Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study

Abstract Most patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally.

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Success criteria for electronic medical record implementations in low-resource settings: a systematic review

Journal of the American Medical Informatics Association ◽

10.1093/jamia/ocu038 ◽

2015 ◽

Vol 22 (2) ◽

pp. 479-488 ◽

Cited By ~ 54

Author(s):

Fleur Fritz ◽

Binyam Tilahun ◽

Martin Dugas

Keyword(s):

Medical Record ◽

Electronic Medical Record ◽

Reliable Data ◽

Lessons Learned ◽

African Countries ◽

Low Resource Settings ◽

Low Resource ◽

Use Of Resources ◽

Success Criteria ◽

The Right

Abstract Objective Electronic medical record (EMR) systems have the potential of supporting clinical work by providing the right information at the right time to the right people and thus make efficient use of resources. This is especially important in low-resource settings where reliable data are also needed to support public health and local supporting organizations. In this systematic literature review, our objectives are to identify and collect literature about success criteria of EMR implementations in low-resource settings and to summarize them into recommendations. Materials and Methods Our search strategy relied on PubMed queries and manual bibliography reviews. Studies were included if EMR implementations in low-resource settings were described. The extracted success criteria and measurements were summarized into 7 categories: ethical, financial, functionality, organizational, political, technical, and training. Results We collected 381 success criteria with 229 measurements from 47 articles out of 223 articles. Most papers were evaluations or lessons learned from African countries, published from 1999 to 2013. Almost half of the EMR systems served a specific disease area like human immunodeficiency virus (HIV). The majority of criteria that were reported dealt with the functionality, followed by organizational issues, and technical infrastructures. Sufficient training and skilled personnel were mentioned in roughly 10%. Political, ethical, and financial considerations did not play a predominant role. More evaluations based on reliable frameworks are needed. Conclusions Highly reliable data handling methods, human resources and effective project management, as well as technical architecture and infrastructure are all key factors for successful EMR implementation.

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Improving maternal and neonatal departments in high and low resource settings: the opinion of local health providers

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.3109/14767058.2010.546911 ◽

2011 ◽

Vol 24 (10) ◽

pp. 1267-1272 ◽

Cited By ~ 2

Author(s):

Daniele Trevisanuto ◽

Bayasgalantai Bavuusuren ◽

Chandani S. Wickramasinghe ◽

Saminda M. Dharmaratne ◽

Nicoletta Doglioni ◽

...

Keyword(s):

Local Health ◽

Health Providers ◽

Low Resource Settings ◽

Low Resource

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Understanding lung health beliefs in low-resource settings

The Lancet Global Health ◽

10.1016/s2214-109x(21)00511-8 ◽

2022 ◽

Vol 10 (1) ◽

pp. e6-e7

Author(s):

Jennifer M Wang ◽

MeiLan K Han ◽

Wassim W Labaki

Keyword(s):

Health Beliefs ◽

Low Resource Settings ◽

Low Resource ◽

Lung Health

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Health care in Amazon communities for education and awareness about health in low resource settings

European Journal of Public Health ◽

10.1093/eurpub/ckz185.341 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

G C Olavarria ◽

I S Ricioli ◽

H F Greco ◽

V G B Mont’Alvão ◽

R S Pizzato ◽

...

Keyword(s):

Health Care ◽

Learning Process ◽

Social Problems ◽

Indigenous Communities ◽

Local Health ◽

Low Resource Settings ◽

Remote Areas ◽

Low Resource ◽

Medical Graduates ◽

Health Area

Abstract Background Brazil has an extensive area and social differences. Indigenous peoples and other minorities still have great difficulty in accessing health. Although increase in the number of medical graduates, there has been a low number of professionals joining the jobs offered in the remote areas. Objectives: The objective of this project is to sensitize health students to the importance of meeting the health demands of the populations in remote areas and low resource settings through practical experience in the care of the indigenous communities of the Amazon region supervised by teachers. Results The Mandic Health Boat team consists of about 40 to 50 members: 8-10 physicians (epidemiologist, pediatrician, general practitioner, gynecology, dermatology and ophthalmology), nurses, dental surgeons, 16 medical graduates , 6 dentistry graduates, 1 dental technician and 1 optician. The trips are 10 days long and are organized in integration with the local population and the health district so that the tasks are integrated into the routines of health actions. To date, the project has already carried out two expeditions and another is scheduled in June 2019. In the last one, 1619 medical consultations were performed and 639 dental consultations were donated 574 glasses and performed 97 surgeries for pterygium excision. Conclusions Through this program it was possible to put the academics in contact with the reality of the indigenous communities and to raise awareness of the difficulties of these original peoples. It was also possible to provide health education and medical and dental care, with spotlight to dental prostheses and glasses, that are particularly difficult to access because they require materials and equipment that are unavailable in the forest. This experience provides health to the original populations and favors the students’ awareness to social problems, as well as being an innovative scenario for the learning process in the health area. Key messages This experience provides health to the original populations and favors the students’ awareness to social problems, as well as being an innovative scenario for the learning process in the health area. The planning of the expeditions with the community leaderships and the local health authorities allow the integration of the actions realized through annual trips to the routines of the health care.

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