scholarly journals Inequality of Health Spending and Public Health Outcome in Countries of the WHO’s Eastern Mediterranean Regional Office (EMRO)

2015 ◽  
Vol 3 (4) ◽  
pp. 143-148 ◽  
Author(s):  
Ahmadi Ali Mohammad ◽  
Assari-Arani Abbas ◽  
Meskarpour-Amiri Mohammad
2021 ◽  
Vol 6 (3) ◽  
pp. e005207
Author(s):  
Keyrellous Adib ◽  
Penelope A Hancock ◽  
Aysel Rahimli ◽  
Bridget Mugisa ◽  
Fayez Abdulrazeq ◽  
...  

Early on in the COVID-19 pandemic, the WHO Eastern Mediterranean Regional Office recognised the importance of epidemiological modelling to forecast the progression of the COVID-19 pandemic to support decisions guiding the implementation of response measures. We established a modelling support team to facilitate the application of epidemiological modelling analyses in the Eastern Mediterranean Region (EMR) countries. Here, we present an innovative, stepwise approach to participatory modelling of the COVID-19 pandemic that engaged decision-makers and public health professionals from countries throughout all stages of the modelling process. Our approach consisted of first identifying the relevant policy questions, collecting country-specific data and interpreting model findings from a decision-maker’s perspective, as well as communicating model uncertainty. We used a simple modelling methodology that was adaptable to the shortage of epidemiological data, and the limited modelling capacity, in our region. We discuss the benefits of using models to produce rapid decision-making guidance for COVID-19 control in the WHO EMR, as well as challenges that we have experienced regarding conveying uncertainty associated with model results, synthesising and comparing results across multiple modelling approaches, and modelling fragile and conflict-affected states.


Author(s):  
Saman Pazira ◽  
◽  
Mahsa Golahdouz ◽  
Mahsa Taherizadeh ◽  
Behzad Pourhossein ◽  
...  

Objective: Rabies is a dangerous zoonotic infectious disease. Dog bites cause 99% of all human deaths from rabies. In Europe and North America, however, with the successful control of rabies in dogs, the wild cycle of rabies is the major and dominant cycle of disease. According to the WHO classification, the Eastern Mediterranean Regional Office (EMRO) countries are divided into population health laws, health system performance, and health spending levels. This review aimed to evaluate the epidemiology of rabies in the EMRO countries in these three categories. Methods: In this study, using some search engines (PubMed, Scopus, and Google Scholar) were searched about the frequency of rabies in EMRO countries without considering the time and related content. Results: In some parts of the world, including most countries in the region, EMRO, rabies is endemic and a serious problem for human and animal health. Conclusions: According to the global strategic plan to end human deaths from rabies by 2030, all the countries in the EMRO region and the international organizations such as WHO, OIE, etc., must take the necessary measures to control this disease. Regional and global cooperation, and comprehensive and effective policies, are required to solve this issue. Keywords: rabies; surveillance; epidemiology.


2021 ◽  
Author(s):  
Keyrellous Adib ◽  
Penelope A. Hancock ◽  
Aysel Rahimli ◽  
Bridget Mugisa ◽  
Fayez Abdulrazeq ◽  
...  

AbstractEarly on in the COVID-19 pandemic, the WHO Eastern Mediterranean Regional Office (WHO EMRO) recognised the importance of epidemiological modelling to forecast the progression of the COVID-19 pandemic to support decisions guiding the implementation of response measures. We established a modelling support team to facilitate the application of epidemiological modelling analyses in the Eastern Mediterranean Region (EMR) countries. Here we present an innovative, stepwise approach to participatory modelling of the COVID-19 pandemic that engaged decision-makers and public health professionals from countries throughout all stages of the modelling process. Our approach consisted of first identifying the relevant policy questions, collecting country-specific data, and interpreting model findings from a decision-maker’s perspective, as well as communicating model uncertainty. We used a simple modelling methodology that was adaptable to the shortage of epidemiological data, and the limited modelling capacity, in our region. We discuss the benefits of using models to produce rapid decision-making guidance for COVID-19 control in the WHO Eastern Mediterranean Region (EMR), as well as challenges that we have experienced regarding conveying uncertainty associated with model results, synthesizing and comparing results across multiple modelling approaches, and modelling fragile and conflict-affected states.


2017 ◽  
Vol 33 (S1) ◽  
pp. 62-63
Author(s):  
Songul Cinaroglu ◽  
Onur Baser

INTRODUCTION:In Turkey, there is a scarcity of knowledge about the predictors of health outcomes at a national level, and it is well known that there is a gap between rural and urban parts of developing countries in terms of the level of health outcomes. This study aims to find out predictor factors of the public health outcomes at a province level in Turkey.METHODS:Life expectancy at birth and mortality are used as public health outcome indicators. Logistic regression and Random Forest classification generated by using 50, 100, and 150 trees were used to compare prediction performance of health outcomes. The results of different prediction methods were recorded changing the “k” parameter from 3 to 20 in k-fold cross validation. The Area Under the ROC Curve (AUC) was used as a measure of prediction accuracy. Prediction performance differences were tested using Kruskall-Wallis analysis and visualized on a heatmap. Finally, predictor variables of public health outcomes were shown on a decision tree.RESULTS:Study results revealed that Logistic regression outperformed Random Forest classification. The difference between all prediction methods to predict public health outcome indicators was statistically significant (p<.000). The heatmap shows that AUC values to predict mortality have superior performance when compared with life expectancy at birth. Decision tree graphs present that the most important predictor variables were total number of beds for mortality and percentage of higher education graduates for life expectancy at birth.CONCLUSIONS:The results of this study represent a preliminary attempt to determine public health outcome indicators. It is hoped that the results of this study serve as a basis to understand the determinants of health care outcomes at province level with focus on a developing country. This study illustrates that there is a need to spend extra effort for future studies to analyze public health outcomes to improve social welfare functions in health systems.


2019 ◽  
Vol 78 (4) ◽  
pp. 269-274
Author(s):  
E.L. Hamblion ◽  
A. Burkitt ◽  
M.K. Lalor ◽  
L.F. Anderson ◽  
H.L. Thomas ◽  
...  

Author(s):  
Mohammad Reza Yaghoobi-Ershadi ◽  
Amir Ahmad Akhavan ◽  
Mohammad Reza Shirzadi ◽  
Yavar Rassi ◽  
Ali Khamesipour ◽  
...  

Background: Leishmaniasis represents the important public health problem in the world. One of the main objectives of World Health organization is capacity building of managers and authorities who are involved with diseases control ac­tivities. Methods: The course was conducted in Esfahan Health Research and Training Center (E.H.R.T.C) in summer 2005 and 2009. The course carried out jointly by the Ministry of Health and Medical Education (MOH) of Iran, World Health Or­ganization-Eastern Mediterranean Regional Office (WHO-EMRO) and School of Public health, Tehran University of Med­ical Sciences (SPH-TUMS) and designed for medical officers, senior technicians and managers involved in leish­mania­sis control. Prior to initiate the course, pre-test evaluations including different subjects on leishmaniasis and its control were carried out. The examinations include multiple choice questions. The duration of the course was 3 weeks. A total of 206 contact hours were taught. The main subjects were Basic epidemiology, Leishmaniasis parasitology, Leishmaniasis en­tomology, control of vectors and reservoirs, principles of integrated pest management, Field work and Planning. Dif­ferent methods of teaching including lecture, laboratory, workshop, team work, field exercise and presen­tation were used. Requirement for achievement of the course was to have at least 60% of the total mark for awarding the diploma certificate. Results: A total of 45 participants from Iraq, Afghanistan and Iran graduated from this course. Conclusion: The course is providing the skill for managers, how to combat against disease in their country and is paral­lel to the policy of the leishmaniasis control for capacity building in endemic areas of their countries.


2008 ◽  
Vol 3 (4) ◽  
Author(s):  
Joseph A. Cotruvo

The World Health Organization, through its Eastern Mediterranean Regional Office (EMRO) has developed guidance on health and environmental aspects of desalinated water production, distribution and water quality. The purpose was to generate a level of consistency in the approach to developing desalination projects, so as to facilitate the introduction of desalination benefits, and avoid unnecessary ad hoc judgments. In addition to salts, desalination applications must deal with raw water contamination by oil, inorganic and synthetic organic chemicals, microbial contaminants, scale management, membrane leakage, and chemical and biofouling. Stabilization of the finished water to avoid corrosion is a key element. Environmental impacts are possible with any large construction project and desalination projects may also involve coastal zone issues, energy consumption and efficiencies from cogeneration, and disposal of concentrates at sea or on land. Quality of finished water must be maintained during transit to consumers sometimes over long distances and warm temperatures. These goals should consider positive public health consequences, as well as preventing adverse effects. Several inorganic ions i.e., bromide, borates and bromate, are of particular interest because the first two are not completely removed by membranes, and the third can be present in finished water in large quantities depending upon the treatment processes being employed. Desalinated water can be considered to be “synthesized” water and, as such, its final composition can be tailored to any specific purpose within technological and financial constraints. Components such as TDS, calcium and magnesium mineralization, fluoride and possibly others can be chosen to reflect possible benefits to the consuming population, as well as to assure corrosion stability. This new Guidance will also be a component of the 4th edition of the WHO Guidelines for Drinking-water Quality scheduled for 2009. It is expected to have worldwide impact, due to the already extensive and rapidly growing use of desalination. It should contribute to the improvement of the public health and quality of life and to economic growth. The final Guidance will be published in English and Arabic with a translation provided by the Kuwait Foundation for the Advancement of Sciences. The draft is available at http://www.who.int/water_sanitation_health/gdwqrevision/desalination/en/index.html


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