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  • 1
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Air Pollution ; Alcohol and Substance Abuse ; Disease Control and Prevention ; Economic Burden ; Health Burden ; Health, Nutrition and Population ; NCDS ; Policies and Regulations ; Sugar-Sweetened Beverages ; Tobacco and Alcohol ; Tobacco Use and Control
    Abstract: This report, which aims to raise awareness, identify gaps, and inform policies, is the first comprehensive report on NCDs in Kosovo. Unlike available studies, the present work explores multiple aspects of NCDs, including their burden on health outcomes, risk factors, management, economic burden, and policies introduced to protect the population from these conditions. The report's findings are based on data from existing literature, official documents such as laws, regulations, and protocols, secondary data analysis, and interviews with key informants. The report presents comparisons with available data from the Western Balkans (Albania, Bosnia and Herzegovina [BiH], Montenegro, North Macedonia, and Serbia), aspirational (former socialist, small European Union member states such as Croatia, Estonia, Latvia, Lithuania, and Slovenia) and structural peers (Albania, Armenia, Moldova, North Macedonia, and Kyrgyz) to contextualize the findings. The report concludes by providing recommendations to reduce the burden of NCDs in Kosovo to protect the human capital of current and future generations
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  • 2
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health, Nutrition and Population (HNP) Discussion Papers
    Keywords: Health, Nutrition and Population ; Immunizations
    Abstract: Kosovo has fully vaccinated 45.5 percent of the population, below what is needed to slow the spread of COVID-19. The Roma, Ashkali, and Egyptian communities, as marginalized ethnic groups, have been identified as high risk for acquiring COVID-19 and for lower acceptance of vaccines. Factors associated with vaccine acceptance are examined in this qualitative study among Roma, Ashkali, and Egyptian community members and representatives from civil society, community leaders, health care providers, and government working directly within these communities. Using a social-ecological model, intrapersonal, interpersonal, community, and structural factors influencing vaccine acceptance were identified. Intrapersonal-level factors centered on fear of side effects and doubt about vaccine safety and effectiveness, and lack of trust of health care providers; at the interpersonal level, male head of households decided for the entire family whether to receive the vaccine; in the social context at the community level, exposure to prolific misinformation on social media, television news, and paper pamphlets distributed in study communities created fear, doubt, and anxiety about vaccines, and stereotypes about the strong immune systems of ethnic minority groups reinforced beliefs about the communities low susceptibility to COVID-19; and structural-level barriers included the requirement for identification documents, and a buildup of doubt about motivations of the vaccinators created by massive vaccine-promotion efforts and police harassment in implementing curfew, and other protective measures targeting ethnic minority communities. Implications of these findings highlight a need for a segmented approach in designing subgroup-specific and multicomponent interventions to promote vaccine acceptance. Strategies include training local opinion leaders in door-to-door awareness raising, directly addressing misinformation, and distributing vouchers to be exchanged for incentives after vaccination; using social media where respected health care providers and community members post videos promoting vaccination; and removing or providing an alternative to identification requirements
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  • 3
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Child Health ; Early Child and Children's Health ; Early Childhood Development ; Early Childhood Education ; Education ; Health, Nutrition and Population ; Literacy ; Nutrition ; Poverty ; Poverty Reduction ; Prenatal Care ; Reproductive Health ; Services and Transfers to Poor ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Low levels of foundational literacy and numeracy skills in Kosovo limit the ability of young adults to develop the skills required for the labor market and to lead full and productive lives. It is well documented that early childhood development (ECD)in the first 1,000 days of life lays the foundation for a lifetime of positive outcomes in health, education, wellbeing, and labor market productivity. This period is proven to be sensitive for brain development and strengthening of the immune system. The brain grows faster during this period than any other time. Children missing appropriate health and nutrition, education, and nurturing care supports in these critical years may encounter long-term difficulties in learning and life outcomes. Evidence finds that those who fall behind early struggle to catch up, losing out on valuable higher education and human capital potential. Research confirms that efforts and investments to improve human capital outcomes must start in the earliest years and employ a multisectoral approach to help children survive and thrive. The aim of this situational analysis is to support the government of Kosovo in developing a comprehensive strategy and enabling environment that support the equitable expansion of quality ECD services. This report analyzes multi-sectoral services supporting ECD in Kosovo by taking a child growth and development approach from pregnancy to entry to primary school, around six years old
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  • 4
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2109
    Keywords: Gender and Economics ; Gender and Education ; Gender and Health ; Gender and Law ; Gender Monitoring and Evaluation ; Health Financing ; Health, Nutrition and Population ; Social Programs ; Social Protections and Labor ; UHC ; Universal Health Coverage
    Abstract: The objective of this paper is to facilitate common understanding of the health financing situation in Kosovo, to serve as a basis for reaching a consensus on the way forward. The issue is motivated by a basic framework of health financing functions and how they contribute to UHC goals. Global good practices and examples from peer countries are presented in the Annex to providecomparisons with the situation in Kosovo. The paper describes the status of health financing and its implications for UHC. A long-term vision for health financing is presented and recommendations for possible short and medium term (3-5 years) policy priorities are provided based on the current situation and desirable trajectory. The exclusive focus on health financing is deliberate although otherimportant health system functions, such as service delivery and governance, will need to move in parallel for health financing reforms to achieve their intended outcomes
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