scholarly journals Improving maternal healthcare in Georgia

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N Skhvitaridze ◽  
A Gamkrelidze ◽  
T Lobjanidze
Keyword(s):  
Public Health ◽  
Reproductive Health ◽  
Health Sector ◽  
Research Capacity ◽  
Evidence Based ◽  
Birth Registry ◽  
Epidemiological Analysis ◽  
Mortality And Morbidity ◽  
Aggregated Data ◽  
Medical Birth Registry

Abstract Improvement of reproductive health is a worldwide priority. Maternal and perinatal mortality and morbidity are frequently used as measure of quality of the healthcare. Thus, reduction of maternal morbidity and mortality are important goal for the SDGs. Hence, maternal and new-borns health are crucial to report accurately. The key requirement for progress is to have as much precise data as it is possible. Several tools are developed for quality surveillance; among them is the medical birth registry. Georgia is a developing country which recently had healthcare in transition. Over the last decade, Georgia’s health sector has improved quality and embraced evidence-based medicine. Transformation and progress attributed reproductive healthcare. Country elaborated strategic plan and set achievable target for maternal and children’s mortality ratios for 2030. Georgia developed national maternal surveillance system. However, country has been lacking precise, comprehensive, and longitudinal data dealing with the reproductive health. Thus far, data on associated health services mainly derived from the sporadic on-demand surveys. Routine info on mortality and morbidity were available as aggregated data with a lack of epidemiological analysis. In order to provide proper reproductive health profile, Georgia created a nationwide medical birth registry (GBR). GBR has made it possible to create a precise epidemiological analysis and to ensure the evidence-based reporting. To improve epidemiological research capacity, PhD projects were implemented a year after the GBR started operation, in the frame of cooperation of Norwegian and Georgian Universities. Moreover, universities initiated tracks for master students to have internship and graduate thesis in GBR related topics. Overarching goals of the GBR are numerous. Although compilations of statistics and ensuring scientific bases for advice through generated researches are beneficial for universities and country as well. Key messages Studies, based on transparency of highly accurate medical statistics gives possibility for effective implementation of evidence-based public health interventions. Recommendations provided by registry based studies have a pivotal role in formulation and revision of relevant public health strategies.

Evaluating Human-Centred Design for Public Health: A Case Study on Developing a Healthcare App with Refugee Communities. (Preprint)

2021 ◽  
Author(s):  
Rebeccah Bartlett
Keyword(s):  
Public Health ◽  
Reproductive Health ◽  
Design Process ◽  
Culturally Relevant ◽  
Design Thinking ◽  
Underserved Populations ◽  
Evidence Based ◽  
Service Utilisation ◽  
Web Based ◽  
Human Centred Design

BACKGROUND Australian women from migrant and refugee communities report less sexual and reproductive health (SRH) awareness. They experience reduced access to SRH-specific care as well as culturally-relevant support that could assist them to make evidence-based decisions about their own health and service utilisation. Addressing public health problems through human-centred design (HCD) is an ethical and effective approach to developing solutions with underserved populations that are more likely to experience significant disadvantage or social marginalisation. OBJECTIVE This study aimed to evaluate the HCD approach that Shifra, a small Australian-based not-for-profit focused on improving access to healthcare for refugees and new migrants, undertook in developing a web-based application to deliver local, evidence-based and culturally relevant SRH information to its users. The evaluation focused on the following three questions: 1. To what extent did Shifra complete all the steps of the design thinking process shown? 2. To what extent did the final Shifra app incorporate the contributions of all co-designers? 3. To what extent were the co-designers satisfied with the process? METHODS The primary data for the first question involved a thorough review of all of Shifra’s organisational documents. Since there is a notable lack of validated tools evaluate HCD projects a maturity rubric was designed to synthesise the findings from the document review. This rubric was developed through consultation and several iterations of feedback from the expert panel were used to improve the usability, completeness and level of detail of the rubric. RESULTS A co-design process was successfully applied to the development of a web-based app for refugee and migrant women in reproductive health. This evaluation also yielded several important recommendations for improving Shifra’s HCD approach moving forward, findings that can be applied to other projects seeking to undertake an authentic community co-design process. First, with so many people of diverse backgrounds contributing to the project, clear communication about roles and expectations is critical. Second, it is important to set realistic expectations and role clarifications with co-designers. Third, it is important not to view all end users as interchangeable. Finally, by setting aside adequate time to develop collaborative relationships amongst all co-design groups the HCD process is an opportunity to give power and control back to the end user population for whom one is designing the health intervention. CONCLUSIONS Improving refugees’ access to SRH is complex and multidimensional and requires innovative and thoughtful problem solving. HCD is one way to address complex problems in an ethical and effective way and it is how Shifra chose to approach the development of its solution to this problem. This evaluation of Shifra’s HCD approach provides a helpful and rigorous guide in reporting that may encourage other organisations undertaking HCD work to evaluate their own implementation. CLINICALTRIAL N/A

scholarly journals Health and education provider collaboration to deliver adolescent sexual and reproductive health in Sri Lanka

2014 ◽  
Vol 3 (1) ◽  
pp. 42-49 ◽  
Author(s):  
Angela J Dawson ◽  
Kumuda Wijewardena ◽  
Ellie Black
Keyword(s):  
Public Health ◽  
Sri Lanka ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Health Sector ◽  
Complex Nature ◽  
Quality Health Care ◽  
Attitudes And Practices ◽  
And Training

The complex nature of adolescent sexual and reproductive health (ASRH) determinants demands a multidisciplinary and intersectoral approach. Collaborative approaches are central to the delivery of quality health care and services but the focus is often health sector specific. Few research studies have explored the views and experiences of health workers and teachers and examined how ASRH services and information are provided by professionals across the education and health sector. Sri Lanka has made considerable progress towards addressing the Millennium Development Goals (MDG), however, there are still gaps reflected in adolescent health, social indicators, and the delivery of services. Enhancing the collective efforts of teachers and health professionals may help to improve the quality and use of services and ASRH knowledge. This study aimed to identify the experiences, needs, knowledge, attitudes and practices of primary healthcare and education professionals and the strategies that best support them to deliver sexual and reproductive health information, education, counseling and clinical services to Sri Lankan adolescents. Qualitative and survey data were gathered from 65 nurses, midwives, public health inspectors, medical officers, teachers, counselors and principals in the district of Kalutara. Knowledge, attitudes and service gaps were identified in relation to contraception and policy guiding practice. Participants highlighted concerns with confidence, roles and training that were said to affect student access to appropriate health services. ASRH Collaborative practices were noted across the sectors and strategies suggested for improvement. Findings suggest that inter-professional educa-tion and training may provide opportunities to enhance collaboration supported and guided by appropriate policy, supervision and job descriptions (i.e. roles and responsibilities). South East Asia Journal of Public Health 2013; 3(1): 42-49 DOI: http://dx.doi.org/10.3329/seajph.v3i1.17710

scholarly journals Workforce development in South Africa with a focus on public health nutrition

2008 ◽  
Vol 11 (8) ◽  
pp. 792-800 ◽  
Author(s):  
Nelia P Steyn ◽  
Xikombiso G Mbhenyane
Keyword(s):  
Public Health ◽  
South Africa ◽  
Workforce Development ◽  
Health Sector ◽  
Primary Health Care System ◽  
Public Health Nutrition ◽  
Mortality And Morbidity ◽  
The Public ◽  
Aids Epidemic ◽  
National Human

AbstractObjectivesThe present paper aims to review and report on the current and predicted future public health nutrition workforce in South Africa. Additionally, it examines ways in which the Department of Health (DOH) is striving to meet the increasing burden of nutrition-related diseases in South Africa.MethodsThe primary sources of data used for the review were reports from the Census office, South African health reviews, mortality and morbidity statistics, and documents from the Health Professions Council of South Africa.ResultsThere are fewer than 2000 registered dietitians in South Africa and fewer than 600 of them work in the public health sector. Furthermore, professional nurses – who are the backbone of the primary health-care system and deliver the rudiments of basic nutritional care – are not being trained in sufficient numbers to meet population growth; in 2004 there was only one nurse per 4000 persons. This situation is aggravated by the growing burden of conditions associated with both overnutrition and undernutrition, as well as the enormous demands of the HIV/AIDS epidemic. The DOH is striving to meet these increasing needs by means of the Integrated Nutrition Programme as well as a National Human Resources Plan which includes numerous strategies to improve the quantity and quality of health professionals’ training, including dietitians and nutritionists. This plan includes the objective of increasing the public health nutrition workforce to more than 250 newly trained dietitians and nutritionists per annum by 2010.

Adolescent sexual and reproductive health

2018 ◽  
pp. 60-64
Author(s):  
Saiqa Mullick ◽  
Melanie Pleaner ◽  
Mopo Radebe ◽  
Chelsea Morroni
Keyword(s):  
Public Health ◽  
Reproductive Health ◽  
Adolescent Health ◽  
Sexual And Reproductive Health ◽  
Sub Saharan Africa ◽  
Evidence Based ◽  
Barriers To Access ◽  
Health Relevance ◽  
Sub Saharan ◽  
High Level

This chapter provides a high level overview of key sexual and reproductive health (SRH) issues in adolescent health with a focus on sub-Saharan Africa. The chapter begins by providing an overview of key targets and definitions relating to adolescent SRH and then goes on to describe the heterogenous nature of SRH needs of adolescents, highlighting their often overlapping and multiple needs as well as challenges and barriers to access. The chapter then provides a synopsis of selected SRH issues, including prevalence and public health relevance, as well as a summary of evidence-based interventions. The chapter ends with controversies and challenges, as well as recommendations for future areas for research. It should be read in conjunction with Chapter 31 on HIV in adolescents.

scholarly journals Public Health and Health Sector Crisis Leadership During Pandemics: A Review of the Medical and Business Literature

2021 ◽  
pp. 107755872110392
Author(s):  
Abi Sriharan ◽  
Attila J. Hertelendy ◽  
Jane Banaszak-Holl ◽  
Michelle M. Fleig-Palmer ◽  
Cheryl Mitchell ◽  
...  
Keyword(s):  
Public Health ◽  
Leadership Behaviors ◽  
Health Sector ◽  
Leadership Competencies ◽  
Global Scale ◽  
Crisis Leadership ◽  
Evidence Based ◽  
Significant Burden ◽  
Evidence Based Guidelines ◽  
Task Oriented

The global scale and unpredictable nature of the current COVID-19 pandemic have put a significant burden on health care and public health leaders, for whom preparedness plans and evidence-based guidelines have proven insufficient to guide actions. This article presents a review of empirical articles on the topics of “crisis leadership” and “pandemic” across medical and business databases between 2003 (since SARS) and—December 2020 and has identified 35 articles for detailed analyses. We use the articles’ evidence on leadership behaviors and skills that have been key to pandemic responses to characterize the types of leadership competencies commonly exhibited in a pandemic context. Task-oriented competencies, including preparing and planning, establishing collaborations, and conducting crisis communication, received the most attention. However, people-oriented and adaptive-oriented competencies were as fundamental in overcoming the structural, political, and cultural contexts unique to pandemics.

scholarly journals Strengthening public health research capacity to inform evidence-based policies in Tunisia / CONFIDE

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M E Bozdog ◽  
M A Coman ◽  
O Oltean ◽  
R M Chereches
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Training Program ◽  
Health Research ◽  
Public Health Policy ◽  
Research Capacity ◽  
Public Health Research ◽  
Evidence Based ◽  
The Public ◽  
Policy Game

Abstract Introduction Over the past 15 years, Tunisia has experienced considerable development in the political and economic areas. In this context, important reforms in the field of public health have been made, with the Tunisian universities (University of Sfax, University of Tunis el Manar, University of Sousse) on their way to educate the public health professionals who can contribute to the modernization of the health system. Funded by the EC through Erasmus+ programme, the CONFIDE project (coordinated by Babes-Bolyai University, having European partners the Southern Denmark University and Trnava University) has 3 major objectives: develop Centres for Evidence into Health Policy (C4EHPs) designed to ease future collaborations; strengthen institutional capacity to deliver state-of-the-art research into policy training program; consolidate national and local partnerships between the public health academic and non-academic sector. The progress The partners have jointly contributed to the following activities: development of the Centre for Evidence into Public Health Policy, 3 train-the-trainer sessions, 9 train-the-trainees sessions, internships for trainees, one policy game. To this date, 18 trainers have been trained by European partner universities and they trained 29 Tunisian trainees in the field of public health research, health promotion and evidence-based public health policy. The trainees will participate in internships in local and regional health institutions, to practice what they have learned. A policy game will be organized, to simulate collaboration between researchers and policy makers, for public health policy elaboration. Conclusions The Research into Policy training program has been implemented in all 3 Tunisian partner universities. The expected long-term changes are: young workforce trained into public health and evidence-based policies fields; university curricula modifications by introducing public health courses and developing of Masters of Public Health.

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