scholarly journals Modeling the Potential of Household-Level Maize Processing to Reduce the Burden of Zinc Deficiency Among Women of Childbearing Age in Malawi

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 905-905
Author(s):  
Gregory Sclama ◽  
Diego Rose
Keyword(s):  
At Risk ◽  
Zinc Deficiency ◽  
Zinc Absorption ◽  
Women Of Childbearing Age ◽  
The South ◽  
Childbearing Age ◽  
Food Composition Tables ◽  
Processing Techniques ◽  
The Impact ◽  
Household Processing

Abstract Objectives Dietary phytate is a potent inhibitor of zinc absorption. Phytate levels of cereals can be reduced by basic household processing techniques such as soaking, germinating, and fermenting. The objective of this study was to model the potential of such techniques to reduce the burden of zinc deficiency in Malawi, where high-phytate maize is a dietary staple. Methods Using nationally representative household consumption data and food composition tables, we estimated daily phytate and zinc intakes for individuals in Malawi. We then applied a mathematical model of zinc absorption based on total dietary zinc and phytate to calculate the apparent absorbed zinc for each individual. Using the Cut-Point method described by the Institute of Medicine, we determined the proportion of each physiological group with absorbed zinc below their mean requirements. We then simulated the reduction in dietary phytate resulting from maize processing and estimated the new burdens of zinc deficiency. We estimated the impact at various coverage levels and compared the results against an alternative model using zinc-biofortified maize. Results Nationally, 34% of females age 14–18 and 23% of females over age 18 were at risk of zinc deficiency. Only 13% of women of childbearing age met the zinc requirement for pregnancy, while less than 4% met the requirement for breastfeeding. The burden of zinc deficiency was highest in the South where maize intake was highest. The simulation of phytate reduction from household processing found that with 40% coverage, the proportion of at-risk females age 14–18 fell below 23%, while the proportion over age 18 fell to 14%. The potential benefits were greatest in the South, where the proportion of women at risk was reduced by over a third. Biofortification also reduced zinc deficiency, however the modeled impact of processing was greater than biofortification for all regions and subgroups. Conclusions Household food processing techniques may be an important strategy to reduce the burden of zinc deficiency among vulnerable women in Malawi. These techniques are low-cost and not widely practiced at present. Behavior change interventions to promote them must consider culture, gender norms, and drivers of food preference. Food-based approaches such as these should be given greater attention in nutrition and health policy and programming. Funding Sources None.

scholarly journals Exploring the impact of a community participatory intervention on women's capability: a qualitative study in Gulu Northern Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Loubna Belaid ◽  
Emmanuel Ochola ◽  
Pontius Bayo ◽  
George William Alii ◽  
Martin Ogwang ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Social Status ◽  
Northern Uganda ◽  
Gender Inequalities ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Healthy Behaviors ◽  
Individual Interviews ◽  
Self Confidence ◽  
The Impact

Abstract Background Community participatory interventions mobilizing women of childbearing age are an effective strategy to promote maternal and child health. In 2017, we implemented this strategy in Gulu Northern Uganda. This study explored the perceived impact of this approach on women's capability. Methods We conducted a qualitative study based on three data collection methods: 14 in-depth individual interviews with participating women of childbearing age, five focus group discussions with female facilitators, and document analysis. We used the Sen capability approach as a conceptual framework and undertook a thematic analysis. Results Women adopted safe and healthy behaviors for themselves and their children. They were also able to respond to some of their family's financial needs. They reported a reduction in domestic violence and in mistreatment towards their children. The facilitators perceived improved communication skills, networking, self-confidence, and an increase in their social status. Nevertheless, the women still faced unfreedoms that deprived them of living the life they wanted to lead. These unfreedoms are related to their lack of access to economic opportunities and socio-cultural norms underlying gender inequalities. Conclusion To expand women's freedoms, we need more collective political actions to tackle gender inequalities and need to question the values underlying women's social status.

scholarly journals An audit to review the extent to which appropriate preconception advice is given to women being discharged from mental health wards on psychotropic medication, in line with NICE guidelines

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S93-S94
Author(s):  
Helen Muskett ◽  
Kirsty Bradley ◽  
Lauren Stott ◽  
William Moreton ◽  
Sarah Jones
Keyword(s):  
Mental Health ◽  
Psychotropic Medication ◽  
Action Plan ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Nice Guideline ◽  
Word Search ◽  
Future Pregnancy ◽  
Preconception Counselling ◽  
The Impact

AimsThe release of the Cumberlege Report in 2020 served as a reminder of the importance of informed consent for women when they are started on treatment that may affect their fertility or future pregnancies.Our aim was to evaluate current performance with regards to advice given to women of childbearing age around contraception, impacts of psychotropic medication on fertility and future pregnancies, and availability of preconception counselling.MethodStandard identified as NICE Guideline 192 (Antenatal and Postnatal Mental Health), sections 1.2 and 1.4.60 female inpatients were selected by looking at the most recent discharges prior to 03/11/2020 from 3 local acute adult wards. All females aged between 18 and 48 years were included.Electronic notes were reviewed for each patient. The discharge summary and last four ward round entries were reviewed, then key-word search of the patients’ records was performed using the terms “pregnan*”, “conception”, “contraception”, and “fertility”.The following information for each patient was documented in a spreadsheet:Discharge medicationIs there any discussion or advice around contraception?Have women taking antipsychotic medication been given advice regarding the possible impact on fertility?Has the potential impact of psychotropic medication on a future pregnancy been discussed?Has advice been given about the availability of preconception counselling should they plan a pregnancy in future?ResultOn discharge, a total of 33 women were taking one or more antipsychotics and 14 were prescribed a benzodiazepine. 24 women were discharged with antidepressants and 10 women were using a mood stabilising agent. 8 women were discharged without any psychotropic medication.Overall, 4 women received advice about contraception, and a further 8 women were already using contraception. The impact of taking an antipsychotic on fertility was not discussed with any patient. No women were advised about pre-conception counselling. The impact of taking psychotropic medication on a future pregnancy was discussed with one woman.ConclusionCurrent practice falls well below the standard set by NICE. Opportunities to inform women are being missed, and this has implications for the wellbeing of the patient and, potentially, future children.Action plan;Present findings at teaching.Deliver local teaching covering preconception counselling and the role of adult mental health teams when managing women of childbearing age.Produce a poster for inpatients wards and an information leaflet for women of childbearing age to aid with discussions.Create a poster for doctors’ offices to remind about NICE standards and documentation.Re-audit in 6 months.

scholarly journals The impact and challenges of the 2018 MHRA statement on the use of sodium valproate in women of childbearing age during the first year of implementation, in a UK epilepsy centre

Seizure ◽  
2020 ◽  
Vol 79 ◽  
pp. 8-13 ◽  
Author(s):  
Philippa Davies ◽  
Markus Reuber ◽  
Richard Grunewald ◽  
Stephen Howell ◽  
Jon Dickson ◽  
...  
Keyword(s):  
Sodium Valproate ◽  
First Year ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
The Impact

scholarly journals Managing employee well-being: A qualitative study exploring job and personal resources of at-risk employees

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Cecile Gauche ◽  
Leon T. De Beer ◽  
Lizelle Brink
Keyword(s):  
At Risk ◽  
South African ◽  
Financial Services ◽  
Well Being ◽  
Job Resources ◽  
Personal Resources ◽  
South African Context ◽  
The South ◽  
African Context ◽  
The Impact

Orientation: Job and personal resources influence the well-being of employees. Currently, limited information exists in literature surrounding the experience of these resources in employees identified as at-risk of burnout.Research purpose: To investigate the experience of job and personal resources from the perspectives of employees identified as at-risk of burnout.Motivation for the study: Empirical evidence on the integrative role and influence of job and personal resources on the well-being of employees in the South African context is currently limited. Attaining a better understanding of the manner in which at-risk employees experience resources can empower organisations to actively work towards creating an environment that allows for optimal employee well-being.Research design, approach and method: A phenomenological approach was taken to conduct the study in a South African-based financial services organisation. A combination of purposive and convenience sampling was used, and 26 employees agreed to participate. Semi-structured interviews were used to collect data, and data analysis was performed through the use of thematic analysis.Main findings: Employees identified as at-risk of burnout acknowledged both job and personal resources as factors influencing their well-being. Participants in this study elaborated on received job resources as well as lacking job resources. Information was also shared by participants on personal resources through describing used personal resources as well as lacking personal resources.Practical/managerial implications: Knowledge gained from the study will contribute to empower organisations to better understand the impact of resources on the well-being of employees, and allow organisations to adapt workplace resources to ensure adequate and appropriate resources to facilitate optimal employee well-being.Contribution: This study contributes to the limited research available in the South African context regarding the experience of job and personal resources from the perspective of at-risk employees. The study may also enable organisations to create a workplace that is more supportive and empowering with appropriate resources to deliver on expected demands.

scholarly journals The Risk Effect of Primary Dysmenorrhea on Women of Childbearing Age in Ploso Subdistrict of Tambaksari Surabaya

2016 ◽  
Vol 4 (1) ◽  
pp. 37
Author(s):  
Ulya Rohima Ammar
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Nutritional Status ◽  
Bivariate Analysis ◽  
Primary Dysmenorrhea ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Medication Therapy ◽  
The Impact ◽  
Age Of Menarche

ABSTRACTPrimary dysmenorrhea was menstrual pain without any real abnormalities in genitals and could be a sign of reproductive system disorders. Prevalence of primary dysmenorrhea was quite high, but the lack of attention from the medical world, whereas primary dysmenorrhea can lead to decreased productivity and hinder daily activities. This  study  aimed  to  analyze  the  risk factors  of  primary  dysmenorrhea  in  Ploso  subdistrict  of Tambaksari Surabaya. The study was an observational analytic cross sectional design. Sampling was done by multistage cluster sampling. Respondents were 80 women of childbearing age 15-35 years old. Based on the results the prevalence of primary dysmenorrhea was at 71.3% . Most of the impact of primary dysmenorrhea that respondents perceived were declining productivity that is equal to 77.2%. Most of respondents not been examined primary dysmenorrhea to the doctor or midwife (84.2%) with the majority reason was respondents think that symptoms of primary dysmenorrhea perceived is reasonable (54.2%) . The highest proportion of respondents characteristics are aged 15-25 years (51.3%), had family history (52.5%), never given birth (60%), duration of menstruation 3-7 days (86%), age of menarche 12-13 years (53.8%), not did exercise (53.8%), had a normal nutritional status (38.8%), and severe stress (25%). The results of the bivariate analysis showed that there was a relationship between age and family history with primary dysmenorrhea, and there was no relationship between the experience of childbirth, length of menstruation, age of menarche, exercise habits, nutritional status, and state of stress with primary dysmenorrhea. The advice is to check primary dysmenorrhea to the doctor or midwife if find symptoms of primary dysmenorrhea to get treatment (psychotherapy or medication therapy), so that respondents could still work or do activities and productivity is not compromised. Keywords : primary dysmenorrhea , menstrual cramps, risk factors, women of childbearing age, reproduction

scholarly journals Health education and nutritional diet-based mentoring in an effort to control excess fat intake

2021 ◽  
Vol 6 (7) ◽  
pp. 1255-1260
Author(s):  
Siti Mudlikah ◽  
Suprapti Suprapti ◽  
Dian Agnesia ◽  
Dwi Fitriyatul Arifah ◽  
Khilyatus Shoihah
Keyword(s):  
Menstrual Cycle ◽  
Health Education ◽  
Normal Weight ◽  
Fat Intake ◽  
Women Of Childbearing Age ◽  
High Cholesterol ◽  
Childbearing Age ◽  
Cholesterol Levels ◽  
Service Activity ◽  
The Impact

Excess fat intake causes the accumulation of body fat which results in obesity. The high cholesterol levels cause health problems and the reproductive system of women of childbearing age. Excess fat intake is influenced by several factors such as a lack of understanding of the consumption of nutritious and healthy foods, and the impact of excess fat intake on the risk of obesity, high cholesterol and menstrual cycle disorders. The purpose of this service activity is to control excess fat intake, obesity, high cholesterol levels, and regularity of the menstrual cycle of women of childbearing age. The methods used in this service activity include health education seminars, screening for obesity, cholesterol levels, and regularity of the menstrual cycle and nutritional diet-based mentoring. After the service activities, it was found that there was an increase in understanding about excess fat intake, obesity, high cholesterol and the menstrual cycle. Then, there are changes with the achievement of normal weight, normal cholesterol levels and regular menstrual cycles in women of childbearing age.

scholarly journals Using Regression Trees to Find the Factors Influencing the Level of Knowledge about Fertility and the Diet That Supports It among People Dancing in Max Dance Studio in Białystok

2021 ◽  
Vol 66 (3) ◽  
pp. 597-608
Author(s):  
Adrianna Zańko ◽  
Karolina Milewska ◽  
Marcin Warpechowski ◽  
Robert Milewski
Keyword(s):  
Reproductive Health ◽  
Regression Trees ◽  
Women Of Childbearing Age ◽  
Sources Of Information ◽  
Childbearing Age ◽  
Knowledge Test ◽  
Sources Of Knowledge ◽  
Level Of Knowledge ◽  
Additional Education ◽  
The Impact

Abstract Many studies confirm the fact that women do not have sufficient knowledge about reproductive health, which is a significant problem nowadays due to the large percentage of people who suffer from infertility. A sources of knowledge from which information about health, including reproductive health, is obtained have various levels of reliability. The aim of the study was to use regression trees to find which of the analysed parameters had the greatest impact on the level of respondents’ knowledge about fertility and the impact of diet on fertility. The study was conducted among women who practice dance in Max Dance studio in Białystok. The group consisted of 42 women with an average age of 26.3 years, dancing in various dance styles at various levels of proficiency. A questionnaire on lifestyle and a sources of information on fertility was used; the questionnaire also contained a knowledge test focused on reproductive health and the impact of diet on fertility, in which the questions were based on information from the latest research. Three regression trees were created for three indicators determining the level of respondents’ knowledge. The obtained results revealed certain areas that have a significant impact on the level of knowledge about reproductive health, which may require additional education. The use of the regression trees method made it possible to determine the relationships between the analysed data that were not fully visible after standard biostatistical analyses had been performed. The created trees can be useful in improving the process of disseminating knowledge about reproductive health among women of childbearing age.

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