scholarly journals The MAMI Care Pathway Package: A resource to support the management of small and nutritionally at-risk infants under six months of age and their mothers (MAMI)

2021 ◽  
Vol 14 (3) ◽  
pp. 94-97
Author(s):  
Kelsey Grey ◽  
Eilise Brennan ◽  
Marko Kerac ◽  
Marie McGrath
Keyword(s):  
At Risk ◽  
Health Workers ◽  
Care Pathway ◽  
Integrated Management ◽  
World Health Organisation ◽  
Global Network ◽  
World Health ◽  
Severe Malnutrition ◽  
National Guidelines ◽  
Integrated Care Pathway

Globally, millions of infants under six months (u6m) are small and nutritionally at-risk, but many do not get the care they need to survive and thrive. Although the 2013 World Health Organisation (WHO) guidelines for severe malnutrition management recommend outpatient care for clinically stable infants u6m, most national guidelines still recommend inpatient care for all infants u6m. To help put the WHO recommendations into action, the MAMI Global Network has developed the MAMI Care Pathway Package – a resource to facilitate the screening, assessment, and management of small and nutritionally at-risk infants u6m and their mothers. The Package uses an integrated care pathway approach and is designed to embed within and support Integrated Management of Childhood Illness (IMCI). By improvingcontinuity of care and facilitating patient management, the MAMI Care Pathway Package aims to help health workers improve outcomes for infants and mothers worldwide while also simplifying their care.

scholarly journals Occupational safety and health education and training: an innovative format and experience

2020 ◽  
Author(s):  
Emma Pietrafesa ◽  
Sergio Iavicoli ◽  
Agnese Martini ◽  
Rosalba Simeone ◽  
Antonella Polimeni
Keyword(s):  
Occupational Safety ◽  
Integrated Management ◽  
Well Being ◽  
World Health Organisation ◽  
Occupational Safety And Health ◽  
World Health ◽  
New Professionals ◽  
Safety And Health ◽  
The World ◽  
Training Courses

Health begins at home and in community where people live and work, in fact, the World Health Organisation (WHO) defines health as ‘a state of complete physical, mental and social well-being’. Experts and professionals, of all sectors and specialities, need to take account the Occupational Safety and Health (OSH) in all aspects of their working lives. Mainstreaming OSH into education concerns integrating one policy area – OSH – into another – education. This study started from a first analysis of an international and national OSH training offer, in which  some critical aspects emerged: there are mostly sectoral training courses, qualifying some prevention actor roles, most linked to traditional risks, and primarily focused on the safety aspects rather than the health ones. The current study is related to an innovative format and experience for an integrated management of OSH in the evolution of the world of work. The concept was born from the need to train new professionals figures when the rapid demographic changes and technological innovation are changing the working world and therefore also the required skills to prevention actors. A first test has been conducted on 26 students who attended the first edition of this innovative training. 

scholarly journals MOTIVASI KADER DAN KELENGKAPAN PENGISIAN KARTU MENUJU SEHAT BALITA DI KABUPATEN KUDUS

2017 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Ika Tristanti ◽  
Indah Risnawati
Keyword(s):  
Nutritional Status ◽  
Health Workers ◽  
Sampling Technique ◽  
World Health ◽  
Severe Malnutrition ◽  
Growth Disorders ◽  
Cross Sectional ◽  
Central Java ◽  
Nutritional Status Of Children ◽  
Poor Nutrition

AbstrakBadan kesehatan dunia (WHO, 2011) memperkirakan bahwa 54% kematian anak disebabkan oleh keadaan gizi yang buruk. Di Indonesia, saat ini tercatat 4,5% dari 22 juta balita atau 900 ribu balita di Indonesia mengalami gizi kurang atau gizi buruk dan mengakibatkan lebih dari 80% kematian anak (Kemenkes,2012). Status gizi balita di Jawa Tengah tahun 2012 menunjukkan status gizi kurang sebesar 4,88% dan gizi buruk sebesar 0,06% (Dinkes Provinsi Jawa Tengah, 2012). Kabupaten Kudus tahun 2013 terdapat 3,74% balita menderita gizi kurang dan 0,76% gizi buruk. Penggunaan Kartu Menuju Sehat(KMS) untuk memantau pertumbuhan balita sangat efektif dan bermanfaat untuk mendeteksi adanya gangguan pertumbuhan seperti gizi kurang ataupun gizi buruk. Pengisian KMS dilakukan oleh kader kesehatan. Hasil survei pendahuluan dengan wawancara yang mendalam kepada 10 kader posyandu pada bulan Desember 2016 di Kabupaten Kudus, diperoleh 4 kader (40%) lengkap dalam pengisian KMS dan 6 kader (60%) tidak lengkap dalam pengisian KMS. Tujuan penelitian ini adalah untuk mengetahui pengaruh motivasi kader terhadap kelengkapan pengisian Kartu Menuju Sehat di Kabupaten Kudus. Jenis penelitian adalah observasional analitik dengan rancangan cross sectional. Tempat penelitian ini di Posyandu Kabupaten Kudus pada bulan Januari 2017. Populasi dalam penelitian ini sebanyak 39 kader yang bertugas mengisi KMS. Teknik pengambilan sampel dengan accidental sampling.Selanjutnya data yang diperoleh dianalisis dengan uji univariat dan bivariat dengan menggunakan SPSS versi 20. Hasil penelitian ini adalah ada pengaruh motivasi kader dengan kelengkapan pengisian Kartu Menuju Sehat. Hendaknya kader kesehatan lebih diberikan kesempatan untuk mengikuti pelatihan tentang posyandu dan pengisian KMS. Selain itu, insentif yang diberikan kepada kader lebih ditingkatkan lagi. Kata kunci : Motivasi, Kader,Kartu Menuju Sehat AbstractThe World Health Organization (WHO, 2011) estimates that 54% of child deaths are caused by poor nutritional status. In Indonesia, there are 4.5% from 22 million children less than 5 years or 900 thousand children less than 5 years in Indonesia suffered malnutrition or poor nutrition, and there are resulted more than 80% from childhood deaths (MoH, 2012). Nutritional status of children in Central Java in 2012 showed that malnutrition status is 4.88% and malnutrition is 0.06%  (Central Java Provincial Health Office, 2012). Kudus Regency in 2013 has 3.74% toodler under five suffer from malnutrition and 0.76% severe malnutrition. The use of Kartu Menuju Sehat (KMS) to monitor the growth of children is very effective and useful for detecting the presence of growth disorders such as malnutrition or poor nutrition. Charging KMS is done by health workers/ health cadre. The results of  preliminary survey with in-depth interviews to 10 cadres Posyandu in December 2016 in Kudus,is there are four cadres (40%) complete in charging  KMS and 6 (60%) did not complete in charging KMS. The purpose of this study was to determine the effect of the motivation of cadres in completeing Kartu Menuju Sehat in Kudus. The study was observational analytic with cross sectional design. This study place at Kudus District in January 2017. The population in this study is the  total 39 cadres and their duty to fill KMS.  The sampling technique is accidental sampling. Furthermore, the data obtained were analyzed by univariate and bivariate using SPSS version 20.  The results of this study are there is no motivational effect cadre completeness Kartu Menuju Sehat. Health workers should be given the opportunity to attend training on posyandu and charging KMS. In addition, the incentives for the cadres can be added and developed.  Key words: Motivation, cadres, KMS

scholarly journals Integrated management of childhood illness (IMCI): an innovative vision for child health care

2001 ◽  
Vol 1 (3) ◽  
pp. 223-236 ◽  
Author(s):  
Yehuda Benguigui
Keyword(s):  
Health Promotion ◽  
Health Workers ◽  
Integrated Management ◽  
Health Condition ◽  
Childhood Illness ◽  
Infant Mortality Rate ◽  
World Health ◽  
Danger Signs ◽  
Prevention And Health Promotion ◽  
Health Organization

The Integrated Management of Childhood Illness (IMCI) strategy developed by the World Health Organization (WHO), Panamerican Health Organization (PAHO) and the United Nation Children's Fund (UNICEF), joint experiences of previous frequent diseases programs in children, with prevention and health promotion activities. In this new approach the family, the community and health workers have a leading role in health condition of the child. The strategy aims a reduction in Infant Mortality Rate, specially in those regions and countries in which it is high. Pneumonia, diarrhea, malnutrition and other preventable diseases are the main causes of deaths in this settings. Health workers can early recognized danger signs of severe diseases, as well as they can evaluate and treat the most frequent health problems. By enhancing prevention and health promotion activities, as better conditions of life, giving an holistic vision of the child and his family, and not only looking for the symptom that motivate the consultation.

scholarly journals Development of a Tool to Increase Physical Activity among People at Risk for Diabetes in Low-Resourced Communities in Cape Town

2020 ◽  
Vol 17 (3) ◽  
pp. 865 ◽  
Author(s):  
Jillian Hill ◽  
Camille Lavigne Delville ◽  
Anne-Marie Auorousseau ◽  
Deborah Jonathan ◽  
Nasheeta Peer ◽  
...  
Keyword(s):  
Physical Activity ◽  
At Risk ◽  
South African ◽  
Cape Town ◽  
World Health Organisation ◽  
World Health ◽  
Moderate Intensity ◽  
Baseline Survey ◽  
Haemoglobin A1c ◽  
Mixed Ancestry

Targeted lifestyle interventions, including physical activity (PA), have been proven to prevent or delay the onset of diabetes. South Africa’s unique context, complex environment and varied cultures and ethnicities require tailored interventions. Our objective was to develop a context-appropriate tool for the South African Diabetes Prevention Programme’s PA lifestyle component in order to enable people at risk of developing diabetes to adopt PA. We used mixed methods to inform the development of the tool. Descriptive analyses of baseline survey data included socio-demographics, anthropometrics, blood pressure and biochemical measurements, reported medical history, PA behaviours, and built environment information. Focus group discussions assisted in understanding perceived challenges, barriers and facilitators/opportunities to PA. A literature search on successful South African PA interventions was done, and PA experts in Cape Town were consulted. Quantitative data were analysed using the software R, version 3.4.4 and qualitative data were thematically analysed. Participants (n = 316) recruited were mostly black (54.4%) and of mixed-ancestry (44.6%); they were mainly female (80.1%), obese (75.2%), and had an haemoglobin A1c (HbA1c) above 5.7% (65.5%), with 30% having hypertension and 87% (self-reported) meeting the World Health Organisation (WHO) PA recommendation. Main barriers to PA practice were safety, cost and accessibility of sports facilities, and laziness. We included practising moderate-intensity aerobic and resistance exercises and take-home self-help materials as recommended. By combining results, we produced a targeted, practical and promotional PA booklet.

scholarly journals Health Workers’ Awareness and Knowledge of Current Recommendation of Intermittent Preventive Treatment in Pregnancy in South-Western Nigeria

2020 ◽  
Vol 30 (1) ◽  
Author(s):  
Oluwasomidoyin Olukemi Bello ◽  
Olaolu Oni
Keyword(s):  
Health Workers ◽  
Intermittent Preventive Treatment ◽  
Preventive Treatment ◽  
World Health Organisation ◽  
Malaria In Pregnancy ◽  
World Health ◽  
Current Recommendation ◽  
Cross Sectional ◽  
Correct Knowledge ◽  
In Pregnancy

BACKGROUND: Malaria in pregnancy is of public health significance because of its associated maternal and fetal complications. This study aimed to assess health workers’ awareness and knowledge of the current World Health Organisation (WHO) recommendation of intermittent preventive treatment in pregnancy with Sulfadoxine-Pyrimethamine (IPTp-SP).METHODS: A cross-sectional study among 148 health workers who offer obstetrics care in selected health facilities in Ibadan, Nigeria using a self-administered questionnaire to evaluate their awareness and knowledge of the current WHO IPTp-SP. Information on their socio-demographic and professional characteristics, awareness, knowledge and practice of the current IPTp recommendation were obtained. Data analysis involved descriptive and bivariate analyses using SPSS version 20.0 with level of significance set at p<0.05.RESULTS: The majority, 85(57.4%), of the health workers had been providing obstetrics care for less than 5 years with most of them, 114(77.0%), practicing at tertiary health facility. More than half, 92(62.2%), of them were aware of the current WHO IPTp-SP recommendation while about two-fifth (39.1%) had its correct knowledge. Of the health workers who were knowledgeable of the current IPTp-SP recommendation almost three-quarter, 29(72.2%) of them prescribed it. The health workers’ professional cadre (p<0.001) and duration of providing obstetrics care (p=0.012) were significantly associated with their awareness and correct knowledge of the current IPTp-SP recommendation.CONCLUSION: Most of the health workers are aware but not knowledgeable of the correct administration of the current IPTp- SP recommendation. Likewise, many of them do not prescribe it. This calls for regular training and update of health workers and institutional protocol so as to effectively reduce the prevalence of malaria in pregnancy and its complications.

scholarly journals Health Pandemic and Experience of COVID-19 Infected Health Workers: A Qualitative Study

2021 ◽  
Vol 15 (3-4) ◽  
Author(s):  
Diganta Das
Keyword(s):  
Separation Anxiety ◽  
Health Workers ◽  
Family Members ◽  
World Health Organisation ◽  
World Health ◽  
Extreme Stress ◽  
Rapid Spread ◽  
The World ◽  
The Impact ◽  
Analytical Approaches

ABSTRACT Due to the rapid spread of the COVID-19 disease, the world communities were faced extreme stress to deal with the pandemic. The World Health Organisation (WHO) was decided to declare COVID-19 as a pandemic on March 11, 2020. COVID-19 pandemic was brought extreme challenges on health workers including nurses and ward attendants’ work in the healthcare service. The objective of this study was to explored the impact on health workers of India. This study was conducted among nurses and ward attendants and they were known for their service through the COVID-19 pandemic. This study was included 20 respondents where 10 of them were nurses and the other 10 were ward attendants at the hospital. The interview method was used to collect the data, and the interviews were conducted between November 2020 and February 2021. The interviews were conducted over the phone. Data was analysed with the help of Graneheim’s qualitative content analytical approaches. This study found that health workers were faced anxiety, fear of death, social isolation, loss of hope about future, separation anxiety from family members, etc. They were faced with uncertainty of their own life and even family members due to higher death rate among health workers and also patients.

scholarly journals A capacity assessment of healthcare workers to provide second-line antiretroviral therapy in Malawi: 2016

2021 ◽  
Author(s):  
Wingston Ng'ambi ◽  
Yusuf Babaye ◽  
Paul Nyasulu ◽  
Andreas Jahn ◽  
Abiba Longwe-Ngwira ◽  
...  
Keyword(s):  
Health Workers ◽  
Statistical Significance ◽  
World Health Organisation ◽  
Cross Sectional Study ◽  
World Health ◽  
Second Line ◽  
First Line ◽  
Chi Square ◽  
Cross Sectional ◽  
Number Of Patients

INTRODUCTION: According to the estimates by the World Health Organisation, Malawi is lagging behind for the number of patients that should have been on second-line ART. In settings like Malawi the low switching is attributable to low knowledge of clinical assessment for first-line antiretroviral treatment (ART) failure. We analyzed the knowledge level of different cadres of health workers on the management of second-line ART. METHODS: This cross-sectional study assessed readiness of first-line ART providers to provide second-line ART in the 26 districts of Malawi. Descriptive statistics were conducted using STATA v15.0. The passing score was 80%. Associations were assessed using Chi-Square tests. Statistical significance was placed at P<0.05. RESULTS: Of the 754 ART providers assessed, 290 (38%) were eligible to prescribe second-line ARVs. We observed significant differences for eligibility by cadre and district (P<0.001). Furthermore, 69% of the ART providers correctly identified second-line ARVs while 9% of the providers correctly chose second-line ARVs for management of different side-effects. Both competencies varied by cadre and district (P<0.001). Of the ART providers, 9% correctly interpreted the VL results which we found to significantly vary by cadre (P<0.001) and not districts. However, 78% of ART providers were able to prescribe correct dose of second-line ART which did not significantly vary by cadre (P=0.27). Spatial analysis showed Thyolo and Chiradzulu as high performing districts. CONCLUSIONS: This assessment found that registered nurses had comparable knowledge to medical doctors and clinical officers in most areas but not in correctly selecting second line ARVs. To strengthen task shifting approaches, capacity building should focus on how to correctly select second line regimen and interpret viral load results. Training activities should also consider regional and district-level variability in capacity.

scholarly journals Variations in the use of caesarean section: a Comparison between France and Australia

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Chevreul ◽  
A Shand ◽  
D Korb ◽  
E LeRoux ◽  
N Nassar ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Caesarean Section Rate ◽  
Perinatal Outcomes ◽  
World Health Organisation ◽  
World Health ◽  
Clinical Activity ◽  
National Guidelines ◽  
Maternal Characteristics ◽  
Robson Classification ◽  
The World

Abstract Background There has been a rise in obstetric intervention during labour and birth including rates of caesarean section around the world. The rates of caesarean section are lower in France (20%) than Australia (34%). Both countries have universal health care systems. Australia has a well-established program of obstetric benchmarking and national data collection for comparing maternal and perinatal outcomes taking into account maternity units and maternal characteristics. Although the optimal caesarean section rate is not known, variation in caesarean section rates raise questions about what is driving variation in practice and whether the right care is being delivered. The World Health Organisation has recently released non-clinical recommendations aiming to reduce unnecessary caesarean sections, including that births are classified by Robson classification for easier comparison. Methods We aim to compare rates of mode of birth in 2 tertiary hospitals- one in France and one in Australia using Robson classification. This project will investigate differences in patient casemix, and obstetric management that may lead to differences in outcome. In addition, we will try to explore differences in the health systems including clinical activity, induction rates, staffing (number, type (medical, nursing, midwifery)), and models of care. Outcomes Caesarean section is one of the most common operations performed in hospitals. Important variations of surgical rates raise question regarding whether access to this procedure is optimized. Determining current practice and outcomes of women in two different settings will provide important data to inform hospital practice and further research. In addition, this research may inform national guidelines about indications for caesarean section.

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