The recent thematic series on close-to-community providers published in this journal brings together 14 papers from a variety of contexts and that use a range of research methods. The series clearly illustrates the renewed emphasis and excitement about the potential of close-to-community (CTC) providers in realising universal health coverage and supporting the sustainable development goals. This editorial discusses key themes that have emerged from this rich and varied set of papers and reflect on the implications for evidence-based programming. We are at a critical stage in the development of CTC programming and policy which requires the creation and communication of…
Kembatti Mentti Gezzimma (KMG) is an Ethiopian organisation working to encourage communities to abandon the practice of FGM-C. There has been a phenomenal reduction in FGM-C prevalence levels in Kembatta Zone where KMG has worked for the last two decades. Between 1999 and 2008, the number of people practising FGM-C in Kembatta zone reduced by approximately 92% (OHCHR 2008). KMG has expanded its work to other zones, including most recently the Sidama zone, and nearly the entire southern region of Ethiopia has been reached by its FGM-C prevention efforts.
Depictions of sexuality are beamed into our homes through satellite TV, pored over in internet cafes, catapulted around social and technological networks, stitched into the material of women's attire, whispered in children's bedtime tales, captured and disseminated in epidemiological data and crooned over the airwaves. But despite its ubiquity, international development has failed to afford sexuality the prominence that it should.
China is managing major health system reforms against a background of rapid economic and institutional change. In doing so it is developing a learning approach to transition management and institution-building. This approach includes testing innovations at local level, encouraging learning from success, and then gradually building institutions that support new ways of doing things. Chinese policymakers and analysts are also developing strategies for drawing on international experience. Analysts from other countries and officials in organisations that support international health need to understand this approach if they are to strengthen mutual learning with their Chinese counterparts.