scholarly journals Life-Saving Drugs in Sudan: A Matter of Defi nitions and Concepts

2021 ◽  
Vol 5 (1) ◽  
pp. 001-009
Author(s):  
Esraa Mahadi Ali Mohamed ◽  
Khalid Sayid Abdelgadir Habbani ◽  
Mohamed Awad Mousnad

Background: Drugs are one of the most crucial pillars in the provision of healthcare services and achieving Universal Health Coverage (UHC). Life-Saving Drugs (LSDs) are the drugs that save someone’s life, require immediate administration in most of the cases, as they sustain life, and prevent complications. They are top priority healthcare needs, which required to be available and aff ordable at all time in adequate quantities and low cost for the whole population and thus achieving equity. Since pharmaceutical sector in Sudan is highly fragmented, this study is conducted to determine the degree of stakeholders’ knowledge about the defi nition of LSD, whether there is a policy governing them, if they have a standard list and their availability status in Sudan. Methods: G rounded theory qualitative (exploratory) study design. The theory is grounded from the actual data after being collected and analysed. Results: Only essential medicines is the well-known term for the stakeholders -mainly at the governance level- with its policy and list. The other LSDs terminologies were found to be ambiguous, with no policies or standard lists. The status of the availability of the diff erent LSDs terminologies (as it perceived by each stakeholder) was found to be poor and there is a signifi cant shortage mainly due to the economic issues. Conclusions: Unifi cation of pharmaceutical organization in Sudan is a must and a priority issue due to its ultimate importance in the provision of healthcare services. Consensus and participation of all the relevant stakeholders in designing policies is an important input for a well-designed health system governance. Further researches in diff erent areas must be conducted, and awareness of policymakers and service providers must be raised.


2019 ◽  
Vol 255 ◽  
pp. 04005
Author(s):  
Paul K.Y. Siu ◽  
K.L. Choy ◽  
H.Y. Lam

Due to the advancement of living standard and medical technologies, the life expectancy of people is further extended which brings tremendous impact to the society in the near future. The ageing population not only increases the pressure to public healthcare services, but also brings urgent needs in long term healthcare resources allocation planning in the society. This paper presents an Elderly Behaviour Analytics Model (EBAM) to identify the hospital healthcare service preferences of elderly for the future planning of healthcare industry. By conducting an elderly-targeted survey, the collected data is analysed to understand the factors affecting the decision of elderly to acquire healthcare services in hospitals. The model applies the genetic algorithm-guided clustering-based association rule mining approach for the segmentation of hospital service preferences of the elderly, and, the identification of relationship between personal characteristics within each cluster. This research study contributes to the understanding the actual healthcare needs of elderly which allows the government and healthcare service providers to adjust or modify the elderly policies and service content.



Author(s):  
Rafiqul Islam-Maruf ◽  
Ashir Ahmed ◽  
Fumihiko Yokota ◽  
Kimiyo Kikuchi ◽  
Mariko Nishikitani ◽  
...  

Poor healthcare infrastructure is the main barrier for providing quality healthcare services to rural communities in developing countries. Thus, these populations remain unreached, and there is a need to establish a method for ensuring the provision of appropriate and adequate healthcare services to these individuals. The portable health clinic (PHC) system has been developed as an effective telemedicine system to meet this objective. A trained village health worker can use this simple system for collecting vital information of the patient, upload the data to the online server, and connect village patients with a remote doctor to enable the provision of online consultancy using video conferencing. Although the PHC was initially developed to ensure primary healthcare service with a focus on non-communicable diseases, a major cause of death, gradually, tele-pathology, tele-eye care, maternal and child health care, and COVID-19 care modules have been added to provide special treatment in these areas as per local needs. The modular PHC system will continue to grow with the addition of novel features that aim to address the local needs. The low-cost and easy operation of the PHC system make it ideal for ensuring global health coverage in communities where inadequate medical facilities and poor-quality healthcare resources remain major issues.



2021 ◽  
Author(s):  
Aitana Dy Macariola ◽  
Theara Mae Capacion Santarin ◽  
Ferianne Joy Manday Villaflor ◽  
Leofe Marie Guintos Villaluna ◽  
Rea Shane Leonora Yonzon ◽  
...  

From a public health perspective, this opinion article discusses the necessity to push for telehealth in the Philippines as a mode of healthcare delivery, based on lessons from other Southeast Asian countries. With the recent pandemic, the Philippines has witnessed the potential of telehealth to cater to the healthcare needs of the public. Telehealth fills in the gaps brought about by the pandemic, delivering quality healthcare services to Filipinos. We hope that this encourages both the public and private sectors to lend their full support to efforts to promote telehealth, particularly in the Philippines.



2021 ◽  
Vol 4 ◽  
pp. 57
Author(s):  
Saydeh Dableh ◽  
Kate Frazer ◽  
Thilo Kroll

Background: People across the world are living longer. This advantageous trend is escorted by an increased prevalence of chronic diseases, making healthcare needs more complex. Non-communicable diseases induce a sharply rising economic and societal cost, particularly in low- and middle-income countries (LMIC), where most older people reside. In this context, the access of older people to primary health care (PHC) is vital because it brings solutions to the aforementioned issues. Furthermore, evidence strongly suggests that this approach to health ensures universal health coverage and enables health systems to adapt to rapid economic, technologic, and demographic changes. PHC improves health outcomes, health system efficiency, and health equity. Given their distinctive needs, older people face financial, geographical, social, cultural, structural, and organisational barriers, affecting their equitable access to PHC services. Therefore, many interventions have been implemented to maximise their access to PHC. This paper outlines the protocol for a scoping review that addresses the central question: What is the scope and nature of available evidence on older peoples’ access to PHC in LMICs? This includes the experience of older people having access to PHC, enabling and hindering access, outcomes of the lack of access, interventions implemented to improve access, and related theoretical frameworks. Methods: This scoping review will follow the theoretical framework proposed by Arksey and O’Malley. The five databases that will be searched are CINAHL, PubMed, LILACS, Embase, and Cochrane Libraries. Studies will be selected according to a set of inclusion/exclusion criteria. Data will then be mapped, extracted, and presented graphically along with a narrative report. Conclusions: The scoping review is a first step to synthesise and disseminate the literature on older people’s access to PHC. This will provide information for researchers to reorient their studies, and intel for decision-makers, enabling them to enact policies that meet older people’s needs.



2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Chantal Herberholz

Thailand has one of the largest stateless populations in the world. Stateless people are denied access to basic rights and services, driving inequality and discrimination and threatening peace and security. This article aims to explore the problems that stateless people are facing in their daily lives, with a focus on healthcare services, health insurance coverage, and mobility. Primary data were collected in 2020 from 108 stateless and nationalityless adults in Chiang Mai province, belonging to three ethnic minorities, and analyzed using a mixed methods approach. The respondents are exposed to daily environmental stressors, the most serious being exclusion from the Universal Coverage Scheme, mobility restrictions and the absence of land rights. While out-of-pocket health expenditures increase financial vulnerability, a lack of health insurance is also associated with perceived poor quality of care and unmet healthcare needs. However, observed differences among the three ethnic groups highlight that some problems are specific to individual ethnic groups and not necessarily a consequence of citizenship problems. Given the experience Thailand has gained in achieving universal health coverage for Thai citizens, there is an opportunity to address the healthcare plight of Thailand’s stateless and nationalityless population through prioritizing the expansion and improvement of the existing Health Insurance for People with Citizenship Problems policy.



Author(s):  
Phaedra Yamson ◽  
John Tetteh ◽  
Daniel DeGraft-Amoah ◽  
Henry Quansah ◽  
George Mensah ◽  
...  

We estimated the prevalence of unmet needs of healthcare services (UNHS) and its associated factors among a cohort of older Ghanaian adults. World Health Organization (WHO) Study on Global AGEing and Adult Health for Ghana was used with a total of 4735 participants. Logistics regression analysis was performed using Stata 16 to assess associated factors. The overall UNHS was 3.7% (95% CI = 2.7-4.8) and the prevalence was significantly high amongst older adults aged 60 to 69 years (5.9%). Could not afford the healthcare (56.4%) was the main contender for UNHS. UNHS was influenced by; those aged 60 to 69 years [OR (95% CI) = 1.86 (1.19-2.91)]; no formal educational [aOR (95% CI) = 4.71 (1.27-17.38)], and no NHIS [OR (95% CI) = 1.78 (1.03-3.09)]. Participants needed care for joint pain (25.4%), and communicable diseases (19.1%). The inability to access healthcare was relatively higher for older adults more advanced in age, with low education, and for those without health insurance. Health system strengthening including financial protection by expanding the National Health Insurance Scheme to all Ghanaians in line with Ghana’s Universal Health Coverage Roadmap would reduce the unmet healthcare needs of older adults.



2016 ◽  
Vol 78 ◽  
pp. 73-82 ◽  
Author(s):  
F.G. Scrimgeour

This paper provides a stocktake of the status of hill country farming in New Zealand and addresses the challenges which will determine its future state and performance. It arises out of the Hill Country Symposium, held in Rotorua, New Zealand, 12-13 April 2016. This paper surveys people, policy, business and change, farming systems for hill country, soil nutrients and the environment, plants for hill country, animals, animal feeding and productivity, and strategies for achieving sustainable outcomes in the hill country. This paper concludes by identifying approaches to: support current and future hill country farmers and service providers, to effectively and efficiently deal with change; link hill farming businesses to effective value chains and new markets to achieve sufficient and stable profitability; reward farmers for the careful management of natural resources on their farm; ensure that new technologies which improve the efficient use of input resources are developed; and strategies to achieve vibrant rural communities which strengthen hill country farming businesses and their service providers. Keywords: farming systems, hill country, people, policy, productivity, profitability, sustainability







2019 ◽  
Vol 25 (11) ◽  
pp. 1249-1264 ◽  
Author(s):  
Amoljit Singh Gill ◽  
Parneet Kaur Deol ◽  
Indu Pal Kaur

Background: Solid free forming (SFF) technique also called additive manufacturing process is immensely popular for biofabrication owing to its high accuracy, precision and reproducibility. Method: SFF techniques like stereolithography, selective laser sintering, fused deposition modeling, extrusion printing, and inkjet printing create three dimension (3D) structures by layer by layer processing of the material. To achieve desirable results, selection of the appropriate technique is an important aspect and it is based on the nature of biomaterial or bioink to be processed. Result & Conclusion: Alginate is a commonly employed bioink in biofabrication process, attributable to its nontoxic, biodegradable and biocompatible nature; low cost; and tendency to form hydrogel under mild conditions. Furthermore, control on its rheological properties like viscosity and shear thinning, makes this natural anionic polymer an appropriate candidate for many of the SFF techniques. It is endeavoured in the present review to highlight the status of alginate as bioink in various SFF techniques.



Sign in / Sign up

Export Citation Format

Share Document