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  1. Article: Asserting public health interest in acting on commercial determinants of health in sub-Saharan Africa: insights from a discourse analysis.

    Loewenson, Rene / Godt, Sue / Chanda-Kapata, Pascalina

    BMJ global health

    2022  Volume 7, Issue 7

    Abstract: The actors influencing the commercial determinants of health (CDOH) in sub-Saharan Africa (SSA) have different interests and lenses around the costs and benefits of market influences in health. We analysed the views and priorities on CDOH in the ... ...

    Abstract The actors influencing the commercial determinants of health (CDOH) in sub-Saharan Africa (SSA) have different interests and lenses around the costs and benefits of market influences in health. We analysed the views and priorities on CDOH in the discourse of global and regional agencies, SSA governments, private investors and companies, civil society and academia through a desk review of online publications post-2010, validated by purposively selected key informant interviews.The most polarised views were between civil society and academia on one hand, focused more on harms, and private business/investors on the other, almost exclusively focused on benefits. Others had mixed messaging, encouraging partnerships with commercial actors for health benefits and also voicing cautions over negative health impacts. Views also differed between transnational and domestic business and investors.Three areas of discourse stood out, demonstrating also tensions between commercial and public health objectives. These were the role of human rights as fundamental for or obstacle to engaging commercial practice in health; the development paradigm and role of a neoliberal political economy generating harms or opportunities for health; and the implications of commercial activity in health services. COVID-19 has amplified debate, generating demand for public sectors to incentivise commercial activity to 'modernise' and digitise health services and meet funding gaps and generating new thinking and engagement on domestic production of key health inputs.Power plays a critical role in CDOH. Commercial actors in SSA increase their influence through discursive and agential forms of power and take advantage of the structural power gained from a dominant view of free markets and for-profit commerce as essential for well-being. As a counterfactual, we found and present options for using these same three forms of narrative, agential and structural power to proactively advance public health objectives and leadership on CDOH in SSA.
    MeSH term(s) Africa South of the Sahara ; COVID-19 ; Commerce ; Government ; Humans ; Public Health
    Language English
    Publishing date 2022-07-11
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2059-7908
    ISSN 2059-7908
    DOI 10.1136/bmjgh-2022-009271
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19 and malaria: A symptom screening challenge for malaria endemic countries.

    Chanda-Kapata, Pascalina / Kapata, Nathan / Zumla, Alimuddin

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2020  Volume 94, Page(s) 151–153

    Keywords covid19
    Language English
    Publishing date 2020-04-27
    Publishing country Canada
    Document type Editorial
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2020.04.007
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    In stock of ZB MED Cologne/Königswinter

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  3. Article ; Online: COVID-19 and malaria

    Pascalina Chanda-Kapata / Nathan Kapata / Alimuddin Zumla

    International Journal of Infectious Diseases, Vol 94, Iss , Pp 151-

    A symptom screening challenge for malaria endemic countries

    2020  Volume 153

    Keywords Infectious and parasitic diseases ; RC109-216 ; covid19
    Language English
    Publishing date 2020-05-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: The quest for a framework for sustainable and institutionalised priority-setting for health research in a low-resource setting: the case of Zambia.

    Kapiriri, Lydia / Chanda-Kapata, Pascalina

    Health research policy and systems

    2018  Volume 16, Issue 1, Page(s) 11

    Abstract: Background: Priority-setting for health research in low-income countries remains a major challenge. While there have been efforts to systematise and improve the processes, most of the initiatives have ended up being a one-off exercise and are yet to be ... ...

    Abstract Background: Priority-setting for health research in low-income countries remains a major challenge. While there have been efforts to systematise and improve the processes, most of the initiatives have ended up being a one-off exercise and are yet to be institutionalised. This could, in part, be attributed to the limited capacity for the priority-setting institutions to identify and fund their own research priorities, since most of the priority-setting initiatives are driven by experts. This paper reports findings from a pilot project whose aim was to develop a systematic process to identify components of a locally desirable and feasible health research priority-setting approach and to contribute to capacity strengthening for the Zambia National Health Research Authority.
    Methods: Synthesis of the current literature on the approaches to health research prioritisations. The results of the synthesis were presented and discussed with a sample of Zambian researchers and decision-makers who are involved in health research priority-setting. The ultimate aim was for them to explore the different approaches available for guiding health research priority-setting and to identify an approach that would be relevant and feasible to implement and sustain within the Zambian context.
    Results: Based on the evidence that was presented, the participants were unable to identify one approach that met the criteria. They identified attributes from the different approaches that they thought would be most appropriate and proposed a process that they deemed feasible within the Zambian context.
    Conclusion: While it is easier to implement prioritisation based on one approach that the initiator might be interested in, researchers interested in capacity-building for health research priority-setting organisations should expose the low-income country participants to all approaches. Researchers ought to be aware that sometimes one shoe may not fit all, as in the case of Zambia, instead of choosing one approach, the stakeholders may select desirable attributes from the different approaches and piece together an approach that would be feasible and acceptable within their context. An approach that builds on the decision-makers' understanding of their contexts and their input to its development would foster local ownership and has a greater potential for sustainability.
    MeSH term(s) Biomedical Research ; Capacity Building ; Decision Making ; Developing Countries ; Health Planning Organizations ; Health Priorities ; Health Resources ; Humans ; Income ; Organizations ; Pilot Projects ; Policy Making ; Poverty ; Research Personnel ; Zambia
    Language English
    Publishing date 2018-02-17
    Publishing country England
    Document type Journal Article
    ISSN 1478-4505
    ISSN (online) 1478-4505
    DOI 10.1186/s12961-017-0268-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Outreach Training and Supportive Supervision for Quality Malaria Service Delivery: A Qualitative Evaluation in 11 Sub-Saharan African Countries.

    Altaras, Robin / Worges, Matt / La Torre, Sabrina / Audu, Bala M / Mwangi, Grace / Zeh-Meka, Albert / Yikpotey, Paul / Domkam Kammogne, Irenee / Chanda-Kapata, Pascalina / Vanderick, Caroline / Yukich, Joshua / Streat, Elizabeth

    The American journal of tropical medicine and hygiene

    2024  Volume 110, Issue 3_Suppl, Page(s) 20–34

    Abstract: Quality improvement of malaria services aims to ensure that more patients receive accurate diagnosis, appropriate treatment, and referral. The Outreach Training and Supportive Supervision Plus (OTSS+) approach seeks to improve health facility readiness ... ...

    Abstract Quality improvement of malaria services aims to ensure that more patients receive accurate diagnosis, appropriate treatment, and referral. The Outreach Training and Supportive Supervision Plus (OTSS+) approach seeks to improve health facility readiness and provider competency through onsite supportive supervision, troubleshooting, and on-the-job training. As part of a multicomponent evaluation, qualitative research was conducted to understand the value of the OTSS+ approach for malaria quality improvement. Semistructured key informant interviews, focus group discussions, and structured health facility-based interviews were used to gather stakeholder perspectives at subnational, national, and global levels. Data were collected globally and in 11 countries implementing OTSS+; in-depth data collection was done in four: Cameroon, Ghana, Niger, and Zambia. Study sites and participants were selected purposively. Verbatim transcripts were analyzed thematically, following the Framework approach. A total of 262 participants were included in the analysis; 98 (37.4%) were supervisees, 99 (37.8%) were supervisors, and 65 (24.8%) were other stakeholders. The OTSS+ approach was perceived to improve provider knowledge and skills in malaria service delivery and to improve data and supply management indirectly. Improvements were attributed to a combination of factors. Participants valued the relevance, adaptation, and digitization of supervision checklists; the quality and amount of contact with problem-solving supervisors; and the joint identification of problems and solutions, and development of action plans. Opportunities for improvement were digitized checklist refinement, assurance of a sufficient pool of supervisors, prioritization of health facilities, action plan dissemination and follow-up, and data review and use. The OTSS+ approach was perceived to be a useful quality improvement approach for malaria services.
    MeSH term(s) Humans ; Malaria/therapy ; Malaria/diagnosis ; Black People ; Surveys and Questionnaires ; Inservice Training ; Ghana
    Language English
    Publishing date 2024-02-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2942-7
    ISSN 1476-1645 ; 0002-9637
    ISSN (online) 1476-1645
    ISSN 0002-9637
    DOI 10.4269/ajtmh.23-0316
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    Ud II Zs.61: Show issues Location:
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  7. Article ; Online: COVID-19 and malaria

    Chanda-Kapata, Pascalina / Kapata, Nathan / Zumla, Alimuddin

    International Journal of Infectious Diseases

    A symptom screening challenge for malaria endemic countries

    2020  Volume 94, Page(s) 151–153

    Keywords Microbiology (medical) ; Infectious Diseases ; General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2020.04.007
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4516: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: The quest for a framework for sustainable and institutionalised priority-setting for health research in a low-resource setting

    Lydia Kapiriri / Pascalina Chanda-Kapata

    Health Research Policy and Systems, Vol 16, Iss 1, Pp 1-

    the case of Zambia

    2018  Volume 12

    Abstract: Abstract Background Priority-setting for health research in low-income countries remains a major challenge. While there have been efforts to systematise and improve the processes, most of the initiatives have ended up being a one-off exercise and are yet ...

    Abstract Abstract Background Priority-setting for health research in low-income countries remains a major challenge. While there have been efforts to systematise and improve the processes, most of the initiatives have ended up being a one-off exercise and are yet to be institutionalised. This could, in part, be attributed to the limited capacity for the priority-setting institutions to identify and fund their own research priorities, since most of the priority-setting initiatives are driven by experts. This paper reports findings from a pilot project whose aim was to develop a systematic process to identify components of a locally desirable and feasible health research priority-setting approach and to contribute to capacity strengthening for the Zambia National Health Research Authority. Methods Synthesis of the current literature on the approaches to health research prioritisations. The results of the synthesis were presented and discussed with a sample of Zambian researchers and decision-makers who are involved in health research priority-setting. The ultimate aim was for them to explore the different approaches available for guiding health research priority-setting and to identify an approach that would be relevant and feasible to implement and sustain within the Zambian context. Results Based on the evidence that was presented, the participants were unable to identify one approach that met the criteria. They identified attributes from the different approaches that they thought would be most appropriate and proposed a process that they deemed feasible within the Zambian context. Conclusion While it is easier to implement prioritisation based on one approach that the initiator might be interested in, researchers interested in capacity-building for health research priority-setting organisations should expose the low-income country participants to all approaches. Researchers ought to be aware that sometimes one shoe may not fit all, as in the case of Zambia, instead of choosing one approach, the stakeholders may select ...
    Keywords Priority-setting for health research ; Approaches ; Low-income countries ; Zambia ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2018-02-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Evaluating health research priority-setting in low-income countries: a case study of health research priority-setting in Zambia.

    Kapiriri, Lydia / Schuster-Wallace, Corinne / Chanda-Kapata, Pascalina

    Health research policy and systems

    2018  Volume 16, Issue 1, Page(s) 105

    Abstract: Priority-setting (PS) for health research presents an opportunity for the relevant stakeholders to identify and create a list of priorities that reflects the country's knowledge needs. Zambia has conducted several health research prioritisation exercises ...

    Abstract Priority-setting (PS) for health research presents an opportunity for the relevant stakeholders to identify and create a list of priorities that reflects the country's knowledge needs. Zambia has conducted several health research prioritisation exercises that have never been evaluated. Evaluation would facilitate gleaning of lessons of good practices that can be shared as well as the identification of areas of improvement. This paper describes and evaluates health research PS in Zambia from the perspectives of key stakeholders using an internationally validated evaluation framework.
    Methods: This was a qualitative study based on 28 in-depth interviews with stakeholders who had participated in the PS exercises. An interview guide was employed. Data were analysed using NVIVO 10. Emerging themes were, in turn, compared to the framework parameters.
    Results: Respondents reported that, while the Zambian political, economic, social and cultural context was conducive, there was a lack of co-ordination of funding sources, partners and research priorities. Although participatory, the process lacked community involvement, dissemination strategies and appeals mechanisms. Limited funding hampered implementation, monitoring and evaluation. Research was largely driven by the research funders.
    Conclusions: Although there is apparent commitment to health research in Zambia, health research PS is limited by lack of funding, and consistently used explicit and fair processes. The designated national research organisation and the availability of tools that have been validated and pilot tested within Zambia provide an opportunity for focused capacity strengthening for systematic prioritisation, monitoring and evaluation. The utility of the evaluation framework in Zambia could indicate potential usefulness in similar low-income countries.
    MeSH term(s) Biomedical Research ; Capacity Building ; Community Participation ; Cooperative Behavior ; Developing Countries ; Financing, Organized ; Health Planning/methods ; Health Priorities ; Health Services ; Humans ; Organizations ; Qualitative Research ; Stakeholder Participation ; Surveys and Questionnaires ; Zambia
    Language English
    Publishing date 2018-11-07
    Publishing country England
    Document type Evaluation Study ; Journal Article
    ZDB-ID 2101196-5
    ISSN 1478-4505 ; 1478-4505
    ISSN (online) 1478-4505
    ISSN 1478-4505
    DOI 10.1186/s12961-018-0384-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Cost-effectiveness of universal HIV testing and treatment: where next?

    Nachega, Jean B / Borre, Ethan D / Dowdy, David W / Chanda-Kapata, Pascalina / Cleary, Susan / Geng, Elvin H

    The Lancet. Global health

    2021  Volume 9, Issue 5, Page(s) e573–e574

    MeSH term(s) Anti-HIV Agents ; Cost-Benefit Analysis ; HIV Testing ; Humans ; South Africa ; Zambia
    Chemical Substances Anti-HIV Agents
    Language English
    Publishing date 2021-03-12
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 2723488-5
    ISSN 2214-109X ; 2214-109X
    ISSN (online) 2214-109X
    ISSN 2214-109X
    DOI 10.1016/S2214-109X(21)00089-9
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