works with the national Ministry of Health in delivering community health services. In 2013, the governance […]

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What can we learn from the European Union’s first right to food law?

By Tomaso Ferrando and Roberto Sensi. In this second article on the #RightToFood, part of a BMJ Global Health series, we discuss our experience of the conception and enactment of a right to food law in Lombardia, Italy. The “Recognition, Protection and Promotion of the Right to Food,” was approved by the Lombardia Regional Council in November 2015. […]

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Jose Luis Vivero-Pol and Tomaso Ferrando: Let’s talk about the right to food

Legal recognition of the right to food and nutrition can create the grounds for effective and systemic solutions for hunger and malnutrition. Recently, the media was abuzz with news of plans by the Scottish Equalities Secretary to legislate the right to food within Scottish law. This would be a step towards tackling food poverty in […]

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Adesoji Ademuyiwa: Improving child survival following emergency surgery

As a paediatric surgeon in Nigeria, my experience is that child survival following emergency surgery is lower compared to children in more developed countries. This is especially the case in the neonatal period. Studies in countries with a low to middle Human Development Index (HDI) have documented several challenges associated with this issue—delays in presentation […]

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