scholarly journals Observation of Traditional Caregiver-Infant Feeding Behaviours and Porridge and Energy Intakes during One Meal to Define Key Messages for Promoting Responsive Feeding in the Amparafaravola District, Rural Madagascar

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 361
Author(s):  
Yannick Razafindratsima ◽  
Andrimampionona Razakandrainy ◽  
Sonia Fortin ◽  
Charlotte Ralison ◽  
Claire Mouquet-Rivier
Keyword(s):  
Young Children ◽  
Infant Feeding ◽  
Focus Group Discussions ◽  
Cross Sectional Survey ◽  
Group Discussions ◽  
Cross Sectional ◽  
The Mean ◽  
Long Term Impact ◽  
Feeding Behaviours

Undernutrition is highly prevalent in young children in Madagascar and insufficient intake per meal could be one of the main causes. A cross-sectional survey of infant feeding practices including video-recorded meal observations was carried out with 101 caregiver–infant pairs in the Amparafaravola district, Northeast Madagascar. The objective was to quantify the porridge/energy intake of 9–11-month-old children and assess its association with the caregiver–infant feeding behaviours. Then, key messages for promoting responsive feeding (RF) were developed and tested through focus group discussions. The mean porridge intake was 12.8 ± 7.5 g/kg body weight (BW)/meal, corresponding to hardly one-third of the 300 kcal recommended from complementary foods for 9–11-month-old children. Analysis of meal videos suggested that mothers practiced the five positive feeding behaviours (self-feeding, responsive, active, social, and distraction), and rarely the negative ones. Only 6.9% of mothers used positive RF “very frequently”, although it was associated with higher intakes (p < 0.05), with mean intake reaching 21 g/kg BW. In focus groups, caregivers approved the six RF messages and related counselling cards. They suggested some modifications to improve their understanding, and counselling cards were revised accordingly. The long-term impact of RF-promoting card use on the meal intakes and the nutritional status of young children must now be assessed.

scholarly journals Perspectives of future pharmacists on the potential for development and implementation of pharmacist prescribing in Qatar

2020 ◽  
Vol 42 (1) ◽  
pp. 110-123
Author(s):  
Mohammad Issam Diab ◽  
Angham Ibrahim ◽  
Oraib Abdallah ◽  
Alla El-Awaisi ◽  
Monica Zolezzi ◽  
...  
Keyword(s):  
Focus Group ◽  
Treatment Options ◽  
Developed Countries ◽  
Focus Group Discussions ◽  
Cross Sectional Survey ◽  
Group Discussions ◽  
Cross Sectional ◽  
Pharmacist Prescribing ◽  
Barriers To Implementation ◽  
Special Training Program

AbstractBackground Pharmacists in many developed countries have been granted prescribing authorities under what is known as “non-medical prescribing” or “pharmacist prescribing”. However, such prescribing privileges are not available in many developing countries. Objective The objective of this study was to determine the perspectives of future pharmacists (recent pharmacy graduates and pharmacy students) on pharmacist prescribing and its potential implementation in Qatar. Methods A convergent parallel mixed-methods design was used: (1) a cross-sectional survey using a pre-tested questionnaire and; (2) focus group discussions to allow for an in-depth understanding of the issue, with a focus on pharmacists prescribing competencies as well as barriers for its implementation. Main outcome measures Future pharmacists’ perspectives and attitudes towards pharmacist prescribing in Qatar. Results The majority of the respondents (94.4%) indicated awareness of the prescribing competency related to selecting treatment options. Furthermore, the majority (92.4%) believed that pharmacists should undergo prescribing training and accreditation before been legally allowed to prescribe, a point that was reiterated in the focus group discussions. Participants generally expressed support for collaborative and supplementary prescribing models when developing prescribing frameworks for Qatar. Four categories emerged under the theme barriers to implementation of pharmacist prescribing: lack of prescribing competency, pharmacist mindset, lack of accessibility to patient records and counseling rooms, and diversity of education and training background. Conclusion The majority of recent pharmacy graduates and students were in favor of pharmacist prescribing been implemented in Qatar. However, a special training program was deemed necessary to qualify pharmacists to prescribe safely and effectively.

scholarly journals Feeding practices and risk factors for chronic infant undernutrition among refugees and migrants along the Thailand-Myanmar border: a mixed-methods study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
A. H. Hashmi ◽  
P. B. Nyein ◽  
K. Pilaseng ◽  
M. K. Paw ◽  
M. C. Darakamon ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mixed Methods ◽  
Focus Group ◽  
Infant Feeding ◽  
Maternal Nutrition ◽  
Feeding Practices ◽  
Infant Feeding Practices ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cross Sectional

Abstract Background This study aims to provide a comprehensive understanding of maternal risk factors, infant risk factors and maternal infant feeding practices among refugees and migrants along the Thailand-Myanmar border. Methods This study employed a mixed-methods approach with two components: (1) cross-sectional survey (n = 390) and (2) focus group discussions (n = 63). Participants were chosen from one of three clinics providing antenatal and delivery services for Karen and Burman refugees and migrants along the border. Participants were pregnant women and mother-infant dyads. Results Refugee and migrant mothers demonstrated high rates of suboptimal breastfeeding and low rates of minimum dietary diversity and acceptable diet. Multivariable regression models showed infant stunting (AOR: 2.08, 95% CI: 1.12, 3.84, p = 0.020) and underweight (AOR: 2.26, 95% CI: 1.17, 4.36, p = 0.015) to have increased odds among migrants, while each 5 cm increase in maternal height had decreased odds of stunting (AOR: 0.50, 95% CI: 0.38, 0.66, p < 0.001) and underweight (AOR: 0.64, 95% CI: 0.48, 0.85, p = 0.002). In addition, small-for-gestational-age adjusted for length of gestation, infant age and gender increased odds of infant’s stunting (AOR: 3.42, 95% CI: 1.88, 6.22, p < 0.001) and underweight (AOR: 4.44, 95% CI: 2.36, 8.34, p < 0.001). Using the Integrated Behavioural Model, focus group discussions explained the cross-sectional findings in characterising attitudes, perceived norms, and personal agency as they relate to maternal nutrition, infant malnutrition, and infant feeding practices. Conclusions Inadequate infant feeding practices are widespread in refugee and migrant communities along the Thailand-Myanmar border. Risk factors particular to maternal nutrition and infant birth should be considered for future programming to reduce the burden of chronic malnutrition in infants.

scholarly journals Farmer-preferred learning methods and utilised teaching approaches by Egerton University, Kenya

2020 ◽  
Vol 28 (s1) ◽  
pp. 203-213
Author(s):  
E.O. Ondiege ◽  
M. Mutuku ◽  
N.W. Mungai
Keyword(s):  
Teaching Methods ◽  
Teaching And Learning ◽  
Focus Group Discussions ◽  
Cross Sectional Survey ◽  
Group Discussions ◽  
Learning Methods ◽  
Cross Sectional ◽  
Knowledge And Skills ◽  
Key Informant ◽  
Effective Community

Universities are centres of frontier knowledge and skills, with the capacity to transform communities,when appropriately and adequately transmitted to users. The aim of this paper was to compare farmer-preferred learning methods and those utilised in teaching during Egerton University’s outreach activities, with a view to drawing useful insights for more effective community future engagements. A cross sectional survey was conducted in 2017, using researcher-administered questionnaires, on a sample of 84 farmers purposefully selected from communities where Egerton University implemented extension outreach programmes. Key informant interviews and focus group discussions were also conducted for community leaders and extension officers in the selected Wards, to supplement data collection. Results showed that the decision to participate in the outreach activities implemented by Egerton University was personal, with nearly all the respondents (99%) citing acquisition of new knowledge and skills as the major reason. Demonstrations were the most preferred and utilised methods (90 and 92%, respectively); while the use of group discussions were preferred by 51% of the respondents and utilised in 86% of the outreach activities. Results also showed significant relations for demonstration (c2 = 17.21, P<.001), touring university model farms (c2 = 68.11, P<.001) and use of training videos (c2 = 40.98, P<.001) between farmer-preferred learning methods and utilised teaching methods. This explains the popularity of demonstrations as a teaching and learning method of Egerton University in connecting theoretical and scientific aspects, to practice. Learner centred teaching methods, with the capacity to facilitate collaborative or cooperative learning, should be enhanced.

scholarly journals Nutritional Status and Obstacles to Healthy Eating Among Refugees in Geneva

2020 ◽  
Vol 22 (6) ◽  
pp. 1126-1134
Author(s):  
Delphine Amstutz ◽  
Daniela Gonçalves ◽  
Patricia Hudelson ◽  
Silvia Stringhini ◽  
Sophie Durieux-Paillard ◽  
...  
Keyword(s):  
Weight Gain ◽  
Healthy Eating ◽  
Mixed Methods Study ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cross Sectional ◽  
Prevent Weight Gain ◽  
The Mean ◽  
Multi Level ◽  
Behavioral Barriers

AbstractRefugees face various nutritional challenges during and after migration. This cross-sectional, mixed-methods study seeks to investigate the prevalence of undernutrition and obesity among refugees in Geneva, and to identify barriers to healthy eating. Anthropometric measurements of 354 adult refugees were collected between 2017 and 2019 by trained nurses and dietitians. Seven focus group discussions totaling 51 participants, refugees and social workers, investigated conceptions and needs regarding diet. The mean Body Mass Index is 24.6 ± 4.8 kg/m2. Women are disproportionately affected by obesity compared to men (p < 0.001). Weight gain post-migration is correlated positively with length of stay in Geneva (p < 0.001). Major obstacles to healthy eating are economic and linguistic. For participants, cooking workshops and free physical activities are highly needed interventions. Post-migration lifestyle interventions should be implemented to prevent weight gain in this population. Such interventions must be multi-level, to overcome structural, social and behavioral barriers to healthy eating.

scholarly journals Long-term impact of undergraduate community-based clinical training on community healthcare practice in Japan: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shinsuke Yahata ◽  
Taro Takeshima ◽  
Tsuneaki Kenzaka ◽  
Masanobu Okayama
Keyword(s):  
Clinical Training ◽  
Primary Outcome ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Community Healthcare ◽  
Rural Retention ◽  
The Mean ◽  
Long Term Impact

Abstract Background Community-based medical education (CBME) has been evolving globally. However, the long-term impacts of CBME programs on career intention are ambiguous. Therefore, this study aimed to reveal the long-term impact of community-based clinical training (CBCT) such as CBME programs in Japan on current community healthcare (CH) practice. Methods This cross-sectional study targeted physicians who had graduated from Kobe University School of Medicine between 1998 and 2004 and had over 15 years’ experience after graduation. Self-administered questionnaires were mailed to participants between September and November 2019. Of the 793 potential subjects, 325 questionnaires were undeliverable. A total of 468 questionnaires substantially sent to the subjects. The exposure was the undergraduate CBCT defined as clinical training about CH in a community. The primary outcome was the provision of current CH practice. The secondary outcome was rural retention. The odds ratios (ORs) and confidence intervals (CIs) were calculated, and the confounders (age, gender, and attitude toward CH at admission; primary outcome, and age, gender, attitude toward rural healthcare at admission, own and spouse’s hometown, and emphasis on child education; secondary outcomes) were adjusted using multivariate logistic regression analysis. Results A total of 195 (41.7%) questionnaires were analyzed. The mean (standard deviation [SD]) age of study participants was 43.8 (3.5) years and 76.4% were men. A total of 48 physicians (24.6%) experienced CBCT, of which the mean (SD) training period was 26.3 (27.3) days. As many as 148 (76.3%) physicians provided CH at the time of the study, and 12 (6.5%) worked in rural areas. There was no notable impact of undergraduate CBCT on current CH practice (OR, 1.24; 95% CI, 0.53–3.08; adjusted OR [aOR], 1.00; 95% CI, 0.43–2.30) and rural retention (OR, 0.59; 95% CI, 0.06–2.94; aOR, 0.59; 95% CI, 0.11–3.04). Conclusions It may be insufficient to use conventional CBCT in Japan to develop CH professionals effectively. Japanese CBME programs should be standardized through a review of their content and quality. They should continue to be evaluated for their medium- to long-term effects.

scholarly journals Making Corporate Social Responsibility Work: Do Rural and Community Banks (RCBs) in Ghana Care at All?

2017 ◽  
Author(s):  
Henry Mensah ◽  
Ahmed Agyapong ◽  
Eric Oteng-Abayie
Keyword(s):  
Corporate Social Responsibility ◽  
Focus Group ◽  
Social Responsibility ◽  
Annual Reports ◽  
Focus Group Discussions ◽  
Cross Sectional Survey ◽  
Community Banks ◽  
Group Discussions ◽  
Cross Sectional ◽  
Corporate Social

Rural and Community Banks (RCBs) were set up to provide banking services by way of funds mobilization and offering of credit to cottage industry operators, farmers, fishermen, and regular salaried employees. These banks are not obliged to undertake Corporate Social Responsibility (CSR) activities but are expected by some stakeholders such as citizens in the community to devote part of their profits to meet social developmental activities. This study examines the CSR practices among RCBs in Ghana by adopting a mixed method approach. A combination of Focus Group Discussions (FGDs) and cross-sectional survey was employed to gather detailed information from 86 respondents who are associated with the selected RCBs. Data collected from Focus Group Discussions (FGDs) and annual reports were analyzed using content analysis and presented in themes and models. Using the binomial test and descriptive statistics, questionnaire responses were analyzed and presented. We found that among RCBs, CSR has become synonymous to community and social development as managers accept the value that CSR can create in business. Additionally, it was found that three major stages are involved in the planning and implementation of CSR by RCBs. The researchers recommend that RCBs put together CSR policy guidelines, which will form the basis for CSR engagements in their respective banks.

scholarly journals Distribution of the Benefits of Ngare Ndare Forest Trust and Il Ngwesi Group Ranch Ecotourism Enterprises in Kenya

2020 ◽  
pp. 1178-1192
Author(s):  
Philip Ireri ◽  
James Kung'u ◽  
Joseph Muriithi
Keyword(s):  
Qualitative Data ◽  
Focus Group Discussions ◽  
Cross Sectional Survey ◽  
Group Discussions ◽  
Elite Capture ◽  
Cross Sectional ◽  
Mixed Methods Approach ◽  
Face To Face ◽  
Tourism Resources ◽  
Tourism Enterprises

Equity in distribution of the benefits of ecotourism is critical as many African communities have remained poor though they occupy areas that are rich in tourism resources. In Kenya, some studies show tourism has been beneficial to most locals and even pro-poor while others reveal different inequalities including elite capture. In light of this divided opinion, this study investigated the distribution of benefits of Ngare Ndare Forest Trust’s and Il Ngwesi Group Ranch’s ecotourism enterprises in Kenya. The study was a cross-sectional survey that applied mixed-methods approach with quantitative data being collected through face-to-face interviews and qualitative data collected using focus group discussions. Its results showed that the two community owned and operated enterprises yielded various benefits to locals but there was limited channelling of these to women, youth and the poor. The study demonstrates that amidst the degrowth movement’s call for a shift from profit-driven development to community-centred approaches, there is need to address inequities that lie at the pinnacle of local participation in which communities own and operate tourism enterprises.

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