Johanna Hanefeld
Dados Biográficos
| ID | 1446478 |
|---|---|
| NOME | Johanna Hanefeld |
| PRENOMES | Johanna |
| SOBRENOME | Hanefeld |
| ASSINATURA | HANEFELD J |
| AFILIAÇÕES | Robert Koch Institute |
| ORCID | 0000-0001-9487-2333 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 44 |
| TOTAL DE CITAÇÕES | 98 |
| TOTAL COMO AUTOR | 44 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2002 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 5 |
Barriers and drivers to childhood vaccinations in Forcibly Displaced Myanmar Nationals (FDMN)/Rohingya refugees in Cox’s Bazar, Bangladesh
About one million Forcibly Displaced Myanmar Nationals (FDMN)/Rohingya refugees live in the refugee camps of Cox’s Bazar, experiencing recurring vaccine-preventable disease outbreaks despite established vaccination programs. This scoping review focused on the evidence for individual and context barriers, drivers, and interventions for childhood vaccination uptake of FDMN/Rohingya refugees in Cox’s Bazar. Four databases and grey literature were sy…
Sovereignty, equity, solidarity
BOX The Global Health Emergency Corps (GHEC) offers a novel, structured approach to international crisis response by integrating national, regional and global experts through coordinated networks
Governance and structure of national public health agencies
BOX National Public Health Agencies (NPHAs) play a critical role in national and global health security, coordinating and leading the response to public health emergencies
The utility of infectious disease modelling in informing decisions for outbreak response
Infectious disease modelling plays a critical role in guiding decisions during outbreaks. However, ongoing debates over the utility of these models highlight the need for a deeper understanding of their exact role in decision-making. In this scoping review we sought to fill this gap, focusing on challenges and facilitators of translating modelling insights into actionable policies. We searched the Ovid database to identify modelling studies that …
Doctors taking bribes from pharmaceutical companies is common and not substantially reduced by an educational intervention
INTRODUCTION: Incentive-linked prescribing, which is when healthcare providers accept incentives from pharmaceutical companies for prescribing promoted medicines, is a form of bribery that harms patients and health systems globally. We developed a novel method using data collectors posing as pharmaceutical company sales representatives to evaluate private doctors' engagement in incentive-linked prescribing and the impact of a multifaceted educati…
Beyond buzzwords
BACKGROUND: Germany has increased its political and financial commitment for global health, but this needs to be backed by a robust global health research ecosystem with strong partnerships in low- and middle-income countries (LMICs). OBJECTIVE: This article suggests pathways for empowering researchers to operate beyond their disciplinary silos and strengthen partnerships across sectors and countries. The authors identify barriers and enablers of…
Did aid to the Ebola crisis divert aid for reproductive, maternal, and newborn health? An analysis of donor-reported data in Sierra Leone
Modest changes to RMNH donor aid patterns are insufficient to explain the severe decline in RMNH indicators recorded during the outbreak. Our findings therefore suggest the need for substantial increases in routine aid to ensure that basic RMNH services and infrastructure are strong before an epidemic occurs, as well as increased aid for RMNH during epidemics like Ebola and Covid-19, if reproductive, maternal and newborn healthcare is to be maint…
Inclusion of people with disabilities in Chilean health policy
Improvements are needed in both the development and implementation of disability-inclusive health policies in Chile, to support the achievement of the right to healthcare for people with disabilities and ensuring that the health system truly "leaves no one behind
Bilateral health agreements of South Africa
The bilateral agreements signed between South Africa and countries in Southern and Eastern Africa are a rare example of efforts to regulate health-related issues in a world region. As far as we know, there are no comparable bilateral health governance mechanisms in regions elsewhere. Furthermore, the rapidly growing literature on global health governance and governance for global health has to date not addressed the issue of patient mobility and …
Reflections from the Covid-19 pandemic in Germany
Trust is crucial to handling any global health crisis; the expertise and sustainability of National Public Health Institutions is the basis for trust building. - Public health requires citizens to make the right individual choices that have a positive domino effect on the general population. Communication, therefore, plays an essential role. - Public health systems must be strengthened and stronger public health systems must assist weaker ones in…
Global health in Germany
Interdisciplinarity in global health in the academic sector in Germany is limited. • Biomedical sciences dominate global health research and education in Germany. • A current open policy window could be exploited to strengthen interdisciplinarity. • Topic specific collaboration in global health may promote interdisciplinarity. • Discipline-orientated funding impedes interdisciplinarity in global health research. Global Health (GH) in Germany incr…
Providing strategic information during a public health emergency
Background: Timely strategic information is essential for decision makers to mount an effective public health response to infectious disease outbreaks, and public health actors must find an effective way to supply it. The Centre for International Health Protection at the Robert Koch Institute (Germany’s national public health institute) developed a three-pronged approach to processing and supplying strategic information on the international state…
How states engage in and exercise power in global health
While long overlooked, power is central to understand how actors engage in global health policymaking. We reviewed how the Japanese and Indonesian governments exerted power and engaged in global health diplomacy during negotiations to conceptualize the post-2015 Sustainable Development Goal for health (SDG3). We conducted deliberative policy analysis including semi-structured, in-depth, interviews with more than 71 policymakers, which we analyzed…
Classification Schemes of Covid-19 High Risk Areas and Resulting Policies
The COVID-19 pandemic has posed a significant global health threat since January 2020. Policies to reduce human mobility have been recognized to effectively control the spread of COVID-19; although the relationship between mobility, policy implementation, and virus spread remains contentious, with no clear pattern for how countries classify each other, and determine the destinations to- and from which to restrict travel. In this rapid review, we …
How conflicts of interest hinder effective regulation of healthcare
BACKGROUND: There has been insufficient attention to a fundamental force shaping healthcare policies-conflicts of interest (COI). We investigated COI, which results in the professional judgement of a policymaker or healthcare provider being compromised by a secondary interest, in relation to antimicrobial use, thereby illuminating challenges to the regulation of medicines use more broadly. Our objectives were to characterise connections between t…
Framing Migration During the Covid-19 Pandemic in South Africa
Assumptions surrounding the origins of Covid-19, the relationship between human mobility and the spread of the virus, and the pressure that the pandemic has placed on communities, have exacerbated xenophobic tensions globally, including in South Africa, a country long-associated with xenophobia. Previous research exploring how the South African media frames migration, and research investigating the framing of migration during Covid-19 in other co…
Seroprevalence and risk factors of Covid-19 in healthcare workers from 11 African countries
A better understanding of serological data and risk factors for coronavirus disease 2019 (COVID-19) infection in healthcare workers (HCWs) is especially important in African countries where human resources and health services are more constrained. We reviewed and appraised the evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) seroprevalence and its risk factors in HCWs in Africa to inform response and preparedness strategie…
Prevalence and determinants of inappropriate antibiotic dispensing at private drug retail outlets in urban and rural areas of Indonesia
INTRODUCTION: The aim of this mixed-method study was to determine the extent and determinants of inappropriate dispensing of antibiotics by licensed private drug retail outlets in Indonesia. METHODS: Standardised patients (SPs) made a total of 495 visits to 166 drug outlets (community pharmacies and drug stores) between July and August 2019. The SPs presented three clinical cases to drug outlet staff: parent of a child at home with diarrhoea; an …
De-escalation strategies for non-pharmaceutical interventions following infectious disease outbreaks
Research on the move
BACKGROUND: Reflecting global norms, South Africa is associated with high levels of cross-border and internal population mobility, yet migration-aware health system responses are lacking. Existing literature highlights three methodological challenges limiting the development of evidence-informed responses to migration and health: (1) lack of engagement with the process of migration; (2) exclusion of internal migrants; and (3) lack of methodologie…
Using WhatsApp messenger for health systems research
Globally, the use of mobile phones for improving access to healthcare and conducting health research has gained traction in recent years as rates of ownership increase, particularly in low- and middle-income countries (LMICs). Mobile instant messaging applications, including WhatsApp Messenger, provide new and affordable opportunities for health research across time and place, potentially addressing the challenges of maintaining contact and parti…
Lessons learnt from easing Covid-19 restrictions
Assessing Covid-19 through the lens of health systems’ preparedness
The last months have left no-one in doubt that the COVID-19 pandemic is exerting enormous pressure on health systems around the world, bringing to light the sub-optimal resilience of even those classified as high-performing. This makes us re-think the extent to which we are using the appropriate metrics in evaluating health systems which, in the case of this pandemic, might have masked how unprepared some countries were. It also makes us reflect …
What are the barriers to implementing national antimicrobial resistance action plans? A novel mixed-methods policy analysis in Pakistan
Despite political commitment to address antimicrobial resistance (AMR), countries are facing challenges to implementing policies to reduce inappropriate use of antibiotics. Critical factors to the success of policy implementation in low- and middle-income countries (LMIC), such as capacity for enforcement, contestation by influential stakeholders and financial interests, have been insufficiently considered. Using Pakistan as a case study represen…
The Devil Is in the Detail—Understanding Divergence between Intention and Implementation of Health Policy for Undocumented Migrants in Thailand
Migrants' access to healthcare has attracted attention from policy makers in Thailand for many years. The most relevant policies have been (i) the Health Insurance Card Scheme (HICS) and (ii) the One Stop Service (OSS) registration measure, targeting undocumented migrants from neighbouring countries. This study sought to examine gaps and dissonance between de jure policy intention and de facto implementation through qualitative methods. In-depth …
Why do medical tourists travel to where they do? The role of networks in determining medical travel
Market size, market share and market strategy
The aim of this article is to contribute towards greater theoretical and empirical understanding about medical tourism developments globally. This evidence leads us to examine some widelyheld assumptions regarding the size and shape of global medical travel. Our paper examines three central issues: (1) Do published figures and projections ‘add-up’, are figures from multiple sources consistent, and what decisions and interests are involved for tho…
International patients within the NHS
Towards an understanding of resilience
The recent outbreak of Ebola Virus Disease (EVD) in West Africa has drawn attention to the role and responsiveness of health systems in the face of shock. It brought into sharp focus the idea that health systems need not only to be stronger but also more 'resilient'. In this article, we argue that responding to shocks is an important aspect of resilience, examining the health system behaviour in the face of four types of contemporary shocks: the …
Towards universal coverage
This article examines why and how a national health insurance (NHI) proposal targeting universal health coverage (UHC) in Nigeria developed over time. The study involved document reviews, in-depth interviews, a further review of preliminary analysis by relevant actors and use of a stakeholder analysis approach. The need for strategies to improve healthcare funding during the economic recession of the 1980s stimulated the proposal. The inclusion o…
Understanding the dynamic interactions driving Zambian health centre performance
BACKGROUND: Despite being central to achieving improved population health outcomes, primary health centres in low- and middle-income settings continue to underperform. Little research exists to adequately explain how and why this is the case. This study aimed to test the relevance and usefulness of an adapted conceptual framework for improving our understanding of the mechanisms and causal pathways influencing primary health centre performance. M…
LMICs as reservoirs of AMR’
Antimicrobial resistance (AMR) has recently emerged as a salient global issue, and policy formulation to address AMR has become a contested space, with various actors sharing competing-and sometimes contradictory-explanations of the problem and the range of possible solutions. To facilitate national policy setting and implementation around AMR, more needs to be done to effectively engage policymakers in low- and middle-income countries (LMICs). H…
What are the barriers to implementing national antimicrobial resistance action plans? A novel mixed-methods policy analysis in Pakistan
Despite political commitment to address antimicrobial resistance (AMR), countries are facing challenges to implementing policies to reduce inappropriate use of antibiotics. Critical factors to the success of policy implementation in low- and middle-income countries (LMIC), such as capacity for enforcement, contestation by influential stakeholders and financial interests, have been insufficiently considered. Using Pakistan as a case study represen…
National responses to global health targets
Global health organizations frequently set disease-specific targets with the goal of eliciting adoption at the national-level; consideration of the influence of target setting on national policies, programme and health budgets is of benefit to those setting targets and those intended to respond. In 2014, the Joint United Nations Programme on HIV/AIDS set 'ambitious' treatment targets for country adoption: 90% of HIV-positive persons should know t…
Patent Rights vs Patient Rights
Cet article se penche sur le principal obstacle a l'acces au traitement par medicaments antiretroviraux pour des millions de personnes seropositives ou atteintes du SIDA en Afrique subsaharienne : le prix des medicaments, proteges par des brevets internationaux detenus par six grandes compagnies pharmaceutiques. L'article relate le bras de fer juridique opposant differents gouvernements Africains aux groupes pharmaceutiques a propos des medicamen…
Criminalising HIV transmission
Allegations of the reckless or intentional transmission of HIV raise challenging questions about how states can best address a disease which is transmitted primarily through behaviours that both states and community "police" in different ways. This paper argues that in the rare cases in which someone engages in specific behaviour with the intent to infect another person with HIV, existing laws such as laws against battery are sufficient to allow …
The impact of Global Health Initiatives at national and sub-national level – a policy analysis of their role in implementation processes of antiretroviral treatment (ART) roll-out in Zambia and South …
Global Health Initiatives (GHIs), such as the President's Emergency Plan For AIDS Relief (PEPFAR) and the Global Fund to Fight AIDS, TB and Malaria (the GFATM), have emerged as new mechanisms for development assistance in health. By 2008, GHIs were providing two-thirds of all external funding for HIV/AIDS globally. In Zambia and South Africa over the past five years, PEPFAR and the GFATM have provided significant funding for the public sector pro…
“The problem is ours, it is not CRAIDS’ ”. Evaluating sustainability of Community Based Organisations for HIV/Aids in a rural district in Zambia
BACKGROUND: While sustainability of health programmes has been the subject of empirical studies, there is little evidence specifically on the sustainability of Community Based Organisations (CBOs) for HIV/AIDS. Debates around optimal approaches in community health have centred on utilitarian versus empowerment approaches. This paper, using the World Bank Multi-Country AIDS Program (MAP) in Zambia as a case study, seeks to evaluate whether or not …
Human rights in health systems frameworks
Global initiatives and recent G8 commitments to health systems strengthening have brought increased attention to factors affecting health system performance. While equity concerns and human rights language appear often in the global health discourse, their inclusion in health systems efforts beyond rhetorical pronouncements is limited. Building on recent work assessing the extent to which features compatible with the right to health are incorpora…
Meaningful change or more of the same? The Global Fund's new funding model and the politics of HIV scale-up
As we enter the fourth decade of HIV and AIDS, sustainability of treatment and prevention programmes is a growing concern in an environment of shrinking resources. The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) will be critical to maintaining current trajectories of scale-up and ultimately, ensuring access to HIV treatment and prevention for people in low/middle-income countries. The authors' prior research in India, Zambia and S…
Market size, market share and market strategy
The aim of this article is to contribute towards greater theoretical and empirical understanding about medical tourism developments globally. This evidence leads us to examine some widelyheld assumptions regarding the size and shape of global medical travel. Our paper examines three central issues: (1) Do published figures and projections ‘add-up’, are figures from multiple sources consistent, and what decisions and interests are involved for tho…
Considerations for a Human Rights Impact Assessment of a Population Wide Treatment for HIV Prevention Intervention
Increasing attention is being paid to the potential of anti‐retroviral treatment ( ART ) for HIV prevention. The possibility of eliminating HIV from a population through a universal test and treat intervention, where all people within a population are tested for HIV and all positive people immediately initiated on ART , as part of a wider prevention intervention, was first proposed in 2009. Several clinical trials testing this idea are now in inc…
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Towards universal coverage
This article examines why and how a national health insurance (NHI) proposal targeting universal health coverage (UHC) in Nigeria developed over time. The study involved document reviews, in-depth interviews, a further review of preliminary analysis by relevant actors and use of a stakeholder analysis approach. The need for strategies to improve healthcare funding during the economic recession of the 1980s stimulated the proposal. The inclusion o…
Understanding the dynamic interactions driving Zambian health centre performance
BACKGROUND: Despite being central to achieving improved population health outcomes, primary health centres in low- and middle-income settings continue to underperform. Little research exists to adequately explain how and why this is the case. This study aimed to test the relevance and usefulness of an adapted conceptual framework for improving our understanding of the mechanisms and causal pathways influencing primary health centre performance. M…
International patients within the NHS
Why do medical tourists travel to where they do? The role of networks in determining medical travel
Exploring The Migration Profiles of Primary Healthcare Users in South Africa
South Africa's public healthcare system responses seldom engage with migration. Our exploratory study investigates migration profiles and experiences of primary healthcare (PHC) users. A cross-sectional survey involving non-probability sampling was conducted with 229 PHC users at six purposively selected PHC clinics in three districts of SA. The survey captured socio-demographic information, migration histories, and PHC experiences. Chi square an…
Understanding medical travel from a source country perspective
BACKGROUND: The resolution adopted in 2006 by the World Health Organization on international trade and health urges Member States to understand the implications of international trade and trade agreements for health and to address any challenges arising through policies and regulations. The government of Maldives is an importer of health services (with outgoing medical travelers), through offering a comprehensive universal health care package for…
Evaluation of public subsidy for medical travel
Evidence of a strong association between predominant public financing of medical travel and equality was found. With universal eligibility to the government subsidy for medical travel, utilization of treatment abroad, medical expenditures abroad and OOP expenditures on health among Maldivian medical travellers were similar between the poor and the rich. However, we conclude mixed evidence on the linkages between public financing of medical travel…
Towards an understanding of resilience
The recent outbreak of Ebola Virus Disease (EVD) in West Africa has drawn attention to the role and responsiveness of health systems in the face of shock. It brought into sharp focus the idea that health systems need not only to be stronger but also more 'resilient'. In this article, we argue that responding to shocks is an important aspect of resilience, examining the health system behaviour in the face of four types of contemporary shocks: the …
National responses to global health targets
Global health organizations frequently set disease-specific targets with the goal of eliciting adoption at the national-level; consideration of the influence of target setting on national policies, programme and health budgets is of benefit to those setting targets and those intended to respond. In 2014, the Joint United Nations Programme on HIV/AIDS set 'ambitious' treatment targets for country adoption: 90% of HIV-positive persons should know t…
The Devil Is in the Detail—Understanding Divergence between Intention and Implementation of Health Policy for Undocumented Migrants in Thailand
Migrants' access to healthcare has attracted attention from policy makers in Thailand for many years. The most relevant policies have been (i) the Health Insurance Card Scheme (HICS) and (ii) the One Stop Service (OSS) registration measure, targeting undocumented migrants from neighbouring countries. This study sought to examine gaps and dissonance between de jure policy intention and de facto implementation through qualitative methods. In-depth …
LMICs as reservoirs of AMR’
Antimicrobial resistance (AMR) has recently emerged as a salient global issue, and policy formulation to address AMR has become a contested space, with various actors sharing competing-and sometimes contradictory-explanations of the problem and the range of possible solutions. To facilitate national policy setting and implementation around AMR, more needs to be done to effectively engage policymakers in low- and middle-income countries (LMICs). H…
Lessons learnt from easing Covid-19 restrictions
Assessing Covid-19 through the lens of health systems’ preparedness
The last months have left no-one in doubt that the COVID-19 pandemic is exerting enormous pressure on health systems around the world, bringing to light the sub-optimal resilience of even those classified as high-performing. This makes us re-think the extent to which we are using the appropriate metrics in evaluating health systems which, in the case of this pandemic, might have masked how unprepared some countries were. It also makes us reflect …
What are the barriers to implementing national antimicrobial resistance action plans? A novel mixed-methods policy analysis in Pakistan
Despite political commitment to address antimicrobial resistance (AMR), countries are facing challenges to implementing policies to reduce inappropriate use of antibiotics. Critical factors to the success of policy implementation in low- and middle-income countries (LMIC), such as capacity for enforcement, contestation by influential stakeholders and financial interests, have been insufficiently considered. Using Pakistan as a case study represen…
Prevalence and determinants of inappropriate antibiotic dispensing at private drug retail outlets in urban and rural areas of Indonesia
INTRODUCTION: The aim of this mixed-method study was to determine the extent and determinants of inappropriate dispensing of antibiotics by licensed private drug retail outlets in Indonesia. METHODS: Standardised patients (SPs) made a total of 495 visits to 166 drug outlets (community pharmacies and drug stores) between July and August 2019. The SPs presented three clinical cases to drug outlet staff: parent of a child at home with diarrhoea; an …
De-escalation strategies for non-pharmaceutical interventions following infectious disease outbreaks
Political science (38 obras) · Medicine (31 obras) · Business (21 obras) · Economics (20 obras) · Economic growth (18 obras) · Health care (18 obras) · Nursing (16 obras) · Public relations (15 obras) · Public health (13 obras) · Environmental health (12 obras)