scholarly journals Can Low- and Middle-Income Countries Increase Domestic Fiscal Space for Health: A Mixed-Methods Approach to Assess Possible Sources of Expansion

2018 ◽  
Vol 4 (3) ◽  
pp. 214-226 ◽  
Author(s):  
Helene Barroy ◽  
Susan Sparkes ◽  
Elina Dale ◽  
Jacky Mathonnat
2021 ◽  
pp. 155868982098674
Author(s):  
Johanna Riha ◽  
Claudia Abreu Lopes ◽  
Naima Abdi Ibrahim ◽  
Sharath Srinivasan

Radio shows which invite audience participation via short message service (SMS)—interactive radio–SMS—can be designed as a mixed methods approach for applied social research during COVID-19 and other crises in low and middle income countries. In the aftermath of a cholera outbreak in Somalia, we illustrate how this method provides social insights that would have been missed if a purely qualitative or quantitative approach were used. We then examine the strengths and limitations associated with interactive radio–SMS through an evaluation using a multimethod comparison. Our research contributes an application of a mixed methods approach which addresses a specific challenge raised by COVID-19, namely utilizing media and digital technologies for social research in low and middle income countries.


Author(s):  
Theresa C. Norton ◽  
Daniela C. Rodriguez ◽  
Catherine Howell ◽  
Charlene Reynolds ◽  
Sara Willems

Background: Little is known about how knowledge brokers (KBs) operate in low- and middle-income countries (LMICs) to translate evidence for health policy and practice. These intermediaries facilitate relationships between evidence producers and users to address public health issues.<br />Aims and objectives: To increase understanding, a mixed-methods study collected data from KBs who had acted on evidence from the 2015 Global Maternal Newborn Health Conference in Mexico.<br />Methods: Of the 1000 in-person participants, 252 plus 72 online participants (n=324) from 56 countries completed an online survey, and 20 participants from 15 countries were interviewed. Thematic analysis and application of knowledge translation (KT) theory explored factors influencing KB actions leading to evidence uptake. Descriptive statistics of respondent characteristics were used for cross-case comparison.Findings: Results suggest factors supporting the KB role in evidence uptake, which include active relationships with evidence users through embedded KB roles, targeted and tailored evidence communication to fit the context, user receptiveness to evidence from a similar country setting, adaptability in the KB role, and action orientation of KBs.<br />Discussion and conclusions: Initiatives to increase evidence uptake in LMICs should work to establish supportive structures for embedded KT, identify processes for ongoing cross-country learning, and strengthen KBs already showing effectiveness in their roles.<br /><br />key messages<br /><br /><ol><li>Little is known about how knowledge brokers mobilise evidence in low- and middle-income countries.</li><br /><li>A multi-country study of knowledge brokers identified promising practices for evidence uptake.</li><br /><li>Embedded brokers who adapted messaging and evidence to context in active relationships worked well.</li><br /><li>Capacity building should use KB promising practices and facilitate multi-country evidence exchange.</li></ol>


2017 ◽  
Vol 60 (2) ◽  
pp. S56-S57
Author(s):  
Jason M. Nagata ◽  
Sejal Hathi ◽  
B. Jane Ferguson ◽  
Michelle J. Hindin ◽  
Sachiyo Yoshida ◽  
...  

2020 ◽  
Vol 12 (6) ◽  
pp. 47
Author(s):  
Tehzeeb Zulfiqar ◽  
Catherine D’Este ◽  
Lyndall Strazdins ◽  
Cathy Banwell

In this mixed-methods study, we explored how gender and cultural factors, including social status were linked with children&rsquo;s immigrant backgrounds and their body image dissatisfaction and weight management strategies in Australia. Cross-sectional data analysis of 10-11-year-old children from the Birth cohort of the &ldquo;Longitudinal Study of Australian Children&rdquo; showed that approximately half of the children were dissatisfied with their body images. A higher proportion of these were children of immigrants from low-and-middle-income-countries. Additionally, about three-quarters children were actively managing their weights. Children of immigrants from low-and-middle-income-countries constituted a higher proportion of these also. Among boys, desiring a heavier body was highest for those with immigrant mothers from low-and-middle-income-countries, while the desire to be thinner was highest among girls of immigrants from low-and-middle-income-countries. Although the percentage of children who adopted strategies to gain weight was very small, boys of immigrants from low-and-middle-income-countries, in particular, were almost three times as likely as non-immigrant boys, to try to gain weight (18% vs 5.9%, respectively). Qualitative face-to-face interviews with immigrant mothers and their 8-11-year-old children revealed intergenerational variations in body image standards. Maternal body image standards were drawn from their origin countries, but children followed Australian norms. Despite increased obesity awareness amongst mothers, they desired higher body weight for their children, due to an association with high status and health in origin countries. However, children were aware of the stigma, unpopularity, and low status associated with high body weights in Australia. To reduce cultural and status-based obesity inequalities, Australian obesity prevention plans must include culturally responsive health promotion strategies for immigrant parents and their children to improve their knowledge about healthy weights and weight management strategies.


2020 ◽  
Author(s):  
Feyisayo Adeola Odunitan-Wayas ◽  
Pamela Wadende ◽  
Ebele R.I Mogo ◽  
Anna Brugulat-Panés ◽  
Lisa K Micklesfield ◽  
...  

BACKGROUND The increasing burden of non-communicable diseases (NCDs), which are prevalent in low and middle income countries (LMICs), is largely attributed to modifiable behavioural risk factors such as poor/unhealthy diets and insufficient physical activity (PA). The adolescent stage–recently defined as 10-24 years of age–is an important formative phase of life and offers an opportunity to reduce NCD risk across the life course and for future generations. This protocol describes a portfolio of projects within the Global Diet and Activity Research (GDAR) Network, which aims to support the prevention of non-communicable diseases (NCD), including cardiovascular diseases, type 2 diabetes, and cancers in low and middle income countries (LMICs), with a specific focus on Kenya, Cameroon, South Africa and Jamaica. OBJECTIVE To utilise a convergent mixed methods design to explore exposures in the household, neighbourhood, school, and the journey from home to school, that may influence diet and PA behaviours in adolescents from LMICs. METHODS Male and female adolescents (n ≥150) aged between 13-24 years will be recruited from purposively selected high schools or households in project site countries to ensure socioeconomic diversity of perspectives and experiences at individual, home and neighbourhood levels. The project will be conducted in five sites in four countries; Kenya, Cameroon, Jamaica and South Africa (Cape Town and Johannesburg). Data on anthropometric measures, food intake and PA knowledge and behaviour will be collected using self-report questionnaires and objective measurement in a sub-sample. Additionally, a small number of learners (n=30-45) from each site will be purposively selected as citizen scientists to capture data (photos, audio notes, text, and geolocations) on their “lived experiences” in relation to food and physical activity, in their homes, the journey to and from school, and school and neighbourhood environments, using a mobile application (EpiCollect5). In-depth interviews will be conducted with the citizen scientists’ caregivers to explore household experiences and determinants of food intake and foodways, as well as physical activity of household members RESULTS This project is fully funded by the UK National Institutes of Health Research and conducted by the GDAR Network. Data collection is on-going and analysis will follow once data collection is complete. CONCLUSIONS This project protocol contributes to research that focuses on adolescents and the socio-ecological determinants of food intake and PA in LMIC settings. It includes innovative methodologies to interrogate and map the contexts of these determinants and will generate much needed data to understand the multi-level system of factors that can be leveraged through upstream and downstream strategies and interventions to improve health outcomes


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