Background Avante Zambéziais an initiative of a Non-Governmental Organization (NGO), Friends in Global Health, LLC (FGH) and the Vanderbilt Institute for Global Health (VIGH) to provide technical assistance to the Mozambican Ministry of Health (MoH) in rural Zambézia Province. Avante Zambézia developed a district level Health Management Mentorship (HMM) program to strengthen health systems in t...

this comment on professor fotaki’s editorial agrees with her arguments that training health professionals in more compassionate, caring and ethically sound care will have little value unless the system in which they work changes. it argues that for system change to occur, senior management, government members and civil servants themselves need training so that they learn to understand the effec...

we argue that the field of health policy and management (hpam) ought to confront the gap between theory, policy, and practice. although there are perennial efforts to reform healthcare systems, the conceptual barriers are considerable and reflect the theory-policy-practice gap. we highlight four dimensions of the gap: 1) the dominance of microeconomic thinking in health policy analysis and desi...

health systems have entered a third era embracing whole systems thinking and posing complex policy and management challenges. understanding how such systems work and agreeing what needs to be put in place to enable them to undergo effective and sustainable change are more pressing issues than ever for policy-makers. the theory-policy-practice-gap and its four dimensions, as articulated by chini...

this paper considers the potential problems that may militate against the adoption of organic poultry production in nigeria. factors identified include: higher risk of diseases like coccidiosis and newcastle disease, disease prevention and control / herd health management, disease containment in times of outbreak, land acquisition (land tenure system), market economies / cost-benefit ratio, pas...