Archives of public health = Archives belges de sante publique最新文献

{"title":"Local problem solving in the Portuguese health examination survey: a mixed method study.","authors":"Heidi Lyshol,&nbsp;Ana Paula Gil,&nbsp;Hanna Tolonen,&nbsp;Sónia Namorado,&nbsp;Irina Kislaya,&nbsp;Marta Barreto,&nbsp;Liliana Antunes,&nbsp;Vânia Gaio,&nbsp;Ana João Santos,&nbsp;Ana Paula Rodrigues,&nbsp;Carlos Matias Dias","doi":"10.1186/s13690-022-00939-7","DOIUrl":"https://doi.org/10.1186/s13690-022-00939-7","url":null,"abstract":"<p><strong>Background: </strong>Participation rates in health surveys, recognized as an important quality dimension, have been declining over the years, which may affect representativeness and confidence in results. The Portuguese national health examination survey INSEF (2015) achieved a participation rate of 43.9%, which is in line with participation rates from other similar health examination surveys. The objective of this article is to describe how local teams of survey personnel conducted the survey, describing strategies used to solve practical survey problems and to try to increase the participation rate.</p><p><strong>Methods: </strong>After a literature search, informal interviews were conducted with 14 public health officials from local health examination teams, regional and central authorities. Forty-one of the local staff members (survey personnel) also filled in a short questionnaire anonymously. The interviews and self-administered questionnaires were analysed using mixed methods, informed by thematic analysis.</p><p><strong>Results: </strong>The local teams believed that the detailed manual, described as a \"cookbook for making a health examination survey\", made it possible to maintain high scientific standards while allowing for improvising solutions to problems in the local context. The quality of the manual, supported by a series of training workshops with the central research and support team, gave the teams the confidence and knowledge to implement local solutions. Motivation and cohesion within the local teams were among the goals of the training process. Local teams felt empowered by being given large responsibilities and worked hard to incite people to attend the examination through a close and persuasive approach. Local teams praised their INSA contacts for being available for assistance throughout the survey, and said they were inspired to try harder to reach participants to please their contacts for interpersonal reasons.</p><p><strong>Conclusions: </strong>The theory of organizational improvisation or bricolage, which means using limited resources to solve problems, was useful to discuss and understand what took place during INSEF. A detailed manual covering standard procedures, continuous monitoring of the data collection and face-to-face workshops, including role-play, were vital to assure high scientific standards and high participation rates in this health examination survey. Close contacts between the central team and local focal points in all regions and all survey sites were key to accommodating unexpected challenges and innovative solutions.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"198"},"PeriodicalIF":3.3,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9400230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40412914","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":"Incidence of infant mortality and its predictors in East Africa using Gompertz gamma shared frailty model.","authors":"Getayeneh Antehunegn Tesema,&nbsp;Beminate Lemma Seifu,&nbsp;Zemenu Tadesse Tessema,&nbsp;Misganaw Gebrie Worku,&nbsp;Achamyeleh Birhanu Teshale","doi":"10.1186/s13690-022-00955-7","DOIUrl":"https://doi.org/10.1186/s13690-022-00955-7","url":null,"abstract":"<p><strong>Background: </strong>Globally, infant mortality is a major public health concern and a sensitive indicator of countries' socio-economic and health status. Despite the substantial reduction of under-five mortality in sub-Saharan African countries specifically in East Africa, the infant mortality rate remains highest and too far below to achieve the WHO target. As to our search of the literature is concerned, there is a dearth of evidence on the incidence and predictors of infant mortality in East Africa. Therefore, this study investigated the incidence of infant mortality and its predictors in East Africa.</p><p><strong>Methods: </strong>The present study has utilized 138,803 weighted samples from Demographic and Health Surveys (DHSs) of 12 East African countries. Considering the hierarchical nature of DHS data shared frailty parametric survival models were fitted and compared based on deviance (-2LLR), AIC, and BIC. Gompertz gamma shared frailty model was the best-fitted model for the data since it had the lowest deviance, AIC, and BIC values. Variables with a p-value < 0.2 in the bi-variable analysis were considered for the multivariable analysis. In the multivariable Gompertz gamma shared analysis, the Adjusted Hazard Ratio (AHR) with 95% Confidence Interval (CI) was reported to declare the significant predictors of infant mortality.</p><p><strong>Results: </strong>The infant mortality rate in East Africa was 41.41 per 1000 live births. Mothers aged 25-34 years, wanted birth, health facility delivery, 1-3 ANC visit, being 2^nd- 4^th birth order, 5^th and above, the birth interval of 24-48 months, and birth interval of 49 months and above were significantly associated with lower risk of infant mortality. Whereas women who didn't have formal education, women who didn't participate in making health care decisions making, being male children, cesarean delivery, small size at birth, and large size at birth were significantly associated with a higher risk of infant mortality.</p><p><strong>Conclusion: </strong>Despite the substantial progress in improving maternal and child health, this study showed that infant mortality is still a major public health concern in East Africa. Maternal age, place of delivery, maternal education, birth size, sex of the child, mode of delivery, women's autonomy, birth order, birth interval, and ANC visit were found to be significant predictors of infant mortality. Therefore, public health interventions enhancing health facility delivery, ANC visit, maternal education, birth spacing, and empowering women are crucial for reducing the incidence of infant mortality in East Africa.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"195"},"PeriodicalIF":3.3,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9400328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40632794","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":"Negative emotions and creativity among Chinese college students during the COVID-19 pandemic: the mediating role of psychological resilience and the moderating role of posttraumatic growth.","authors":"Wei Zeng,&nbsp;Dongtao Huang,&nbsp;Qian Li,&nbsp;Yanhua Xu,&nbsp;Ziying Xu,&nbsp;Chujin Wu,&nbsp;Zhihao Chen,&nbsp;Yuhao Yang,&nbsp;Jinlian Shao,&nbsp;Xingrou Wu,&nbsp;Ziqi Zhu,&nbsp;Jiamin Wu,&nbsp;Yuqing Zeng","doi":"10.1186/s13690-022-00954-8","DOIUrl":"https://doi.org/10.1186/s13690-022-00954-8","url":null,"abstract":"<p><strong>Background: </strong>The aim of the study was to use a moderated mediation model to understand and examine the relationship between negative emotions and creativity among college students during the COVID-19 pandemic, using psychological resilience as a mediator and posttraumatic growth as a moderator.</p><p><strong>Methods: </strong>A sample of 881 college students in mainland China completed a self-report questionnaire that included four scales: the Depression-Anxiety-Stress Scale, Psychological Resilience Scale, Runco Ideational Behavior Scale and Posttraumatic Growth Inventory.</p><p><strong>Results: </strong>Findings indicated that:(1) negative emotions were a strong predictor of creativity; (2) psychological resilience partially mediated the association between negative emotions and creativity; and (3) posttraumatic growth moderated the positive effect of psychological resilience, such that the indirect effect between negative emotions and creativity via psychological resilience was stronger for someone with a low level of resilience.</p><p><strong>Conclusion: </strong>The findings further clarify the mechanisms that affect the relationship between negative emotions and creativity among college students.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"194"},"PeriodicalIF":3.3,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9395776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40411560","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":"Syndemic analysis of the pandemic COVID-19 crisis: a multidisciplinary \"Understand-Anticipate - Propose\" meta-method.","authors":"Didier Lepelletier,&nbsp;Camille Souhard,&nbsp;Christian Chidiac,&nbsp;Franck Chauvin,&nbsp;Zeina Mansour","doi":"10.1186/s13690-022-00951-x","DOIUrl":"https://doi.org/10.1186/s13690-022-00951-x","url":null,"abstract":"<p><strong>Background: </strong>In order to understand the pandemic COVID-19 crisis in a forward-looking way, the French High Council for public health (HCSP) has designed a conceptual scheme for public health planning based on L. Green's model in order to better understand the issues at stake, by identifying dangers and levers for action. The final aim was to establish priorities and guidelines in order to anticipate the collateral consequences of the management of the crisis and be better prepared for the next one.</p><p><strong>Method: </strong>A public health conceptual framework PRECEDE-PROCEED adapted to the Covid-19 health crisis was developed using both a graphic (concept map) and analytic (to make the conceptual scheme functional) approaches. Then, a \"meta-method\" was applied using three distinct cognitive stages: understanding, anticipation and proposals of action.</p><p><strong>Results: </strong>The conceptual framework was broken down into 10 technical sheets covering essential diagnoses and integrating different public health determinants. Each of these was broken down into three cognitive stages, allowing for a diagnosis of understanding, a scenario of anticipation and a strategic analysis of action according to the chronology: understand-anticipate-propose. From these 10 technical sheets, 32 guidelines have been proposed.</p><p><strong>Conclusion: </strong>This work is intended to allow reflections on public health approaches to strengthen and anticipate health crisis management and health planning by politic managers working at national or sub-national level.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"193"},"PeriodicalIF":3.3,"publicationDate":"2022-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711167","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":"An examination of the medicalization and pharmaceuticalization processes of anxiety and depressive disorders in Belgium between 2004 and 2013: how may both disorders be intertwined?","authors":"Van Looy Kilian,&nbsp;Van de Velde Sarah","doi":"10.1186/s13690-022-00943-x","DOIUrl":"https://doi.org/10.1186/s13690-022-00943-x","url":null,"abstract":"<p><strong>Background: </strong>While medicalization and pharmaceuticalization trends of feelings of anxiety and depression have been described in great detail, an empirical examination of these trends is to date lacking. The current study fills this gap in the literature by mapping the use of psychotropic medicines for feelings of anxiety and depression between 2004 and 2013 in Belgium, as well as by examining whether a social gradient might act as a mediator.</p><p><strong>Methods: </strong>We analyzed data from three repeated cross-sectional waves (2004, 2008, and 2013) of the Belgian National Health Interview Survey (HIS). Multinomial logistic regression was applied to estimate odds in psychotropic drugs use over the observed period.</p><p><strong>Results: </strong>Using an ideal-typical distinction between traditional anxiety drugs (psycholeptics) and depression drugs (psychoanaleptics), we found that treatment methods for feelings of anxiety and depression were converging. Persons having feelings of anxiety consumed less psycholeptic drugs, in favor of psychoanaleptic drugs throughout the observed period. Moreover, these results were partially mediated by educational level. Persons with higher education were less likely to consume psychotropic drugs than those with lower education, suggesting a trend of demedicalization for feelings of anxiety and depression.</p><p><strong>Limitations: </strong>Our study observes a limited period, makes use of an ideal typical distinction between psycholeptic and psychoanaleptic drugs, and measurements may be biased by response-bias due to psychotropic drugs use.</p><p><strong>Conclusion: </strong>Our study shows that psycholeptics increasingly give way to psychoanaleptics in the treatment of both anxiety and depression, despite several scientists calling their effectiveness for both disorders into question.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"191"},"PeriodicalIF":3.3,"publicationDate":"2022-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9377052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701460","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":"The association between social integration and neighborhood dissatisfaction and unsafety: a cross-sectional survey study among social housing residents in Denmark.","authors":"Abirami Srivarathan,&nbsp;Maria Kristiansen,&nbsp;Terese Sara Høj Jørgensen,&nbsp;Rikke Lund","doi":"10.1186/s13690-022-00945-9","DOIUrl":"https://doi.org/10.1186/s13690-022-00945-9","url":null,"abstract":"<p><strong>Background: </strong>Social integration and perceived neighborhood environment are recognized as important social determinants of health. However, little is known about the association between social integration and perceived neighborhood environment among underrepresented population groups, such as residents in disadvantaged neighborhoods, in public health research. The aim of this study is to: 1) Describe the levels of social integration and 2) Investigate the association between social integration and neighborhood dissatisfaction and unsafety among middle-aged and older social housing residents.</p><p><strong>Methods: </strong>A multilingual face-to-face interviewer-administrated survey questionnaire was conducted among 206 residents aged 45 years and above (response rate: 34.1%) of various nationalities in disadvantaged socioeconomic positions in a social housing area in Denmark. The assessment of social integration was based on cohabitation status, frequency of face-to-face and non-face-to-face interaction with social relations and participation in local association activities. Neighborhood dissatisfaction measured the level of dissatisfaction with the neighborhood, and neighborhood unsafety assessed the level of unsafety being outdoors in the neighborhood. Descriptive statistics were conducted to illustrate respondent characteristics and the distribution of social integration among the study population. Logistic regression models were applied to analyze associations between social integration and neighborhood dissatisfaction and unsafety, adjusted for age, sex, country of origin, educational attainment and employment status.</p><p><strong>Results: </strong>In total, 23.8% of the respondents reported low levels of social integration. A medium level of social integration was associated with higher odds of neighborhood dissatisfaction (OR: 2.36; 95% CI: 1.04-5.38) compared to the highest level of integration. A low frequency of face-to-face interaction was associated with higher odds of neighborhood dissatisfaction (OR: 2.65; 95% CI: 1.16-6.06) and neighborhood unsafety (OR: 2.41; 95% CI: 1.04-5.57) compared to the highest frequency of face-to-face interaction.</p><p><strong>Conclusions: </strong>Almost one-fourth of respondents reported low levels of social integration. A medium level of social integration was associated with neighborhood dissatisfaction. A low frequency of face-to-face interaction was associated with neighborhood dissatisfaction and unsafety. The results suggest that targeted health promotion interventions designed to foster face-to-face interaction, hold potential to reduce neighborhood dissatisfaction and unsafety among residents in disadvantaged neighborhoods.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"190"},"PeriodicalIF":3.3,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40610170","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":"Magnitude and associated factors of anemia among adolescent girls in Ethiopia: a systematic review and meta-analysis.","authors":"Kidanemaryam Berhe,&nbsp;Freweini Gebrearegay,&nbsp;Hadush Gebreegziabher,&nbsp;Lemlem Weldegerima,&nbsp;Amaha Kahsay,&nbsp;Haven Hadush,&nbsp;Brhane Gebremariam,&nbsp;Berhane Fseha,&nbsp;Gebrehiwot Gebremariam,&nbsp;Natnael Etsay,&nbsp;Micheale Hailu","doi":"10.1186/s13690-022-00942-y","DOIUrl":"https://doi.org/10.1186/s13690-022-00942-y","url":null,"abstract":"<p><strong>Background: </strong>In Ethiopia, there are primary studies on adolescent anemia with imprecise and inconclusive findings. Besides, there was no meta-analysis pooled the magnitude and associated factors of anemia among adolescent girls in Ethiopia. Estimating the pooled magnitude and associated factors of anemia among adolescent girls is helpful for evidence-based interventions in Ethiopia.</p><p><strong>Methods: </strong>The authors used a preferred reporting item for systematic reviews and meta-analysis (PRISMA). We included articles and survey reports published until May 2021 using searching engines of Google, Google Scholar, PubMed, Scopus, and Cumulative Index to Nursing and Allied Health Literature. To assess the quality of studies, we used Newcastle-Ottawa quality assessment scale for non-randomized. Two authors independently assessed the quality of the studies. We computed the pool magnitude and odds ratio of the associated factors with their 95%CI using Comprehensive Meta-Analysis software. Publication bias assessed using funnel plots and Egger's test.</p><p><strong>Result: </strong>In this review, we included a total of 15 studies with 9,669 adolescent girls. Using the random-effects model, the pooled magnitude of anemia among the Ethiopian adolescent girls was 19.1% (95%CI: 16.1%, 24.6%). The associated factors were attained menarche (adjusted odds ratio (AOR) = 1.96), ≥ 5 days of blood flow during menses (AOR = 6.21), food insecurity (AOR = 1.48), inadequate diet diversity score (AOR = 2.81), presence of intestinal parasite (AOR = 3.51), low body mass index (AOR = 2.49), and rural residence (AOR = 1.79).</p><p><strong>Conclusion: </strong>The pooled magnitude of anemia among adolescent girls in Ethiopia was 19.1% depicting a mild public health problem; while attained menarche, ≥ 5 days' blood flow during menses, food insecurity, inadequate diet diversity score, intestinal parasites, low body mass index, and rural residence were the associated factors. Hence, addressing health and nutrition wellness of adolescent girls should be center of concern in health, nutrition, agriculture, research, strategies and policies in Ethiopia.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"189"},"PeriodicalIF":3.3,"publicationDate":"2022-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711582","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":"Are there gender based differences in participation and time spent in physical activity in Albania? Evidence from 2017-18 demographic and health survey.","authors":"Monika Çule,&nbsp;Harminder Guliani","doi":"10.1186/s13690-022-00930-2","DOIUrl":"https://doi.org/10.1186/s13690-022-00930-2","url":null,"abstract":"<p><strong>Background: </strong>Since 1990, Albania has embraced the market economy and globalization. Prosperity and modernization have also brought significant lifestyle changes toward unhealthy behaviours, doubling the mortality from non-communicable diseases (NCDs). While Physical Activity (PA) can mitigate the NCDs burden, participation is low in Albania. To date, research on PA determinants that could meaningfully inform policy is lacking. To fill this gap, this study examines the PA behaviour among Albanian adults. Specifically, we assess the decisions to participate, and the time spent in PA.</p><p><strong>Methods: </strong>Using the 2017-2018 Albania Demographic and Health Survey data and a double-hurdle regression model, we simultaneously assess the influence of demographic, socioeconomic and lifestyle factors on the likelihood of participating (extensive margin) and the time spent (intensive margin) in PA. To understand gender differences regarding PA decisions, we run separate models for men and women.</p><p><strong>Results: </strong>Results show significant variations in the likelihood of participation and the time spent in PA, by household economic status, administrative regions, occupation, and education. We find that likelihood of participation in PA increases with household wealth, but conditional on participation, affluent Albanians spent less time in PA. Education and employment status also have opposite effects on participation and time spent margins. Results show notable gender-based differences in PA behaviour (either for participation or time spent) related to education, age, family structure (marital status and the number of young children), regions, occupation, and lifestyle factors.</p><p><strong>Conclusions: </strong>Insights in understanding the PA behaviour of Albanian adults allow policymakers to identify socio-demographic groups most in need of intervention effort. To effectively support PA among Albanians, policymakers should target males and females differently and address gender-specific needs accordingly.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"187"},"PeriodicalIF":3.3,"publicationDate":"2022-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9366130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40619079","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":"Opportunities for a population-based cohort in Belgium.","authors":"Nienke Schutte,&nbsp;Marlies Saelaert,&nbsp;Petronille Bogaert,&nbsp;Karin De Ridder,&nbsp;Herman Van Oyen,&nbsp;Johan Van der Heyden,&nbsp;Brecht Devleesschauwer","doi":"10.1186/s13690-022-00949-5","DOIUrl":"https://doi.org/10.1186/s13690-022-00949-5","url":null,"abstract":"<p><p>Population-based cohorts allow providing answers to a wide range of policy-relevant research questions. In Belgium, existing cohort-like initiatives are limited by their focus on specific population groups or specific topics, or they lack a true longitudinal design. Since 2016, consultations and deliberative processes have been set up to explore the opportunities for a population-based cohort in Belgium. Through these processes, several recommendations emerged to pave the way forward - i.e., to facilitate the establishment of administrative linkages, increase digitalisation, secure long-term financial and organisational efforts, establish a consortium of the willing, and identify and tackle ethical and legal bottlenecks. This comment summarizes these recommendations, as these opportunities should be explored in depth to consolidate the existing collaborations between different stakeholders, and refers to current initiatives that can further facilitate the establishment of a Belgian population-based cohort and, more generally, administrative and health data linkage and reuse for research and policy-making.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"188"},"PeriodicalIF":3.3,"publicationDate":"2022-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9366127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40601656","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":"Continuum of maternal and newborn health in Sierra Leone: a 2019 national survey.","authors":"Quraish Sserwanja,&nbsp;Linet M Mutisya,&nbsp;Lilian Nuwabaine,&nbsp;Kassim Kamara,&nbsp;Ronald K Mutebi,&nbsp;Milton W Musaba","doi":"10.1186/s13690-022-00946-8","DOIUrl":"https://doi.org/10.1186/s13690-022-00946-8","url":null,"abstract":"<p><strong>Introduction: </strong>Globally, Sierra Leone has some of the worst maternal and child health indicators. The situation is worsened by a dearth of evidence about the level of continuum of care, an evidence-based intervention aimed at reducing maternal and perinatal morbidity and mortality. Hence this study aimed to assess the level of and factors associated with continuum of maternal and newborn care in Sierra Leone.</p><p><strong>Method: </strong>This study analyzed secondary data from the 2019 Sierra Leone Demographic Health Survey. Analysis was restricted to women who had a live birth in the 5 years preceding the survey (n = 7326). Complete continuum of care was considered when a woman reported having had at least eight antenatal care contacts, skilled birth attendance and mother and baby had at least one postnatal check-up. Bi-variable and multivariable logistic regression were performed using the statistical package for the social sciences software version 25.</p><p><strong>Results: </strong>Only 17.9% (95% CI: 17.4-19.1) of the women utilized complete continuum of care for maternal and newborn health services in Sierra Leone. About 22% (95% CI: 21.3-23.1) utilized 8 or more antenatal care contacts, 88% (95% CI: 87.9-89.4) had skilled birth attendance while 90.7% (95% CI: 90.2-91.5) and 90.4% (95% CI: 89.9-91.2) of mothers and neonates utilized postnatal care respectively. Having started antenatal care within the first trimester (aOR 1.71, 95% CI: 1.46-2.00), being resident in the Southern region (aOR 1.85, 95% CI: 1.23-2.80), belonging to richer wealth quintile (aOR 1.76, 95% CI: 1.27-2.44), using internet (aOR 1.49, 95% CI: 1.12-1.98) and having no big problems seeking permission to access healthcare (aOR 1.34, 95% CI: 1.06-1.69) were significantly associated with utilization of continuum of care.</p><p><strong>Conclusion: </strong>The overall completion of continuum of maternal care is low, with ANC being the lowest utilized component of continuum of care. These findings call for urgent attention for maternal health stakeholders to develop and implement tailored interventions prioritizing women empowerment, access to affordable internet services, timely initiation of ANC contacts, women in developed regions such as the Western and those from poor households.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"186"},"PeriodicalIF":3.3,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9364565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40598094","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}