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https://www.readbyqxmd.com/read/29342985/community-based-health-and-exposure-study-around-urban-oil-developments-in-south-los-angeles
#1
Bhavna Shamasunder, Ashley Collier-Oxandale, Jessica Blickley, James Sadd, Marissa Chan, Sandy Navarro, Michael Hannigan, Nicole J Wong
Oilfield-adjacent communities often report symptoms such as headaches and/or asthma. Yet, little data exists on health experiences and exposures in urban environments with oil and gas development. In partnership with Promotoras de Salud (community health workers), we gathered household surveys nearby two oil production sites in Los Angeles. We tested the capacity of low-cost sensors for localized exposure estimates. Bilingual surveys of 205 randomly sampled residences were collected within two 1500 ft. buffer areas (West Adams and University Park) surrounding oil development sites...
January 15, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29334946/surmounting-difficulties-to-provide-home-based-neonatal-care-reflections-of-community-health-workers
#2
Abhijit Shrinivas Prabhughate, Pearl Tiwari, Shubhangi Sohoni, Vallaree Anant Morgaonkar, Ajay Gajanan Phatak, Somashekhar Marutirao Nimbalkar, Anagha Anand Mahajani
BACKGROUND: In India, community health workers' (CHW) effectiveness in providing home-based neonatal care (HBNC) has been well documented. The nature of challenges faced and strategies adopted while providing HBNC services need to be studied in-depth. METHODS: A qualitative study to understand the challenges faced and strategies used by Sakhis (women CHW) while providing services as part of a HBNC program implemented by a non-profit organization. Data consisted of 20 in-depth interviews and three focus group discussions (FGD) with Sakhis...
January 15, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29330754/systematic-review-of-mammography-screening-educational-interventions-for-hispanic-women-in-the-united-states
#3
REVIEW
John S Luque, Ayaba Logan, Grace Soulen, Kent E Armeson, Danielle M Garrett, Caroline B Davila, Marvella E Ford
In the United States (U.S.), Hispanics experience breast cancer disparities. Breast cancer is the leading cause of cancer-related death among Hispanic women, and Hispanic women receive mammography screening at lower rates than some other ethnic groups. This low rate of screening mammography is associated with increased risk for possible late-stage diagnosis and lower survival rates. Educational interventions could play a role in increasing screening mammography rates among Hispanic women. This systematic review synthesized the current literature on educational interventions to increase mammography screening among Hispanic women...
January 12, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29320556/care-seeking-patterns-among-families-that-experienced-under-five-child-mortality-in-rural-rwanda
#4
Daniel M Kagabo, Catherine M Kirk, Benjamin Bakundukize, Bethany L Hedt-Gauthier, Neil Gupta, Lisa R Hirschhorn, Willy C Ingabire, Dominique Rouleau, Fulgence Nkikabahizi, Catherine Mugeni, Felix Sayinzoga, Cheryl L Amoroso
BACKGROUND: Over half of under-five deaths occur in sub-Saharan Africa and appropriate, timely, quality care is critical for saving children's lives. This study describes the context surrounding children's deaths from the time the illness was first noticed, through the care-seeking patterns leading up to the child's death, and identifies factors associated with care-seeking for these children in rural Rwanda. METHODS: Secondary analysis of a verbal and social autopsy study of caregivers who reported the death of a child between March 2013 to February 2014 that occurred after discharge from the child's birth facility in southern Kayonza and Kirehe districts in Rwanda...
2018: PloS One
https://www.readbyqxmd.com/read/29311170/integrating-community-health-workers-into-medical-homes
#5
Elizabeth A Rogers, Sarah Turcotte Manser, Joan Cleary, Anne M Joseph, Eileen M Harwood, Kathleen T Call
PURPOSE: Though evidence supports the value of community health workers (CHWs) in chronic disease self-management support, and authorities have called for expanding their roles within patient-centered medical homes (PCMHs), few PCMHs in Minnesota have incorporated these health workers into their care teams. We undertook a qualitative study to (1) identify facilitators and barriers to utilizing a CHW model among PCMHs in Minnesota, and (2) define roles played by this workforce within the PCMH team...
January 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29310509/occupational-health-in-community-health-centers-practitioner-challenges-and-recommendations
#6
Juliana M Simmons, Amy K Liebman, Rosemary K Sokas
Primary care clinicians may be the only source of occupational healthcare for many low-wage, high-risk workers who experience disproportionate occupational hazards. The authors explored barriers to providing occupational healthcare and recommendations for overcoming these challenges. The team conducted six focus groups and eleven key-informant interviews in two community health centers and among clinicians, community health workers, and other personnel from similar settings. Clinicians reported not utilizing occupational information during clinical encounters and identified competing priorities, limited appointment time, and lack of training as key barriers...
January 1, 2018: New Solutions: a Journal of Environmental and Occupational Health Policy: NS
https://www.readbyqxmd.com/read/29309578/the-role-of-community-health-workers-in-improving-hiv-treatment-outcomes-in-children-lessons-learned-from-the-zenith-trial-in-zimbabwe
#7
Joanna Busza, Ethel Dauya, Tsitsi Bandason, Victoria Simms, Chido Dziva Chikwari, Memory Makamba, Grace Mchugh, Shungu Munyati, Prosper Chonzi, Rashida A Ferrand
Reliance on community health workers (CHWs) for HIV care continues to increase, particularly in resource-limited settings. CHWs can improve HIV service use and adherence to treatment, but effectiveness of these programmes relies on providing an enabling work environment for CHWs, including reasonable workload, supportive supervision and adequate training and supplies. Although criteria for effective CHW programmes have been identified, these have rarely been prospectively applied to design and evaluation of new interventions...
January 3, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29304869/improving-local-health-through-community-health-workers-in-cambodia-challenges-and-solutions
#8
Kim Ozano, Padam Simkhada, Khem Thann, Rose Khatri
BACKGROUND: Volunteer community health workers (CHWs) are an important link between the public health system and the community. The 'Community Participation Policy for Health' in Cambodia identifies CHWs as key to local health promotion and as a critical link between district health centres and the community. However, research on the challenges CHWs face and identifying what is required to optimise their performance is limited in the Cambodian context. This research explores the views of CHWs in rural Cambodia, on the challenges they face when implementing health initiatives...
January 6, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29304779/list-modelling-with-monitoring-data-to-estimate-impact-on-child-mortality-of-an-ors-and-zinc-programme-with-public-sector-providers-in-bihar-india
#9
Jayachandran A Ayyanat, Catherine Harbour, Sanjeev Kumar, Manjula Singh
BACKGROUND: Many interventions have attempted to increase vulnerable and remote populations' access to ORS and zinc to reduce child mortality from diarrhoea. However, the impact of these interventions is difficult to measure. From 2010 to 15, Micronutrient Initiative (MI), worked with the public sector in Bihar, India to enable community health workers to treat and report uncomplicated child diarrhoea with ORS and zinc. We describe how we estimated programme's impact on child mortality with Lives Saved Tool (LiST) modelling and data from MI's management information system (MIS)...
January 5, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29300380/development-and-evaluation-of-a-genomics-training-program-for-community-health-workers-in-texas
#10
Lei-Shih Chen, Shixi Zhao, Donaji Stelzig, Shweta U Dhar, Tanya Eble, Yu-Chen Yeh, Oi-Man Kwok
PurposeGenomics services have the potential to reduce incidence and mortality of diseases by providing individualized, family health history (FHH)-based prevention strategies to clients. These services may benefit from the involvement of community health workers (CHWs) in the provision of FHH-based genomics education and services, as CHWs are frontline public health workers and lay health educators, who share similar ethnicities, languages, socioeconomic statuses, and life experiences with the communities they serve...
January 4, 2018: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/29299814/randomized-trial-of-chronic-pain-self-management-program-in-the-community-or-clinic-for-low-income-primary-care-patients
#11
Barbara J Turner, Yuanyuan Liang, Maureen J Simmonds, Natalia Rodriguez, Raudel Bobadilla, Zenong Yin
BACKGROUND: Patients with chronic pain often lack the skills and resources necessary to manage this disease. OBJECTIVE: To develop a chronic pain self-management program reflecting community stakeholders' priorities and to compare functional outcomes from training in two settings. DESIGN: A parallel-group randomized trial. PARTICIPANTS: Eligible subjects were 35-70 years of age, with chronic non-cancer pain treated with opioids for >2 months at two primary care and one HIV clinic serving low-income Hispanics...
January 3, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29299719/what-role-can-community-health-workers-play-in-connecting-rural-women-with-depression-to-the-de-facto-mental-health-care-system
#12
Claire Snell-Rood, Frances Feltner, Nancy Schoenberg
The prevalence of depression among rural women is nearly twice the national average, yet limited mental health services and extensive social barriers restrict access to needed treatment. We conducted key informant interviews with community health workers (CHWs) and diverse health care professionals who provide care to Appalachian women with depression to better understand the potential roles that CHWs may play to improve women's treatment engagement. In the gap created by service disparities and social barriers, CHWs can offer a substantial contribution through improving recognition of depression; deepening rural women's engagement within existing services; and offering sustained, culturally appropriate support...
January 3, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29297398/illness-recognition-and-care-seeking-for-maternal-and-newborn-complications-in-rural-eastern-uganda
#13
Monica Okuga, Peter Waiswa, Rogers Mandu, Juddy Wachira, Claudia Hanson, Fatuma Manzi
BACKGROUND: To enhance understanding of the roles of community-based initiatives in poor rural societies, we describe and explore illness recognition, decision-making, and appropriate care-seeking for mothers and newborn illnesses in two districts in eastern Uganda where in one implementation district, a facility and community quality improvement approach was implemented. METHODS: This was a cross-sectional study using qualitative methods. We conducted 48 event narratives: eight maternal and newborn deaths and 16 maternal and newborn illnesses...
December 21, 2017: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/29291457/diagnosis-of-epileptic-seizures-by-community-health-workers-using-a-mobile-app-a-comparison-with-physicians-and-a-neurologist
#14
Victor Patterson, Shruti Samant, Mamta Bhushan Singh, Priya Jain, Vaibhav Agavane, Yogesh Jain
PURPOSE: The World Health Organisation (WHO) strategy for non-physician health workers (NPHWs) to diagnose and manage people with untreated epilepsy depends on them having access to suitable tools. We have devised and validated an app on a tablet computer to diagnose epileptic episodes and now examine how its use by NPHWs compares with diagnosis by local physicians and a neurologist. METHODS: Fifteen NPHWs at Jan Swasthya Sahyog (JSS) a hospital with community outreach in Chhattisgarh, India were trained in the use of an epilepsy diagnosis app on a tablet computer...
December 26, 2017: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/29288405/reducing-the-risk-of-postpartum-depression-in-a-low-income-community-through-a-community-health-worker-intervention
#15
Christopher Mundorf, Arti Shankar, Tracy Moran, Sherry Heller, Anna Hassan, Emily Harville, Maureen Lichtveld
Objectives To clarify the effectiveness of perinatal social support interventions in reducing postpartum depression among minority, low-income women. Methods The Transdisciplinary Research Consortium for Gulf Resilience on Women's Health supported a community-based participatory research project to improve perinatal health among low-income, first-time pregnant women living in a vulnerable Gulf Coast region. Community health workers (CHWs) were partnered with recruited women, and used a mix of mobile technology and home visits to develop a supportive relationship during the perinatal period...
December 29, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29284700/an-ngo-implemented-community-clinic-health-worker-approach-to-providing-long-term-care-for-hypertension-in-a-remote-region-of-southern-india
#16
Sujatha Sankaran, Prema S Ravi, Yichen Ethel Wu, Sharan Shanabogue, Sangeetha Ashok, Kaylan Agnew, Margaret C Fang, Raman A Khanna, Madhavi Dandu, James D Harrison
Poor blood pressure control results in tremendous morbidity and mortality in India where the leading cause of death among adults is from coronary heart disease. Despite having little formal education, community health workers (CHWs) are integral to successful public health interventions in India and other low- and middle-income countries that have a shortage of trained health professionals. Training CHWs to screen for and manage chronic hypertension, with support from trained clinicians, offers an excellent opportunity for effecting systemwide change in hypertension-related burden of disease...
December 28, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29280689/irritable-bowel-syndrome-and-quality-of-life-in-a-community-dwelling-population-in-japan
#17
Norio Sugawara, Ken Sato, Ippei Takahashi, Ryu Satake, Shinsaku Fukuda, Shigeyuki Nakaji, Norio Yasui-Furukori
Objective Irritable bowel syndrome (IBS) is one of the most common gastrointestinal disorders and is characterized by recurrent abdominal pain or abnormal defecation. This investigation evaluated the relationship between IBS and self-reported quality of life in a community-dwelling population in Japan. Methods For this cross-sectional survey, we enrolled 1002 volunteers who participated in the Iwaki Health Promotion Project in 2013. IBS symptoms were evaluated using the criteria from the Japanese version of the Rome III Questionnaire...
January 1, 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29277462/a-randomized-controlled-trial-to-prevent-infant-overweight-in-a-high-risk-population
#18
Elizabeth Reifsnider, David P McCormick, Karen W Cullen, Michael Todd, Michael W Moramarco, Martina R Gallagher, Lucia Reyna
INTRODUCTION: Infants are at risk of overweight. Infant overweight predisposes child, adolescent, and adult to obesity. OBJECTIVES: We hypothesized that parent education, initiated prenatally, and provided in the home, would reduce the incidence of infant overweight at age 12 months. METHODS: Pregnant obese Latina women were recruited at WIC and randomized to intervention versus control. Intervention subjects received home visits by trained Spanish-fluent community health workers who provided counseling on infant growth, breastfeeding, nutrition, child development, sleep, physical activity, and safety...
December 22, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29261507/longitudinal-evaluation-of-the-tupange-urban-family-planning-program-in-kenya
#19
Aimee Benson, Lisa M Calhoun, Meghan Corroon, Peter Lance, Rick O'Hara, John Otsola, Ilene S Speizer, Jennifer Winston
CONTEXT: Levels of fertility and contraceptive use have long fluctuated in Kenya. The multicomponent Tupange program, part of the Urban Reproductive Health Initiative, was initiated in 2011 to increase use of modern family planning methods. METHODS: Women aged 15-49 in the five Kenyan cities where Tupange was implemented were interviewed in 2010 and reinterviewed in 2014 to obtain information on their contraceptive use and exposure to components of the Tupange program...
June 1, 2017: International Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/29261242/ed-based-care-coordination-reduces-costs-for-frequent-ed-users
#20
Michelle P Lin, Bonnie B Blanchfield, Rose M Kakoza, Vineeta Vaidya, Christin Price, Joshua S Goldner, Michelle Higgins, Elisabeth Lessenich, Karl Laskowski, Jeremiah D Schuur
OBJECTIVES: We evaluated a pilot quality improvement intervention implemented in an urban academic medical center emergency department (ED) to improve care coordination and reduce ED visits and hospitalizations among frequent ED users. STUDY DESIGN: Randomized controlled trial. METHODS: We identified the most frequent ED users in both the 30 days prior to the intervention and the 12 months prior to the intervention. We randomized the top 72 patients to receive either our pilot intervention or usual care...
December 2017: American Journal of Managed Care
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