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https://www.readbyqxmd.com/read/29161375/health-system-factors-affecting-implementation-of-integrated-management-of-childhood-illness-imci-qualitative-insights-from-a-south-african-province
#1
Himani Pandya, Wiedaad Slemming, Haroon Saloojee
The Integrated Management of Childhood Illness (IMCI) strategy has been adopted by 102 countries including South Africa, as the preferred primary health care (PHC) delivery strategy for sick children under 5 years. Despite substantial investment to support IMCI in South Africa, its delivery remains sub-optimal, with varied implementation in different settings. There is scarce research globally, and in the local context, examining the effects of health system characteristics on IMCI implementation. This study explored key determinants of IMCI delivery in a South African province, with a specific focus on health system building blocks using a health system dynamics framework...
November 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29161262/the-value-of-confirmatory-testing-in-early-infant-hiv-diagnosis-programmes-in-south-africa-a-cost-effectiveness-analysis
#2
Lorna Dunning, Jordan A Francke, Divya Mallampati, Rachel L MacLean, Martina Penazzato, Taige Hou, Landon Myer, Elaine J Abrams, Rochelle P Walensky, Valériane Leroy, Kenneth A Freedberg, Andrea Ciaranello
BACKGROUND: The specificity of nucleic acid amplification tests (NAATs) used for early infant diagnosis (EID) of HIV infection is <100%, leading some HIV-uninfected infants to be incorrectly identified as HIV-infected. The World Health Organization recommends that infants undergo a second NAAT to confirm any positive test result, but implementation is limited. Our objective was to determine the impact and cost-effectiveness of confirmatory HIV testing for EID programmes in South Africa...
November 2017: PLoS Medicine
https://www.readbyqxmd.com/read/29155369/virtual-rehabilitation-with-children-challenges-for-clinical-adoption-from-the-field
#3
Stephanie Glegg
Virtual, augmented, and mixed reality environments are increasingly being developed and used to address functional rehabilitation goals related to physical, cognitive, social, and psychological impairments. For example, a child with an acquired brain injury may participate in virtual rehabilitation to address impairments in balance, attention, turn taking, and engagement in therapy. The trend toward virtual rehabilitation first gained momentum with the adoption of commercial off-the-shelf active video gaming consoles (e...
November 2017: IEEE Pulse
https://www.readbyqxmd.com/read/29151370/systematic-review-of-infant-and-young-child-complementary-feeding-practices-in-south-asian-families-the-pakistan-perspective
#4
Logan Manikam, Anika Sharmila, Abina Dharmaratnam, Emma C Alexander, Jia Ying Kuah, Ankita Prasad, Sonia Ahmed, Raghu Lingam, Monica Lakhanpaul
OBJECTIVE: Suboptimal nutrition among children remains a problem among South Asian (SA) families. Appropriate complementary feeding (CF) practices can greatly reduce this risk. Thus, we undertook a systematic review of studies assessing CF (timing, dietary diversity, meal frequency and influencing factors) in children aged <2 years in Pakistan. DESIGN: Searches between January 2000 and June 2016 in MEDLINE, EMBASE, Global Health, Web of Science, OVID Maternity & Infant Care, CINAHL, Cochrane Library, BanglaJOL, POPLINE and WHO Global Health Library...
November 20, 2017: Public Health Nutrition
https://www.readbyqxmd.com/read/29149070/placement-stability-cumulative-time-in-care-and-permanency-using-administrative-data-from-cps-to-track-placement-trajectories
#5
Sonia Hélie, Marie-Andrée Poirier, Tonino Esposito, Daniel Turcotte
Objectives: The Quebec Youth Protection Act was amended in 2007. The main goal of this reform was to improve placement stability for children who are removed from their home for their protection. Among several legal provisions introduced was the establishment of maximum age-specific durations of out-of-home care, after which a plan must be established to provide stability for children placed in substitute care by finding permanent homes for them. The purpose of this study is (1) to examine trends in placement use and placement stability since the reform and (2) to document the current frequency of each type of placement setting, the cumulative time in care before the exit to permanency, and the sustainability of the permanency outcome...
November 17, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29148838/discordance-between-age-and-size-based-criteria-of-child-passenger-restraint-appropriateness
#6
Mary L Smiley, C Raymond Bingham, Peter D Jacobson, Michelle L Macy
Objectives In this study we sought to accomplish the following objectives: 1) to calculate the percentage of children considered appropriately restrained across eight criteria of increasing restrictiveness; 2) to examine agreement between age- and size-based appropriateness criteria; 3) to assess for changes in the percentage of children considered appropriately restrained by the eight criteria between 2011 (shortly after updates to United States (U.S.) guidelines) and 2015. Methods Data from two cross-sectional surveys of 928 parents of children younger than 12 years old (n = 591 in 2011, n = 337 in 2015) were analyzed in 2017...
November 17, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29139056/ensuring-implementation-fidelity-of-a-10-week-home-visiting-program-in-two-randomized-clinical-trials
#7
Monica L Oxford, Susan J Spieker, Mary Jane Lohr, Charles B Fleming, Colleen Dillon, Jennifer Rees
Introduction Implementation fidelity is a challenge for the adoption of evidence-based programs within social service broadly and child welfare specifically. However, implementation fidelity is critical for maintaining the integrity of clinical trials and for ensuring successful delivery of services in public health settings. Methods Promoting First Relationships (®) (PFR), a 10-week home visiting parenting intervention, was evaluated in two randomized clinical trials with populations of families in child welfare...
November 14, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29138172/framework-for-building-primary-care-capacity-to-address-the-social-determinants-of-health
#8
Andrew D Pinto, Gary Bloch
PROBLEM ADDRESSED: Family physicians have long understood that social factors influence the health of individuals and communities; however, most primary care organizations have yet to develop the capacity to specifically address these social determinants of health (SDOH). OBJECTIVE OF PROGRAM: To support SDOH interventions and foster an organizational culture in which addressing SDOH is considered part of high-quality primary care. PROGRAM DESCRIPTION: An academic family health team in Toronto, Ont, established a committee comprising a diverse group of health professionals focused on the SDOH...
November 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29136489/like-peas-and-carrots-combining-wellness-policy-implementation-with-classroom-education-for-obesity-prevention-in-the-childcare-setting
#9
Caree J Cotwright, Diane W Bales, Jung Sun Lee, Kathryn Parrott, Nathalie Celestin, Babatunde Olubajo
OBJECTIVES: We evaluated an intervention combining policy training and technical assistance for childcare teachers with a nutrition education curriculum to improve (1) the knowledge and self-efficacy of childcare teachers in implementing obesity prevention policies and practices, (2) the quantity and quality of nutrition and physical activity education, and (3) the childcare wellness environment. METHODS: Thirteen teachers and 8 administrators (2 of whom were also teachers) from 8 childcare programs in Clarke County, Georgia, participated in the Healthy Child Care Georgia intervention during June-October 2015...
November 2017: Public Health Reports
https://www.readbyqxmd.com/read/29136485/evaluating-the-impact-of-training-in-obesity-prevention-methods-on-the-counseling-knowledge-and-skills-of-wic-nutritionists-in-georgia-2014-2015
#10
Wendy Palmer, Danielle Henderson, Barbara Stahnke, Katherine Shary, Trisha Hardy, Jean A Welsh
OBJECTIVES: Motivational interviewing, a client-centered intervention method focused on enhancing intrinsic motivation for behavior change, shows a positive impact on children's weight status (ie, stabilizing or slowing down weight gain as a child grows). We evaluated the impact of a training program on knowledge and adoption of evidence-based obesity prevention counseling strategies among counselors from Georgia's Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)...
November 2017: Public Health Reports
https://www.readbyqxmd.com/read/29125871/does-ownership-of-improved-dairy-cow-breeds-improve-child-nutrition-a-pathway-analysis-for-uganda
#11
Nassul S Kabunga, Shibani Ghosh, Patrick Webb
The promotion of livestock production is widely believed to support enhanced diet quality and child nutrition, but the empirical evidence for this causal linkage remains narrow and ambiguous. This study examines whether adoption of improved dairy cow breeds is linked to farm-level outcomes that translate into household-level benefits including improved child nutrition outcomes in Uganda. Using nationwide data from Uganda's National Panel Survey, propensity score matching is used to create an unbiased counterfactual, based on observed characteristics, to assess the net impacts of improved dairy cow adoption...
2017: PloS One
https://www.readbyqxmd.com/read/29112297/longitudinal-analyses-of-adoptive-parents-expectations-and-depressive-symptoms
#12
Karen J Foli, Eunjung Lim, Susan C South
Grounded in a theoretical model specific to adoptive parents, we examined the relationship between parental expectations and depressive symptoms across time. Assessments of 129 adoptive parents of 64 children were performed at three time points before and after placement of an adopted child with the family: 4-6 weeks pre-placement and 4-6 weeks and 5-6 months post-placement. Expectations were assessed in four dimensions: expectations of self as parents, of the child, of family and friends, and of society. Depressive symptoms were assessed with the Center for Epidemiologic Studies-Depression scale...
December 2017: Research in Nursing & Health
https://www.readbyqxmd.com/read/29110521/what-makes-parents-act-and-react-parental-views-and-considerations-relating-to-child-health-during-infancy
#13
Gerd Almqvist-Tangen, Susann Arvidsson, Bernt Alm, Stefan Bergman, Josefine Roswall, Jovanna Dahlgren, Lauri Nevonen
Lifestyle factors and behaviours are adopted very early in life and tend to persist throughout life. Considering that the parents are the primary gatekeepers for their child's health, there is a need to gain more knowledge and deeper understanding about what causes parents to act and react in order for early preventive efforts to have any effect. The aim was to explore the parental views and considerations concerning 'child health' among parents with infants 8-10 months old. The sample was strategic and 16 parents (aged 23-41) were recruited from three child health centres in Sweden...
January 1, 2017: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://www.readbyqxmd.com/read/29110396/using-cognitive-mapping-to-understand-senegalese-infant-and-young-child-feeding-decisions
#14
Stephanie Zobrist, Nikhila Kalra, Gretel Pelto, Brittney Wittenbrink, Peiman Milani, Abdoulaye Moussa Diallo, Tidiane Ndoye, Issa Wone, Megan Parker
Caregivers make decisions about how to feed their infants and young children based on complex interactions of knowledge, beliefs, and values, as well as assessments of situational determinants, including economic and social constraints and opportunities. Because of the relationship of these factors to the adoption of new feeding behaviours, the development of nutrition interventions for this age group must be grounded in knowledge about the target population. This paper presents the results of a study that used cognitive mapping techniques to gain insight into mothers' knowledge and perceptions of foods for infants and young children and examine their significance for feeding decisions in Saint-Louis, northern Senegal...
November 7, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29107197/the-adaptation-and-translation-of-the-peach%C3%A2-rct-intervention-the-process-and-outcomes-of-the-peach%C3%A2-in-the-community-trial
#15
R A Perry, R K Golley, J Hartley, A M Magarey
OBJECTIVE: To describe the process and report selected outcomes of translating an effective child weight management initiative (PEACH™) from a randomised controlled trial intervention to a community health programme. STUDY DESIGN AND METHODS: Pre-post study design utilising the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) evaluation framework. Adaptation of PEACH™ required significant promotional activity and consideration of legal, ethical and financial issues...
October 26, 2017: Public Health
https://www.readbyqxmd.com/read/29103388/women-s-education-and-utilization-of-maternal-health-services-in-africa-a-multi-country-and-socioeconomic-status-analysis
#16
Zacharie Tsala Dimbuene, Joshua Amo-Adjei, Dickson Amugsi, Joyce Mumah, Chimaraoke O Izugbara, Donatien Beguy
There is an abundant literature on the relationship between women's education and maternal and child outcomes, including antenatal and postnatal care, onset of antenatal care and skilled birth attendance. However, few studies have adopted the 'equity' lens, despite increasing evidence that inequities between rich and poor are increasing although maternal and child mortality is declining. This study examined the differential effects of women's education within different socioeconomic strata in Africa. The most recent Demographic and Health Surveys (DHS) conducted in the Democratic Republic of the Congo, Egypt, Ghana, Nigeria and Zimbabwe were used...
November 6, 2017: Journal of Biosocial Science
https://www.readbyqxmd.com/read/29097966/parent-training-occupational-therapy-program-for-parents-of-children-with-autism-in-korea
#17
Sun-Joung L An
Attitudes and beliefs about parent participation in occupational therapy are shifting toward family-centered practice worldwide. However, adopting a family-centered approach in a society such as Korea, where a Confucian culture of hierarchical roles is reflected in a strong medical model, can prove to be very difficult. A parent training program was developed at the HOPE Center, a pediatric occupational therapy center, to bridge the gap between the traditional medical model and the ideal family-centered model...
2017: Occupational Therapy International
https://www.readbyqxmd.com/read/29097084/exposure-to-fine-particulate-matter-during-pregnancy-and-risk-of-term-low-birth-weight-in-jinan-china-2014-2016
#18
Han Wu, Baofa Jiang, Xingyi Geng, Ping Zhu, Zhong Liu, Liangliang Cui, Liping Yang
BACKGROUND: Existing studies exploring the association between low birth weight (LBW) and maternal fine particulate matter (aerodynamic diameter<2.5μm, PM2.5) exposure have presented equivocal results, and one of the possible reasons for this finding might be due to relatively low maternal exposures. In addition, relatively narrow maternal exposure windows to PM2.5 have not been well established for LBW. METHODS: We employed a nested matched case-control design among 43,855 term births in a large maternity and child care hospital in Jinan, China...
October 28, 2017: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/29094970/ethnic-socialization-and-ethnic-identity-development-among-internationally-adopted-korean-american-adolescents-a-seven-year-follow-up
#19
Alison W Hu, Xiang Zhou, Richard M Lee
The relationship between ethnic socialization by parents, peers, and ethnic identity development was examined over a 7-year time span in a sample of 116 internationally adopted Korean American adolescents. Parent report data was collected in 2007 (Time 1 [T1]) when the adopted child was between 7 and 13 years old and again in 2014 at ages 13 to 20 years old (Time 2 [T2]). Adolescent report data also was collected in 2014. We examined differences in parent and adolescent reports of parental ethnic socialization at T2, changes in parent reports of ethnic socialization from T1 to T2, and the relationship among ethnic socialization by parents at T1 and T2, ethnic socialization by peers at T2, and ethnic identity exploration and resolution at T2...
November 2017: Developmental Psychology
https://www.readbyqxmd.com/read/29089403/cost-effectiveness-of-a-clinical-childhood-obesity-intervention
#20
RANDOMIZED CONTROLLED TRIAL
Mona Sharifi, Calvin Franz, Christine M Horan, Catherine M Giles, Michael W Long, Zachary J Ward, Stephen C Resch, Richard Marshall, Steven L Gortmaker, Elsie M Taveras
OBJECTIVES: To estimate the cost-effectiveness and population impact of the national implementation of the Study of Technology to Accelerate Research (STAR) intervention for childhood obesity. METHODS: In the STAR cluster-randomized trial, 6- to 12-year-old children with obesity seen at pediatric practices with electronic health record (EHR)-based decision support for primary care providers and self-guided behavior-change support for parents had significantly smaller increases in BMI than children who received usual care...
November 2017: Pediatrics
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