scholarly journals A brief, standardized tool for measuring HIV-related stigma among health facility staff: results of field testing in China, Dominica, Egypt, Kenya, Puerto Rico and St. Christopher & Nevis

2013 ◽  
Vol 16 ◽  
pp. 18718 ◽  
Author(s):  
Laura Nyblade ◽  
Aparna Jain ◽  
Manal Benkirane ◽  
Li Li ◽  
Anna-Leena Lohiniva ◽  
...  
2020 ◽  
Author(s):  
Ajay Acharya ◽  
Kenda Cunningham ◽  
Shraddha Manandhar ◽  
Niva Shrestha ◽  
Mario Chen ◽  
...  

BACKGROUND With mobile phone coverage and ownership expanding globally, mobile health (mHealth) interventions are increasingly being used to improve coverage and quality of health and nutrition services. However, evidence on mHealth intervention feasibility and factors to consider during program design is limited in low- and middle-income countries like Nepal. OBJECTIVE This study aimed to examine the potential of using text messages to improve health and nutrition services by exploring mobile phone ownership and sharing; mobile phone use and skills; and interest, preferences, and limitations regarding mHealth interventions. METHODS We conducted 35 in-depth interviews with 1000-day women (the period from conception to a child’s second birthday), health facility staff, and female community health volunteers (FCHVs), as well as eight focus group discussions with health facility staff, FCHVs, and 1000-day household decision-makers (ie, husbands, mothers-in-law, and fathers-in-law). We also conducted a mobile phone skills test. We employed thematic analysis using framework matrices and analytical memos. RESULTS The study included 70 study participants, of whom 68 (97%) had a mobile phone, and phone sharing was uncommon. Use of text messages was most commonly reported by 1000-day women and health facility staff than household decision-makers and FCHVs. More than 8 in 10 participants (54/64, 84%) could dial numbers, and the majority (28/34, 82%) of 1000-day women, health facility staff, and male decision-makers could also read and write text messages. We found that 1000-day women preferred educational and reminder messages, whereas health facility staff and FCHVs desired educational and motivational messages. Participants suggested different types of texts for 1000-day women, families, FCHVs, and health facility staff, and reported less value for texts received from unknown phone numbers. CONCLUSIONS A text message–based mHealth intervention is acceptable in the hills of Nepal and has the potential to improve community health and nutrition service utilization, particularly by sending meeting reminders and by providing information. Our findings contribute to text message–based mHealth intervention design in under-resourced settings.


2014 ◽  
Vol 9 (2) ◽  
pp. 38-41
Author(s):  
S R Manandhar ◽  
D S Manandhar ◽  
D Adhikari ◽  
J R Shrestha ◽  
C Rai ◽  
...  

Aims: This study was done to identify and analyze obstetric near miss cases at health facilities of electoral constituency number 2 (EC 2) of Arghakhanchi district, Nepal. Methods: After receiving one day training on identifying obstetric near miss cases, health facility staff of EC 2 of Arghakhanchi district filled up WHO derived obstetric near miss forms for eight months duration. Causes of obstetric near miss cases were identified and analyzed in SPSS 16. Results: There were 31 obstetric near miss cases reported from different health facilities of EC 2 of Arghakhanchi. The commonest cause of obstetric near miss was Post-partum Hemorrhage (85%, n=26) followed by obstructed labor and ante partum hemorrhage (6%, n= 2) each. The leading cause of PPH was retained placenta/placental tissue in 55% cases (14) followed by atonic uterus (27%, n= 7). Two fifth of the mothers (39%, n=12) developed complication during labor. The most common complication developed after labor was hemorrhage. Conclusions: This study highlighted PPH as the most common serious obstetric problem in the health facilities and indicates the need for provision of blood transfusion at the health facility at least at Arghakhanchi. DOI: http://dx.doi.org/10.3126/njog.v9i2.11760


2018 ◽  
Vol 6 ◽  
Author(s):  
Laura Nyblade ◽  
Krishnamachari Srinivasan ◽  
Amanda Mazur ◽  
Tony Raj ◽  
Divya S. Patil ◽  
...  

2017 ◽  
Vol Volume 11 ◽  
pp. 1523-1531 ◽  
Author(s):  
Ndumiso Tshuma ◽  
Ofentse Mosikare ◽  
Jessica A Yun ◽  
Olufunke A Alaba ◽  
Meera S Maheedhariah ◽  
...  

10.2196/17659 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e17659
Author(s):  
Ajay Acharya ◽  
Kenda Cunningham ◽  
Shraddha Manandhar ◽  
Niva Shrestha ◽  
Mario Chen ◽  
...  

Background With mobile phone coverage and ownership expanding globally, mobile health (mHealth) interventions are increasingly being used to improve coverage and quality of health and nutrition services. However, evidence on mHealth intervention feasibility and factors to consider during program design is limited in low- and middle-income countries like Nepal. Objective This study aimed to examine the potential of using text messages to improve health and nutrition services by exploring mobile phone ownership and sharing; mobile phone use and skills; and interest, preferences, and limitations regarding mHealth interventions. Methods We conducted 35 in-depth interviews with 1000-day women (the period from conception to a child’s second birthday), health facility staff, and female community health volunteers (FCHVs), as well as eight focus group discussions with health facility staff, FCHVs, and 1000-day household decision-makers (ie, husbands, mothers-in-law, and fathers-in-law). We also conducted a mobile phone skills test. We employed thematic analysis using framework matrices and analytical memos. Results The study included 70 study participants, of whom 68 (97%) had a mobile phone, and phone sharing was uncommon. Use of text messages was most commonly reported by 1000-day women and health facility staff than household decision-makers and FCHVs. More than 8 in 10 participants (54/64, 84%) could dial numbers, and the majority (28/34, 82%) of 1000-day women, health facility staff, and male decision-makers could also read and write text messages. We found that 1000-day women preferred educational and reminder messages, whereas health facility staff and FCHVs desired educational and motivational messages. Participants suggested different types of texts for 1000-day women, families, FCHVs, and health facility staff, and reported less value for texts received from unknown phone numbers. Conclusions A text message–based mHealth intervention is acceptable in the hills of Nepal and has the potential to improve community health and nutrition service utilization, particularly by sending meeting reminders and by providing information. Our findings contribute to text message–based mHealth intervention design in under-resourced settings.


2017 ◽  
Vol 12 (9) ◽  
pp. 537-546 ◽  
Author(s):  
Olukunmi O. Balogun ◽  
Amarjargal Dagvadorj ◽  
Jennifer Yourkavitch ◽  
Katharina da Silva Lopes ◽  
Maiko Suto ◽  
...  

Author(s):  
Marcos Reyes-Estrada ◽  
Nelson Varas-Díaz ◽  
Richard Parker ◽  
Mark Padilla ◽  
Sheilla Rodríguez-Madera

HIV-related stigma among nurses can impact health care services for people with HIV/AIDS (PWHA). health care professionals’ religious views can potentially foster stigmatizing attitudes. There is scarce scientific literature exploring the role of religion on HIV/AIDS stigma among nurses. This study aimed to explore the role of religion in the stigmatization of PWHA by nurses in Puerto Rico. We conducted an exploratory study using qualitative techniques. We conducted 40 in-depth interviews with nurses who provided services to PWHA. Three main factors emerged in the analysis as contributors to HIV/AIDS stigmatization: (1) nurses’ personal religious experiences, (2) religion as a rationale for HIV-related stigma, and (3) religious practices during health care delivery. The results show that religious beliefs play a role in how nurses understood HIV/AIDS and provided service. Results point toward the need for interventions that address personal religious beliefs while reducing HIV/AIDS stigma among nurses.


1985 ◽  
Vol 21 (9) ◽  
pp. 1023-1042 ◽  
Author(s):  
John M. Hunter ◽  
Sonia Arbona
Keyword(s):  

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