scholarly journals The Perceptions and Needs of French Parents and Pediatricians Concerning Information on Complementary Feeding

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2142
Author(s):  
Sofia De Rosso ◽  
Camille Schwartz ◽  
Pauline Ducrot ◽  
Sophie Nicklaus
Keyword(s):  
Public Health ◽  
Complementary Feeding ◽  
Personal Network ◽  
Public Health Communication ◽  
Parental Feeding ◽  
Nutrition Messages ◽  
Healthy Growth ◽  
Source Of Information ◽  
Communication Material

Appropriate complementary feeding (CoF) is the key to preventing childhood obesity and promoting long-term health. Parents must be properly informed through the CoF process. Pediatricians have opportunities to interact with parents during the CoF transition and influence parental feeding decisions. They can convey public health nutrition messages to parents. With the release of new CoF recommendations in France in 2019, and from the perspective of their conversion into official public health communication material, the aim of this study was to explore parents’ and pediatricians’ perceptions and needs regarding information on CoF. Two online surveys were disseminated to gather information on CoF communication and guidance: one for parents (n = 1001, January 2020); one for pediatricians (n = 301, October 2019). The results showed that the importance of CoF for children’s healthy growth was well recognized by both parents and pediatricians. Parents acknowledged pediatricians as the most influential source of advice; and pediatricians were aware of their responsibility in counselling parents on CoF. However, pediatricians neglected the fact that parents gave high trust to their personal network when looking for advice. The Internet was a well-recognized source of information according to all. Diverging from what pediatricians considered useful, parents were interested in practical advice for implementing CoF. This study highlights common expectations and points of divergence between parents’ needs and pediatricians’ perceptions of those needs with regard to CoF information.

Communication on complementary feeding: attitudes of parents versus pediatricians in France

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S De Rosso ◽  
S Nicklaus ◽  
P Ducrot ◽  
C Schwartz
Keyword(s):  
Social Network ◽  
Complementary Feeding ◽  
Eating Habits ◽  
National Sample ◽  
Communication Strategy ◽  
Communication Tool ◽  
Attitudes And Practices ◽  
Healthy Growth ◽  
Representative National Sample ◽  
Source Of Information

Abstract Background Appropriate complementary feeding (CF) can be seen as a promising strategy to prevent childhood obesity. Children's eating behavior is influenced by multiple factors, but parents play a key role in modelling eating habits of their children. For this reason, parents must be informed and guided properly through the CF process. Pediatricians (PED) interact with parents before and at the onset of the CF transition, they can thus positively influence related parental decisions. With the release of new recommendations in France in 2019, the aim of this study was to inform the communication strategy accounting for the needs of parents and PED. Methods Two online surveys were prepared, completion was anonymous and on voluntary basis. PED members of AFPA, the French Association of Ambulatory Pediatrics, (n = 1402), were asked on their attitudes and practices in counselling parents on CF. A representative national sample of 1001 parents, with at least one child under 4 years, was interviewed to investigate their sources and expectations regarding information on CF. Results Answers from 301 PED and 826 parents showed that the importance of CF for the healthy growth of the child was well recognized by all. PED considered as their responsibility counselling parents on CF and parents acknowledged them as the most influential source of advice. However, PED neglected the fact that parents gave almost the same level of trust to their social network when looking for advice on CF. Internet was a well-recognized source of information according to all whatever their status. Apps were also rated as an appropriate communication tool but no such official app exist so far. Diverging from what PED consider useful, parents were interested in practical advice to implement CF, such as recipes' examples. Conclusions This study highlights common expectations but also points of divergence between PED's and parents' needs with regards to communication on CF. Key messages PED are an important and reliable source of information on CF for parents, but the influence of parents’ social network is underestimated by PED and must be taken into account. In developing the communication strategy for CF guidelines, both paper and digital tools should be considered. These tools should tackle topics for which parents lack information.

scholarly journals The “First 1,000 Days+” as Key Contributor to the Double Burden of Malnutrition

2019 ◽  
Vol 75 (2) ◽  
pp. 99-102 ◽  
Author(s):  
Daniel Hoffman ◽  
Maaike Arts ◽  
France Bégin
Keyword(s):  
Complementary Feeding ◽  
Double Burden ◽  
Middle Income ◽  
Middle Income Countries ◽  
Change Communication ◽  
Age Appropriate ◽  
Double Burden Of Malnutrition ◽  
Healthy Growth ◽  
And Behavior

Growth from conception through age 2 years, the “First 1,000 days,” is important for long-term health of the growing fetus and child and is influenced by several factors including breastfeeding and complementary feeding. Low- and middle-income countries face a complicated array of factors that influence healthy growth, ranging from high food insecurity, poor sanitation, limited prenatal or neonatal care, and high levels of poverty that exacerbate the “vicious cycle” associated with intergenerational promotion of growth retardation. It is now well recognized that the period prior to conception, both maternal and paternal health and diet, play an important role in fetal development, giving rise to the concept of the “First 1,000 Days+”. Breastfeeding and complementary feeding practices can be improved through a combination of interventions such as baby-friendly hospitals, regulations for marketing of foods and beverages to children, adequate counseling and support, and sound social and behavior change communication, but continued research is warranted to make such programs more universal and fully effective. Thus, improving the overall understanding of factors that influence growth, such as improved breastfeeding and age-appropriate and adequate complementary feeding, is critical to reducing the global prevalence of the double burden of malnutrition.

Strengthening of occupational health promotion by the German Prevention Health Care Act

2019 ◽  
pp. 188-190
Author(s):  
Diana Hart
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Primary Prevention ◽  
Occupational Health ◽  
Life Expectancy ◽  
Prevention And Control ◽  
Occupational Health Promotion ◽  
And Control

All countries are faced with the problem of the prevention and control of non-communicable diseases (NCD): implement prevention strategies eff ectively, keep up the momentum with long term benefi ts at the individual and the population level, at the same time tackling hea lth inequalities. Th e aff ordability of therapy and care including innovative therapies is going to be one of the key public health priorities in the years to come. Germany has taken in the prevention and control of NCDs. Germany’s health system has a long history of guaranteeing access to high-quality treatment through universal health care coverage. Th r ough their membership people are entitled to prevention and care services maintaining and restoring their health as well as long term follow-up. Like in many other countries general life expectancy has been increasing steadily in Germany. Currently, the average life expectancy is 83 and 79 years in women and men, respectively. Th e other side of the coin is that population aging is strongly associated with a growing burden of disease from NCDs. Already over 70 percent of all deaths in Germany are caused by four disease entities: cardiovascular disease, cancer, chronic respiratory disease and diabetes. Th ese diseases all share four common risk factors: smoking, alcohol abuse, lack of physical activity and overweight. At the same time, more and more people become long term survivors of disease due to improved therapy and care. Th e German Government and public health decision makers are aware of the need for action and have responded by initiating and implementing a wide spectrum of activities. One instrument by strengthening primary prevention is the Prevention Health Care Act. Its overarching aim is to prevent NCDs before they can manifest themselves by strengthening primary prevention and health promotion in diff erent sett ings. One of the main emphasis of the Prevention Health Care Act is the occupational health promotion at the workplace.

scholarly journals 4.C. Round table: Joining forces: frameworks for international and multi-sectoral collaborations in health information

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Big Data ◽  
Health Information ◽  
Population Health ◽  
Round Table ◽  
Secondary Use ◽  
Use Of Data ◽  
National Initiatives ◽  
Information Research

Abstract Countries have a wide range of lifestyles, environmental exposures and different health(care) systems providing a large natural experiment to be investigated. Through pan-European comparative studies, underlying determinants of population health can be explored and provide rich new insights into the dynamics of population health and care such as the safety, quality, effectiveness and costs of interventions. Additionally, in the big data era, secondary use of data has become one of the major cornerstones of digital transformation for health systems improvement. Several countries are reviewing governance models and regulatory framework for data reuse. Precision medicine and public health intelligence share the same population-based approach, as such, aligning secondary use of data initiatives will increase cost-efficiency of the data conversion value chain by ensuring that different stakeholders needs are accounted for since the beginning. At EU level, the European Commission has been raising awareness of the need to create adequate data ecosystems for innovative use of big data for health, specially ensuring responsible development and deployment of data science and artificial intelligence technologies in the medical and public health sectors. To this end, the Joint Action on Health Information (InfAct) is setting up the Distributed Infrastructure on Population Health (DIPoH). DIPoH provides a framework for international and multi-sectoral collaborations in health information. More specifically, DIPoH facilitates the sharing of research methods, data and results through participation of countries and already existing research networks. DIPoH's efforts include harmonization and interoperability, strengthening of the research capacity in MSs and providing European and worldwide perspectives to national data. In order to be embedded in the health information landscape, DIPoH aims to interact with existing (inter)national initiatives to identify common interfaces, to avoid duplication of the work and establish a sustainable long-term health information research infrastructure. In this workshop, InfAct lays down DIPoH's core elements in coherence with national and European initiatives and actors i.e. To-Reach, eHAction, the French Health Data Hub and ECHO. Pitch presentations on DIPoH and its national nodes will set the scene. In the format of a round table, possible collaborations with existing initiatives at (inter)national level will be debated with the audience. Synergies will be sought, reflections on community needs will be made and expectations on services will be discussed. The workshop will increase the knowledge of delegates around the latest health information infrastructure and initiatives that strive for better public health and health systems in countries. The workshop also serves as a capacity building activity to promote cooperation between initiatives and actors in the field. Key messages DIPoH an infrastructure aiming to interact with existing (inter)national initiatives to identify common interfaces, avoid duplication and enable a long-term health information research infrastructure. National nodes can improve coordination, communication and cooperation between health information stakeholders in a country, potentially reducing overlap and duplication of research and field-work.

scholarly journals COVID-19: Intensifying the Existential Threat to the Caribbean

2021 ◽  
Vol 10 (1) ◽  
pp. 155-172
Author(s):  
Michael Witter
Keyword(s):  
Public Health ◽  
Public Policy ◽  
Service Providers ◽  
Oil Production ◽  
Neoliberal Globalization ◽  
Agricultural Exports ◽  
Existential Crisis ◽  
Tourism Sector ◽  
The Caribbean

The Caribbean has experienced an overlapping and interconnected series of challenges, including economic, social, and environmental, which pose an existential threat to the region. This article focuses on the nature of this threat as it evolved before and during the pandemic crisis. Under neoliberal globalization, Caribbean economies transformed themselves rapidly into service providers, most having resorted to developing a tourism sector, while some moved into oil production. In all cases, traditional agricultural exports declined with the loss of protected markets where they earned preferential prices. The COVID-19 pandemic has intensified the Caribbean’s existential crisis and revealed the inextricable links among the environment, economy, and public health. This article focuses on these links and suggests a way forward for public policy in the short, medium, and long term.

scholarly journals Epidemic of plague amidst COVID-19 in Madagascar: efforts, challenges, and recommendations

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Abdullahi Tunde Aborode ◽  
Ana Carla dos Santos Costa ◽  
Anmol Mohan ◽  
Samarth Goyal ◽  
Aishat Temitope Rabiu ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Health System ◽  
Healthcare Sector ◽  
The Face ◽  
Endemic Areas

AbstractThe plague has been wreaking havoc on people in Madagascar with the COVID-19 pandemic. Madagascar’s healthcare sector is striving to respond to COVID-19 in the face of a plague outbreak that has created a new strain on the country’s public health system. The goal and activities of the gradual epidemic of plague in Madagascar during COVID-19 are described in this research. In order to contain the plague and the COVID-19 pandemic in this country, we have suggested long-term recommendations that can help to contain the outbreak so that it may spread to non-endemic areas.

scholarly journals Development of a web-platform for dynamic monitoring of population health in Geneva: Specchio project

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Baysson ◽  
S Joost ◽  
H Attar Cohen ◽  
I Guessous ◽  
S Stringhini
Keyword(s):  
Public Health ◽  
Health Status ◽  
Occupational Exposures ◽  
Well Being ◽  
Dynamic Monitoring ◽  
Health Study ◽  
Medical File ◽  
Directorate General ◽  
Web Platform

Abstract Background In order to provide efficient public health decisions making, it is crucial to obtain reliable and recent data on the state of health of the population. For that purpose, a web-platform for the dynamic monitoring of the health status and well-being of the population is being developed in the Geneva canton. Methods Using a dedicated website, recruitment will be carried out over 5 years so as to enroll up to 20 000 volunteers, resident in Geneva and aged ≥ 18 years, followed-up for at least 10 years. Once connected to the website, participants will fill a general self-administered questionnaire on their socio-demographic and lifestyle characteristics, anthropometry, health status, physical activity and diet. Environmental, behavioral and occupational exposures will also be evaluated via more specific questionnaires. Current addresses of residence will be geocoded and linked to geographical databases to passively gather information on noise, air pollution, green areas, and other exposures. Surveillance of health events will be implemented via yearly self-administered on line questionnaires and potentially via passive linkage to medical databases (medical file) and health registries with the participants' consent. For a subsample of volunteers, biochemical samples and biomarkers will be collected. Results The pilot study shows that the project is feasible, potentially cost-effective but requires innovative methodologies for ensuring long term follow-up. Different communication strategies used for recruitment and long-term participation need to be implemented ensuring trust from participants, different levels of health literacy and the need of justice. Conclusions Specchio is a new project aimed at setting up a digital longitudinal health study in Geneva. Challenges concerns the determinants of participation, recruitment and attrition, quality of data and ethics. Long-term funding by the Directorate General of Health Geneva is currently under evaluation. Key messages This digital longitudinal health study will enable dynamic monitoring of the health status and well-being of Geneva residents and will enable efficient public health decision making. Specchio is a new project funded by the Directorate General of Health Geneva.

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