Evidence from Low and Middle Income Countries
Bioethics - Medical, Ethical and Legal Perspectives
There’s evidence that implementing the four medical ethics principles may be challenging especially in low income country contexts with extreme resource scarcity and limited capacity to facilitate deliberations on the different ethical dilemmas.... These challenges can partly be explained by the social, economic, and political contexts in which the decisions are made, as well as the limited time, training and guidance to facilitate ethical decision making. Based on current literature, and using the example of bedside rationing; this chapter synthesizes the challenges clinicians face when operationalizing the four principle; identifying the opportunities to address them. We suggest that clinicians’ ability to implement the four principles are constrained by meso‐ and macro‐level decision making as well as their lack of training, explicit guidelines, and peer support. To ameliorate this situation, current efforts to strengthen the clinicians’ capacity to make ethical decisions should be complimented with developing of context relevant guidelines for ethical clinical decision making. The renewed global commitment to the sustainable development goals and universal healthcare coverage should be recognized as an opportunity to leverage resources and champion the integration of equity and justice as a core value in resource allocation at the bedside, meso-, macro- and global levels.
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This expansive facilitator's guide deals with psychosocial interventions concerning multiple causes of trauma such as HIV and AIDS and post-conflict situations. The guide offers technical advice to the implementor which is usefully augmented by diagrams, ideas for games and other useful intervention...s
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Participatory Assessment with Children and Adolescents. An UNHCR Tool for Operations
Key Populations Brief
Accessed November 2017
Policy
25 February 2015 Vol 7 Issue 276 276fs8
The State of the World’s Children 2013: Children with Disabilities examines the barriers – from inaccessible buildings to dismissive attitudes, from invisibility in official statistics to vicious discrimination – that deprive children with disabilities of their rights and keep them from partic...ipating fully in society. The report also lays out some of the key elements of inclusive societies that respect and protect the rights of all children, regardless of disability, and progress in helping all children to flourish and make their contribution to the world.
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Globally, in low-income countries, the average newborn mortality rate is 27 deaths per 1,000 births, the report says. In high-income countries, that rate is 3 deaths per 1,000. Newborns from the riskiest places to give birth are up to 50 times more likely to die than those from the safest places.
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The report also notes that 8 of the 10 most dangerous places to be born are in sub-Saharan Africa, where pregnant women are much less likely to receive assistance during delivery due to poverty, conflict and weak institutions. If every country brought its newborn mortality rate down to the high-income average by 2030, 16 million lives could be saved.
More than 80 per cent of newborn deaths are due to prematurity, complications during birth or infections such as pneumonia and sepsis, the report says. These deaths can be prevented with access to well-trained midwives, along with proven solutions like clean water, disinfectants, breastfeeding within the first hour, skin-to-skin contact and good nutrition.
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Chaque année, 2,6 millions de bébés meurent avant l’âge d’un mois. Un million d’entre eux rendent leur dernier souffle le jour même de leur naissance. Pourtant, des millions de jeunes vies pourraient être épargnées chaque année si les mères et les bébés avaient accès à des soins ...de santé abordables et de qualité, à une nutrition correcte et à de l’eau potable. Ce rapport appelle à une coopération solide entre les gouvernements, les entreprises, les prestataires de soins de santé, les communautés et les familles pour donner à chaque enfant une chance de vivre et travailler collectivement pour atteindre une couverture sanitaire universelle et un monde dans lequel aucun nouveau-né ne meurt d’une cause évitable.
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Provides a glossary of terms for healthcare providers to better understand the concepts within trauma-informed integrated care.
Catalogage à la source : Bibliothèque de l’OMS Rapport mondial sur le vieillissement et la santé.
1.Vieillissement. 2.Espérance de vie. 3.Sujet âgé. 4.Services de santé pour personnes âgées. 5.Santé mondiale. 6.Dynamique des populations. 7.Prestations des soins de santé. I.Organisation... mondiale de la Santé.
ISBN 978 92 4 256504 1 (Classification NLM : WT 104) ISBN 978 92 4 069482 8 (ePub)
ISBN 978 92 4 069483 5 (Daisy)
ISBN 978 92 4 069484 2 (PDF)
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