scholarly journals Co-designing a virtual community of practice (VCoP) for maternal and child health in Burkina Faso

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Lapierre ◽  
M Ouellet ◽  
G Goyer-Pétrin ◽  
M-P Gagnon ◽  
S Dupéré ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Low Income ◽  
Health Professionals ◽  
Digital Literacy ◽  
Phase 1 ◽  
Virtual Community ◽  
Ways Of Knowing ◽  
Implementation Challenges ◽  
Social Sciences And Humanities ◽  
Evidenced Based

Abstract Background In Burkina Faso, maternity is a risk. Global Affairs Canada funded the initiative PASME-2 with World University Service of Canada, Laval University and Farm Radio International to improve maternal outcomes. A preventative program was co-developed. Phase 1 included to train the Health Ministry training coordinators. Phase 2 related to the training of nearly 100 health professionals. Phase 3 received funding from Social Sciences and Humanities Research Council in partnership with the Centre for International Cooperation in Health and Development and TIESS, a liaison and transfer expert in Québec, to support local teams towards sustainable practice changes. Results On the first objective, to describe the co-development of this living lab are presented. We share our perspective of the co-designing challenges, tools, and solutions. We will demonstrate the VCoP platform and environment. Method. A participative co-design approach, allowed the engagement of several stakeholders in the process. Results. Four workshops were organised. Seventeen maternal and child care health professionals took part in the initial 8-month development phase. Results Four steps of the six phases of Gusche innovation design are presented with associated products and results. Implementation challenges, critical decisions, role of face-to-face meetings, technology factors, digital literacy and solutions are presented. Conclusions Implementing a technology innovation in low income setting with limited access to the web and to technologies is a challenge. Its advantages are greater: access to evidenced-base care, facilitating professional development, creating a safe space and leading to emerging problem-solving collective solutions. Conceived as a capacitating environment (Sen) and supporting strength-based (Gottlieb) care through partnership, this VCoP becomes a driver of action to maintain preventative health competence and to share experiences and ways of knowing. Key messages The digital space crosses the borders and can contribute to human development and expansion of safe, evidenced-based and culturally appropriate professional practices. Working in partnerships, interprofessional and intersectoral, with public and community groups can create synergies that will unfold in greater health equity.

scholarly journals Perceived outcomes and SWOT analysis of a virtual community of practice in Burkina Faso

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Lapierre ◽  
G Goyer-Pétrin ◽  
L Philibert ◽  
M-P Gagnon ◽  
S Dupéré ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Digital Literacy ◽  
Swot Analysis ◽  
Phase 1 ◽  
Virtual Community ◽  
Development Activity ◽  
Family Outcomes ◽  
Social Sciences And Humanities ◽  
Professional Development Activity ◽  
Perceived Outcomes

Abstract Background In Burkina Faso, maternity is a risk. Global Affairs Canada funded the initiative PASME-2 with World University Service of Canada, Laval University and Farm Radio International to improve maternal outcomes. A preventative program was co-developed in phases. Phase 3 received funding from Social Sciences and Humanities Research Council in partnership with the Centre for International Cooperation in Health and Development (CCISD) and TIESS, a liaison and transfer expert in Québec, to support local teams towards sustainable practice changes. This research aimed at documenting the partnership experience, digital literacy, perceived direct and indirect outcomes. Methods A participative co-design approach, allowed the engagement of several stakeholders in the process. Two active phases where 16 health professionals engaged actively in the VCoP, according to the final agreed-upon Constitutional Chart, are presented. The phases pilot-tested two different technology tools. Results 16 interviews post-phase 1 and 16 interviews post-phase 2 were conducted. Implementation issues as perceived by users are discussed and include: feasibility, challenges, needs, animation, relevance to care, communication and sharing, use and perspectives. Perceived outcomes focus on professional preventative practice changes, skills, family outcomes, challenges to practice integration, knowledge and practice exchanges. Conclusions The phases of experimentation demonstrate that strategies can be put in place to counter the digital literacy challenges and to engage users in new ways of communicating, sharing on the platform about health practices and taking valuable time to do it. Overcoming technology constraints is essential especially in lower resource settings. The most practical life experiences and cases lead to more engagement and innovations. Support from management and upper directorate is significant. Key messages Partnership from several stakeholders is key to implementing a VCoP. Experimenting and sharing solutions is influenced by the capacitating environment that the VCoP can provide with recognition from administration and as a professional development activity.

scholarly journals Incidence Correction Factors for Moderate and Severe Acute Child Malnutrition From 2 Longitudinal Cohorts in Mali and Burkina Faso

2020 ◽  
Vol 189 (12) ◽  
pp. 1623-1627
Author(s):  
Francisco M Barba ◽  
Lieven Huybregts ◽  
Jef L Leroy
Keyword(s):  
Burkina Faso ◽  
Low Income ◽  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Cross Sectional ◽  
Incidence Data ◽  
Moderate Acute Malnutrition ◽  
Cluster Randomized ◽  
Definition Of ◽  
Mid Upper Arm Circumference

Abstract Child acute malnutrition (AM) is an important cause of child mortality. Accurately estimating its burden requires cumulative incidence data from longitudinal studies, which are rarely available in low-income settings. In the absence of such data, the AM burden is approximated using prevalence estimates from cross-sectional surveys and the incidence correction factor $K$, obtained from the few available cohorts that measured AM. We estimated $K$ factors for severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) from AM incidence and prevalence using representative cross-sectional baseline and longitudinal data from 2 cluster-randomized controlled trials (Innovative Approaches for the Prevention of Childhood Malnutrition—PROMIS) conducted between 2014 and 2017 in Burkina Faso and Mali. We compared K estimates using complete (weight-for-length z score, mid-upper arm circumference (MUAC), and edema) and partial (MUAC, edema) definitions of SAM and MAM. $K$ estimates for SAM were 9.4 and 5.7 in Burkina Faso and in Mali, respectively; K estimates for MAM were 4.7 in Burkina Faso and 5.1 in Mali. The MUAC and edema–based definition of AM did not lead to different $K$ estimates. Our results suggest that $K$ can be reliably estimated when only MUAC and edema-based data are available. Additional studies, however, are required to confirm this finding in different settings.

scholarly journals Adapting the Community-based Health Planning and Services (CHPS) to engage poor urban communities in Ghana: protocol for a participatory action research study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049564
Author(s):  
Mary Abboah-Offei ◽  
Akosua Gyasi Darkwa ◽  
Andrews Ayim ◽  
Adelaide Maria Ansah-Ofei ◽  
Delanyo Dovlo ◽  
...  
Keyword(s):  
Action Research ◽  
Participatory Action Research ◽  
Urban Communities ◽  
Low Income ◽  
Urban Areas ◽  
Health Planning ◽  
Phase 1 ◽  
Participatory Action ◽  
Community Based ◽  
Key Stakeholders

IntroductionWith rapid urbanisation in low-income and middle-income countries, health systems are struggling to meet the needs of their growing populations. Community-based Health Planning and Services (CHPS) in Ghana have been effective in improving maternal and child health in rural areas; however, implementation in urban areas has proven challenging. This study aims to engage key stakeholders in urban communities to understand how the CHPS model can be adapted to reach poor urban communities.Methods and analysisA Participatory Action Research (PAR) will be used to develop an urban CHPS model with stakeholders in three selected CHPS zones: (a) Old Fadama (Yam and Onion Market community), (b) Adedenkpo and (c) Adotrom 2, representing three categories of poor urban neighbourhoods in Accra, Ghana. Two phases will be implemented: phase 1 (‘reconnaissance phase) will engage and establish PAR research groups in the selected zones, conduct focus groups and individual interviews with urban residents, households vulnerable to ill-health and CHPS staff and key stakeholders. A desk review of preceding efforts to implement CHPS will be conducted to understand what worked (or not), how and why. Findings from phase 1 will be used to inform and co-create an urban CHPS model in phase 2, where PAR groups will be involved in multiple recurrent stages (cycles) of community-based planning, observation, action and reflection to develop and refine the urban CHPS model. Data will be managed using NVivo software and coded using the domains of community engagement as a framework to understand community assets and potential for engagement.Ethics and disseminationThis study has been approved by the University of York’s Health Sciences Research Governance Committee and the Ghana Health Service Ethics Review Committee. The results of this study will guide the scale-up of CHPS across urban areas in Ghana, which will be disseminated through journal publications, community and government stakeholder workshops, policy briefs and social media content. This study is also funded by the Medical Research Council, UK.

The Challenges Facing Mental Health Programs for Post-Conflict and Refugee Communities

2004 ◽  
Vol 19 (1) ◽  
pp. 90-96 ◽  
Author(s):  
Derrick Silove
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Low Income ◽  
Traumatic Stress ◽  
Health Professionals ◽  
Adaptive Systems ◽  
Small Scale ◽  
Displaced Persons ◽  
Stress Reactions ◽  
Post Conflict

AbstractThe majority of refugees and communities exposed to warfare and oppression live in low-income countries with few resources or special skills. Yet, epidemiological studies have identified high levels of traumatic stress reactions in such populations. These stress reactions can be intensified by harsh policies aimed at deterring survivors from seeking refuge in technologically advanced societies. The scale of the problem of mass violence and displacement creates formidable challenges for mental health professionals in their efforts to develop practical frameworks for responding to the extensive needs of displaced persons. In this article, a model is proposed for low-income, post-conflict countries, based on a two-tiered formulation. At the eco-social level, mental health professionals can play a supportive, but not a lead, role in facilitating recovery of core adaptive systems that hasten natural recovery from stress for the majority of the population. Where small-scale, community mental health services are established, the emphasis should be on assisting persons and their families who are at greatest survival and adaptive risk. Training and promotion of local workers to assume leadership in such programs are essential. In technologically advanced societies in which refugees are in a minority, torture and trauma services can focus more specifically on traumatic stress reactions, acculturation, and resettlement. In a historical epoch in which displaced persons are facing particularly harsh treatment, there is a pressing need for consensus amongst mental health professionals in advocating for their needs.

scholarly journals Knowledge produced on the health of low-income older women: an integrative review

2017 ◽  
Vol 70 (4) ◽  
pp. 875-884 ◽  
Author(s):  
Renata Evangelista Tavares ◽  
Maria Cristina Pinto de Jesus ◽  
Samara Macedo Cordeiro ◽  
Daniel Rodrigues Machado ◽  
Vanessa Augusta Braga ◽  
...  
Keyword(s):  
Social Support ◽  
Social Network ◽  
Older Women ◽  
Social Determinants ◽  
Low Income ◽  
Health Professionals ◽  
Web Of Science ◽  
Integrative Review ◽  
Exclusion Criteria

ABSTRACT Objective: to identify the knowledge produced on the health of low-income older women. Method: an integrative review was conducted in February 2016 on the SCOPUS, CINAHL, MEDLINE, LILACS, EMBASE, WEB OF SCIENCE databases, and in the SciELO journals directory. After the application of inclusion and exclusion criteria, 24 articles were selected. Results: the knowledge produced comprises two main themes: "health in face of economic adversities" and "reciprocity in social support between low-income older women and their social network". Final considerations: health professionals, especially nurses, should be attentive to aspects related to social determinants and the health of low-income older women, highlighting the fact that they are not always the recipients of care.

scholarly journals Diagnostic path of a genetic disease: a case of Williams-Beuren syndrome in Burkina Faso

2015 ◽  
Vol 7 (4) ◽  
Author(s):  
Makoura Barro ◽  
Bintou Sanogo ◽  
Aimée S. Kissou ◽  
Ad Bafa Ibrahim Ouattara ◽  
Boubacar Nacro
Keyword(s):  
Mental Retardation ◽  
Burkina Faso ◽  
Clinical Diagnosis ◽  
Clinical Examination ◽  
Health Professionals ◽  
Genetic Disease ◽  
Neurodevelopmental Disorder ◽  
Dysmorphic Feature ◽  
Chromosome Band ◽  
Behavioral Abnormalities

Williams-Beuren syndrome (WBS) is a rare neurodevelopmental disorder characterized by a set of somatic, psychological, and behavioral abnormalities, which is caused by a deletion of several genes. Herein we report a 6 year-old boy, who presented with mental retardation and psychological disorders. The result of the first clinical examination was poor, since it didn’t detect any dysmorphic feature which is a major component for the clinical diagnosis of WBS. Despite the multidisciplinary and the multicenter approaches used, the diagnosis of WBS (deletion of chromosome band 7q11. 23) was established more than 3 years after the first medical consultation. Rare partial forms of WBS have been recently described and they are both clinically and genetically difficult to diagnose. Unfortunately, this disorder is still little known by health professionals.

Tapping into Digital Literacy

2010 ◽  
pp. 886-904
Author(s):  
Mark van ‘t Hooft
Keyword(s):  
Inventory Management ◽  
Radio Frequency Identification ◽  
Asset Management ◽  
Digital Literacy ◽  
Process Management ◽  
Identity Management ◽  
Healthcare Industry ◽  
Healthcare Organizations ◽  
Categorical Analysis ◽  
Implementation Challenges

With its potential and unique uses, healthcare is one of the major sectors where radio frequency identification (RFID) is being considered and adopted. Improving the healthcare supply chain, patient safety, and monitoring of critical processes are some of the key drivers that motivate healthcare industry participants to invest in this technology. Many forward-looking healthcare organizations have put the potential of RFID into practice and are realizing the benefits of it. This study examines these empirical applications and provides a framework of current RFID deployment in the healthcare industry and opportunities for continued deployment. This framework also presents a categorical analysis of the benefits that have been observed by the healthcare industry. In addition, major implementation challenges are discussed. The framework suggests asset management, inventory management, authenticity management, identity management, and process management are the broad areas in which RFID adoptions can be categorized.

The Role of Collaboration in Integrated Programs Aimed at Supporting Underrepresented Student Success in STEM

2019 ◽  
Vol 64 (3) ◽  
pp. 325-348 ◽  
Author(s):  
Adrianna Kezar ◽  
Elizabeth Holcombe
Keyword(s):  
Student Success ◽  
Low Income ◽  
Underrepresented Minority ◽  
Policy And Practice ◽  
Underrepresented Minority Students ◽  
Implementation Challenges ◽  
Integrated Programs ◽  
Underrepresented Student Success ◽  
Comprehensive Programs

The persistent underrepresentation of low-income, first-generation, and underrepresented minority students among those who complete an undergraduate degree in science, technology, engineering, and mathematics remains an issue of concern in higher education. Scholars and practitioners have increasingly realized that more comprehensive supports are required, as opposed to the single-strategy interventions that have been popular for several decades. Such supports, also known as integrated or comprehensive programs, combine and align several interventions that are both curricular and cocurricular and require the work of both faculty members and student affairs staff to design and implement. Collaboration among these groups is crucial to the success of these programs. However, the actual role that collaboration plays in these new student success efforts is undertheorized and has not been examined empirically. In this article, we describe the role of collaboration in improving program design for comprehensive, integrated programs, and for overcoming policy and practice implementation challenges.

Working in collaboration with young people and health professionals. A staged approach to the implementation of a randomised controlled trial

2010 ◽  
Vol 16 (6) ◽  
pp. 561-576 ◽  
Author(s):  
S. Aldiss ◽  
R.M. Taylor ◽  
L. Soanes ◽  
R. Maguire ◽  
M. Sage ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Young People ◽  
Health Professionals ◽  
Controlled Trial ◽  
Phase 1 ◽  
Self Care ◽  
Alert System ◽  
Symptom Report ◽  
Mobile Phone Technology ◽  
Randomised Controlled

ASyMS© is an Advanced Symptom Management System utilising mobile phone technology to monitor chemotherapy-related symptoms and promote self-care. It was first developed with an adult cancer population and is now being evaluated with young people through an iterative development process. ASyMS© involves patients recording and sending symptom reports to the hospital and receiving tailored self-care advice. Health professionals are alerted when severe symptoms are reported. Three phases of the ASyMS©-YG (young people) study are complete. Phase 1 involved young people identifying the symptoms to be assessed. Phase 2 involved young people testing the symptom report system, and ascertaining young people’s, parents’ and professionals’ perceptions of ASyMS©-YG. This paper reports on Phase 3, in which the system was developed further in preparation for a randomised controlled trial (RCT). Health professionals devised an alert system based on risk modelling side-effect severity, and young people and professionals developed self-care advice. A pilot study was conducted to test the alert system and study design in readiness for a definitive RCT. The contribution young people and professionals have made to this project is invaluable in evaluating the practical effectiveness of ASyMS©-YG and ensuring the intervention is acceptable and works in everyday practice.

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