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Programmatic assessment

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https://www.readbyqxmd.com/read/28095475/the-influence-of-community-health-resources-on-effectiveness-and-sustainability-of-community-and-lay-health-worker-programs-in-lower-income-countries-a-systematic-review
#1
Daniel H de Vries, Robert Pool
BACKGROUND: Despite the availability of practical knowledge and effective interventions required to reduce priority health problems in low-income countries, poor and vulnerable populations are often not reached. One possible solution to this problem is the use of Community or Lay Health Workers (CLHWs). So far, however, the development of sustainability in CLHW programs has failed and high attrition rates continue to pose a challenge. We propose that the roles and interests which support community health work should emerge directly from the way in which health is organized at community level...
2017: PloS One
https://www.readbyqxmd.com/read/28069528/personal-and-professional-well-being-of-surgical-residents-in-new-england
#2
Peter S Yoo, John J Tackett, Mark W Maxfield, Rosemarie Fisher, Stephen J Huot, Walter E Longo
BACKGROUND: Although there is increasing literature about burnout and attrition among surgeons, little is known about personal and professional well-being of surgical trainees. STUDY DESIGN: General surgery residents from the six New England states participated in a cross-sectional, qualitative, self-reported survey to assess the domains of personal health maintenance, personal finance, work environment, and fatigue management as they relate to surgical training...
January 6, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28058772/suaahara-in-nepal-an-at-scale-multi-sectoral-nutrition-program-influences-knowledge-and-practices-while-enhancing-equity
#3
Kenda Cunningham, Akriti Singh, Pooja Pandey Rana, Laura Brye, Bindu Gautam, Karin Lapping, Silvia Alayon, Carol Underwood, Rolf D W Klemm
The burden of undernutrition in South Asia is greater than anywhere else. Policies and programmatic efforts increasingly address health and non-health determinants of undernutrition. In Nepal, one large-scale integrated nutrition program, Suaahara, aimed to reduce undernutrition among women and children in the 1,000-day period, while simultaneously addressing inequities. In this study, we use household-level process evaluation data (N = 480) to assess levels of exposure to program inputs and levels of knowledge and practices related to health, nutrition, and water, sanitation, and hygiene (WASH)...
January 6, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/28056897/a-programme-of-lifestyle-intervention-in-families-for-cardiovascular-risk-reduction-prolific-study-design-and-rationale-of-a-family-based-randomized-controlled-trial-in-individuals-with-family-history-of-premature-coronary-heart-disease
#4
Panniyammakal Jeemon, S Harikrishnan, G Sanjay, Sivasankaran Sivasubramonian, T R Lekha, Sandosh Padmanabhan, Nikhil Tandon, Dorairaj Prabhakaran
BACKGROUND: Recognizing patterns of coronary heart disease (CHD) risk in families helps to identify and target individuals who may have the most to gain from preventive interventions. The overall goal of the study is to test the effectiveness and sustainability of an integrated care model for managing cardiovascular risk in high risk families. The proposed care model targets the structural and environmental conditions that predispose high risk families to development of CHD through the following interventions: 1) screening for cardiovascular risk factors, 2) providing lifestyle interventions 3) providing a framework for linkage to appropriate primary health care facility, and 4) active follow-up of intervention adherence...
January 5, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28052976/reciprocal-physical-intimate-partner-violence-is-associated-with-prevalent-sti-hiv-among-male-tanzanian-migrant-workers-a-cross-sectional-study
#5
Alison H Norris, Michele R Decker, Yiska L Weisband, Michelle J Hindin
OBJECTIVES: Physical intimate partner violence (IPV) and STIs, including HIV, are highly prevalent in east Africa. While we have some evidence about women's experience with physical IPV, little is known about men's experience with physical IPV, particularly in sub-Saharan Africa. Our objective was to examine, in Tanzanian male migrant plantation residents, the prevalence of, and associations among, experience and enactment of physical IPV and prevalent STI/HIV. METHODS: Data from a cross-sectional survey of male plantation residents (n=158) in northern Tanzania were analysed to estimate prevalence of physical IPV experience and enactment...
January 4, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28047969/tu-ab-202-09-performance-of-cross-modality-dir-algorithms-using-images-computed-from-a-novel-tissue-like-phantom-capable-of-reproducible-degrees-of-deformation
#6
D Ionascu, E Castillo, A Qin, D Solis, D Lack, R Sandhu, S Yee, T Guerrero
PURPOSE: Develop a framework for the spatial accuracy assessment of multi-modality deformable image registration (DIR) based on precise and reproducible deformations of a novel prostate phantom. METHODS: An existing, tissue-like prostate phantom has been adapted to allow quantifiable, reproducible, and variable degrees of volumetric deformation. This phantom is sequentially deformed into 11 stationary deformation states that can be individually imaged using CT, MRI, US and CBCT...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047524/su-f-p-05-initial-experience-with-an-independent-certification-program-for-stereotactic-radiosurgery-and-stereotactic-body-radiation-therapy
#7
T Solberg, J Robar, T Gevaert, M Todorovic, J Howe
PURPOSE: The ASTRO document "Safety is no accident: A FRAMEWORK FOR QUALITY RADIATION ONCOLOGY AND CARE" recommends external reviews of specialized modalities. The purpose of this presentation is to describe the implementation of such a program for Stereotactic Radiosurgery (SRS) and Stereotactic Body radiation Therapy (SBRT). METHODS: The margin of error for SRS and SBRT delivery is significantly smaller than that of conventional radiotherapy and therefore requires special attention and diligence...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28042591/relationship-between-nutritional-support-and-tuberculosis-treatment-outcomes-in-west-bengal-india
#8
Blesson Samuel, Tyson Volkmann, Sushma Cornelius, Sugata Mukhopadhay, MejoJose, Kaushik Mitra, Ajay M V Kumar, John E Oeltmann, Sidhajyoti Parija, Aslesh Ottapura Prabhakaran, Patrick K Moonan, Vineet K Chadha
INTRODUCTION: Poverty and poor nutrition are associated with the risk of developing tuberculosis (TB). Socioeconomic factors may interfere with anti-tuberculosis treatment compliance and its outcome. We examined whether providing nutritional support (monthly supply of rice and lentil beans) to TB patients who live below the poverty line was associated with TB treatment outcome. METHODS: This was a retrospective cohort study of sputum smear-positive pulmonary TB patients living below the poverty line (income of <$1...
December 2016: Journal of Tuberculosis Research
https://www.readbyqxmd.com/read/28024548/canadian-cardiovascular-society-canadian-cardiovascular-critical-care-society-canadian-association-of-interventional-cardiology-position-statement-on-the-optimal-care-of-the-postarrest-patient
#9
Graham C Wong, Sean van Diepen, Craig Ainsworth, Rakesh C Arora, Jean G Diodati, Mark Liszkowski, Michael Love, Chris Overgaard, Greg Schnell, Jean-Francois Tanguay, George Wells, Michel Le May
Out of hospital cardiac arrest (OHCA) is associated with a low rate of survival to hospital discharge and high rates of neurological morbidity among survivors. Programmatic efforts to institute and integrate OHCA best care practices from the bystander response through to the in-hospital phase have been associated with improved patient outcomes. This Canadian Cardiovascular Society position statement was developed to provide comprehensive yet practical recommendations to guide the in-hospital care of OHCA patients...
January 2017: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/28003218/early-clinical-response-as-a-predictor-of-late-treatment-success-in-patients-with-acute-bacterial-skin-and-skin-structure-infections-retrospective-analysis-of-2-randomized-controlled-trials
#10
Dilip Nathwani, Ralph Corey, Anita F Das, Taylor Sandison, Carisa De Anda, Philippe Prokocimer
: In the treatment of acute bacterial skin and skin structure infections, pooled data from 2 clinical trials (N = 1333 patients) showed that programmatic and investigator-assessed early treatment success both had a high positive predictive value (94.3%-100.0%) for late clinical cure, including among hospitalized patients. The negative predictive value of programmatic early success was <20%. These exploratory findings require prospective real-world evaluation. CLINICAL TRIALS REGISTRATION:  NCT01170221; NCT01421511...
December 21, 2016: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/27992672/beyond-counting-stillbirths-to-understanding-their-determinants-in-low-and-middle-income-countries-a-systematic-assessment-of-stillbirth-data-availability-in-household-surveys
#11
Aliki Christou, Michael J Dibley, Camille Raynes-Greenow
OBJECTIVE: To systematically map data availability for stillbirths from all countries with DHS surveys to outline the limitations and challenges with using the data for understanding the determinants and causes of stillbirths, and for cross-country comparisons. METHODS: We assessed data sources from the DHS program website, including published DHS reports and their associated questionnaires for surveys completed between 2005 and 2015. RESULTS: Between 2005 and 2015, the DHS program completed 114 surveys across 70 LMICs...
December 19, 2016: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/27976655/an-assessment-of-bicycle-intervention-to-improve-service-delivery-by-accredited-social-health-activists-in-selected-blocks-of-west-champaran-district-of-bihar
#12
Jyoti Sharma, Preeti Negandhi, Monika Chauhan, Ghanashyam Sethy, Siddharth Reddy, Sutapa B Neogi
BACKGROUND: Several programmatic and logistic issues affect the overall performance of Accredited Social Health Activists (ASHAs). Bihar Government provided bicycles to ASHAs in West Champaran district for increasing coverage of services by improving their mobility. OBJECTIVE: To assess the use of bicycles by ASHAs and it's effect on service delivery. It also captures the perspectives of ASHAs in terms of its utilization for performing tasks. METHODS: A community-based quasi-experimental study was undertaken during March-May 2016...
October 2016: Indian Journal of Public Health
https://www.readbyqxmd.com/read/27943511/how-do-text-messaging-smoking-cessation-interventions-confer-benefit-a-multiple-mediation-analysis-of-text2quit
#13
Bettina B Hoeppner, Susanne S Hoeppner, Lorien C Abroms
AIMS: To determine the degree to which the observed benefit of Text2Quit was accounted for by psychosocial mechanisms derived from its quit smoking messaging versus from the use of extra-programmatic smoking cessation treatments and services. DESIGN: Prospective, multiple mediation model of a randomized controlled trial (RCT). SETTING: United States nation-wide. PARTICIPANTS: A total of 409 adult daily smokers participated...
November 6, 2016: Addiction
https://www.readbyqxmd.com/read/27931330/policies-and-practices-on-the-programmatic-management-of-latent-tuberculous-infection-global-survey
#14
Y Hamada, A Sidibe, A Matteelli, A Dadu, M A Aziz, M Del Granado, N Nishikiori, K Floyd, H Getahun
SETTING: Global survey among low tuberculosis (TB) burden countries, which are primary target countries for the World Health Organization (WHO) guidelines on the programmatic management of latent tuberculous infection (LTBI). OBJECTIVE: To perform a baseline assessment of policies and practices for the programmatic management of LTBI. DESIGN: Online and paper-based pre-tested questionnaire filled out by national TB programme managers or their equivalents from 108 countries...
December 2016: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/27918311/determinants-of-patient-satisfaction-in-celiac-disease-care
#15
Adam S Faye, SriHari Mahadev, Benjamin Lebwohl, Peter H R Green
BACKGROUND AND GOALS: There are little data examining patient satisfaction with celiac disease (CD) care. We sought to assess how satisfied patients are with their CD care, and to determine the influencing factors. STUDY: We distributed an online questionnaire to adults receiving programmatic updates from a CD referral center, querying aspects of CD care and using disease-specific validated instruments to measure quality of life and dietary adherence. The univariable and multivariable analyses were performed using satisfaction as a binary outcome comparing grouped "satisfied" and "very satisfied" respondents to "neutral," "dissatisfied," and "very dissatisfied" respondents...
December 1, 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27906995/assessment-of-the-world-health-organization-s-hiv-drug-resistance-early-warning-indicators-in-main-and-decentralized-outreach-antiretroviral-therapy-sites-in-namibia
#16
Nicholus Mutenda, Alexandra Bukowski, Anne-Marie Nitschke, Tuli Nakanyala, Ndapewa Hamunime, Tadesse Mekonen, Francina Tjituka, Greatjoy Mazibuko, Samson Mwinga, David Mabirizi, Evans Sagwa, Rosalia Indongo, Natalie Dean, Michael R Jordan, Steven Y Hong
BACKGROUND: The World Health Organization (WHO) early warning indicators (EWIs) of HIV drug resistance (HIVDR) assess factors at individual ART sites that are known to create situations favourable to the emergence of HIVDR. METHODS: In 2014, the Namibia HIV care and treatment program abstracted the following adult and pediatric EWIs from all public ART sites (50 main sites and 143 outreach sites): On-time pill pick-up, Retention in care, Pharmacy stock-outs, Dispensing practices, and Viral load suppression...
2016: PloS One
https://www.readbyqxmd.com/read/27906022/risk-factors-for-unstructured-treatment-interruptions-and-association-with-survival-in-low-to-middle-income-countries
#17
James H McMahon, Tim Spelman, Nathan Ford, Jane Greig, Anita Mesic, Charles Ssonko, Esther C Casas, Daniel P O'Brien
BACKGROUND: Antiretroviral therapy (ART) treatment interruptions lead to poor clinical outcomes with unplanned or unstructured TIs (uTIs) likely to be underreported. This study describes; uTIs, their risk factors and association with survival. METHODS: Analysis of ART programmatic data from 11 countries across Asia and Africa between 2003 and 2013 where an uTI was defined as a ≥90-day patient initiated break from ART calculated from the last day the previous ART prescription would have run out until the date of the next ART prescription...
July 11, 2016: AIDS Research and Therapy
https://www.readbyqxmd.com/read/27899030/childhood-vaccine-refusal-and-hesitancy-intentions-in-croatia-insights-from-a-population-based-study
#18
Anja Repalust, Sandra Šević, Stanko Rihtar, Aleksandar Štulhofer
Considering that programmatic data suggest a recent rise in vaccine refusal in Croatia, this study, first of its kind in Southeast Europe, aimed to estimate the prevalence, and sociodemographic, and sociocultural determinants of childhood vaccine refusal and hesitancy (CVRH) intentions among Croatian adults. Multi-stage stratified population-based survey included 1000 individuals aged 18-88 years (Mage = 47.7, SD = 17.8), of whom 51.7% were women. The outcome, a categorical indicator, distinguished among individuals who would approve vaccinating their children (vaccine accepting), those who would approve some but not all vaccines (vaccine hesitant), and those who would refuse vaccination (vaccine refusing)...
November 29, 2016: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/27895269/stability-of-dihydroartemisinin-piperaquine-tablet-halves-during-prolonged-storage-under-tropical-conditions
#19
Eva Maria Hodel, Harparkash Kaur, Dianne J Terlouw
Dihydroartemisinin-piperaquine (DP) is recommended for the treatment of uncomplicated malaria, used in efforts to contain artemisinin resistance, and increasingly considered for mass drug administration. Because of the narrow therapeutic dose range and available tablet strengths, the manufacturers and World Health Organization recommended regimens involve breaking tablets into halves to accurately dose children according to body weight. Use of tablet fractions in programmatic settings under tropical conditions requires a highly stable product; however, the stability of DP tablet fractions is unknown...
November 28, 2016: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/27885583/using-gis-mapping-to-target-public-health-interventions-examining-birth-outcomes-across-gis-techniques
#20
E L MacQuillan, A B Curtis, K M Baker, R Paul, Y O Back
With advances in spatial analysis techniques, there has been a trend in recent public health research to assess the contribution of area-level factors to health disparity for a number of outcomes, including births. Although it is widely accepted that health disparity is best addressed by targeted, evidence-based and data-driven community efforts, and despite national and local focus in the U.S. to reduce infant mortality and improve maternal-child health, there is little work exploring how choice of scale and specific GIS visualization technique may alter the perception of analyses focused on health disparity in birth outcomes...
November 24, 2016: Journal of Community Health
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