The Role of Telemedicine in Providing Thoracic Oncology Care to Remote Areas of British Columbia.
Abstract PURPOSE OF REVIEW: The purpose of this study is to review the role of telemedicine in providing oncology care; we describe our long-standing, high-volume telemedicine experience. RECENT FINDINGS: The Interior Health Thoracic Surgical Group (IHTSG) uses telemedicine, through Virtual Thoracic Surgical Clinics (VTSC), to provide service to remote patients. The IHTSG serves a population of 1.01 million people over an area of 807,538 km(2) (1.3 persons/km(2)) in the Interior and North of British Columbia, Canada. Between 2003 and 2015, the IHTSG conducted 15,073 telemedicine patient encounters at 63 ...
Source: Rural Remote Health - July 2, 2017 Category: Rural Health Authors: Humer MF, Campling BG Tags: Curr Oncol Rep Source Type: research

Equitable resourcing of primary health care in remote communities in Australia's Northern Territory: a pilot study.
CONCLUSIONS: The research findings provide empirical evidence based on real costs to guide funding for remote PHC services that takes into account the safety and equity requirements for a minimum viable service. This method can be used as a transparent, coordinated approach to ensure the equitable delivery of sustainable, high quality PHC in remote communities. This will in turn contribute to improved health outcomes. PMID: 28662639 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 29, 2017 Category: Rural Health Authors: Wakerman J, Sparrow L, Thomas SL, Humphreys JS, Jones M Tags: BMC Fam Pract Source Type: research

Disparities in access to pediatric hearing health care.
The objective of this review is to assess the current disparities in pediatric hearing healthcare delivery, describe the barriers of efficient and effective pediatric hearing health care, and explore the innovations to improve pediatric hearing healthcare delivery. RECENT FINDINGS: Children with hearing loss from certain geographic regions or ethnic background are significantly delayed in diagnosis and treatment. Multiple patient characteristics (presentation of hearing loss), parental factors (insurance status, socioeconomic status, educational status, and travel distance to providers), and provider barriers (special...
Source: Rural Remote Health - June 29, 2017 Category: Rural Health Authors: Bush ML, Kaufman MR, McNulty BN Tags: Curr Opin Otolaryngol Head Neck Surg Source Type: research

Dermatological learning needs among aboriginal health workers in rural and remote Australia: A cross-sectional survey.
PMID: 28660619 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 28, 2017 Category: Rural Health Authors: Carr GF, Tait CP Tags: Australas J Dermatol Source Type: research

Challenges of Implementing Antenatal Ultrasound Screening in a Rural Study Site: A Case Study From the Democratic Republic of the Congo.
This article examines the challenges that arose in implementing the study, with a particular focus on the site in Equateur Province of the Democratic Republic of the Congo (DRC) where the challenges were greatest and the efforts to meet these challenges most illuminating. During the study period, we determined that with resources and dedicated staff, it was possible to leverage the infrastructure and implement ultrasound at antenatal care across a variety of remote sites, including rural DRC. However, numerous technical and logistical challenges had to be addressed including security of the equipment, electricity requireme...
Source: Rural Remote Health - June 27, 2017 Category: Rural Health Authors: Swanson D, Lokangaka A, Bauserman M, Swanson J, Nathan RO, Tshefu A, McClure EM, Bose CL, Garces A, Saleem S, Chomba E, Esamai F, Goldenberg RL Tags: Glob Health Sci Pract Source Type: research

High burden of Schistosoma mansoni infection in school-aged children in Marolambo District, Madagascar.
CONCLUSIONS: Intestinal schistosomiasis appears a considerable public health issue in this remote area of Madagascar where there is a pressing need for mass drug administration. PMID: 28646926 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 24, 2017 Category: Rural Health Authors: Spencer SA, Penney JMSJ, Russell HJ, Howe AP, Linder C, Rakotomampianina ALD, Nandimbiniaina AM, Squire SB, Stothard JR, Bustinduy AL, Rahetilahy AM Tags: Parasit Vectors Source Type: research

Accuracy and reliability of retinal photo grading for diabetic retinopathy: Remote graders from a developing country and standard retinal photo grader in Australia.
CONCLUSIONS: Local graders in Bangladesh are able to grade retinal photos with high accuracy if the DR is at least of a moderate level. With appropriate training and experience, local graders have the ability to contribute significantly to the grading of millions of retinal photos, which required grading in resource- poor countries. PMID: 28632764 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 22, 2017 Category: Rural Health Authors: Islam FMA Tags: PLoS One Source Type: research

Relationships between dental personnel and non-dental primary health care providers in rural and remote Queensland, Australia: dental perspectives.
CONCLUSIONS: The findings suggest that there was little relationship between the dental personnel and primary care providers. Interprofessional collaboration between dental care providers and non-dental rural primary care providers in the rural and remote communities sampled could be improved by having regular face to face meetings between practitioners from across the health disciplines, providing oral health education to primary care providers, establishing and maintaining effective communication and referral pathways, and exploring a greater role for tele-dentistry. PMID: 28629349 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 19, 2017 Category: Rural Health Authors: Stuart J, Hoang H, Crocombe L, Barnett T Tags: BMC Oral Health Source Type: research

Relatives' level of satisfaction with advanced cancer care in Greenland - a mixed methods study.
imm H Abstract Palliative cancer care in Greenland is provided by health professionals at local level, the national Queen Ingrid's Hospital and at Rigshospitalet in Denmark. To improve and develop care for relatives of patients with advanced cancer, we conducted a mixed method study examining relatives' level of satisfaction with care and treatment and their current main concerns. The aim was to investigate relatives' level of satisfaction with advanced cancer care and bring to light their current main concerns. The FAMCARE-20 questionnaire was translated to Greenlandic and pilot tested. The questionnaire was supp...
Source: Rural Remote Health - June 16, 2017 Category: Rural Health Authors: Augustussen M, Hounsgaard L, Pedersen ML, Sjøgren P, Timm H Tags: Int J Circumpolar Health Source Type: research

Chronic respiratory disease in the regional and remote population of the Northern Territory Top End: A perspective from the specialist respiratory outreach service.
Abstract OBJECTIVE: To study the demographic, rates and types of chronic respiratory conditions in Indigenous and non-Indigenous patients in regional and remote communities of Northern Territory Top End, who were referred to the specialist respiratory outreach service. DESIGN: A retrospective, observational study over a 2 years period. SETTING: Remote community health clinics within the Northern Territory Top End visited by the specialist respiratory outreach team. PARTICIPANTS: Only patients referred to respiratory specialist outreach team were included. There were 444 participants, with 210 males ...
Source: Rural Remote Health - June 15, 2017 Category: Rural Health Authors: Kruavit A, Fox M, Pearson R, Heraganahally S Tags: Aust J Rural Health Source Type: research

Experiences of registered nurses transitioning from employment in acute care to primary health care - quantitative findings from a mixed methods study.
CONCLUSIONS: Availability of specific support measures may assist in the transition process. Findings from our study should be considered by employers when recruiting nurses new to PHC, and when designing orientation and ongoing education programs. RELEVANCE TO CLINICAL PRACTICE: This study highlights the challenges faced by nurses who transition from acute care into PHC employment. Understanding the barriers and facilitators to successful transitions enhance the process for future recruitment and retention of PHC nurses. This evidence can inform managers, educators and policy makers in developing support programs for...
Source: Rural Remote Health - June 15, 2017 Category: Rural Health Authors: Ashley C, Halcomb E, Brown A, Peters K Tags: J Clin Nurs Source Type: research

Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality.
Conclusions: Findings highlight the established role of traditional organizations/entities within the aging services network, to reach remote areas and serve diverse participants (e.g., senior centers). To facilitate growth in rural areas, technical assistance will be needed. Additional efforts are needed to bolster partnerships (e.g., sharing resources and knowledge), marketing (e.g., tailored material), and regular communication among stakeholders. PMID: 28613257 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 14, 2017 Category: Rural Health Authors: Smith ML, Towne SD, Herrera-Venson A, Cameron K, Kulinski KP, Lorig K, Horel SA, Ory MG Tags: Int J Environ Res Public Health Source Type: research

A continuous quality improvement intervention to improve the effectiveness of community health workers providing care to mothers and children: a cluster randomised controlled trial in South Africa.
Abstract BACKGROUND: Community health workers (CHWs) play key roles in delivering health programmes in many countries worldwide. CHW programmes can improve coverage of maternal and child health services for the most disadvantaged and remote communities, leading to substantial benefits for mothers and children. However, there is limited evidence of effective mentoring and supervision approaches for CHWs. METHODS: This is a cluster randomised controlled trial to investigate the effectiveness of a continuous quality improvement (CQI) intervention amongst CHWs providing home-based education and support to pregnan...
Source: Rural Remote Health - June 13, 2017 Category: Rural Health Authors: Horwood C, Butler L, Barker P, Phakathi S, Haskins L, Grant M, Mntambo N, Rollins N Tags: Hum Resour Health Source Type: research

An Australian Indigenous community-led suicide intervention skills training program: community consultation findings.
CONCLUSIONS: Appropriate programs should be practical, relevant, and sustainable across all Indigenous communities, with a focus on the social, emotional, cultural and spiritual underpinnings of community wellbeing. Programs need to be developed in thorough consultation with Indigenous communities. Indigenous-led suicide intervention training programs are needed to mitigate the increasing rates of suicide experienced by Indigenous peoples living in rural and remote locations. PMID: 28610603 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 13, 2017 Category: Rural Health Authors: Nasir B, Kisely S, Hides L, Ranmuthugala G, Brennan-Olsen S, Nicholson GC, Gill NS, Hayman N, Kondalsamy-Chennakesavan S, Toombs M Tags: BMC Psychiatry Source Type: research

Validation of DESS as a DNA Preservation Method for the Detection of Strongyloides spp. in Canine Feces.
This study included a laboratory assessment and field validation of DESS (dimethyl sulfoxide, disodium EDTA, and saturated NaCl) preservation of Strongyloides spp. DNA in fecal samples. The laboratory study investigated the capacity of 1:1 and 1:3 sample to DESS ratios to preserve Strongyloides ratti in spike canine feces. It was found that both ratios of DESS significantly prevented DNA degradation compared to the untreated sample. This method was then validated by applying it to the field-collected canine feces and detecting Strongyloides DNA using PCR. A total of 37 canine feces samples were collected and preserved in t...
Source: Rural Remote Health - June 9, 2017 Category: Rural Health Authors: Beknazarova M, Millsteed S, Robertson G, Whiley H, Ross K Tags: Int J Environ Res Public Health Source Type: research

The health and health preparation of long-term Australian travellers.
This study highlights that long-term travellers have significant health needs and are likely to require health services during their extended travel. Additionally, it identifies that currently few strategies are used to plan for health care during travel. This raises issues for rural and remote health services in terms of both capacity and continuity of care. PMID: 28592352 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 8, 2017 Category: Rural Health Authors: Halcomb E, Stephens M, Smyth E, Meedya S, Tillott S Tags: Aust J Prim Health Source Type: research

Content Design and System Implementation of a Teleophthalmology System for Eye Disease Diagnosis and Treatment and Its Preliminary Practice in Guangdong, China.
CONCLUSION: From the practice, the project has shown the telemedicine system and associated contents have satisfied our initial goal and demonstrated their effectiveness and efficiency. PMID: 28586267 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 6, 2017 Category: Rural Health Authors: Xiao D, Vignarajan J, Chen T, Ye T, Xiao B, Congdon N, Kanagasingam Y Tags: Telemed J E Health Source Type: research

Longitudinal Tracking of Workplace Outcomes for Undergraduate Allied Health Students Undertaking Placements in Rural Australia.
CONCLUSIONS: Preliminary findings indicated a positive perception of the rural placement experience and impact on intention to work rurally or in a rural location, particularly from those who had not previously spent time in a rural area. Future directions are to investigate longer-term workforce outcomes and the impact on the rural health workforce. PMID: 28561864 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 2, 2017 Category: Rural Health Authors: Brown L, Smith T, Wakely L, Wolfgang R, Little A, Burrows J Tags: J Allied Health Source Type: research

mHealth for mental health in the Middle East: Need, technology use, and readiness among Palestinians in the West Bank.
The objective of this study was to examine whether mHealth approaches that leverage mobile phones for remote mental health treatment may be viable alternatives. We surveyed 272 Palestinian adults in urban, rural, and refugee camp settings. Most participants (93.4%) reported owning mobile phones. The penetration of mobile devices was high across all study sites. Males and females did not differ in their access to this resource. Among mobile phone owners, 79.9% had smartphones, 32.2% had basic mobile phones, and 12.2% owned both. Respondents reported having reliable access to electricity (99.6%) and Wi-Fi (80.9%). Almost all...
Source: Rural Remote Health - June 1, 2017 Category: Rural Health Authors: Ben-Zeev D, Fathy C, Jonathan G, Abuharb B, Brian RM, Kesbeh L, Abdelkader S Tags: Asian J Psychiatr Source Type: research

Measuring geographical accessibility to rural and remote health care services: Challenges and considerations.
This study demonstrates how the selection of geographical areal units and different methods for measuring geographical accessibility could affect the distribution of healthcare resources in rural areas. These methodological issues have implications for determining where there is reduced access that will ultimately impact health human resource priorities and policies. PMID: 28552191 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 30, 2017 Category: Rural Health Authors: Shah TI, Milosavljevic S, Bath B Tags: Spat Spatiotemporal Epidemiol Source Type: research

Mini-review: high rate algal ponds, flexible systems for sustainable wastewater treatment.
Abstract Over the last 20 years, there has been a growing requirement by governments around the world for organisations to adopt more sustainable practices. Wastewater treatment is no exception, with many currently used systems requiring large capital investment, land area and power consumption. High rate algal ponds offer a sustainable, efficient and lower cost option to the systems currently in use. They are shallow, mixed lagoon based systems, which aim to maximise wastewater treatment by creating optimal conditions for algal growth and oxygen production-the key processes which remove nitrogen and organic ...
Source: Rural Remote Health - May 13, 2017 Category: Rural Health Authors: Young P, Taylor M, Fallowfield HJ Tags: World J Microbiol Biotechnol Source Type: research

Tele-pharmacy in rural Scotland: a proof of concept study.
DISCUSSION: Community pharmacy services delivered remotely using tele-technology are feasible and acceptable. A larger study should be undertaken to confirm the potential of the TPRSS to reduce health inequalities in rural areas. PMID: 28466547 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 4, 2017 Category: Rural Health Authors: Inch J, Notman F, Watson M, Green D, Baird R, Ferguson J, Hind C, McKinstry B, Strath A, Bond C, Telepharmacy Research Team Tags: Int J Pharm Pract Source Type: research

Increasing use of mental health services in remote areas using mobile technology: a pre-post evaluation of the SMART Mental Health project in rural India.
CONCLUSIONS: The intervention led to individuals being screened for common mental disorders by village health workers and increase in mental health service use by those referred to the primary care doctor. The model was deemed feasible and acceptable. The effectiveness of the intervention needs to be demonstrated using more robust randomized controlled trials, while addressing the issues identified that will facilitate scale up. PMID: 28400954 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 14, 2017 Category: Rural Health Authors: Maulik PK, Kallakuri S, Devarapalli S, Vadlamani VK, Jha V, Patel A Tags: J Glob Health Source Type: research

The Development of a Telemedicine Planning Framework Based on Needs Assessment.
Abstract Providing equitable access to healthcare services in rural and remote communities is an ongoing challenge that faces most governments. By increasing access to specialty expertise, telemedicine may be a potential solution to this problem. Regardless of its potential, many telemedicine initiatives do not progress beyond the research phase, and are not implemented into mainstream practice. One reason may be that some telemedicine services are developed without the appropriate planning to ascertain community needs and clinical requirements. The aim of this paper is to report the development of a planning fram...
Source: Rural Remote Health - March 24, 2017 Category: Rural Health Authors: AlDossary S, Martin-Khan MG, Bradford NK, Armfield NR, Smith AC Tags: J Med Syst Source Type: research

Perspectives on Patient Access to Radiation Oncology Facilities and Services in Mainland China.
In this report, we would highlight the positive changes that have occurred during the time and outline what is still needed for the future of this important cancer specialty in China. PMID: 28325243 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - March 24, 2017 Category: Rural Health Authors: Wang L, Lu JJ, Yin W, Lang J Tags: Semin Radiat Oncol Source Type: research

Benefits of an Android Based Tablet Application in Primary Screening for Eye Diseases in a Rural Population, India.
Abstract To investigate the effectiveness, efficiency and cost gains in collecting patient eye health information from remote rural villages of India by trained field investigators through an Android Based Tablet Application namely 'Sankara Electronic Remote Vision Information System (SERVIS)". During January and March 2016, a population based cross-sectional study was conducted in three Indian states employing SERVIS and manual method. The SERVIS application has a 48-items survey instrument programed into the application. Data on 281 individuals were collected for each of these methods as part of screening. ...
Source: Rural Remote Health - February 19, 2017 Category: Rural Health Authors: Imtiaz SA, Krishnaiah S, Yadav SK, Bharath B, Ramani RV Tags: J Med Syst Source Type: research

Systematic review of the effectiveness, barriers and facilitators to general practitioner engagement with specialist secondary services in integrated palliative care.
CONCLUSIONS: This is an emerging field and further research is required assessing the effectiveness of different models of integrated palliative care. PMID: 28196828 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 14, 2017 Category: Rural Health Authors: Carmont SA, Mitchell G, Senior H, Foster M Tags: BMJ Support Palliat Care Source Type: research

Improving access to Chagas disease diagnosis and etiologic treatment in remote rural communities of the Argentine Chaco through strengthened primary health care and broad social participation.
CONCLUSIONS AND SIGNIFICANCE: Our results demonstrate that diagnosis and treatment of T. cruzi infection in remote, impoverished rural areas can be effectively addressed through strengthened primary healthcare attention and broad social participation with adequate external support. This strategy secured high treatment coverage and adherence; effectively managed ADRs, and provided early evidence of positive therapeutic responses. PMID: 28192425 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 13, 2017 Category: Rural Health Authors: Sartor P, Colaianni I, Cardinal MV, Bua J, Freilij H, Gürtler RE Tags: PLoS Negl Trop Dis Source Type: research

Community Paramedicine Initiative: Transforming Paramedicine in British Columbia.
Abstract British Columbia's health care system is facing challenges related to rural access to care and an ever increasing demand for services. These variables are compounded by the anticipated needs of an aging population that can expect to live several of their golden years with a chronic illness. The introduction of community paramedicine in BC allows for a care delivery model that expands the role of qualified paramedics to include the delivery of prevention, health promotion and primary care services in the community. The implementation of the Community Paramedicine Initiative in rural and remote BC highlight...
Source: Rural Remote Health - February 12, 2017 Category: Rural Health Authors: Calderone C, Brittain M, Sirivar D, Kotani N Tags: Stud Health Technol Inform Source Type: research

Electrophysiological, cognitive and clinical profiles of at-risk mental state: The longitudinal Minds in Transition (MinT) study.
Abstract The onset of schizophrenia is typically preceded by a prodromal period lasting several years during which sub-threshold symptoms may be identified retrospectively. Clinical interviews are currently used to identify individuals who have an ultra-high risk (UHR) of developing a psychotic illness with a view to provision of interventions that prevent, delay or reduce severity of future mental health issues. The utility of bio-markers as an adjunct in the identification of UHR individuals is not yet established. Several event-related potential measures, especially mismatch-negativity (MMN), have been identifi...
Source: Rural Remote Health - February 12, 2017 Category: Rural Health Authors: Atkinson RJ, Fulham WR, Michie PT, Ward PB, Todd J, Stain H, Langdon R, Thienel R, Paulik G, Cooper G, MinT Consortium, Schall U Tags: PLoS One Source Type: research

Participatory science and innovation for improved sanitation and hygiene: process and outcome evaluation of project SHINE, a school-based intervention in Rural Tanzania.
CONCLUSIONS: The Project SHINE model shows promise as an innovative capacity building approach and as an engagement and empowerment strategy for youth and communities to develop locally sustainable strategies to improve sanitation and hygiene. PMID: 28173789 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 7, 2017 Category: Rural Health Authors: Hetherington E, Eggers M, Wamoyi J, Hatfield J, Manyama M, Kutz S, Bastien S Tags: BMC Public Health Source Type: research

Changes to radiotherapy utilisation in Western NSW after the opening of a local service.
CONCLUSIONS: A new radiotherapy service in a sparsely populated health district significantly changed the pattern of radiotherapy use for those who lived only in the Orange region. Treatment capacity at the Orange radiotherapy centre has doubled with the opening of a second linear accelerator since this study was conducted. Thus, a follow-up study is recommended to ascertain if radiotherapy rates remain low in the regions beyond Orange. PMID: 28160454 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 3, 2017 Category: Rural Health Authors: Butler SM Tags: J Med Radiat Sci Source Type: research

A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia.
CONCLUSIONS: Overall, despite evidence of disparity in CRC survival and clinical management across geographic locations, the evidence was limited and at times inconsistent. Further, access to treatment and services may not be the main driver of disparities, with individual patient characteristics and type of region also playing an important role. A better understanding of factors driving ongoing and significant geographical disparities in cancer related outcomes is required to inform the development of effective interventions to improve the health and welfare of regional Australians. PMID: 28152983 [PubMed - in proces...
Source: Rural Remote Health - February 2, 2017 Category: Rural Health Authors: Ireland MJ, March S, Crawford-Williams F, Cassimatis M, Aitken JF, Hyde MK, Chambers SK, Sun J, Dunn J Tags: BMC Cancer Source Type: research

Validity and Acceptability of Kimberley Mum's Mood Scale to Screen for Perinatal Anxiety and Depression in Remote Aboriginal Health Care Settings.
CONCLUSION: KMMS is an effective tool for identifying Kimberley Aboriginal perinatal women at risk of anxiety and depressive disorders. Adoption of KMMS with culturally safe training and support is likely to improve screening processes, and with further validation may have broader applicability across remote Australia. PMID: 28135275 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 1, 2017 Category: Rural Health Authors: Marley JV, Kotz J, Engelke C, Williams M, Stephen D, Coutinho S, Trust SK Tags: PLoS One Source Type: research

Demography, maternal health and the epidemiology of malaria and other major infectious diseases in the rural department Tsamba-Magotsi, Ngounie Province, in central African Gabon.
CONCLUSIONS: Despite major improvements in the accessibility of Tsamba Magotsi over the past decade the epidemiological transition does not appear to have majorly changed on the spectrum of diseases in this rural Gabonese population. The high prevalence of Plasmodium infection indicates a high burden of malaria related morbidity. Infectious diseases remain one of the most important health issues and further research activities in the field of tropical medicine and infectious diseases could help improve health care for the local population. PMID: 28129759 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 28, 2017 Category: Rural Health Authors: Manego RZ, Mombo-Ngoma G, Witte M, Held J, Gmeiner M, Gebru T, Tazemda B, Mischlinger J, Groger M, Lell B, Adegnika AA, Agnandji ST, Kremsner PG, Mordmüller B, Ramharter M, Matsiegui PB Tags: BMC Public Health Source Type: research

Introducing eHealth strategies to enhance maternal and perinatal health care in rural Tanzania.
CONCLUSIONS: E-Health presents an opportunity for improving maternal health care in underserved remote areas in low-resource settings by broadening knowledge and skills, and by connecting frontline care providers with consultants for emergency teleconsultations. PMID: 28116114 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 26, 2017 Category: Rural Health Authors: Nyamtema A, Mwakatundu N, Dominico S, Kasanga M, Jamadini F, Maokola K, Mawala D, Abel Z, Rumanyika R, Nzabuhakwa C, van Roosmalen J Tags: Matern Health Neonatol Perinatol Source Type: research

Human resources for health (and rehabilitation): Six Rehab-Workforce Challenges for the century.
CONCLUSIONS: Concrete examples of feasible local, global and research action toward meeting the Six Rehab-Workforce Challenges are provided. Altogether, these may help advance a policy and research agenda for ensuring that an adequate rehabilitation workforce can meet the current and future rehabilitation health needs. PMID: 28114960 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 23, 2017 Category: Rural Health Authors: Jesus TS, Landry MD, Dussault G, Fronteira I Tags: Hum Resour Health Source Type: research

Discontinuation from Antiretroviral Therapy: A Continuing Challenge among Adults in HIV Care in Ethiopia: A Systematic Review and Meta-Analysis.
Abstract BACKGROUND: Discontinuation of antiretroviral therapy (ART) reduces the immunological benefit of treatment and increases complications related to human immune-deficiency virus (HIV). However, the risk factors for ART discontinuation are poorly understood in developing countries particularly in Ethiopia. This review aimed to assess the best available evidence regarding risk factors for ART discontinuation in Ethiopia. METHODS: Quantitative studies conducted in Ethiopia between 2002 and 2015 that evaluated factors associated with ART discontinuation were sought across six major databases. Only English ...
Source: Rural Remote Health - January 22, 2017 Category: Rural Health Authors: Gesesew HA, Ward P, Hajito KW, Feyissa GT, Mohammadi L, Mwanri L Tags: PLoS One Source Type: research

Telementoring Primary Care Clinicians to Improve Geriatric Mental Health Care.
This study assesses whether Project ECHO(®) (Extension for Community Healthcare Outcomes) GEMH (geriatric mental health)-a remote learning and mentoring program-is an effective strategy to address geriatric mental health challenges in rural and underserved communities. Thirty-three teleECHO clinic sessions connecting a team of specialists to 54 primary care and case management spoke sites (approximately 154 participants) were conducted in 10 New York counties from late 2014 to early 2016. The curriculum consisted of case presentations and didactic lessons on best practices related to geriatric mental health care. Twent...
Source: Rural Remote Health - January 20, 2017 Category: Rural Health Authors: Fisher E, Hasselberg M, Conwell Y, Weiss L, Padrón NA, Tiernan E, Karuza J, Donath J, Pagán JA Tags: Popul Health Manag Source Type: research

Mobile Phones and Mental Well-Being: Initial Evidence Suggesting the Importance of Staying Connected to Family in Rural, Remote Communities in Uganda.
Abstract Due to the ubiquity of mobile phones around the globe, studies are beginning to analyze their influence on health. Prior work from developed countries highlights negative mental health outcomes related to overuse of mobile phones. However, there is little work on mental health impacts of mobile phone use or ownership in developing countries. This is an important gap to address because there are likely variations in mental health impacts of mobile phones between developing and developed countries, due to cultural nuances to phone use and distinct variations in financial models for obtaining mobile phone ac...
Source: Rural Remote Health - January 19, 2017 Category: Rural Health Authors: Pearson AL, Mack E, Namanya J Tags: PLoS One Source Type: research

Noma: Overview of a Neglected Disease and Human Rights Violation.
Abstract Noma is an orofacial gangrene affecting malnourished children and mainly observed in tropical countries, particularly sub-Saharan Africa. Epidemiological data on noma are scarce, but a current estimate of the global incidence is 30,000-40,000 cases per year, with a mortality rate of approximately 85% and a burden of disease calculated to be a loss of 1-10 million disability-adjusted life years. The etiology of noma is multifactorial with malnutrition as an ever present factor, often in combination with concomitant diseases, such as measles, malaria, and human immunodeficiency virus (HIV), and poor oral hy...
Source: Rural Remote Health - January 16, 2017 Category: Rural Health Authors: Leila Srour M, Marck K, Baratti-Mayer D Tags: Am J Trop Med Hyg Source Type: research

Use of information and communication technology and retention of health workers in rural post-war conflict Northern Uganda: findings from a qualitative study.
CONCLUSIONS: This qualitative study showed low confidence, poor knowledge and skills in ICT usage but positive perceptions about the benefits and contributions of ICT. These findings suggest the need for specific investment in ICT infrastructural development for health care providers in remote rural areas of northern Uganda. PMID: 28068980 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 10, 2017 Category: Rural Health Authors: Yagos WO, Tabo Olok G, Ovuga E Tags: BMC Med Inform Decis Mak Source Type: research

Improving the knowledge of labour and delivery nurses in India: a randomized controlled trial of mentoring and case sheets in primary care centres.
CONCLUSIONS: This study demonstrates that provision of case sheets or checklists alone is insufficient to improve knowledge and practices. However, on-site mentoring in combination with case sheets can have a demonstrable effect on improving nurse knowledge and skills around essential obstetric and neonatal care in remote rural areas of India. We recommend scaling up of this mentoring model in order to improve staff knowledge and skills and reduce maternal and neonatal mortality in India. TRIAL REGISTRATION: This study is registered at clinicaltrials.gov, Identifier No. NCT02004912 , November 27, 2013. PMID: 2806...
Source: Rural Remote Health - January 7, 2017 Category: Rural Health Authors: Bradley J, Jayanna K, Shaw S, Cunningham T, Fischer E, Mony P, Ramesh BM, Moses S, Avery L, Crockett M, Blanchard JF Tags: BMC Health Serv Res Source Type: research

Reasons why specialist doctors undertake rural outreach services: an Australian cross-sectional study.
CONCLUSIONS: Specialist doctors undertake rural outreach services for a range of reasons, mainly to complement the growth and diversity of their main practice or maintain a regional connection. Structuring rural outreach around the specialist's main practice is likely to support participation and improve service distribution. PMID: 28061894 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 7, 2017 Category: Rural Health Authors: O'Sullivan BG, McGrail MR, Stoelwinder JU Tags: Hum Resour Health Source Type: research

The Contribution of Individual, Social and Work Characteristics to Employee Mental Health in a Coal Mining Industry Population.
CONCLUSION: This is the first study to examine the characteristics associated with mental health problems in the Australian coal mining industry. The findings indicate the salience of mental health needs in this population, and the associated interplay of personal, social and work characteristics. The work characteristics associated with psychological distress are modifiable and can guide an industry response, as well as help inform the understanding of the role of workplace factors in mental health problems in a male dominated workforce more generally. PMID: 28045935 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 5, 2017 Category: Rural Health Authors: Considine R, Tynan R, James C, Wiggers J, Lewin T, Inder K, Perkins D, Handley T, Kelly B Tags: PLoS One Source Type: research

Nutrition Smoothing: Can Proximity to Towns and Cities Protect Rural Children against Seasonal Variation in Agroclimatic Conditions at Birth?
Abstract A large literature links early-life environmental shocks to later outcomes. This paper uses seasonal variation across the Democratic Republic of the Congo to test for nutrition smoothing, defined here as attaining similar height, weight and mortality outcomes despite different agroclimatic conditions at birth. We find that gaps between siblings and neighbors born at different times of year are larger in more remote rural areas, farther from the equator where there are greater seasonal differences in rainfall and temperature. For those born at adverse times in places with pronounced seasonality, the gains ...
Source: Rural Remote Health - January 5, 2017 Category: Rural Health Authors: Darrouzet-Nardi AF, Masters WA Tags: PLoS One Source Type: research

Utilization of teledentistry as a tool to screen for dental caries among 12-year-old school children in a rural region of India.
CONCLUSION: Teledentistry examination is comparable to clinical examination when screening for dental caries among school children. This study provides evidence that teledentistry may be used as an alternative screening tool for assessment of dental caries and is viable for remote consultation and treatment planning. Teledentistry offers to change the dynamics of dental care delivery and may effectively bridge the rural-urban oral health divide. PMID: 28035658 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 30, 2016 Category: Rural Health Authors: Purohit BM, Singh A Tags: J Public Health Dent Source Type: research

Web-Based Quality Assurance Process Drives Improvements in Obstetric Ultrasound in 5 Low- and Middle-Income Countries.
Abstract High quality is important in medical imaging, yet in many geographic areas, highly skilled sonographers are in short supply. Advances in Internet capacity along with the development of reliable portable ultrasounds have created an opportunity to provide centralized remote quality assurance (QA) for ultrasound exams performed at rural sites worldwide. We sought to harness these advances by developing a web-based tool to facilitate QA activities for newly trained sonographers who were taking part in a cluster randomized trial investigating the role of limited obstetric ultrasound to improve pregnancy outcom...
Source: Rural Remote Health - December 23, 2016 Category: Rural Health Authors: Swanson JO, Plotner D, Franklin HL, Swanson DL, Lokomba Bolamba V, Lokangaka A, Sayury Pineda I, Figueroa L, Garces A, Muyodi D, Esamai F, Kanaiza N, Mirza W, Naqvi F, Saleem S, Mwenechanya M, Chiwila M, Hamsumonde D, McClure EM, Goldenberg RL, Nathan RO Tags: Glob Health Sci Pract Source Type: research

Strategies for overcoming challenges for decentralised diagnostics in resource-limited and catastrophe settings.
Abstract INTRODUCTION: Globally, both communicable and non-communicable diseases pose a serious threat to populations in developed as well as developing countries. Access to reliable diagnostic testing along with qualified health practitioners is severely limited in low resource and very remote areas and following natural catastrophes. Areas Covered: This paper provides an overview of the challenges involved and suggests strategies to address them. The emergence of more robust, user-friendly, cost-effective and "sample-to-result" point-of-care (POC) tools, along with the proliferation of mobile technolog...
Source: Rural Remote Health - December 23, 2016 Category: Rural Health Authors: Sharma S, Crawley A, O'Kennedy R Tags: Expert Rev Mol Diagn Source Type: research

Genetic evidence that the Makira region in northeastern Madagascar is a hotspot of malaria transmission.
CONCLUSIONS: Prevalence and genetic diversity data indicate that the Makira region is a hotspot of P. falciparum transmission in Madagascar. This suggests that the area should be highlighted for future interventions and that additional areas of high transmission may be present in ecologically similar regions nearby. PMID: 27998292 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 20, 2016 Category: Rural Health Authors: Rice BL, Golden CD, Anjaranirina EJ, Botelho CM, Volkman SK, Hartl DL Tags: Malar J Source Type: research