Second-Generation SSR or Unending Violence in Haiti?

Political violence and public health in Haiti.

In 1991, a violent military coup unseated Haiti’s first democratically elected government. An estimated 5000 people died, and hundreds of thousands more were displaced during the three years when military and paramilitary groups ruled the country. It was my privilege and responsibility to help provide basic medical services in central Haiti during those years. After constitutional rule was rest...

Generation Gap: Illusion or Reality?

Values have very important functions in any society. The significance  becomes so clear when a society has been exposed to changes and strengthening social cohesion is viewed as an essential subject. Great changes as the Islamic Revolution and the Imposed War have been happened in Iran during last several decades. In this line, generations can be understood via  direct or indirect experience of...

Understanding the Unending Crisis in Zaire

Health sector reforms in comparative perspective--an unending quest ... or chasing a chimera.

Given the problematic nature of attempts to reform national delivery systems for health care, the paper reviews the context and logic of reforms in the health sector. After a background on approaches to building capacity within three generations of public sector reforms, it examines the reforms applied to financing, organizing and delivering health services and suggests strategies for reform th...

The need for dialysis in Haiti: dream or reality?

According to the World Health Organization reports, nowadays burden of chronic kidney diseases (CKD) is well documented. The high prevalence of noncommunicable diseases (NCD) such as hypertension, diabetes, and obesity, which are the main causes of CKD, is a big concern in the world health scenario. These NCD can progress slowly to end-stage renal disease (ESRD) and the low-middle income countr...