{"title":"Preventing malnutrition in children under two (PM2A): a case study in the food insecure context of South Sudan.","authors":"Shannon Doocy, Hannah Tappis, Amy Paul, Rolf Klemm, Sonya Funna","doi":"10.12927/whp.2013.23494","DOIUrl":"https://doi.org/10.12927/whp.2013.23494","url":null,"abstract":"<p><p>Prevention of malnutrition for children under two (PM2A) is a new approach being used by the United States Agency for International Development (USAID). Since 2010, PM2A has been adopted on a widespread basis in food assistance programs with the aim of preventing chronic malnutrition (stunting) in non-emergency settings. This case study uses mixed methods to document household food sources, insecurity and ration receipt within the context of a multi-year health and nutrition program implemented in South Sudan. Evidence from the program, which included a PM2A component in addition to health, empowerment and household agricultural interventions, indicates that household food security remained poor despite ration receipt. While PM2A is a relatively new strategy and efforts are under way to evaluate outcomes, more evidence is needed to determine the appropriateness of the PM2A approach in highly food insecure contexts and to establish the range of contexts in which PM2A is a choice approach for food assistance programs. </p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"14 4","pages":"12-22"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31915300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From the Editor-in-Chief.","authors":"John E Paul","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"14 3","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31536545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Measuring progress toward the Millennium Development Goals and the missing millions.","authors":"Roy A Carr-Hill","doi":"10.12927/whp.2013.23270","DOIUrl":"https://doi.org/10.12927/whp.2013.23270","url":null,"abstract":"<p><p>The 2015 target date for achieving the Millennium Development Goals (MDGs) is fast approaching, but there is very little discussion of the validity of the indicators used to measure progress. In particular, there has been little attention given to the problems that arise when assessments of progress are based on household surveys. These are inappropriate for obtaining information about the poorest of the poor. Typically, they omit by design those not in households because they are homeless; those who are in institutions; and mobile, nomadic or pastoralist populations; and, in practice, household surveys will typically under-represent those in fragile, disjointed or multiple occupancy households; and those in urban slums and insecure areas of a country. Those six subgroups constitute a pretty comprehensive ostensive definition of the \"poorest of the poor.\" Between 300 and 500 million people--mainly in developing countries--will be missed worldwide from the sampling frames of household surveys.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"14 2","pages":"4-11"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31460801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From the Editor-in-Chief.","authors":"John E Paul","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"14 1","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31035322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecka Lundgren, Jeannette Cachan, Victoria Jennings
{"title":"Engaging men in family planning services delivery: experiences introducing the Standard Days Method® in four countries.","authors":"Rebecka Lundgren, Jeannette Cachan, Victoria Jennings","doi":"10.12927/whp.2013.23097","DOIUrl":"https://doi.org/10.12927/whp.2013.23097","url":null,"abstract":"<p><p>Family planning is often regarded as the woman's responsibility, but there is growing recognition of the need to involve men in family planning programs. Since 2001, the fertility-awareness-based Standard Days Method® (SDM) has been introduced in more than 30 countries, providing a natural, effective birth control option. SDM requires the cooperation of the male partner, and its introduction created an opportunity to test innovative strategies to engage couples in family planning. Such strategies included couple counselling, outreach activities that encouraged men to participate in family planning and integration of family planning into traditionally male programs. Due to the SDM's intrinsic characteristics as a couple method, SDM providers are sensitized to the importance of exploring other critical sexual and reproductive health topics, including intimate partner violence, HIV, sexuality and partner communication. This paper presents several case studies describing how men were engaged in SDM introduction activities in four countries.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"14 1","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2013.23097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31035326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The association of metabolic syndrome with alcohol consumption among urban Chinese.","authors":"Mark Strand, Judy Perry, Ping Wang","doi":"10.12927/whp.2012.22907","DOIUrl":"https://doi.org/10.12927/whp.2012.22907","url":null,"abstract":"<p><strong>Background: </strong>Along with economic improvement, China is experiencing increasing rates of non-communicable disease and a rise in alcohol consumption. While a modest intake of red wine has been shown to be health enhancing, the pathophysiology associated with excessive alcohol consumption is being increasingly recognized. The purpose of this study is to demonstrate the health consequences of alcohol consumption among middle-aged urban Chinese people.</p><p><strong>Methods: </strong>This cross-sectional study included 793 subjects aged 44, 48 or 52 years, from urban community health centres and a local hospital, who participated in a survey, anthropometrics and blood chemistry. Multiple logistic regression analysis was used to obtain adjusted odds ratios (OR) between alcohol intake and medical history of diabetes and hypertension, metabolic syndrome and its five component variables.</p><p><strong>Results: </strong>Metabolic syndrome (MetS) was detected in 53.5% and 42.8% of men and women, respectively, (p < .05), and regular alcohol consumption was found among 72.5% and 12.4% of men and women (p < .00). A weak association was found between consuming alcohol ≥ 2 times a week (or having quit) and MetS (OR = 1.7, 1.0, 2.9) and elevated blood pressure (OR = 1.8, 1.0, 3.1).</p><p><strong>Conclusion: </strong>Alcohol consumption is an under-appreciated risk factor found in association with increased rates of metabolic syndrome and associated non-communicable diseases among urban residents in China.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"13 4","pages":"5-14"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30996564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nazar P Shabila, Namir G Al-Tawil, Tariq S Al-Hadithi, Egbert Sondorp
{"title":"A qualitative assessment of the Iraqi primary healthcare system.","authors":"Nazar P Shabila, Namir G Al-Tawil, Tariq S Al-Hadithi, Egbert Sondorp","doi":"10.12927/whp.2012.22817","DOIUrl":"https://doi.org/10.12927/whp.2012.22817","url":null,"abstract":"<p><p>With the limited availability of empirical and documented knowledge about the Iraqi primary healthcare (PHC) system, this study aimed to identify the main problems facing the Iraqi PHC system and the priorities for change. A qualitative study based on a self-administered questionnaire survey involving 46 primary care managers, public health professionals and academics was conducted in Erbil, Iraq. The questionnaire addressed participants' views on positive aspects, problems, priorities and barriers to change of the PHC system through seven open questions. The qualitative data analysis comprised thematic analysis. The survey revealed significant impediments to delivering PHC services, including problems in organization and management of the system, shortage of and poor quality of medications, and inadequate or uneven distribution of manpower and expertise. Priorities for improving the primary healthcare system included reorganization of the services and leadership involving adoption of family practice and regulation of public-private practice, placing emphasis on prevention and health education, and provision of continuing professional training and development. The enormous problems facing the system might signal the need for important and comprehensive improvements based on more in-depth assessment.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"13 3","pages":"18-27"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2012.22817","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30590510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chen Zhang, Xiaoming Li, Yan Hong, Bonita Stanton, Yiyun Chen, Yuejiao Zhou, Wei Liu
{"title":"Pro-alcohol-use social environment and alcohol use among female sex workers in China: beyond the effects of serving alcohol.","authors":"Chen Zhang, Xiaoming Li, Yan Hong, Bonita Stanton, Yiyun Chen, Yuejiao Zhou, Wei Liu","doi":"10.12927/whp.2012.22923","DOIUrl":"https://doi.org/10.12927/whp.2012.22923","url":null,"abstract":"<p><p>The current study was designed to fill the literature gap by examining the roles of the pro-alcohol social environment in alcohol use among female sex workers (FSWs) in China. In this study, a total of 1,022 FSWs were recruited through community outreach from both alcohol-serving and nonalcohol-serving commercial sex venues in Guangxi, China. The pro-alcohol social environment was measured in four areas: institutional norms, institutional practices, risk perceptions and peer norms. The measures of the pro-alcohol social environment were significantly associated with the venues' alcohol-serving practices, with FSWs from those venues reporting a more positive pro-alcohol social environment than their counterparts from nonalcohol-serving venues. However, these pro-alcohol social environment measures were independently predictive of alcohol use after controlling for venues' alcoholserving practices and other demographic characteristics. Public health interventions need to target environmental-structural factors through altering pro-alcohol-use social norms and practices at both institutional and individual levels among FSWs in China.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"13 4","pages":"15-27"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698912/pdf/nihms-1044531.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30996565","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 the editor-in-chief.","authors":"John E Paul","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"13 3","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30590508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Saudi health care system: a view from the minaret.","authors":"Amir A Khaliq","doi":"10.12927/whp.2012.22875","DOIUrl":"https://doi.org/10.12927/whp.2012.22875","url":null,"abstract":"<p><p>This review article provides information about the origins, history, evolution and current status of the Saudi healthcare system, which is currently being transformed from a publicly financed and managed welfare system to a market-oriented, employment-based, insurance-driven system. Since its inception in the 1920s, the system has provided free healthcare to all Saudi nationals at publicly owned facilities run by government-employed administrators and healthcare providers. For millions of foreign workers in the country, healthcare at privately owned for-profit facilities has been paid for either by the employer or by the individual. At the completion of the three-stage transition, everyone in the country, whether employed in the public or private sector, is expected to have insurance coverage provided by the employer. All Ministry of Health-owned hospitals will be divested to the private sector, whereas primary health centres are likely to be retained by the government. Many of the operational details of the transition are unclear at this stage and will be worked out in the coming years. This paper provides a context for these changes and highlights some of the existing issues and weaknesses. The article also points to some of the future challenges and cautions against pitfalls involved in the complete transformation of the system.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"13 3","pages":"52-64"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2012.22875","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30590512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}