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Natasha Bergamaschi, Laura Oakley, Lenka Benova
Background: Favourable early breastfeeding practices have a beneficial impact throughout an infants' lifespan. Childbirth location is likely to affect these practices through support during the intrapartum and immediate postpartum period. This study aimed to investigate the association between childbirth location and favourable early breastfeeding practices in Sub-Saharan Africa (SSA). Methods: Demographic and Health Survey (2000-2013) data across 30 SSA countries were utilised...
June 2019: Journal of Global Health
Pradeep S Salve, Praveen Chokhandre, Dhananjay W Bansod
Study assesses the effects of solid-waste loading on workers, the resultant development of occupational morbidities, and economic burden of these morbidities. A cross-sectional survey was conducted with 360 municipal workers from six of 24 municipal wards in Mumbai. The nearest neighborhood method of Propensity Score Matching (PSM) examined the impact of waste-loading on the development of morbidities and to identify the risk factors - multiple logistic regression analysis was performed. The prevalence of musculoskeletal disorders (MSDs), injury, eye and skin infections found significantly higher for waste-loaders compared to comparison group...
February 17, 2019: Archives of Environmental & Occupational Health
Felix Khuluza, Christine Haefele-Abah
INTRODUCTION: The Malawian government recently introduced cost-covering consultation fees for self-referral patients in tertiary public hospitals. Previously, patients received medicines free of charge in government-owned health facilities, but must pay elsewhere. Before the government implements a payment policy in other areas of health care, it is important to investigate the prices, affordability and availability of essential medicines in Malawi. METHODS: Data on availability and prices of 50 essential medicines were collected in 44 health facilities in two major cities and two districts...
2019: PloS One
Harapan Harapan, Mudatsir Mudatsir, Amanda Yufika, Yusuf Nawawi, Nur Wahyuniati, Samsul Anwar, Fitria Yusri, Novi Haryanti, Nanda Putri Wijayanti, Rizal Rizal, Devi Fitriani, Nurul Fadhliati Maulida, Muhammad Syahriza, Ikram Ikram, Try Purwo Fandoko, Muniati Syahadah, Febrivan Wahyu Asrizal, Alma Aletta, Kurnia Fitri Jamil, Yogambigai Rajamoorthy, Panji Fortuna Hadisoemarto, Abram Luther Wagner, David Alexander Groneberg, Ulrich Kuch, R Tedjo Sasmono, Ruth Müller, Allison Imrie
BACKGROUND: Understanding people's perceptions of the economic benefits of a potential Zika vaccine (ZV) is critical to accelerating its introduction into either public sector programs or private market. The aim of this study was to assess the acceptance and willingness-to-pay (WTP) for a hypothetical ZV and the associated explanatory variables in Indonesia. METHODS: We conducted a health facility-based cross-sectional study in Aceh and West Sumatra province from 1 February to 13 June 2018...
February 7, 2019: Vaccine
Mahboube Shirzad, Elham Shakibazadeh, Ana Pilar Betran, Meghan A Bohren, Mehrandokht Abedini
BACKGROUND: Iran has one of the highest national caesarean section rates worldwide. Few studies explored in-depth the health-facility and health-system level factors that affect women's choices on mode of delivery in Iran. The aim of this study was to explore the health-facility and health-system level factors affecting women's preferences on mode of delivery in Tehran. METHODS: We conducted a qualitative study using in-depth face-to-face interviews with women between October 2017 and May 2018...
February 8, 2019: Reproductive Health
Muhammad Amir Khan, John D Walley, Nida Khan, Muhammad Ahmar Khan, Saima Ali, Rebecca King, Shaheer Ellahi Khan, Faisal Imtiaz Sheikh, Farooq Manzoor, Haroon Jehangir Khan
Background: In Pakistan about 18% of all adults are affected by hypertension, and only one in eight of the prevalent cases have their hypertension controlled. As in many other low-middle income countries, a public-private partnership approach is being considered for delivering non-communicable disease care in urban areas. Aim: This process evaluation was undertaken to understand how an integrated care intervention was experienced by the care providers and patients, and to inform modifications before possible scaling...
December 2018: BJGP Open
Indranil Saha, Bobby Paul
Tuberculosis (TB), one of the oldest diseases known to mankind has become a notifiable disease. Public private mixes guidelines for TB programme managers had already been published by Central TB Division in the Ministry of Health and Family Welfare. One of the tremendous challenges that impede private sector involvement in TB care is delayed diagnosis, treatment of variable quality, surveillance, adherence monitoring, contact investigation, and outcome recording. The present article has addressed the involvement of the private sector with special emphasis on Tuberculosis Health Action Learning Initiative (THALI) model...
January 2019: Medical Journal, Armed Forces India
Kathryn Jack, Brian James Thomson, William Lucien Irving
Prisons are a key demographic in the drive to eradicate hepatitis C virus (HCV) as a major public health threat. We have assessed the impact of the recently introduced national opt-out policy on the current status of HCV testing in 14 prisons in the East Midlands (UK). We analysed testing rates pre- and post-introduction of opt-out testing, together with face-to-face interviews with prison healthcare and management staff in each prison. In the year pre-opt-out, 1,972 people in prison (PIP) were tested, compared to 3440 in the year following opt-out...
January 31, 2019: Journal of Viral Hepatitis
Faisal Abbas, Rafi Amir Ud Din, Maqsood Sadiq
Background: Caesarean section (C-section) is a life-saving obstetric procedure that reduces maternal mortality and improves reproductive health. Although, vaginal delivery is still an important safe and low-cost method of delivery, C-section is sometimes performed when it is not even required, which creates health challenges for pregnant women and their newborn infants. Aims: To estimate the effect of a set of institutional, demographic, socioeconomic and spatial variables on C-section delivery (n = 2424) in Punjab, Pakistan...
January 23, 2019: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
Gokul Sarveswaran, Yuvaraj Krishnamoorthy, Manikandanesan Sakthivel, Karthiga Vijayakumar, Shanthosh Priyan, Pruthu Thekkur, Palanivel Chinnakali
Background: Understanding the factors associated with private sector preference for vaccination will help in understanding the barriers in seeking public facility and also the steps to improve public-private partnership (PPP) model. Methods: We analysed the recent National Family Health Survey-4 data (NFHS-4; 2015-16) gathered from Demographic Health Survey programme. Stratification and clustering in the sample design was accounted using svyset command. Results: Weighted proportion of children receiving private vaccination was 10...
January 29, 2019: Journal of Tropical Pediatrics
Laura Macdonald
BACKGROUND: Over a third of the Scottish population do not meet physical activity (PA) recommendations, with a greater proportion of those from disadvantaged areas not meeting recommended levels. There is a great need for detailed understanding of why some people are active while others are not. It has been established that features within home neighbourhoods are important for promoting PA, and although around 60% of time spent in exercise daily is undertaken outside the residential environment, relatively little research includes both home and workplace neighbourhood contexts...
January 29, 2019: International Journal of Health Geographics
Brian Sekayombya, David Nahamya, Laura Garabedian, Morries Seru, Birna Trap
Background: The National Drug Authority (NDA) inspects and certifies private and public sector pharmacies in Uganda using an indicator-based inspection tool that measures adherence to good pharmacy practices (GPP). 67 measures identify the situation in the domains of premises, dispensing quality, stores management, and operating requirements. Although the GPP measures are well-recognized and used internationally, little is known about their validity and reliability. The study aimed to assess validity, which measures agreement of GPP measures between a gold standard inspector and NDA inspector and inter-rater reliability (IRR), which measures agreement among NDA inspectors, of GPP measures...
2019: Journal of Pharmaceutical Policy and Practice
Divya Parmar, Aneesh Banerjee
We assess the impact of India's National Rural Employment Guarantee (NREG) scheme, the world's largest workfare scheme, on healthcare utilisation - specifically maternal healthcare. The primary objective of NREG is to improve the income of rural households by guaranteeing 100 days of employment. We expect that by improving household income, thereby reducing some of the financial barriers, such as out-of-pocket payments, NREG can increase utilisation of maternal health services. Using a nationally representative household survey and a difference-in-differences approach that exploits the phased rollout of the scheme, we estimate the impact of NREG on utilisation of maternal health services: mainly deliveries at health facilities...
January 17, 2019: Social Science & Medicine
Gaurav Sharma, Loveday Penn-Kekana, Kaveri Halder, Véronique Filippi
OBJECTIVES: To investigate the nature and context of mistreatment during labour and childbirth at public and private sector maternity facilities in Uttar Pradesh, India. METHODS: This study analyses mixed-methods data obtained through systematic clinical observations and open-ended comments recorded by the observers to describe care provision for 275 mothers and their newborns at 26 hospitals in three districts of Uttar Pradesh from 26 May to 8 July 2015. We conducted a bivariate descriptive analysis of the quantitative data and used a thematic approach to analyse qualitative data...
January 23, 2019: Reproductive Health
Yvonne Nartey, Philip Hill, Kwabena Amo-Antwi, Richard Asmah, Kofi Nyarko, Joel Yarney, Nelson Damale, Brian Cox
Globally, cervical cancer is a major public health issue causing increasing morbidity and mortality especially in low- and middle-income countries where preventive and control measures are lacking. In Ghana, it is the most common cancer among women. Approaches to reduce the incidence and mortality of the disease in Ghana have had little success due to lack of accurate data on the disease among other factors, to inform policies on prevention, early detection, diagnosis and treatment. Additionally, the lack of clear commitment, policy direction and resources has hindered the scale-up of some of the initiatives implemented to curb the cervical cancer situation in Ghana...
June 2018: Ghana Medical Journal
Dorothy Lall, Nora Engel, Narayanan Devadasan, Klasien Horstman, Bart Criel
BACKGROUND: Chronic diseases have emerged as the leading cause of death globally, and 20% of Indians are estimated to suffer from a chronic condition. Care for chronic diseases poses a major public health challenge, especially when health care delivery has been geared traditionally towards acute care. In this study, we aimed to better understand how primary care for diabetes and hypertension is currently organised in first-line health facilities in rural India, and propose evidence-based ways forward for strengthening local health systems to address chronic problems...
January 18, 2019: BMC Health Services Research
Ritu Shrivastava, Peter N Fonjungo, Yenew Kebede, Rajendra Bhimaraj, Shabnam Zavahir, Christina Mwangi, Renuka Gadde, Heather Alexander, Patricia L Riley, Andrea Kim, John N Nkengasong
BACKGROUND: Despite progress towards achieving UNAIDS 90-90-90 goals, barriers persist in laboratory systems in sub-Saharan Africa (SSA) restricting scale up of early infant diagnosis (EID) and viral load (VL) test monitoring of patients on antiretroviral therapy. If these facilities and system challenges persist, they may undermine recorded gains and appropriate management of patients. The aim of this review is to identify Public Private Partnerships (PPP) in SSA that have resolved systemic barriers within the VL and EID treatment cascade and demonstrated impact in the scale up of VL and EID...
January 18, 2019: BMC Health Services Research
Nasratullah Ansari, Partamin Manalai, Farzana Maruf, Sheena Currie, Jelle Stekelenburg, Jos van Roosmalen, Young-Mi Kim, Hannah Tappis
BACKGROUND: Afghanistan faces a high burden of maternal and neonatal morbidity and mortality. Hypertensive disorders of pregnancy, including pre-eclampsia and eclampsia (PE/E), are among the most common causes of maternal and neonatal complications. Hypertensive disorders of pregnancy can lead to fatal complications for both the mother and fetus. The 2016 Afghanistan National Maternal and Newborn Health Quality of Care Assessment assessed quality of early detection and management of PE/E in health facilities and skilled birth attendants' (SBAs) perceptions of their working environment...
January 18, 2019: BMC Pregnancy and Childbirth
Vivek Verma, Waqar Haque, Taylor R Cushman, Chi Lin, Charles B Simone, Joe Y Chang, Shearwood McClelland, James W Welsh
Racial and/or socioeconomic factors affect the type of therapies delivered for non-small cell lung cancer (NSCLC). Given the rapid expansion of immunotherapy for NSCLC, it is a crucial public health priority to evaluate disparities in administration thereof. The National Cancer Database (NCDB) was queried for newly diagnosed metastatic NSCLC. Patients were dichotomized based on receipt of immunotherapy-type compounds (ICs) based on NCDB coding. Multivariable logistic regression ascertained factors associated with IC delivery...
February 2019: Journal of Immunotherapy
Festo K Shayo, Deogratius Bintabara
INTRODUCTION: Chronic respiratory diseases in Tanzania are prevalent and a silent burden to the affected population, and healthcare system. We aimed to explore the availability of services and level of health facilities readiness to provide management of chronic respiratory diseases and its associated factors. METHODS: The current study is a secondary analysis of the 2014-2015 Tanzania Service Provision Assessment Survey data. Facilities were considered to have a high readiness to provide management of chronic respiratory diseases if they scored at least half (≥50%) of the indicators listed in each of the three domains (staff training and guideline, equipment, and basic medicines) as identified by World Health Organization-Service Availability and Readiness Assessment manual...
2019: PloS One
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