Exploring Pregnant Women’s Choice of Elective Induction of Labour

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Guinevé Llara De Jager ◽  
Mariatha Yazbek ◽  
Tanya Heyns
Keyword(s):  
Decision Making ◽  
Relevant Information ◽  
Induction Of Labour ◽  
World Health ◽  
Labour Induction ◽  
Research Approach ◽  
Risk Pregnancy ◽  
Postnatal Women ◽  
Elective Induction ◽  
Health Organization

Elective induction of labour is contraindicated by the World Health Organization as there is no medical benefit. Women are often the primary instigators of elective induction of labour for convenience sake without knowing the potential risks. By exploring pregnant woman’s involvement in the decision-making leading to elective induction of labour, it could be established why women were induced, where they obtained the relevant information, and if they were fully informed and given the opportunity to ask questions. Using a qualitative research approach, this study purposively selected postnatal women who elected to induce labour. These women were interviewed in a one-on-one dialogue in a private hospital in Gauteng, South Africa, until data saturation was reached. Ten interviews were conducted. The participants chose to induce labour based on inadequate or misleading information. Labour was induced ahead of time owing to a large baby size, the perception of a high risk pregnancy, the perception that induced labours are quicker and that pre-term births are acceptable. The participants were not actively involved in the decision-making but chose to induce labour owing to scheduling conflicts, made the decision solely based on their doctor’s recommendations, and did not ask questions despite being given the opportunity to do so. Women require sound knowledge of elective labour induction before they can take part in the decision-making process. Antenatal education strategies should provide women with the knowledge of the risks and benefits of elective induction of labour to make an informed decision. Without proper medical reasons, elective induction of labour may lead to more emergency caesarean sections, which are opposite to mothers’ original birth plans.

Post COVID-19 Potentials and Innovation: The Future Supply Chain

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1054-1057
Author(s):  
Bindu Swetha Pasuluri ◽  
Anuradha S G ◽  
Manga J ◽  
Deepak Karanam
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Supply Chain ◽  
Supply Chains ◽  
World Health Organization ◽  
World Wide ◽  
World Health ◽  
Future Supply ◽  
Entire World ◽  
Health Organization

An unanticipated outburst of pneumonia of inexperienced in Wuhan, , China stated in December 2019. World health organization has recognized pathogen and termed it COVID-19. COVID-19 turned out to be a severe urgency in the entire world. The influence of this viral syndrome is now an intensifying concern. Covid-19 has changed our mutual calculus of ambiguity. It is more world-wide in possibility, more deeply , and much more difficult than any catastrophe that countries and organizations have ever faced. The next normal requires challenging ambiguity head-on and building it into decision-making. It is examined that every entity involved in running supply chains would require through major as employee, product, facility protocols, and transport would have to be in place. It is an urgent need of structuring to apply the lessons well-read for our supply chain setup. With higher managers now being aware of the intrinsic hazards in their supply chain, key and suggestions-recommendations will help to guide leader to commit to a newly planned, more consistent supply chain setup. Besides, the employees’ mental health is also a great concern.

BioMed_Central_Tex_Template_v1.06 Exploration of Workplace violence experience among nurses at a selected University teaching Hospital in Rwanda

2019 ◽  
Author(s):  
Valens MUSENGAMANA ◽  
Oluyinka Adejumo ◽  
Gilbert BANAMWANA ◽  
Marie Josée MUKAGENDANEZA ◽  
Thimothée Shahidi TWAHIRWA
Keyword(s):  
Teaching Hospital ◽  
Workplace Violence ◽  
Health Sector ◽  
University Teaching ◽  
World Health ◽  
Research Approach ◽  
International Labor Organization ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Organization

Abstract Background Workplace violence is a global problem in the health sector especially in the hospitals affecting healthcare works’ job satisfaction and performance. Workplace violence is present in different forms associated with various factors and the nurses are the most affected. The aim of this study was to explore workplace violence experience among nurses working at a selected University Teaching Hospital in Rwanda.Method The research approach used was quantitative descriptive cross-sectional design. The stratified random sampling was used to recruit 195 participants among 379 nurses. The data was collected using a structured, validated, and self-administered questionnaire that was adapted from the International Labor Organization, International Council of Nurses, World Health Organization and Public Services International. Descriptive statistics were used for analyzing frequencies and percentages. Chi-square test was used for evaluating the association between variables.Results The findings revealed that (58.5%, n=114) of nurses have experienced some types of WPV in the twelve months preceding the study, among them (44.6%, n=108) of nurses were verbally abused. The nurses providing emergency care, the nurses working at the emergency department and nurses working with vulnerable patients like HIV/AIDS patients were associated with workplace violence Chi-square (1, n=195), P=<0.001). The psychological problems has been found as the first consequences of workplace violence.Conclusions Based on the study findings, it was concluded that the hospital management needs to be aware of workplace violence, develop and implement appropriate policies and strategies. These strategies will strengthen nurses’ concentration towards their and will resulting in service delivery improvement.

Multinational Outbreak Investigations

2019 ◽  
pp. 295-306 ◽  
Author(s):  
Frank Mahoney ◽  
James W. Le Duc
Keyword(s):  
Public Health ◽  
Decision Making ◽  
International Health ◽  
World Health ◽  
Roles And Responsibilities ◽  
Health Events ◽  
The World ◽  
Outbreak Investigations ◽  
Health Organization ◽  
Health Regulations

Multinational collaborations on international outbreak investigations and response have a long history. Development of the World Health Organization (WHO) in 1948 was closely linked to efforts by the global community to prevent, detect, and respond to outbreaks of international concern. Through the International Health Regulations (IHR) of 2005, a legally binding instrument requiring countries to report certain outbreaks and public health events, WHO outlined a strategy for disease threat response. Efforts by global partners to strengthen cooperation have evolved over the years, including roles and responsibilities of WHO, its Member States, and other partners. Among the challenges faced by Member State and WHO in implementing the IHRs are limited funding to support staffing and operational support as well as sometimes conflicting multijurisdictional decision-making. The response to recent outbreaks provides evidence that much work remains to be done to strengthen IHR mechanisms.

Complexity of Breastfeeding on Child/Maternal Health and Counseling Intervention

2020 ◽  
pp. 395-402
Author(s):  
Ogunlade Joseph Olurotimi
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
World Health ◽  
Maternal Behaviour ◽  
Research Approach ◽  
Counseling Intervention ◽  
Mother And Child ◽  
Health Organization ◽  
And Child Health ◽  
Counseling Approach

This chapter is a critical review of the complexities of breastfeeding and its attending effects on the health of the Mother and Child. The researcher employs a historical research approach to gather both theoretical and empirical facts on this issue. It was discovered that in spite of the pragmatic and frantic efforts by different individuals, organizations, governments and non-governmental bodies in establishing a universal, healthy and safest method of breastfeeding through research, publications, workshops and so on, based on the unavoidable and uncompromising importance and benefits to maternal and child health, it is on record that the maternal behaviour is still obviously at variance to the acceptability of full breastfeeding as promulgated and declared by World Health Organization (WHO). A serious, dedicated, pragmatic and coordinated counseling approach is therefore recommended to be adopted to revive and strengthening a positive behaviour in women to foster positive attitude towards breastfeeding to guarantee 100% morbidity and mortality rate in Maternal and Child health.

scholarly journals The Consensus Hepatitis C Cascade of Care: Standardized Reporting to Monitor Progress Toward Elimination

2019 ◽  
Vol 69 (12) ◽  
pp. 2218-2227 ◽  
Author(s):  
Kelly Safreed-Harmon ◽  
Sarah Blach ◽  
Soo Aleman ◽  
Signe Bollerup ◽  
Graham Cooke ◽  
...  
Keyword(s):  
Decision Making ◽  
Hepatitis C ◽  
Strategic Decision ◽  
World Health ◽  
Strategic Decision Making ◽  
The World ◽  
Cascade Of Care ◽  
Standardized Reporting ◽  
Health Organization ◽  
Monitoring Platform

Abstract Cascade-of-care (CoC) monitoring is an important component of the response to the global hepatitis C virus (HCV) epidemic. CoC metrics can be used to communicate, in simple terms, the extent to which national and subnational governments are advancing on key targets, and CoC findings can inform strategic decision-making regarding how to maximize the progression of individuals with HCV to diagnosis, treatment, and cure. The value of reporting would be enhanced if a standardized approach were used for generating CoCs. We have described the Consensus HCV CoC that we developed to address this need and have presented findings from Denmark, Norway, and Sweden, where it was piloted. We encourage the uptake of the Consensus HCV CoC as a global instrument for facilitating clear and consistent reporting via the World Health Organization (WHO) viral hepatitis monitoring platform and for ensuring accurate monitoring of progress toward WHO's 2030 hepatitis C elimination targets.

scholarly journals The Costs of Implementing Vaccination With the RTS,S Malaria Vaccine in Five Sub-Saharan African Countries

2019 ◽  
Vol 4 (2) ◽  
pp. 238146831989628 ◽  
Author(s):  
Elisa Sicuri ◽  
Fadima Yaya Bocoum ◽  
Justice Nonvignon ◽  
Sergi Alonso ◽  
Bakar Fakih ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Relevant Information ◽  
Candidate Vaccine ◽  
World Health ◽  
Future Price ◽  
African Countries ◽  
Fourth Dose ◽  
Sub Saharan ◽  
Expanded Program On Immunization ◽  
Health Organization

Background. The World Health Organization has recommended pilot implementation of a candidate vaccine against malaria (RTS,S/AS01) in selected sub-Saharan African countries. This exploratory study aimed to estimate the costs of implementing RTS,S in Burkina Faso, Ghana, Kenya, Mozambique, and Tanzania. Methods. Key informants of the expanded program on immunization at all levels in each country were interviewed on the resources required for implementing RTS,S for routine vaccination. Unit prices were derived from the same sources or from international price lists. Incremental costs in 2015 US dollars were aggregated per fully vaccinated child (FVC). It was assumed the four vaccine doses were either all delivered at health facilities or the fourth dose was delivered in an outreach setting. Results. The costs per FVC ranged from US$25 (Burkina Faso) to US$37 (Kenya) assuming a vaccine price of US$5 per dose. Across countries, recurrent costs represented the largest share dominated by vaccines (including wastage) and supply costs. Non-recurrent costs varied substantially across countries, mainly because of differences in needs for hiring personnel, in wages, in cold-room space, and equipment. Recent vaccine introductions in the countries may have had an impact on resource availability for a new vaccine implementation. Delivering the fourth dose in outreach settings raised the costs, mostly fuel, per FVC by less than US$1 regardless of the country. Conclusions. This study provides relevant information for donors and decision makers about the cost of implementing RTS,S. Variations within and across countries are important and the unknown future price per dose and wastage rate for this candidate vaccine adds substantially to the uncertainty about the actual costs of implementation.

scholarly journals Institutional review of glial tumors treated with chemotherapy: the first description of PCV-related pseudoprogression

2018 ◽  
Vol 6 (1) ◽  
pp. 22-29 ◽  
Author(s):  
Ankur M Sharma ◽  
Michael Willcock ◽  
Oliver Bucher ◽  
Thelina Amaratunga ◽  
M Nazir Khan ◽  
...  
Keyword(s):  
Decision Making ◽  
Adjuvant Radiotherapy ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
World Health ◽  
Tumor Treatment ◽  
Institutional Review ◽  
Grade Ii ◽  
Health Organization ◽  
Treatment Window

Abstract Background Pseudoprogression refers to areas of enhancement on MRI postadjuvant chemoradiation that arise as a result of treatment-related effects. Pseudoprogression has been well described with temozolomide-based chemoradiation but has not been studied in the setting of procarbazine, lomustine, and vincristine (PCV) chemotherapy. We reviewed patients treated with PCV to investigate the occurrence of pseudoprogression. Methods Adults diagnosed with World Health Organization grade II or III gliomas between 2010 and 2015 and treated with PCV or temozolomide were identified. Patient, tumor, treatment, and MRI data were retrospectively collected and analyzed. Pseudoprogression was defined as new enhancement seen on MRI within 6 months of completion of adjuvant radiotherapy or concurrent chemoradiation, which improved or remained stable on subsequent scans without therapeutic intervention. If MRI showed areas of new enhancement outside the 6-month post-treatment window, which resolved or remained stable without treatment, or in patients who did not receive adjuvant treatment, it was referred to as “atypical pseudoprogression.” Results Fifty-seven patients were identified. Nine (16%) patients were identified as having pseudoprogression on MRI. Two (4%) of these patients were treated with PCV and 7 (12%) were treated with temozolomide. Seventeen (30%) patients had atypical pseudoprogression: 8 (14%) treated with temozolomide, 8 (14%) treated with PCV, and 1 (2%) treated with both types of chemotherapy. Conclusions We describe the first 2 cases of PCV-related pseudoprogression and 17 cases of atypical pseudoprogression. As the re-emergence of adjuvant PCV occurs in clinical practice, the occurrence of classical and atypical pseudoprogression could have a significant impact on clinical decision making.

Rhinovirus and Influenza Disease Swamedication Information System using the Multi Attribute Decision Making (MADM) method

2020 ◽  
Vol 11 (2) ◽  
pp. 52-55
Author(s):  
Husnul Khotimah ◽  
Tijaniyah
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
World Health ◽  
Digital Information ◽  
Self Medication ◽  
The Public ◽  
The World ◽  
Multi Attribute Decision Making ◽  
Health Organization ◽  
The Cost

Self-medication, known as self-medication, has now been widely used by people to treat their own diseases without a doctor's prescription. This is because the cost of examining and just consulting a doctor is very expensive for the community. According to the World Health Organization (WHO) self-medication is defined as the selection and use of drugs, including herbal and traditional medicine, by individuals to treat themselves from disease or symptoms of disease. As well as the world of digital information is currently mushrooming in various information systems to provide information to the public in real time. Therefore, the author will make a research on how web-based information systems can provide information to the public about self-medication for coughs and colds, which people often suffer from. The Multi Attribute Decision Making (MADM) method is one of the superior methods for calculating the parameters for drug decisions that can be consumed by the public, making it easier for people to choose the type of medicine according to the disease they are suffering

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