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: TS LSH
eC2: Exploring options for a back-up supply system for essential medicines in Sierra Leone
Deadline: 21-Aug-2017 at 11:59:59 PM (Eastern Time – Washington D.C.) ![medical-appointment-doctor-healthcare-clinic-health-hospital-medicine[7]](https://nl4worldbank.files.wordpress.com/2015/09/medical-appointment-doctor-healthcare-clinic-health-hospital-medicine7.jpg?w=180&h=120)
It is for the development of a tentative business plan for a back-up medicines supply system for public health facilities in the Kailahun and Koinadugu districts.
The consultant is expected to conduct interviews with stakeholders (including those in the two districts) and review existing documentation from various sources, with the goal of: 1, dentifying the list of medicines that is offered through the back-up system
2, Identifying the manufacturers of these medicines that are already licensed in Sierra Leone and verifying the quality standards
3, Identifying potential service providers for the back up system
4, Quantifying the potential demand based on the best possible assumptions of consumption/need and availability in the public supply chain
5, Comparing pros and cons of different pricing/compensation models for a contract with private importers
6, Addressing issues of financing for buffer stock
7, Finding solutions to ensure timely payment.
Based on the findings, a business plan is expected.
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Connecting Climate Change and Health for Better Development
Climate change is already having real, measurable impacts on human health, and those 
impacts are expected to grow. Low- and middle-income countries are seeing the worst effects as they are most vulnerable to climate shifts and least able to adapt given weak health systems and poor infrastructure. The good news is that the cumulative impacts of climate change on health have been extensively discussed for decades and understanding is growing.
Netherlands for the World Bank 
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