The death of neoliberalism and the crisis in western politics

The western financial crisis of 2007-8 was the worst since 1931, yet its immediate repercussions were surprisingly modest. The crisis challenged the foundation stones of the long-dominant neoliberal ideology but it seemed to emerge largely unscathed. The banks were bailed out; hardly any bankers on either side of the Atlantic were prosecuted for their crimes; and the price of their behaviour was duly paid by the taxpayer. Subsequent economic policy, especially in the Anglo-Saxon world, has relied overwhelmingly on monetary policy, especially quantitative easing. It has failed. The western economy has stagnated and is now approaching its lost decade, with no end in sight.

After almost nine years, we are finally beginning to reap the political whirlwind of the financial crisis. But how did neoliberalism manage to survive virtually unscathed for so long? Although it failed the test of the real world, bequeathing the worst economic disaster for seven decades, politically and intellectually it remained the only show in town. Parties of the right, centre and left had all bought into its philosophy, New Labour a classic in point. They knew no other way of thinking or doing: it had become the common sense. It was, as Antonio Gramsci put it, hegemonic. But that hegemony cannot and will not survive the test of the real world. …..more

New films about diabetes in pregnancy

Diabetes is considered the biggest global health crisis we face today.  Around 422 million adults live with the condition, resulting in 1.5 million deaths per year, and these numbers are expected to double in the next 20 years.

But one type of diabetes that often goes unrecognized is gestational diabetes, which develops in pregnancy and affects an estimated 3.7 million births each year.

Today we launch Diabetes in pregnancy: Stories from Saint Lucia – new films that tell the stories of women affected by diabetes during pregnancy. Shot in Saint Lucia – with the help of the Saint Lucia Ministry of Health, Wellness, Human Services and Gender Relations and the Saint Lucia Diabetes and Hypertension Association – the films aim to raise awareness of diabetes in pregnancy, how to manage the risks through healthy diet and exercise, and how to reduce your chances of developing type 2 diabetes later in life.

Permanent Secretary in the Ministry of Health, Cointha Thomas said, “Diabetes is one of the greatest health challenges facing our country, and little is known about gestational diabetes. This film will enable the Ministry to share lifesaving knowledge and strengthen our efforts to reduce the impact of this condition, helping to ensure more mothers and their babies are healthy in pregnancy and throughout their life course.”

These new films, available in English and Saint Lucian Creole, are part of a major drive to raise diabetes awareness in Saint Lucia and the Caribbean. They will be screened in hospital waiting rooms, antenatal clinics and in the wider community as part of a campaign to transform understanding of gestational diabetes, complementing a nationwide diabetes screening programme and training for diabetes specialists.

You can watch the full-length film here or view this short trailer – both available for free, in English and Saint Lucian Creole. 

Your feedback is important to us – please take five minutes to complete this short survey. And films like these are dependent on your donations so please do support our work.

These films were produced with support from W Science and in collaboration with the Saint Lucia Ministry of Health, Wellness, Human Services and Gender Relations and the Saint Lucia Diabetes and Hypertension Association.

Films in new languages for health worker training in Nigeria

We are delighted to launch a suite of 11 maternal and child health films in two new languages – Yoruba and Hausa – to support the development an innovative health worker training programme in Nigeria.  This programme uses a tablet-based curriculum, developed with InStrat Global Health Solutions, Digital Campus, mPowering Frontline Health Workers and Ondo State Primary Health Care Development Board, to share life-saving information about maternal and child health.

Yoruba and Hausa are among the most widely spoken languages in Africa, spoken by over 70 million native speakers, and by many millions more as a second or third language.  This suite of films in these new languages will help to transform access to vital knowledge about maternal and child health in West Africa.

Click the links below now to watch or download the films in full.

Local-language content is just the beginning of opportunities to scale this programme across Nigeria.  Plans are underway with Ondo State Primary Health Care Development Board to expand the pilot significantly to cover more facilities in the State.  Meanwhile screenings have started in Kano State, northern Nigeria, using innovative solar powered Wi-Fi hubs in partnership with Outernet, with further possible programmes being planned.

For more news on the project stay in touch via our websiteTwitter and Facebook

Our thanks to mPowering Frontline Health Workers for their support for this work helping transform access to knowledge and training that saves lives.

Medical Aid Films, 16 Lincolns Inn Fields, London, WC2A 3ED, United Kingdom

K4Health’s Animated Knowledge Management Video Available in English and French

‘When global health practitioners use knowledge management in their work, health systems operate more smoothly, and clients receive better care. Ultimately, knowledge management contributes to greater health and longer, happier lives. The best news? Many of us already practice knowledge management every day. K4Health is pleased to now offer our five-minute overview of knowledge management for health in both English and French. Watch the video to learn how to be more intentional and systematic about knowledge management in order to strengthen services and improve lives.’

English: http://bit.ly/2akjR6l

French: http://bit.ly/2aEaTGa

Best wishes, Neil

Let’s build a future where people are no longer dying for lack of healthcare knowledge – Join HIFA: www.hifa2015.org  

Effectiveness of mHealth Interventions Targeting Health Care Workers to Improve Pregnancy Outcomes in Low- and Middle-Income Countries: A Systematic Review

ABSTRACT

Background: Low- and middle-income countries (LMICs) face the highest burden of maternal and neonatal deaths. Concurrently, they have the lowest number of physicians. Innovative methods such as the exchange of health-related information using mobile devices (mHealth) may support health care workers in the provision of antenatal, delivery, and postnatal care to improve maternal and neonatal outcomes in LMICs.

Objective: We conducted a systematic review evaluating the effectiveness of mHealth interventions targeting health care workers to improve maternal and neonatal outcomes in LMIC.

Methods: The Cochrane Library, PubMed, EMBASE, Global Health Library, and Popline were searched using predetermined search and indexing terms. Quality assessment was performed using an adapted Cochrane Risk of Bias Tool. A strength, weakness, opportunity, and threat analysis was performed for each included paper.

Results: A total of 19 studies were included for this systematic review, 10 intervention and 9 descriptive studies. mHealth interventions were used as communication, data collection, or educational tool by health care providers primarily at the community level in the provision of antenatal, delivery, and postnatal care. Interventions were used to track pregnant women to improve antenatal and delivery care, as well as facilitate referrals. None of the studies directly assessed the effect of mHealth on maternal and neonatal mortality. Challenges of mHealth interventions to assist health care workers consisted mainly of technical problems, such as mobile network coverage, internet access, electricity access, and maintenance of mobile phones.

Conclusions: mHealth interventions targeting health care workers have the potential to improve maternal and neonatal health services in LMICs. However, there is a gap in the knowledge whether mHealth interventions directly affect maternal and neonatal outcomes and future research should employ experimental designs with relevant outcome measures to address this gap.

J Med Internet Res 2016;18(8):e22

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OPINION: ANC cannot look beyond here and now

2189419511For as long as the ANC rides the wave of materialism they will deserve the curse and the wrath of the youth in the 2019 election, writes Xolela Mangcu.

Antonio Gramsci has been on my mind since last week’s historic local government elections, when black people said to the ANC: “No more, this far and no further with your kleptocracy.” I have always known this moment would come, and said as much.

The black community has never blindly followed the ANC. Historically, we have always come in all ideological shades and political forms, from the Unity Movement to the PAC and the Black Consciousness movement, and then of course the reality of all the homeland political parties. …more

Developments in Soweto

The MEC expected change to sweep across Soweto but this has been delayed in part by management difficulties and the election process.

There is a renewed focus on setting up Community Practices modeled on Chiawelo Community Practice that could improvement the experience of patients across Soweto.

The idea is to cluster clinics and wards around major Community Health Centres and Large Clinics. Here is a Google Map of Soweto with some ideas.

 

EFF rules out coalitions with ANC‚ and warns DA to not underestimate its ‘catalytic capacity

mbuyisenindloziThe African National Congress (ANC) is on the ropes because of the Economic Freedom Fighters (EFF). That’s according to EFF national spokesperson Mbuyiseni Ndlozi.

“Undoubtedly‚ this election has been a massive success for the EFF‚” said Ndlozi‚ speaking for the party while it considers its options and keeps its leader‚ Julius Malema‚ away from media interviews.

“This is a historic result. The voters are rejecting the ANC. It is the EFF which took the votes away from the ANC. When you add up the percentages of the ANC and the EFF‚ it equals the votes the ANC previously had. The EFF is the difference‚” Ndozi claimed.. …more

Joburg makes an early ‘Moov’ into online education

laptopbookAs the Fees Commission takes public submissions on the feasibility of free higher education‚ the idea that online universities could play a role is starting to gain traction‚ with a ground breaking Johannesburg programme already notching up some impressive early results. One of the submissions presented by the University of the Witwatersrand graduate Ntokozo Mahlangu at the Fees Commission in Pretoria on Wednesday was the use online universities to eliminate many of the hurdles poor students face in their pursuit of tertiary education…..more

Elections a proud moment for SA

2090799436What our local government elections proved last week was that democracy in South Africa is stronger than ever, and it is something South Africans should be very proud of.

If we look around the southern African region, the tenets of democracy are not as strong as they are in South Africa, and in some instances, elections are being accompanied by significant violence and abuse of state institutions and resources…..more

Mpumalanga holds first people’s health assembly

Nurse Hlophe says she waited more than six hours for an ambulance when she went into labour. Her mother delivered the baby at home.Mpumalanga recently welcomed its first provincial People’s Health Assembly as the Treatment Action Campaign (TAC) and others continue to bemoan staff shortages. Nurse Hlophe says she waited more than six hours for an ambulance when she went into labour. Her mother delivered the baby at home. Sfiso Nkala is a community organiser for the public interest law organisation Section27. According to Nkala, health service delivery in the area is being compromised by poor facility management and unfilled critical posts.Organised by TAC, the assembly brought together Ermelo community members, activists and provincial department of health representatives. Among the concerns voiced by activists was the continued staff shortages faced by some facilities…more

 

One woman’s drive to encourage home grown vegetables to save money and stay healthy

As South Africa marks Women’s Day today, one woman in Vhembe, Limpopo is making a positive difference to community by promoting the benefits of home vegetable gardens.

Small vegetable gardens, Mavis Mafune believes, are an important way to encourage the local community to eat healthy, fresh food and serve as a way to help in situations of poverty.

Mafune was diagnosed as HIV positive last year, and advised to eat more vegetables and fruit in order to stay healthy.

”Most people do not believe me when I tell them that I am living with HIV, because I look good and healthy. My secret is that I eat fresh vegetables from the small garden I have started at my home,” she said…..more

South Africa local elections: ANC set for worst result

90679413_2c16bd6e-26a5-4970-9247-edb3859093f2South Africa’s governing African National Congress (ANC) looks to be facing its biggest electoral setback since the end of apartheid, after the partial results of municipal elections. With 85% of the votes in, the ANC trails its main rival, the Democratic Alliance, in the cities of Port Elizabeth and Cape Town. The two parties are in a close fight in Johannesburg and Pretoria. But the ANC is still in the lead nationally. Unemployment and corruption scandals surrounding President Jacob Zuma have tarnished the ANC’s image….more

Is AR our new reality?

In the last few years “augmented reality” (AR) has started finding its way out of the dark corners previously reserved for niche technologies used by gamers and geeks and into the mainstream, where it has the potential to become a formidable marketing tool.

AR enables a live view of a real environment enhanced by computer-generated layers of information such as sound, graphics, video or animations. It’s not only starts-ups that are interested – Google and Microsoft too are funnelling resources into developing AR solutions and fine-tuning their use. In Silicon Valley, a combined incubator and investment fund, Super Ventures, was recently launched solely to develop AR.

AR is not only coming of age, it has the potential to change how we live and work. It’s far more than a “nice to have” marketing tool. AR will soon pervade the fabric of our daily interactions and could even become the foundation for the next shift in human interaction and engagement….more

Update on Ethiopian Society of Family Medicine 31st July 2016

Faculty, graduates, and current residents

I wanted to give you a short update on the development of the Ethiopia Society of Family Medicine (or E Society of Family Physicians or Society of FM of E or Society of Family Physicians of E, we’ll work on a name).

In any case, we’ve had some discussions with the EMA and with Dr. Aklilu who developed the Emergency Med Society.

 At this point we will:

  • get bylaws from Emergency Medicine and Dermatology Societies
  • get bylaws from a US society
  • present an update at Academic Half Day on Wed August 3
  • have potential chair persons present their experience and plans on Wed Aug 17 and vote for a chair person
  • develop a small effective executive committee committed to getting this started
  • see what forms and format the Ethiopia Agency for Charities require
  • prepare for an inaugural meeting Oct. 11.
  • On Oct. 11 Dr. Michael Kidd the world assoc of Family Medicine (WONCA) president will be here to oversee the inaugural meeting
  • Oct 12 – we are planning a Family Medicine symposium

This is an important landmark in the development of Family Medicine in Ethiopia.  If you have a strong interest and commitment to developing this society please let me know.  We could use dedicated workers.

Thank you.  Andrew

Andrew Janssen, MD, FAAFP

Assistant Professor, Dept. of Family Medicine

Addis Ababa University +251 92 932 8985  andrew.janssen@aau.edu.et

Simple step to cleverer kids

Pregnant_womanIt protects the health of mother and baby, increases intelligence, and reduces behavioural problems among children.

Breastfeeding also benefits society by reducing health care costs, raising the social and earning potential of adults who were breastfed, and reducing waste from packaging and conserving the large quantities of water used to make formula milks.

Two recent reviews published in the prestigious global health journal, The Lancet, confirm breastfeeding as a once-in-a-lifetime investment we can make in health, wellbeing, human capital and the environment.

But although breastfeeding is natural to human life, that doesn’t mean it is easy. Breastfeeding is a bit like sex. Biologically we are all capable of it, but it takes a lot of love and support for two people to get it right. Women need help and support to breastfeed. ….more

Elections: Three final fact-checks of the ANC, DA and EFF’s claims

South Africans go to the polls tomorrow to elect new local governments. The country’s three main parties held rallies at the weekend in a final effort to sweep up support.

The party leaders made claims that raised eyebrows, however. Readers asked us to look into statements by the leaders of the ANC and the DA, President Jacob Zuma and Mmusi Maimane. We also evaluated a promise by EFF leader Julius Malema that made news headlines…..more

Ready for the Internet’s third wave?

The way we use and understand the Internet is changing. We’ve long surpassed the first wave and are just about done with the second. On the cusp of the third, we’re about to face a host of new opportunities and challenges.  Are you ready?

A new Internet is coming

As the Internet of Things (IOT) comes into play, platforms will change drastically. Devices will become “smart” and gadgets we haven’t even imagined yet will be integrated into our lives.

According to Steve Case, author of The Third Wave, even talking about things being connected to the Internet will become meaningless. Everything (and everyone) simply will be. Houses will be able to talk to phones. Alarms to tablets. Roads to cars. Machines will talk to machines. And almost everything will talk to you.

The good news for brands is that this talking equates to content.

It’s all about flexibility …more