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Emergency care and Sustainable Development Goals

Lucas C Carlson, Teri A Reynolds, Lee A Wallis, Emilie J Calvello Hynes
Since the adoption of the Sustainable Development Goals in 2015, innovation in global healthcare delivery has been recognized as a vital avenue for strengthening health systems and overcoming present implementation bottlenecks. In the recent rapid development of the science of global health-care delivery, emergency care-a critical element of the health system-has been widely overlooked. Emergency care plays a vital role in the health system through providing immediately responsive care and serving as one of the main entry points for those with symptomatic disease...
January 25, 2019: Health Policy and Planning
Manoja Kumar Das, Narendra Kumar Arora, Reeta Rasaily, Harish Chellani, Harsha Gaikwad, Kathryn Banke
BACKGROUND: Around 5.4 million under-five deaths occur globally annually. Over 2.5 million neonatal deaths and an equivalent stillbirths also occur annually worldwide. India is largest contributor to these under-five deaths and stillbirths. To meet the National Health Policy goals aligned with sustainable development targets, adoption of specific strategy and interventions based on exact causes of death and stillbirths are essential. The current cause of death (CoD) labelling process is verbal autopsy based and subject to related limitations...
January 9, 2019: Reproductive Health
Reshma Gupta, Niraj Sehgal, Vineet M Arora
Academic medical centers (AMCs) are transforming to improve their care delivery and learning environments so that they build a culture that fosters high-value care. However, AMCs struggle to create learning environments where trainees are part of the reason for institutional success and their initiatives have high impact and are sustainable. The authors believe that AMCs can reach these goals if they co-develop strategic priorities and provide infrastructure to support alignment between the missions of health delivery systems and graduate medical education (GME)...
December 31, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Naomi Dl Fisher, Liliana E Fera, Jacqueline R Dunning, Sonali Desai, Lina Matta, Victoria Liquori, Jaclyn Pagliaro, Erika Pabo, Mary Merriam, Calum A MacRae, Benjamin M Scirica
BACKGROUND: Hypertension remains poorly controlled on the population level. National rates of control, even when defined leniently by BP<140/90 mmHg, are only ~50%. As growing healthcare costs coincide with tighter blood pressure (BP) targets, innovative management programs are needed to maximize efficiency of care delivery and optimize control. HYPOTHESIS: We aimed to develop, a remote, navigator-led hypertension innovation program that would leverage algorithmic care pathways, home BP measurements and patient coaching to allow rapid and complete medication titration...
December 23, 2018: Clinical Cardiology
Rina Agustina, Teguh Dartanto, Ratna Sitompul, Kun A Susiloretni, Suparmi, Endang L Achadi, Akmal Taher, Fadila Wirawan, Saleha Sungkar, Pratiwi Sudarmono, Anuraj H Shankar, Hasbullah Thabrany
Indonesia is a rapidly growing middle-income country with 262 million inhabitants from more than 300 ethnic and 730 language groups spread over 17 744 islands, and presents unique challenges for health systems and universal health coverage (UHC). From 1960 to 2001, the centralised health system of Indonesia made gains as medical care infrastructure grew from virtually no primary health centres to 20 900 centres. Life expectancy improved from 48 to 69 years, infant mortality decreased from 76 deaths per 1000 livebirths to 23 per 1000, and the total fertility rate decreased from 5·61 to 2·11...
December 19, 2018: Lancet
Hiren Patel, Sebastian Suarez, Lance Shaull, Jeffrey Edwards, Zaid Altawil, Joseph Owuor, Debora Rogo, Kevin Schwartz, Luate Richard, Thomas F Burke
BACKGROUND: Emergency care is a neglected area of focus in many low- and middle-income countries. There is a paucity of research on types and frequencies of acute illnesses and injuries in low-resource settings. OBJECTIVE: The primary objective of this study was to describe the demographic characteristics and emergency conditions of patients that presented to a new emergency care center (ECC) at Sagam Community Hospital in Luanda, Kenya. METHODS: Patient demographic characteristics, modes of arrival, chief symptoms, triage priorities, self-reported human immunodeficiency virus status, tests performed, interventions, discharge diagnoses, and dispositions were collected for all patients that presented to the Sagam Community Hospital ECC...
December 4, 2018: Journal of Emergency Medicine
Corrine W Ruktanonchai, Kristine Nilsen, Victor A Alegana, Claudio Bosco, Rogers Ayiko, Andrew C Seven Kajeguka, Zöe Matthews, Andrew J Tatem
BACKGROUND: Sub-Saharan Africa continues to account for the highest regional maternal mortality ratio (MMR) in the world, at just under 550 maternal deaths per 100,000 live births in 2015, compared to a global rate of 216 deaths. Spatial inequalities in access to life-saving maternal and newborn health (MNH) services persist within sub-Saharan Africa, however, with varied improvement over the past two decades. While previous research within the East African Community (EAC) region has examined utilisation of MNH care as an emergent property of geographic accessibility, no research has examined how these spatial inequalities have evolved over time at similar spatial scales...
December 4, 2018: BMC Public Health
Tyson Schwab, John Langell
BACKGROUND: The rapid adoption of smartphones and software applications (apps) has become prevalent worldwide, making these technologies nearly universally available. Low-cost mobile health (M-health) platforms are being rapidly adopted in both developed and emerging markets and have transformed the health care delivery landscape. Human factors optimization is critical to the safe and sustainable adoption of M-health solutions. The overall goal of engaging human factors requirements in the software app design process is to decrease patient safety risks while increasing usability and productivity for the end user...
November 22, 2018: Surgical Innovation
Elizabeth W Itote, Lila C Fleming, R Kevin Mallinson, Kathleen F Gaffney, Kathryn H Jacobsen
Background: Kenya did not meet its maternal mortality ratio (MMR) target under the Millennium Development Goals. The aim of this study was to examine the gaps in knowledge of intrapartum care among obstetric care providers (OCPs) in rural Nandi County, Kenya. Methods: This cross-sectional study in 2015 surveyed 326 nurses, midwives, clinical officers and physicians about their knowledge, attitudes and practices related to normal labor and childbirth, immediate newborn care and management of obstetric complications...
November 1, 2018: International Health
Isabella Epiu, Josaphat Byamugisha, Andrew Kwikiriza, Meg Amy Autry
BACKGROUND: Uganda is far from meeting the sustainable development goals on maternal and neonatal mortality with a maternal mortality ratio of 383/100,000 live births, and 33% of the women gave birth by 18 years. The neonatal mortality ratio was 29/1000 live births and 96 stillbirths occur every day due to placental abruption, and/or eclampsia - preeclampsia and other unkown causes. These deaths could be reduced with access to timely safe surgery and safe anaesthesia if the Comprehensive Emergency Obstetric and Newborn Care services (CEmONC), and appropriate intensive care post operatively were implemented...
October 5, 2018: Reproductive Health
Brennan Vail, Melissa C Morgan, Jessica Dyer, Amelia Christmas, Susanna R Cohen, Megha Joshi, Aboli Gore, Tanmay Mahapatra, Dilys M Walker
BACKGROUND: In India, the neonatal mortality rate is nearly double the Sustainable Development Goal target with more than half of neonatal deaths occurring in only four states, one of which is Bihar. Evaluations of immediate neonatal care and neonatal resuscitation skills in Bihar have demonstrated a need for significant improvement. However, barriers to evidence based practices in clinical care remain incompletely characterized. METHODS: To better understand such barriers, semi-structured interviews were conducted with 18 nurses who participated as mentors in the AMANAT maternal and child health quality improvement project, implemented by CARE India and the Government of Bihar...
September 29, 2018: BMC Pregnancy and Childbirth
Trisha Parsons, Deborah Tregunno, Mala Joneja, Nancy Dalgarno, Leslie Flynn
Our modern-day frenetic healthcare culture has progressed to a state where healthcare professionals tend to detach themselves from the emotions of their patients/clients, rather than embed compassion into their daily practice. The AMS Phoenix Project: A Call to Caring was implemented with the goal to instil and sustain empathy and compassion in environments where clinicians learn and work. The purpose of this study is to report on how an interprofessional community of practice (CoP) of healthcare educators can contribute to a cultural shift in promoting and delivering compassion in healthcare through health professionals education...
September 26, 2018: Medical Humanities
Judith L Flanagan, Neilsen De Souza
Vision impairment and blindness arise both as a cause, and a consequence, of poverty. Achievement of the United Nations Sustainable Development Goals in providing universal access and equity in eye care, both within and between among countries, remains challenging. A severe shortage of eye care providers is creating unnecessary blindness and vision impairment in developing communities worldwide. Education and training develops and strengthens the capacity of emerging nations to contribute to global eye health and the World Health Organization Development Goals in an effective and sustainable way...
September 14, 2018: Asia-Pacific Journal of Ophthalmology
Lukas Reitzle, Sylvia Hansen, Rebecca Paprott, Wally Achtermann, Jens Baumert, Petronille Bogaert, Laure Curt, Peter Diem, Yong Du, Stefanie Eiser, Justine Fitzpatrick, Christin Heidemann, Pekka Jousilahti, Bernhard Kulzer, Jaana Lindström, Hannelore Neuhauser, Herman van Oyen, Louise Pelletier, Christian Schmidt, Jonathan Valabhji, Raimund Weitgasser, Thomas Ziese, Daniela Zahn, Christa Scheidt-Nave
Diabetes mellitus and other noncommunicable diseases (NCDs) represent an emerging global public health challenge. In Germany, about 6.7 million adults are affected by diabetes according to national health surveys, including 1.3 million with undiagnosed diabetes. Complications of diabetes result in an increasing burden for individuals and society as well as enormous costs for the health care system. In response, the Federal Ministry of Health commissioned the Robert Koch Institute (RKI) to implement a diabetes surveillance system and the Federal Center for Health Education (BZgA) to develop a diabetes prevention strategy...
October 2018: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Claire D Johnson, Scott Haldeman, Margareta Nordin, Roger Chou, Pierre Côté, Eric L Hurwitz, Bart N Green, Deborah Kopansky-Giles, Kristi Randhawa, Christine Cedraschi, Arthur Ameis, Emre Acaroğlu, Ellen Aartun, Afua Adjei-Kwayisi, Selim Ayhan, Amer Aziz, Teresa Bas, Fiona Blyth, David Borenstein, O'Dane Brady, Peter Brooks, Connie Camilleri, Juan M Castellote, Michael B Clay, Fereydoun Davatchi, Jean Dudler, Robert Dunn, Stefan Eberspaecher, Juan Emmerich, Jean Pierre Farcy, Norman Fisher-Jeffes, Christine Goertz, Michael Grevitt, Erin A Griffith, Najia Hajjaj-Hassouni, Jan Hartvigsen, Maria Hondras, Edward J Kane, Julie Laplante, Nadège Lemeunier, John Mayer, Silvano Mior, Tiro Mmopelwa, Michael Modic, Jean Moss, Rajani Mullerpatan, Elijah Muteti, Lillian Mwaniki, Madeleine Ngandeu-Singwe, Geoff Outerbridge, Shanmuganathan Rajasekaran, Heather Shearer, Matthew Smuck, Erkin Sönmez, Patricia Tavares, Anne Taylor-Vaisey, Carlos Torres, Paola Torres, Alexander van der Horst, Leslie Verville, Emiliano Vialle, Gomatam Vijay Kumar, Adriaan Vlok, William Watters, Chung Chek Wong, Jessica J Wong, Hainan Yu, Selcen Yüksel
PURPOSE: The purpose of this report is to describe the Global Spine Care Initiative (GSCI) contributors, disclosures, and methods for reporting transparency on the development of the recommendations. METHODS: World Spine Care convened the GSCI to develop an evidence-based, practical, and sustainable healthcare model for spinal care. The initiative aims to improve the management, prevention, and public health for spine-related disorders worldwide; thus, global representation was essential...
September 2018: European Spine Journal
Ernest J Barthélemy, Kee B Park, Walter Johnson
BACKGROUND: On September 25, 2015, the United Nations General Assembly adopted a 17-goal action plan to transform the world by the year 2030, ushering in the Era of Sustainable Development. These Sustainable Development Goals (SDGs) were designed to continue where the preceding Millennium Development Goals left off, expanding on the Millennium Development Goal successes, and facing the challenges encountered during the previous decade and a half. The current Era of Sustainable Development and its impact on a breadth of neurosurgical concerns provide several unprecedented opportunities to enhance political prioritization of neurosurgical care equity...
December 2018: World Neurosurgery
Preeti H Negandhi, Sutapa B Neogi, Ankan M Das, Sapna Chopra, Amit Phogat, Rupinder Sahota, Ravi Kant Gupta, Sanjay Zodpey, Rakesh Gupta
Background: Each year, 2.6 million babies are stillborn worldwide, almost all in low- and middle-income countries. Several global initiatives, including the Sustainable Development Goals and the Every Newborn Action Plan, have contributed to a renewed focus on prevention of stillbirths. Despite being relatively wealthy, the state of Haryana in India has a significant stillbirth rate. This qualitative study explored the factors that might contribute to these stillbirths. Methods: This was a sub-study of a case-control study of factors associated with stillbirth in 15 of the 21 districts of Haryana in 2014-2015...
September 2018: WHO South-East Asia Journal of Public Health
Jolynne Mokaya, Anna L McNaughton, Martin J Hadley, Apostolos Beloukas, Anna-Maria Geretti, Dominique Goedhals, Philippa C Matthews
International sustainable development goals for the elimination of viral hepatitis as a public health problem by 2030 highlight the pressing need to optimize strategies for prevention, diagnosis and treatment. Selected or transmitted resistance associated mutations (RAMs) and vaccine escape mutations (VEMs) in hepatitis B virus (HBV) may reduce the success of existing treatment and prevention strategies. These issues are particularly pertinent for many settings in Africa where there is high HBV prevalence and co-endemic HIV infection, but lack of robust epidemiological data and limited education, diagnostics and clinical care...
August 2018: PLoS Neglected Tropical Diseases
Ernest Tambo, Jeanne Y Ngogang, Xiao Ning, Zhou Xiao-Nong
Background: There is an urgent need to promote innovative partnerships, community leadership and commitment toward strengthening coherent and sustainable community support, resilience programmes, engagement and social mobilization for resiliency. Aims: This paper aims to strengthen coherent, scalable and sustainable community participation, resilience policies and innovative programmes to accelerate elimination and eradication of infectious diseases of poverty. Methods: An unstructured and retrospective review approach was used to determine and to define full papers, reviewed publications, and grey literature on the topics of community resilience, infectious diseases of poverty elimination and eradication, and the global health security agenda...
July 29, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
Faith N Mambulu-Chikankheni, John Eyles, Prudence Ditlopo
As primary providers of preventive and curative community case management services in low- and middle-income countries (LMICs), community health workers (CHWs) have emerged as a formalised part of the health system (HS). However, discourses on their practices as formalised cadres of the HS are limited. Therefore, we examined their role in care, referral (to clinics) and rehabilitation of severe acute malnutrition (SAM) cases. Focusing on SAM was essential since it is a global public health problem associated with 30% of all South Africa's (SA's) child deaths in 2015...
November 2018: Health & Social Care in the Community
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