New Approach Improves Quality of Care for Children in Rwanda

By Alice Rwema Iribagiza, Communications Officer, Ingobyi Nurse Esther at work. Photo credit: IntraHealth International.November 12, 2019Esther Mukahabiyambere is one of 326 district-based mentors trained on the Integrated Management of Childhood Illness (IMCI) approach. Through the USAID-fundedIngobyi Activity, health workers are using IMCI in Rwanda to prevent and treat pneumonia, diarrhea, malnutrition, and malaria. The project equips health care providers with clinical knowledge, skills, and attitudes to improve the quality of care, helping the government of Rwanda reduce child mortality, particularly the management of severe pneumonia, which accounts for 15% of deaths among children under five each year.Esther works at the Gihara Health Center but provides mentorship on a regular basis to health providers in two other health centers. Since she began her training and deployment as a mentor, Esther has acquired new skills that have improved the quality care she provides her clients, particularly children. The number of children with severe pneumonia cases has decreased by more than 50%.“Before the Ingobyi mentorship program began, I was not able to identify warning signs in a child, like knowing if s/he has pneumonia symptoms or not,” Esther says.“But now I can conduct a detailed assessment of malnutrition and pneumonia cases and complete forms appropriately.”Esther recalls a time before the mentorship program when she referred a baby with ...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Tags: Maternal, Newborn, & Child Health Education Performance Quality of Care Nurses Source Type: news

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Let’s pretend the 195 nations that signed the 2016 Paris Climate Accord really do take all of the steps necessary to reach the agreement’s key goal: limiting the increase in global temperature to 1.5°C above pre-industrial levels. In that world, any children born today would grow up to witness some happy milestones. If they lived in the United Kingdom, they’d see their country phase out the use of coal by the time they turned six. If they lived in France, they would see gasoline-powered cars eliminated by their 21st birthday. And, as all of the 195 countries similarly reached their individual targets,...
Source: TIME: Science - Category: Science Authors: Tags: Uncategorized Children climate change embargoed study Environment global warming health Source Type: news
ConclusionThe countries in this region needs to work hard to reduce this burden. This requires huge investment especially the finance and human resource development.
Source: International Journal of Africa Nursing Sciences - Category: African Health Source Type: research
Publication date: December 2019Source: The Lancet Global Health, Volume 7, Issue 12Author(s): Brodie Daniels, Anna Coutsoudis, Eshia Moodley-Govender, Helen Mulol, Elizabeth Spooner, Photini Kiepiela, Shabashini Reddy, Linda Zako, Nhan T Ho, Louise Kuhn, Gita RamjeeSummaryBackgroundWHO guidelines recommend co-trimoxazole prophylaxis for HIV-exposed, HIV-uninfected infants. These guidelines date back to an era in which HIV testing of infants was impossible and mothers had poor access to antiretroviral treatment. To determine whether this guideline requires revision in the current era of effective prevention of mother-to-chi...
Source: The Lancet Global Health - Category: International Medicine & Public Health Source Type: research
Conclusion: Sustainable iCCM will require improved ownership by the benefiting communities and the local and central governments. Government commitment should be evident in budgeting processes and implementation strategies. PMID: 31694498 [PubMed - in process]
Source: Global Health Action - Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research
October 30, 2019Through a new $1.8 million project funded by UNICEF, IntraHealth International will strengthen health systems in the Karamoja region of Uganda, using a two-pronged approach to overcome some of region’s biggest health care challenges. The project,“District Health System Strengthening on RMNCAH, HIV/AIDS, and Nutrition in Karamoja,” aims to improve reproductive, maternal, newborn, child, and adolescent health (RMNCAH), HIV care, and nutrition services in the region.Karamoja has the highest maternal mortality rate in the country—83% of pregnant women in the area are HIV-positive. And 64...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Tags: Uganda District Health System Strengthening on RMNCAH, HIV/AIDS, and Nutrition in Karamoja & Maternal, Newborn, Child Health Health Workforce Systems Source Type: news
Illness is universal, health care is not. Over half of the world’s 7.3 billion people, including 1 billion in rural communities, lack access to health care. Approximately 13 million children still go without a single dose of any vaccine. Nearly 9 million newborns, children and mothers still die each year from preventable or treatable conditions. Compounding this crisis is a massive health-worker shortage, forecast to grow to 18 million by 2030. Training more doctors is necessary, but because doctors are concentrated in cities, they alone are insufficient to close this gap. What if the residents of rural communities&n...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Healthcare Source Type: news
We present a case of 36-year old man who experienced high prolonged fever which firstly thought as infection. He also had unilateral wrist and knee joint pain and maculopapular rash. Laboratory examination showed high leukocytes count with elevated polymorphonuclear neutrophil count, high platelet count, high ferritin level, and negative results of many infection markers (typhoid antibody, procalcitonin, malaria test, blood culture, urine culture, IgM pneumonia, ASTO, syphilis test, antiHIV, HBsAg, antiHCV, etc). Chest X-ray, joint X-ray, ultrasonography, and echocardiography showed normal result. The patient was then diag...
Source: Acta medica Indonesiana - Category: Internal Medicine Tags: Acta Med Indones Source Type: research
Abstract CD36 is a multifunctional glycoprotein, expressed in different types of cells and known to play a significant role in the pathophysiology of the host. The structural studies revealed that the scavenger receptor consists of short cytosolic domains, two transmembrane domains and a large ectodomain. The ectodomain serves as a receptor for a diverse number of endogenous and exogenous ligands. The CD36-specific ligands are involved in regulating the immune response during infectious and non-infectious diseases in the host. The role of CD36 in regulating the innate immune response during Pneumonia, Tuberculosis...
Source: Current Drug Discovery Technologies - Category: Drugs & Pharmacology Authors: Tags: Curr Drug Discov Technol Source Type: research
[WHO] Globally, 5.4 million children under the age of 5 died in 2017. Nearly half of these deaths (2.71 million) occurred in sub-Saharan Africa. Pneumonia, diarrhea and malaria remain the main causes of death among children 2-59 months of age. Since 2012, the World Health Organization (WHO) and UNICEF have recommended the integrated Community Case Management (iCCM) as a key strategy to deliver life-saving interventions for malaria, pneumonia and diarrhea to populations with poor access to health services. iCCM i
Source: AllAfrica News: Health and Medicine - Category: African Health Source Type: news
[Malaria Consortium] Malaria Consortium is pleased to announce the publication of a research paper on pneumonia diagnostics in the open access eClinical Medicine journal, owned by The Lancet.
Source: AllAfrica News: Malaria - Category: Infectious Diseases Source Type: news
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