scholarly journals Public health facility resource availability and provider adherence to first antenatal guidelines in a low resource setting in Accra, Ghana

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Mary Amoakoh-Coleman ◽  
Irene Akua Agyepong ◽  
Gbenga A. Kayode ◽  
Diederick E. Grobbee ◽  
Kerstin Klipstein-Grobusch ◽  
...  
BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e020608 ◽  
Author(s):  
Deogratius Bintabara ◽  
Alex Ernest ◽  
Bonaventura Mpondo

ObjectiveThis study used a nationally representative sample from Tanzania as an example of low-resource setting with a high burden of maternal and newborn deaths, to assess the availability and readiness of health facilities to provide basic emergency obstetric and newborn care (BEmONC) and its associated factors.DesignHealth facility-based cross-sectional survey.SettingWe analysed data for obstetric and newborn care services obtained from the 2014–2015 Tanzania Service Provision Assessment survey, using WHO-Service Availability and Readiness Assessment tool.Primary and secondary outcome measuresAvailability of seven signal functions was measured based on the provision of ‘parental administration of antibiotic’, ‘parental administration of oxytocic’, ‘parental administration of anticonvulsants’, ‘assisted vaginal delivery’, ‘manual removal of placenta’, ‘manual removal of retained products of conception’ and ‘neonatal resuscitation’. Readiness was a composite variable measured based on the availability of supportive items categorised into three domains: staff training, diagnostic equipment and basic medicines.ResultsOut of 1188 facilities, 905 (76.2%) were reported to provide obstetric and newborn care services and therefore were included in the analysis of the current study. Overall availability of seven signal functions and average readiness score were consistently higher among hospitals than health centres and dispensaries (p<0.001). Furthermore, the type of facility, performing quality assurance, regular reviewing of maternal and newborn deaths, reviewing clients’ opinion and number of delivery beds per facility were significantly associated with readiness to provide BEmONC.ConclusionThe study findings show disparities in the availability and readiness to provide BEmONC among health facilities in Tanzania. The Tanzanian Ministry of Health should emphasise quality assurance efforts and systematic maternal and newborn death audits. Health leadership should fairly distribute clinical guidelines, essential medicines, equipment and refresher trainings to improve availability and quality BEmONC.


2022 ◽  
Vol 40 (1) ◽  
pp. 66-71
Author(s):  
T Afroz ◽  
KA Arman ◽  
N Khurshid ◽  
S Rahman

Background: Current Coronavirus pandemic causing millions of deaths and unfathomable damage of nations worldwide, especially in health sector. Bangladesh is dealing with the biggest catastrophic public health event of the history in a courageous and effective way. An evidence based narrative review has been undergone to scientifically describe Bangladesh government’s measures to encounter the Corona pandemic, so far. The aim of this study is to document the collaborative action of different ministries of Bangladesh government during this pandemic to understand the in-depth steps of the healthcare provision and disaster preparedness of the public-private-international association in a low-resource setting. Methods: A literature review over five months has been conducted to write down the evidential narration of the activities against the pandemic damage in Bangladesh. Keyword and result based literatures and current media reports searched has been done. Selection criteria: Both online and offline reports, descriptive articles, governmental portal and ministerial websites were reviewed. The description is reported specifically based on the documents directed by government to fight against COVID-19 from the beginning of the pandemic till the writing period. Findings and discussion: In spite of the resource constraints, government of Bangladesh has been able to limit the damage in an optimal level. The inter- and- inter ministerial functional proposition and collaboration in national and international stakeholders initiated and sustained by the government strengthen the shield against the Coronavirus invasion. Conclusion: The sufferings brought by the pandemic knows no bound. The pandemic damage and ruin are unspeakable and undeniable at the same time. It is time to observe the positivity and critically appreciate the efforts taken by the current governmental authority to make a constructive remark for present situation, and be prepare for future building of the nation. JOPSOM 2021; 40(1): 66-71


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 93-LB
Author(s):  
EDDY JEAN BAPTISTE ◽  
PHILIPPE LARCO ◽  
MARIE-NANCY CHARLES LARCO ◽  
JULIA E. VON OETTINGEN ◽  
EDDLYS DUBOIS ◽  
...  

2021 ◽  
Vol 14 (4) ◽  
pp. e239250
Author(s):  
Vijay Anand Ismavel ◽  
Moloti Kichu ◽  
David Paul Hechhula ◽  
Rebecca Yanadi

We report a case of right paraduodenal hernia with strangulation of almost the entire small bowel at presentation. Since resection of all bowel of doubtful viability would have resulted in too little residual length to sustain life, a Bogota bag was fashioned using transparent plastic material from an urine drainage bag and the patient monitored intensively for 18 hours. At re-laparotomy, clear demarcation lines had formed with adequate length of viable bowel (100 cm) and resection with anastomosis was done with a good outcome on follow-up, 9 months after surgery. Our description of a rare cause of strangulated intestinal obstruction and a novel method of maximising length of viable bowel is reported for its successful outcome in a low-resource setting.


Author(s):  
Víctor Lopez-Lopez ◽  
Ana Morales ◽  
Elisa García-Vazquez ◽  
Miguel González ◽  
Quiteria Hernandez ◽  
...  

Author(s):  
Navin Kumar ◽  
Mukur Dipi Ray ◽  
D. N. Sharma ◽  
Rambha Pandey ◽  
Kanak Lata ◽  
...  

Author(s):  
Shumin Shi ◽  
Dan Luo ◽  
Xing Wu ◽  
Congjun Long ◽  
Heyan Huang

Dependency parsing is an important task for Natural Language Processing (NLP). However, a mature parser requires a large treebank for training, which is still extremely costly to create. Tibetan is a kind of extremely low-resource language for NLP, there is no available Tibetan dependency treebank, which is currently obtained by manual annotation. Furthermore, there are few related kinds of research on the construction of treebank. We propose a novel method of multi-level chunk-based syntactic parsing to complete constituent-to-dependency treebank conversion for Tibetan under scarce conditions. Our method mines more dependencies of Tibetan sentences, builds a high-quality Tibetan dependency tree corpus, and makes fuller use of the inherent laws of the language itself. We train the dependency parsing models on the dependency treebank obtained by the preliminary transformation. The model achieves 86.5% accuracy, 96% LAS, and 97.85% UAS, which exceeds the optimal results of existing conversion methods. The experimental results show that our method has the potential to use a low-resource setting, which means we not only solve the problem of scarce Tibetan dependency treebank but also avoid needless manual annotation. The method embodies the regularity of strong knowledge-guided linguistic analysis methods, which is of great significance to promote the research of Tibetan information processing.


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