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Health Financial protection

Thomas Saïas, Caroline Clavel, Romain Dugravier, Augusta Bonnard, Julie Bodard
Maternal and child protection services (?PMI?) are French universal services providing prevention and health promotion services to parents and their newborn children up to the age of 6. They specifically offer home visitation services in order to reach families that could not be seen otherwise. This paper presents the results of a national survey describing these home visitation services and their local implantation. Sixty French ?départements? (59%), constituting the territorial unit for the PMI answered the survey...
October 22, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Adrian Gheorghe, Rashid Uz Zaman, Molly Scott, Sophie Witter
Background: Delivering Reproductive Health Results(DRHR) programme used social franchising (SF) and social marketing (SM) approaches to increase the supply of high quality family planning services in underserved areas of Pakistan. We assessed the costs, cost-efficiency and cost-effectiveness of DRHR to understand the value for money of these approaches. Methods: Financial and economic programme costs were calculated. Costs to individual users were captured in a pre-post survey...
2018: Global Health Research and Policy
J Ssebunnya, S Kangere, J Mugisha, S Docrat, D Chisholm, C Lund, F Kigozi
Background: In spite of the pronounced adverse economic consequences of mental, neurological, and substance use disorders on households in most low- and middle-income countries, service coverage and financial protection for these families is very limited. The aim of this study was to generate potential strategies for sustainably financing mental health care in Uganda in an effort to move towards increased financial protection and service coverage for these families. Methods: The process of identifying potential strategies for sustainably financing mental health care in Uganda was guided by an analytical framework developed by the Emerging Mental health systems in low and middle income countries (EMERALD project)...
2018: International Journal of Mental Health Systems
Sunil T Pandya, Kausalya Chakravarthy, Aparna Vemareddy
Rapid advances and improved networking abilities have led to the widespread adoption of technology in healthcare, especially focused on diagnostics, documentation and evaluation, or mining of data to improve outcomes. Current technology allows for rapid and accurate decision-making in clinical care decisions for individual patients, collation and analysis at different levels for administrative and financial purposes, and the ability to visualise, analyse, and share data in real time for departmental needs. The adoption of technology may help to improve efficiency and efficacy of healthcare services...
November 2018: Indian Journal of Anaesthesia
Jinjing Wu, Shelby Deaton, Boshen Jiao, Zohn Rosen, Peter A Muennig
OBJECTIVE: The New Rural Cooperative Medical Scheme (NCMS) is a universal healthcare coverage plan now covering over 98% of rural residents in China, first implemented in 2003. Rising costs in the face of modest gains in health and financial protections have raised questions about the cost-effectiveness of the NCMS. METHODS: Using the most recent estimates of the NCMS's health and economic consequences from a comprehensive review of the literature, we conducted a cost-effectiveness analysis using a Markov model for a hypothetical cohort between ages 20 and 100...
2018: PloS One
Rauf O Yusuf, Henry O Sawyerr, Adedotun T Adeolu, Lateefat M Habeeb, Tawakalitu T Abolayo
Background: Scavengers, due to the nature of their work, are at risk of various occupational hazards while sorting for materials for recycling and sale. They are exposed to blood borne infections such as hepatitis B virus (HBV) infection from injuries from sharps and contact with discarded materials due to non-compliance with standard precautions. Objective: The present study assessed the prevalence of HBV and compliance with safety precautions among scavengers in Ilorin Metropolis, Kwara State, Nigeria...
September 2018: Journal of health & pollution
Osei Akoto, Nesta Bortey-Sam, Shouta M M Nakayama, Yoshinori Ikenaka, Elvis Baidoo, Joseph Apau, Jemima Tiwaa Marfo, Mayumi Ishizuka
Background: Soil contamination with heavy metals and metalloids has become an increasingly important issue in recent years. Objectives: The present study examines possible contamination of the environment with metals from gold mining activities in Obuasi, Ghana. Methods: Soil samples were collected from commercial and residential areas and tailing dams in Obuasi in order to investigate the extent of lead (Pb), cadmium (Cd), mercury (Hg), copper (Cu), zinc (Zn), cobalt (Co), chromium (Cr), nickel (Ni) and arsenic (As) pollution, create thematic maps showing the extent of heavy metals pollution, identify the sources of pollution, and to assess risks to humans and the surrounding ecological system...
September 2018: Journal of health & pollution
K A Pateman, A T Weerakoon, M D Batstone, P F Ford
OBJECTIVES: Managing oral health after the treatment for head and neck cancer requires meticulous daily oral hygiene practices, and regular professional dental care; however, the individual factors and health system structures required to achieve oral health are often not well considered. This study aimed to explore how oral health was understood and managed post head and neck cancer treatment and identify factors that influenced oral health behaviours and dental service utilisation. METHODS: A qualitative, inductive approach was used for data collection and analysis...
December 3, 2018: International Journal of Dental Hygiene
Emily R Smith, Tessa L Concepcion, Kelli J Niemeier, Adesoji O Ademuyiwa
Investing in surgery has been highlighted as integral to strengthening overall health systems and increasing economic prosperity in low-income and middle-income countries (LMICs). The provision of surgical care in LMICs not only affects economies on a macro-level, but also impacts individual families within communities at a microeconomic level. Given that children represent 50% of the population in LMICs and the burden of unmet surgical needs in these areas is high, investing pediatric-specific components of surgical and anesthesia care is needed...
November 30, 2018: World Journal of Surgery
Ana Raquel Nunes
BACKGROUND: Climate change and extreme temperatures pose increasing challenges to individuals and their health with older adults being one of the most vulnerable groups. The aim of this paper is to better understand the roles that tangible assets (e.g., physical or financial) and intangible assets (e.g., human or social) play in the way older adults adapt to extreme temperatures, the types of adaptive responses they implement, limits and constraints, as well opportunities for better adaptation...
2018: PloS One
Grace Oppong, Francisca Monebenimp, Léonie Dapi Nzefa
Polygyny is a matrimonial union in which a single man is simultaneously married to multiple wives. On a daily basis, women in polygynous unions suffer from financial, emotional and physical burdens. This study explores women's perceptions of this matrimonial regime and the factors influencing their sexual health decision-making in Cameroon. Drawing on interviews with twenty-three women aged 23 to 80 years living in polygynous unions, we explore women's daily life and perceptions on polygyny. Using content analysis, meaning units relating to respondents' experiences and perceptions were identified and condensed into codes and categories that were later grouped into themes...
November 29, 2018: Culture, Health & Sexuality
Junaid Khan, Apurba Shil, Ravi Prakash
BACKGROUND: Despite the universalization of immunization against the six vaccine-preventable diseases (VPDs), the coverage of full immunization among the children under age five has remained a challenge globally. The 2015-16 National Family Health Survey (NFHS) indicated large disparity in the coverage of different vaccination doses (BCG, Polio, DPT and Measles) including full immunization across the districts of India. The spatial distribution of poor performing districts in terms of vaccination and the district level spatial, contextual determinants contributing to the low coverage have been poorly studied...
2018: PloS One
Takafumi Hayashi, Yoshinori Arai, Toru Chikui, Sachiko Hayashi-Sakai, Kazuya Honda, Hiroko Indo, Taisuke Kawai, Kaoru Kobayashi, Shumei Murakami, Masako Nagasawa, Munetaka Naitoh, Eiji Nakayama, Yutaka Nikkuni, Hideyoshi Nishiyama, Noriaki Shoji, Shigeaki Suenaga, Ray Tanaka
Dental cone-beam computed tomography (CBCT) received regulatory approval in Japan in 2000 and has been widely used since being approved for coverage by the National Health Insurance system in 2012. This imaging technique allows dental practitioners to observe and diagnose lesions in the dental hard tissue in three dimensions (3D). When performing routine radiography, the examination must be justified, and optimal protection should be provided according to the ALARA (as low as reasonably achievable) principles laid down by the International Commission on Radiological Protection...
May 2018: Oral Radiology
Nicole Weber, Andrea L Martinsen, Amidou Sani, Elom Kokou Eric Assigbley, Chedly Azzouz, Arabella Hayter, Komlan Ayite, Amivi Afefa Bibiane Baba, Kokou Mawulé Davi, Rick Gelting
Water, sanitation, and hygiene (WASH) services in healthcare facilities are essential to ensure quality health care and to facilitate infection, prevention, and control practices. They are critical to responding to outbreaks and preventing healthcare-associated infections and, therefore, critical to global health security. Many healthcare facilities in low- and middle-income settings have limited WASH services. One tool to address this issue is the World Health Organization (WHO) and United Nations Children's Fund (UNICEF) Water and Sanitation for Health Facility Improvement Tool, or "WASH FIT...
2018: Health Security
Anna Gkiouleka, Lydia Avrami, Anastasia Kostaki, Tim Huijts, Terje A Eikemo, Theoni Stathopoulou
Background: With the current study, we aim to explore the extent that migrants report higher rates of depressive symptoms than non-migrant populations in light of gender, childhood experiences, socioeconomic factors and social support across European countries that have been differentially influenced by the economic crisis. Methods: Using data from the seventh round of the European Social Survey and the Greek MIGHEAL survey, we compare the prevalence of depressive symptoms among migrants and non-migrants aged 25-65 years old across 21 countries...
December 1, 2018: European Journal of Public Health
Joseph O Mugisha, Enid J Schatz, Christian Hansen, Emily Leary, Joel Negin, Paul Kowal, Janet Seeley
This study examined the association between social engagement and survival in people with or without HIV aged 50 years and over in Uganda. We analysed two waves of a survey from two sites in Uganda to assess predictors of mortality between waves. The first wave was conducted between 2009 and 2010 while the second wave was conducted between 2012 and 2013. A standardised questionnaire adapted from the World Health Organization study on global AGEing and adult health (SAGE) was administered through face-to-face interviews at both survey waves...
November 23, 2018: African Journal of AIDS Research: AJAR
Ayaz Ayub, Raheel Shahab Khan, Sheraz Ahmad Khan, Hamid Hussain, Afshan Tabassum, Jawad Ahmed Shehzad, Syeda Sonia Shah
Background: Khyber Pakhtunkhwa (KP) launched its flagship Social health protection initiative (SHPI), named Sehat Sahulat Program (SSP). SSP envisions to improve access to healthcare for poorest of the poor and contribute towards achieving Universal Health Coverage (UHC). Current study was undertaken to analyze SSP in context of UHC framework i.e. to see as to (i) who is covered, (ii) what services are covered, and (iii) what extent of financial protection is conferred. METHODS: We conducted thorough archival research...
July 2018: Journal of Ayub Medical College, Abbottabad: JAMC
Ava Yap, Maija Cheung, Nasser Kakembo, Phyllis Kisa, Arlene Muzira, John Sekabira, Doruk Ozgediz
BACKGROUND: Financial protection from catastrophic health care expenditure (CHE) and patient out-of-pocket (OOP) spending are key indicators for sustainable surgical delivery. We aimed to calculate these metrics for a hospital stay requiring surgery in Uganda's pediatric population. METHODS: A survey was administered to family members of postoperative patients in the pediatric surgical ward at Mulago Hospital. Cost categories included direct medical costs, direct nonmedical costs, indirect costs, plus money borrowed and items sold to pay for the hospital stay...
December 2018: Journal of Surgical Research
Arik V Marcell, Cora C Breuner, Lawrence Hammer, Mark L Hudak
Significant changes have occurred in the commercial and government insurance marketplace after the passage of 2 federal legislation acts, the Patient Protection and Affordable Care Act of 2010 and the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008. Despite the potential these 2 acts held to improve the health care of adolescents and young adults (AYAs), including the financing of care, there are barriers to achieving this goal. In the first quarter of 2016, 13.7% of individuals 18 to 24 years of age still lacked health insurance...
November 19, 2018: Pediatrics
L Priskorn, A K Bang, L Nordkap, M Krause, J Mendiola, T K Jensen, A Juul, N E Skakkebaek, S H Swan, N Jørgensen
STUDY QUESTION: Is anogenital distance (AGD) associated with semen quality and reproductive hormones in men from the general population? SUMMARY ANSWER: Short AGD measured from the anus to the base of scrotum (AGDAS) was associated with reduced sperm counts and morphology but not with sperm motility or reproductive hormones. WHAT IS KNOWN ALREADY: AGD is longer in males than in females. In rodents, AGD is a well-established and sensitive marker of disruption during the masculinization programming window in utero and it has been suggested to be so in humans as well...
November 17, 2018: Human Reproduction
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