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village clinic

Jianhua Chen, Hai Yu, Hengjin Dong
BACKGROUND: Many countries are developing health mechanisms to pursue the goal of universal coverage. In China, a rural health insurance system entitled New Cooperative Medical System (NCMS) has being developed since 2003. This paper aims to explore the changes in the health service needs and utilization among rural residents in Ningbo, China after the implementation of the new rural cooperative medical system (NCMS), and provide evidence to further improve the strategies of NCMS in China...
October 20, 2016: BMC Health Services Research
Leyla Ismayilova, Eleni Gaveras, Austin Blum, Alexice Tô-Camier, Rachel Nanema
OBJECTIVES: Research about the mental health of children in Francophone West Africa is scarce. This paper examines the relationships between adverse childhood experiences, including exposure to violence and exploitation, and mental health outcomes among children living in ultra-poverty in rural Burkina Faso. METHODS: This paper utilizes baseline data collected from 360 children ages 10-15 and 360 of their mothers recruited from twelve impoverished villages in the Nord Region of Burkina, located near the Sahel Desert and affected by extreme food insecurity...
2016: PloS One
Bounthanom Sengkeopraseuth, Khonesavanh Bounma, Chansone Siamong, Siddhartha Datta, Bouaphanh Khamphaphongphane, Phengta Vongphachanh, Dapeng Luo, Michael O'Reilly, Cindy H Chiu
BACKGROUND: In January 2015, the Lao People's Democratic Republic Ministry of Health received a report of 34 cases of fever and rash with one laboratory-confirmed measles case in Houitone village, Pakseng District of Luang Prabang Province. Between 21 and 27 January, we conducted a field investigation to determine the etiology, magnitude and severity of this outbreak. METHODS: We conducted active case findings in Houitone and neighbouring villages and collected information on age, location, date of rash onset, symptoms and measles vaccination status...
January 2016: Western Pacific Surveillance and Response Journal: WPSAR
Gaurav Charaya, N K Rakha, Sushila Maan, Aman Kumar, Tarun Kumar, Ricky Jhambh
AIM: This study aims to develop and to standardize a polymerase chain reaction (PCR) assay that will diagnose clinical as well as carrier state of the disease and to compare the results with conventional microscopy technique. MATERIALS AND METHODS: A herd of crossbred cattle with the previous history of theileriosis in village Lahli, district Rohtak, Haryana, was selected for this study. A total of 29 blood samples were collected randomly from cows including five clinically ill cattle...
September 2016: Veterinary World
Xin Wang, Stephen Birch, Weiming Zhu, Huifen Ma, Mark Embrett, Qingyue Meng
BACKGROUND: Increases in health care utilization and costs, resulting from the rising prevalence of chronic conditions related to the aging population, is exacerbated by a high level of fragmentation that characterizes health care systems in China. There have been several pilot studies in China, aimed at system-level care coordination and its impact on the full integration of health care system, but little is known about their practical effects. Huangzhong County is one of the pilot study sites that introduced organizational integration (a dimension of integrated care) among health care institutions as a means to improve system-level care coordination...
October 12, 2016: BMC Health Services Research
Pallab K Maulik, Abha Tewari, Siddhardha Devarapalli, Sudha Kallakuri, Anushka Patel
INTRODUCTION: Common mental disorders (CMD) such as depression, suicidal risk and emotional/medically unexplained complaints affect a large number of people in India, but few receive appropriate care. Key reasons for this include few trained mental health professionals and stigma associated with mental health. A potential approach to address poor access to care is by training village healthcare workers in providing basic mental health care, and harnessing India's vast mobile network to support such workers using mobile-based applications...
2016: PloS One
Nuri Kodaman, Melinda C Aldrich, Rafal Sobota, Folkert W Asselbergs, Kwabena A Poku, Nancy J Brown, Jason H Moore, Scott M Williams
Populations in sub-Saharan Africa are shifting from rural to increasingly urban. Although the burden of cardiovascular disease is expected to increase with this changing landscape, few large studies have assessed a wide range of risk factors in urban and rural populations, particularly in West Africa. We conducted a cross-sectional, population-based survey of 3317 participants from Ghana (≥18 years old), of whom 2265 (57% female) were from a mid-sized city (Sunyani, population ~250,000) and 1052 (55% female) were from surrounding villages (populations <5000)...
2016: PloS One
Marlene Z Bloom
It was four months in Alaska, in the middle of winter, that changed Joseph Marek's view of what it means to be a pharmacist. Marek was on his last rotation in pharmacy school when he experienced the kind of practice that he wanted for himself. He found that kind of practice as a consultant pharmacist, and next month, Marek, 49, will become the 2016-2017 president of the American Society of Consulting Pharmacists. Working at the Public Health Service (PHS) in the Arctic Circle in 1990, he dispensed and carried out clinical duties with the chief pharmacist and provided care to the native Inuit population through the Indian Health Service...
2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
Xu-Can Zeng, Xiao-Dong Sun, Jian-Xiong Li, Meng-Ni Chen, Dao-Wei Deng, Cang-Lin Zhang, Zu-Rui Lin, Zi-You Zhou, Yao-Wu Zhou, Ya-Ming Yang, Sheng Zhou
BACKGROUND: This paper seeks to assess the function of malaria control consultation and service posts (MCCSPs) that are located on the border areas of Yunnan province, P.R. China, as a strategy for eliminating malaria among the mobile and migrant population in these areas. METHODS: A retrospective descriptive analytical study was conducted. Blood smear examinations conducted at all MCCSPs in Yunnan from 2008 to 2014 were analysed. A cross-sectional survey was conducted in 2014 to understand how the MCCSPs function and to elucidate the quality of the blood smear examinations that they conduct...
October 4, 2016: Infectious Diseases of Poverty
Yue Guo, Li-Li Tian, Feng-Yi Zhang, Yan-Hong Bu, Yun-Zhi Feng, Hou-De Zhou
BACKGROUND: In leprosy, oral health is often neglected and poorly understood. This study aimed to evaluate the prevalence and risk indicators of dental caries in patients with leprosy in China. METHODS: This cross-sectional, multicentre study included 613 patients with leprosy and 602 control subjects. Based on the established standards of the World Health Organization, we investigated dental caries in cluster samplings from six so-called 'leprosy villages' in three Chinese provinces...
September 29, 2016: International Dental Journal
Huai Wang, Binyu Cai, Delong Rao, Min Liu, Yabin Li, Xiaofeng Liang, Fuqiang Cui, Guomin Zhang, Fuzhen Wang, Xinghuo Pang, Li Nie, Qian Qiu, Jiang Wu, Liqiu Li, Fang Huang, Wei Zhang
BACKGROUND: The widely recommended standard schedule of hepatitis B vaccine for adults is months 0, 1 and 6, which takes 6 months to complete. Rapid completion of one vaccination schedule is important to adults because of its low compliance with follow-up doses. A new type of 60μg Hepatitis B vaccine, made by Shenzhen Kangtai Biological Products Co., LTD., is originally recommended for low or non-responders. The objective of this clinical trial was to test whether this 60μg hepatitis B vaccine could be used in primary immune population and what is its level of immunogenicity and safety compared with other hepatitis B vaccines...
September 20, 2016: Human Vaccines & Immunotherapeutics
Guofa Zhou, Eugenia Lo, Daibin Zhong, Xiaoming Wang, Ying Wang, Sameer Malla, Ming-Chieh Lee, Zhaoqing Yang, Liwang Cui, Guiyun Yan
BACKGROUND: Internally displaced persons (IDP) represent vulnerable populations whose public health conditions merit special attention. In the China-Myanmar border area, human movement and resettlements of IDP can influence malaria transmission. Comparison of disease incidence and vector densities between IDP camps and surrounding local villages allows for better understanding of current epidemiology and to evaluate the effectiveness of interventions in the region. METHODS: Malaria and vector surveillance was conducted in three IDP camps and three local villages neighbouring the camps along the China-Myanmar border in Myanmar...
2016: Malaria Journal
Glênio Alves de Freitas, Maria Cristina Corrêa de Souza, Rosangela da Costa Lima
This study's objective was to estimate the prevalence of abnormal casual capillary blood glucose, suggestive of diabetes mellitus, and the associations with socioeconomic, demographic, anthropometric, and clinical factors in indigenous women in Dourados, Mato Grosso do Sul State, Brazil. This was a cross-sectional study with a probabilistic sample of women 18 to 59 years of age in the Bororó and Jaguapiru villages. A standardized questionnaire was used to collect data, and statistical analysis used the Kruskal-Wallis, Mann-Whitney, and generalized linear model tests...
2016: Cadernos de Saúde Pública
Geoffrey Weny, James Okwee-Acai, Samuel George Okech, Gabriel Tumwine, Susan Ndyanabo, Salvatory Abigaba, Tony Goldberg
Livestock production is a major sector of the Ugandan economy. Ugandan ruminant livestock (principally cattle and goats) are susceptible to hemoparasites that can cause serious clinical disease and production losses. Kibale National park, in western Uganda is a protected forest ecosystem surrounded by small-scale farms where cattle and goats are raised.. We conducted a cross-sectional study of cattle and goats in this area and diagnosed hemoparasite infections by microscopy. We collected data on animal characteristics and management practices to assess risk factors associated with infection...
September 9, 2016: Journal of Parasitology
Thushani Marie Elizabeth Dabrera, L Gayani Tillekeratne, M S Nilanthi Fernando, S T Kaushlya Kasturiaratchi, Truls Østbye
Leprosy is caused by the Mycobacterium leprae bacillus. Pockets of high endemicity remain in a number of countries including Sri Lanka, in spite of the fact that elimination has been achieved at the national level. In 2012, in a village in the Puttlam district, dermatologists reported an increase in individuals with leprosy. This village had been established in the 1990s for people displaced from Northern Sri Lanka during a civil war. A comprehensive household survey was conducted by district health officials from June to July 2012, and all household members present during the survey period were examined for leprosy lesions...
September 6, 2016: Asia-Pacific Journal of Public Health
T Ye, J-U Niehoff, Y Zhang, L Zhang
Background: China's healthcare system is developing very fast but needs a regulatory practice, which helps to improve effectiveness and efficiency. This is a problem in rural China, in particular. The government is promoting a providing system with gatekeeping and mandatory referral procedures in order to limit resulting problems. However, there exists little evidence, which of the primary healthcare facilities in rural China should be given these functions. Objective: It is this study's objective to determine the impact of the specific medical institution of an initial visit on the patients' following move through the healthcare system...
September 7, 2016: Das Gesundheitswesen
Vidyavati Ugran, Naveen N Desai, Dipankar Chakraborti, Kallappa A Masali, Prakash Mantur, Shreepad Kulkarni, Niranjan Deshmukh, Kailash S Chadchan, Swastika N Das, Anuradha S Tanksali, Asha S Arwikar, Suresh P Guggarigoudar, Tejaswini Vallabha, Shailaja S Patil, Kusal K Das
Groundwater fluoride concentration and fluoride-related health problems were studied in twenty-two villages of Indi taluk of Vijayapura district, Karnataka, India. Present study (2015) was also used to compare groundwater fluoride concentration in same 22 villages with previous government report (2000). Groundwater fluoride concentrations of 62 bore wells of 22 villages were analyzed by using an ion-sensitive electrode. A total of 660 adults and 600 children were screened for fluorosis symptoms and signs. Sixty clinically suspected fluorosis patients' urine samples were further analyzed for fluoride...
September 3, 2016: Environmental Geochemistry and Health
Grégoire Falq, Rafael Van Den Bergh, Martin De Smet, William Etienne, Chea Nguon, Huy Rekol, Mallika Imwong, Arjen Dondorp, Jean-Marie Kindermans
BACKGROUND: In Cambodia, elimination of artemisinin resistance through direct elimination of the Plasmodium falciparum parasite may be the only strategy. Prevalence and incidence at district and village levels were assessed in Chey Saen district, Preah Vihear province, North of Cambodia. Molecular and clinical indicators for artemisinin resistance were documented. METHODS: A cross sectional prevalence survey was conducted at village level in the district of Chey Saen from September to October 2014...
2016: Malaria Journal
Leyla Sahebi, Khalil Ansarin, Parviz Mohajeri, Majid Khalili, Amir Monfaredan, Safar Farajnia, Simin Khayyat Zadeh
BACKGROUND: Tuberculosis (TB) is the leading cause of morbidity and mortality among chronic infectious diseases. OBJECTIVE: The goal of this cross-sectional study (2011-2013;2013) was to examine the patterns of TB drug resistance among HIV-negative pulmonary TB patients in regions near the Iranian border. METHOD: To this end, MTB isolates were harvested from 300 HIV-negative, pulmonary smear-positive TB patients from the northwest and west Iranian border provinces...
2016: Open Respiratory Medicine Journal
Li Chen, Xiaozhen Du, Lin Zhang, Michelle Helena van Velthoven, Qiong Wu, Ruikan Yang, Ying Cao, Wei Wang, Lihui Xie, Xiuqin Rao, Yanfeng Zhang, Jeanne Catherine Koepsell
BACKGROUND: The aim of this study was to assess the effectiveness of an EPI smartphone application (EPI app) on improving vaccination coverage in rural Sichuan Province, China. METHODS: This matched-pair cluster randomized controlled study included 32 village doctors, matched in 16 pairs, and took place from 2013 to 2015. Village doctors in the intervention group used the EPI app and reminder text messages while village doctors in the control group used their usual procedures and text messages...
2016: BMC Public Health
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