BACKGROUND Local audits in England and Wales performed in 1994 showed that child health commissioning was not being given priority. We were concerned that child health commissioning was in addition not performed in a child-centred way, with the best interests of children to the fore. METHOD A survey of health authorities and boards was performed, to investigate child health commissioning in t...

OBJECTIVES In recent years there has been increasing emphasis on the mental health aspects of primary health care for children and adolescents. The Health Resources and Services Administration's Maternal and Child Health Bureau has contributed to efforts aimed at strengthening primary care not only in early identification and beginning intervention with mental disorders, but also in prevention ...

The study assessed the implementation of Kenya comprehensive school health pilot intervention program. This pilot program has informed the Kenya Comprehensive School Health Policy which is a critical document in the achievement of Millennium Development Goals relating to child health, gender equality, universal education and environmental sustainability. The study was based on focus group discu...

challenges that occur during planning, development, implementation, and evaluation efforts. In this commentary, we focus on implementation challenges faced by employers— issues that must be addressed after an organization has made a commitment to offering a worksite health promotion program. Of course, initial support from top management must be secured. But evidence suggests that management su...

Progress towards universal health coverage involves providing people with access to needed health services without entailing financial hardship and is often advocated on the grounds that it improves population health. The paper offers econometric evidence on the effects of health coverage on mortality outcomes at the national level. We use a large panel data set of countries, examined by using ...

This paper examines the impact of rural-urban migration on under-two mortality in India, using data from the 1992/93 Indian National Family Health Survey. Multilevel logistic models are fitted for mortality in three age groups: neonatal, early post-neonatal, and late post-neonatal and toddler. Migration status was not a significant determinant of mortality in any of the three age groups. Furthe...

BACKGROUND Sierra Leone has among the poorest maternal and child health indicators in the world and investments in public health have been predominately to increase demand for services, with fewer initiatives targeting supply side factors that influence health workers' work environment. This paper uses data from the Quality Circles project in a rural district of Sierra Leone to achieve three ob...

INTERNATIONAL AFFAIRS AND DEVELOPMENT COPELAND, 111, ESKER B.S. FISK UNIVERSITY, 1999 M.P.H. MOREHOUSE SCHOOL OF MEDICINE, 2007 TOWARDS MILLENNIUM DEVELOPMENT GOAL FIVE IN GHANA: AN ANALYSIS OF THE CURRENT SITUATION IN THE AVAILABILITY, UTILIZATION AND OUALITY OF OBSTETRIC CARE Advisor: Professor Art Hansen Thesis dated December 2007 This study uses Millennium Development Goal Indicator 17 alon...

This study estimates the impact of an American rural public health program on child mortality over 1908 to 1933. Due to the absence of sanitation and childoriented health services outside of urban areas, public and private agencies sponsored county-level health departments (CHDs) throughout the US. Variation in the location and timing of the CHDs identifies improvements in population health, wh...

The article by Amouzou and others presents findings from an evaluation of integrated community case management (iCCM) in Malawi using a National Evaluation Platform (NEP) design. While it is a welcome effort to document this child survival strategy that is being tested in many lowand middle-income countries, the study findings have implications both for iCCM and for approaches to evaluation, wh...