Health Science Reports最新文献

{"title":"Intersectional Barriers to and Facilitators of Educational Inclusion for Persons With Disabilities in Low- and Middle-Income Countries: A Systematic Literature Review.","authors":"Yusufu Simra, Shani Omari, Hussein Mwanjali","doi":"10.1002/hsr2.73349","DOIUrl":"https://doi.org/10.1002/hsr2.73349","url":null,"abstract":"<p><strong>Background: </strong>in low- and middle-income countries, the exclusion of persons with disabilities from education is influenced by a combination of structural, environmental, and psychosocial constraints. These challenges are further compounded by intersecting factors such as gender, socioeconomic status, and geographic location, which deepen existing inequalities. Gaining insight into these overlapping dynamics is essential for advancing inclusive education.</p><p><strong>Methods: </strong>A systematic literature search was conducted across Google Scholar, PubMed/MEDLINE, ERIC, and African Journals Online, yielding 132 records. This review was retrospectively registered with PROSPERO (registration number CRD420261360472). After screening titles and abstracts, assessing full text eligibility, and conducting quality appraisal using the Mixed Methods Appraisal Tool (MMAT), 23 studies were included in the review. The data were then analyzed and synthesized using a narrative thematic approach.</p><p><strong>Results: </strong>The findings highlight a consistent gap between policy and implementation, alongside insufficient infrastructure and pervasive stigma that hinder inclusive education. Intersectional factors were found to amplify disadvantage, particularly among girls and individuals in rural settings. At the same time, community-based interventions and the use of assistive technologies were identified as important enablers of inclusion.</p><p><strong>Conclusion: </strong>The study demonstrates that educational exclusion arises from interconnected structural and societal influences rather than disability in isolation. Effectively addressing these challenges requires tackling intersectional barriers through systemic reforms, inclusive teaching practices, and active community involvement. Achieving sustainable inclusion will depend on a dual strategy that addresses both individual needs and broader systemic issues.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"9 10","pages":"e73349"},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Metronidazole Gel and Povidone‑Iodine for Vaginal Preparation in Preventing Post‑Cesarean Infection‑Related Morbidity: A Three‑Group Randomized Controlled Trial.","authors":"Fatemeh Davodabadi, Hamideh Parsapour, Behzad Imani, Salman Khazaei, Mahnaz Moghadari Koosha","doi":"10.1002/hsr2.73395","DOIUrl":"https://doi.org/10.1002/hsr2.73395","url":null,"abstract":"<p><strong>Background and aims: </strong>Despite routine prophylactic antibiotics, post-cesarean infectious morbidity remains a major challenge. Preoperative vaginal preparation can reduce vaginal microbial load, but direct comparisons are scarce. This study compared metronidazole gel versus povidone-iodine for preventing post-cesarean infection‑related complications.</p><p><strong>Methods: </strong>This three‑arm randomized controlled trial was conducted at Fatemieh Hospital, Hamadan, Iran, from December 2025 to May 2026. A total of 201 women scheduled for elective cesarean delivery were randomized to metronidazole gel 0.75%, povidone-iodine 10%, and control (<i>n</i> = 67 each). Primary outcomes were endometritis, postoperative fever, and surgical site infection (SSI). Secondary outcomes included need for additional antibiotics, length of hospital stay, readmission, and adverse events. Data were analyzed in Stata v.17 using ANOVA and chi-square tests (<i>p</i> < 0.05).</p><p><strong>Results: </strong>The composite infectious morbidity was significantly lower in the metronidazole group (6/67, 8.96%) compared to controls (21/67, 31.34%) (risk difference: 22.4%; 95% CI: 9.5%-35.3%; <i>p</i> = 0.002). Endometritis rates were 1/67 (1.49%), 3/67 (4.48%), and 8/67 (11.94%) in the metronidazole, povidone-iodine, and control groups, respectively (<i>p</i> = 0.03). Fever rates were 2/67 (2.99%), 5/67 (7.46%), and 10/67 (14.93%) (<i>p</i> = 0.04). Need for additional antibiotics was lower in the metronidazole group (7/67, 10.45%) versus controls (18/67, 26.87%) (<i>p</i> = 0.04). Only the composite outcome remained significant after Bonferroni correction; individual outcomes did not. No significant differences were observed for SSI, readmission, or length of stay.</p><p><strong>Conclusions: </strong>Metronidazole gel significantly reduced composite infectious morbidity compared with no vaginal preparation, an effect that remained significant after adjustment for multiple comparisons. While individual outcomes showed clinically meaningful reductions, statistical significance was not maintained after Bonferroni correction. Metronidazole gel may be a promising option for vaginal preparation, particularly in high-risk settings.</p><p><strong>Trial registration: </strong>IRCT20251227068466N1.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"9 10","pages":"e73395"},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13664667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence in Rapid Diagnostics for Antimicrobial Resistance: From Bench to Bedside.","authors":"Nadine Mugisha, Lolita Fawaz, Rawan Noureddine, Pascal Mathew Okorobe, Mohamad Monif Assker, Olivier Uwishema","doi":"10.1002/hsr2.73396","DOIUrl":"https://doi.org/10.1002/hsr2.73396","url":null,"abstract":"<p><strong>Background: </strong>Antimicrobial resistance (AMR) is one of the most urgent global public health threats, especially in low- and middle-income countries. In 2019, bacterial AMR was estimated to have directly caused approximately 1.27 million deaths and to have been associated with 4.95 million deaths worldwide. Rapid identification of resistant infections is important, yet established diagnostics are very slow. In recent years, artificial intelligence (AI) has revolutionized microbiology and infectious disease diagnostics. This review explores the space of AI-enabled diagnostics for AMR detection and characterization.</p><p><strong>Methods: </strong>This literature review was conducted from January to September 2026 using PubMed/MEDLINE, Google Scholar, and other electronic databases with keywords including \"AI,\" \"AMR,\" \"deep learning,\" \"genomic diagnostics,\" and \"point-of-care (POC) testing.\" Following screening and full-text assessment, 67 Peer-reviewed articles and systematic reviews were included to support the synthesis presented in the manuscript, while non-peer-reviewed articles and studies lacking direct AI relevance were excluded. Titles and abstracts were screened before full-text review.</p><p><strong>Results: </strong>AI-enhanced diagnostics were reported to shorten turnaround time for AMR detection with promising but heterogeneous predictive performance; for example, pooled estimates across antimicrobial stewardship applications indicate an area under the curve of approximately 0.72. They also support improving antimicrobial stewardship and enable early therapeutic optimization in laboratory and POC settings, enabling real-time clinical decision-making. Despite these achievements, evidence for direct improvements in patient outcomes and routine bedside effectiveness remains limited.</p><p><strong>Conclusion: </strong>AI-driven diagnostic tools represent a promising strategy to bridge laboratory innovation and bedside application in combating AMR. The tools have the capacity to improve patient outcomes and enhance antimicrobial stewardship as they can accurately detect resistance patterns and support real-time clinical decisions. However, long-term sustainability, long-term success, and global impact can be achieved by continued validation, regulatory alignment, and equitable implementation across diverse healthcare settings.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"9 10","pages":"e73396"},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13664679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Intentions to Learn and Adopt Medical Artificial Intelligence Among Healthcare Professionals in Ghana: A Descriptive Cross-Sectional Study.","authors":"Godwin Adzakpah, Daniel Kwame Kwansah Quansah, Mavis Puopelle Dakorah, Quaye Emmanuel, Lydia Korkor Djangmah, Gloria Prah, David Okyere, David Boateng Baah, Jessica Abakah, Eric Yaw Koranteng, Frederick Tikoli, Samuel Antwi, Nathan Kumasenu Mensah","doi":"10.1002/hsr2.73386","DOIUrl":"https://doi.org/10.1002/hsr2.73386","url":null,"abstract":"<p><strong>Introduction: </strong>Effective integration of medical artificial intelligence (AI) into healthcare delivery requires healthcare professionals to possess the necessary knowledge and skills. This study examined factors associated with healthcare professionals' behavioural intentions to learn about and adopt medical AI in Ghana.</p><p><strong>Methods: </strong>An analytical cross-sectional study was conducted among 1131 healthcare professionals selected through systematic sampling between 15 October and 30 November 2023. Data were collected using a structured, self-administered questionnaire assessing personal relevance, social norms, self-efficacy, knowledge, behavioural intentions, and learning engagement related to medical AI. Data were entered using EpiData 3.2 and analysed in Stata 18 using descriptive statistics and structural equation modelling to identify significant predictors (<i>p</i> < 0.05).</p><p><strong>Results: </strong>Behavioural intention significantly predicted actual knowledge acquisition in medical AI (<i>β</i> = 0.78, <i>p</i> < 0.001). Major determinants of behavioural intention included self-efficacy (<i>β</i> = 0.29, <i>p</i> < 0.001), basic knowledge (<i>β</i> = 0.34, <i>p</i> < 0.001), subjective norms (<i>β</i> = 0.19, <i>p</i> < 0.001), and personal relevance (<i>β</i> = 0.15, <i>p</i> < 0.001). Behavioural intention is fully associated with the relationships between self-efficacy and social norms on learning outcomes, while personal relevance showed a direct association with learning outcomes. Age moderated the relationship between intention and self-efficacy, and gender moderated key pathways, with the associations between behavioural intention and social norms being more positive among females than males.</p><p><strong>Conclusion: </strong>The adoption of medical AI among healthcare professionals is predominantly shaped by behavioural intention, self-efficacy, knowledge, and social influences. Strategic interventions that strengthen self-efficacy, underscore the professional relevance of AI, and capitalise on prevailing social norms may serve as critical enablers in advancing AI integration within Ghana's healthcare sector.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"9 10","pages":"e73386"},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional Care in Traditional Mongolian Medicine: Historical Foundations and Conceptual Framework Development-A Historical Study.","authors":"Sarina Sarina, Munguntuul Enkhbat, Enkhtuguldur Myagmar-Ochir, Oyungoo Badamdorj, Bai Yiping, Hong Yuguang, Buyandelger Batmunkh","doi":"10.1002/hsr2.73399","DOIUrl":"https://doi.org/10.1002/hsr2.73399","url":null,"abstract":"<p><strong>Background and aims: </strong>Nutritional care has long been a fundamental component of Traditional Mongolian Medicine (TMM), reflecting a holistic understanding of health, diet, and disease prevention. This study aimed to examine the historical and conceptual foundations of nutritional care in TMM and to develop a conceptual framework based on historical TMM texts.</p><p><strong>Methods: </strong>Historical research was conducted using Berg's seven-stage historical research framework and primary TMM texts dating from the sixth to the twentieth centuries. Recurrent concepts related to food, beverages, nutrition, and health maintenance were identified and analyzed through concept analysis. The resulting concepts were synthesized using concept mapping to develop a conceptual framework of nutritional care in TMM.</p><p><strong>Results: </strong>Historical analysis revealed the progressive development and refinement of nutritional knowledge throughout the evolution of TMM. Five recurrent concepts were identified: cosmological foundations of nourishment, bodily balance and humoral regulation, dietary classification, contextualized nutritional assessment, and therapeutic nutritional care. These concepts were integrated into a conceptual framework structured around four interrelated domains: nutritional assessment, planning, intervention, and evaluation.</p><p><strong>Conclusion: </strong>This study provides a systematic conceptualization of nutritional care grounded in TMM and proposes a framework that organizes its historical principles into a coherent model. The framework offers a foundation for future empirical studies examining the application and relevance of TMM-based nutritional care in contemporary healthcare contexts.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"9 10","pages":"e73399"},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13664673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Skilled Birth Attendance Among Internally Displaced Women in Mogadishu, Somalia: A Community-Based Cross-Sectional Study.","authors":"Maryama Ahmed Ali, Yusuf Hared Abdi, Abdisalan Abdikarin Mohamed, Yaxye Abuukar Hassan, Abdiqani Mohamed Jama, Sadio Abdulahi Osman, Sharmake Gaiye Bashir, Yakub Burhan Abdullahi, Naima Ibrahim Ahmed, Ilyas Abdullahi Khalif, Mohamed Sharif AbdI, Ahmed Abdinasir Abdulle, Nuradin Abdullahi Sheikh Rashid","doi":"10.1002/hsr2.73379","DOIUrl":"https://doi.org/10.1002/hsr2.73379","url":null,"abstract":"<p><strong>Background and aims: </strong>Internally displaced women in Somalia face major barriers to skilled maternal care. This study estimated the prevalence of skilled birth attendance (SBA) and identified factors associated with SBA among women living in internally displaced persons (IDP) camps in Mogadishu.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted among women aged 15-49 years in IDP camps in Deynile, Kahda, and Garasbaaley districts, Mogadishu, in February 2026, using multistage sampling and interviewer-administered questionnaires. The outcome was SBA at the most recent birth. Multivariable logistic regression estimated adjusted odds ratios (AORs) with 95% confidence intervals (CIs); tests were two-sided (α = 0.05).</p><p><strong>Results: </strong>Of 384 women interviewed, 382 were eligible. SBA was reported by 68 of 381 women (17.8%; 95% CI: 14.3-22.0); 295 (77.4%) were assisted by traditional birth attendants and 255 of 382 (66.8%) delivered at home. Only 42 of 370 women (11.4%) received any antenatal care (ANC). In the adjusted model (n = 366; 67 events), SBA was associated with ANC attendance (AOR 3.17; 95% CI: 1.27-7.94) and Quranic education compared with no education (AOR 3.13; 95% CI: 1.61-6.10). Estimates for primary education (6 women; AOR 6.13; 95% CI: 1.05-35.91) and public transport (31 women; AOR 0.14; 95% CI: 0.02-0.77) were imprecise. The model discriminated well (AUC 0.79) but had few events per parameter (4.5).</p><p><strong>Conclusion: </strong>SBA was very low among displaced women in these camps. ANC attendance and basic education were associated with SBA. Given the cross-sectional design, the sampling of selected camps, and imprecise subgroup estimates, these associations should not be interpreted as causal or generalized to all displaced populations in Somalia.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"9 10","pages":"e73379"},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Path Analysis of Factors Influencing Job Satisfaction Among Clinical Nurse Managers: A Cross-Sectional Study.","authors":"Zhang WenXin, Liu Liping, Li Yue, Sun YuHong","doi":"10.1002/hsr2.73390","DOIUrl":"https://doi.org/10.1002/hsr2.73390","url":null,"abstract":"<p><strong>Background and aims: </strong>Clinical nurse managers play a critical bridging role between hospital administration and frontline nursing staff, yet their job satisfaction remains understudied, particularly in Chinese healthcare contexts. Existing research often examines work stress and organizational support in isolation, overlooking their interrelationships. This study aimed to investigate the current status of job stress, job satisfaction, and perceived organizational support (POS) among clinical nurse managers, and to examine the mediating role of POS in the relationship between job stress and job satisfaction using path analysis.</p><p><strong>Methods: </strong>A cross-sectional descriptive design was employed. A convenience sample of 192 clinical nurse managers from a tertiary Grade A hospital in Beijing completed online surveys during June-July 2024. Measures included the Minnesota Satisfaction Questionnaire (MSQ), the Nurse Work Stress Source Scale, and an Organizational Support Scale. Path analysis with bootstrapping was conducted using SPSS 27.0 and AMOS 21.0 to test direct, indirect, and total effects.</p><p><strong>Results: </strong>Overall job satisfaction was moderate to high (81.42 ± 10.34). Job satisfaction was positively correlated with POS and negatively correlated with work stress. The final structural model demonstrated good fit, explaining 62% of the variance in job satisfaction. Work stress directly negatively predicted job satisfaction (<i>β</i> = -0.315). POS directly positively predicted job satisfaction (<i>β</i> = 0.545). Importantly, POS significantly mediated the stress-satisfaction relationship, indicating that higher organizational support reduces the negative impact of work stress on satisfaction.</p><p><strong>Conclusion: </strong>Perceived organizational support directly enhances job satisfaction and partially buffers the detrimental effect of work stress among clinical nurse managers. Hospital administrators should prioritize resource allocation, developmental opportunities, and structural support-particularly for nursing team leaders and older managers-to improve job satisfaction and retention. Future research should employ longitudinal and multi‑center designs to establish causality and test context‑specific interventions.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"9 10","pages":"e73390"},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors for Poor Outcomes of Mild and Moderate Traumatic Brain Injury Patients in Tanzania: A Retrospective Cohort Study Using Latent Class Analysis.","authors":"Loren Barcenas, Cyrus Elahi, William Nkenguye, Vijay Krishnamoorthy, Swapna Joseph, Francis M Sakita, João Ricardo Nickenig Vissoci, Catherine Staton","doi":"10.1002/hsr2.73380","DOIUrl":"10.1002/hsr2.73380","url":null,"abstract":"<p><strong>Background and aims: </strong>Traumatic brain injury (TBI) is a major global health concern, especially in low- and middle-income countries (LMICs). LMICs have higher injury rates and limited quality of care. TBI patients can be stratified as mild, moderate, and severe risk based on the Glasgow Coma Scale (GCS). Although most poor outcomes are from severe TBIs, mild and moderate TBI patients significantly contribute to the overall morbidity and mortality, and may benefit from early monitoring to identify deterioration of status. Our goal was to identify unique subgroups within the mild and moderate TBI population at a high risk for poor outcomes.</p><p><strong>Methods: </strong>We selected mild (GCS 14-15) and moderate (GCS 9-13) TBI patients from a TBI registry collected at a small city, regional referral hospital in Moshi, Tanzania, from May 2014 to April 2017. With these subsets (mild: <i>n</i> = 1738, moderate: <i>n</i> = 346), we performed a latent class analysis (LCA) to define unique patient classes based on clinical course, vital signs, and demographics. We then performed a survival analysis using a Cox proportional hazard model to examine the association of the defined latent classes with clinical outcome. The predictor variables were demographic variables, hospital interventions, and vital signs. The outcome of interest was a dichotomized discharge Glasgow outcome scale extended score (good outcome 7-8 and poor outcome 1-6).</p><p><strong>Results: </strong>The LCA identified five classes among mild TBI patients: Adolescent (18.8%), Assault (31.5%), Young Adult Polytrauma (32.7%), Adult Polytrauma (9.2%), and RTI with ICU (7.8%). Three classes were identified among moderate TBI patients: Assault (20.2%), RTI with ICU (26.3%), and RTI without ICU (53.5%). Road traffic injury was the predominant mechanism in both severity groups (67% and 68%, respectively), and poor outcomes occurred in 4% of mild and 16% of moderate TBI patients. Relative to the lowest-risk reference class, all other mild TBI classes had higher hazards of poor outcomes. Among moderate TBI classes, RTI with ICU had a higher hazard of poor outcome than RTI without ICU (HR 2.58, 95% CI 1.26-5.24).</p><p><strong>Conclusion: </strong>We identified clinically distinct latent classes within GCS-defined mild and moderate TBI groups, with differences in discharge outcomes across classes. These findings suggest that combining GCS category with demographic, physiological, injury, and care-process information may provide additional prognostic stratification. The results do not establish that GCS is inadequate; rather, they support further evaluation of complementary, context-appropriate risk-stratification approaches.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"9 10","pages":"e73380"},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Data Collection Methods, Training, and Perceived Health Information Quality Among Professionals in Three Ghanaian Hospitals: A Cross-Sectional Study.","authors":"Richard Okyere Boadu, Kwame Adu Okyere Boadu, Elorm Agormor, Benedicta Sefakor Titati, Samuel Barnes, Victor Wireko Adu","doi":"10.1002/hsr2.73392","DOIUrl":"https://doi.org/10.1002/hsr2.73392","url":null,"abstract":"<p><strong>Background and aims: </strong>Reliable health information underpins clinical care, disease surveillance, and health-system planning. However, routine data in many low- and middle-income countries, including Ghana, are often incomplete, inaccurate, or delayed. Most prior evidence concerns objectively measured data quality in single facilities. Less is known about how healthcare professionals perceive the adequacy of their data-collection methods and collected-data quality. Also, how these perceptions relate to the method used and to prior training is unknown. This cross-sectional study assessed those perceptions and their associations across three Ghanaian hospitals.</p><p><strong>Methods: </strong>Of 574 professionals sampled, 564 responded (98.3%). A pretested questionnaire measured perceptions on five-point scales, dichotomized at a two-thirds cut-off. Associations were quantified with crude and adjusted binary logistic regression (odds ratios with 95% CIs).</p><p><strong>Results: </strong>Methods were perceived adequate by 67.2% (379/564) and data quality by 60.1% (339/564). Training showed the strongest association with perceived method adequacy (adjusted OR: 5.54, 95% CI: 3.66-8.39). Electronic methods showed no significant advantage over manual methods in either crude or adjusted models.</p><p><strong>Conclusion: </strong>In this study, training demonstrated a stronger adjusted association with favorable perceptions than the type of data-collection method used. Because the design is cross-sectional and outcomes self-reported, causation cannot be inferred. Longitudinal studies with objective data-quality verification are needed.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"9 10","pages":"e73392"},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Delivery to First Feed: A Hospital-Based Cross-Sectional Study of Factors Associated With Early Initiation of Breastfeeding Among Mothers in Noakhali, Bangladesh.","authors":"Towhid Hasan, Marjia Sultana","doi":"10.1002/hsr2.73387","DOIUrl":"https://doi.org/10.1002/hsr2.73387","url":null,"abstract":"<p><strong>Background and aims: </strong>Early initiation of breastfeeding (EIBF) within the first hour of birth is vital for newborn survival and maternal health. Although national surveys indicate that EIBF remains suboptimal in Bangladesh, evidence on local variations and context-specific determinants is limited. In particular, no study had specifically examined EIBF and its associated factors among mothers in Noakhali, a coastal district with diverse socioeconomic and healthcare characteristics. Hence, this study aimed to assess the prevalence and determinants of EIBF among mothers in Noakhali, Bangladesh.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from November 2018 and June 2019 at Noakhali General Hospital, Bangladesh. A total of 397 consenting mothers with infants aged < 6 months were recruited using convenience sampling. Data were collected via interviewer-administered structured questionnaires.</p><p><strong>Results: </strong>Around 45.3% of mothers initiated breastfeeding within the first hour. Early initiation of breastfeeding was significantly more likely among literate mothers (adjusted odds ratios [AOR] = 3.525, 95% confidence intervals [CI] = 1.371-9.064, <i>p</i> = 0.009), mothers with female infants (AOR = 3.205, 95% CI = 1.846-5.565, <i>p</i> < 0.001), those who received breastfeeding counseling during antenatal care (AOR = 3.737, 95% CI = 1.634-8.544, <i>p</i> = 0.002), and those who received postnatal care (AOR = 6.818, 95% CI = 3.305-14.064, <i>p</i> < 0.001). Early initiation was significantly less likely among mothers living in urban areas (AOR = 0.279, 95% CI = 0.129-0.605, <i>p</i> = 0.001), those who experienced maternal complications during pregnancy (AOR = 0.158, 95% CI = 0.050-0.500, <i>p</i> = 0.002), and those who delivered by cesarean section (AOR = 0.197, 95% CI = 0.100-0.385, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>A majority of mothers in Noakhali did not initiate breastfeeding within the recommended first hour. Addressing this gap requires targeted interventions that enhance female education, systematically integrate breastfeeding counseling into antenatal and postnatal services, and establish supportive protocols for mothers with complicated pregnancies or cesarean deliveries to facilitate timely initiation.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"9 10","pages":"e73387"},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}