Global trends influence strategies for health-care delivery in low- and middle-income countries. A drive towards uniformity in the design and delivery of healthcare interventions, rather than solid local adaptations, has come to dominate global health policies. This study is a participatory longitudinal study of how one country in West Africa, The Gambia, has responded to global health policy t...

Increased international support for both research into new vaccines and their deployment in developing countries has been evident over the past decade. In particular, the GAVI Alliance has had a major impact in increasing uptake of the six common infant vaccines as well as those against hepatitis B and yellow fever. It further aims to introduce pneumococcal and rotavirus vaccines in the near fu...

BACKGROUND Haemophilus influenzae type B (Hib) causes significant morbidity and mortality in children under five years of age. A safe and effective vaccine is available but is not in general use in developing countries. This paper evaluates the cost-effectiveness of introducing Hib vaccine in Indonesia as an addition to the country's current DTP-Hepatitis B vaccination program. METHODS The ec...

BACKGROUND A new group A meningococcal conjugate vaccine was developed to eliminate deadly meningitis epidemics in sub-Saharan Africa. METHODS From the outset of the project, advocacy and communication strategies were developed and adjusted as the project evolved in Europe, Africa, India, and the United States. Communications efforts were evidence-based, and involved partnerships with the med...

Immunisation is amongst the most costeffective public health interventions for reducing global child morbidity and mortality [1,2]. The global effort to use vaccination as a public health intervention began when the World Health Organization (WHO) launched the Expanded Programme on Immunization (EPI) in 1974. Over the years there have been several international efforts to increase EPI coverage,...

Wilson Gavi˜ ao and Jacob Scharcanski Instituto de Informática Universidade Federal do Rio Grande do Sul Avenida Bento Gonçalves, 9500. Porto Alegre, RS, Brazil 91501-970 fwgaviao,[email protected] Abstract In hospital practice, several diagnostic hysteroscopy videos are produced daily. These videos are continuous (non-interrupted) video sequences, usually recorded in full. However, only a f...