Making a COVID-19 vaccine that works for everyone: ensuring equity and inclusivity in clinical trials
Glob Health Action. 2021 Jan 1;14(1):1892309. doi: 10.1080/16549716.2021.1892309.ABSTRACTCoronavirus disease 2019 (COVID-19) mortality and morbidity have been shown to increase with deprivation and impact non-White ethnicities more severely. Despite the extra risk Black, Asian and Minority Ethnicity (BAME) groups face in the pandemic, our current medical research system seems to prioritise innovation aimed at people of European descent. We found significant difficulties in assessing baseline demographics in clinical trials for COVID-19 vaccines, displaying a lack of transparency in reporting. Further, we found that most of...
Source: Global Health Action - February 25, 2021 Category: International Medicine & Public Health Authors: Toby Pepperrell Florence Rodgers Pranav Tandon Kelly Sarsfield Molly Pugh-Jones Theo Rashid Sarai Keestra Source Type: research

Pre-exposure prophylaxis (PrEP) awareness, attitudes and uptake willingness among young people: gender differences and associated factors in two South African districts.
Conclusions: The study shows young people's low levels of PrEP awareness. It also shows relatively increased willingness, gendered PrEP awareness and distribution preferences. Promoting youth's PrEP awareness requires a multifarious media strategy. Abbreviations: HIV: human immunodeficiency virus; AIDS: Acquired immunodeficiency syndrome; aOR: Adjusted Odds ratio; PLWH: People living with HIV; PrEP: Pre-exposure Prophylaxis; UNAIDS: Joint United Nations Programme on HIV and AIDS; uOR: Unadjusted odds ratio; TB: Tuberculosis; WHO: World health Organisation; MSM: Men who have sex with men. PMID: 33606603 [PubMed - as sup...
Source: Global Health Action - February 20, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Teacher Nomination of School-aged Children for Mental Health Services in a Low and Middle Income Country.
Authors: Cruz CM, Lamb MM, Hampanda K, Giri P, Campbell M, Chowdhury B, Giardina AA, Gaynes BN, Matergia M Abstract Background: Knowledgeable in child development, primary school teachers in low- and middle-income countries (LMICs) have the potential to identify their students needing mental health care. Objective: We evaluated whether teachers in Darjeeling, India can accurately nominate school-aged children for mental health services after training and aided by a novel tool. Methods: In 2018, 19 primary school teachers from five low-cost private (LCP) schools in rural Darjeeling were trained to nominate children ...
Source: Global Health Action - February 17, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Approaches, achievements, challenges, and lessons learned in setting up an urban-based Health and Demographic Surveillance System in South Africa.
We describe the approaches, achievements, challenges and lessons learned in setting up a HDSS site in Soweto and Thembelihle (SaT-HDSS), Johannesburg; which is the first urban-based HDSS in Southern Africa. We also highlight a number of studies being implemented in the HDSS. In 2017-2020, the HDSS has enrolled 124,169 individuals and followed up 95% of this population through 3 rounds of data collection. Several challenges were encountered during the initiation of the HDSS, including difficulties in community mobilisation and entry, stakeholders' engagement and participation, inaccessibility problems and concerns about saf...
Source: Global Health Action - February 5, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Adaptation of WHO's generic tuberculosis patient cost instrument for a longitudinal study in Africa.
We describe the process of creating a longitudinal instrument and its application to the TB Sequel study, an ongoing multi-country, multi-center observational cohort study. We adapted the cross-sectional WHO generic TB patient cost survey instrument for the longitudinal study design of TB Sequel and the local context in each study country (South Africa, Mozambique, Tanzania, and The Gambia). The generic instrument was adapted for use at enrollment (start of TB treatment; Day 0) and at 2, 6, 12 and 24 months after enrollment, time points intended to capture costs incurred for diagnosis, during treatment, at the end of ...
Source: Global Health Action - January 28, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Strategies for financing social health insurance schemes for providing universal health care: a comparative analysis of five countries.
Conclusions: The ability for Social Health Insurance programs to cover all groups has been limited in the selected countries. Hence, relying solely on social health insurance schemes to achieve Universal Health Coverage may not be plausible in Africa. Also, highly fragmented risk pools impede efforts to widen the insurance pools and promote cross-subsidies. PMID: 33472557 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 23, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

COVID-19 in Germany and China: mitigation versus elimination strategy.
Conclusions: Early implementation of intense and sustained control measures is key to achieving a near normal social and economic life. PMID: 33472568 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 23, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Antimicrobial resistance control efforts in Africa: a survey of the role of Civil Society Organisations.
Conclusion: CSOs across Africa are supporting AMR prevention and control, however, there is potential for more engagement. Africa CDC and other government agencies should support the training of CSOs in strategies to control AMR. Tailored training programmes can build knowledge of AMR, capacity for monitoring processes, and facilitate further identification of CSOs' contribution to the AMR Framework and alignment with NAPs and regional strategies. PMID: 33475046 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 23, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Study design: policy landscape analysis for sugar-sweetened beverage taxation in seven sub-Saharan African countries.
This study design will provide insights to inform public health action to support sugar-sweetened beverage taxation in the region. PMID: 33475471 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 23, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Learnings from the evaluation of HERrespect: a factory-based intervention to prevent intimate partner and workplace violence against female garment workers in Bangladesh.
Conclusions: Future research on IPV prevention in this sector is advised to: (1) Gain genuine management buy-in prior to starting activities; (2) implement an optimally intensive programme for the workers and management; (3) engage men from the female workers' communities. WPV prevention will require a change in the structural violence of the just-in-time regime which contributes largely to WPV. PMID: 33475473 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 23, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Demographic, regional and temporal trends of hyperuricemia epidemics in mainland China from 2000 to 2019: a systematic review and meta-analysis.
CONCLUSIONS: The last two decades witnessed the rapid growth prevalence of HUA in China. Early screening and personalized health education for HUA need to be given enough attention. PMID: 33475474 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 23, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Factors associated with low adherence to medication among patients with type 2 diabetes at different healthcare facilities in southern Bangladesh.
Authors: Mannan A, Hasan MM, Akter F, Rana MM, Chowdhury NA, Rawal LB, Biswas T Abstract Background: Diabetic individuals must adhere to their medications to control their glucose levels and prevent diabetes-related complications. However, there is limited evidence of medication adherence in patients with type 2 diabetes in Bangladesh. Objectives: We assessed the level of adherence and factors associated with low adherence to anti-diabetic medication among patients with type 2 diabetes at different health facilities in southern Bangladesh. Methods: This cross-sectional study included 2,070 patients with type 2 diab...
Source: Global Health Action - January 23, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Macro-level mental health system indicators and cross-national suicide rates.
CONCLUSION: The findings have several implications for policy and practice, including the need to make existing mental health systems very responsive to suicide prevention. PMID: 33465014 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 21, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Association between maternal plasma ferritin level and infants' size at birth: a prospective cohort study in rural Bangladesh.
Conclusion: We observed an inverse association between high plasma ferritin in the last trimester (GW30) and birth weight but not birth length. The results suggested that elevated plasma ferritin in pregnancy could have an untoward effect on birth weight. PMID: 33465015 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 21, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Matching action to need: an analysis of Global Burden of Disease 2017 and population health data to focus adolescent health policy and actions in Myanmar.
Conclusions: These results highlight the need to focus current efforts on addressing disease and mortality experienced by adolescents in Myanmar, with a specific focus on injury, mental health and non-communicable disease. PMID: 33446080 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 17, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Routine health management information system data in Ethiopia: consistency, trends, and challenges.
Conclusions: The quality of routine data gathered in the health system needs further attention. We suggest regular triangulation with data from other sources. We recommend addressing the denominator issues, reducing the complexity of indicators, and aligning indicators to international definitions. PMID: 33446081 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 17, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Perinatal death in Northern Uganda: incidence and risk factors in a community-based prospective cohort study.
Conclusion: The incidence of perinatal death in this region was higher than had previously been reported in Uganda. Risk factors for perinatal mortality were nulliparity and maternal age>30 years. Pregnant women in this region need improved access to care during pregnancy and childbirth. PMID: 33446087 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 17, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Could COVID-19 be contained in poor populations by herd immunity rather than by strategies designed for affluent societies or potential vaccine(s)?
Authors: Ruppel A, Halim MI, Kikon R, Mohamed NS, Saebipour MR PMID: 33397199 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 7, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Associations between caregiver mental health and young children's behaviour in a rural Kenyan sample.
Authors: Laurenzi CA, Hunt X, Skeen S, Sundin P, Weiss RE, Kosi V, Rotheram-Borus MJ, Tomlinson M Abstract Background: Research shows that caregiver mental health problems have direct, significant effects on child behaviour. While these risks are amplified in low-resource settings, limited evidence exists from these places, especially sub-Saharan Africa. Objective: We measured associations between caregiver mental health and child behaviour in a rural Kenyan sample, hypothesizing that higher rates of caregiver mental health would be associated with increased child behavioural problems. We also sought to provide an ...
Source: Global Health Action - January 7, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Is exclusive breastfeeding for six-months protective against pediatric tuberculosis?
Authors: Flores JA, Coit J, Mendoza M, Leon SR, Konda K, Lecca L, Franke MF Abstract Experts recommend exclusive breastfeeding from birth to six months because it protects against deadly childhood illness, including respiratory tract infections and diarrhea. We hypothesized that exclusive breastfeeding would decrease the risk of active tuberculosis (TB) in children. We analyzed cross-sectional data from 279 children in Lima, Peru aged 6 to 59 months with TB symptoms and a close adult contact with TB. Mothers self-reported breastfeeding, and children were evaluated for TB per national guidelines. To quantify th...
Source: Global Health Action - January 6, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Can non-fatal burden estimates from the Global Burden of Disease study be used locally? An investigation using models of stroke and diabetes for South Africa.
Conclusion: This study showed that GBD non-fatal burden estimates (PYLDs) can be used for stroke and diabetes non-fatal burden in the SANBD2 study. PMID: 33393896 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 6, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Keeping silent or running away. The voices of Vietnamese women survivors of Intimate Partner Violence.
Conclusion: A strategy of conformity like silence can be a tactic for women to cope with a system of male dominance while navigating complex structural inequalities. To better address IPV in Vietnam, interventions should be sensitive to the structural gender inequalities within family and societal contexts. PMID: 33380282 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 1, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Characterizing 'health equity' as a national health sector priority for maternal, newborn, and child health in Ethiopia.
Conclusion: The metrication of health equity may detract from the fairness, justice, and morality underpinnings of the concept. The findings of this study point to the implications of global pressures in terms of maximizing health investments, and call into question how social, political, and economic determinants of health are addressed through broader development agendas. PMID: 33380284 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - January 1, 2021 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Tanzanian women ´s knowledge about Cervical Cancer and HPV and their prevalence of positive VIA cervical screening results. Data from a Prevention and Awareness Campaign in Northern Tanzania, 2017 - 2019.
Conclusion: There is an alarming lack of knowledge about cervical cancer and, to a lesser Extent, about HPV among the study participants. Having health insurance influenced the level of knowledge significantly. Outreach programs in rural areas appear to target the population in need of health education. Low positive VIA screening results are paralleled with lower HIV rates among the women. We assume that the high density of primary health care coverage in northern Tanzania contributes to these findings.. PMID: 33371824 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - December 31, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Scale-up integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium (SCUBY): a study design for a quasi-experimental multiple case study.
Authors: van Olmen J, Menon S, Poplas Susič A, Ir P, Klipstein-Grobusch K, Wouters E, Peñalvo JL, Zavrnik Č, Te V, Martens M, Danhieux K, Chham S, Stojnić N, Buffel V, Yem S, White G, Boateng D, Klemenc-Ketis Z, Prevolnik VR, Remmen R, Van Damme W Abstract Health systems worldwide struggle to manage the growing burden of type 2 diabetes and hypertension. Many patients receive suboptimal care, especially those most vulnerable. An evidence-based Integrated Care Package (ICP) with primary care-based diagnosis, treatment, education and self-management support and collaboration, leads to better health outcomes...
Source: Global Health Action - December 31, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Government stakeholders' perspectives on the family planning environment in three Nigerian cities: qualitative findings from the Nigerian Urban Reproductive Health Initiative (NURHI) Sustainability Study.
Conclusions: As donors look to transition to government ownership of family planning efforts, it is important for family planning programs to understand and incorporate government stakeholders' perspectives into their sustainability planning efforts. PMID: 33373279 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - December 31, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Strengthening research capacity in LMICs to address the global NCD burden.
This article describes key lessons and compelling cases from the Programs that can be harnessed by other health researchers and funders to further the global response to the NCD burden. PMID: 33373280 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - December 31, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Understanding non-communicable diseases: combining health surveillance with local knowledge to improve rural primary health care in South Africa.
Conclusions: VA data allowed a significant burden of NCD mortality to be quantified and revealed barriers to access at and around the time of death. Qualitative research contextualised these barriers, providing explanations of how and why they exist and persist. Health systems analysis revealed shortages of resources allocated to NCDs and a need for robust research to provide locally relevant evidence to organise and deliver care. Pragmatic interdisciplinary and mixed method analysis provides relevant renditions of complex problems to inform more effective responses. PMID: 33357074 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - December 29, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

A decade of Ecuador ´s efforts to raise its health research output: a bibliometric analysis.
A decade of Ecuador´s efforts to raise its health research output: a bibliometric analysis. Glob Health Action. 2021 Jan 01;14(1):1855694 Authors: Sisa I, Abad A, Espinosa I, Martinez-Cornejo I, Burbano-Santos P Abstract Background: Over the past decade, the political movement called 'Revolución Ciudadana' implemented a variety of policies and interventions (P&I) in Ecuador to improve higher education and strengthen local research capacity. We refer specifically to the 'Mandato 14' and the Higher Education Law (LOES, Spanish acronym) launched in 2008 and 2010, respectively. Objective: ...
Source: Global Health Action - December 29, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

The AMR emergency: multi-sector collaboration and collective global policy action is needed now.
Authors: Stewart Williams J, Wall S PMID: 33357144 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - December 29, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Surgical data strengthening in Ethiopia: results of a Kirkpatrick framework evaluation of a data quality intervention.
Conclusions: Study results are largely positive and make evident that surgical data capture is feasible in low-resource settings and warrants more investment in global surgery efforts. This type of training and mentorship model can be successful in changing individual behavior and institutional culture regarding surgical data collection and reporting. Use of the Kirkpatrick Framework for evaluation of a surgical DQI is an innovative contribution to literature and can be easily adapted and expanded for use within global surgery. PMID: 33357164 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - December 29, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Peer victimization and experiences of violence at school and at home among school age children with disabilities in Pakistan and Afghanistan.
Conclusion: Disability is highly prevalent in Afghanistan and Pakistan schools and this is associated with a greater risk of experiencing and perpetrating peer violence. It is important to ensure that all children can benefit from school-based prevention interventions. PMID: 33357165 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - December 29, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Ongoing debate on data governance principles for achieving Universal Health Coverage: a proposal to post-G20 Osaka Summit meetings.
Authors: Nomura S, Sakamoto H, Ishizuka A, Katsuma Y, Akashi H, Miyata H Abstract The Group of 20 Summit (G20) in Osaka, which Japan chaired for the first time in June 2019 has created a tailwind for achieving universal health coverage (UHC) globally. In response to the rapid digitalization, the G20 leaders commenced negotiations for the Osaka Track framework to formulate international rules on data flow across borders and systematize the concept of 'Data Free Flow with Trust (DFFT).' The strategic harnessing of the power of data to strengthen the healthcare system can allow for rapid and affordable progress toward...
Source: Global Health Action - December 19, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Outcomes of a multifaceted intervention to improve maternal satisfaction with care in secondary hospitals in Nigeria.
Authors: Okonofua FE, Ntoimo LFC, Ekezue BF, Ohenhen V, Agholor K, Igboin B, Maduako K, Imongan W, Gidago Y, Galadanci H, Ogu R Abstract Background: Data in Nigeria suggests a high level of dissatisfaction among women attending maternity care in health facilities due to long wait times, disrespectful care, and poor attention by healthcare personnel. Objective: To examine the effectiveness of a multifaceted intervention in improving self-reported indicators of maternal healthcare satisfaction by women who use referral facilities in two regions of Nigeria. Method: The design was quasi-experimental and consisted of tw...
Source: Global Health Action - December 19, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Rape survivors in South Africa: analysis of the baseline socio-demographic and health characteristics of a rape cohort.
CONCLUSION: The study shows that structural factors, such as lower levels of education, poverty, and living in areas of poor infrastructure are associated with women's vulnerability to rape. It also shows possible protection from rape afforded by the national financial safety net. It highlights the importance of safe transportation in commuting to work. Preventing rape is critical for enabling women's full social and economic development, and structural interventions are key for reducing women's vulnerability. PMID: 33314989 [PubMed - as supplied by publisher] (Source: Global Health Action)
Source: Global Health Action - December 15, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Migrants' perceptions of health system responsiveness and satisfaction with health workers in a South African Province.
Conclusion: UHC policies should incorporate migrant patients' perceptions of HSR and the determinants of their satisfaction with health workers. PMID: 33314996 [PubMed - as supplied by publisher] (Source: Global Health Action)
Source: Global Health Action - December 15, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Monitoring the status of selected health related sustainable development goals: methods and projections to 2030.
Conclusion: Our analysis shows the benefit of UN interagency monitoring which prioritizes transparent country data sources, UN population estimates and life tables, and rigorous but replicable modelling methods. Countries are supported to build capacity for data collection, analysis and reporting. Through these monitoring efforts we support countries to tackle even the most intransient health issues, including the pandemic caused by SARS-CoV-2 that is reversing the hard-earned gains of all countries. PMID: 33250013 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - December 2, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Does health insurance contribute to improved utilization of health care services for the elderly in rural Tanzania? A cross-sectional study.
Conclusion: Health insurance is a predictor of outpatient and inpatient health services in people aged 60 and above in rural Tanzania. Further research is needed to understand the perceptions of both the insured and uninsured regarding the quality of care received. PMID: 33236698 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - November 27, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Physicians' satisfaction with clinical referral laboratories in Rwanda.
CONCLUSION: Availing continuously laboratory tests, timely result reporting, and effective communication between laboratories and clinicians would increase physicians' satisfaction and likely improve the quality of health care. Laboratory staff participation in clinical meetings and ward rounds with physicians may address most of the physicians' concerns. PMID: 33215571 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - November 22, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Spousal violence against women and its association with sociodemographic factors and husbands' controlling behaviour: the findings of Myanmar Demographic and Health Survey (2015-2016).
Conclusion: Controlling behaviour by husbands was significantly associated with higher likelihoods of lifetime spousal violence among ever-married Myanmar women in this study. These findings reflect an obvious need for policy development and preventive strategies against marital controlling behaviour in Myanmar. PMID: 33215577 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - November 22, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Global progress in tobacco control: the question of policy compliance.
Conclusion: There is a clear need to understand the barriers in achieving tobacco control policy compliance and to routinely collect and incorporate data on compliance in research in order to generate a more reliable basis for further improvements in tobacco control. PMID: 33190609 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - November 18, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

The values and principles underpinning community engagement approaches to tackling antimicrobial resistance (AMR).
We present our understanding of these seven values and their underlying principles as a flexible tool designed to support stakeholders within CE for AMR projects. We include practical guidance on working toward each value, plus case studies of the values in action within existing AMR interventions. Finally, we consider the extent to which CE approaches are appropriate to tackle AMR challenges. We reflect on these in relation to the tool, and current literature for both CE and AMR research. Authors and co-producers anticipate this tool being used to scene-set, road map and trouble shoot the development, implementation, and ...
Source: Global Health Action - November 18, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Female health-care providers' advocacy of self-sampling after participating in a workplace program for cervical cancer screening in Ghana: a mixed-methods study.
CONCLUSIONS: Self-sampling for cervical cancer screening is highly acceptable to female HCPs. Setting up a workplace screening program that entails the option of self-sampling could create greater awareness and positive attitudes among HCPs to educating their patients, families, and neighbours on cervical cancer risks and motivate HCPs to advocate for women's participation in screening. PMID: 33200671 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - November 18, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Establishment of COVID-19 testing laboratory in resource-limited settings: challenges and prospects reported from Ethiopia.
Authors: Abera A, Belay H, Zewude A, Gidey B, Nega D, Dufera B, Abebe A, Endriyas T, Getachew B, Birhanu H, Difabachew H, Mekonnen B, Legesse H, Bekele F, Mekete K, Seifu S, Sime H, Yemanebrhan N, Tefera M, Amare H, Beyene B, Tsige E, Kebede A, Tasew G, Tollera G, Abate E, Woyessa A, Assefa A Abstract The Coronavirus pandemic is recording unprecedented deaths worldwide. The temporal distribution and burden of the disease varies from setting to setting based on economic status, demography and geographic location. A rapid increase in the number of COVID-19 cases is being reported in Africa as of June 2020. Ethiopia r...
Source: Global Health Action - November 18, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

The relationship between Indigenous and allopathic health practitioners in Africa and its implications for collaboration: a qualitative synthesis.
CONCLUSION: The power struggle which defines the relationship between IHPs and AHPs in Africa is a hindrance to their collaboration and as such could partly account for the limited success of efforts to foster collaboration to date. Future efforts to foster collaboration between IHPs and AHPs in Africa must aim to balance the power disparity between them if collaboration is to be successful. Since this would be a novel approach, decision-makers and organisations who trial this power balancing approach to facilitate collaboration should evaluate resultant policies and interventions to ascertain their feasibility and efficac...
Source: Global Health Action - November 7, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Right To Play's intervention to reduce peer violence among children in public schools in Pakistan: a cluster-randomized controlled trial.
CONCLUSION: A well-designed and implemented play-based life-skills intervention delivered in public schools in Pakistan is able to effect a significant reduction in peer violence. PMID: 33138740 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - November 5, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Universal access to essential medicines as part of the right to health: a cross-national comparison of national laws, medicines policies, and health system indicators.
CONCLUSIONS: International human rights law and WHO policy are embedded in national law for essential medicines and practically implemented in national health systems. Law makers can use these findings and the example texts in this thesis as a starting point for writing and monitoring governments' rights-based legal commitments for access to medicines. Future research should study the effect of national law on access to medicines and population health. PMID: 33131456 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - November 4, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Exclusive breastfeeding among HIV exposed infants from birth to 14 weeks of life in Lira, Northern Uganda: a prospective cohort study.
CONCLUSIONS: HIV infected women: with highest socioeconomic status, whose delivery was not supervised by a health worker and who did not adhere to ART were less likely to practice exclusive breastfeeding. We recommend ART adherence and infant feeding counselling to be emphasised among HIV infected women who are at risk of having a home delivery, those with poor ART adherence and those of higher socioeconomic status. We also recommend integration of these services into other settings like homes, community and work places instead of limiting them to hospital settings. ABBREVIATIONS: HIV: Human Immunodeficiency Virus; ART...
Source: Global Health Action - November 1, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Interrelationships between early antenatal care, health facility delivery and early postnatal care among women in Uganda: a structural equation analysis.
CONCLUSION: Early antenatal care was a mediating factor for health facility delivery and EPNC; and hence, there is need for more focus on factors for increased early antenatal care utilization. Women with higher education and those with no cost problems were more likely to have early ANC utilization, skilled delivery and EPNC; therefore there is need to design and implement policies targeting social and economically disadvantaged women. PMID: 33124520 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - November 1, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research

Births and deaths in Sidama in southern Ethiopia: findings from the 2018 Dale-Wonsho Health and Demographic Surveillance System (HDSS).
CONCLUSION: The fertility rate in Sidama is lower than previously reported and is affected by age, residence and education. As we have identified important measurement and reporting errors, future demographic surveillance sites should consider these limitations. PMID: 33115376 [PubMed - in process] (Source: Global Health Action)
Source: Global Health Action - October 31, 2020 Category: International Medicine & Public Health Tags: Glob Health Action Source Type: research