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Health systems research and policy

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https://www.readbyqxmd.com/read/29244862/application-of-system-dynamics-and-participatory-spatial-group-model-building-in-animal-health-a-case-study-of-east-coast-fever-interventions-in-lundazi-and-monze-districts-of-zambia
#1
Chisoni Mumba, Eystein Skjerve, Magda Rich, Karl M Rich
East Coast Fever (ECF) is the most economically important production disease among traditional beef cattle farmers in Zambia. Despite the disease control efforts by the government, donors, and farmers, ECF cases are increasing. Why does ECF oscillate over time? Can alternative approaches such as systems thinking contribute solutions to the complex ECF problem, avoid unintended consequences, and achieve sustainable results? To answer these research questions and inform the design and implementation of ECF interventions, we qualitatively investigated the influence of dynamic socio-economic, cultural, and ecological factors...
2017: PloS One
https://www.readbyqxmd.com/read/29244107/the-importance-of-gender-analysis-in-research-for-health-systems-strengthening
#2
Sally Theobald, Rosemary Morgan, Kate Hawkins, Sarah Ssali, Asha George, Sassy Molyneux
This editorial discusses a collection of papers examining gender across a range of health policy and systems contexts, from access to services, governance, health financing, and human resources for health. The papers interrogate differing health issues and core health systems functions using a gender lens. Together they produce new knowledge on the multiple impacts of gender on health experiences and demonstrate the importance of gender analyses and gender sensitive interventions for promoting well-being and health systems strengthening...
December 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29243941/critical-success-factors-in-implementing-an-e-rostering-system-in-a-healthcare-organisation
#3
Zahoor A Soomro, Javed Ahmed, Raza Muhammad, Dawn Hayes, Mahmood H Shah
Effective and efficient staff scheduling has always been a challenging issue, especially in health service organisations. Both the extremes of staff shortage and overage have an adverse impact on the performance of healthcare organisations. In this case, an electronic and systematic staff scheduling (e-rostering) system is the often seen as the best solution. Unless an organisation has an effective implementation of such a system, possible cost savings, efficiency, and benefits could be minimal. This study is aimed to research key success factors for the successful effective implementation of an electronic rostering system, especially at healthcare organisations...
January 1, 2017: Health Services Management Research
https://www.readbyqxmd.com/read/29242087/complications-with-use-of-misoprostol-for-abortion-in-madagascar-between-ease-of-access-and-lack-of-information
#4
Dolorès Pourette, Chiarella Mattern, Rila Ratovoson, Patricia Raharimalala
OBJECTIVES: To learn what complications some women experienced in Madagascar following use of misoprostol for abortion and what treatment they received post-misoprostol use. STUDY DESIGN: This was a qualitative study in 2015-16 among women who had experienced complications after use of misoprostol, with or without additional methods, for abortion, what information they received before use, what dosage and regimens they used, what complications they experienced and what treatment they received post-use...
December 11, 2017: Contraception
https://www.readbyqxmd.com/read/29238499/exploring-perceptions-of-policymakers-about-main-strategies-to-enhance-fertility-rate-a-qualitative-study-in-iran
#5
Ali Akbar Haghdoost, Roya Safari-Faramani, Mohammad Reza Baneshi, Reza Dehnavieh, Mahlegha Dehghan
Background: Total fertility rate in Iran has declined unprecedentedly over the past thirty years. However, debating on proper strategies to increase fertility is still a matter of discussion among experts. Objective: To explain the main strategies to increase fertility from the viewpoints of the policy makers. Methods: This is a qualitative study using content analysis. Purposeful sampling approach was used to gather data. The data were collected via semi-structured interviews...
October 2017: Electronic Physician
https://www.readbyqxmd.com/read/29236377/xpey-relational-environments-an-analytic-framework-for-conceptualizing-indigenous-health-equity
#6
Alexandra Kent, Charlotte Loppie, Jeannine Carriere, Marjorie MacDonald, Bernie Pauly
INTRODUCTION: Both health equity research and Indigenous health research are driven by the goal of promoting equitable health outcomes among marginalized and underserved populations. However, the two fields often operate independently, without collaboration. As a result, Indigenous populations are underrepresented in health equity research relative to the disproportionate burden of health inequities they experience. In this methodological article, we present Xpey' Relational Environments, an analytic framework that maps some of the barriers and facilitators to health equity for Indigenous peoples...
December 2017: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29235986/managing-diabetes-in-people-with-dementia-a-realist-review
#7
Frances Bunn, Claire Goodman, Peter Reece Jones, Bridget Russell, Daksha Trivedi, Alan Sinclair, Antony Bayer, Greta Rait, Jo Rycroft-Malone, Chris Burton
BACKGROUND: Dementia and diabetes mellitus are common long-term conditions that coexist in a large number of older people. People living with dementia and diabetes may be at increased risk of complications such as hypoglycaemic episodes because they are less able to manage their diabetes. OBJECTIVES: To identify the key features or mechanisms of programmes that aim to improve the management of diabetes in people with dementia and to identify areas needing further research...
December 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29235401/what-do-human-rights-bring-to-discussions-of-power-and-politics-in-health-policy-and-systems
#8
Lisa Forman
Scholarly interrogations of power and politics are not endemic to the disciplines primarily tasked with exploring health policy and planning in the domestic or global domains. Scholars in these domains have come late to investigating power, prompted in part by the growing focus in domestic and global health research on the intersections between governance, globalization and health inequities. Recent prominent reports in this area increasingly point to human rights as important norms capable of responding in part to power differentials that sustain and exacerbate health inequities...
December 13, 2017: Global Public Health
https://www.readbyqxmd.com/read/29234080/genomic-diversity-and-macroecology-of-the-crop-wild-relatives-of-domesticated-pea
#9
Petr Smýkal, Iveta Hradilová, Oldřich Trněný, Jan Brus, Abhishek Rathore, Michael Bariotakis, Roma Rani Das, Debjyoti Bhattacharyya, Christopher Richards, Clarice J Coyne, Stergios Pirintsos
There is growing interest in the conservation and utilization of crop wild relatives (CWR) in international food security policy and research. Legumes play an important role in human health, sustainable food production, global food security, and the resilience of current agricultural systems. Pea belongs to the ancient set of cultivated plants of the Near East domestication center and remains an important crop today. Based on genome-wide analysis, P. fulvum was identified as a well-supported species, while the diversity of wild P...
December 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29233804/end-user-and-implementer-experiences-of-mhealth-technologies-for-noncommunicable-chronic-disease-management-in-young-adults-systematic-review
#10
REVIEW
Helen Slater, Jared M Campbell, Jennifer N Stinson, Megan M Burley, Andrew M Briggs
BACKGROUND: Chronic noncommunicable diseases (NCDs) such as asthma, diabetes, cancer, and persistent musculoskeletal pain impose an escalating and unsustainable burden on young people, their families, and society. Exploring how mobile health (mHealth) technologies can support management for young people with NCDs is imperative. OBJECTIVE: The aim of this study was to identify, appraise, and synthesize available qualitative evidence on users' experiences of mHealth technologies for NCD management in young people...
December 12, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29231897/assessment-of-a-salt-reduction-intervention-on-adult-population-salt-intake-in-fiji
#11
Arti Pillay, Kathy Trieu, Joseph Alvin Santos, Arleen Sukhu, Jimaima Schultz, Jillian Wate, Colin Bell, Marj Moodie, Wendy Snowdon, Gary Ma, Kris Rogers, Jacqui Webster
Reducing population salt intake is a global public health priority due to the potential to save lives and reduce the burden on the healthcare system through decreased blood pressure. This implementation science research project set out to measure salt consumption patterns and to assess the impact of a complex, multi-faceted intervention to reduce population salt intake in Fiji between 2012 and 2016. The intervention combined initiatives to engage food businesses to reduce salt in foods and meals with targeted consumer behavior change programs...
December 12, 2017: Nutrients
https://www.readbyqxmd.com/read/29231071/the-mental-health-of-married-immigrant-women-in-south-korea-and-its-risk-and-protective-factors-a-literature-review
#12
Yeeun Lee, Subin Park
BACKGROUND AND AIMS: Married immigrant women in South Korea undergo a wide array of psychosocial challenges in the process of adapting to a new culture and marriage with a Korean husband. For an integrative understanding of women's mental health status and to determine the key risk and protective factors, we systematically reviewed empirical articles about the mental health of married immigrant women. METHODS: We searched and reviewed articles from nine online databases: PubMed, Scopus, PsycINFO, Embase, DBpia, KISS, KMbase, KoreaMed and RISS, which were published up until January 2017...
December 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/29228986/addressing-vulnerability-building-resilience-community-based-adaptation-to-vector-borne-diseases-in-the-context-of-global-change
#13
REVIEW
Kevin Louis Bardosh, Sadie Ryan, Kris Ebi, Susan Welburn, Burton Singer
BACKGROUND: The threat of a rapidly changing planet - of coupled social, environmental and climatic change - pose new conceptual and practical challenges in responding to vector-borne diseases. These include non-linear and uncertain spatial-temporal change dynamics associated with climate, animals, land, water, food, settlement, conflict, ecology and human socio-cultural, economic and political-institutional systems. To date, research efforts have been dominated by disease modeling, which has provided limited practical advice to policymakers and practitioners in developing policies and programmes on the ground...
December 11, 2017: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/29228931/research-protocol-cisplatin-associated-ototoxicity-amongst-patients-receiving-cancer-chemotherapy-and-the-feasibility-of-an-audiological-monitoring-program
#14
J Paken, C D Govender, V Sewram
BACKGROUND: Cisplatin is an anti-cancer chemotherapy drug classified as an alkylating agent. It is used for the treatment of a variety of cancers such as cervical, breast, stomach, prostate, bladder and oesophageal, to name a few. However due to its expansive toxicity profile, patients receiving cisplatin can experience high frequency hearing loss, a side effect known as ototoxicity. The dearth of information on the extent and severity of cisplatin-associated ototoxicity in South Africa prevents the implementation of a context-specific audiological monitoring programme...
December 11, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/29227430/continuing-education-meets-the-learning-organization-the-challenge-of-a-systems-approach-to-patient-safety
#15
John M Eisenberg
Since the release of the report of the Institute of Medicine on medical errors and patient safety in November 1999, health policy makers and health care leaders in several nations have sought solutions that will improve the safety of health care. This attention to patient safety has highlighted the importance of a learning approach and a systems approach to quality measurement and improvement. Balanced with the need for public disclosure of performance, confidential reporting with feedback is one of the prime ways that nations such as the United States, Canada, the United Kingdom, and Australia have approached this challenge...
October 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29226695/racial-disparities-in-health-and-health-behaviors-among-gay-lesbian-bisexual-and-heterosexual-men-and-women-in-the-brfss-sop
#16
Zelma Tuthill, Justin T Denney, Bridget Gorman
OBJECTIVES: Research on sexual minority health lack examinations of how sexual orientation intersects with other identities, including racial/ethnic identity, to shape health outcomes among U.S. adults. This study examines how health status and health behavior varies for gay, lesbian, and bisexual men and women who identify as non-Hispanic white, non-Hispanic black, Latino, Asian/Pacific Islander, and American Indian/Alaskan Native. By examining health and health behaviors within and across sexual minority subgroups, our study reports on race/ethnic, gender, and sexual orientation specific health risks...
December 11, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/29226450/barriers-to-care-among-transgender-and-gender-nonconforming-adults
#17
Gilbert Gonzales, Carrie Henning-Smith
Policy Points: Transgender and gender nonconforming (GNC) adults may experience barriers to care for a variety of reasons, including discrimination and lack of awareness by providers in health care settings. In our analysis of a large, population-based sample, we found transgender and GNC adults were more likely to be uninsured and have unmet health care needs, and were less likely to have routine care, compared to cisgender (nontransgender) women. Our findings varied by gender identity. More research is needed on transgender and GNC populations, including on how public policy and provider awareness affects health care access and health outcomes differentially by gender identity...
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29225934/health-policy-and-systems-research-towards-a-better-understanding-and-review-of-ethical-issues
#18
REVIEW
Valerie Ann Luyckx, Nikola Biller-Andorno, Abha Saxena, Nhan T Tran
Given the focus on health systems in the post-millennium development goal era and moving towards the sustainable development goals, there is a compelling need for a common framework for health policy and systems research ethics to guide researchers and facilitate review by research ethics committees. A consultation of global health policy and systems research and ethics experts was convened to identify ethical considerations relevant to health policy and systems research based on existing knowledge and to identify knowledge gaps through a scoping review and further expert deliberation...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29225931/community-preferences-for-a-social-health-insurance-benefit-package-an-exploratory-study-among-the-uninsured-in-vietnam
#19
Hoa Thi Nguyen, Tinh Viet Luu, Gerald Leppert, Manuela De Allegri
Understanding public preferences in terms of health benefit packages (HBPs) remains limited, yet gathering community insights is an important endeavour when developing people-centred health systems and moving towards universal health coverage. Our study aimed to address this gap in knowledge by eliciting community preferences for the social health insurance benefit package among the uninsured in Vietnam. We adopted a mixed methods approach that included a ranking exercise followed by focus group discussions...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29219085/perceptions-about-data-informed-decisions-an-assessment-of-information-use-in-high-hiv-prevalence-settings-in-south-africa
#20
Edward Nicol, Debbie Bradshaw, Jeannine Uwimana-Nicol, Lilian Dudley
BACKGROUND: Information-use is an integral component of a routine health information system and essential to influence policy-making, program actions and research. Despite an increased amount of routine data collected, planning and resource-allocation decisions made by health managers for managing HIV programs are often not based on data. This study investigated the use of information, and barriers to using routine data for monitoring the prevention of mother-to-child transmission of HIV (PMTCT) programs in two high HIV-prevalence districts in South Africa...
December 4, 2017: BMC Health Services Research
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