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https://www.readbyqxmd.com/read/28812826/a-policy-analysis-on-the-proactive-prevention-of-chronic-disease-learnings-from-the-initial-implementation-of-integrated-measurement-for-early-detection-mido
#1
Roberto Tapia-Conyer, Rodrigo Saucedo-Martínez, Ricardo Mújica-Rosales, Héctor Gallardo-Rincón, Evan Lee, Craig Waugh, Lucía Guajardo, Braulio Torres-Beltrán, Úrsula Quijano-González, Mauricio López-Mendez, Elena Rose Atkinson
Mexico, like many low- and middle-income countries (LMICs), faces an epidemic of chronic non-communicable diseases (NCDs), specifically diabetes, hypertension, obesity, and lipid disorders. Many people with these NCDs may not be aware that they have a disease, pointing to the need for broader screening programs. The traditional prevention policy in Mexico was based on screening with a paper-based risk factor questionnaire. However, this was used to screen patients already seeking healthcare services at facilities, and screening goals were set as a function of the number of questionnaires applied, not number of individuals screened...
February 20, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28812807/health-technology-assessment-global-advocacy-and-local-realities-comment-on-priority-setting-for-universal-health-coverage-we-need-evidence-informed-deliberative-processes-not-just-more-evidence-on-cost-effectiveness
#2
Kalipso Chalkidou, Ryan Li, Anthony J Culyer, Amanda Glassman, Karen J Hofman, Yot Teerawattananon
Cost-effectiveness analysis (CEA) can help countries attain and sustain universal health coverage (UHC), as long as it is context-specific and considered within deliberative processes at the country level. Institutionalising robust deliberative processes requires significant time and resources, however, and countries often begin by demanding evidence (including local CEA evidence as well as evidence about local values), whilst striving to strengthen the governance structures and technical capacities with which to generate, consider and act on such evidence...
August 29, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28812806/universal-health-coverage-and-primary-healthcare-lessons-from-japan-comment-on-achieving-universal-health-coverage-by-focusing-on-primary-care-in-japan-lessons-for-low-and-middle-income-countries
#3
Gerald Bloom
A recent editorial by Naoki Ikegami has proposed three key lessons from Japan's experience of achieving virtually universal coverage with primary healthcare services: the need to integrate the existing providers of primary healthcare services into the organised health system; the need to limit government commitments to finance hospital services and the need to empower providers of primary healthcare to influence decisions that influence their livelihoods. Although the context of low- and middle-income countries (LMICs) differs in many ways from Japan in the late 19th and early 20th centuries, the lesson that short-term initiatives to achieve universal coverage need to be complemented by an understanding of the factors influencing long-term change management remains highly relevant...
August 28, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28809935/effectiveness-of-a-brief-behavioural-intervention-on-psychological-distress-among-women-with-a-history-of-gender-based-violence-in-urban-kenya-a-randomised-clinical-trial
#4
Richard A Bryant, Alison Schafer, Katie S Dawson, Dorothy Anjuri, Caroline Mulili, Lincoln Ndogoni, Phiona Koyiet, Marit Sijbrandij, Jeannette Ulate, Melissa Harper Shehadeh, Dusan Hadzi-Pavlovic, Mark van Ommeren
BACKGROUND: Gender-based violence (GBV) represents a major cause of psychological morbidity worldwide, and particularly in low- and middle-income countries (LMICs). Although there are effective treatments for common mental disorders associated with GBV, they typically require lengthy treatment programs that may limit scaling up in LMICs. The aim of this study was to test the effectiveness of a new 5-session behavioural treatment called Problem Management Plus (PM+) that lay community workers can be taught to deliver...
August 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28807132/primary-health-care-workers-knowledge-and-attitudes-towards-depression-and-its-management-in-the-mehpric-p-project-lagos-nigeria
#5
Abiodun O Adewuya, Tomilola Adewumi, Bolanle Ola, Olayinka Abosede, Abiodun Oyeneyin, Adedolapo Fasawe, Olajide Idris
OBJECTIVE: This study aimed to evaluate the knowledge, perceived challenges and attitude of primary health care (PHC) workers in Lagos to depression and its management in the PHC. METHODS: Health workers (n=607) from 49 "flagship" PHCs in Lagos were evaluated for their level of knowledge, experience, competence, attitude and perceived challenges to managing depression in the primary care using a case vignette. RESULTS: More than half (56.2%) of the health workers correctly diagnosed depression...
July 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28802211/research-priority-setting-for-integrated-early-child-development-and-violence-prevention-ecd-in-low-and-middle-income-countries-an-expert-opinion-exercise
#6
Mark Tomlinson, Mark Jordans, Harriet MacMillan, Theresa Betancourt, Xanthe Hunt, Christopher Mikton
Child development in low and middle income countries (LMIC) is compromised by multiple risk factors. Reducing children's exposure to harmful events is essential for early childhood development (ECD). In particular, preventing violence against children - a highly prevalent risk factor that negatively affects optimal child development - should be an intervention priority. We used the Child Health and Nutrition Initiative (CHNRI) method for the setting of research priorities in integrated Early Childhood Development and violence prevention programs (ECD+)...
August 9, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28799999/features-of-cardiovascular-disease-in-low-income-and-middle-income-countries-in-adults-and-children-living-with-hiv
#7
Andrew W McCrary, Chidozie U Nduka, Saverio Stranges, Gerald S Bloomfield
PURPOSE OF REVIEW: The current article addresses crucial issues in identifying risk of cardiovascular disease (CVD) in people living with HIV in low-income and middle-income countries (LMICs). These issues are in need of urgent attention to advance our knowledge and inform actions to mitigate CVD in this population. We address CVDs in adults living with HIV as well as the unique aspects pertaining to children living with HIV (CLHIV), a group sorely under-represented in this field. RECENT FINDINGS: CVDs affecting adults such as hypertension, dyslipidemia, coronary artery disease, and heart failure, in addition to myocardial dysfunction, vascular diseases, and autoimmune phenomena are also being reported in CLHIV...
August 10, 2017: Current Opinion in HIV and AIDS
https://www.readbyqxmd.com/read/28799117/concurrent-hydrocelectomy-during-inguinal-herniorrhaphy-is-a-risk-factor-for-complications-and-reoperation-data-from-rural-haiti
#8
D P Kuwayama, J Augustin
PURPOSE: Series of conventional inguinal herniorrhaphy from low and middle income countries (LMICs) suggest elevated rates of morbidity, mortality, and recurrence, although the reasons remain incompletely understood. We sought to identify risk factors for adverse outcomes from inguinal herniorrhaphy performed in a resource-limited LMIC setting. METHODS: We performed mesh-free modified Bassini inguinal herniorrhaphies on 141 consecutive patients with 156 inguinal hernias over 10 months in rural Haiti...
August 10, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28797317/where-there-is-no-ems-lay-providers-in-emergency-medical-services-care-ems-as-a-public-health-priority
#9
Sierra Debenham, Matthew Fuller, Matthew Stewart, Raymond R Price
By 2030, road traffic accidents are projected to be the fifth leading cause of death worldwide, with 90% of these deaths occurring in low- and middle-income countries (LMICs). While high-quality, prehospital trauma care is crucial to reduce the number of trauma-related deaths, effective Emergency Medical Systems (EMS) are limited or absent in many LMICs. Although lay providers have long been recognized as the front lines of informal trauma care in countries without formal EMS, few efforts have been made to capitalize on these networks...
August 11, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28797115/ranking-93-health-interventions-for-low-and-middle-income-countries-by-cost-effectiveness
#10
Susan Horton, Hellen Gelband, Dean Jamison, Carol Levin, Rachel Nugent, David Watkins
BACKGROUND: Cost-effectiveness rankings of health interventions are useful inputs for national healthcare planning and budgeting. Previous comprehensive rankings for low- and middle- income countries were undertaken in 2005 and 2006, accompanying the development of strategies for the Millennium Development Goals. We update the rankings using studies published since 2000, as strategies are being considered for the Sustainable Development Goals. METHODS: Expert systematic searches of the literature were undertaken for a broad range of health interventions...
2017: PloS One
https://www.readbyqxmd.com/read/28796597/a-home-based-type-2-diabetes-self-management-intervention-in-rural-guatemala
#11
David Flood, Jessica Hawkins, Peter Rohloff
INTRODUCTION: Diabetes self-management education (DSME) is a fundamental element of type 2 diabetes care. Although 75% of adults with diabetes worldwide live in low-income and middle-income countries (LMICs), limited DSME research has been conducted in LMICs. The objective of this study was to evaluate a home-based DSME intervention in rural Guatemala. METHODS: We conducted a prospective study of a DSME intervention using a quasi-experimental, single-group pretest-posttest design...
August 10, 2017: Preventing Chronic Disease
https://www.readbyqxmd.com/read/28795917/assessing-evidence-of-inequalities-in-access-to-medication-for-diabetic-populations-in-low-and-middle-income-countries-a-systematic-review
#12
Yodi Christiani, Teerapon Dhippayom, Nathorn Chaiyakunapruk
Background Inequalities in access to medications among people diagnosed with diabetes in low- and middle-income countries (LMICs) is a public health concern since untreated diabetes can lead to severe complications and premature death. Objective To assess evidence of inequalities in access to medication for diabetes in adult populations of people with diagnosed diabetes in LMICs. Design We conducted a systematic review of the literature using the PRISMA-Equity guidelines. A search of five databases - PubMed, Cochrane, CINAHL, PsycINFO, and EMBASE - was conducted from inception to November 2015...
December 2016: Global Health Action
https://www.readbyqxmd.com/read/28790867/cervical-cancer-screening-in-low-resource-settings-a-smartphone-image-application-as-an-alternative-to-colposcopy
#13
Caroline Gallay, Anne Girardet, Manuela Viviano, Rosa Catarino, Anne-Caroline Benski, Phuong Lien Tran, Christophe Ecabert, Jean-Philippe Thiran, Pierre Vassilakos, Patrick Petignat
BACKGROUND: Visual inspection after application of acetic acid (VIA) and Lugol's iodine (VILI) is a cervical cancer (CC) screening approach that has recently been adopted in low- and middle-income countries (LMIC). Innovative technologies allow the acquisition of consecutive cervical images of VIA and VILI using a smartphone application. The aim of this study was to evaluate the quality of smartphone images in order to assess the feasibility and usability of a mobile application for CC screening in LMIC...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/28790418/perceived-stress-and-smoking-across-41-countries-a-global-perspective-across-europe-africa-asia-and-the-americas
#14
Brendon Stubbs, Nicola Veronese, Davy Vancampfort, A Mathew Prina, Pao-Yen Lin, Ping-Tao Tseng, Evangelos Evangelou, Marco Solmi, Cristiano Kohler, André F Carvalho, Ai Koyanagi
Within recent years, there has been a seismic shift in smoking rates from high-income to low- and middle-income countries (LMICs). Evidence indicates that perceived stress may comprise a barrier for smoking cessation, but little is known about the association of perceived stress and smoking in LMICs. We conducted a cross-sectional, community-based study comprising 217,561 people [mean age 38.5 (SD = 16.1) years, 49.4% males]. A perceived stress score [range 2 (lowest-stress) 10 (highest-stress)] was computed from the Perceived Stress Scale...
August 8, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28780118/operational-lessons-learned-in-conducting-a-multi-country-collaboration-for-vaccine-safety-signal-verification-and-hypothesis-testing-the-global-vaccine-safety-multi-country-collaboration-initiative
#15
Christine Guillard-Maure, Varalakshmi Elango, Steven Black, Silvia Perez-Vilar, Jose Luis Castro, Pamela Bravo-Alcántara, Helvert Felipe Molina-León, Daniel Weibel, Miriam Sturkenboom, Patrick L F Zuber
Timely and effective evaluation of vaccine safety signals for newly developed vaccines introduced in low and middle- income countries (LMICs) is essential. The study tested the development of a global network of hospital-based sentinel sites for vaccine safety signal verification and hypothesis testing. Twenty-six sentinel sites in sixteen countries across all WHO regions participated, and 65% of the sites were from LMIC. We describe the process for the establishment and operationalization of such a network and the lessons learned in conducting a multi-country collaborative initiative...
August 2, 2017: Vaccine
https://www.readbyqxmd.com/read/28777950/evaluation-of-the-european-leukemianet-recommendations-for-predicting-outcomes-of-patients-with-acute-myeloid-leukemia-treated-in-low-and-middle-income-countries-lmic-a-brazilian-experience
#16
Mariana Tereza de Lira Benicio, Ana Flávia Tibúrcio Ribeiro, Andre D Américo, Felipe M Furtado, Ana B Glória, Aleide S Lima, Silvana M Santos, Sandra G Xavier, Antonio R Lucena-Araujo, Evandro M Fagundes, Eduardo M Rego
BACKGROUND: Current results regarding treatment outcomes in acute myeloid leukemia (AML) point to significant differences between low- and middle-income countries (LMIC) and high-income countries (HIC). Excluding well-known socioeconomic issues, genetic markers important for prognosis have not been properly incorporated into the clinical practice so far and their usefulness outside of well-controlled clinical trials remain unknown. METHODS: Here, we assessed the clinical significance of the European LeukemiaNet (ELN) recommendations in 196 consecutive patients with AML in a real-life setting...
July 24, 2017: Leukemia Research
https://www.readbyqxmd.com/read/28776606/special-needs-of-young-women-with-breast-cancer-in-limited-resource-settings
#17
Carmen Lizette Gálvez-Hernández, María Cecilia González-Robledo, Regina Barragán-Carrillo, Cynthia Villarreal-Garza
BACKGROUND: Young women with breast cancer (YWBC) comprise a group of patients with unique biopsychosocial characteristics with a special perception of needs throughout their disease and survivorship. Contexts marked by restricted allocations and economic constraints might further aggravate the struggle of these patients living within limited resource settings and can demand added requirements for them and their families. OBJECTIVE: To analytically explore the existing knowledge regarding the needs of YWBC in low- and middle- income countries (LMICs)...
July 2017: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
https://www.readbyqxmd.com/read/28775187/a-qualitative-study-of-pregnancy-related-anxiety-among-women-in-tanzania
#18
Melanie King Rosario, Shahirose Sadrudin Premji, Elias Charles Nyanza, Shelley Raffin Bouchal, David Este
OBJECTIVES: To explore and understand the experiences and priorities of pregnant women living with fears and worries related to fetal/infant and maternal health, the birthing process and ability to parent the infant (ie, pregnancy-related anxiety (PRA)) in Mwanza, Tanzania. DESIGN: Descriptive phenomenological approach. SETTING: Two clinics in the Ilemela and Nyamagana districts of Mwanza. PARTICIPANTS: Pregnant and postpartum women who obtained high scores on a PRA scale during pregnancy in a larger quantitative study were contacted to participate in an interview (10 women, aged 18-34 years; 3 HIV positive)...
August 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/28774349/maternal-employment-and-childhood-overweight-in-low-and-middle-income-countries
#19
Vanessa M Oddo, Noel T Mueller, Keshia M Pollack, Pamela J Surkan, Sara N Bleich, Jessica C Jones-Smith
OBJECTIVE: To investigate the association between maternal employment and childhood overweight in low- and middle-income countries (LMIC). Design/Setting We utilized cross-sectional data from forty-five Demographic and Health Surveys from 2010 to 2016 (n 268 763). Mothers were categorized as formally employed, informally employed or non-employed. We used country-specific logistic regression models to investigate the association between maternal employment and childhood overweight (BMI Z-score>2) and assessed heterogeneity in the association by maternal education with the inclusion of an interaction term...
August 4, 2017: Public Health Nutrition
https://www.readbyqxmd.com/read/28774315/global-research-trends-in-west-nile-virus-from-1943-to-2016-a-bibliometric-analysis
#20
Samah W Al-Jabi
BACKGROUND: West Nile virus (WNV) is an emerging infectious disease which is most commonly transmitted to humans through mosquito, and is considered a major public-health problem worldwide. The aim of the current study is to bibliometrically analyze the quantity and quality of publications indexed in Scopus from different countries to reveal the characteristics of global research output regarding WNV. METHODS: This study is a bibliometric analysis based on the Scopus database...
August 3, 2017: Globalization and Health
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