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International Health

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https://www.readbyqxmd.com/read/29040565/refugees-migrants-and-displaced-populations-the-united-nations-new-york-declaration-and-the-who-international-health-regulations
#1
Richard Seifman
The World Health Assembly approved the International Health Regulations (IHR) committing countries to strengthen their capacity to address public health emergencies of international concern. A mechanism to assess a country's capacity, the Joint External Evaluation (JEE), is a means to assist countries to assess their health system preparedness. The assessment teams include public health and veterinary experts, but include those with specialized knowledge about refugee, immigrant, and internally displaced persons situations...
October 5, 2017: International Health
https://www.readbyqxmd.com/read/29036551/comparative-study-of-the-growth-and-nutritional-status-of-brazilian-and-nigerian-school-aged-children-with-sickle-cell-disease
#2
Samuel A Adegoke, Maria S Figueiredo, Adekunle D Adekile, Josefina A P Braga
Background: Comparative studies of patients in different sociogeographic/ecological zones may unravel potential environmental and nutritional factors influencing disease phenotype. In sickle cell disease (SCD), differential access to comprehensive care may influence their growth and nutritional status. Methods: From June 2015 to February 2016, steady-state nutritional parameters of 109 Brazilian and 95 Nigerian children with SCD attending routine clinic visits at Universidade Federal de São Paulo, Brazil and Obafemi Awolowo University Teaching Hospital, Ile-Ife (Ilesa unit), respectively, were compared...
September 28, 2017: International Health
https://www.readbyqxmd.com/read/29036444/the-elephant-in-the-room-toward-a-more-ethical-approach-with-accountability-toward-intended-beneficiaries-in-humanitarian-aid
#3
Ramin Asgary, Ronald J Waldman
There is considerable tension between the concept of accountability to beneficiaries and its practice in humanitarian aid. The beneficiaries live in a relationship that is asymmetric; upward or horizontal accountability within the aid system alone-even with the best of intentions-might be short-sighted. Could beneficiaries be effectively involved in programing, priority setting or allocation of resources? Is there space for a rights-based approach in aid delivery and operations? The mind-set, governance and structure of operations in aid agencies may need significant institutional reform to share the process of decision-making, and to transform the current dynamic from connecting resources to brokering better governance, true collaboration and co-operation among all stakeholders...
September 28, 2017: International Health
https://www.readbyqxmd.com/read/28911132/the-neglected-diseases-will-a-new-world-order-reverse-global-gains
#4
Peter J Hotez
No abstract text is available yet for this article.
September 1, 2017: International Health
https://www.readbyqxmd.com/read/28911131/addressing-challenges-to-human-health-in-the-anthropocene-epoch-an-overview-of-the-findings-of-the-rockefeller-lancet-commission-on-planetary-health
#5
Andy Haines
No abstract text is available yet for this article.
September 1, 2017: International Health
https://www.readbyqxmd.com/read/28911130/on-the-ferries-the-unmet-health-care-needs-of-transiting-refugees-in-greece
#6
REVIEW
Clare K Shortall, Rosanna Glazik, Alvin Sornum, Ceri Pritchard
Background: In 2015, over 850 000 refugees, asylum seekers and migrants arrived in Greece. In response to an overwhelming need for access to healthcare for them, Doctors of the World established the Refugee Ferry Project, which comprised of a clinic providing primary health care, and integrated mental health and psychosocial support on board a commercial ferry. Methods: Of the 1405 service users, 87.5% (1229/1405) originated from Syria, Afghanistan and Iraq. The majority were women 801/1405 (57%) and children 511/1405 (36%), including 50 pregnant women and 19 unaccompanied minors...
September 1, 2017: International Health
https://www.readbyqxmd.com/read/28911129/a-comparative-study-on-the-efficacy-of-praziquantel-and-albendazole-in-the-treatment-of-urinary-schistosomiasis-in-adim-cross-river-state-nigeria
#7
COMPARATIVE STUDY
S A Ben, M F Useh
Background: Praziquantel (PZQ) is the current drug of choice for the treatment of urinary schistosomiasis in endemic areas. It is very efficacious, although the potential for the development of resistance has been reported in some endemic areas among human subjects and in animal studies. Its' limitation include high cost and administration of multiple numbers of tablets. Albendazole (ALB) is used in the treatment of intestinal helminths infection. It is a broad-spectrum single-dose antihelminthic with an excellent cure rate and safety criteria...
September 1, 2017: International Health
https://www.readbyqxmd.com/read/28911128/charting-a-path-forward-policy-analysis-of-china-s-evolved-drg-based-hospital-payment-system
#8
Rui Liu, Jianwei Shi, Beilei Yang, Chunlin Jin, Pengfei Sun, Lingfang Wu, Dehua Yu, Linping Xiong, Zhaoxin Wang
Background: At present, the diagnosis-related groups-based prospective payment system (DRG-PPS) that has been implemented in China is merely a prototype called the simplified DRG-PPS, which is known as the 'ceiling price for a single disease'. Given that studies on the effects of a simplified DRG-PPS in China have usually been controversial, we aim to synthesize evidence examining whether DRGs can reduce medical costs and length of stay (LOS) in China. Methods: Data were searched from both Chinese [Wan Fang and China National Knowledge Infrastructure Database (CNKI)] and international databases (Web of Science and PubMed), as well as the official websites of Chinese health departments in the 2004-2016 period...
September 1, 2017: International Health
https://www.readbyqxmd.com/read/28911127/nutritional-status-of-children-from-low-income-countries-arriving-in-spain
#9
Moncef Belhassen-García, Virginia Velasco-Tirado, Amparo Lopez-Bernus, Juan Luis Muñoz Bellido, Antonio Muro, Miguel Cordero, Javier Pardo-Lledias
Background: Nutritional problems, anaemia and infectious diseases are the main causes of morbidity and mortality in children and adolescents in tropical and subtropical areas. The main objective of this study was to determine the nutritional status in children from low-income countries who migrated to Spain and the value of the usual biochemistry markers of nutrition in these children, as well as to evaluate the nutritional status associated with imported infectious diseases. Moreover, we evaluated the association between anaemia and nutrition problems...
September 1, 2017: International Health
https://www.readbyqxmd.com/read/28911126/diabetes-in-the-cape-coast-metropolis-of-ghana-an-assessment-of-risk-factors-nutritional-practices-and-lifestyle-changes
#10
Worlanyo E Gato, Samuel Acquah, Bettye A Apenteng, Samuel T Opoku, Blessed K Boakye
Background: Despite the significant increase in the incidence of diabetes in Ghana, research in this area has been lagging. The purpose of the study was to assess the risk factors associated with diabetes in the Cape Coast metropolis of Ghana, and to describe nutritional practices and efforts toward lifestyle change. Methods: A convenient sample of 482 adults from the Cape Coast metropolis was surveyed using a self-reported questionnaire. The survey collected information on the demographic, socioeconomic characteristics, health status and routine nutritional practices of respondents...
September 1, 2017: International Health
https://www.readbyqxmd.com/read/28911125/differences-in-survival-among-adults-with-hiv-associated-kaposi-s-sarcoma-during-routine-hiv-treatment-initiation-in-zomba-district-malawi-a-retrospective-cohort-analysis
#11
Emmanuel Singogo, Thomas J Keegan, Peter J Diggle, Monique van Lettow, Alfred Matengeni, Joep J van Oosterhout, Sumeet Sodhi, Martias Joshua, Benjamin M Taylor
Background: The HIV epidemic is a major public health concern throughout Africa. Malawi is one of the worst affected countries in sub-Saharan Africa with a 2014 national HIV prevalence currently estimated at 10% (9.3-10.8%) by UNAIDS. Study reports, largely in the African setting comparing outcomes in HIV patients with and without Kaposi's sarcoma (KS) indicate poor prognosis and poor health outcomes amongst HIV+KS patients. Understanding the mortality risk in this patient group could help improve patient management and care...
September 1, 2017: International Health
https://www.readbyqxmd.com/read/28911124/assessment-of-quality-of-antiretroviral-therapy-services-in-india-2014-2015
#12
Bharat Bhushan Rewari, Reshu Agarwal, Ramesh Reddy Allam, Nalini Chava, A S Rathore
Background: Following a decade of provision of free antiretroviral therapy (ART) in India, a nationwide assessment of ART services was conducted to review quality of care at ART centers. This paper presents the methods and defines replicable model of undertaking large scale assessments. Methods: During the period January 2014-March 2015, 357 ART centers were reviewed under four domains, namely, operations, technical, monitoring and evaluation (M&E), and logistics...
September 1, 2017: International Health
https://www.readbyqxmd.com/read/28810670/journey-towards-universal-viral-load-monitoring-in-maputo-mozambique-many-gaps-but-encouraging-signs
#13
Sarah Swannet, Tom Decroo, Sheila M T L de Castro, Caroline Rose, Ruggero Giuliani, Lucas Molfino, Ana W Torrens, Walter S E D Macueia, Sharon Perry, Tony Reid
Introduction: Viral load (VL) monitoring for people on antiretroviral therapy (ART) is extremely challenging in resource-limited settings. We assessed the VL testing scale-up in six Médecins Sans Frontières supported health centres in Maputo, Mozambique, during 2014-15. Methods: In a retrospective cohort study, routine programme data were used to describe VL testing uptake and results, and multi-variate logistical regression to estimate predictors of VL testing uptake and suppression...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28810669/hiv-status-disclosure-facility-based-delivery-and-postpartum-retention-of-mothers-in-a-prevention-clinical-trial-in-rural-nigeria
#14
RANDOMIZED CONTROLLED TRIAL
Kidane A Sarko, Meridith Blevins, Aimalohi A Ahonkhai, Carolyn M Audet, Troy D Moon, Usman I Gebi, Ahmed M Gana, C William Wester, Sten H Vermund, Muktar H Aliyu
Background: Within the context of a cluster randomized prevention of mother-to-child HIV transmission (PMTCT) trial, we evaluated the impact of disclosure on selected PMTCT continuum of care measures. Methods: In 12 rural matched-pair clinics randomly assigned to an intervention package versus standard-of-care, we enrolled 372 HIV-infected pregnant women from April 2013 to March 2014. This secondary analysis included 327 (87.9%) women with unknown HIV status or who were treatment naïve at presentation to antenatal care...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28810668/mass-drug-administration-in-central-equatoria-south-sudan-results-and-suggestions-for-future-distributions
#15
Giuseppina Ortu, Jamshed Khan, Makoy Samuel Yibi, Ismail Abdu Nimaya
Background: South Sudan has rolled out a neglected tropical disease programme, which envisaged deworming campaigns in states endemic for soil transmitted helminth infections and schistosomiasis. Methods: In 2016, two deworming campaigns targeting school-age children were performed in Central Equatoria. Distribution sites were set up in primary schools, Boma Health Initiative headquarters, health centres and markets. Training, radio adverts and community meetings were performed before the campaigns...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28810667/understanding-data-sources-to-measure-patient-retention-in-hiv-care-in-sub-saharan-africa
#16
Kate Clouse, Tamsin Phillips, Landon Myer
Antiretroviral therapy (ART) programs in sub-Saharan Africa are moving towards universal treatment, yet the success of these programs is threatened by gaps within the continuum of HIV care. In this commentary, we seek to draw attention to the advantages and limitations of different data sources currently used for measuring retention in HIV care. Within the context of a piecemeal combination of imperfect data sources, selecting a gold standard of collecting retention data is difficult. Currently, our data systems for measuring retention provide an incomplete picture of the health of our national ART systems and, thus, the health of our patients...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28810666/monitoring-and-discharging-children-being-treated-for-severe-acute-malnutrition-using-mid-upper-arm-circumference-secondary-data-analysis-from-rural-gambia
#17
Alice Burrell, Marko Kerac, Helen Nabwera
Background: Severe acute malnutrition (SAM) is a major public health problem. Mid-upper arm circumference (MUAC) is widely used to admit children to treatment programmes. However, insufficient data supporting MUAC discharge criterion limits its use as a stand-alone tool. Our aim was to evaluate MUAC for monitoring nutritional recovery and discharge. Methods: This was a secondary analysis of clinical data from children 6-59 months-old treated for SAM from January 2003 to December 2013 at the Nutritional Rehabilitation Unit in rural Gambia...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28810665/determinants-of-full-vaccination-status-in-children-aged-12-23-months-in-gur%C3%A3-%C3%A3-and-milange-districts-mozambique-results-of-a-population-based-cross-sectional-survey
#18
Shellese A Shemwell, Meridith B Peratikos, Lázaro González-Calvo, Montse Renom-Llonch, Alexandre Boon, Samuel Martinho, Charlotte B Cherry, Ann F Green, Troy D Moon
Background: In 2011, 64% of children in Mozambique, ages 12-23 months, were fully immunized. Large provincial differences in vaccine uptake exist. Methods: We conducted a survey of 1650 females with children aged 12-23 months in the districts of Gurùé and Milange. Implementation occurred from November to December 2014. Descriptive statistics and logistic regression using R-software 3.0.2 were used to examine factors associated with full vaccination status. ArcGIS version 10...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28541518/mapping-healthcare-systems-a-policy-relevant-analytic-tool
#19
Neelam Sekhri Feachem, Ariana Afshar, Cristina Pruett, Anton L V Avanceña
Background: In the past decade, an international consensus on the value of well-functioning systems has driven considerable health systems research. This research falls into two broad categories. The first provides conceptual frameworks that take complex healthcare systems and create simplified constructs of interactions and functions. The second focuses on granular inputs and outputs. This paper presents a novel translational mapping tool - the University of California, San Francisco mapping tool (the Tool) - which bridges the gap between these two areas of research, creating a platform for multi-country comparative analysis...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28407112/collaborating-to-develop-joint-water-sanitation-and-hygiene-wash-and-neglected-tropical-disease-ntd-sector-monitoring-an-expert-consultation
#20
Robyn C Waite, Geordie Woods, Yael Velleman, Matthew C Freeman
Background: Joint monitoring between the water, sanitation and hygiene (WASH) and neglected tropical disease (NTD) sectors presents an opportunity for enhanced collaboration and progress towards shared objectives. Taking forward outputs from global WASH and NTD Roundtables, we engaged experts in a consultative process of identifying measurable priority indicators for joint monitoring. Methods: We used a Delphi method for conducting expert consultation and developing consensus...
July 1, 2017: International Health
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