When the door closed behind her, Maria’s world seemed to collapse. The mother of a girl and two boys had just learned that her eldest son, the teenager who became the pillar of the family after their father died, was not only in a deep depression and increasingly using alcohol but he was gay. She had noticed him becoming moodier and even heard he received a warning at his job for not showing up, something totally unlike him at all. She felt helpless but knew his depression had to stay hidden from the rest of the family and the neighbors as mental health problems brought with them social stigma. But she was most afraid someone would find out he was gay, causing the family to be ostracized and endangering the future of the other children.
Tag Archives: Health
eC2: NATIONAL HEALTH FACILITY SURVEY (NHFS) IN NIGERIA
Deadline: 20-Jun-2018 at 11:59:59 PM (Eastern Time – Washington D.C.)
The consultant will conduct facility surveys at primary health facilities and referral secondary hospitals using the methodology approved by the World Bank in the selected sample facilities. These surveys will be in approximately 3,300 randomly selected facilities in total, with a minimum of 90 facilities in each of the 36 states and the FCT. The survey instrument comprises 5 modules. The survey firm will work with World Bank Consultants and FMOH staff to review the survey instruments, training materials and field manual; program electronic devices for data collection; deploy trained enumerators and supervisors for field work using CAPI; provide supervision and oversight over data entry and ensure compliance with quality standards; produce full clean database of the survey information; and full report and presentation summarizing the results using an agreed outline.
Building sustainable financing and resilient systems for health security in East Asia and the Pacific
The East Asia and Pacific region is vital to global pandemic preparedness. The region has been the epicenter of emerging and re-emerging infectious diseases. China and Southeast Asia alone accounted for approximately 90 percent of SARS cases and two-thirds of the human cases of avian influenza in the world. These outbreaks are driven by several socio-economic, demographic, environmental, and ecological factors, including close contact between humans and animals, encroachment with wildlife, high population density, rapid urbanization, high growth rates, and climate change.
eC2:Consulting Service for Situation Assessment and Analysis of Risk Communication in Vietnam
Deadline: 15-May-2018 at 11:59:59 PM (Eastern Time – Washington D.C.) 
Objective: The evaluation will focus on four main objectives as below: (i) Prevention and control of communicable diseases and newly emerging epidemics. (ii) Prevention and control of risk factors of non-communicable diseases. (iii)Food safety. (iv) Communication during events of public health importance and health emergencies.
eC2: Technical Assistance to County Health Systems: Planning, Budgeting, Monitoring and Reporting
Deadline: 23-May-2018 at 11:59:59 PM (Eastern Time – Washington D.C.) ![medical-appointment-doctor-healthcare-clinic-health-hospital-medicine[7]](https://nl4worldbank.org/wp-content/uploads/2015/09/medical-appointment-doctor-healthcare-clinic-health-hospital-medicine7.jpg?w=283&h=189)
Objective: The selected firm (s) will provide technical support to county health planning, budgeting, monitoring and reporting (PBMR) processes. The TA will support capacity building of the County Departments of Health (CDOH) on preparation of key PBMR tools that will include Annual Performance Review (APR), preparation of Annual Work Plans (AWP) and Programme Based Budget (PBB) using the Medium-Term Expenditure Framework (MTEF) to ensure linkage between planning and budgeting processes at the county level as well as review of the previous fiscal year PBB budgets using Public Expenditure Review (PERs) approach and methodology. The TA will be expected to start from August 2018 up until May 2019. The Firm will be expected to prepare training, guidelines and other tools that will facilitate delivery of a standardized and harmonized PBMR TA; provide hands on TA from August until May throughout the planning and budgeting cycle; appraise health sector AWP and other plans to ensure alignment with the sector budgeting processes; and appraise the county health budget and expenditure framework to ensure inclusion of sector conditional grants and use of SCOA and budget structure.
Pitfalls of Patient Satisfaction Surveys and How to Avoid Them
![medical-appointment-doctor-healthcare-clinic-health-hospital-medicine[7]](https://nl4worldbank.org/wp-content/uploads/2015/09/medical-appointment-doctor-healthcare-clinic-health-hospital-medicine7.jpg?w=247&h=165)
A child has a fever. Her father rushes to his community’s clinic, his daughter in his arms. He waits. A nurse asks him questions and examines his child. She gives him advice and perhaps a prescription to get filled at a pharmacy. He leaves.
How do we measure the quality of care that this father and his daughter received? There are many ingredients: Was the clinic open? Was a nurse present? Was the patient attended to swiftly? Did the nurse know what she was talking about? Did she have access to needed equipment and supplies?
eC2: Private Health Sector Assessment in Sindh Province, Pakistan
Deadline: 01-May-2018 at 11:59:59 PM (Eastern Time – Washington D.C.) ![medical-appointment-doctor-healthcare-clinic-health-hospital-medicine[7]](https://nl4worldbank.org/wp-content/uploads/2015/09/medical-appointment-doctor-healthcare-clinic-health-hospital-medicine7.jpg?w=303&h=202)
Objective: (1) assess the status of healthcare provision by private sector entities (for profit and non-profit), including payment mechanisms. (2) analyze the level of private health sector regulations. (3) identify possible options for public private partnerships and service contracting to improve primary health care
eC2: Support for Data Science Training and Consulting in Health, Nutrition and Population
Deadline: 09-Apr-2018 at 11:59:59 PM (Eastern Time – Washington D.C.) ![medical-appointment-doctor-healthcare-clinic-health-hospital-medicine[7]](https://nl4worldbank.org/wp-content/uploads/2015/09/medical-appointment-doctor-healthcare-clinic-health-hospital-medicine7.jpg?w=291&h=194)
Objective: There is equally a global consensus that countries will not achieve our UHC goals with the present trajectory. The scale of unmet country needs is daunting. On the present course, health financing is inadequate, confined to traditional sources and overly reliant on out-of-pocket spending, decision support is limited, financing and services are fragmented, implementation capacity and coverage are slow and inadequate, innovations painstakingly slow and small-scale. What is needed, is a step-change in both the financing and delivery of UHC. This means improving the efficiency of decision making and delivery and seizing on and scaling-up innovations.
eC2: Regional households survey on poverty and health in Senegal
Deadline: 09-Apr-2018 at 11:59:59 PM (Eastern Time – Washington D.C.) ![medical-appointment-doctor-healthcare-clinic-health-hospital-medicine[7]](https://nl4worldbank.org/wp-content/uploads/2015/09/medical-appointment-doctor-healthcare-clinic-health-hospital-medicine7.jpg?w=584)
Objective: The Household Survey: Building on the questionnaire already developed for the forthcoming LSMS survey in Senegal (shortened version), the household survey will collect comprehensive and multi-purpose household data, including specific modules on health (health expenditures, financial protection, as well as a short module on adolescent health). Administering this survey tool through the CAPI (Computer Assisted Personal Interview) software developed by the World Bank (Survey Solution), the survey is expected to cover approximately 2100 households distributed across three regions and representative at the departmental level.
Netherlands for the World Bank 
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