BACKGROUND The South African legal and policy framework for sexual and reproductive healthcare provision for teenagers is complex. OBJECTIVE The article outlines the dilemmas emanating from the legal and policy framework, summarises issues with implementation of the legal and policy framework in practice, and summarises recent changes to the law. METHODS In-depth analysis of the legal and p...

in response to the international journal of health policy and management (ijhpm)editorial, this commentary adds to the debate about ethical dimensions of compassionate care in uk service provision. it acknowledges the importance of the original paper, and attempts to explore some of the issues that are raised in the context of nursing practice, research and education. it is argued that each of ...

BACKGROUND South Africa is currently undergoing major health system restructuring in an attempt to improve health outcomes and reduce inequities in access. Such inequities exist between private and public health care and within the public health system itself. Experience shows that rural health care can be disadvantaged in policy formulation despite good intentions. The objective of this study ...

This paper examines the extent of inequalities in human resource provision at India's Heath Sub-Centres (HSC)--first level of service provision in the public health system. 'Within state' inequality explained about 71% and 'between state' inequality explained the remaining 29% of the overall inter-HSC inequality. The Northern states had a lower health worker share relative to the extent of thei...

Introduced by the UK Department of Health in 1990, the Care Programme Approach (CPA) was intended to be a framework through which health and social services could provide integrated care for people with mental health problems. Its purpose was to ensure that services had systematic arrangements to provide psychiatric, health and social care with arrangements in place for the ongoing provision an...

OBJECTIVES To document and describe outpatient persistent pain management services in Australia. DESIGN, PARTICIPANTS AND SETTING Systematic survey conducted between 1 December 2008 and 31 January 2010 of 57 services providing outpatient care to adult clients with persistent pain, plus five specialised paediatric services throughout Australia. MAIN OUTCOME MEASURES Service structure, includ...

J Fam Plann Reprod Health Care 2006: 32(4) Background At least 50% of pregnancies in the UK are unplanned and approximately one-fifth of conceptions end in legal abortion despite over 70% of women in the age range 16–49 years using some form of contraception.1 Despite free availability of family planning services in the UK, unplanned and unwanted pregnancies remain a public policy issue. It is ...

BACKGROUND In many countries, availability of basic training and continued professional development programmes in wheelchair services is limited. Therefore, many health professionals lack access to formal training opportunities and new approaches to improve wheelchair service provision. To address this need, the World Health Organization (WHO) developed the WHO Wheelchair Service Training of Tr...

1. Context Interconnection problems between privately owned network operators can be traced back to the 19th century when the telegraph first appeared. After successful deployment of the technology at a national scale, there was the need to provide interconnection across country borders facilitating interoperation between independent providers of the telegraph service, each with its own proprie...

BACKGROUND Antenatal care (ANC) is one of the recommended interventions to reduce maternal and neonatal mortality. Yet in most Sub-Saharan African countries, high rates of ANC coverage coexist with high maternal and neonatal mortality. This disconnect has fueled calls to focus on the quality of ANC services. However, little conceptual or empirical work exists on the measurement of ANC quality a...