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Decreasing the Burden of Childhood Disease - Western Cape ...

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Approach<br />

Enhancing human and o<strong>the</strong>r<br />

resources in facilities serving<br />

poor people<br />

Examples<br />

• Use <strong>of</strong> community organisations and<br />

volunteer health workers (Thailand)<br />

• Building housing for rural staff and<br />

providing o<strong>the</strong>r incentives to practise in<br />

rural areas (Uganda)<br />

Improving <strong>the</strong> userfriendliness<br />

<strong>of</strong> providers and<br />

facilities serving <strong>the</strong> poor<br />

• Using providers who speak <strong>the</strong> language<br />

<strong>of</strong> poor indigenous groups and understand<br />

<strong>the</strong>ir culture and customs<br />

• Making budget allocations<br />

more relevant to <strong>the</strong><br />

burden <strong>of</strong> disease<br />

experienced by <strong>the</strong> poor<br />

• Allocation <strong>of</strong> resources at district level<br />

according to burden <strong>of</strong> disease (Tanzania)<br />

• Making simple interventions against major<br />

causes <strong>of</strong> child mortality a priority (Brazil)<br />

(Source: Adapted from Victora et al. 2003<br />

The table shows that <strong>the</strong> key measures that need to be implemented to<br />

promote equity in child health can be grouped into <strong>the</strong> following<br />

categories:<br />

‣ Improving knowledge and change behaviour in poor mo<strong>the</strong>rs;<br />

‣ improving access to water, sanitation and housing for poor people;<br />

‣ empowering poor women, including economically;<br />

‣ making health care affordable to poor households;<br />

‣ making health facilities and basic health care more accessible to<br />

poor households;<br />

‣ enhancing human and o<strong>the</strong>r resources in facilities serving poor<br />

people;<br />

‣ improving <strong>the</strong> user-friendliness <strong>of</strong> providers and facilities serving<br />

<strong>the</strong> poor; and<br />

‣ making budget allocations more relevant to <strong>the</strong> burden <strong>of</strong> disease<br />

experienced by <strong>the</strong> poor.<br />

23

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