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Lower and lower middle income countries

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https://www.readbyqxmd.com/read/29146639/impact-of-informal-caregiving-on-older-adults-physical-and-mental-health-in-low-income-and-middle-income-countries-a-cross-sectional-secondary-analysis-based-on-the-who-s-study-on-global-ageing-and-adult-health-sage
#1
Sylvie D Lambert, Steven J Bowe, Patricia M Livingston, Leila Heckel, Selina Cook, Paul Kowal, Liliana Orellana
OBJECTIVES: A high proportion of care stemming from chronic disease or disability in low-income and middle-income countries is provided by informal caregivers. The goal of this study was to determine the level of burden experienced by these caregivers, explore associated factors and assess whether caregivers' and non-caregivers' health differed. DESIGN AND SETTING: This cross-sectional study was a secondary analysis of data on caregivers' burden, health and health risk factors in Ghana, India and the Russian Federation collected as part of the WHO's Study on global AGEing and adult health (SAGE) Wave 1...
November 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/29146636/antenatal-care-services-and-its-implications-for-vital-and-health-outcomes-of-children-evidence-from-193-surveys-in-69-low-income-and-middle-income-countries
#2
Jana Kuhnt, Sebastian Vollmer
OBJECTIVES: Antenatal care (ANC) is an essential part of primary healthcare and its provision has expanded worldwide. There is limited evidence of large-scale cross-country studies on the impact of ANC offered to pregnant women on child health outcomes. We investigate the association of ANC in low-income and middle-income countries with short- and long-term mortality and nutritional child outcomes. SETTING: We used nationally representative health and welfare data from 193 Demographic and Health Surveys conducted between 1990 and 2013 from 69 low-income and middle-income countries for women of reproductive age (15-49 years), their children and their respective household...
November 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/29143685/available-studies-fail-to-provide-strong-evidence-of-increased-risk-of-diarrhea-mortality-due-to-measles-in-the-period-4-26%C3%A2-weeks-after-measles-rash-onset
#3
Bianca D Jackson, Robert E Black
BACKGROUND: Measles vaccination effectiveness studies showed dramatic decreases in all-cause mortality in excess of what would be expected from the prevention of measles disease alone. This invited speculation that measles infection may increase the risk of diarrhea morbidity and mortality subsequent to the acute phase of the disease. The aim of the present systematic review is to summarize the existing evidence in the publically available literature pertaining to the putative causal link between measles and diarrhea in the period 4-26 weeks following measles rash onset...
November 7, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29143681/economic-evaluation-of-hcv-testing-approaches-in-low-and-middle-income-countries
#4
REVIEW
Jake R Morgan, Maria Servidone, Philippa Easterbrook, Benjamin P Linas
BACKGROUND: Hepatitis C virus (HCV) infection represents a major public health burden with diverse epidemics worldwide, but at present, only a minority of infected persons have been tested and are aware of their diagnosis. The advent of highly effective direct acting antiviral (DAA) therapy, which is becoming available at increasingly lower costs in low and middle income countries (LMICs), represents a major opportunity to expand access to testing and treatment. However, there is uncertainty as to the optimal testing approaches and who to prioritize for testing...
November 1, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29137508/health-professional-education-and-universal-health-coverage-a-summary-of-challenges-and-selected-case-studies
#5
Arthika Sripathy, Joachim Marti, Hannah Patel, Javaid I Sheikh, Ara W Darzi
Low- and middle-income countries are experiencing serious shortages in meeting health workforce requirements for universal health coverage. We examine how national-level policies can address these deficiencies and support the development of an appropriately skilled health workforce in line with population needs. We discuss three innovative, government-led solutions that are designed to align health workforce training with the demands of universal health coverage. Specifically, we discuss two initiatives to train and retain doctors in rural areas of Thailand, the large-scale training of community health workers within multidisciplinary primary health care teams in Brazil, and the introduction of a postgraduate diploma program in primary care for nurses in India...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29133311/quantifying-research-output-on-poverty-and-non-communicable-disease-behavioural-risk-factors-in-low-income-and-lower-middle-income-countries-a-bibliometric-analysis
#6
Luke Nelson Allen, Nicholas Fox, Alissa Ambrose
OBJECTIVES: Low-income and lower middle-income countries (LLMICs) bear a disproportionate burden of non-communicable diseases (NCDs). WHO has repeatedly called for more research on poverty and NCDs in these settings, but the current situation remains unquantified. We aimed to assess research output on poverty and NCD risk factors from these countries in relation to upper middle-income and high-income countries. DESIGN: Bibliometric analysis of primary research published between 1 January 1990 and 4 May 2017...
November 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29130123/informal-value-chain-actors-knowledge-and-perceptions-about-zoonotic-diseases-and-biosecurity-in-kenya-and-the-importance-for-food-safety-and-public-health
#7
Simon Nyokabi, Regina Birner, Bernard Bett, Linda Isuyi, Delia Grace, Denise Güttler, Johanna Lindahl
Zoonotic diseases, transmitted from animals to humans, are a public health challenge in developing countries. Livestock value chain actors have an important role to play as the first line of defence in safeguarding public health. However, although the livelihood and economic impacts of zoonoses are widely known, adoption of biosecurity measures aimed at preventing zoonoses is low, particularly among actors in informal livestock value chains in low and middle-income countries. The main objective of this study was to investigate knowledge of zoonoses and adoption of biosecurity measures by livestock and milk value chain actors in Bura, Tana River County, in Kenya, where cattle, camels, sheep and goats are the main livestock kept...
November 13, 2017: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/29128586/contraception-pregnancy-and-peripartum-experiences-among-women-with-epilepsy-in-bhutan
#8
Sheliza Halani, Lhab Tshering, Esther Bui, Sarah J Clark, Sara J Grundy, Tandin Pem, Sonam Lhamo, Ugyen Dema, Damber K Nirola, Chencho Dorji, Farrah J Mateen
INTRODUCTION: Reports on the reproductive health of women with epilepsy (WWE) in low- and middle-income countries (LMICs) are limited. Bhutan is a lower income country with a high estimated prevalence of epilepsy and no out-of-pocket payment requirements for health visits or medications. METHODS: We developed a 10-category survey to interview WWE ages 20-59 years in the Kingdom of Bhutan to understand their contraceptive use and peripartum experiences. WWE were recruited from 2016-2017 from an existing epilepsy cohort and their reproductive health data were merged with epilepsy and socioeconomic data obtained from initial clinical evaluations performed between 2014 and 2016...
October 18, 2017: Epilepsy Research
https://www.readbyqxmd.com/read/29128246/long-term-exposure-to-ambient-pm2-5-associated-with-fall-related-injury-in-six-low-and-middle-income-countries
#9
Yanfei Guo, Hualiang Lin, Yan Shi, Yang Zheng, Xing Li, Jianpeng Xiao, Tao Liu, Weilin Zeng, Michael G Vaughn, Lenise A Cummings-Vaughn, Erik J Nelson, Zhengmin Min Qian, Wenjun Ma, Fan Wu
Exposure to ambient air pollution has been linked with adverse health outcomes of the circulatory and nervous systems. Given that falls are closely related to circulatory and nervous health, we hypothesize that air pollution may adversely affect fall-related injury. We employed Wave 1 data from 36,662 participants aged ≥50 years in WHO's Study on Global AGEing and Adult Health in six low- and middle-income countries. Ambient annual concentration of PM2.5 was estimated using satellite data. A three-level logistic regression model was applied to examine the long-term association between ambient PM2...
November 8, 2017: Environmental Pollution
https://www.readbyqxmd.com/read/29128032/acute-effects-of-ambient-air-pollution-on-lower-respiratory-infections-in-hanoi-children-an-eight-year-time-series-study
#10
Nguyen Thi Trang Nhung, Christian Schindler, Tran Minh Dien, Nicole Probst-Hensch, Laura Perez, Nino Künzli
BACKGROUND: Lower respiratory diseases are the most frequent causes of hospital admission in children worldwide, particularly in developing countries. Daily levels of air pollution are associated with lower respiratory diseases, as documented in many time-series studies. However, investigations in low-and-middle-income countries, such as Vietnam, remain sparse. OBJECTIVE: This study investigated the short-term association of ambient air pollution with daily counts of hospital admissions due to pneumonia, bronchitis and asthma among children aged 0-17 in Hanoi, Vietnam...
January 2018: Environment International
https://www.readbyqxmd.com/read/29121923/decentralised-training-for-medical-students-a-scoping-review
#11
Marietjie de Villiers, Susan van Schalkwyk, Julia Blitz, Ian Couper, Kalavani Moodley, Zohray Talib, Taryn Young
BACKGROUND: Increasingly, medical students are trained at sites away from the tertiary academic health centre. A growing body of literature identifies the benefits of decentralised clinical training for students, the health services and the community. A scoping review was done to identify approaches to decentralised training, how these have been implemented and what the outcomes of these approaches have been in an effort to provide a knowledge base towards developing a model for decentralised training for undergraduate medical students in lower and middle-income countries (LMICs)...
November 9, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29121873/barriers-to-hpv-self-sampling-and-cytology-among-low-income-indigenous-women-in-rural-areas-of-a-middle-income-setting-a-qualitative-study
#12
Betania Allen-Leigh, Patricia Uribe-Zúñiga, Leith León-Maldonado, Brandon J Brown, Attila Lörincz, Jorge Salmeron, Eduardo Lazcano-Ponce
BACKGROUND: Data is needed about barriers to self-collection of Human Papillomavirus (HPV) samples and cytology among low-income, disadvantaged women living in rural areas of lower-income countries as these women are at increased risk of cervical cancer mortality. METHODS: Individual interviews (n = 29), focus groups (n = 7, 5-11 participants) and discussion groups (n = 2, 18-25 participants) were organized with women from three indigenous ethnic groups residing in rural areas in Mexico, after they were provided with free, self-sampled HPV tests...
November 9, 2017: BMC Cancer
https://www.readbyqxmd.com/read/29120833/radiotherapy-in-small-countries
#13
Michael B Barton, Eduardo H Zubizarreta, J Alfredo Polo Rubio
AIM: To examine the availability of radiotherapy in small countries. METHODS: A small country was defined as a country with a population less than one million persons. The economic status of each country was defined using the World Bank Classification. The number of cancers in each country was obtained from GLOBOCAN 2012. The number of cancer cases with an indication or radiotherapy was calculated using the CCORE model. RESULTS: There were 41 countries with a population of under 1 million; 15 were classified as High Income, 15 Upper Middle Income, 10 Lower Middle Income and one Low Income...
October 2017: Cancer Epidemiology
https://www.readbyqxmd.com/read/29117327/maternal-colonization-with-group-b-streptococcus-and-serotype-distribution-worldwide-systematic-review-and-meta-analyses
#14
Neal J Russell, Anna C Seale, Megan O'Driscoll, Catherine O'Sullivan, Fiorella Bianchi-Jassir, Juan Gonzalez-Guarin, Joy E Lawn, Carol J Baker, Linda Bartlett, Clare Cutland, Michael G Gravett, Paul T Heath, Kirsty Le Doare, Shabir A Madhi, Craig E Rubens, Stephanie Schrag, Ajoke Sobanjo-Ter Meulen, Johan Vekemans, Samir K Saha, Margaret Ip
Background: Maternal rectovaginal colonization with group B Streptococcus (GBS) is the most common pathway for GBS disease in mother, fetus, and newborn. This article, the second in a series estimating the burden of GBS, aims to determine the prevalence and serotype distribution of GBS colonizing pregnant women worldwide. Methods: We conducted systematic literature reviews (PubMed/Medline, Embase, Latin American and Caribbean Health Sciences Literature [LILACS], World Health Organization Library Information System [WHOLIS], and Scopus), organized Chinese language searches, and sought unpublished data from investigator groups...
November 6, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29117324/intrapartum-antibiotic-chemoprophylaxis-policies-for-the-prevention-of-group-b-streptococcal-disease-worldwide-systematic-review
#15
Kirsty Le Doare, Megan O'Driscoll, Kim Turner, Farah Seedat, Neal J Russell, Anna C Seale, Paul T Heath, Joy E Lawn, Carol J Baker, Linda Bartlett, Clare Cutland, Michael G Gravett, Margaret Ip, Shabir A Madhi, Craig E Rubens, Samir K Saha, Stephanie Schrag, Ajoke Sobanjo-Ter Meulen, Johan Vekemans, Beate Kampmann
Background: Intrapartum antibiotic chemoprophylaxis (IAP) prevents most early-onset group B streptococcal (GBS) disease. However, there is no description of how IAP is used around the world. This article is the sixth in a series estimating the burden of GBS disease. Here we aimed to review GBS screening policies and IAP implementation worldwide. Methods: We identified data through (1) systematic literature reviews (PubMed/Medline, Embase, Literature in the Health Sciences in Latin America and the Caribbean [LILACS], World Health Organization library database [WHOLIS], and Scopus) and unpublished data from professional societies and (2) an online survey and searches of policies from medical societies and professionals...
November 6, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29115194/the-development-and-pilot-testing-of-a-multicomponent-health-promotion-intervention-seher-for-secondary-schools-in-bihar-india
#16
Sachin Shinde, Bernadette Pereira, Prachi Khandeparkar, Amit Sharma, George Patton, David A Ross, Helen A Weiss, Vikram Patel
BACKGROUND: Schools can play an important role in health promotion by improving students' health literacy, attitudes, health-related behaviours, social connection and self-efficacy. These interventions can be particularly valuable in low- and middle-income countries with low health literacy and high burden of disease. However, the existing literature provides poor guidance for the implementation of school-based interventions in low-resource settings. This paper describes the development and pilot testing of a multicomponent school-based health promotion intervention for adolescents in 75 government-run secondary schools in Bihar, India...
2017: Global Health Action
https://www.readbyqxmd.com/read/29113616/correlates-of-physical-activity-among-community-dwelling-individuals-aged-65-years-or-older-with-anxiety-in-six-low-and-middle-income-countries
#17
Davy Vancampfort, Brendon Stubbs, Mats Hallgren, Nicola Veronese, James Mugisha, Michel Probst, Ai Koyanagi
BACKGROUND: Given the important health benefits of physical activity (PA) and the higher risk for physical inactivity in people with anxiety, and the high prevalence of anxiety and low PA among the elderly, there is a need for research to investigate what factors influence PA participation among anxious older individuals. We investigated PA correlates among community-dwelling adults aged ≥ 65 years with anxiety symptoms in six low- and middle-income countries. METHODS: Cross-sectional data from the World Health Organization's Study on Global Ageing and Adult Health were analyzed...
November 8, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29113445/the-noncommunicable-disease-outcomes-of-primary-healthcare-screening-in-two-rural-subdistricts-of-the-eastern-cape-province-south-africa
#18
Paul Rheeder, Angela A Morris-Paxton, Rose-Marie G Ewing, Dillon Woods
BACKGROUND: Middle and lower income countries are challenged with a double burden of disease: while still coping with the onslaught of Human Immunodeficiency Virus (HIV) and increasing levels of tuberculosis (TB), there is a considerable increase in the level of noncommunicable diseases (NCDs). The poor are especially disadvantaged and are at an increased risk for NCDs. Adequate healthcare resources for this environment can only be allocated once the extent and exact nature of the problem is determined...
October 31, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29108723/cardiovascular-respiratory-and-related-disorders-key-messages-from-disease-control-priorities-3rd-edition
#19
REVIEW
Dorairaj Prabhakaran, Shuchi Anand, David Watkins, Thomas Gaziano, Yangfeng Wu, Jean Claude Mbanya, Rachel Nugent
Cardiovascular, respiratory, and related disorders (CVRDs) are the leading causes of adult death worldwide, and substantial inequalities in care of patients with CVRDs exist between countries of high income and countries of low and middle income. Based on current trends, the UN Sustainable Development Goal to reduce premature mortality due to CVRDs by a third by 2030 will be challenging for many countries of low and middle income. We did systematic literature reviews of effectiveness and cost-effectiveness to identify priority interventions...
November 3, 2017: Lancet
https://www.readbyqxmd.com/read/29107975/trajectories-of-maternal-ante-and-postpartum-depressive-symptoms-and-their-association-with-child-and-mother-related-characteristics-in-a-west-african-birth-cohort-study
#20
Dana Barthel, Levente Kriston, Daniel Fordjour, Yasmin Mohammed, Esther Doris Kra-Yao, Carine Esther Bony Kotchi, Ekissi Jean Koffi Armel, Kirsten Alexandra Eberhardt, Torsten Feldt, Rebecca Hinz, Koffi Mathurin, Stefanie Schoppen, Carola Bindt, Stephan Ehrhardt
BACKGROUND: The vast majority of research on mental health has been undertaken in high income countries. This study aimed at investigating the long-term course of maternal depressive symptoms and its association with various mother- and child-related characteristics in two West African lower middle income countries with focus on the relationship with long-term anxiety symptoms. METHODS: In the Child Development Study, a prospective birth cohort study in Côte d'Ivoire and Ghana, the 9-item Patient Health Questionnaire (PHQ-9) was answered by N = 776 women 3 months antepartum, and 3, 12, and 24 months postpartum between April 2010 and March 2014...
2017: PloS One
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