World health & population最新文献

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Transforming Health Workers' Education for Universal Health Coverage: Global Challenges and Recommendations. 改革卫生工作者教育以实现全民健康覆盖:全球挑战和建议。
World health & population Pub Date : 2017-01-01 DOI: 10.12927/whp.2017.25304
Timothy Grant Evans, Edson Correia Araujo, Christopher Herbst, Ok Pannenborg
{"title":"Transforming Health Workers' Education for Universal Health Coverage: Global Challenges and Recommendations.","authors":"Timothy Grant Evans,&nbsp;Edson Correia Araujo,&nbsp;Christopher Herbst,&nbsp;Ok Pannenborg","doi":"10.12927/whp.2017.25304","DOIUrl":"https://doi.org/10.12927/whp.2017.25304","url":null,"abstract":"<p><p>Health workforce challenges remain a critical bottleneck in achieving universal health coverage (UHC) goals in most countries. As it stands, health professional training is primarily clinical, curricular and delinked from the needs of the health system. To achieve global health goals and maximize opportunities for employment and economic growth, all in the context of limited fiscal realities, a paradigm shift is needed with respect to the health workforce and corresponding education systems. There is a need to shift towards fair, gender friendly employment at a rate that matches the overall growth of the health economy, which acknowledges the role of the private sector in education and training. This paper emphasizes the importance and implications of such a paradigm shift. It argues the need for a 21st century framework for health professional education. This framework should represent a more satisfactory interface between supply and demand for health professional labor, in line with the need for UHC, job creation and economic growth.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"17 3","pages":"70-80"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2017.25304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35794601","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}
引用次数: 3
Knowledge of Prenatal Healthcare among Pregnant Women in Boyer-Ahmad and Dena County of Kohgiluyeh and Boyer-Ahmad Province, Iran. 伊朗Kohgiluyeh和Boyer-Ahmad省Boyer-Ahmad县和Dena县孕妇的产前保健知识
World health & population Pub Date : 2016-03-03 DOI: 10.12927/WHP.2016.24519
M. Safari, Mohammad Hosien Bahadornegad, B. Yazdanpanah, Marjan Safari
{"title":"Knowledge of Prenatal Healthcare among Pregnant Women in Boyer-Ahmad and Dena County of Kohgiluyeh and Boyer-Ahmad Province, Iran.","authors":"M. Safari, Mohammad Hosien Bahadornegad, B. Yazdanpanah, Marjan Safari","doi":"10.12927/WHP.2016.24519","DOIUrl":"https://doi.org/10.12927/WHP.2016.24519","url":null,"abstract":"INTRODUCTION AND OBJECTIVE\u0000Prenatal care knowledge is critical for pregnant women's use of antenatal services. The aim of the study was to assess the extent of prenatal healthcare knowledge among pregnant women of the Boyer-Ahmad and Dena County of Kohgiluyeh and Boyer-Ahmad Province, Iran.\u0000\u0000\u0000METHODS\u0000A cross-sectional survey was conducted between April and June 2013. Pregnant women who came for delivery to the only available public hospital were interviewed by trained research assistants. Interview questions were designed to assess their knowledge on five broad categories of prenatal care practices of immunization, diet, supplementation, antenatal checkups and warning signs. Collected information was converted into numerical scores and average score for each individual was calculated. Independent-samples t-test, analysis of variance and multiple comparison tests were used to compare scores among groups with different demographic and socioeconomic status.\u0000\u0000\u0000RESULTS\u0000A total of 400 pregnant women with 66.8% illiterate or lowly educated and an average age of 28.5 ± 6.1 years participated in the study. The average care knowledge score was 16.8 out of a maximum of 30. The highest awareness was observed on immunization (54.4%) and the lowest for prenatal checkup (20.3%).The average knowledge scores were significantly different among age groups, educational level, number of gravidity, type of occupation, place of residence and time of starting of prenatal care. There were no significant differences between women with and without obstetric complications.\u0000\u0000\u0000CONCLUSION\u0000Not surprisingly, the level of education was the most significant factor influencing women's knowledge of parental healthcare, reinforcing the need for the improvement in literacy and expansion of health education among pregnant women using various educational methods.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 3 1","pages":"39-47"},"PeriodicalIF":0.0,"publicationDate":"2016-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66270229","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}
引用次数: 1
Persistent Transmission of Schistosomiasis in Southwest Nigeria: Contexts of Culture and Contact with Infected River Water. 尼日利亚西南部血吸虫病的持续传播:文化背景和与受感染河水的接触。
World health & population Pub Date : 2016-03-03 DOI: 10.12927/WHP.2016.24518
Adetayo Olorunlana, A. Jegede, O. Morenikeji, Adesola A. Hassan, R. Nwuba, C. Anumudu, O. Salawu, A. Odaibo
{"title":"Persistent Transmission of Schistosomiasis in Southwest Nigeria: Contexts of Culture and Contact with Infected River Water.","authors":"Adetayo Olorunlana, A. Jegede, O. Morenikeji, Adesola A. Hassan, R. Nwuba, C. Anumudu, O. Salawu, A. Odaibo","doi":"10.12927/WHP.2016.24518","DOIUrl":"https://doi.org/10.12927/WHP.2016.24518","url":null,"abstract":"Transmission of schistosomiasis is aided by human behaviour. Globally, about 800 million people are at risk of schistosomiasis infection. Data exist on biomedical understanding of the disease transmission; there is a dearth of information from the social science perspective. Hence, this study explored the social and cultural context of schistosomiasis transmission among Yewa People in Nigeria. Qualitative methods were employed with purposive sampling, using the key informant interviews and focus group discussions, among 57 participants aged 17 to 54 years. The data were content-analyzed. River water was the most reported source of water supply among others. Participants drew from the cultural milieu the use of river water for \"drinking\" and \"swimming\" as part of the continual transmission of schistosomiasis. Transmission of schistosomiasis may not be abated without behavioural change.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 3 1","pages":"31-8"},"PeriodicalIF":0.0,"publicationDate":"2016-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66270155","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}
引用次数: 0
Increasing Levels of Urban Malnutrition with Rapid Urbanization in Informal Settlements of Katutura, Windhoek: Neighbourhood Differentials and the Effect of Socio-Economic Disadvantage. 温得和克卡图图拉非正式住区快速城市化带来的城市营养不良水平上升:邻里差异和社会经济劣势的影响。
World health & population Pub Date : 2016-03-03 DOI: 10.12927/WHP.2016.24516
N. Nickanor, L. Kazembe
{"title":"Increasing Levels of Urban Malnutrition with Rapid Urbanization in Informal Settlements of Katutura, Windhoek: Neighbourhood Differentials and the Effect of Socio-Economic Disadvantage.","authors":"N. Nickanor, L. Kazembe","doi":"10.12927/WHP.2016.24516","DOIUrl":"https://doi.org/10.12927/WHP.2016.24516","url":null,"abstract":"Rapid urbanization and increasing urban poverty characterize much of Southern Africa, resulting in poor urban health. This study investigates inter-urban differences and determinants of undernutrition among marginalized communities. Using the 1992, 2000 and 2006/2007 Namibia Demographic and Health Survey data, we fitted hierarchical random intercept logit models, applied at 52 enumeration areas in the capital city (Windhoek), to estimate trends in undernutrition, and investigate risk factors associated with stunting and underweight. Findings demonstrate that undernutrition among children has risen (7.4% to 25.1%, p<0.001 for stunting; and 9.7% to 17.6%, p<0.001 for underweight, between 1992 and 2006/2007). The risk was pronounced for children from socioeconomically disadvantaged households (OR=1.53, 95% CI:[1.01, 2.31] for stunting and OR=2.16, 95% CI:[1.03, 4.89]for underweight). Evidence emerged of intra-urban variation in undernutrition. We argue that with increasing urbanization, comes the challenge of food insecurity and, consequently, malnutrition. For improved child health, urban planners should have targeted interventions for poor urban households and deprived neighbourhoods.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 3 1","pages":"5-21"},"PeriodicalIF":0.0,"publicationDate":"2016-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/WHP.2016.24516","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66270432","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}
引用次数: 11
Negotiating Pharmaceutical Prices: A Change in Chinese Health Policy. 药品价格谈判:中国卫生政策的变化。
World health & population Pub Date : 2016-01-01 DOI: 10.12927/whp.2016.24670
Michael M Costello
{"title":"Negotiating Pharmaceutical Prices: A Change in Chinese Health Policy.","authors":"Michael M Costello","doi":"10.12927/whp.2016.24670","DOIUrl":"https://doi.org/10.12927/whp.2016.24670","url":null,"abstract":"<p><p>Like many other nations, China believed the key to restricting national health expenditures for pharmaceuticals was the use of governmentally imposed price caps. Given the recent growth in pharmaceutical expenditures, China is moving away from price caps to a new process that includes locally negotiated prices in the hope that such price competition will lower national pharmaceutical pricing. The success of this policy endeavour will depend significantly on managing other aspects of pharmaceutical purchasing. </p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 4","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2016.24670","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34622409","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}
引用次数: 0
Calling a Spade a Spoon: Are Non-American Donors Likely to Need the Same "Reshaping" of Terms for International Family Planning? 直言不讳:非美国捐助者是否可能需要对国际计划生育条款进行同样的“重塑”?
World health & population Pub Date : 2016-01-01 DOI: 10.12927/whp.2016.25040
Wendy V Norman, Danielle Mazza
{"title":"Calling a Spade a Spoon: Are Non-American Donors Likely to Need the Same \"Reshaping\" of Terms for International Family Planning?","authors":"Wendy V Norman,&nbsp;Danielle Mazza","doi":"10.12927/whp.2016.25040","DOIUrl":"https://doi.org/10.12927/whp.2016.25040","url":null,"abstract":"Dyer et al., in their article \"International Family Planning: How Political and Religious Conservatives Respond and How to Shape Messaging for Successful Advocacy\" (2016), have found that American religious and political conservatives respond favorably to the concepts underlying Family Planning, yet unfavorably to the term itself. We cite Canadian and Australian perspectives to argue that the Dyer finding that the term \"Family Planning\" is synonymous with abortion (or so nearly so to make it \"unfundable\" without a term change) is not a consideration in at least two countries, and may not be relevant outside the American context. Irrespective of the language that may be necessary for fundraising among American donors to elicit support for international Family Planning initiatives, there exists a clear need to establish common understanding on reproductive health issues. Now more than ever, we must identify effective terminology and disseminate facts that support women and their families to achieve their reproductive goals, and thus contribute to improved health, education and economic prosperity throughout our global village.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"17 1","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34846885","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}
引用次数: 0
What Is the Economic Cost of Unplanned Pregnancy Following Hysteroscopic Sterilization in the US? A New National Estimate Based on Essure® Procedure Prevalence, Failure Rates and Workforce Productivity. 美国宫腔镜绝育后意外怀孕的经济成本是多少?一项基于Essure®程序流行率,故障率和劳动力生产率的新的国家估计。
World health & population Pub Date : 2016-01-01 DOI: 10.12927/whp.2016.24899
E Scott Sills, Luca P Fernandez, Christopher A Jones
{"title":"What Is the Economic Cost of Unplanned Pregnancy Following Hysteroscopic Sterilization in the US? A New National Estimate Based on Essure® Procedure Prevalence, Failure Rates and Workforce Productivity.","authors":"E Scott Sills,&nbsp;Luca P Fernandez,&nbsp;Christopher A Jones","doi":"10.12927/whp.2016.24899","DOIUrl":"https://doi.org/10.12927/whp.2016.24899","url":null,"abstract":"<p><strong>Objective: </strong>Although hysteroscopic sterilization (HS) (Essure ®) has been available in the US since 2002, there is disagreement regarding its efficacy, and there has been no study of the economic impact of HS failure. Our investigation examined the economic consequences of contraceptive failure with Essure in the US.</p><p><strong>Methods: </strong>Contraceptive failure rates (CFR) of 5.7%, 7.7% and 9.6% were applied to the US cohort of HS patients (n = 600,000). Direct economic impact of productivity losses resulting from unplanned conceptions after HS was calculated by factoring Essure failure rate, the exposed population, US female labour force participation, unemployment rate, time away from work owing to vaginal delivery or pregnancy termination and weekly wages.</p><p><strong>Results: </strong>For the 9.6% CFR scenario, US workforce productivity loss from unplanned pregnancy and delivery was estimated at 771,065 days (2,112 years). Productivity loss secondary to conception and subsequent termination of pregnancy after Essure was approximately 23,725 days (65 years). Assuming CFR at 5.7%, livebirth delivery with total time missed from work at 65 days, this was associated with an aggregate economic impact of $49.2M in lost annual wages. Direct economic impact of unplanned pregnancy after Essure irrespective of outcome (terminations and deliveries) was estimated to result in US productivity losses valued at ~$130M.</p><p><strong>Conclusion: </strong>Although not all unplanned pregnancy costs are attributable to failed HS, estimates derived from earlier surveys have not considered this contraceptive method, and the economic consequences of unplanned pregnancy after Essure are not trivial. Quantifying the economic consequences of HS failure would be improved with specific ICD-10 coding for Essure-associated symptoms.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"17 1","pages":"31-38"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34846887","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}
引用次数: 2
From the Editors. 来自编辑。
World health & population Pub Date : 2016-01-01 DOI: 10.12927/whp.2016.24669
{"title":"From the Editors.","authors":"","doi":"10.12927/whp.2016.24669","DOIUrl":"https://doi.org/10.12927/whp.2016.24669","url":null,"abstract":"","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 4","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2016.24669","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34622408","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}
引用次数: 0
Relative and Global Health: A Comparative Study between Healthcare Systems of Jordan and France. 相对健康和全球健康:约旦和法国医疗保健系统的比较研究。
World health & population Pub Date : 2016-01-01 DOI: 10.12927/whp.2016.24671
Aladeen Alloubani, Ibrahim Mbarak Abdelhafiz, Abdulmoneam A Saleh
{"title":"Relative and Global Health: A Comparative Study between Healthcare Systems of Jordan and France.","authors":"Aladeen Alloubani,&nbsp;Ibrahim Mbarak Abdelhafiz,&nbsp;Abdulmoneam A Saleh","doi":"10.12927/whp.2016.24671","DOIUrl":"https://doi.org/10.12927/whp.2016.24671","url":null,"abstract":"<p><strong>Objective: </strong>This relative study includes categorical exploration of the economics, demographic, political, social and financial data to realize the basic reasons of the present healthcare systems in these countries.</p><p><strong>Methods: </strong>Descriptive and comparative methods were used. This study tries to relate the healthcare systems of Jordan with that of France to produce effective lessons that can be helpful for guiding future developments down the correct path.</p><p><strong>Results: </strong>Depending on many factors such as life expectancy, the mortality rate in infants, universal medical coverage and availability of healthcare services to the masses, significant disparities between the two systems were found.</p><p><strong>Conclusion: </strong>Through this study, it has been concluded that the healthcare system of Jordan has a lot to improve with regard to standards of services offered, and there are many aspects to be learned from the French healthcare system by the Jordanian one, including the healthcare coverage system and the cost-sharing strategies.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 4","pages":"9-19"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2016.24671","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34622412","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}
引用次数: 5
Reducing the Impact of Attacks against Healthcare by Curbing the Use of Explosive Weapons in Populated Areas: Developments at the Global Level. 通过遏制在人口稠密地区使用爆炸性武器来减少针对医疗机构的袭击的影响:全球层面的发展情况。
World health & population Pub Date : 2016-01-01 DOI: 10.12927/whp.2016.24672
Simon Bagshaw
{"title":"Reducing the Impact of Attacks against Healthcare by Curbing the Use of Explosive Weapons in Populated Areas: Developments at the Global Level.","authors":"Simon Bagshaw","doi":"10.12927/whp.2016.24672","DOIUrl":"https://doi.org/10.12927/whp.2016.24672","url":null,"abstract":"<p><p>Attacks against healthcare in situations of armed conflict have emerged as an issue of increasing concern with explosive weapons - such as aircraft bombs, mortars and improvised explosive devices - accounting for more deaths, injuries and damage than any other type of weapon in attacks on healthcare facilities. While this is perhaps unsurprising, it offers some insight into a possible course of action for dealing with the problem of attacks against healthcare - by curbing the use of explosive weapons in populated areas. There has been growing recognition in recent years of the humanitarian problems caused by the use of such weapons in populated areas. Steps are now being taken at the global level to curb this use which could, in time, make an important contribution to reducing the incidence and devastating impact of attacks against healthcare. </p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 4","pages":"22-30"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34622414","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}
引用次数: 1
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