scholarly journals Core health-components, contextual factors and program elements of community-based interventions in Southeast Asia – a realist synthesis regarding hypertension and diabetes

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zinzi E. Pardoel ◽  
Sijmen A. Reijneveld ◽  
Robert Lensink ◽  
Vitri Widyaningsih ◽  
Ari Probandari ◽  
...  
Keyword(s):  
Southeast Asia ◽  
Contextual Factors ◽  
Southeast Asian ◽  
Cochrane Library ◽  
Lifestyle Advice ◽  
Community Based Interventions ◽  
Community Based ◽  
Health Related ◽  
Asian Context ◽  
The Impact

Abstract Background In Southeast Asia, diabetes and hypertension are on the rise and have become major causes of death. Community-based interventions can achieve the required behavioural change for better prevention. The aims of this review are 1) to assess the core health-components of community-based interventions and 2) to assess which contextual factors and program elements affect their impact in Southeast Asia. Methods A realist review was conducted, combining empirical evidence with theoretical understanding. Documents published between 2009 and 2019 were systematically searched in PubMed/Medline, Web of Science, Cochrane Library, Google Scholar and PsycINFO and local databases. Documents were included if they reported on community-based interventions aimed at hypertension and/or diabetes in Southeast Asian context; and had a health-related outcome; and/or described contextual factors and/or program elements. Results We retrieved 67 scientific documents and 12 grey literature documents. We identified twelve core health-components: community health workers, family support, educational activities, comprehensive programs, physical exercise, telehealth, peer support, empowerment, activities to achieve self-efficacy, lifestyle advice, activities aimed at establishing trust, and storytelling. In addition, we found ten contextual factors and program elements that may affect the impact: implementation problems, organized in groups, cultural sensitivity, synergy, access, family health/worker support, gender, involvement of stakeholders, and referral and education services when giving lifestyle advice. Conclusions We identified a considerable number of core health-components, contextual influences and program elements of community-based interventions to improve diabetes and hypertension prevention. The main innovative outcomes were, that telehealth can substitute primary healthcare in rural areas, storytelling is a useful context-adaptable component, and comprehensive interventions can improve health-related outcomes. This extends the understanding of promising core health-components, including which elements and in what Southeast Asian context.

scholarly journals Community-based interventions for childhood asthma using comprehensive approaches: a systematic review and meta-analysis

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Mei Chan ◽  
Melinda Gray ◽  
Christine Burns ◽  
Louisa Owens ◽  
Susan Woolfenden ◽  
...  
Keyword(s):  
Systematic Review ◽  
Childhood Asthma ◽  
Action Plan ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Mean Difference ◽  
Cochrane Library ◽  
Care Utilization ◽  
Community Based Interventions ◽  
Community Based

Abstract Objective We conducted a systematic review and meta-analysis to determine the effectiveness of comprehensive community-based interventions with ≥ 2 components in improving asthma outcomes in children. Methods A systematic search of Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Excerpta Medica Database (EMBASE), Cochrane Library and hand search of reference collections were conducted to identify any research articles published in English between 2000 and 2019. All studies reporting community-based asthma interventions with ≥ 2 components (e.g., asthma self-management education, home environmental assessment or care coordination etc.) for children aged ≤ 18 years were included. Meta-analyses were performed using random-effects model to estimate pooled odds ratio (OR) with 95% confidence intervals (CIs). Results Of the 2352 studies identified, 21 studies were included in the final analysis: 19 pre-post interventions, one randomised controlled trial (RCT) and one retrospective study. Comprehensive asthma programs with multicomponent interventions were associated with significant reduction in asthma-related Emergency Department (ED) visits (OR = 0.26; 95% CI 0.20–0.35), hospitalizations (OR = 0.24; 95% CI 0.15–0.38), number of days (mean difference = − 2.58; 95% CI − 3.00 to − 2.17) and nights with asthma symptoms (mean difference = − 2.14; 95% CI − 2.94 to − 1.34), use of short-acting asthma medications/bronchodilators (BD) (OR = 0.28; 95% CI 0.16–0.51), and increase use of asthma action plan (AAP) (OR = 8.87; 95% CI 3.85–20.45). Conclusion Community-based asthma care using more comprehensive approaches may improve childhood asthma management and reduce asthma related health care utilization.

The Costs of Regularization in Southeast Asia

Contexts ◽  
2021 ◽  
Vol 20 (1) ◽  
pp. 21-25
Author(s):  
Maryann Bylander
Keyword(s):  
Southeast Asia ◽  
Legal Status ◽  
Well Being ◽  
Global South ◽  
Southeast Asian ◽  
The State ◽  
Asian Context

In the Southeast Asian context, legal status is ambiguous; it enlarges some risks while lessening others. As is true in many contexts across the Global South, while documentation clearly serves the interest of the state by offering them greater control over migrant bodies, it is less clear that it serves the goals, needs, and well-being of migrants.

'How Does the ASEAN Region Localize International Brands?’ A Multidimensional Analysis of Thai TV ads

2020 ◽  
Author(s):  
Thiti Nawapan ◽  
◽  
Remart P. Dumlao ◽  
Keyword(s):  
Social Media ◽  
Third Space ◽  
The Philippines ◽  
Southeast Asian ◽  
Cultural Representation ◽  
Multidimensional Analysis ◽  
Brand Identity ◽  
Identity Positioning ◽  
Asian Context ◽  
The Impact

In intercultural scholarship, there is a considerable number of studies that explores the impact and effect of culturally oriented social media (see Koda 2014, 2016; Mendoza 2010). Of these studies, however, there is a paucity of understanding on how social media becomes a third space of cultural representation, especially in the Southeast Asian context (Dumlao and Wattakan 2020; Feng 2009; Kalscheuer 2008). Drawing from insights connected to inter-semiosis by Kress and Van Leeuwen (1996) and SF-MDA by O’Halloran (2011), therefore, this paper explores the glocalization process and its inclination to cultural representation, and thus creating new discursive forms of identities, by looking at Thai TV ads from January 2019 to December 2019. Two Thai TV ads were purposively chosen from international beverage companies. To capture the glocalization and cultural representation, we compared these with TV ads from other countries, namely, the Philippines, and the U.S.A. Through content and multidimensional analysis, the findings suggest that commercials construct glocal identities through several factors and incidences. These incidences and factors support and provide understanding for brand identity positioning, which itself describes the intersemiosis of elements within contemporary consumer cultures. Implications of this study are discussed in the paper.

scholarly journals User involvement in developing community-based public health services: a scoping review of methods

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K S Petersen ◽  
J F Pedersen ◽  
B Egilstroed ◽  
C Overgaard
Keyword(s):  
Public Health ◽  
Health Services ◽  
Scoping Review ◽  
User Involvement ◽  
Community Services ◽  
Cochrane Library ◽  
Public Health Services ◽  
Community Based ◽  
Comprehensive Overview ◽  
The Impact

Abstract Background User involvement in developing community-based public health services has been on the agenda for decades. User involvement refers to the variety of ways in which service users or public citizens participate in the development of health services: from proving information on their needs to actively being involved in decisions about future services. Former studies found that user involvement is meaningful to the people involved and could have a favorable impact on the quality of services. Thus, it is timely to systematically identify and provide a comprehensive overview of user involvement methods used in public health studies. The aim of this scoping review is to provide an overview of the current body of empirical research where user involvement methods have been used to develop community public health services and identify its possible impact on the individual as well as services. Methods A systematic scoping review of user involvement methods aiming to develop public health services followed Arksey and O'Malley, 2005 framework. Six databases: CINAHL, Cochrane Library, Embase, PsycINFO. PubMed, Scopus and ProQuest, were searched from October till November, 2019. Search terms were: user involvement, methods and health care with corresponding synonym. All hits were double screened. Results 6.044 studies were identified of which 38 studies lived up to the criteria. Preliminary findings from coding and synthesizing studies have identified a variety of user involvement Methods 19 of the studies used complex, multi-facetted packages of methods aiming to identify needs, prioritize and formulate recommendations for future services. 19 studies used different kinds of group meetings and some used certain techniques to facilitate the process. Many reported the impact, and 13 evaluated the methods. The impact of using the methods varied from impact on individual, group, or service/political level. Final results will be presented at the conference. Key messages Studies on user involvement methods in developing community public health services and its impact are sparse. User involvement is privotal in developing sustainable public health community services.

Levinas and the Responsibility to Provide in Southeast Asia

2019 ◽  
pp. 153-178
Author(s):  
See Seng Tan
Keyword(s):  
Southeast Asia ◽  
Southeast Asian ◽  
The Self ◽  
The Other ◽  
Moral Force ◽  
Communitarian Ethics ◽  
Key Features ◽  
Asian Context ◽  
The Relationship

Firstly, this chapter introducesLevinas’ ‘responsibility for the other’ notion as an alternative to the liberal and communitarian conceptions of responsibility and sovereignty. Both liberal and communitarian ethics are problematic because of theirshared assumption that responsibility is first and foremost to the self. The chapter introduces key features of Levinas’ ethics – the place and role of hospitality, reciprocity and justice in the responsibility for the other. It also examines how friendly critiques by interlocutors(Derrida, Ricoeur, Caputo, etc.) help moderate Levinas’ idealism without necessarily taking things in overly pragmatic or realist directions or, worse, blunting its moral force. Secondly, the chapter assesses the relevance of Levinas’ ethics to the questions of responsible sovereignty and the R2Provide in Southeast Asia. With reference to the regional conduct described in Chapters 4, 5 and 6, it is argued that Levinas’ ideas redefine the terms of the relationship between responsible providers and their recipients in three key ways: one, our assumptions and expectations over one’s extension of hospitality to one’s neighbours; two, the rethinking of mutuality and reciprocity between providers and recipients; and three, the ways in which the considerations for justice play out within the Southeast Asian context are concerned.

scholarly journals Living with Migraine in Canada – A National Community-Based Study

2019 ◽  
Vol 46 (2) ◽  
pp. 216-223
Author(s):  
Kristianne Chelsea Altura ◽  
Scott B. Patten ◽  
Jeanne V. A. Williams ◽  
Kirsten M. Fiest ◽  
Nathalie Jetté
Keyword(s):  
Health Status ◽  
Age Groups ◽  
Health Utility Index ◽  
Health Utility ◽  
Community Based ◽  
Cross Sectional ◽  
Utility Index ◽  
Related Quality ◽  
Health Related ◽  
The Impact

ABSTRACT:Objective: To develop a detailed profile of individuals living with migraine in Canada. Such a profile is important for planning and administration of services. Methods: The 2011–2012 Survey of Living with Neurological Conditions in Canada (SLNCC), a cross-sectional community-based survey, was used to examine a representative sample of migraineurs (N = 949) aged 15 years and older. Several health-related variables were examined (e.g., general health, health utility index (HUI) [a measure of health status and health-related quality of life, where dead = 0.00 and perfect health = 1.00], stigma, depression, and social support). Respondents were further stratified by sex, age, and age of migraine onset. Weighted overall and stratified prevalence estimates and odds ratios, both with 95% CIs, were used to estimate associations. Results: Overall, males had poorer health status compared with females (e.g., mean HUI was 0.67 in males vs. 0.82 in females; men had over two times the odds of their migraine limiting educational and job opportunities compared with females). Poorer health-related variables were seen in the older age groups (35–64 years/≥65 years) compared with the 15–34-year age group. There were no differences between those whose migraine symptoms began before versus after the age of 20 years. Conclusions: In this Canadian sample, migraine was associated with worse health-related variables in men compared with women. However, both men and women were significantly affected by migraine across various health-related variables. Thus, it is important to improve clinical and public health interventions addressing the impact of migraine across individuals of all ages, sexes, and sociodemographic backgrounds.

scholarly journals The economic impact of air pollution: a European assessment

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Conti ◽  
P Ferrara ◽  
L S D'Angiolella ◽  
S C Lorelli ◽  
G Agazzi ◽  
...  
Keyword(s):  
Air Pollution ◽  
Economic Burden ◽  
Indirect Costs ◽  
Premature Mortality ◽  
Cochrane Library ◽  
Policy Makers ◽  
Life Years ◽  
Health Related ◽  
Disease Study ◽  
The Impact

Abstract Background In 2017, the Global Burden of Disease Study estimated that in Europe 0.42 million deaths and 8.9 million disability-adjusted life years were attributable to air pollution. Monetizing this burden is a key step for estimating benefits of exposure reduction strategies. However, robust and synthetic estimates of direct (e.g. due to hospitalizations or medications) and indirect (e.g. due to premature mortality or loss of productivity) health-related costs of air pollution seem to be still lacking. We carried out a systematic review, aimed at identifying evidence from research in Europe. Methods We searched 5 electronic databases (MEDLINE, EMBASE, Cochrane Library, SCOPUS, Web Of Science) in which we applied algorithms tracing keywords such as “cost of illness”, “health care costs”, “economics” and synonyms, together with “air pollution” and synonyms. We limited our search to articles written in English and Italian, without date restriction. Results The initial search retrieved 2420 records. 200 were classified as relevant, and 38 fulfilled inclusion criteria. Most of them (68%) were published after 2010. 26% were multi-country studies, while the remaining focused on a single country or city. Investigated pollutants were usually particulate matter (79% of the studies) and nitrogen oxides (37%). The approaches to the economic analysis were heterogeneous: estimates could include direct and/or indirect costs. Among the studies, the most comprehensive one (12 countries) estimated that complying with WHO guidelines would avert €31 billion yearly, of which €19 million due to hospitalizations. Conclusions Over the last decade, progress has been made in evaluating the economic burden of air pollution. However, estimates based on indirect costs are affected by high levels of uncertainty, while those based on direct costs are more robust and should be further investigated, since they are crucial information for healthcare policy makers. Key messages Air pollution poses a high economic burden on European countries, mainly due to social costs. More attention should be devoted to estimating direct healthcare costs of air pollution, in order to properly inform policy makers about the impact on healthcare systems.

Changes in Transport Organisations within Southeast Asian Cities: Petty Producers to Statutory Corporations

1986 ◽  
Vol 18 (12) ◽  
pp. 1559-1580 ◽  
Author(s):  
P J Rimmer
Keyword(s):  
Southeast Asia ◽  
Public Transport ◽  
Southeast Asian ◽  
South American ◽  
Early 19Th Century ◽  
Corporate Growth ◽  
Urban Public Transport ◽  
Asian Context ◽  
And Performance ◽  
American Cities

A spate of studies of West European and North American cities have charted and interpreted the remarkable and rapid transformation of public transport since the early 19th century. The question arises as to whether the attempts to superimpose metropolitan culture via public transport structures in African, Asian, and Central and South American cities were as spectacular and speedy. Attention, in tackling this question, focuses upon the transfer of public transport technological — organisational structures to Southeast Asia since the 1860s. Rather than accept the transitional process of competition through oligopoly to state-monopoly as given, a test is made of whether the basic prerequisites of these phases can be sustained in a Southeast Asian context, from an analysis of core technologies and the structure, conduct, and performance of individual firms. Past corporate growth paths of urban public transport in Southeast Asia can then be mapped out and future directions suggested.

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