National incidence, prevalence and disability-adjusted life years (DALYs) of common micronutrient deficiencies in Ethiopia from 1990 to 2017: estimates from the global burden of diseases study.
CONCLUSIONS: Micronutrient deficiencies and associated morbidity and mortality are still high in Ethiopia compared with the sub-Saharan and global estimate. Adolescent and early adult females and children aged under-five are disproportionately affected segments of the population. Therefore, in collaboration with other sectors, the National Nutrition Program needs to place greater emphasis upon improving accessibility and utilization of nutrient-rich foods and supplementation, particularly for vulnerable groups of the population. PMID: 32615870 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - July 4, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Capacity building, local ownership and implementation of a multi-level HIV/AIDS positive health, dignity, and prevention initiative in Mozambique: approach, challenges and lessons learned.
Authors: Dawson-Rose C, Gutin SA, Hunguana E, Mudender F, Kevany S Abstract Mozambique has for many years suffered from a high burden of HIV with an estimated prevalence of 11.1% among adults age 15-49 years. In response, Positive Health, Dignity, and Prevention (or Positive Prevention as it is known in Mozambique), was developed as a method of integrating HIV care and prevention via capacity building. Through comprehensive holistic care, HIV transmission is prevented while simultaneously promoting the health of people living with HIV/AIDS. Our initiative used a three-tiered approach, and included activities a...
Source: Global Health Action - July 4, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Age-related patterns of early childhood development practices amongst rural families in Burkina Faso: findings from a nationwide survey of mothers of children aged 0-3 years.
CONCLUSION: Opportunities for learning, especially through verbal interactions, appeared to be limited during the developmentally crucial first three years, most notably in the first year of life. The challenge for ECD intervention development in Burkina Faso will be finding ways to promote more responsive interactions at an early age and finding ways of mobilizing other family members to become more engaged in stimulating activities in the child's early years. PMID: 32602792 [PubMed - as supplied by publisher] (Source: Global Health Action)
Source: Global Health Action - July 1, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Describing the pattern of the COVID-19 epidemic in Vietnam.
We describe the characteristics of COVID-19 patients detected in the two phases of the epidemic in Vietnam. Data used in this paper were mainly obtained from the official database of the Ministry of Health of Vietnam. Descriptive statistics were carried out using Stata 16 software. As of 18 May 2020, the cumulative number of COVID-19 cases detected in Vietnam was 324, 16 cases from 4 cities and provinces in the first phase (during 20 days, 0.8 cases detected per day) and 308 cases from 35 cities, provinces in the second phase (during 76 days, 4.1 cases detected per day). Vietnam has mobilized its entire political...
Source: Global Health Action - June 28, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Using relevance mapping methodology to design an adolescent mental health intervention in India.
CONCLUSION: These practice elements provided the treatment development team with a preliminary list of candidate content for the development of an intensive psychological treatment within a stepped care service model to address common adolescent mental health problems in schools in India. PMID: 32588780 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - June 28, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Health literacy meets the life-course perspective: towards a conceptual framework.
Authors: Maindal HT, Aagaard-Hansen J Abstract This paper presents a novel conceptual framework combining the concepts of health literacy and life-course to guide public health planning and research. Health literacy is a key competence that enables individuals to navigate health-care systems and health promotion activities. The life-course perspective places emphasis on how disease risk accumulates along the life trajectory from fetal life onwards, and how it can even pass from one generation to the next. Our conceptual framework illustrates how different domains of health literacy are required, and how the unequal...
Source: Global Health Action - June 28, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Negotiating social norms, the legacy of vertical health initiatives and contradicting health policies: a qualitative study of health professionals' perceptions and attitudes of providing adolescent sexual and reproductive health care in Arusha and Kilimanjaro region, Tanzania.
CONCLUSIONS: The findings suggest that future research, policies and health programmes should consider the perspectives of health professionals and their challenges in delivering care for adolescents to help improve the understanding of how to effectively and sensitively implement sexual and reproductive health programmes for adolescents. PMID: 32588782 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - June 28, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

The role of participation and community mobilisation in preventing violence against women and girls: a programme review and critique.
CONCLUSION: We argue that, in order to be both effective and sustainable, the role of external agents in introducing programmes needs to be secondary to the ownership and empowerment of communities in designing and delivering their own strategies for VAWG prevention. PMID: 32588783 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - June 28, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Evaluating hospital performance in antibiotic stewardship to guide action at national and local levels in a lower-middle income setting.
CONCLUSION: Only one hospital had an official ABS programme, but many facilities had existing structures and resources that could be used to improve antibiotic use. Thus, ABS Strategies should be built upon existing practices with national ABS policies taking maximum advantage of existing structures to manage the supply and prescription of antimicrobials. We conclude that ABS interventions that build on established responsibilities, methods and practices would be more efficient than interventions that presume a need to establish new ABS apparatus. PMID: 32588784 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - June 28, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Ascertaining cause of mortality among middle-aged and older persons using computer-coded and expert review verbal autopsies in the China Health and Retirement Longitudinal Study.
CONCLUSION: Both approaches identify the same leading causes of death at the aggregate level, but consistency is relatively low at the individual level. InterVA works well when causes of death are characterized by distinctive signs and symptoms. Grouping the various causes of death with shared etiology or common risk factors may help improve the quality of the ascertainment of causes of death. Open-ended narratives are helpful because they provide information about the circumstances surrounding the death that are not available in the structured verbal autopsy interviews. PMID: 32544003 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - June 18, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Implementation of the INTERGROWTH-21st gestational dating and fetal and newborn growth standards in Nairobi, Kenya: women's experiences with ultrasound and newborn assessment.
CONCLUSIONS: As the INTERGROWTH-21st standards are implemented worldwide, understanding ways to facilitate implementation is critical. Increased and standardized communication about ultrasound should be provided before the procedure to increase satisfaction and uptake. Considering patient perspectives when integrating new standards or guidelines into routine clinical care will inform effective strategies in care provision, thus improving maternal and newborn health and survival. PMID: 32544027 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - June 18, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Adding video-debriefing to Helping-Babies-Breathe training enhanced retention of neonatal resuscitation knowledge and skills among health workers in Uganda: a cluster randomized trial.
CONCLUSION: Adding video-debriefing to standard Helping-Babies-Breathe training had an effect on birth attendants' competence attainment and retention over 6 months in Uganda. However, more research is needed to justify the proposed intervention in this context. PMID: 32524895 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - June 13, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

'Fighting an uphill battle': a qualitative study of the challenges encountered by pharmacy workers when providing services to men who have sex with men in Dar es Salaam, Tanzania.
CONCLUSIONS: In order to support pharmacists and drug-store workers in Tanzania to address perceived challenges for service delivery to MSM clients, systematic and continuous training on MSM's sexual health is required. Furthermore, inter-professional cooperation that harnesses provider involvement from all tiers in the healthcare system is essential to offer complementary services to ensure proper STI care and treatment. Thus, interventions that focus on inter-professional communication and interaction between pharmacists and physicians could have a positive impact on timely referrals of suspected STI cases among marginal...
Source: Global Health Action - June 10, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Measuring management practices in primary health care facilities - development and validation of management practices scorecard in Nigeria.
CONCLUSIONS: Despite a few areas for further refinement, this paper presents a reliable and valid scorecard for measuring management practices in PHC facilities. The scorecard can be applied for routine supervisory visits to PHC facilities, and can help accumulate knowledge on facility management, how it affects performance, and how it may be strengthened. PMID: 32508273 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - June 10, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Increasing collaborative research output between early-career health researchers in Africa: lessons from the CARTA fellowship program.
This study describes particular aspects of the CARTA program that promotes collaboration between the PhD fellows in the program, and determines the patterns of collaborative publications that resulted from the intervention. We reviewed program monitoring and evaluation documents and conducted a bibliometric analysis of 806 peer-reviewed publications by CARTA fellows published between 2011 and 2018. Results indicate that recruiting multidisciplinary fellows from various institutions, encouraging registration of doctoral-level fellows outside home institutions, and organizing joint research seminars stimulated collaborative ...
Source: Global Health Action - June 10, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Prevention of antibiotic resistance - an epidemiological scoping review to identify research categories and knowledge gaps.
CONCLUSIONS: Descriptive rather than theoretical ambitions have characterized the literature. If we want to better understand and explain the antibiotic situation from a behavioural perspective, the required approaches are lacking. A framework for an epidemiological causal web behind ABR is suggested and may serve to identify entry points for potential interventions. PMID: 32475304 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - June 3, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Assessing completeness of patient medical records of surgical and obstetric patients in Northern Tanzania.
CONCLUSIONS: Strengthening data quality and record-keeping is essential for surgical team communication, continuity of care, and patient safety, especially in low resource settings where paper-based records are the primary means of data collection. High-quality primary health information provides facilities with actionable data for improving surgical and obstetric care quality at the facility level. PMID: 32476620 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - June 3, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Women's development group leaders' promotion of maternal, neonatal and child health care in Ethiopia: a cross-sectional study.
CONCLUSION: The women leaders were given a wide range of tasks, despite having a low educational level and receiving training through brief orientations. They also showed limited knowledge but had a relatively high level of activities related to maternal health, while less so on neonatal and child health. PMID: 32456555 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - May 29, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Implementation of a context-specific accreditation assessment tool for affirming quality midwifery education in Bangladesh: a qualitative research study.
Conclusion: In the move from the initial assessment of an accreditation process to its implementation, it is essential to make public the results found at all educational institutions. This encourages acceptance, while soliciting feedback and suggestions for future action. Only then can an accreditation process have an impact on the provision of high-quality midwifery education and services. This paper aims to encourage and guide other countries in their development, planning and implementation of a national accreditation process for midwifery education. PMID: 32429821 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - May 22, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Eco-epidemiological assessment of the COVID-19 epidemic in China, January-February 2020.
Conclusion: Though not demonstrating cause and effect, there were appreciable associations between weather and COVID-19 incidence during the epidemic in China. This does not mean the pandemic will go away with summer weather but demonstrates the importance of using weather conditions in understanding and forecasting the spread of COVID-19. PMID: 32404043 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - May 15, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Lessons learned about co-creation: developing a complex intervention in rural Peru.
Conclusion: This study provides a practical example of the process of co-creating complex interventions to increase access and quality of health care in a low-resource setting. The process, components, challenges and opportunities identified could be useful for other researchers who want to co-create interventions with beneficiaries in similar settings. PMID: 32406330 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - May 15, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Concerned and Conscious, but DefenselessThe intersection of gender and generation in child malnutrition in Indonesia: a qualitative grounded theory study.
Conclusion: Community health and nutrition programmes should help both women and men within the context of households to acknowledge and respect women's status. More importantly, these programmes should involve men when it comes to children's nutritional habits and consider them as an important factor in the realisation of gender equality and empowerment. Furthermore, it is increasingly important to recognise the implication of the availability and accessibility of junk food among children. PMID: 32370625 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - May 8, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Cesarean delivery and associated socioeconomic factors and neonatal survival outcome in Kenya and Tanzania: analysis of national survey data.
Conclusion: Disproportionate access to cesarean delivery has widened in Kenya and Tanzania. Higher risks of cesarean-related neonatal deaths exist. Medically indicated or not, the safety and/or choice of cesarean delivery is best addressed on individual basis at the health-facility level. However, policy initiatives to eliminate incentives, improve equitable access and accountability to reduce unnecessary cesarean deliveries through well-informed decisions are needed. Efforts to prevent unintended pregnancies among adolescents as well as training of health workers and continuous research to improve neonatal outcomes are vi...
Source: Global Health Action - May 1, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

What can we learn from studying control arms of randomised VAW prevention intervention evaluations: reflections on expected measurement error, meaningful change and the utility of RCTs.
Conclusions: Control arms are very valuable, but in VAW research their measures fluctuate. This must be considered in sample size calculations. We need more rigorous criteria for determining trial effect. Our findings suggest this may be an absolute change in prevalence of 7% and proportionate change of 0.4 or more (especially for studies in populations with lower IPV prevalence (
Source: Global Health Action - April 29, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Challenges with tracing patients on antiretroviral therapy who are late for clinic appointments in rural South Africa and recommendations for future practice.
Conclusions: Substantial investment in data infrastructure and healthcare staff training is needed to improve routine tracing. PMID: 32340584 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - April 29, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Evaluation of an integrated HIV and hypertension management model in rural south africa: a mixed methods approach.
Authors: Ameh S Abstract Background: A summary of Soter Ameh's PhD thesis titled, 'An integrated HIV and hypertension management model in rural South Africa: A mixed methods approach' is presented here. In responding to the dual high burden of non-communicable diseases (NCDs) and HIV in South Africa, the national government initiated an integrated chronic disease management (ICDM) model in health facilities as a pilot programme. The aim of the ICDM model is to leverage the successes of the innovative HIV treatment programme for NCDs to improve the quality of care and health outcomes of adult patients.Objectives: Th...
Source: Global Health Action - April 24, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

New learnings on drivers of men's physical and/or sexual violence against their female partners, and women's experiences of this, and the implications for prevention interventions.
Conclusions: Specific recommendations about the future of further research on drivers of IPV include a greater focus on understanding the causal pathways from drivers to IPV and clearly delineating association from causality in studies, particularly for women and girls with disabilities, in armed conflicts, and adolescent girls and young women. To achieve this, we recommend extensive in-depth qualitative research, and complex quantitative modeling studies. Understanding drivers and causal pathways better will enable the identification of points of entry for the development of more effective IPV prevention interventions. ...
Source: Global Health Action - March 25, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Promoting anti-corruption, transparency and accountability to achieve universal health coverage.
Authors: Koller T, Clarke D, Vian T PMID: 32194009 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - March 22, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Anti-corruption, transparency and accountability in health: concepts, frameworks, and approaches.
Conclusions: Corruption undermines the capacity of health systems to contribute to better health, economic growth and development. Interventions and resources on prevention and control of corruption are essential components of health system strengthening for Universal Health Coverage. PMID: 32194010 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - March 22, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

The risk of corruption in public pharmaceutical procurement: how anti-corruption, transparency and accountability measures may reduce this risk.
Conclusions: Lessons learned suggest that anti-corruption, transparency and accountability mechanisms in the pharmaceutical procurement process, such as open contracting and integrity pacts are helpful towards reducing the risk of corruption. PMID: 32194011 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - March 22, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Promoting anti-corruption, transparency and accountability in the recruitment and promotion of health workers to safeguard health outcomes.
Conclusion: Corrupt practices in health-worker recruitment and promotion 'set the tone' for other forms of corruption such as absenteeism, embezzlement, theft and bid-rigging to flourish, as those recruited corruptly can collude for nefarious purposes. On the other hand, merit-based recruitment is important for curbing corruption. Corrupt recruitment practices have deleterious effects on health-worker motivation and retention, quality and competency, citizens' trust in health services and health outcomes. Whereas international law and policy such as the United Nations Convention Against Corruption and the WHO Handbook on M...
Source: Global Health Action - March 22, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Recalibrating the anti-corruption, transparency, and accountability formula to advance public health.
Authors: Wierzynska A, Steingrüber S, Oroxom R, Bauhoff S Abstract Policy-makers, implementing organizations, and funders of global health programs aim to improve health care services and health outcomes through specific projects or systemic change. To mitigate the risk of corruption and its harmful effects on those initiatives, health programs often use multiple anti-corruption mechanisms, including codes of conduct, documentation and reporting requirements, and trainings. Unfortunately, the introduction of anti-corruption mechanisms tends to occur without an explicit consideration of how each mechanism will ...
Source: Global Health Action - March 22, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

An interdisciplinary review of digital technologies to facilitate anti-corruption, transparency and accountability in medicines procurement.
Conclusions: Though there is a significant promise for digital technologies, particularly e-procurement, overall adoption of solutions that can enhance transparency, accountability and concomitantly combat corruption, is still underdeveloped. Future efforts should focus on tying cost-saving measurements with anti-corruption indicators, prioritizing centralization of e-procurement systems, establishing regulatory harmonization with standards setting, and incorporating additional anti-corruption technologies into procurement processes for improving access to medicines and to reach the overall goal of Universal Health Coverag...
Source: Global Health Action - March 22, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Anti-corruption, Transparency and Accountability: Case Study of Healthcare in the Arab Countries.
Conclusions: The Framework may be effective in driving concrete governance reform efforts that demonstrably reduce corruption by means of creating a common language and agenda among different stakeholders, changing the mindset towards reform, and developing targeted solutions with higher return on investment. As such, it may be capable of generating observable and sustainable progress towards healthcare reform. PMID: 32194015 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - March 22, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Human rights mechanisms for anti-corruption, transparency and accountability: enabling the right to health.
Conclusion: Human rights mechanisms should drive greater attention to the importance of addressing corruption in health. In order to make the UPR more effective, this paper suggests that there is a need to generate more awareness of corruption-based violations of the right to health in order to promote greater health accountabilityPractical tools such as strategic litigation and social audits can also contribute to creating greater transparency and accountability in dealing with corruption. PMID: 32194016 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - March 22, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Are people most in need utilising health facilities in post-conflict settings? A cross-sectional study from South Kivu, eastern DR Congo.
Authors: Malembaka EB, Karemere H, Bisimwa Balaluka G, Altare C, Odikro MA, Lwamushi SM, Nshobole RB, Macq J Abstract Background: The disruptive effect of protracted socio-political instability and conflict on the health systems is likely to exacerbate inequities in health service utilisation in conflict-recovering contexts.Objective: To examine whether the level of healthcare need is associated with health facility utilisation in post-conflict settings.Methods: We conducted a cross-sectional study among adults with diabetes, hypertension, mothers of infants with acute malnutrition, informal caregivers (of particip...
Source: Global Health Action - March 20, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Evaluating health service coverage in Ghana's Volta Region using a modified Tanahashi model.
Conclusion: Results highlight the difficulty in achieving high levels of quality service coverage and the large variations that exist within services provided at the primary care level. While vertical investments have been prioritized to benefit specific health services, a comprehensive systems approach to primary health care needs to be further strengthened to reach Ghana's Universal Health Coverage objectives. PMID: 32174254 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - March 17, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Direct assessment of mental health and metabolic syndrome amongst Indonesian adolescents: a study design for a mixed-methods study sampled from school and community settings.
This study will substantially advance the field of NCD measurement amongst adolescents, especially in settings like Indonesia. It demonstrates that high quality, objective measurement is acceptable and feasible, including the collection of biomarkers in a school-based setting. It demonstrates how comparable data can be collected across both in-school and out of school adolescents, allowing a more comprehensive measure of NCD burden, risk and correlates. PMID: 32174255 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - March 17, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Raising awareness of antimicrobial resistance in rural aquaculture practice in Bangladesh through digital communications: a pilot study.
Authors: Thornber K, Huso D, Rahman MM, Biswas H, Rahman MH, Brum E, Tyler CR Abstract One of the key strategic objectives of the World Health Organisation's global antimicrobial resistance (AMR) action plan is to improve public awareness and understanding of this issue. Very few AMR awareness campaigns have targeted the animal production sector, particularly in low- and middle-income countries (LMICs) where rural communities can be geographically difficult to access via traditional face-to-face community engagement methods. Aquaculture is a major food production industry in Bangladesh and across Asia, an area whic...
Source: Global Health Action - March 13, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Measuring child survival for the Millennium Development Goals in Africa: what have we learned and what more is needed to evaluate the Sustainable Development Goals?
We examined reasons for greater or lesser success in meeting under-five mortality rate reductions, i.e. Millennium Development Goal #4, between 1990 and 2015 in Sub-Saharan Africa where child mortality remains high. We first examined factors associated with child mortality from all World Health Organization African Region nations during the Millennium Development Goal period. This analysis was followed by case studies of the facilitators and barriers to Millennium Development Goal #4 in four countries - Kenya, Liberia, Zambia, and Zimbabwe. Quantitative indicators, policy documents, and qualitative interviews and focus gro...
Source: Global Health Action - March 3, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Key challenges of health care workers in implementing the integrated management of childhood illnesses (IMCI) program: a scoping review.
Conclusion: Recognizing and understanding insights of those enacting health programs such as IMCI can spark meaningful strategic recommendations to improve IMCI program effectiveness. This review suggests four domains that merit consideration in the context of efforts to scale and expand IMCI programs. PMID: 32114968 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - March 3, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Building cooperative learning to address alcohol and other drug abuse in Mpumalanga, South Africa: a participatory action research process.
Conclusion: There is significant willingness and capacity among community stakeholders to work in partnership with authorities to address priority health concerns. As a process, participation can help to raise and frame issues, which may help to better inform action and encourage shared responsibility. Broader understandings of participation require reference to, and ultimately transfer of power towards, those most directly affected, developing community voice as continuous processes within social and political environments. PMID: 32116156 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - March 3, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Optimizing Test and Treat in Malawi: health care worker perspectives on barriers and facilitators to ART initiation among HIV-infected clients who feel healthy.
Conclusion: Feeling healthy may exacerbate barriers to ART initiation. Strategies to reach healthy clients are needed, such as chronic care models, differentiated models of care that minimize disruptions to daily activities, and community sensitization on the benefits of early initiation. PMID: 32098595 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - February 28, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Responding to aid volatility: government spending on district health care in Zambia 2006-2017.
Conclusion: The increase in the budget allocated to primary care could be an example of 'reverse fungibility', whereby Government accounted for the gap left by donors. However, the decline in the operational grant demonstrates that this period of aid volatility continued to have an impact on how primary care was planned and financed, with less flexible budget lines most affected during this period. Going forward, Government and donors must consider how funding is allocated to ensure that primary care is resilient to aid volatility; and that the principles of aid effectiveness are prioritised to continue to provide primary ...
Source: Global Health Action - February 21, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Using a mHealth system to recall and refer existing clients and refer community members with health concerns to primary healthcare facilities in South Africa: a feasibility study.
Conclusion: Using mHealth for recalls and referrals is probably feasible and can improve communication between LHWs and facility staff. However, the low success rates highlight the need to assess facility capacity beforehand and to integrate mHealth with existing health information systems. mHealth may improve communication between LHWs and facility staff, but its success depends on the health system capacity to incorporate these interventions. PMID: 32036781 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - February 12, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Developing sustainable capacity-building in mental health research: implementation outcomes of training of trainers in systematic reviewing.
Authors: Jack HE, Merritt C, Medhin G, Musesengwa R, Mafuta C, Gibson LJ, Hanlon C, Sorsdahl K, Chibanda D, Abas M Abstract Less than 1% of biomedical research papers originate in Africa. Locally relevant mental health research, including synthesis of existing evidence, is essential for developing interventions and strengthening health systems, but institutions may lack the capacity to deliver training on systematic reviewing for publication in international journals. This paper describes the development and implementation of a training-of-trainers (ToT) course on systematic reviewing. The ToT prepared junior facul...
Source: Global Health Action - February 12, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Long-term trends in seasonality of mortality in urban Madagascar: the role of the epidemiological transition.
Conclusion: Shifts in disease patterns brought about by the epidemiological transition, rather than changes in seasonal variation in cause-specific mortality, are the main drivers of trends in the seasonality of all-cause mortality. PMID: 32027239 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - February 8, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Community perceptions of universal health coverage in eight districts of the Northern and Volta regions of Ghana.
Conclusion: Improving geographic and financial access to CHPS facilities is essential to UHC, but responding to community need for improved outreach, and service quality is equivalently critical to achieving this goal. PMID: 32008468 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - February 7, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

HIV-positive migrants' experience of living in Sweden.
Conclusions: In the actual study loneliness, fear of disclosure, perceived stigma, and the lack of a social network had significant impact on the life situations of the HIV positive migrants. Fear of disclosure and the challenge of finding a partner and friends were the main obstacles. It is crucial to increase access for these patients to supporting networks that will promote their empowerment and trust. PMID: 31996102 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - February 1, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Midwifery education, regulation and association in the Democratic Republic of Congo (DRC) - current state and challenges.
Conclusions: The Sustainable Development Goal on health, and specifically the health of mother and newborn, will be difficult to meet in the DRC. We therefore suggest that (i) the midwifery education programmes be improved to meet international standards; (ii) these programmes be designed in a way that allows for an academic degree at either the bachelor's or master's level; (iii) the competence level of the midwifery educators be increased; and, most crucially, (iv) a regulatory structure be formed that legislates and regulates the midwifery profession and its autonomous practice. PMID: 31983317 [PubMed - in process] ...
Source: Global Health Action - January 29, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research