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https://www.readbyqxmd.com/read/28806744/sustainability-of-knowledge-implementation-in-a-low-and-middle-income-context-experiences-from-a-facilitation-project-in-vietnam-targeting-maternal-and-neonatal-health
#1
Leif Eriksson, Anna Bergström, Dinh Thi Phuong Hoa, Nguyen Thu Nga, Ann Catrine Eldh
BACKGROUND: In a previous trial in Vietnam, a facilitation strategy to secure evidence-based practice in primary care resulted in reduced neonatal mortality over a period of three years. While little is known as to what ensures sustainability in the implementation of community-based strategies, the aim of this study was to investigate factors promoting or hindering implementation, and sustainability of knowledge implementation strategies, by means of the former Neonatal Knowledge Into Practice (NeoKIP) trial...
2017: PloS One
https://www.readbyqxmd.com/read/28805505/group-based-learning-among-caregivers-assessing-mothers-knowledge-before-and-after-an-early-childhood-intervention-in-rural-guatemala
#2
Gretchen J Domek, Brittney Macdonald, Catherine Cooper, Maureen Cunningham, Madiha Abdel-Maksoud, Stephen Berman
BACKGROUND: The first three years of a child's life are a critical period for brain growth and development. Caregiver interventions during this period that improve early childhood health and development have the potential to enhance a child's physical, mental, and social well-being. METHODS: This was a pretest/posttest quasi experimental program evaluation. Early childhood education materials were adapted to create two separate interventions consisting of 30-page interactive flipchart talks to educate mothers on health and development topics relevant to 0-6 and 6-12 month old children...
August 1, 2017: Global Health Promotion
https://www.readbyqxmd.com/read/28802211/research-priority-setting-for-integrated-early-child-development-and-violence-prevention-ecd-in-low-and-middle-income-countries-an-expert-opinion-exercise
#3
Mark Tomlinson, Mark Jordans, Harriet MacMillan, Theresa Betancourt, Xanthe Hunt, Christopher Mikton
Child development in low and middle income countries (LMIC) is compromised by multiple risk factors. Reducing children's exposure to harmful events is essential for early childhood development (ECD). In particular, preventing violence against children - a highly prevalent risk factor that negatively affects optimal child development - should be an intervention priority. We used the Child Health and Nutrition Initiative (CHNRI) method for the setting of research priorities in integrated Early Childhood Development and violence prevention programs (ECD+)...
August 9, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28801658/relationship-between-long-working-hours-and-periodontitis-among-the-korean-workers
#4
Wanhyung Lee, Sung-Shil Lim, Byurira Kim, Jong-Uk Won, Jaehoon Roh, Jin-Ha Yoon
We aimed to investigate the association between long working hours and periodontitis, and whether such an association constitutes an exposure-response relationship. Data for this study were collected from the Korea National Health and Nutrition Examination Surveys conducted from 2007 to 2014; 17,533 workers (9,483 of men and 8,050 of women) were included. The odds ratios (OR) and 95% confidence intervals (CI) for the analysis of periodontitis defined as positive of Community Periodontal Index in relation to working hours were calculated using multiple logistic regression models with various stratifications...
August 11, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28801403/equipping-community-pharmacy-workers-as-agents-for-health-behaviour-change-developing-and-testing-a-theory-based-smoking-cessation-intervention
#5
Liz Steed, Ratna Sohanpal, Wai-Yee James, Carol Rivas, Sandra Jumbe, Angel Chater, Adam Todd, Elizabeth Edwards, Virginia Macneil, Fraser Macfarlane, Trisha Greenhalgh, Chris Griffiths, Sandra Eldridge, Stephanie Taylor, Robert Walton
OBJECTIVE: To develop a complex intervention for community pharmacy staff to promote uptake of smoking cessation services and to increase quit rates. DESIGN: Following the Medical Research Council framework, we used a mixed-methods approach to develop, pilot and then refine the intervention. METHODS: Phase I: We used information from qualitative studies in pharmacies, systematic literature reviews and the Capability, Opportunity, Motivation-Behaviour framework to inform design of the initial version of the intervention...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28799324/reviewing-independent-access-to-hiv-testing-counselling-and-treatment-for-adolescents-in-hiv-specific-laws-in-sub-saharan-africa-implications-for-the-hiv-response
#6
Patrick M Eba, HyeYoung Lim
INTRODUCTION: AIDS is a leading cause of death among adolescents in sub-Saharan Africa. Yet, legal, policy and social barriers continue to restrict their access to HIV services. In recent years, access to independent HIV testing and treatment for adolescents has gained increased attention. The 2013 WHO Guidance on HIV testing and counselling and care for adolescents living with HIV (WHO Guidance) calls for reviewing legal and regulatory frameworks to facilitate adolescents' access to comprehensive HIV services...
August 11, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28797263/measuring-the-impact-of-seasonal-malaria-chemoprevention-as-part-of-routine-malaria-control-in-kita-mali
#7
Fatou Diawara, Laura C Steinhardt, Almahamoudou Mahamar, Tiangoua Traore, Daouda T Kone, Halimatou Diawara, Beh Kamate, Diakalia Kone, Mouctar Diallo, Aboubacar Sadou, Jules Mihigo, Issaka Sagara, Abdoulaye A Djimde, Erin Eckert, Alassane Dicko
BACKGROUND: Seasonal malaria chemoprevention (SMC) is a new strategy recommended by WHO in areas of highly seasonal transmission in March 2012. Although randomized controlled trials (RCTs) have shown SMC to be highly effective, evidence and experience from routine implementation of SMC are limited. METHODS: A non-randomized pragmatic trial with pre-post design was used, with one intervention district (Kita), where four rounds of SMC with sulfadoxine + amodiaquine (SP + AQ) took place in August-November 2014, and one comparison district (Bafoulabe)...
August 10, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28794575/caregiver-decision-making-household-response-to-child-illness-in-sub-saharan-africa
#8
Hayley Pierce, Ashley Larsen Gibby, Renata Forste
We draw upon a framework outlining household recognition and response to child illness proposed by Colvin and colleagues (2013) to examine factors predictive of treatment sought for a recent child illness. In particular, we model whether no treatment, middle layer treatment (traditional healer, pharmacy, community health worker, etc.), or biomedical treatment was sought for recent episodes of diarrhea, fever, or cough. Based on multinomial, multilevel analyses of Demographic and Health Surveys from 19 countries in sub-Saharan Africa, we determine that if women have no say in their own healthcare, they are unlikely to seek treatment in response to child illness...
October 2016: Population Research and Policy Review
https://www.readbyqxmd.com/read/28792502/harmonization-of-community-health-worker-programs-for-hiv-a-four-country-qualitative-study-in-southern-africa
#9
Jan-Walter De Neve, Henri Garrison-Desany, Kathryn G Andrews, Nour Sharara, Chantelle Boudreaux, Roopan Gill, Pascal Geldsetzer, Maria Vaikath, Till Bärnighausen, Thomas J Bossert
BACKGROUND: Community health worker (CHW) programs are believed to be poorly coordinated, poorly integrated into national health systems, and lacking long-term support. Duplication of services, fragmentation, and resource limitations may have impeded the potential impact of CHWs for achieving HIV goals. This study assesses mediators of a more harmonized approach to implementing large-scale CHW programs for HIV in the context of complex health systems and multiple donors. METHODS AND FINDINGS: We undertook four country case studies in Lesotho, Mozambique, South Africa, and Swaziland between August 2015 and May 2016...
August 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28791651/addressing-health-disparities-with-school-based-outreach-the-health-career-academy-program
#10
Liana Gefter, Judy Spahr, John Gruber, Sandra Ross, Laurie Watson, Barry Mann
Pipeline programs address health disparities by promoting academic achievement and entry of low-income ethnic and racial minority youth into healthcare fields. The Health Career Academy (HCA) is a 3-year pipeline program for high school students from low-income, ethnic, and racial minority communities. Health professional students serve as program mentors. The HCA has been implemented in nine US sites, with partnerships between 17 health professional schools and 17 high schools. A total of 386 10th grade students and 95 11th grade students enrolled as participants in the 2015-2016 HCA program...
August 8, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28791241/ebola-virus-disease-essential-clinical-knowledge
#11
REVIEW
Mahmoud Tawfik Khalafallah, Omar Ali Aboshady, Shaban Ahmed Moawed, Menna Said Ramadan
Since its initial outbreak in 1976, Ebola virus disease (EVD) has affected thousands of people, causing severe illness with high mortality rates. In the absence of a vaccine or effective specific treatment, as well as the lack of early diagnostic and detective methods, the EVD outbreak has generated a significant worldwide health concern. Insufficient health-care system resources, deficient infection control measures, and the shortage of appropriate personal protective equipment acted as amplifiers of the outbreak extension, especially in poorly resourced and unprepared communities...
July 2017: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/28789637/perceptions-practices-and-health-seeking-behaviour-constrain-je-aes-interventions-in-high-endemic-district-of-north-india
#12
Sanjay Chaturvedi, Neha Sharma, Manish Kakkar
BACKGROUND: Acute Encephalitis Syndrome (AES) and Japanese Encephalitis (JE) stay as poorly understood phenomena in India. Multiple linkages to determinants such as poverty, socio-economic status, gender, environment, and population distribution, make it a greater developmental issue than just a zoonotic disease. METHODS: A qualitative study was conducted to map knowledge, perceptions and practices of community and health systems level stakeholders. Seventeen interviews with utilizers of AES care, care givers from human and veterinary sectors, Non-governmental Organizations (NGOs), and pig owners and 4 Focused Group Discussions (FGDs) with farmers, community leaders, and students were conducted in an endemic north Indian district-Kushinagar...
August 8, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28782441/connecting-remote-populations-to-public-health-the-case-for-a-digital-immunisation-information-system-in-nunavut
#13
Lindsay A Wilson, Barry Pakes, Malia S Q Murphy, Katherine M Atkinson, Cameron Bell, Kumanan Wilson
Despite the best efforts of local healthcare workers and health officials, Nunavut, a large geographical region in Northern Canada, has struggled with outbreaks of vaccine-preventable diseases (VPD). We contend that the implementation of an immunisation information system (IIS) could strengthen prevention and response efforts to this and future outbreaks of vaccine-preventable diseases. Developing an IIS in Nunavut that builds on the existing CANImmunize infrastructure would reduce the cost and complexity of developing a new IIS, and allow Nunavut to benefit from the ongoing efforts to secure data on the CANImmunize platform...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28776410/care-workers-voices-in-designing-assistive-technologies-for-preventing-malnutrition-in-older-people-with-dementia-innovative-practice
#14
Asangi Jayatilaka, Damith C Ranasinghe, Katrina Falkner, Renuka Visvanathan, Anne Wilson
Technology may be considered a way to promote nutritional health in people with dementia living in their home. For technologies to be effective and accepted by users, understanding technological needs prior to technology development is crucial; however, this necessitates greater research investment. Consequently, our focus is to derive needs for nutritional health promoting technologies for older people with dementia by understanding perceptions of care workers recruited by the aged care industry. In this paper, we provide a brief description of the theoretical framework that underpins the research study and the research methods selected...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/28775190/prevalence-of-hiv-at-the-kokoyo-informal-gold-mining-site-what-lies-behind-the-glitter-of-gold-with-regard-to-hiv-epidemics-in-mali-a-community-based-approach-the-anrs-12339-sanu-gundo-cross-sectional-survey
#15
Luis Sagaon-Teyssier, Hubert Balique, Fodié Diallo, Nikos Kalampalikis, Marion Mora, Michel Bourrelly, Marie Suzan-Monti, Bruno Spire, Bintou Dembélé Keita
OBJECTIVES: The aim of this article was to estimate HIV prevalence and the factors associated with HIV seropositivity in the population living and working at the informal artisanal small-scale gold mining (IASGM) site of Kokoyo in Mali, using data from the Sanu Gundo survey. Our main hypothesis was that HIV prevalence is higher in the context of IASGM than in the country as a whole. DESIGN: The ANRS-12339 Sanu Gundo was a cross-sectional survey conducted in December 2015...
August 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/28774755/human-seasonal-and-circadian-studies-in-antarctica-halley-75-0-s
#16
Josephine Arendt, Benita Middleton
Living for extended periods in Antarctica exposes base personnel to extremes of daylength (photoperiod) and temperature. At the British Antarctic Survey base of Halley, 75(0)S, the sun does not rise for 110 d in the winter and does not set for 100 d in summer. Photoperiod is the major time cue governing the timing of seasonal events such as reproduction in many species. The neuroendocrine signal providing photoperiodic information to body physiology is the duration of melatonin secretion which reflects the length of the night: longer in the short days of winter and shorter in summer...
July 31, 2017: General and Comparative Endocrinology
https://www.readbyqxmd.com/read/28774697/emerging-issues-challenges-and-changing-epidemiology-of-fungal-disease-outbreaks
#17
REVIEW
Kaitlin Benedict, Malcolm Richardson, Snigdha Vallabhaneni, Brendan R Jackson, Tom Chiller
Several high-profile outbreaks have drawn attention to invasive fungal infections (IFIs) as an increasingly important public health problem. IFI outbreaks are caused by many different fungal pathogens and are associated with numerous settings and sources. In the community, IFI outbreaks often occur among people without predisposing medical conditions and are frequently precipitated by environmental disruption. Health-care-associated IFI outbreaks have been linked to suboptimal hospital environmental conditions, transmission via health-care workers' hands, contaminated medical products, and transplantation of infected organs...
July 31, 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/28774278/cluster-randomised-trial-of-a-school-community-child-health-promotion-and-obesity-prevention-intervention-findings-from-the-evaluation-of-fun-n-healthy-in-moreland
#18
Elizabeth Waters, Lisa Gibbs, Maryanne Tadic, Obioha C Ukoumunne, Anthea Magarey, Anthony D Okely, Andrea de Silva, Christine Armit, Julie Green, Thea O'Connor, Britt Johnson, Boyd Swinburn, Lauren Carpenter, Graham Moore, Hannah Littlecott, Lisa Gold
BACKGROUND: Multi-level, longer-term obesity prevention interventions that focus on inequalities are scarce. Fun 'n healthy in Moreland! aimed to improve child adiposity, school policies and environments, parent engagement, health behaviours and child wellbeing. METHODS: All children from primary schools in an inner urban, culturally diverse and economically disadvantaged area in Victoria, Australia were eligible for participation. The intervention, fun 'n healthy in Moreland!, used a Health Promoting Schools Framework and provided schools with evidence, school research data and part time support from a Community Development Worker to develop health promoting strategies...
August 3, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28771868/aboriginal-parent-support-a-partnership-approach
#19
Ailsa Munns, Christine Toye, Desley Hegney, Marion Kickett, Rhonda Marriott, Roz Walker
AIMS AND OBJECTIVES: This study was positioned within a larger action research study relating to a peer-led Aboriginal home visiting parent support program in an urban Western Australian setting. The aims for this study component were to identify program elements, exploring participants' perceptions of the program's suitability, feasibility, acceptability and effectiveness to inform program model recommendations and add to the body of knowledge on effective Aboriginal peer-led program models...
August 3, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28771579/safe-delivery-care-practices-in-western-nepal-does-women-s-autonomy-influence-the-utilization-of-skilled-care-at-birth
#20
Tulsi Ram Bhandari, V Raman Kutty, P Sankara Sarma, Ganesh Dangal
Despite various efforts to increase the utilization of skilled birth attendants (SBA), nearly two-thirds of deliveries take place at home without the assistance of SBAs in Nepal. We hypothesized that the ability of women to take decisions about their own lives-women's autonomy-plays an important part in birth choices. To know this, we conducted a community-based cross-sectional study for assessing women's autonomy and utilization of safe delivery care service in Kapilvastu district of Nepal from June to October 2014...
2017: PloS One
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