Data on cerebral palsy in Vietnam will inform clinical practice and policy in low and middle-income countries

2021 ◽  
pp. 1-8
Author(s):  
Tasneem Karim ◽  
Rachael Dossetor ◽  
Nguyen Thi Huong Giang ◽  
Trinh Quang Dung ◽  
Tran Vinh Son ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Clinical Practice ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Promoting Tobacco Cessation in Low- and Middle-Income Countries

2016 ◽  
Vol 11 (2) ◽  
pp. 66-69 ◽  
Author(s):  
Harry A. Lando
Keyword(s):  
Clinical Practice ◽  
Tobacco Cessation ◽  
High Income ◽  
Limited Resources ◽  
Public Knowledge ◽  
Middle Income ◽  
Middle Income Countries ◽  
Tobacco Epidemic ◽  
Who 2008 ◽  
Low And Middle Income

The tobacco epidemic is increasingly concentrated in low- and middle-income countries (LMICs) (WHO, 2008). These countries often have very limited resources and infrastructure to confront this epidemic. Public knowledge of tobacco health harms may be quite limited and, unfortunately, this is often true for health professionals as well (Nichter, 2006). Clinical practice guidelines have identified effective tobacco cessation interventions (Clinical Practice Guideline, 2008), but these have been focused primarily upon high-income countries. Approaches that have been successful in high-income countries may not be directly applicable in low-resource settings. Thus, for example, medications may not be readily accessible and infrastructure to support quit line programs may be minimal or non-existent.

scholarly journals Better Outcomes through Learning, Data, Engagement, and Research (BOLDER) – a system for improving evidence and clinical practice in low and middle income countries

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 693 ◽  
Author(s):  
Keyword(s):  
Clinical Practice ◽  
Health Systems ◽  
Routine Clinical Practice ◽  
Governance System ◽  
Middle Income ◽  
Policy Makers ◽  
Middle Income Countries ◽  
Relevant Evidence ◽  
The Many ◽  
Low And Middle Income

Despite the many thousands of research studies published every year, evidence for making clinical decisions is often lacking. The main problem is that the evidence available is generated in conditions very different from those that prevail in routine clinical practice and with patients who are different. This is particularly a problem for low and middle income countries as most evidence is generated in high income countries.A group of clinicians, researchers, and policy makers met at Bellagio in Italy to consider how more relevant evidence might be generated. One answer is to conduct more pragmatic trials—those undertaken in routine clinical practice. The group thought that this might best be achieved by developing “learning health systems” in low and middle income countries.Learning health systems develop in communities that include clinicians, patients, researchers, improvement specialists, information technology specialists, managers, and policy makers and have a governance system that gives a voice to all those in the community. The systems focus on improving outcomes for patients, use a common dataset, and promote quality improvement and pragmatic research. Plans have been developed to create at least two learning systems in Africa.

scholarly journals Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3676
Author(s):  
Israt Jahan ◽  
Mohammad Muhit ◽  
Denny Hardianto ◽  
Francis Laryea ◽  
Samuel Kofi Amponsah ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Nutrition Education ◽  
Maternal Education ◽  
Motor Impairment ◽  
Older Age ◽  
Middle Income ◽  
Middle Income Countries ◽  
Children With Cerebral Palsy ◽  
Low And Middle Income

Background: This study aimed to describe the epidemiology of malnutrition among children with cerebral palsy (CP) in low- and middle-income countries (LMICs). Methods: Data from children with confirmed CP aged <18 years registered into the Global LMIC CP Register (GLM CPR) from Bangladesh, Indonesia, Nepal, and Ghana were included. Anthropometric measurements were collected, and nutritional status was determined following the WHO guidelines. Descriptive statistics and adjusted logistic regression were used to describe the nutritional status and identify predictors of malnutrition. Results: Between January 2015 and December 2020, 3619 children with CP were registered into the GLM CPR (median age at assessment: 7.0 years, 39% female). Overall, 72–98% of children from Bangladesh, Indonesia, Nepal, and Ghana had at least one form of undernutrition. The adjusted analysis showed, older age, low maternal education, spastic tri/quadriplegia, and Gross Motor Functional Classification System (GMFCS) levels III–V were significant predictors of underweight and stunting among children with CP in Bangladesh. In Nepal, female children, GMFCS III–V had higher odds of underweight and stunting. In Ghana, low maternal education was significantly associated with underweight, whereas older age and the presence of associated impairments were the significant predictors of stunting among children with CP. Having a GMFCS of III–V increased the odds of being underweight among children in Indonesia; however, no predictors were identified for stunting, as nearly all children with CP registered from Indonesia were stunted. Conclusion: Most children with CP in GLM CPR had undernutrition. Maternal education and moderate-to-severe motor impairment (GMFCS III–V) were significant predictors. Practical nutrition education to mothers/caregivers and management guidelines according to the motor severity using local resources could improve the nutritional outcome of children with CP in LMICs.

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