scholarly journals COVID-19 Home Based Management in Poor Resources Settings: A Case of Rwanda

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Uwera S ◽  
◽  
Nikwigize S ◽  
Bagwaneza T ◽  
Rutayisire E ◽  
...  
Keyword(s):  
Health Workers ◽  
Economic Status ◽  
World Health ◽  
Home Based ◽  
Access To Water ◽  
The Government ◽  
Health Organization ◽  
And Control ◽  
Home Based Care

COVID-19 is an infectious disease and can be transmitted from humans to humans through infected air droplets during coughing and sneezing or though contact with contaminated hands or surfaces. By March 01st 2021, World Health Organization (WHO) reported 113,820,168 confirmed cases globally, among them 2,851,062 are from the continent of Africa. Rwanda reported 18,850 confirmed cases, and 261 deaths. Healthcare systems have been burdened by the huge number of COVID-19 cases. Home-Based Care (HBC) was introduced as an alternative option to control the pandemic specifically in poor resource countries. Since December 2020, the number of COVID-19 case and death continued to rise in Rwanda. To handle this issue, the government of Rwanda started promoting the home-based care for asymptomatic people or patients with mild symptoms and they would be followed up by trained Community Health Workers (CHW). The increased number of positive cases is attributed to inadequate compliance to COVID-19 Infectious Prevention and Control (IPC) measures, low socio-economic status, inability to self-isolate due to having small and shared living rooms, food insecurity, lack of familiarity to disinfection procedures for home sanitation, inadequate access to water, weak policy regulating HBC, insufficient PPEs for CHWs, CHW fear of getting infected through HBC, low level of community awareness and perception, comorbidities, poor communication during follow up of HBC patients. Overall, we concluded that HBC has been very crucial in management of COVID-19 as it relieved the burden on health facilities, but more improvement on HBC is needed to be properly applicable in poor resource settings.

Scarcity of Nurses in India

2016 ◽  
Vol 18 (4) ◽  
pp. 509-522 ◽  
Author(s):  
Reema Gill
Keyword(s):  
Rural Areas ◽  
Health Workers ◽  
Human Resources For Health ◽  
Economic Status ◽  
World Health ◽  
Political Commitment ◽  
Health Related ◽  
The Government ◽  
Population Ratio ◽  
Health Organization

The human resources for health (HRH), especially nurses, constitute an important part of health systems. It is difficult to ascertain comprehensive information on the availability of health workers globally due to irregular reporting of data from the countries. However, experts have proposed minimum thresholds for achieving certain health-related Millennium Development Goals (MDGs). These thresholds have been used as yardsticks by others for determining HRH shortages in their nations. As per the minimum threshold developed by the World Health Organization (WHO), not enough health workers are available in India, especially in the rural areas. The nurse to population ratio in India is even lower than some of the other developing countries in Asia. Various factors, such as low professional and socio-economic status, gender issues, lack of political will on part of the government and unregulated private sector, have led to scarcity of nurses in numbers as well as qualitatively in India. To overcome the dismal working and social conditions, many Indian nurses are migrating to developed nations, further exacerbating the nursing shortages in the country. Inclusive planning, adequate financing and political commitment on the part of all stakeholders are required for overcoming the shortage of health personnel existing in India.

Effectiveness of a New Fluoride Varnish for Caries Prevention In Pre-School Children

2013 ◽  
Vol 38 (1) ◽  
pp. 7-12 ◽  
Author(s):  
V Pitchika ◽  
C Kokel ◽  
J Andreeva ◽  
A Crispin ◽  
R Hickel ◽  
...  
Keyword(s):  
Economic Status ◽  
Model Potential ◽  
World Health ◽  
Fluoride Varnish ◽  
Control Group ◽  
Carious Lesions ◽  
Health Organization ◽  
And Control ◽  
Caries Lesions ◽  
Initial Statistical Analysis

Objective: To investigate the effectiveness of a new fluoride varnish (Clinpro White Varnish, 3M Espe, Seefeld, Germany) with regard to the caries incidence within a 2-year period. Study design: A non-randomized sample of 400 children from the Kyffhäuser district (Thuringia, Germany) was divided into a fluoride group (FG, biannual application of fluoride varnish) and control group (CG, no intervention). (Non-)cavitated caries lesions were recorded using World Health Organization (WHO) and Universal Visual Scoring System (UniViSS) criteria. Parents were given questionnaires to gather information about their socio-economic status (SES). Non-parametric methods and binomial logistic regression were used for data analysis. Results: There was a significant increase in caries incidence in both groups. The number of non-cavitated carious lesions was significantly lower in the FG (mean 2.2; sd 2.3) compared with the CG (mean 2.9; sd 1.9). Initial statistical analysis revealed that fluoride varnish might prevent non-cavitated carious lesions. When including SES as a confounder into regression model, potential preventive effect was lost. Conclusions: This study underlines the importance of the multi-factorial etiology of caries and illustrates that the effectiveness of biannual fluoride varnish application was evident in non-cavitated carious lesions only.

scholarly journals Examining the Multilevel Barriers and Facilitators to Iron Folic Acid Supplement Use and Anemia Reduction in Rural India (OR25-07-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Erica Sedlander ◽  
Rajiv Rimal ◽  
Michael Long ◽  
Ashita Munjral ◽  
Hagere Yilma ◽  
...  
Keyword(s):  
Folic Acid ◽  
Health Workers ◽  
Reproductive Age ◽  
World Health ◽  
Women Of Reproductive Age ◽  
Individual Level ◽  
Supplement Use ◽  
The Government ◽  
Iron Folic Acid ◽  
Health Organization

Abstract Objectives Over half of women of reproductive age in India are anemic so the World Health Organization recommends daily iron folic acid (IFA) for all women of reproductive age. The government has distributed free IFA for over four decades but initial uptake and adherence remain inadequate. Objectives 1) to understand the multilevel factors that hinder IFA use and adherence; and 2) to inform a behavioral intervention to increase IFA use to reduce anemia. Methods We conducted this study in four rural villages in the state of Odisha, India. We held 25 key informant interviews with front-line health workers, 16 focus groups with women of reproductive age, husbands, and mothers-in-law (n = 148) and 18 direct observations in health centers, pharmacies and women's groups. We purposively sampled key informants and randomly sampled focus group participants from an enumeration of all eligible residents of each village, and stratified them by sex, age and relation to a woman of reproductive age. We analyzed the data using applied thematic analysis and Nvivo software. Results At the individual level, we found that most people knew that IFA prevents anemia, but they did not recognize its widespread prevalence, believing instead that it was rare in their community. They also believed that taking too many IFA supplements during pregnancy would “make your baby big” causing a painful birth and possibly the need for a cesarean section. At the interpersonal level, mothers-in-law were not supportive of their daughters-in-law taking IFA too often because they themselves did not take them when they were younger. Husbands were more supportive. At the policy level, frontline health workers distribute IFA but are not incentivized to follow up on adherence. Finally, state and national policies are not consistent around which sub-populations should take IFA (e.g., whether all non-pregnant women of reproductive age should take them). Conclusions To address these multilevel barriers to IFA use and adherence, interventions should take a normative approach that includes a woman's social network and targets both descriptive norms (ideas about how many women in the community have anemia and are taking IFA) and injunctive norms around who should be taking IFA (e.g., all women of reproductive age). Funding Sources The Bill and Melinda Gates Foundation. Supporting Tables, Images and/or Graphs

scholarly journals Strategies for prevention and control of COVID-19 in Nepal

2020 ◽  
Vol 7 (1) ◽  
pp. 85-88 ◽  
Author(s):  
Kiran Sapkota ◽  
Ganesh Dangal ◽  
Madhu Koirala ◽  
Kalyan Sapkota ◽  
Asmita Poudel ◽  
...  
Keyword(s):  
World Health Organization ◽  
Prevention And Control ◽  
Preventive Measures ◽  
Large Population ◽  
World Health ◽  
The World ◽  
Community Transmission ◽  
The Government ◽  
Health Organization ◽  
And Control

Coronavirus disease (COVID-19) outbreak, caused by the most recently discovered coronavirus, is currently affecting a large population across the globe. World health organization (WHO) has already declared COVID-19, a pandemic, and the world is fighting to contain the COVID-19 outbreak. Nepal has taken several preventive measures to control the coronavirus outbreak. However, some additional steps are needed to prevent community transmission of the disease. This brief communication discusses the government of Nepal actions and provides recommendations for the prevention and control of COVID-19 infection in Nepal.

scholarly journals Is health workforce sustainability in Australia and New Zealand a realistic policy goal?

2011 ◽  
Vol 35 (2) ◽  
pp. 152 ◽  
Author(s):  
James M. Buchan ◽  
Lucio Naccarella ◽  
Peter M. Brooks
Keyword(s):  
New Zealand ◽  
Health Workforce ◽  
Health Workers ◽  
World Health ◽  
Home Based ◽  
Self Sufficiency ◽  
Policy Direction ◽  
Health Organization ◽  
High Level ◽  
Agreed Definition

This paper assesses what health workforce ‘sustainability’ might mean for Australia and New Zealand, given the policy direction set out in the World Health Organization draft code on international recruitment of health workers. The governments in both countries have in the past made policy statements about the desirability of health workforce ‘self-sufficiency’, but OECD data show that both have a high level of dependence on internationally recruited health professionals relative to most other OECD countries. The paper argues that if a target of ‘self-sufficiency’ or sustainability were to be based on meeting health workforce requirements from home based training, both Australia and New Zealand fall far short of this measure, and continue to be active recruiters. The paper stresses that there is no common agreed definition of what health workforce ‘self-sufficiency’, or ‘sustainability’ is in practice, and that without an agreed definition it will be difficult for policy-makers to move the debate on to reaching agreement and possibly setting measurable targets or timelines for achievement. The paper concludes that any policy decisions related to health workforce sustainability will also have to taken in the context of a wider community debate on what is required of a health system and how is it to be funded.

scholarly journals Children and young people with perinatal HIV in Europe: epidemiological situation in 2014 and implications for the future

2016 ◽  
Vol 21 (10) ◽  
Author(s):  
Keyword(s):  
Online Survey ◽  
First Generation ◽  
World Health ◽  
Adult Care ◽  
Number Of Children ◽  
Perinatal Hiv ◽  
Immunodeficiency Virus ◽  
Health Organization ◽  
And Control

Accurate ascertainment of the number of children living with human immunodeficiency virus (HIV) is important to plan paediatric and adolescent health services. In Europe, the first generation of perinatally HIV-infected survivors are transferring to adult care and their health needs are unknown. We undertook an online survey of HIV cohort studies participating in the EuroCoord Network of Excellence to ascertain the number of perinatally HIV-infected (pHIV) patients included, to compare it with those published by the European Centre for Disease Prevention and Control (ECDC) and the World Health Organization (WHO) and to assess the ability of countries to follow up pHIV patients after transfer to adult care. At the end of 2013, 16 countries in EuroCoord reported 8,229 pHIV patients in follow-up in cohorts, compared with 5,160 cumulative diagnoses reported by the ECDC in the same area. Follow-up of pHIV patients after transfer to adult care varied. It is likely that the number of diagnoses of perinatal HIV reported to ECDC is an underestimate, although this varies by country. Further work is needed to refine estimates and encourage follow-up in adult HIV cohorts to investigate long-term outcomes and improve the care of the next generation of children with HIV.

Experience and Insight Author in Preventing and Curbing the Novel Coronavirus (Covid19) Outbreak

2020 ◽  
Vol 12 (1si) ◽  
pp. 79
Author(s):  
Rahmidha Dwijayanti
Keyword(s):  
Health Workers ◽  
Physical Contact ◽  
World Health ◽  
Infection Prevention And Control ◽  
Wholesale Market ◽  
Exotic Animals ◽  
Corona Virus ◽  
Novel Coronavirus ◽  
Health Organization ◽  
And Control

Introduction: In December 31, 2019, China gave bad news the World Health Organization (WHO) throughtout an outbreak of a mysterious pneumonia characteristic in Wuhan, which is located in Hubei Province with 11 million people. On 1 January 2020, the source of the Coronavirus outbreak is a seafood market that has been closed. The Huanan Seafood Wholesale Market in Wuhan City, where the virus was first detected, fit that description to a tee, with vendors illegally trading in wild and exotic animals alongside the daily ocean catch. Discussion: This literature review retrieved the articles from databases such as Springer, PubMed, and Google Scholar. The articles on preventing were 17 articles and curbing were 15 articles. The literatur review is a critical and in-depth evaluation of previous research to obtain important information about the dangers of the corona virus and the important of preventing and curbing the corona virus. Guidance regarding personal protective equipment in infection prevention and control is provided by WHO. Goggles and face shield must always be used to protect against potential hazards, and health workers don’t touch mucous membranes (eyes, nose or mouth). Conclusion: Recommendations for preventing health and preventing Covid19 are: limiting physical contact or being in a room with people without symptoms, covering the mouth with a tissue when sneezing or coughing and then throwing the tissue into the trash. If there are no tissues, use your sleeves to avoid liquids or droplets on other people or sticking to nearby objects, do not travel to the red zone against the spread of Covid19, rub hands properly for 20 seconds with soap and water, If it is quite difficult to find water, it is advisable to always have a Hand Sanitizer with an alcohol content of at least 60% which is believed to be able to kill germs. Recommendation for curbing the spread the Covid19 include: lockdown, stay at home, and physical inactivity.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DIARE PADA BALITA DI PUSKESMAS MERDEKA PALEMBANG TAHUN 2012

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Yuni Kurniati Yuni Kurniati
Keyword(s):  
Maternal Education ◽  
Health Workers ◽  
Economic Status ◽  
World Health ◽  
P Value ◽  
Test Results ◽  
Chi Square ◽  
Significance Level ◽  
Chi Square Test ◽  
Health Organization

ABSTRACT [World Health Organization ( WHO ) , diarrhea is the number one cause of infant mortality worldwid. In Indonesia , toddler diarrhea is the number two killer after ARI ( Acute Respiratory Infection ) . Research purposes to determine the factors associated with the incidence of diarrhea in infants in the Free Health Center Palembang in 2012 . Sampling is done by sampling rondom method , data analysis, univariate and  =abivariate statistical chi - square test with a significance level of  0.05 . The results from 378 respondents who have children who suffer from diarrhea 213 ( 56.3 % ) . Age of toddlers at high risk of diarrhea, 121 ( 63.4 % ) . Higher education totaled 121 ( 47.3 % ) . High economic status who had diarrhea 56 ( 46.3 % ) . test results obtained chi - square with toddler age p value = 0.008 p value = maternal education and economic status of families 0,000 p value  = 0.05 .a  = 0.009 smaller  So that the hypothesis stating no statistically significant association between toddler age , education and economic status with the incidence of diarrhea in infants statistically proven. Expected for health workers to improve education about prevention of diarrhea in an effort to reduce the incidence of diarrhea in Indonesia.                                      ABSTRAK World Healt Organization (WHO), diare adalah penyebab nomor satu kematian balita di seluruh dunia. Di Indonesia, diare adalah pembunuh balita nomor dua setelah ISPA (Infeksi Saluran Pernapasan Akut). Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan kejadian diare pada balita di Puskesmas Merdeka Palembang tahun 2012. Pengambilan sampel ini dilakukan dengan metode rondom sampling, analisa data dilakukan secara univariat dan bivariat dengan uji statistik chi-square  dengan tingkat kemaknaan a = 0,05. Hasil penelitian dari 378 responden yg memiliki balita yg terkena diare 213 (56,3%),. Umur balita yang beresiko tinggi  terkena diare 121 (63,4%). Pendidikan tinggi berjumlah 121 (47,3%). Status ekonomi tinggi yang terkena diare 56 (46,3%). Hasil uji ­chi-square dengan didapatkan umur balita p value = 0,008 pendidikan ibu p value = 0,000 dan status ekonomi keluarga p value = 0,009 lebih kecil   a = 0,05. Sehingga hipotesis menyatakan ada hubungan bermakna antara umur balita, pendidikan dan status ekonomi dengan kejadian diare pada balita terbukti secara statistik. Diharapkan bagi tenaga kesehatan untuk meningkatkan penyuluhan tentang pencegahan diare dalam upaya menurunkan angka kejadian diare di Indonesia.    

Kebijakan Ekonomi Di Masa Pandemi Covid-19

2021 ◽  
Vol 1 (2) ◽  
pp. 134-145
Author(s):  
Nur Afni
Keyword(s):  
Health Workers ◽  
Health Care Systems ◽  
Public Awareness ◽  
World Health ◽  
Medium Term ◽  
Global Pandemic ◽  
Care Systems ◽  
The Government ◽  
Health Organization ◽  
Taking Action

COVID-19 discovered a global pandemic that gave rise to the emergence of various groups, especially the public. Inaugurated by the World Health Organization as a global pandemic, the management of COVID-19 is a challenge for countries with limited energy sources and health care systems. Citizens' understanding continues to grow along with the number of positive problems and deaths due to COVID-19 which continues to grow in a relatively short time. The ability of each country to adapt to the existing conditions during efficient and anticipatory implementation varies greatly. The policy finds an early ground that must be tested in order to be able to tackle these cases successfully. Anticipatory policy decisions related to efforts to prevent the spread of COVID-19, take action against infected patients, protect health workers, and control public awareness are carefully considered. For this reason, the Government is trying to schedule a New Normal policy so that the economic impact of the pandemic does not create a sustainable crisis. This policy is linked to planning where the Government has established programs, as well as major projects in the 2020-2024 National Medium-Term Development Plan (RPJMN). The government needs to review the medium-term plan considering that in 2020 all programs that are trying to focus on taking action against Covid-19. The government has 3 alternatives in the medium term, whether it is always quality, making moderate improvements, or changing it with a new plan with assumptions made from the Covid-19 pandemic and the consequences that accompany it.

Implementing Package of Essential Non-communicable Disease Interventions in the Republic of Moldova—a feasibility study

2020 ◽  
Vol 30 (6) ◽  
pp. 1146-1151 ◽  
Author(s):  
Tiina Laatikainen ◽  
Laura Inglin ◽  
Dylan Collins ◽  
Angela Ciobanu ◽  
Ghenadie Curocichin ◽  
...  
Keyword(s):  
Health Workers ◽  
Communicable Disease ◽  
Smoking Status ◽  
World Health ◽  
Republic Of Moldova ◽  
Short Period ◽  
The Republic ◽  
And Control ◽  
Non Communicable Disease

Abstract Background The aim of this study is to determine the feasibility of implementing and evaluating the World Health Organization Package of Essential Non-communicable Disease Interventions (WHO PEN) approach in primary healthcare in the Republic of Moldova. Methods According to our published a priori methods, 20 primary care clinics were randomized to 10 intervention and 10 control clinics. The intervention consisted of implementation of adapted WHO PEN guidelines and structured training for health workers; the control clinics continued with usual care. Data were gathered from paper-based patient records in July 2017 and August 2018 resulting in a total of 1174 and 995 patients in intervention and control clinics at baseline and 1329 and 1256 at follow-up. Pre-defined indicators describing assessment of risk factors and total cardiovascular risk, prescribing medications and treatment outcomes were calculated. Differences between baseline and follow-up as well as between intervention and control clinics were calculated using logistic and linear regression models and by assessing interaction effects. Results Improvements were seen in recording smoking status, activity to measure HbA1c among diabetes patients and achieving control in hypertension treatment. Improvement was also seen in identification of patients with hypertension or diabetes. Less improvement or even deterioration was seen in assessing total risk or prescribing statins for high-risk patients. Conclusions It is feasible to evaluate the quality and management of patients with non-communicable diseases in low-resource settings from routine data. Modest improvements in risk factor identification and management can be achieved in a relatively short period of time.

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