
Investments in health management capacity are important, but improving the environment in which managers operate is equally critical to achieving Sustainable Development Goal targets for health. A political economy analysis conducted in Kenya, Malawi, and Uganda revealed that while decentralization should improve PHC, it has been accompanied by thick bureaucracy, underfunded budgets, weak accountability, and insufficient public administration capacity. The emergence of COVID-19 has highlighted these challenges and underscored the need to address the disconnection between the vision for decentralization and the reality of health managers mired in unhelpful processes and politics.
Recent Posts
Novartis Gains Approval for Groundbreaking Malaria Treatment for Infants
In this article we review Swissmedic's approval of Novartis' Coartem Baby. It is the first malaria treatment for infants under 4.5 kilograms. This novel formulation addresses a critical gap in antimalarial care. Existing treatments were unsuitable due to dosing and metabolism concerns in young in...
ViiV Healthcare Licensing: Expanding Access to Long-Acting HIV Treatment in Low-Income Countries
ViiV Healthcare has expanded its voluntary licensing agreement with the Medicines Patent Pool. The update now includes access to long-acting injectable cabotegravir (CAB LA) for HIV treatment. This allows generic manufacturers to supply the therapy in 133 low- and middle-income countries (LMICs)....
ARVs Water Impact: Examining the Environmental Consequences of Antiretroviral Drugs in South Afri...
A study by North-West University found high levels of HIV antiretrovirals (ARVs) in South African water systems. The ARVs lopinavir and efavirenz were detected downstream of wastewater plants, exceeding safety limits. These pose risks to aquatic life, such as altered snail development and disrupt...