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https://www.readbyqxmd.com/read/29471544/10-best-resources-on-power-in-health-policy-and-systems-in-low-and-middle-income-countries
#1
Veena Sriram, Stephanie M Topp, Marta Schaaf, Arima Mishra, Walter Flores, Subramania Raju Rajasulochana, Kerry Scott
Power is a critical concept to understand and transform health policy and systems. Power manifests implicitly or explicitly at multiple levels-local, national and global-and is present at each actor interface, therefore shaping all actions, processes and outcomes. Analysing and engaging with power has important potential for improving our understanding of the underlying causes of inequity, and our ability to promote transparency, accountability and fairness. However, the study and analysis of the role of power in health policy and systems, particularly in the context of low- and middle-income countries, has been lacking...
February 17, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29471158/road-traffic-injuries-cross-sectional-cluster-randomized-countrywide-population-data-from-4-low-income-countries
#2
Syed Nabeel Zafar, Joseph K Canner, Neeraja Nagarajan, Adam L Kushner
INTRODUCTION: Road traffic injuries (RTI) are a leading cause of morbidity and mortality around the world. The burden is highest in low and middle-income countries (LMICs) and is increasing. We aimed to describe the epidemiology of RTIs in 4 low-income countries using nationally representative survey data. METHODS: The Surgeons Overseas Assessment of Surgical Needs (SOSAS) survey tool was administered in four countries: Sierra Leone, Rwanda, Nepal and Uganda. We performed nationally representative cross-sectional, cluster randomized surveys in each country...
February 19, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29471143/transdermal-delivery-of-vitamin-k-using-dissolving-microneedles-for-the-prevention-of-vitamin-k-deficiency-bleeding
#3
Aaron R J Hutton, Helen L Quinn, Paul J McCague, Courtney Jarrahian, Annie Rein-Weston, Patricia S Coffey, Emily Gerth-Guyette, Darin Zehrung, Eneko Larrañeta, Ryan F Donnelly
Vitamin K deficiency within neonates can result in vitamin K deficiency bleeding. Ensuring that newborns receive vitamin K is particularly critical in places where access to health care and blood products and transfusions is limited. The World Health Organization recommends that newborns receive a 1 mg intramuscular injection of vitamin K at birth. Evidence from multiple surveillance studies shows that the introduction of vitamin K prophylaxis reduces the incidence of vitamin K deficiency bleeding. Despite these recommendations, coverage of vitamin K prophylactic treatment in low-resource settings is limited...
February 19, 2018: International Journal of Pharmaceutics
https://www.readbyqxmd.com/read/29470931/the-need-for-sustainability-and-alignment-of-future-support-for-national-immunization-technical-advisory-groups-nitags-in-low-and-middle-income-countries
#4
Natasha Howard, Sadie Bell, Helen Walls, Laurence Blanchard, Logan Brenzel, Mark Jit, Sandra Mounier-Jack
National Immunisation Technical Advisory Groups (NITAGs) provide independent guidance to health ministries to support evidence-based and nationally relevant immunisation decisions. We examined NITAGs' value, sustainability, and need for support in low and middle-income countries, drawing from a mixed-methods study including 130 global and national-level key informant interviews. NITAGs were particularly valued for providing independent and nationally owned evidence-based decision-making (EBDM), but needed to be integrated within national processes to effectively balance independence and influence...
February 22, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29470545/private-healthcare-provider-experiences-with-social-health-insurance-schemes-findings-from-a-qualitative-study-in-ghana-and-kenya
#5
Maia Sieverding, Cynthia Onyango, Lauren Suchman
BACKGROUND: Incorporating private healthcare providers into social health insurance schemes is an important means towards achieving universal health coverage in low and middle income countries. However, little research has been conducted about why private providers choose to participate in social health insurance systems in such contexts, or their experiences with these systems. We explored private providers' perceptions of and experiences with participation in two different social health insurance schemes in Sub-Saharan Africa-the National Health Insurance Scheme (NHIS) in Ghana and the National Hospital Insurance Fund (NHIF) in Kenya...
2018: PloS One
https://www.readbyqxmd.com/read/29470118/the-inverse-equity-hypothesis-analyses-of-institutional-deliveries-in-286-national-surveys
#6
Cesar Gomes Victora, Gary Joseph, Inacio C M Silva, Fatima S Maia, J Patrick Vaughan, Fernando C Barros, Aluisio J D Barros
OBJECTIVES: To test the inverse equity hypothesis, which postulates that new health interventions are initially adopted by the wealthy and thus increase inequalities-as population coverage increases, only the poorest will lag behind all other groups. METHODS: We analyzed the proportion of births occurring in a health facility by wealth quintile in 286 surveys from 89 low- and middle-income countries (1993-2015) and developed an inequality pattern index. Positive values indicate that inequality is driven by early adoption by the wealthy (top inequality), whereas negative values signal bottom inequality...
February 22, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29470115/older-adults-social-relationships-and-health-care-utilization-a-systematic-review
#7
Nicole K Valtorta, Danielle Collingridge Moore, Lynn Barron, Daniel Stow, Barbara Hanratty
BACKGROUND: Deficiencies in older people's social relationships (including loneliness, social isolation, and low social support) have been implicated as a cause of premature mortality and increased morbidity. Whether they affect service use is unclear. OBJECTIVES: To determine whether social relationships are associated with older adults' use of health services, independently of health-related needs. SEARCH METHODS: We searched 8 electronic databases (MEDLINE, Embase, CINAHL, Web of Science, PsycINFO, Scopus, the Cochrane Library, and the Centre for Reviews and Dissemination) for data published between 1983 and 2016...
February 22, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29469117/understand-the-lives-of-youth-in-low-income-countries
#8
Robert Blum, Jo Boyden
No abstract text is available yet for this article.
February 22, 2018: Nature
https://www.readbyqxmd.com/read/29469012/nutritional-status-and-postoperative-outcomes-in-patients-with-gastrointestinal-cancer-in-vietnam-a-retrospective-cohort-study
#9
Bui Thi Hong Loan, Shinji Nakahara, Bui An Tho, Tran Ngoc Dang, Le Ngoc Anh, Nguyen Do Huy, Masao Ichikawa
BACKGROUND: Nutritional support for surgical care is crucial because hospital malnutrition is rather common. However, low- and middle-income countries have not adequately addressed nutritional management of surgical patients. To highlight need for nutritional management in surgical patients, the present study aimed to describe preoperative nutritional status in patients who underwent gastrointestinal cancer surgery in Vietnam and to investigate the relationship between preoperative malnutrition and adverse outcomes, such as postoperative complications and prolonged length of hospital stay...
December 6, 2017: Nutrition
https://www.readbyqxmd.com/read/29468825/the-co-occurrence-of-anaemia-and-stunting-in-young-children
#10
Lucas Gosdin, Reynaldo Martorell, Rosario M Bartolini, Rukshan Mehta, Sridhar Srikantiah, Melissa F Young
Anaemia and stunting are prevalent nutritional problems among children of low-income countries that have profound effects on development, morbidity, and mortality. Many use a single conceptual framework to identify the basic determinants of these and other forms of malnutrition. One would expect that problems with matching underlying determinants should co-occur in affected individuals to a greater degree than by chance. In 2 populations of children-ages 6-18 months in Bihar, India, (n = 5,664) and 6-36 months in Lambayeque, Peru (n = 688)-we measured the frequency of the co-occurrence of anaemia and stunting...
February 22, 2018: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29467818/knowledge-transfer-a-worldwide-challenge-in-child-mental-health-a-recommendation-to-the-readership-of-capmh-concerning-the-revised-version-of-the-iacapap-textbook-of-child-and-adolescent-mental-health
#11
Anna T Maier, Rebecca C Brown, Joerg M Fegert
Background: Transfer of knowledge is an important issue throughout all scientific disciplines, especially in the medical and psycho-social field. The issue of worldwide knowledge transfer in child mental health is one of the aims and goals of the journal Child and Adolescent Psychiatry and Mental Health (CAPMH). The demand for mental health training is high worldwide, and especially in low- to lower-middle income countries, where inadequate access to knowledge resources in the field of child and adolescent mental health (CAMH) is prevalent...
2018: Child and Adolescent Psychiatry and Mental Health
https://www.readbyqxmd.com/read/29467132/rapid-diagnostic-test-for-antenatal-syphilis-screening-in-low-income-and-middle-income-countries-a-systematic-review-and-meta-analysis
#12
Carmen Phang Romero Casas, Marrissa Martyn-St James, Jean Hamilton, Daniel S Marinho, Rodolfo Castro, Sue Harnan
OBJECTIVES: To undertake a systematic review and meta-analysis to evaluate the test performance including sensitivity and specificity of rapid immunochromatographic syphilis (ICS) point-of-care (POC) tests at antenatal clinics compared with reference standard tests (non-treponemal (TP) and TP tests) for active syphilis in pregnant women. METHODS: Five electronic databases were searched (PubMed, EMBASE, CRD, Cochrane Library and LILACS) to March 2016 for diagnostic accuracy studies of ICS test and standard reference tests for syphilis in pregnant women...
February 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29467037/strategies-for-successful-trauma-registry-implementation-in-low-and-middle-income-countries-protocol-for-a-systematic-review
#13
Tiffany Paradis, Etienne St-Louis, Tara Landry, Dan Poenaru
BACKGROUND: The benefits of trauma registries have been well described. The crucial data they provide may guide injury prevention strategies, inform resource allocation, and support advocacy and policy. This has been shown to reduce trauma-related mortality in various settings. Trauma remains a leading cause of mortality in low- and middle-income countries (LMICs). However, the implementation of trauma registries in LMICs can be challenging due to lack of funding, specialized personnel, and infrastructure...
February 21, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29466983/multidrug-resistant-tuberculosis-treatment-adherence-in-migrants-a-systematic-review-and-meta-analysis
#14
Laura B Nellums, Kieran Rustage, Sally Hargreaves, Jon S Friedland
BACKGROUND: Multidrug-resistant tuberculosis (MDR-TB) is a growing concern in meeting global targets for TB control. In high-income low-TB-incidence countries, a disproportionate number of MDR-TB cases occur in migrant (foreign-born) populations, with concerns about low adherence rates in these patients compared to the host non-migrant population. Tackling MDR-TB in this context may, therefore, require unique approaches. We conducted a systematic review and meta-analysis to identify and synthesise data on MDR-TB treatment adherence in migrant patients to inform evidence-based strategies to improve care pathways and health outcomes in this group...
February 22, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29466949/the-association-between-pre-pregnancy-body-mass-index-and-risk-of-preeclampsia-a-registry-based-study-from-tanzania
#15
Dorah Mrema, Rolv Terje Lie, Truls Østbye, Michael Johnson Mahande, Anne Kjersti Daltveit
BACKGROUND: Preeclampsia is among the leading causes of maternal mortality and morbidity worldwide, occurs in 2-8% of all pregnancies, and is estimated to account for at least 9 % of maternal deaths in Africa. Studies from developed countries show that high pre pregnancy body mass index (BMI) increases the risk of preeclampsia. We examined the association between pre pregnancy BMI and the risk of preeclampsia in Tanzania, a low income country. METHODS: Data from the Kilimanjaro Christian Medical Center (KCMC) Medical Birth Registry recorded between July 2000 and May 2013 were used...
February 21, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29466408/the-clinical-characteristics-of-adults-with-rheumatic-heart-disease-in-yangon-myanmar-an-observational-study
#16
Nan Phyu Sin Toe Myint, Ne Myo Aung, Myint Soe Win, Thu Ya Htut, Anna P Ralph, David A Cooper, Myo Lwin Nyein, Mar Mar Kyi, Josh Hanson
BACKGROUND: Rheumatic heart disease (RHD) is a major cause of premature death in low and middle-income countries. The greatest barrier to RHD control is neglect of the disease in national health policies and a lack of prevalence data that might inform control efforts. Myanmar is making remarkable progress against many infectious diseases, but there are almost no data to define the clinical burden of RHD in the country. This prospective audit was performed in an adult medical ward of a tertiary-referral hospital in Yangon, to gain an insight into the prevalence of RHD in Myanmar...
2018: PloS One
https://www.readbyqxmd.com/read/29466391/a-standardised-equine-based-welfare-assessment-tool-used-for-six-years-in-low-and-middle-income-countries
#17
Rebecca Sommerville, Ashleigh F Brown, Melissa Upjohn
The majority of horses, donkeys and mules (equids) are in low- and middle-income countries, where they remain a key source of labour in the construction, agriculture and tourism industries, as well as supporting households daily through transporting people and staple goods. Globally, approximately 600 million people depend on working equids for their livelihood. Safeguarding the welfare of these animals is essential for them to work, as well as for the intrinsic value of the animal's quality of life. In order to manage animal welfare, it must be measured...
2018: PloS One
https://www.readbyqxmd.com/read/29465638/out-of-the-closet-into-the-clinic-opportunities-for-expanding-msm-competent-services-in-china
#18
Julia Watson, Weiming Tang, Stephen Pan, Dan Wu, Peipei Zhao, Bolin Cao, Chuncheng Liu, Cedric Bien, Wenting Huang, Zhenzhou Luo, Joseph D Tucker
BACKGROUND: Despite the high HIV burden among men who have sex with men (MSM), there is little research on health services provided to MSM in China and other low- and middle-income countries. Discrimination and inadequate services may discourage MSM from seeking healthcare services. This study examined essential services provided to MSM and healthcare discrimination among MSM in China. METHODS: A nationwide cross-sectional online survey was conducted among MSM who saw a physician in the last 24 months in China...
February 13, 2018: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/29464922/reliability-and-validity-of-a-questionnaire-for-physical-activity-assessment-in-south-american-children-and-adolescents-the-saycare-study
#19
Marcus Vinícius Nascimento-Ferreira, Augusto César Ferreira De Moraes, Paulo Vinícius Toazza-Oliveira, Claudia L M Forjaz, Juan Carlos Aristizabal, Alba M Santaliesra-Pasías, Candela Lepera, Walter Viana Nascimento-Junior, Estela Skapino, Carlos Alberto Delgado, Luis Alberto Moreno, Heráclito Barbosa Carvalho
OBJECTIVE: The objective of this article is to test the reliability and validity of the new and innovative physical activity (PA) questionnaire. METHODS: Subsamples from the South American Youth/Child Cardiovascular and Environment Study (SAYCARE) study were included to examine its reliability (children: n = 161; adolescents: n = 177) and validity (children: n = 82; adolescents: n = 60). The questionnaire consists of three dimensions of PA (leisure, active commuting, and school) performed during the last week...
March 2018: Obesity
https://www.readbyqxmd.com/read/29464804/policy-relevant-behaviours-predict-heavier-drinking-and-mediate-the-relationship-with-age-gender-and-education-status-analysis-from-the-international-alcohol-control-study
#20
Sally Casswell, Taisia Huckle, Martin Wall, Karl Parker, Surasak Chaiyasong, Charles D H Parry, Pham Viet Cuong, Gaile Gray-Phillip, Marina Piazza
INTRODUCTION AND AIMS: To investigate behaviours related to four alcohol policy variables (policy-relevant behaviours) and demographic variables in relation to typical quantities of alcohol consumed on-premise in six International Alcohol Control study countries. DESIGN AND METHODS: General population surveys with drinkers using a comparable survey instrument and data analysed using path analysis in an overall model and for each country. MEASURES: typical quantities per occasion consumed on-premise; gender, age; years of education, prices paid, time of purchase, time to access alcohol and liking for alcohol advertisements...
February 21, 2018: Drug and Alcohol Review
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