Potential Mechanism Development of Local Health Security Funds and Graduate Volunteers on Health Management

2020 ◽  
pp. 6-10
Author(s):  
Erin Bassett ◽  
Carmel Phillips
Keyword(s):  
Health Risk ◽  
Role Models ◽  
Health Management ◽  
Community Level ◽  
Local Health ◽  
Participatory Action ◽  
Health Security ◽  
Control And Prevention ◽  
Security Funds ◽  
Health Insurance Funds

Thailand has been faced the challenge to solve alcohol, tobacco, and drugs for decades. Many government sectors, especially ministry of public health, and nongovernment organizations, have critical roles in control and prevention. However, the other mechanisms are graduate volunteers and local health insurance funds that have not been yet cleared for their roles in these management. This study aimed to explore and develop the capacity of both mechanisms in generating plans and projects for fixing these health risk problems in community level. The study was conducted during June 2017-December 2018by a participatory action approach in 27 pilot provinces of 12 health regions, Thailand. The 578 participants consisting of100 graduate volunteers, 306local health security fund committee and 172 provincial coaching teams that were trained to create plans and projects through a specific website. The findings revealed that both mechanisms actioned in developing 843 plans for alcohol, tobacco, and drugs equally 276, 276, and 291, respectively. The 1,053 projects were approved to be done inside the community for alcohol, tobacco, and the drugs that were 325, 386, and 342, respectively. The strategic approaches in those plans and projected were categorized into8items:(1) New case prevention (2) Reducing an access (3) Quitting services (4) Alternative rehabilitation (5) Increasing social measures (6) Health protection for all (7) Increasing health risk communication (8) Personal role models and learning centers. These indicated that both mechanisms could be used for health risk solutions at the community level in all parts of Thailand.

scholarly journals Exploring the mechanisms of collaboration between the Tuberculosis and Diabetes Programs for the control of TB-DM Comorbidity in Ghana

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Rita Suhuyini Salifu ◽  
Khumbulani W. Hlongwana
Keyword(s):  
Communicable Disease ◽  
Control Program ◽  
Communicable Diseases ◽  
Local Health ◽  
National Tuberculosis Control Program ◽  
National Tuberculosis ◽  
Local Health Facility ◽  
Control And Prevention ◽  
And Control ◽  
Non Communicable Disease

Abstract Objectives To explore the mechanisms of collaboration between the stakeholders, including National Tuberculosis Control Program (NTP) and the Non-Communicable Disease Control and Prevention Program (NCDCP) at the national, regional, and local (health facility) levels of the health care system in Ghana. This is one of the objectives in a study on the “Barriers and Facilitators to the Implementation of the Collaborative Framework for the Care and Control of Tuberculosis and Diabetes in Ghana” Results The data analysis revealed 4 key themes. These were (1) Increased support for communicable diseases (CDs) compared to stagnant support for non-communicable diseases (NCDs), (2) Donor support, (3) Poor collaboration between NTP and NCDCP, and (4) Low Tuberculosis-Diabetes Mellitus (TB-DM) case detection.

scholarly journals Rebuilding public trust: a clarified response to COVID-19 vaccine hesitancy predicament

2021 ◽  
Author(s):  
Dalmacito A Cordero
Keyword(s):  
Role Models ◽  
Public Trust ◽  
Medical Doctor ◽  
Vaccine Hesitancy ◽  
Local Health ◽  
Public Officials ◽  
Defensive Strategy ◽  
Health Authorities ◽  
Local Health Care ◽  
The Government

Abstract As the world welcomes the availability and distribution of COVID-19 vaccines, coupled with it is the ‘hesitant’ predicament of some Filipinos to get vaccinated because of the confusing information regarding its efficacy. With this, the government needs to build up public trust to assure a successful vaccination program. A recent study suggested that a more ‘localized’ public education and role-modeling from public officials and health authorities can help in building public trust. However, this needs a lot of clarification if applied in the current situation where education is fully executed online. The problem now lies in the country’s poor internet connectivity which greatly affects the online setup. This study then proposes that a house-to-house massive information campaign by local health care personnel which is led by a medical doctor to ensure a credible explanation of the entire procedure. In the same way, the idea of public officials as role-models seemed to be ineffective since there were already casualties linked to the vaccine. A consistent transparent approach is suggested in lieu of this which can prepare the country for a more defensive strategy to fight the pandemic.

scholarly journals Health Risk Assessment Indicators for the Left-Behind Elderly in Rural China: A Delphi Study

2020 ◽  
Vol 17 (1) ◽  
pp. 340 ◽  
Author(s):  
Ruzhen Luo ◽  
Chunmei Zhang ◽  
Yanhui Liu
Keyword(s):  
Risk Assessment ◽  
Health Risk ◽  
Health Risk Assessment ◽  
Delphi Study ◽  
Index System ◽  
Urban Areas ◽  
Health Management ◽  
Assessment Index ◽  
Left Behind ◽  
Assessment Index System

In China, many young and middle-aged rural residents move to urban areas each year. The rural elderly are left behind. The number of the rural left-behind elderly is increasing with urbanization, but it is unclear which indicators can be used to assess their health condition. The health risk assessment index system was developed to improve the health level of the rural left-behind elderly. A two-round web-based Delphi process was used to organize the recommendations from fifteen Chinese experts in geriatrics, health management, social psychology who participated in this study. Meaningfulness, importance, modifiability, and comprehensive value of the health risk assessment indicators in the index system were evaluated. The effective recovery rates of the two-round Delphi were 86.67% and 92.31%, respectively. The judgement coefficient and the authority coefficient were 0.87 and 0.82, respectively. The expert familiarity was 0.76. Ultimately, the health risk assessment index system for the rural left-behind elderly consisted of five first-level indicators, thirteen second-level indicators, and sixty-six third-level indicators. The final indicators can be used to evaluate the health of the rural left-behind elderly and provide the basis for additional health risk interventions.

scholarly journals Global Health Security Capacity Against COVID-19 Outbreak: An Analysis of Annual Data from 210 Countries and Territories

2021 ◽  
Vol 12 (4) ◽  
Author(s):  
Elham Maraghi ◽  
Amal Saki Malehi ◽  
Fakher Rahim
Keyword(s):  
Case Fatality Rate ◽  
Case Fatality ◽  
Annual Data ◽  
Fatality Rate ◽  
Risk Environment ◽  
Health Security ◽  
Middle Income ◽  
Functional Capabilities ◽  
Control And Prevention ◽  
Prevention Center

Objectives: To review the most recent GHS index annual report to observe the regional and global level of health security against the COVID-19 outbreak, as well as their relationship with the case fatality rate, among 210 countries and territories worldwide. Methods: We analyzed October 2019 GHS index, to assess the capacity of health security-based on the GHS index in the context of six categories. We prioritized not only the capacities of 210 countries and territories around the world using the GHS index but also the existence of functional capabilities to prevent pandemics at the source. Data were collected from global databases, including Worldometer, WHO, and Disease Control and Prevention Center (CDC). Results: This study collected data on 210 countries and territories, of which up to April 14, 2020, 72 countries (34.28%) with more than 1,000 total COVID-19 cases were present. In the most prepared group, the number of total COVID-19 diagnostic tests had a significant positive relationship with the GHS index (r = 0.713; P = 0.006). Case fatality rate was directly associated with the detection index (r = 0.304; P = 0.023) in more prepared group”. In the Lower-middle-income economies group, the case fatality rate was positively related to detection, response, and risk environment indices. Conclusions: With the exception of a very small number, countries that were ranked as most prepared countries were more likely to be affected by the COVID-19 outbreak of the virus and its health consequences and needed to seriously reconsider their capabilities and health security in the context of detection, prevention, rapid response, health system facilities, and risk environment against disease outbreak.

scholarly journals Malaria patterns across altitudinal zones of Mount Elgon following intensified control and prevention programs in Uganda

2020 ◽  
Author(s):  
Siya Aggrey ◽  
Egeru Anthony ◽  
Kalule Bosco John ◽  
Lukwa Tafadzwa Akim ◽  
Ssentongo Benard
Keyword(s):  
High Altitude ◽  
Arima Model ◽  
Sub Saharan Africa ◽  
Eastern Africa ◽  
Health Concern ◽  
Series Data ◽  
Trend Test ◽  
Local Health ◽  
Control And Prevention ◽  
Mount Elgon

Abstract Background Malaria remains a major tropical vector-borne disease of immense public health concern owing to its debilitating effects in sub-Saharan Africa. In the recent past, the high altitude areas in Eastern Africa have been reported to experience dramatic cases of malaria. However, its patterns following intensified control and prevention interventions remains and the changing climate remains widely unexplored in these regions. This study thus analyzed malaria patterns across altitudinal zones of Mount Elgon, Uganda. Methods Times-series data on malaria cases (2011 - 2017) from five level III local health centers occurring across three altitudinal zones; low, mid and high altitude was utilized. Inverse Distance Weighted (IDW) interpolation regression and Mann Kendall trend test were used to analyze malaria patterns. Autoregressive Integrated Moving Average (ARIMA) model was used to project malaria patterns for a seven year period. Results On average, 66±69/1000 individuals suffered from malaria on a monthly basis. This was most pronounced in the months of May-August 89±88/1000 compared to the months of November-February (40±33/1000). Malaria patterns varied with season and altitude and declined over time across the three altitudinal zones. Observed cases, revealed an annual average of 587±750/1000; 345±321/1000 and 338±351/1000 cases in lower, mid and high altitudes respectively. Conclusions Despite observed decline in malaria cases across the three altitudinal zones, the high altitude zone became a malaria hotspot as cases variably occurred in the zone. The projections of malaria revealed declining patterns of malaria cases in all the altitudinal zones. Malaria control interventions thus ought to be strengthened and strategically designed to achieve no malaria cases across all the altitudinal zones. Integration of climate information within malaria interventions can also strengthen eradication strategies of malaria in such differentiated altitudinal zones.

General Practitioners’ Roles in Disaster Health Management: Perspectives of Disaster Managers

2021 ◽  
pp. 1-8
Author(s):  
Penelope L. Burns ◽  
Gerard J. FitzGerald ◽  
Wendy C. Hu ◽  
Peter Aitken ◽  
Kirsty A. Douglas
Keyword(s):  
Health Care ◽  
New Zealand ◽  
General Practitioners ◽  
Health Management ◽  
Health Care Systems ◽  
Health Resources ◽  
Local Health ◽  
Structured Interviews ◽  
Care Needs ◽  
Study Objective

Abstract Introduction: General Practitioners (GPs) are inevitably involved when disaster strikes their communities. Evidence of health care needs in disasters increasingly suggests benefits from greater involvement of GPs, and recent research has clarified key roles. Despite this, GPs continue to be disconnected from disaster health management (DHM) in most countries. Study Objective: The aim of this study was to explore the perspectives of disaster management professionals in two countries, across a range of all-hazard disasters, regarding the roles and contributions of GPs to DHM, and to identify barriers to, and benefits of, more active engagement of GPs in disaster health care systems. Methods: A qualitative research methodology using semi-structured interviews was conducted with a purposive sample of Disaster Managers (DMs) to explore their perspectives arising from experiences and observations of GPs during disasters from 2009 through 2016 in Australia or New Zealand. These involved all-hazard disasters including natural, man-made, and pandemic disasters. Responses were analyzed using thematic analysis. Results: These findings document support from DM participants for greater integration of GPs into DHM with New Zealand DMs reporting GPs as already a valuable integrated contributor. In contrast, Australian DMs reported barriers to inclusion that needed to be addressed before sustained integration could occur. The two most strongly expressed barriers were universally expressed by Australian DMs: (1) limited understanding of the work GPs undertake, restricting DMs’ ability to facilitate GP integration; and (2) DMs’ difficulty engaging with GPs as a single group. Other considerations included GPs’ limited DHM knowledge, limited preparedness, and their heightened vulnerability. Strategies identified to facilitate greater integration of GPs into DHM where it is lacking, such as Australia, included enhanced communication, awareness, and understanding between GPs and DMs. Conclusion: Experience from New Zealand shows systematic, sustained integration of GPs into DHM systems is achievable and valuable. Findings suggest key factors are collaboration between DMs and GPs at local, state, and national levels of DHM in planning and preparedness for the next disaster. A resilient health care system that maximizes capacity of all available local health resources in disasters and sustains them into the recovery should include General Practice.

144 The Epidemiology of Hoof-related Lameness in Western Canadian Feedlot Cattle

2021 ◽  
Vol 99 (Supplement_3) ◽  
pp. 81-82
Author(s):  
Sarah E Erickson ◽  
Murray Jelinski ◽  
Karen S Schwartzkopf-Genswein ◽  
Calvin Booker ◽  
Eugene Janzen
Keyword(s):  
North Carolina ◽  
Total Population ◽  
Health Management ◽  
Statistical Significance ◽  
Feedlot Cattle ◽  
Foot Rot ◽  
Digital Dermatitis ◽  
Multivariate Statistical ◽  
Multivariate Statistical Model ◽  
Control And Prevention

Abstract The epidemiology of hoof-related lameness (HRL) in western Canadian feedlots, with a focus on digital dermatitis (DD), was described and analyzed to help inform recommendations on lameness control and prevention in western Canadian feedlot cattle. The retrospective data in this study were accessed from 28 western Canadian feedlots that placed cattle in 2014–2018, inclusive. The total population for this study was 1,796,176 cattle, with an annual placement average of 12,830 cattle per feedlot. These data were accessed through iFHMS Consolidated Database, provided by Feedlot Health Management Services by TELUS Agriculture, and manipulated using Microsoft® Office Access 365 ProPlus and Microsoft® Office Excel 365 ProPlus. Epidemiological analyses determined that lameness accounts for 25.7% of all treatments in western Canadian feedlots. Of those treatments, 71.7% are localized to the hoof, corresponding to 18.6% of all treatments. The most common HRL diseases are infectious bovine pododermatitis [foot rot (FR)]; digital dermatitis (DD), also known as hairy-heel wart or strawberry foot rot; and toe-tip necrosis syndrome (TTNS). These diseases account for 89.6%, 7.9% and 2.4% of HRL, respectively. Between 2014 and 2018, HRL prevalence ranged between 1.93% and 3.09% of the population, with FR consistently having the highest prevalence and TTNS the lowest. HRL and DD were tested for their associations with several animal-level risk factors using © Ausvet 2021 Epitools software. The resultant crude, univariate odds ratio values, evaluated at 95% confidence, are summarized in Table 1. Based on this analysis, acquisition source has the largest influence on the odds of developing HRL and DD, followed by population size, and placement quarter. Using SAS® (Version 9.4, SAS Institute Inc, Cary, North Carolina) statistical software, these preliminary findings will be subjected to a multivariate statistical model, which will provide adjusted OR values and statistical significance for the data in this study.

The Sickness of Stigmas

2017 ◽  
Vol 32 (3) ◽  
pp. 183-184
Author(s):  
Bronwen J Ackermann
Keyword(s):  
Health Promotion ◽  
Health Risk ◽  
Performing Arts ◽  
Health Management ◽  
Modern Medicine ◽  
Performing Artists ◽  
Injury Management ◽  
And Performance ◽  
Physical Challenges ◽  
Improved Methods

In modern medicine, approaches to healthcare no longer only encompass injury management, but increasingly focus on understanding the performance demands and health risk exposures faced by performing artists. Quantitative and qualitative scientific and health analyses by performing artists, clinicians, educators, and researchers are increasingly helping us to develop effective, targeted, and relevant health promotion and performance optimisation strategies worldwide. While such research increasingly identifies improved methods of preventing and managing potential psychological, audiological, or physical challenges faced by performing artists, we still need to work hard to address very important barriers to implementing appropriate health approaches. One of the challenges to better health management in performing arts populations relates to stigmatization.

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