scholarly journals Factors influencing labour and birthing positions in Malawi

2021 ◽  
Vol 15 (4) ◽  
pp. 1-10
Author(s):  
Barbara Debra Zileni ◽  
Pauline Glover ◽  
Kung-Keat Teoh ◽  
Chisomo Waazileni Zileni ◽  
Amanda Müller
Keyword(s):  
Low Income ◽  
Supine Position ◽  
Family Income ◽  
World Health ◽  
Childbirth Education ◽  
Face To Face ◽  
Postnatal Women ◽  
Maternal And Neonatal Outcomes ◽  
Health Organization ◽  
Descriptive Survey

Background/aims The World Health Organization encourages women in labour to ambulate and assume upright positions shown to be associated with favourable childbirth outcomes. However, the literature shows that most women in developed and developing countries, including Malawi, give birth in the supine position. There is a lack of research on factors that influence choice of birthing positions among women in Malawi. This study aimed to identify these factors. Methods A face-to-face descriptive survey was conducted on 373 low-risk postnatal women in Malawi. Bivariate and multivariate analyses were used to determine association between sociodemographic characteristics and choice of labour and birthing position, as well as to identify predictive factors. Results Walking during labour was significantly associated with age (P=0.018) and monthly family income (P=0.012). During birth, women who had received some degree of education were more likely to use the supine position than those who had not (93% vs 78%; P=0.011). However, women with a higher level of income were less likely to use the supine position than women with low income (82% vs 93%; P=0.005). Conclusions Age, income and education influence Malawian women's choices for labour and birthing position. There is a need for Malawian women to be informed about and encouraged to use different labour and birthing positions, regardless of their socioeconomic and demographic status, to promote positions that improve maternal and neonatal outcomes. Childbirth education sessions or classes during antenatal care should include information on different birthing positions.

scholarly journals Design and Development of an Instrument on Knowledge of Food Safety, Practices, and Risk Perception Addressed to Children and Adolescents from Low-Income Families

2021 ◽  
Vol 13 (4) ◽  
pp. 2324
Author(s):  
Sueny Andrade Batista ◽  
Elke Stedefeldt ◽  
Eduardo Yoshio Nakano ◽  
Mariana de Oliveira Cortes ◽  
Raquel Braz Assunção Botelho ◽  
...  
Keyword(s):  
Food Safety ◽  
Risk Perception ◽  
Low Income ◽  
Raw Materials ◽  
World Health ◽  
Low Income Students ◽  
Level Of Knowledge ◽  
Low Income Families ◽  
Health Organization ◽  
Rules Set

In the fight against foodborne diseases, expanding access to information for different groups is needed. In this aspect, it is crucial to evaluate the target audience’s particularities. This study constructed and validated an instrument containing three questionnaires to identify the level of knowledge, practices, and risk perception of food safety by low-income students between 11 and 14 years old. The following steps were used: systematic search of the databases; conducting and analyzing focus groups; questionnaires development; and questionnaires analysis. After two judges’ rounds, the final version was reached with 11 knowledge items, 11 practice items, and five risk perception items. The content validation index values were higher than 0.80. The adopted methodology considered the students’ understanding and perceptions, as well the appropriate language to be used. Besides, it allowed the development of questionnaires that directly and straightforwardly covers the rules set by the World Health Organization for foodborne disease control called Five Keys to Safer Food (keep clean; separate raw and cooked; cook thoroughly; keep food at safe temperatures; and use safe water and raw materials). Its use can result in a diagnosis for elaborating educational proposals and other actions against foodborne illness in the most vulnerable population.

scholarly journals Training physicians in India to interpret pediatric chest radiographs according to World Health Organization research methodology

2021 ◽  
Author(s):  
Eric D. McCollum ◽  
Melissa M. Higdon ◽  
Nicholas S. S. Fancourt ◽  
Jack Sternal ◽  
William Checkley ◽  
...  
Keyword(s):  
World Health Organization ◽  
Primary Endpoint ◽  
Low Income ◽  
Chest Radiography ◽  
Epidemiological Studies ◽  
Chest Radiographs ◽  
World Health ◽  
Average Score ◽  
Pediatric Chest ◽  
Health Organization

Abstract Background Chest radiography is the standard for diagnosing pediatric lower respiratory infections in low-income and middle-income countries. A method for interpreting pediatric chest radiographs for research endpoints was recently updated by the World Health Organization (WHO) Chest Radiography in Epidemiological Studies project. Research in India required training local physicians to interpret chest radiographs following the WHO method. Objective To describe the methodology for training Indian physicians and evaluate the training’s effectiveness. Materials and methods Twenty-nine physicians (15 radiologists and 14 pediatricians) from India were trained by two WHO Chest Radiography in Epidemiological Studies members over 3 days in May 2019. Training materials were adapted from WHO Chest Radiography in Epidemiological Studies resources. Participants followed WHO methodology to interpret 60 unique chest radiographs before and after the training. Participants needed to correctly classify ≥80% of radiographs for primary endpoint pneumonia on the post-training test to be certified to interpret research images. We analyzed participant performance on both examinations. Results Twenty-six of 29 participants (89.7%) completed both examinations. The average score increased by 9.6% (95% confidence interval [CI] 5.0–14.1%) between examinations (P<0.001). Participants correctly classifying ≥80% of images for primary endpoint pneumonia increased from 69.2% (18/26) on the pretraining to 92.3% (24/26) on the post-training examination (P=0.003). The mean scores of radiologists and pediatricians on the post-training examination were not statistically different (P=0.43). Conclusion Our results demonstrate this training approach using revised WHO definitions and tools was successful, and that non-radiologists can learn to apply these methods as effectively as radiologists. Such capacity strengthening is important for enabling research to support national policy decision-making in these settings. We recommend future research incorporating WHO chest radiograph methodology to consider modelling trainings after this approach.

Digital transformation of face-to-face focus group methodology: engaging a globally dispersed audience in management of institutional change (Preprint)

2021 ◽  
Author(s):  
Mohamed Mahmoud ◽  
Anna TOKAR ◽  
Melissa ARRIAS ◽  
Christos MYLONAS ◽  
Heini UTUNEN ◽  
...  
Keyword(s):  
Focus Group ◽  
Learning Strategy ◽  
Transformation Process ◽  
World Health ◽  
Global Learning ◽  
Group Discussions ◽  
Face To Face ◽  
Global Workforce ◽  
The World ◽  
Health Organization

UNSTRUCTURED As part of its transformation process to meet the health challenges of the 21st century by creating a motivated and fit-for-purpose global workforce, the World Health Organization (WHO) is developing the first-ever global Learning Strategy for health personnel around the world. Focus group discussions (FGDs) were organized as part of in-depth qualitative research on staff views, visions, and suggestions. Due to the pandemic, a flexible, multi-linguistic, participatory, iterative methodology for digitization of face-to-face FDGs to engage a globally dispersed workforce was implemented.

scholarly journals Examination of WHO/INRUD Core Drug Use Indicators at Public Primary Healthcare Centers in Kisii County, Kenya

2020 ◽  
Author(s):  
Faith A. Okalebo ◽  
Eric M. Guantai ◽  
Aggrey O. Nyabuti
Keyword(s):  
Drug Use ◽  
Low Income ◽  
Primary Healthcare ◽  
Essential Medicines ◽  
World Health ◽  
Low Income Countries ◽  
Rational Use ◽  
Health Organization ◽  
Consultation Time ◽  
Primary Healthcare Centers

ABSTRACTBackgroundIrrational drug use is a global problem. However, the extent of the problem is higher in low-income countries. This study set out to assess and characterize drug use at the public primary healthcare centers (PPHCCs) in a rural county in Kenya, using the World Health Organization/ International Network for the Rational Use of Drugs (WHO/INRUD) core drug use indicators methodology.MethodsTen PPHCCs were randomly selected. From each PPHCC, ninety prescriptions from October to December 2018 were sampled and data extracted. Three-hundred (30 per PPHCC) patients and ten (1 per PPHCC) dispensers were also observed and interviewed. The WHO/INRUD core drug use indicators were used to assess the patterns of drug use.ResultsThe average number of drugs per prescription was 2.9 (SD 0.5) (recommended: 1.6– 1.8), percentage of drugs prescribed by generic names was 27.7% (recommended: 100%); the percentage of prescriptions with an antibiotic was 84.8% (recommended: 20.0–26.8%), and with an injection prescribed was 24.9% (recommended: 13.4–24.1%). The percentage of prescribed drugs from the Kenya Essential Medicines List was 96.7% (recommended: 100%). The average consultation time was 4.1 min (SD 1.7) (recommended: ≥10 min), the average dispensing time was 131.5 sec (SD 41.5) (recommended: ≥90 sec), the percentage of drugs actually dispensed was 76.3% (recommended: 100%), the percentage of drugs adequately labeled was 22.6% (recommended: 100%) and percentage of patients with correct knowledge of dispensed drugs was 54.7% (recommended: 100%). Only 20% of the PPHCCs had a copy of KEML available, and 80% of the selected essential drugs assessed were available.ConclusionThe survey shows irrational drug use practices, particularly polypharmacy, non-generic prescribing, overuse of antibiotics, short consultation time and inadequacy of drug labeling. Effective programs and activities promoting the rational use of drugs are the key interventions suggested at all the health facilities.

scholarly journals Attitude and Behaviour For Preventing COVID-19 Disease Infections in Mali: An Analysis Based On COVID-19 Panel Phone Survey

2021 ◽  
Author(s):  
Wilfried GUETS ◽  
Deepak Kumar Behera
Keyword(s):  
World Bank ◽  
Low Income ◽  
World Health ◽  
Multivariate Logistic Regression Model ◽  
The World Bank ◽  
Poor Households ◽  
Phone Survey ◽  
The World ◽  
Health Organization ◽  
National Statistical Office

Abstract Background COVID-19 outbreak has been declared as an emerging and conflict situation by the World Health Organization (WHO) due to the multiple nature of infection through international spread that poses a serious threat to populations’ health and socio-economic conditions household in general. Objective This study aims to analyse the behaviour adopted by households’ heads for preventing COVID-19 infection in Mali. Methods We collected data from the COVID-19 Panel Households survey collected in Mali by the National Statistical Office, Institut National de la Statistique (INSTAT), in collaboration with the World Bank in October 2020. We used a multivariate logistic regression model. Results A total of 1,514 households heads were included. The age between 20 and 90 years old. The poor households represented 27%. Being a household with a low-income reduced the probability of using masks (p < 0.1). Being poor increased the probability to agree with vaccination (p < 0.01). The health services utilisation increased the probability of wear masks (p < 0.01), getting tested (p < 0.01), and agree with the vaccine (p < 0.01). People with a high occupation volume were more likely to wear protective masks (p < 0.1). Conclusion Behaviour and attitude prevention varied according to households characteristics. Local government and policymakers should continue to provide more economic, medical and social assistance to protect the population, which would reduce the spread of the disease, particularly to households living in vulnerable regions of the country most affected by conflict and food insecurity.

scholarly journals Knowledge and Determinants of Fruit and Vegetable Consumption among Adults in Hohoe Municipality, Ghana

2017 ◽  
Vol 2 (1) ◽  
pp. 1 ◽  
Author(s):  
Thomas K. Awuni ◽  
Gideon Kye-Duodu ◽  
Charles Duodu ◽  
Francis B. Zotor ◽  
Basma Ellahi
Keyword(s):  
Disease Risk ◽  
Vegetable Consumption ◽  
Binary Logistic Regression ◽  
World Health ◽  
Easy Access ◽  
Fruit And Vegetable ◽  
Face To Face ◽  
Home Based ◽  
Risk Factor Surveillance ◽  
Health Organization

<p><em>The World Health Organization (WHO) recommends that a person consumes at least 400g of Fruit and Vegetable (FV) daily to prevent chronic disease risk. We assessed knowledge of current WHO guidelines and other determinants of FV intake among adults (? 18 years, n = 397) in Hohoe Municipality, Ghana. Face-to-face interviews using a questionnaire adopted from </em><em>WHO Risk Factor Surveillance System were undertaken. </em><em>Knowledge of FV daily servings and determinants of intake were evaluated by descriptive statistics and binary logistic regression. There was a 99.2% response rate with approximately 9</em><em>% </em><em>of participants correctly stating the WHO daily recommended amount (P </em><em>=</em><em> </em><em>.</em><em>296</em><em>)</em><em>. Most (54%) of respondents’ FV intake was affected by unavailability of desired choice (</em><em>P </em><em>=</em><em> .050)</em><em>. Odds of inadequate consumption for persons aware of adequate intake amount was 1.97 (95% CI: 0.64, 6.05, P = .234) higher than persons without awareness. Participants with problems accessing their desired choice of FV had 0.59 odds (95% CI: 0.36, 0.95, P = .030) of consuming inadequate amount compared to those with easy access. Adequate FV intake depends on availability of consumer prefered choice regardless of knowledge of recommendations. Individual home based FV cultivation is relevant for availability of preferred choice and adequate consumption for NCDs risk reductions among Ghanaians.</em></p>

Development of a polystyrene latex-based reagent for rheumatoid factor detection

2016 ◽  
Vol 36 (3) ◽  
pp. 239-243
Author(s):  
Grisel Marrero ◽  
Lilian P. Delgado ◽  
Humberto Caroll ◽  
Neise Ortiz ◽  
Alexis Musacchio ◽  
...  
Keyword(s):  
Rheumatoid Factor ◽  
Low Income ◽  
Low Cost ◽  
Total Surface Area ◽  
Polystyrene Latex ◽  
World Health ◽  
Human Sera ◽  
Reference Preparation ◽  
Health Organization ◽  
Blood Fraction

Abstract A rapid, specific and sensible polystyrene latex-based reagent has been developed to detect rheumatoid factor (RF) in human sera. Detection of RF is one of the criteria for rheumatoid arthritis (RA) diagnosis. RF includes immunoglobulins IgG, IgM or IgA targeting human-IgG Fc region, found in sera of 70–90% of patients with RA. Spherical, clean polystyrene particles of 480±80 nm with a Z-potential of -28 mV were synthesized. Purified gamma-globulin human blood fraction, used as IgG source, was adsorbed on particles in glycine-buffered saline with a fivefold excess of the immunoglobulins needed to saturate the calculated total surface area of the particles. The reagent was calibrated against the World Health Organization international serum reference preparation and tested with commercial positive and negative RF controls. Reactivity of the developed diagnostic reagent with human sera, either positive or negative for RF, was evaluated. The sera were tested both intact and following complement inactivation. When complement-inactivated sera were used, our reagent showed 100% coincidence of results with a commercial diagnostic kit of specificity of 80% and sensibility of 93%. The in-house reagent developed in the present work is easy to prepare and at relatively low cost, making it ideal for RF detection in low-income settings.

INTERNATIONAL DEVELOPMENT ISSUES

PEDIATRICS ◽  
1982 ◽  
Vol 70 (3) ◽  
pp. 395-395
Author(s):  
Keyword(s):  
International Development ◽  
Low Income ◽  
Development Aid ◽  
Military Expenditure ◽  
World Health ◽  
Low Income Countries ◽  
River Blindness ◽  
Eradication Programme ◽  
Set Up ◽  
Health Organization

The annual military bill is now approaching 450 billion US dollars, while official development aid accounts for less than 5 per cent of this figure. Four examples: 1. The military expenditure of only half a day would suffice to finance the whole malaria eradication programme of the World Health Organization, and less would be needed to conquer river-blindness, which is still the scourge of millions. 2. A modern tank costs about one million dollars; that amount could improve storage facilities for 100,000 tons of rice and thus save 4000 tons or more annually; one person can live on just over a pound of rice a day. The same sum of money could provide 1000 classrooms for 30,000 children. 3. For the price of one jet fighter (20 million dollars) one could set up about 40,000 village pharmacies. 4. One-half of one per cent of one year's world military expenditure would pay for all the farm equipment needed to increase food production and approach self-sufficiency in food-deficit low-income countries by 1990.

scholarly journals Adaptation and validation for Colombia of the WHO safe childbirth checklist

2018 ◽  
Vol 49 (3) ◽  
pp. 201-212
Author(s):  
Ana Carolina Amaya Arias ◽  
Óscar Zuluaga ◽  
Douglas Idárraga ◽  
Javier Hernando Eslava Schmalbach
Keyword(s):  
Low Income ◽  
Health Workers ◽  
Low Cost ◽  
Neonatal Morbidity ◽  
Neonatal Care ◽  
World Health ◽  
Low Income Countries ◽  
Safe Childbirth Checklist ◽  
Health Organization ◽  
Safe Childbirth

Introduction: Most maternal deaths that occur in developing countries are considered unfair and can be avoided. In 2008, The World Health Organization (WHO) proposed a checklist for childbirth care, in order to assess whether a simple, low-cost intervention had an impact on maternal and neonatal mortality in low-income countries. Objective: To translate, adapt and validate the content of the WHO Safe Childbirth Checklist (SCC) for its use in Colombia Methods: The checklist was translated and adapted to the Colombian context. It was subsequently validated by a panel of experts composed of 17 health workers with experience in maternal and neonatal care and safety. Reliability among judges was estimated (Rwg) and items were modified or added to each section of the list according to the results. Results: Modifications were made to 28 items, while 19 new items were added, and none was removed. The most important modifications were made to the management guidelines included in each item, and the items added refer to risks inherent to our environment. Conclusion: The Colombian version of the SCC will be a useful tool to improve maternal and neonatal care and thereby contribute to reducing maternal and neonatal morbidity and mortality in our country.

Consumption and Preferences of Fruits and Vegetables in Turkish Adults

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Hilal Hizli Güldemir ◽  
Neda Yousefirad ◽  
Cansu Akman ◽  
Fatma Elif Sezer ◽  
Havvanur Yoldas Ilktac ◽  
...  
Keyword(s):  
Fruits And Vegetables ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
World Health ◽  
Face To Face ◽  
Interview Method ◽  
Geographical Regions ◽  
Dried Fruit ◽  
Health Organization ◽  
Vegetables And Fruits

AbstractHigh fruit and vegetable intake is associated with reduced risk of future chronic diseases. This study aimed to evaluate the consumption of fruits and vegetables in adults living in Turkey.The study was performed with selected by random sampling method on total of 7693 individuals, who lives in different geographical regions in Turkey. The research data were obtained through a questionnaire applied in face-to-face interview method in June-September 2017. In the study the consumption status, preferences and daily amount of vegetables and fruits were questioned; height, body weight and Body Mass Index (BMI) were evaluated. Statistical analyzes were performed with SPSS 22.0 program.33.2% of the participants were male; 66.8% are female. The mean age of the subjects was 34.8 ± 13.2 years and BMI was 25.3 ± 5.0 kg / m2. According to the World Health Organization, 5.1% of individuals were lean, 46.7% were normal, 30.9% were slightly obese and 17.2% were obese. 95.5% of individuals reported that they consume vegetables and 96.5% of them consume fruits. In vegetable consumption preferences, it was determined that 62.9% of the individuals consumed raw vegetables every day, 80.4% of cooked with meat dishes, 85.0% of cooked meatless dishes, and 59.0% of them consumed as roasted at least once a week. Boiled and steamed vegetables are preferred rarely. In fruit consumption preferences, it was found that 58.7% of the individuals consumed fresh fruits every day, 40.9% of dried fruit, 17.0% of compote and 28.0% of fruit juice at least once a week. BMI was found to be significantly higher in individuals who did not consume vegetables and fruits (p < 0.05).Although the majority of the individuals reported that they consumed vegetables and fruits in general, the BMI of 48.1% was above normal. Informative studies are needed to increase the amount and variety of consumption of vegetables and fruits in Turkish adults.

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