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  1. Article ; Online: Equity and technology in the pandemic treaty.

    Kavanagh, Matthew M / Abinader, Luis Gil / Banda, Amanda

    BMJ (Clinical research ed.)

    2023  Volume 383, Page(s) 2533

    MeSH term(s) Humans ; Pandemics ; International Cooperation ; Public Health ; Technology ; Health Equity
    Language English
    Publishing date 2023-11-03
    Publishing country England
    Document type Editorial
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.p2533
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: How to DREAMM and end HIV-related deaths.

    Kanyama, Cecilia / Phiri, Sam / Matola, Bilaal Wilson / Banda, Amanda / Loyse, Angela

    The Lancet. Global health

    2023  Volume 11, Issue 12, Page(s) e1857–e1858

    MeSH term(s) Humans ; HIV Infections ; Acquired Immunodeficiency Syndrome ; Cause of Death
    Language English
    Publishing date 2023-10-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 2723488-5
    ISSN 2214-109X ; 2214-109X
    ISSN (online) 2214-109X
    ISSN 2214-109X
    DOI 10.1016/S2214-109X(23)00429-1
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  3. Article: Pandemic preparedness and response: beyond the Access to COVID-19 Tools Accelerator.

    Saxena, Abha / Baker, Brook K / Banda, Amanda / Herlitz, Anders / Miller, Jennifer / Karrar, Karrar / Fleurbaey, Marc / Chiwa, Esther / Atuire, Caesar Alimisnya / Hirose, Iwao / Hassoun, Nicole

    BMJ global health

    2023  Volume 8, Issue 1

    Abstract: Nationalism has trumped solidarity, resulting in unnecessary loss of life and inequitable access to vaccines and therapeutics. Existing intellectual property (IP) regimens, trade secrets and data rights, under which pharmaceutical firms operate, have ... ...

    Abstract Nationalism has trumped solidarity, resulting in unnecessary loss of life and inequitable access to vaccines and therapeutics. Existing intellectual property (IP) regimens, trade secrets and data rights, under which pharmaceutical firms operate, have also posed obstacles to increasing manufacturing capacity, and ensuring adequate supply, affordable pricing, and equitable access to COVID-19 vaccines and other health products in low-income and middle- income countries. We propose: (1) Implementing alternative incentive and funding mechanisms to develop new scientific innovations to address infectious diseases with pandemic potential; (2) Voluntary and involuntary initiatives to overcome IP barriers including pooling IP, sharing data and vesting licences for resulting products in a globally agreed entity; (3) Transparent and accountable collective procurement to enable equitable distribution; (4) Investments in regionally distributed research and development (R&D) capacity and manufacturing, basic health systems to expand equitable access to essential health technologies, and non-discriminatory national distribution; (5) Commitment to strengthen national (and regional) initiatives in the areas of health system development, health research, drug and vaccine manufacturing and regulatory oversight and (6) Good governance of the pandemic prevention, preparedness and response accord. It is important to articulate principles for deals that include reasonable access conditions and transparency in negotiations. We argue for an equitable, transparent, accountable new global agreement to provide rewards for R&D but only on the condition that pharmaceutical companies share the IP rights necessary to produce and distribute them globally. Moreover, if countries commit to collective procurement and fair pricing of resulting products, we argue that we can greatly improve our ability to prepare for and respond to pandemic threats.
    MeSH term(s) Humans ; COVID-19/prevention & control ; COVID-19 Vaccines ; Pandemics/prevention & control ; Poverty ; Pharmaceutical Preparations
    Chemical Substances COVID-19 Vaccines ; Pharmaceutical Preparations
    Language English
    Publishing date 2023-01-14
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2059-7908
    ISSN 2059-7908
    DOI 10.1136/bmjgh-2022-010615
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  4. Article ; Online: Axes of alienation: applying an intersectional lens on the social contract during the pandemic response to protect sexual and reproductive rights and health.

    Dasgupta, Jashodhara / Schaaf, Marta / Contractor, Sana Qais / Banda, Amanda / Viana, Marisa / Kashyntseva, Oksana / Ruano, Ana Lorena

    International journal for equity in health

    2020  Volume 19, Issue 1, Page(s) 130

    Abstract: While economic inequalities have been a key focus of attention through the COVID 19 pandemic, gendered relations of power at every level have undermined health rights of women, girls and gender diverse individuals. Sexual and reproductive health rights ( ... ...

    Abstract While economic inequalities have been a key focus of attention through the COVID 19 pandemic, gendered relations of power at every level have undermined health rights of women, girls and gender diverse individuals. Sexual and reproductive health rights (SRHR) have always been sites of power contestations within families, societies, cultures, and politics; these struggles are exacerbated by economic, racial, religious, caste, citizenship status, and other social inequities, especially in times of crisis such as these. Policy responses to the COVID pandemic such as lockdown, quarantine, contact tracing and similar measures are premised on the existence of a social contract between the government and the people and among people, with the health sector playing a key role in preventive and curative care.We propose the use of an intersectional lens to explore the impact of the COVID-19 pandemic on the social contract, drawing on our field experiences from different continents particularly as related to SRHR. Along with documenting the ways in which the pandemic hinders access to services, we note that it is essential to interrogate state-society relations in the context of vulnerable and marginalized groups, in order to understand implications for SRHR. Intersectional analysis takes on greater importance now than in non-pandemic times as the state exercises more police or other powers and deploys myriad ways of 'othering'.We conclude that an intersectional analysis should not limit itself to the cumulative disadvantages and injustices posed by the pandemic for specific social groups, but also examine the historical inequalities, structural drivers, and damaged social contract that underlie state-society relationships. At the same time, the pandemic has questioned the status quo and in doing so it has provided opportunities for disruption; for re-imagining a social contract that reaches across sectors, and builds community resilience and solidarities while upholding human rights and gender justice. This must find place in future organizing and advocacy around SRHR.
    MeSH term(s) COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Female ; Global Health ; Health Services Accessibility ; Humans ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Politics ; Reproductive Health ; Reproductive Health Services ; Reproductive Rights ; Sexual Health
    Keywords covid19
    Language English
    Publishing date 2020-07-31
    Publishing country England
    Document type Letter
    ISSN 1475-9276
    ISSN (online) 1475-9276
    DOI 10.1186/s12939-020-01245-w
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  5. Article: Axes of alienation: applying an intersectional lens on the social contract during the pandemic response to protect sexual and reproductive rights and health

    Dasgupta, Jashodhara / Schaaf, Marta / Contractor, Sana Qais / Banda, Amanda / Viana, Marisa / Kashyntseva, Oksana / Ruano, Ana Lorena

    Int J Equity Health

    Abstract: While economic inequalities have been a key focus of attention through the COVID 19 pandemic, gendered relations of power at every level have undermined health rights of women, girls and gender diverse individuals. Sexual and reproductive health rights ( ... ...

    Abstract While economic inequalities have been a key focus of attention through the COVID 19 pandemic, gendered relations of power at every level have undermined health rights of women, girls and gender diverse individuals. Sexual and reproductive health rights (SRHR) have always been sites of power contestations within families, societies, cultures, and politics; these struggles are exacerbated by economic, racial, religious, caste, citizenship status, and other social inequities, especially in times of crisis such as these. Policy responses to the COVID pandemic such as lockdown, quarantine, contact tracing and similar measures are premised on the existence of a social contract between the government and the people and among people, with the health sector playing a key role in preventive and curative care.We propose the use of an intersectional lens to explore the impact of the COVID-19 pandemic on the social contract, drawing on our field experiences from different continents particularly as related to SRHR. Along with documenting the ways in which the pandemic hinders access to services, we note that it is essential to interrogate state-society relations in the context of vulnerable and marginalized groups, in order to understand implications for SRHR. Intersectional analysis takes on greater importance now than in non-pandemic times as the state exercises more police or other powers and deploys myriad ways of 'othering'.We conclude that an intersectional analysis should not limit itself to the cumulative disadvantages and injustices posed by the pandemic for specific social groups, but also examine the historical inequalities, structural drivers, and damaged social contract that underlie state-society relationships. At the same time, the pandemic has questioned the status quo and in doing so it has provided opportunities for disruption; for re-imagining a social contract that reaches across sectors, and builds community resilience and solidarities while upholding human rights and gender justice. This must find place in future organizing and advocacy around SRHR.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #690402
    Database COVID19

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  6. Article ; Online: Sustaining the future of HIV counselling to reach 90-90-90: a regional country analysis.

    Bemelmans, Marielle / Baert, Saar / Negussie, Eyerusalem / Bygrave, Helen / Biot, Marc / Jamet, Christine / Ellman, Tom / Banda, Amanda / van den Akker, Thomas / Ford, Nathan

    Journal of the International AIDS Society

    2016  Volume 19, Issue 1, Page(s) 20751

    Abstract: Introduction: Counselling services are recommended by the World Health Organization and have been partially adopted by national HIV guidelines. In settings with a high HIV burden, patient education and counselling is often performed by lay workers, ... ...

    Abstract Introduction: Counselling services are recommended by the World Health Organization and have been partially adopted by national HIV guidelines. In settings with a high HIV burden, patient education and counselling is often performed by lay workers, mainly supported with international funding. There are few examples where ministries of health have been able to absorb lay counsellors into their health systems or otherwise sustain their work. We document the role of lay cadres involved in HIV testing and counselling and adherence support and discuss approaches to sustainability.
    Methods: We focused on a purposive sample of eight sub-Saharan African countries where Médecins Sans Frontières supports HIV programmes: Guinea, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Zambia and Zimbabwe. We reviewed both published and grey literature, including national policies and donor proposals, and interviewed key informants, including relevant government staff, donors and non-governmental organizations.
    Results and discussion: Lay counsellors play a critical role in scaling up HIV services and addressing gaps in the HIV testing and treatment cascade by providing HIV testing and counselling and adherence support at both the facility and community levels. Countries have taken various steps in recognizing lay counsellors, including harmonizing training, job descriptions and support structures. However, formal integration of this cadre into national health systems is limited, as lay counsellors are usually not included in national strategies or budgeting.
    Conclusions: The current trend of reduced donor support for lay counsellors, combined with lack of national prioritization, threatens the sustainability of this cadre and thereby quality HIV service delivery.
    MeSH term(s) Africa ; Counseling ; HIV Infections/diagnosis ; HIV Infections/psychology ; HIV Infections/therapy ; Humans ; Patient Education as Topic
    Language English
    Publishing date 2016-05-13
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2467110-1
    ISSN 1758-2652 ; 1758-2652
    ISSN (online) 1758-2652
    ISSN 1758-2652
    DOI 10.7448/IAS.19.1.20751
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  7. Book ; Online: Sustaining the future of HIV counselling to reach 90-90-90

    Biot, Marc / van den Akker, Thomas / Banda, Amanda / Negussie, Eyerusalem / Ford, Nathan / Baert, Saar / Bygrave, Helen / Bemelmans, Marielle / Jamet, Christine / Ellman, Tom

    a regional country analysis

    2016  

    Abstract: Review ... Journal Article ... Counselling services are recommended by the World Health Organization and have been partially adopted by national HIV guidelines. In settings with a high HIV burden, patient education and counselling is often performed by lay ... ...

    Abstract Review

    Journal Article

    Counselling services are recommended by the World Health Organization and have been partially adopted by national HIV guidelines. In settings with a high HIV burden, patient education and counselling is often performed by lay workers, mainly supported with international funding. There are few examples where ministries of health have been able to absorb lay counsellors into their health systems or otherwise sustain their work. We document the role of lay cadres involved in HIV testing and counselling and adherence support and discuss approaches to sustainability.We focused on a purposive sample of eight sub-Saharan African countries where Médecins Sans Frontières supports HIV programmes: Guinea, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Zambia and Zimbabwe. We reviewed both published and grey literature, including national policies and donor proposals, and interviewed key informants, including relevant government staff, donors and non-governmental organizations.Lay counsellors play a critical role in scaling up HIV services and addressing gaps in the HIV testing and treatment cascade by providing HIV testing and counselling and adherence support at both the facility and community levels. Countries have taken various steps in recognizing lay counsellors, including harmonizing training, job descriptions and support structures. However, formal integration of this cadre into national health systems is limited, as lay counsellors are usually not included in national strategies or budgeting.The current trend of reduced donor support for lay counsellors, combined with lack of national prioritization, threatens the sustainability of this cadre and thereby quality HIV service delivery.
    Language English
    Publishing date 2016-05-13
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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