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Global Health Action

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August 2017: Global Health Action
Asha George, Moses Tetui, George W Pariyo, Stefan S Peterson
No abstract text is available yet for this article.
August 2017: Global Health Action
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
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
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
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
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
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
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
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
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
Judith Ajeani, Richard Mangwi Ayiasi, Moses Tetui, Elizabeth Ekirapa-Kiracho, Gertrude Namazzi, Ronald Muhumuza Kananura, Suzanne Namusoke Kiwanuka, Jolly Beyeza-Kashesya
BACKGROUND: There is increasing demand for trainers to shift from traditional didactic training to innovative approaches that are more results-oriented. Mentorship is one such approach that could bridge the clinical knowledge gap among health workers. OBJECTIVES: This paper describes the experiences of an attempt to improve health-worker performance in maternal and newborn health in three rural districts through a mentoring process using the cascade model. The paper further highlights achievements and lessons learnt during implementation of the cascade model...
August 2017: Global Health Action
Marie Hasselberg, Lee Wallis, Paul Blessing, Lucie Laflamme
BACKGROUND: A smartphone-based consultation system for acute burns is currently being implemented in the Western Cape, South Africa. Even though studies indicate that similar systems for burns tend to support valid diagnosis and influence patient management, the evidence is still sparse. There is a need for more in-depth evaluations, not least in resource-constrained settings where mHealth projects are increasing. OBJECTIVE: This article describes the consultation system and assessments in relation to its implementation with a special focus on methodological challenges...
June 2017: Global Health Action
Lee Wallis, Marie Hasselberg, Catharina Barkman, Isaac Bogoch, Sean Broomhead, Guy Dumont, Johann Groenewald, Johan Lundin, Johan Norell Bergendahl, Peter Nyasulu, Maud Olofsson, Lars Weinehall, Lucie Laflamme
BACKGROUND: Diagnostic support for clinicians is a domain of application of mHealth technologies with a slow uptake despite promising opportunities, such as image-based clinical support. The absence of a roadmap for the adoption and implementation of these types of applications is a further obstacle. OBJECTIVES: This article provides the groundwork for a roadmap to implement image-based support for clinicians, focusing on how to overcome potential barriers affecting front-line users, the health-care organization and the technical system...
June 2017: Global Health Action
Jan Gulliksen
Digitalization is the societal change process in which new ICT-based solutions bring forward completely new ways of doing things, new businesses and new movements in the society. Digitalization also provides completely new ways of addressing issues related to global health. This paper provides an overview of the field of human-computer interaction (HCI) and in what way the field has contributed to international development in different regions of the world. Additionally, it outlines the United Nations' new sustainability goals from December 2015 and what these could contribute to the development of global health and its relationship to digitalization...
June 2017: Global Health Action
Johan Lundin, Guy Dumont
Current advances within medical technology show great potential from a global health perspective. Inexpensive, effective solutions to common problems within diagnostics, medical procedures and access to medical information are emerging within almost all fields of medicine. The innovations can benefit health care both in resource-limited and in resource-rich settings. However, there is a big gap between the proof-of-concept stage and implementation. This article will give examples of promising solutions, with special focus on mobile image- and sensor-based diagnostics...
June 2017: Global Health Action
Lucie Laflamme
No abstract text is available yet for this article.
June 2017: Global Health Action
Samira Abbasgholizadeh Rahimi, Matthew Menear, Hubert Robitaille, France Légaré
Mobile health (mHealth) applications intended to support shared decision making in diagnostic and treatment decisions are increasingly available. In this paper, we discuss some recent studies on mHealth applications with relevance to shared decision making. We discuss the potential advantages and disadvantages of using mHealth in shared decision making in various contexts, and suggest some directions for future research in this quickly expanding field.
June 2017: Global Health Action
Oscar Holmström, Nina Linder, Billy Ngasala, Andreas Mårtensson, Ewert Linder, Mikael Lundin, Hannu Moilanen, Antti Suutala, Vinod Diwan, Johan Lundin
BACKGROUND: Microscopy remains the gold standard in the diagnosis of neglected tropical diseases. As resource limited, rural areas often lack laboratory equipment and trained personnel, new diagnostic techniques are needed. Low-cost, point-of-care imaging devices show potential in the diagnosis of these diseases. Novel, digital image analysis algorithms can be utilized to automate sample analysis. OBJECTIVE: Evaluation of the imaging performance of a miniature digital microscopy scanner for the diagnosis of soil-transmitted helminths and Schistosoma haematobium, and training of a deep learning-based image analysis algorithm for automated detection of soil-transmitted helminths in the captured images...
June 2017: Global Health Action
Stefan Fölster
Thousands of mHealth applications are developed every year, but few of these spread or 'go viral'. Even clinical applications that provide health benefits and social value often linger after an initial pilot phase. An examination of common hindrances in low-income countries suggests that more subsidies and education of health care personnel are insufficient solutions. Instead we propose better a priori screening of mHealth applications based on four criteria that may largely determine whether an mHealth application will spread...
June 2017: Global Health Action
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