Transformation Agenda of World Health Organization Regional Office for Africa to the Zambian context

The focus of this special issue of the Medical Journal of Zambia is to showcase the progress made by the World Health Organization (WHO) Country Office for Zambia in domesticating the Transformation Agenda (TA) of the WHO Regional Office for Africa. This TA is the regional vision to fast track implementation of the global WHO reform. The introduction of this Transformation Agenda is timely and smoothly dovetails with the on going implementation of the national Zambia development transformation is a robust process that facilitates effective implementation of the Regional Agenda within WHO.

Adaptable Lessons Learnt on Procurement from Deployment to a Deadly Emergency Outbreak: The Case of Sierra Leone during Ebola Outbreak 2015

ABSTRACT

Background:  The WHO has standard operating procedures for procurement, travel and logistics for use at country level.   Some of the guidance is waived during public health emergencies of international concern. Practical acumen on using the standards for emergency settings is limited at country level. WHO Zambia was one of the countries that responded to the call by WHO HQ to support the 2014 Ebola outbreak in West Africa. This paper aims to document lessons learnt by procurement staffs that were deployed to emergency settings.

Improved Financial Probity in the Health Sector Following the WHO Reforms in Zambia

ABSTRACT

Background:  The World Health Organization (WHO) Reform emphasizes strict adherence to two procedures for disbursements of resources allocated to all the 196 member states as per approval from the World Health Assembly. Direct financial cooperation (DFC) are transactions where funds are transferred to government and concluded in three months after completion of activity.

Preparedness of Response to Deadly Outbreaks: Lessons Learnt From Zambia's Deployment to the 2014 African Ebola Outbreak

ABSTRACT

Background:  West Africa experienced the largest outbreak of Ebola in 2014 in history involving three Mano River States of Sierra Leone, Liberia and Guinea. The World Health Organization (WHO) coordinated an emergency response from WHO Country Offices in many areas, including human resources for health services. WHO Zambia deployed human resources (HR) focal persons to Sierra Leone and Liberia to strengthen operations.

Using E-Learning for Skills Transfer, Motivation and Retention of Health Workers in Zambia

ABSTRACT

Background:  Health system strengthening continues to be a moving target for developing countries with the human  resource  factor  the  most  critical  bottleneck towards universal health coverage. The human resource management cycle revolves around three interdependent factors: production, recruitment, deployment and retention. The most elusive is retention where both monetary and non-monetary reward systems are equally important.

Prescribing Patterns and Medicine Use at the University Teaching Hospital, Lusaka, Zambia

ABSTRACT

Background: There is paucity of data on rational drug use studies at tertiary hospitals in Zambia. The aim of this study was to assess the extent of rational drug use at the adults and paediatrics outpatient departments of the University Teaching Hospital (UTH) using World Health Organization (WHO) standardized drug-use indicators.

Leveraging Existing Laboratory Capacity towards Universal Health Coverage: A Case of Zambian Laboratory Services

ABSTRACT

Background: The provision of quality health care is influenced by the availability and capacity of the support systems such as the laboratory.  The Service Availability and Readiness Assessment (SARA) by the Ministry of Health with support from WHO Zambia aimed to establish the availability levels of basic amenities required for quality health care including selected diagnostic tests that normally should be conducted at general hospitals and most health facilities.

Lessons Learnt From the Implementation of Mass Drug Administration for Schistosomiasis and Soil- Transmitted Helminths in Lusaka Province, Zambia

ABSTRACT

Background:  Zambia is endemic for four of the global Preventive Chemotherapy Neglected Tropical Diseases (PC-NTD) targeted for elimination and control, namely schistosomiasis, trachoma, lymphatic filariasis (LF) and soil transmitted helminths (STH). These diseases are associated with disfigurement, reduced productivity, reduced cognitive potential and hence affect the economic development of the households, communities and the country.

Impact of the WHO Technical Support Towards Malaria Elimination in Zambia

ABSTRACT

Background:  Zambia's National Malaria Strategic Plan (NMSP) 2011-2016 aims to eliminate malaria by the year 2020. The WHO Country Office is supporting Zambia in its goal to attain this national target earlier than the global goal contained in Global Technical Strategy (GTS) 2016-2030. WHO's focus is to accelerate coverage of proven interventions and strategies, and promote their effective use. This study documents impact of the WHO technical support in Zambia to accelerate efforts towards elimination of malaria.

Acute Flaccid Paralysis Surveillance in Zambia: Progress towards the Polio End Game

ABSTRACT

Background:  In the global polio eradication initiative acute flaccid paralysis cases are followed up two to three months after onset of paralysis to assess recovery of the children. In Zambia AFP cases are followed up regularly but there is no documentation of the clinical and laboratory findings. The purpose of this paper is to document the support WHO country office offers to the follow up of the AFP cases in Zambia to identify gaps which the WHO Country office could address.