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Evaluating Public Health Interventions

Public health interventions include any effort or policy that attempts to improve the health among individuals or an entire population. They can be run by governmental health departments or non-governmental organisations and can include educational programmes, screening programmes, vaccination programmes, environmental improvements and health promotion campaigns. Interventions that include multiple independent or interacting components are referred to as complex. Evaluating and predicting the efficacy of any public health intervention, as well as calculating the cost effectiveness is essential.

Using examples from multiple published studies conducted around the world, this textbook shows readers how to evaluate public health interventions in real world settings. It will enable readers to understand how to investigate whether a public health intervention works, for whom, when, where, how, and why. It provides a comprehensive introduction to key areas of evaluation including understanding complex interventions, developing programme theories, community engagement in evaluation, and the main methods used in process, impact and economic evaluation. It explains how different methods can be used individually and in combination to answer different kinds of evaluation question and at different phases in an evaluation cycle and considers how the results of evaluations can be brought together to inform action.

This textbook is the ideal guide for students, practitioners and policymakers in the field of health policy and evaluation.

Epidemiological Change and Chronic Disease in Sub-Saharan Africa

Epidemiological Change and Chronic Disease in Sub-Saharan Africa offers new and critical perspectives on the causes and consequences of recent epidemiological changes in sub-Saharan Africa, particularly on the increasing incidence of so-called ‘non-communicable’ and chronic conditions. Historians, social anthropologists, public health experts and social epidemiologists present important insights from a number of African perspectives and locations to present an incisive critique of ‘epidemiological transition’ theory and suggest alternative understandings of the epidemiological change on the continent.

Arranged in three parts, ‘Temporalities: Beyond Transition’, ‘Numbers and Categories’ and ‘Local Biologies and Knowledge Systems’, the chapters cover a broad range of subjects and themes, including the trajectory of maternal mortality in East Africa, the African smoking epidemic, the history of sugar consumption in South Africa, causality between infectious and non-communicable diseases in Ghana and Belize, the complex relationships between adult hypertension and paediatric HIV in Botswana, and stories of cancer patients and their families as they pursue treatment and care in Kenya.

In all, the volume provides insights drawn from historical perspectives and from the African social and clinical experience to offer new perspectives on the changing epidemiology of sub-Saharan Africa that go beyond theories of ‘transition’. It will be of value to students and researchers in Global Health, Medical Anthropology and Public Health, and to readers with an interest in African Studies.

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