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https://www.readbyqxmd.com/read/29045444/the-importance-of-public-health-poverty-reduction-programs-and-women-s-empowerment-in-the-reduction-of-child-stunting-in-rural-areas-of-moramanga-and-morondava-madagascar
#1
Chitale Remonja Rabaoarisoa, Rado Rakotoarison, Nivo Heritiana Rakotonirainy, Reziky Tiandraza Mangahasimbola, Alain Berthin Randrianarisoa, Ronan Jambou, Inès Vigan-Womas, Patrice Piola, Rindra Vatosoa Randremanana
BACKGROUND: Malnutrition accounts for 45% of mortality in children under five years old, despite a global mobilization against chronic malnutrition. In Madagascar, the most recent data show that the prevalence of stunting in children under five years old is still around 47.4%. This study aimed to identify the determinants of stunting in children in rural areas of Moramanga and Morondava districts to target the main areas for intervention. METHODS: A case-control study was conducted in children aged from 6 to 59...
2017: PloS One
https://www.readbyqxmd.com/read/29045275/medical-education-in-decentralized-settings-how-medical-students-contribute-to-health-care-in-10-sub-saharan-african-countries
#2
Zohray Talib, Susan van Schalkwyk, Ian Couper, Swaha Pattanaik, Khadija Turay, Atiene S Sagay, Rhona Baingana, Sarah Baird, Bernhard Gaede, Jehu Iputo, Minnie Kibore, Rachel Manongi, Antony Matsika, Mpho Mogodi, Jeremais Ramucesse, Heather Ross, Moses Simuyeba, Damen Haile-Mariam
PURPOSE: African medical schools are expanding, straining resources at tertiary health facilities. Decentralizing clinical training can alleviate this tension. This study assessed the impact of decentralized training and contribution of undergraduate medical students at health facilities. METHOD: Participants were from 11 Medical Education Partnership Initiative-funded medical schools in 10 African countries. Each school identified two clinical training sites-one rural and the other either peri-urban or urban...
October 17, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29044368/use-of-bayesian-networks-in-predicting-contamination-of-drinking-water-with-e-coli-in-rural-vietnam
#3
David C Hall, Quynh B Le
Background: More than 70 million Vietnamese rely on small-scale farming for some form of household income. Water on many of those farms is contaminated with waste, including animal manure, partly due to non-sustainable waste management. This increases the risk of water-related zoonotic disease transmission. The purpose of this research was to examine the impact of various demographic and management factors on the likelihood of finding Escherichia coli in drinking water sourced from wells and rainwater on farms in Vietnam...
June 1, 2017: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29043932/information-needs-assessment-for-k-12-school-nurses-in-rural-eastern-washington-state
#4
Kathryn Vela
School nurses are an often-overlooked population of health care professionals who have great importance in rural communities where access to health care is limited. In order to better serve school nurses in rural eastern Washington, an assessment was conducted to determine their information needs, behaviors, and perceptions. Results indicated this population of school nurses searches for multiple types of health information on a daily basis and navigates obstacles to information access using a variety of resources...
October 2017: Medical Reference Services Quarterly
https://www.readbyqxmd.com/read/29042819/distance-from-health-facility-and-mothers-perception-of-quality-related-to-skilled-delivery-service-utilization-in-northern-ethiopia
#5
Girmatsion Fisseha, Yemane Berhane, Alemayehu Worku, Wondwossen Terefe
BACKGROUND: Poor maternal health service utilization is one of the contributing factors to a high level of maternal and newborn mortality in Ethiopia. The factors associated with utilization of services are believed to differ from one context to another. We assessed the factors associated with skilled delivery service utilization in rural northern Ethiopia. SUBJECTS AND METHODS: A community-based survey was conducted among mothers who gave birth in the 12 months preceding the study period, from January to February 2015, in the Tigray region of Ethiopia...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/29042290/wild-edible-plants-nutritional-and-toxicological-characteristics-retrieval-strategies-and-importance-for-today-s-society
#6
José Pinela, Ana Maria Carvalho, Isabel C F R Ferreira
Wild edible plants (WEPs) are part of the cultural and genetic heritage of different regions of the world. In times of famine and scarcity, these sources of nutrients and health-promoting compounds have received high importance mainly in rural and suburban areas. Although currently underutilized, WEPs are still consumed traditionally by different communities and are gaining relevance in today's society. However, these foods lack recognition as significant contributors to the human diet in developed areas. This review describes the nutritional value of WEPs from the North-eastern region of Portugal and points out those containing potentially toxic compounds...
October 14, 2017: Food and Chemical Toxicology
https://www.readbyqxmd.com/read/29042240/coxiella-burnetii-and-rickettsia-conorii-two-zoonotic-pathogens-in-peridomestic-rodents-and-their-ectoparasites-in-nigeria
#7
Joshua Kamani, Gad Baneth, Ricardo Gutiérrez, Yaarit Nachum-Biala, Kosta Y Mumcuoglu, Shimon Harrus
Rodents are hosts of numerous pathogenic agents of public health importance globally. Their ability to harbor these pathogens without showing overt clinical signs of disease has epidemiologic consequences. In some rural settings in Nigeria, humans and rodents do not only share feeds and abode, but the latter may end up on the table of the former as a source of protein, thereby increasing the risks of disease transmission. Molecular assays were used to detect and characterize two agents of zoonotic importance, Coxiella burnetii and Rickettsia spp...
October 12, 2017: Ticks and Tick-borne Diseases
https://www.readbyqxmd.com/read/29041994/hospital-surge-capacity-a-web-based-simulation-tool-for-emergency-planners
#8
Matthew F Toerper, Gabor D Kelen, Lauren M Sauer, Jamil D Bayram, Christina Catlett, Scott Levin
The National Center for the Study of Preparedness and Catastrophic Event Response (PACER) has created a publicly available simulation tool called Surge (accessible at http://www.pacerapps.org) to estimate surge capacity for user-defined hospitals. Based on user input, a Monte Carlo simulation algorithm forecasts available hospital bed capacity over a 7-day period and iteratively assesses the ability to accommodate disaster patients. Currently, the tool can simulate bed capacity for acute mass casualty events (such as explosions) only and does not specifically simulate staff and supply inventory...
October 18, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29041977/perceptions-of-and-barriers-to-family-planning-services-in-the-poorest-regions-of-chiapas-mexico-a-qualitative-study-of-men-women-and-adolescents
#9
Emily Dansereau, Alexandra Schaefer, Bernardo Hernández, Jennifer Nelson, Erin Palmisano, Diego Ríos-Zertuche, Alex Woldeab, Maria Paola Zúñiga, Emma Margarita Iriarte, Ali H Mokdad, Charbel El Bcheraoui
BACKGROUND: In the poorest regions of Chiapas, Mexico, 50.2% of women in need of contraceptives do not use any modern method. A qualitative study was needed to design effective and culturally appropriate interventions. METHODS: We used purposive maximum-variation sampling to select eight municipalities with a high proportion of residents in the poorest wealth quintile, including urban, rural, indigenous, and non-indigenous communities. We conducted 44 focus group discussions with 292 women, adolescent women, and men using semi-structured topic guides...
October 17, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29041972/understanding-the-preference-for-homebirth-an-exploration-of-key-barriers-to-facility-delivery-in-rural-tanzania
#10
Fabiola Moshi, Tumaini Nyamhanga
BACKGROUND: There is limited information on the effect of expectant parents' socio-cultural perceptions and practices on the use of skilled birth attendants (SBAs) in rural Tanzania. The purpose of this study was to explore the socio-cultural barriers to health facility birth and SBA among parents choosing home birth in rural Tanzania, specifically in the Rukwa Region. METHODS: This study used a descriptive exploratory methodology. Purposive sampling was used to recruit study participants for both in-depth interviews (IDIs) and focused group discussions (FGDs)...
October 17, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29041941/disentangling-the-effects-of-a-multiple-behaviour-change-intervention-for-diarrhoea-control-in-zambia-a-theory-based-process-evaluation
#11
Katie Greenland, Jenala Chipungu, Joyce Chilekwa, Roma Chilengi, Val Curtis
BACKGROUND: Diarrhoea is a leading cause of child death in Zambia. As elsewhere, the disease burden could be greatly reduced through caregiver uptake of existing prevention and treatment strategies. We recently reported the results of the Komboni Housewives intervention which tested a novel strategy employing motives including affiliation and disgust to improve caregiver practice of four diarrhoea control behaviours: exclusive breastfeeding; handwashing with soap; and correct preparation and use of oral rehydration salts (ORS) and zinc...
October 17, 2017: Globalization and Health
https://www.readbyqxmd.com/read/29041799/the-value-of-the-wirhe-scholarship-programme-in-training-health-professionals-for-rural-areas-views-of-participants
#12
Nontsikelelo O Mapukata, Ian Couper, Jocelyn Smith
INTRODUCTION: Rural hospitals in South Africa, as elsewhere, face enduring shortages of, and challenges in attracting and retaining, suitably qualified staff. The Wits Initiative for Rural Health Education (WIRHE), based at the University of the Witwatersrand but covering three universities, is a rural scholarship programme established to find local solutions to these challenges in the North West and Mpumalanga provinces. The purpose of this evaluation was to ascertain whether the WIRHE project was achieving its objectives...
October 13, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29041798/community-perceptions-of-mental-illness-in-rural-uganda-an-analysis-of-existing-challenges-facing-the-bwindi-mental-health-programme
#13
Arya Shah, Lydia Wheeler, Kristen Sessions, Yusufu Kuule, Edwin Agaba, Stephen P Merry
OBJECTIVES: To assess community perceptions of mental illness in the Bwindi Community Hospital (BCH) catchment area: to recognise beliefs about the causes and the treatments for mental illness. To provide community data to staff at BCH as they work to develop more effective community mental health programmes. BACKGROUND: A shortage of mental health providers in Uganda has prompted research into community-based task-sharing models for the provision of mental health services in underserved communities...
October 11, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29041791/public-awareness-of-audiology-hearing-and-hearing-health-in-the-limpopo-province-south-africa
#14
Karin Joubert, Ben Sebothoma, Khomotjo S Kgare
BACKGROUND: The burden of hearing loss is on the increase, especially in low-income countries such as South Africa. The need for urgent action to prevent ear and hearing problems is a priority, especially as in many cases permanent hearing loss is preventable. In South Africa, as in other developing countries, there is a limited number of hearing health professionals and audiological resources. The lack of hearing health services may impact the general public's awareness of hearing and hearing health...
September 28, 2017: South African Journal of Communication Disorders. die Suid-Afrikaanse Tydskrif Vir Kommunikasieafwykings
https://www.readbyqxmd.com/read/29041786/census-and-vaccination-coverage-of-owned-dog-populations-in-four-resource-limited-rural-communities-mpumalanga-province-south-africa
#15
Anne Conan, Joy A C Geerdes, Oluyemisi A Akerele, Bjorn Reininghaus, Gregory J G Simpson, Darryn Knobel
Dogs (Canis familiaris) are often free-roaming in sub-Saharan African countries. Rabies virus circulates in many of these populations and presents a public health issue. Mass vaccination of dog populations is the recommended method to decrease the number of dog and human rabies cases. We describe and compare four populations of dogs and their vaccination coverage in four different villages (Hluvukani, Athol, Utah and Dixie) in Bushbuckridge Municipality, Mpumalanga province, South Africa. Cross-sectional surveys were conducted in the villages of Athol, Utah and Dixie, while data from a Health and Demographic Surveillance System were used to describe the dog population in Hluvukani village...
September 22, 2017: Journal of the South African Veterinary Association
https://www.readbyqxmd.com/read/29040811/mobile-emergency-simulation-training-for-rural-health-providers
#16
Douglas Martin, Brent Bekiaris, Gregory Hansen
INTRODUCTION: Mobile emergency simulation offers innovative continuing medical educational support to regions that may lack access to such opportunities. Furthermore, satisfaction is a critical element for active learning. Together, the authors evaluated Canadian rural healthcare providers' satisfaction from high fidelity emergency simulation training using a modified motorhome as a mobile education unit (MEU). METHODS: Over a 5-month period, data was collected during 14 educational sessions in nine different southern Manitoban communities...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29040581/effect-of-school-eye-health-promotion-on-children-s-eye-health-literacy-in-vietnam
#17
Prakash Paudel, Phung Thi Yen, Vilas Kovai, Thomas Naduvilath, Suit May Ho, Nguyen Viet Giap, Brien A Holden
Health promotion intervention in schools is a useful strategy to improve students' health awareness. The purpose of this study was to assess the effect of eye health promotion interventions on eye health literacy in school children in Vietnam. A piloted questionnaire was administered to 300 children from five secondary schools in Ba Ria-Vung Tau, Vietnam at baseline and re-administered after the eye health promotion interventions. McNemar chi-square and logistic regression were used for statistical analysis...
October 6, 2017: Health Promotion International
https://www.readbyqxmd.com/read/29040316/rising-trends-and-inequalities-in-cesarean-section-rates-in-pakistan-evidence-from-pakistan-demographic-and-health-surveys-1990-2013
#18
Sarwat Mumtaz, Jinwook Bahk, Young-Ho Khang
Despite global efforts to improve maternal health, many developing countries including Pakistan have failed to achieve the target of a 75% reduction in maternal deaths by 2015. Addressing socioeconomic inequalities in access to emergency obstetric care is crucial for reducing the maternal mortality rate. This study was done to examine the time trends and socioeconomic inequalities in the utilization of cesarean section (C-section) in Pakistan during 1990-2013. We used data from the Pakistan Demographic and Health Surveys (PDHS) conducted during 1990 to 2013...
2017: PloS One
https://www.readbyqxmd.com/read/29040303/continuing-professional-development-for-medical-nursing-and-midwifery-cadres-in-malawi-tanzania-and-south-africa-a-qualitative-evaluation
#19
Caryl Feldacker, Jillian Pintye, Sheena Jacob, Michael H Chung, Lyn Middleton, Jill Iliffe, H Nina Kim
BACKGROUND: As innovations in the prevention and treatment of HIV and TB advance, continuing professional development (CPD) of health care workers (HCWs) remains a high priority, particularly in sub-Saharan Africa where dual TB/HIV epidemics are compounded by severe HCW shortages. There is further need to examine CPD programs to identify challenges and effective solutions to strengthen HIV/TB-related CPD. METHODS: Qualitative evaluations in Malawi, Tanzania and South Africa (RSA) were conducted using key informant interviews (KIIs) and focus group discussions (FGDs) in each country to identify barriers and enablers of effective HIV/TB-related CPD...
2017: PloS One
https://www.readbyqxmd.com/read/29040263/tuberculosis-detection-and-the-challenges-of-integrated-care-in-rural-china-a-cross-sectional-standardized-patient-study
#20
Sean Sylvia, Hao Xue, Chengchao Zhou, Yaojiang Shi, Hongmei Yi, Huan Zhou, Scott Rozelle, Madhukar Pai, Jishnu Das
BACKGROUND: Despite recent reductions in prevalence, China still faces a substantial tuberculosis (TB) burden, with future progress dependent on the ability of rural providers to appropriately detect and refer TB patients for further care. This study (a) provides a baseline assessment of the ability of rural providers to correctly manage presumptive TB cases; (b) measures the gap between provider knowledge and practice and; (c) evaluates how ongoing reforms of China's health system-characterized by a movement toward "integrated care" and promotion of initial contact with grassroots providers-will affect the care of TB patients...
October 2017: PLoS Medicine
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