A Classification and Meta-analysis of Community-based Directly Observed Therapy Programs for Tuberculosis Treatment in Developing Countries

2009 ◽  
Vol 34 (6) ◽  
pp. 506-513 ◽  
Author(s):  
Shreya Kangovi ◽  
Joia Mukherjee ◽  
Richard Bohmer ◽  
Garret Fitzmaurice
2015 ◽  
Vol 7 ◽  
pp. 49
Author(s):  
Mohsin Ali Sindhu ◽  

Tuberculosis is one of the major problems in developing countries. Can be treated but due to poor management of MDR-TB and multi-emerging now days. Nishtar Hospital Multan is one of the largest hospitals in South Asia. The purpose of this study was to point out the flaws in the case of treatment of tuberculosis, directly observed therapy and patient compliance, and tuberculosis. The study was conducted by researchers who have been associated with doctors and participants in the search, and when he visited the behavior in the hospital. And summarizes the data through the use of statistical data.


PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0217219 ◽  
Author(s):  
Brian McKay ◽  
Maria Castellanos ◽  
Mark Ebell ◽  
Christopher C. Whalen ◽  
Andreas Handel

PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0147744 ◽  
Author(s):  
HaiYang Zhang ◽  
John Ehiri ◽  
Huan Yang ◽  
Shenglan Tang ◽  
Ying Li

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Vedran Stefanovic

Abstract Despite substantial improvement in reducing maternal mortality during the recent decades, we constantly face tragic fact that maternal mortality (especially preventable deaths) is still unacceptably too high, particularly in the developing countries, where 99% of all maternal deaths worldwide occur. Poverty, lack of proper statistics, gender inequality, beliefs and corruption-associated poor governmental policies are just few of the reasons why decline in maternal mortality has not been as sharp as it was wished and expected. Education has not yet been fully recognized as the way out of poverty, improvement of women’s role in the society and consequent better perinatal care and consequent lower maternal mortality. Education should be improved on all levels including girls, women and their partners, medical providers, religious and governmental authorities. Teaching the teachers should be also an essential part of global strategy to lower maternal mortality. This paper is mostly a commentary, not a systematic review nor a meta-analysis with the aim to rise attention (again) to the role of different aspects of education in lowering maternal mortality. The International Academy of Perinatal Medicine should play a crucial role in pushing the efforts on this issue as the influential instance that promotes reflection and dialog in perinatal medicine, especially in aspects such as bioethics, the appropriate use of technological advances, and the sociological and humanistic dimensions of this specific problem of huge magnitude. The five concrete steps to achieve these goals are listed and discussed.


Author(s):  
Delaram Ghodsi ◽  
Nasrin Omidvar ◽  
Bahareh Nikooyeh ◽  
Roshanak Roustaee ◽  
Elham Shakibazadeh ◽  
...  

Childhood malnutrition remains an important public health and development problem in low- and middle-income countries. This study aimed to systematically review the community-based nutrition-specific interventions and their effectiveness and/or cost-effectiveness on the nutritional status of children under 5 years of age in the Eastern Mediterranean Region (EMR). A systematic literature search of the English electronic databases, including PubMed, Scopus, ISI Web of Knowledge, Ovid, EMBASE, as well as Persian databases (SID and Magiran) was performed up to May 2019. Studies regarding the effectiveness/cost-effectiveness of the community-based nutrition-specific programs and interventions targeted at under-five-year children in EMR countries were selected. The primary outcomes were mean of Weight-for-age z-score (WAZ), Height-for-Age z-score (HAZ), and Weight-for-Height z-score (WHZ) of children or prevalence of wasting, stunting, and/or underweight among the children. Meta-analysis was also performed on the selected articles and intervention effects (mean differences) were calculated for each outcome for each study and pooled using a weighted random effects model. Risk of bias (ROB) of each included study was assessed based on the Cochrane Handbook for Systematic Reviews. The study protocol was registered in PROSPERO (CRD42020172643). Of 1036 identified studies, eight met the inclusion criteria. Amongst these, seven were from Pakistan and one from Iran. Only one study conducted in Pakistan reported the cost-effectiveness of nutrition-specific interventions in the region. Nutrition education/consultation and cash-based interventions were the most common nutrition-specific strategies used for management of child malnutrition in the EMR countries. Out of these eight studies, four were included in the meta-analysis. When different interventions were pooled, they had resulted in a significant improvement in WHZ of children (MD: 0.26; 95% CI: 0.07 to 0.46, three studies, I2 82.40%). Considering the high prevalence of child malnutrition in a number of countries in the region, capacity building and investigation regarding the implementation of new approaches to improve nutritional status of children and their effect(s) and cost-effectiveness assessment are highly recommended.


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