scholarly journals Contribution of Ad-din Micro-credit program in Fistula Prevention, Case identification and Referral

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Fazlul Haque ◽  
Sheikh Mohiuddin ◽  
Sk Nazmul Huda
Keyword(s):  
Performance Data ◽  
Community Based ◽  
Need Assessment ◽  
Rehabilitation Training ◽  
Case Identification ◽  
Credit Program ◽  
Field Workers ◽  
Rehabilitation Need ◽  
Fistula Prevention ◽  
Micro Credit

Aims: The objective of this presentation is to describe the practice of fistula case identification, referral and rehabilitation of  patients under the Ad-din microcredit program and to share performance data and program experience in this field. Methods: Using a 4 question checklists developed through the Fistula Care Plus project, Ad-din field workers identify fistula clients from community. Ad-din does a customized rehabilitation need assessment of individual fistula cases then and supports them accordingly. Results: During this period, 358 cases have been identified with probable fistula symptoms. Diagnosis was confirmed among 169 cases through community fistula diagnosis events. Ad-din facilitated treatment of 153 cases. The program has provided rehabilitation training to 46 cases and livelihood support to 59 cases. Conclusion: Microcredit networks can be used for community-based fistula case identification, treatment facilitation, case referral and case rehabilitation. If the networks of microcredit systems in many settings are utilized in fistula prevention and care, they could be useful partners to address fistula in any community.

scholarly journals Effect of Community Based Organization microcredit on livelihood improvement

1970 ◽  
Vol 8 (2) ◽  
pp. 277-282 ◽  
Author(s):  
R Akter ◽  
MA Bashar ◽  
MK Majumder ◽  
Sonia B Shahid
Keyword(s):  
Family Income ◽  
Economic Condition ◽  
Community Based ◽  
Loan Repayment ◽  
Household Decision ◽  
Positive Effects ◽  
Credit Program ◽  
Livelihood Improvement ◽  
Community Based Organization ◽  
Micro Credit

The study was conducted to examine the effects of Community Based Organization (CBO) micro-credit program of Concern Worldwide on the livelihood improvement of beneficiaries in a selected area of Mymensingh district. In the study, 50 respondents were purposively selected of which 30, 12 and 8 were engaged in small trading, saloon and rickshaw pulling respectively. Tabular and statistical analyses were applied for achieving the objectives. All of the factors to measure the socio-economic condition such as awareness, family income, assets, clothing, etc has been changed. It was also found that the women participation in the household decision making increases. Repayment performance of CBO micro-credit program was highly satisfactory. Respondent’s income and loan receipt amount were positively contributed to loan repayment, whereas respondent’s age, education, family size and forced saving negatively affected the same. Ninety four per cent of the respondents mainly repaid their loan on time with the hope of getting loan in future. Overall, the CBO micro-credit program was found to have significant positive effects on livelihood improvement. Keywords: CBO; Micro credit; Concern Worldwide; Livelihood Improvement DOI: 10.3329/jbau.v8i2.7938 J. Bangladesh Agril. Univ. 8(2): 277-282, 2010

scholarly journals Correlating Women Empowerment with Micro Finance in a Small Village in Bangladesh by Using Statistical Methodology

2021 ◽  
pp. 19-27
Author(s):  
MST Fatema Akter ◽  
Abdur Rakib Nayeem ◽  
Md. Abir Hossain Didar
Keyword(s):  
Random Sampling ◽  
Absolute Number ◽  
Women Empowerment ◽  
Statistical Methodology ◽  
Property Ownership ◽  
Face To Face ◽  
Credit Program ◽  
Credit Programs ◽  
Personal Meeting ◽  
Micro Credit

Women empowerment is the most significant and examining issues in non-industrial nations extraordinarily in Bangladesh. This study investigated the viability and Correlating Women Empowerment with Micro Finance in a Small Village in Bangladesh by Using Statistical Methodology. With absolute number of 220 respondents, where, 100 was experienced micro credit program and another 120 respondent did not have any experience regarding the micro credit program. Stratified random sampling was used from Aatghar Union porishad under Shaltha Upozilla in Faridpur, Bangladesh and information has been gathered through face to face interview and personal meeting by utilizing overview strategy. By investigating five measurements; monetary decision making, household unit dynamic, physical movement freedom, property ownership and finally, responsibility for political and social awareness the women empowerment was estimated. The outcomes demonstrated the positive impacts of micro credit programs on women strengthening inside different measurements and investigation uncovers that the women empowerment is impacted by the improvement of miniature credit programs in Bangladesh through the selected five measurements.

scholarly journals Maximizing community participation and engagement: lessons learned over 2 decades of field trials in rural Ghana

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Sam Newton ◽  
Guus Ten Asbroek ◽  
Zelee Hill ◽  
Charlotte Tawiah Agyemang ◽  
Seyi Soremekun ◽  
...  
Keyword(s):  
Community Participation ◽  
Research Team ◽  
Field Trials ◽  
Research Centre ◽  
Community Members ◽  
District Health ◽  
Community Based ◽  
Community Based Research ◽  
Health Authorities ◽  
Field Workers

Abstract Background Successful implementation of community-based research is dominantly influenced by participation and engagement from the local community without which community members will not want to participate in research and important knowledge and potential health benefits will be missed. Therefore, maximising community participation and engagement is key for the effective conduct of community-based research. In this paper, we present lessons learnt over two decades of conducting research in 7 rural districts in the Brong Ahafo region of Ghana with an estimated population of around 600,000. The trials which were mainly in the area of Maternal, Neonatal and Child Health were conducted by the Kintampo Health Research Centre (KHRC) in collaboration with the London School of Hygiene and Tropical Medicine (LSHTM). Methods The four core strategies which were used were formative research methods, the formation of the Information, Education and Communication (IEC) team to serve as the main link between the research team and the community, recruitment of field workers from the communities within which they lived, and close collaboration with national and regional stakeholders. Results These measures allowed trust to be built between the community members and the research team and ensured that potential misconceptions which came up in the communities were promptly dealt with through the IEC team. The decision to place field workers in the communities from which they came and their knowledge of the local language created trust between the research team and the community. The close working relationship between the District health authorities and the Kintampo Health Research Centre supported the acceptance of the research in the communities as the District Health Authorities were respected and trusted. Conclusion The successes achieved during the past 2 decades of collaboration between LSHTM and KHRC in conducting community-based field trials were based on involving the community in research projects. Community participation and engagement helped not only to identify the pertinent issues, but also enabled the communities and research team to contribute towards efforts to address challenges.

scholarly journals 1188 Test Characteristics of a Machine Learned Electronic Medical Record Extractable Tool for OSA Case Identification in a Community-Based Population

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A454-A454
Author(s):  
S I Patel ◽  
D Kukafka ◽  
C Antonescu ◽  
D Combs ◽  
J Lee-Iannotti ◽  
...  
Keyword(s):  
Positive Predictive Value ◽  
Likelihood Ratio ◽  
Predictive Value ◽  
Oxygen Desaturation ◽  
Positive Test ◽  
Community Based ◽  
Sleep Study ◽  
Case Identification ◽  
Test Characteristics ◽  
Patient Reported

Abstract Introduction Obstructive sleep apnea (OSA) is a significantly underdiagnosed medical condition. A machine learning method known as SLIM (Supersparse Linear Integer Models) that can be extracted from the Electronic Health Record (EHR) has found to be superior to patient-reported sleep-related symptoms to diagnose OSA. Such an evaluation, however, was previously validated in a laboratory-based population. Our aim was to determine the test characteristics for the EHR-extractable SLIM tool in a community-based population. Methods Subjects who participated in the Sleep Heart Health Study (SHHS) were included in this analysis. Variable definitions of OSA were determined using an Apnea Hypopnea Index (AHI) threshold of 5 per hour, 15 per hour, or the presence of any comorbidity (hypertension, ischemic heart disease, stroke, mood disorders, impairment of cognition, or sleepiness) when the AHI was between 5 to 15 per hour. Variable hypopnea definitions based upon degree of oxygen desaturation and associated arousals were considered. Results In the SHHS dataset, the Receiver Operating Characteristics (ROC) for a SLIM score threshold of 9 for men and 5 for women was good when OSA was defined by AHI > 5 per hour (hypopneas with either > 3% oxygen desaturation or arousals). Specifically, the ROC was 0.72 (95% Confidence Intervals [CI] 0.70; 0.74) with a Positive Predictive Value [PPV] of 0.98 and Likelihood Ratio of a positive test (LR+) of 11.3. The LR+ (6.0) and PPV (0.92) were also good when an AHI of 5 per hour threshold was adopted with hypopneas scored using the minimum 3% oxygen desaturation alone. Similarly, the ROC was good 0.74 (95%CI 0.73; 0.76) with a Positive Predictive Value [PPV] of 0.98 and Likelihood Ratio of a positive test (LR+) of 11.3. The LR+ (8.9) and PPV (0.81) were also good in the presence of comorbidities when AHI was 5 to 15 per hour using > 4% oxygen desaturation alone. Conclusion The EHR-extractable tool can be an actionable tool for case-identification of patients needing a referral for sleep study in a community-based population. Such an approach could facilitate an automated, rather than manual, OSA screening approach aimed at managing population health. Support HL138377

scholarly journals Prognostic factors at birth for stunting at 24 months of age in rural Indonesia

2016 ◽  
Vol 56 (1) ◽  
pp. 48 ◽  
Author(s):  
Endy Prawirohartono ◽  
Detty Nurdiati ◽  
Mohammad Hakimi
Keyword(s):  
Risk Factors ◽  
Prognostic Factors ◽  
Vitamin A ◽  
Gestational Age ◽  
Zinc Supplementation ◽  
Community Based ◽  
Double Blind ◽  
Randomized Controlled ◽  
High Prevalence ◽  
Field Workers

Background The problems of stunting are its high prevalence as well as the complexity of its risk factors. Identifying the modifiable prognostic factors at birth may reduce the shortterm as well as longterm effects of stunting in later life.Objective To estimate the influence of prognostic factors detected at birth for stunting at 24 months of age and the occurence of reversal of stunting at 24 months of age among children in a rural area of Indonesia.Methods Subjects (n=343) were born to mothers participating in a randomized controlled, double-blind, community-based study of vitamin A and/or zinc supplementation during pregnancy and followed from June 1998 to October 2000. The children were followed prospectively from birth until 2 years of age with monthly measurements of length from birth to 12 months, and again at 18 and 24 months. Data on potential prognostic factors detected at birth, i.e., maternal, child, and household facilities, were collected by trained field workers at home visits. The incidence and risk ratio were calculated to assess the influence of the possible prognostic factors detected at birth on stunting at 24 months of age among these children.Results Boys who were born prematurely had significantly higher risk of stunting at 24 months of age compared to girls born maturely. The incidences of stunting at 24 months of age according to gender, and gestational age were 33.9% boys vs. 22.5% girls (RR 1.80; 95%CI 1.06 to 3.09), and 33.3% premature vs. 27.6% mature (RR 7.11; 95%CI 2.07 to 24.48), respectively.Conclusion Boys who were born prematurely have significantly higher risk to become stunted at 24 months of age. The occurrence of reversal of stunting at 24 months of age is low.

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