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Global Health Action

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https://www.readbyqxmd.com/read/29343213/the-community-is-just-a-small-circle-citizen-participation-in-the-free-maternal-and-child-healthcare-programme-of-enugu-state-nigeria
#1
Daniel C Ogbuabor, Obinna E Onwujekwe
BACKGROUND: There is a gap in knowledge about how citizen participation impacts governance of free healthcare policies for universal health coverage in low- and middle-income countries. OBJECTIVE: This study provides evidence about how social accountability initiatives influenced revenue generation, pooling and fund management, purchasing and capacity of health facilities implementing the free maternal and child healthcare programme (FMCHP) in Enugu State, Nigeria...
2018: Global Health Action
https://www.readbyqxmd.com/read/29343190/factors-affecting-effective-ventilation-during-newborn-resuscitation-a-qualitative-study-among-midwives-in-rural-tanzania
#2
R Moshiro, H L Ersdal, P Mdoe, H L Kidanto, C Mbekenga
BACKGROUND: Intrapartum-related hypoxia accounts for 30% of neonatal deaths in Tanzania. This has led to the introduction and scaling-up of the Helping Babies Breathe (HBB) programme, which is a simulation-based learning programme in newborn resuscitation skills. Studies have documented ineffective ventilation of non-breathing newborns and the inability to follow the HBB algorithm among providers. OBJECTIVE: This study aimed at exploring barriers and facilitators to effective bag mask ventilation, an essential component of the HBB algorithm, during actual newborn resuscitation in rural Tanzania...
2018: Global Health Action
https://www.readbyqxmd.com/read/29338660/social-ecological-factors-associated-with-selling-sex-among-men-who-have-sex-with-men-in-jamaica-results-from-a-cross-sectional-tablet-based-survey
#3
Carmen H Logie, Ashley Lacombe-Duncan, Kathleen S Kenny, Kandasi Levermore, Nicolette Jones, Stefan D Baral, Ying Wang, Annecka Marshall, Peter A Newman
BACKGROUND: Globally, men who have sex with men (MSM) experience social marginalization and criminalization that increase HIV vulnerability by constraining access to HIV prevention and care. People who sell sex also experience criminalization, rights violations, and violence, which elevate HIV exposure. MSM who sell sex may experience intersectional stigma and intensified social marginalization, yet have largely been overlooked in epidemiological and social HIV research. In Jamaica, where same sex practices and sex work are criminalized, scant research has investigated sex selling among MSM, including associations with HIV vulnerability...
2018: Global Health Action
https://www.readbyqxmd.com/read/29336236/implementation-of-genomics-research-in-africa-challenges-and-recommendations
#4
Sally N Adebamowo, Veronica Francis, Ernest Tambo, Seybou H Diallo, Guida Landouré, Victoria Nembaware, Eileen Dareng, Babu Muhamed, Michael Odutola, Teniola Akeredolu, Barbara Nerima, Petronilla J Ozumba, Slee Mbhele, Anita Ghanash, Ablo P Wachinou, Nicholas Ngomi
BACKGROUND: There is exponential growth in the interest and implementation of genomics research in Africa. This growth has been facilitated by the Human Hereditary and Health in Africa (H3Africa) initiative, which aims to promote a contemporary research approach to the study of genomics and environmental determinants of common diseases in African populations. OBJECTIVE: The purpose of this article is to describe important challenges affecting genomics research implementation in Africa...
2018: Global Health Action
https://www.readbyqxmd.com/read/29334333/are-people-at-high-risk-for-diabetes-visiting-health-facility-for-confirmation-of-diagnosis-a-population-based-study-from-rural-india
#5
Nikhil Srinivasapura Venkateshmurthy, Kathirvel Soundappan, Balaji Gummidi, Malipeddi Bhaskara Rao, Nikhil Tandon, K Srinath Reddy, Dorairaj Prabhakaran, Sailesh Mohan
BACKGROUND: India is witnessing a rising burden of type 2 diabetes mellitus. India's National Programme for Prevention and Control of Diabetes, Cancer, Cardiovascular diseases and Stroke recommends population-based screening and referral to primary health centre for diagnosis confirmation and treatment initiation. However, little is known about uptake of confirmatory tests among screen positives. OBJECTIVE: To estimate the uptake of confirmatory tests and identify the reasons for not undergoing confirmation by those at high risk for developing diabetes...
2018: Global Health Action
https://www.readbyqxmd.com/read/29334324/the-rite-of-passage-of-becoming-a-humanitarian-health-worker-experiences-of-retention-in-sweden
#6
Sara Albuquerque, Anneli Eriksson, Helle M Alvesson
BACKGROUND: Low retention of humanitarian workers poses constraints on humanitarian organisations' capacity to respond effectively to disasters. Research has focused on reasons for humanitarian workers leaving the sector, but little is known about the factors that can elucidate long-term commitment. OBJECTIVE: To understand what motivates and supports experienced humanitarian health workers to remain in the sector. METHODS: Semi-structured interviews were conducted with 10 experienced nurses who had been on at least three field missions with Médecins Sans Frontières Sweden...
2018: Global Health Action
https://www.readbyqxmd.com/read/29322867/implementing-voluntary-medical-male-circumcision-using-an-innovative-integrated-health-systems-approach-experiences-from-21-districts-in-zimbabwe
#7
Caryl Feldacker, Batsirai Makunike-Chikwinya, Marrianne Holec, Aaron F Bochner, Abby Stepaniak, Robert Nyanga, Sinokuthemba Xaba, Peter H Kilmarx, Amy Herman-Roloff, Taurayi Tafuma, Mufuta Tshimanga, Vuyelwa T Sidile-Chitimbire, Scott Barnhart
BACKGROUND: Despite increased support for voluntary medical male circumcision (VMMC) to reduce HIV incidence, current VMMC progress falls short. Slow progress in VMMC expansion may be partially attributed to emphasis on vertical (stand-alone) over more integrated implementation models that are more responsive to local needs. In 2013, the ZAZIC consortium began implementation of a 5-year, integrated VMMC program jointly with Ministry of Health and Child Care (MoHCC) in Zimbabwe. OBJECTIVE: To explore ZAZIC's approach emphasizing existing healthcare workers and infrastructure, increasing program sustainability and resilience...
2018: Global Health Action
https://www.readbyqxmd.com/read/29320947/from-global-to-local-rural-mental-health-in-south-africa
#8
Richard Vergunst
In this paper, the current situation regarding rural mental health in South Africa is explored. The current status is presented, followed by an attempt to provide approaches and ideas to improve the situation in order to make it more context appropriate and relevant. Issues of staffing, task shifting or sharing, and formal vs informal health care systems are considered and discussed as possible future approaches to improve rural mental health care in South Africa.
2018: Global Health Action
https://www.readbyqxmd.com/read/29320943/management-training-in-global-health-education-a-health-innovation-fellowship-training-program-to-bring-healthcare-to-low-income-communities-in-central-america
#9
Andrea M Prado, Andy A Pearson, Nathan S Bertelsen
BACKGROUND: Interprofessional education is increasingly recognized as essential for health education worldwide. Although effective management, innovation, and entrepreneurship are necessary to improve health systems, business schools have been underrepresented in global health education. Central America needs more health professionals trained in health management and innovation to respond to health disparities, especially in rural communities. OBJECTIVE:   This paper explores the impact of the Health Innovation Fellowship (HIF), a new training program for practicing health professionals offered jointly by the Central American Healthcare Initiative and INCAE Business School, Costa Rica...
2018: Global Health Action
https://www.readbyqxmd.com/read/28885110/corrigenda
#10
(no author information available yet)
No abstract text is available yet for this article.
August 2017: Global Health Action
https://www.readbyqxmd.com/read/28876193/maternal-and-newborn-health-implementation-research-programme-outcomes-pathways-of-change-and-partnerships-for-equitable-health-systems-in-uganda
#11
Asha George, Moses Tetui, George W Pariyo, Stefan S Peterson
No abstract text is available yet for this article.
August 2017: Global Health Action
https://www.readbyqxmd.com/read/28871853/effect-of-a-participatory-multisectoral-maternal-and-newborn-intervention-on-maternal-health-service-utilization-and-newborn-care-practices-a-quasi-experimental-study-in-three-rural-ugandan-districts
#12
Elizabeth Ekirapa-Kiracho, Rornald Muhumuza Kananura, Moses Tetui, Gertrude Namazzi, Aloysius Mutebi, Asha George, Ligia Paina, Peter Waiswa, Ahmed Bumba, Godfrey Mulekwa, Dinah Nakiganda-Busiku, Moses Lyagoba, Harriet Naiga, Mary Putan, Agatha Kulwenza, Judith Ajeani, Ayub Kakaire-Kirunda, Fred Makumbi, Lynn Atuyambe, Olico Okui, Suzanne Namusoke Kiwanuka
BACKGROUND: The MANIFEST study in eastern Uganda employed a participatory multisectoral approach to reduce barriers to access to maternal and newborn care services. OBJECTIVES: This study analyses the effect of the intervention on the utilization of maternal and newborn services and care practices. METHODS: The quasi-experimental pre- and post-comparison design had two main components: community mobilization and empowerment, and health provider capacity building...
August 2017: Global Health Action
https://www.readbyqxmd.com/read/28856988/characteristics-of-community-savings-groups-in-rural-eastern-uganda-opportunities-for-improving-access-to-maternal-health-services
#13
Aloysius Mutebi, Rornald Muhumuza Kananura, Elizabeth Ekirapa-Kiracho, John Bua, Suzanne Namusoke Kiwanuka, Getrude Nammazi, Ligia Paina, Moses Tetui
BACKGROUND: Rural populations in Uganda have limited access to formal financial Institutions, but a growing majority belong to saving groups. These saving groups could have the potential to improve household income and access to health services. OBJECTIVE: To understand organizational characteristics, benefits and challenges, of savings groups in rural Uganda. METHODS: This was a cross-sectional descriptive study that employed both quantitative and qualitative data collection techniques...
August 2017: Global Health Action
https://www.readbyqxmd.com/read/28856974/experiences-of-using-a-participatory-action-research-approach-to-strengthen-district-local-capacity-in-eastern-uganda
#14
Moses Tetui, Anna-Britt Coe, Anna-Karin Hurtig, Elizabeth Ekirapa-Kiracho, Suzanne N Kiwanuka
BACKGROUND: To achieve a sustained improvement in health outcomes, the way health interventions are designed and implemented is critical. A participatory action research approach is applauded for building local capacity such as health management. Thereby increasing the chances of sustaining health interventions. OBJECTIVE: This study explored stakeholder experiences of using PAR to implement an intervention meant to strengthen the local district capacity. METHODS: This was a qualitative study featuring 18 informant interviews and a focus group discussion...
August 2017: Global Health Action
https://www.readbyqxmd.com/read/28849729/effect-of-a-participatory-multisectoral-maternal-and-newborn-intervention-on-birth-preparedness-and-knowledge-of-maternal-and-newborn-danger-signs-among-women-in-eastern-uganda-a-quasi-experiment-study
#15
Rornald Muhumuza Kananura, Moses Tetui, John Bua, Elizabeth Ekirapa-Kiracho, Aloysius Mutebi, Gertrude Namazzi, Suzanne Namusoke Kiwanuka, Peter Waiswa
BACKGROUND: Knowledge of obstetric danger signs and adequate birth preparedness (BP) are critical for improving maternal services utilization. OBJECTIVES:  This study assessed the effect of a participatory multi-sectoral maternal and newborn intervention on BP and knowledge of obstetric danger signs among women in Eastern Uganda. METHODS: The Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study was implemented in three districts from 2013 to 2015 using a quasi-experimental pre-post comparison design...
August 2017: Global Health Action
https://www.readbyqxmd.com/read/28849723/maternal-and-neonatal-implementation-for-equitable-systems-a-study-design-paper
#16
Elizabeth Ekirapa-Kiracho, Moses Tetui, John Bua, Rornald Muhumuza Kananura, Peter Waiswa, Fred Makumbi, Lynn Atuyambe, Judith Ajeani, Asha George, Aloysuis Mutebi, Ayub Kakaire, Gertrude Namazzi, Ligia Paina, Suzanne Namusoke Kiwanuka
BACKGROUND: Evidence on effective ways of improving maternal and neonatal health outcomes is widely available. The challenge that most low-income countries grapple with is implementation at scale and sustainability. OBJECTIVES: The study aimed at improving access to quality maternal and neonatal health services in a sustainable manner by using a participatory action research approach. METHODS:  The  study consisted of a quasi-experimental design, with a participatory action research approach to implementation in three rural districts (Pallisa, Kibuku and Kamuli) in Eastern Uganda...
August 2017: Global Health Action
https://www.readbyqxmd.com/read/28849718/working-with-community-health-workers-to-improve-maternal-and-newborn-health-outcomes-implementation-and-scale-up-lessons-from-eastern-uganda
#17
Gertrude Namazzi, Monica Okuga, Moses Tetui, Rornald Muhumuza Kananura, Ayub Kakaire, Sarah Namutamba, Aloysius Mutebi, Suzanne Namusoke Kiwanuka, Elizabeth Ekirapa-Kiracho, Peter Waiswa
BACKGROUND: Preventable maternal and newborn deaths can be averted through simple evidence-based interventions, such as the use of community health workers (CHWs), also known in Uganda as village health teams. However, the CHW strategy faces implementation challenges regarding training packages, supervision, and motivation. OBJECTIVES: This paper explores knowledge levels of CHWs, describes the coverage of home visits, and shares lessons learnt from setting up and implementing the CHW strategy...
August 2017: Global Health Action
https://www.readbyqxmd.com/read/28838292/balancing-the-cost-of-leaving-with-the-cost-of-living-drivers-of-long-term-retention-of-health-workers-an-explorative-study-in-three-rural-districts-in-eastern-uganda
#18
Suzanne Namusoke Kiwanuka, Martha Akulume, Moses Tetui, Rornald Muhumuza Kananura, John Bua, Elizabeth Ekirapa-Kiracho
BACKGROUND: Health worker retention in rural and underserved areas remains a persisting problem in many low and middle income countries, and this directly affects the quality of health services offered. OBJECTIVE: This paper explores the drivers of long-term retention and describes health worker coping mechanisms in rural Uganda. METHODS: A descriptive qualitative study explored the factors that motivated health workers to stay, in three rural districts of Uganda: Kamuli, Pallisa, and Kibuku...
August 2017: Global Health Action
https://www.readbyqxmd.com/read/28820340/effect-of-support-supervision-on-maternal-and-newborn-health-services-and-practices-in-rural-eastern-uganda
#19
Angela N Kisakye, Rornald Muhumuza Kananura, Elizabeth Ekirapa-Kiracho, John Bua, Martha Akulume, Gertrude Namazzi, Suzanne Namusoke Kiwanuka
BACKGROUND: Support supervision is one of the strategies used to check the quality of services provided at health facilities. From 2013 to 2015, Makerere University School of Public Health strengthened support supervision in the district of Kibuku, Kamuli and Pallisa in Eastern Uganda to improve the quality of maternal and newborn services. OBJECTIVE: This article assesses quality improvements in maternal and newborn care services and practices during this period...
August 2017: Global Health Action
https://www.readbyqxmd.com/read/28820046/-nurture-the-sprouting-bud-do-not-uproot-it-using-saving-groups-to-save-for-maternal-and-newborn-health-lessons-from-rural-eastern-uganda
#20
Elizabeth Ekirapa-Kiracho, Ligia Paina, Rornald Muhumuza Kananura, Aloysius Mutebi, Pacuto Jane, Juliet Tumuhairwe, Moses Tetui, Suzanne N Kiwanuka
BACKGROUND: Saving groups are increasingly being used to save in many developing countries. However, there is limited literature about how they can be exploited to improve maternal and newborn health. OBJECTIVES: This paper describes saving practices, factors that encourage and constrain saving with saving groups, and lessons learnt while supporting communities to save through saving groups. METHODS: This qualitative study was done in three districts in Eastern Uganda...
August 2017: Global Health Action
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