World health & population最新文献_第9页

Cancer registration needs assessment at a tertiary medical centre in Kilimanjaro, Tanzania. 坦桑尼亚乞力马扎罗市三级医疗中心的癌症登记需要评估。

World health & population Pub Date : 2013-01-01 DOI: 10.12927/whp.2013.23271

Leah L Zullig, Charles Muiruri, Amy Abernethy, Bryan J Weiner, John Bartlett, Olola Oneko, S Yousuf Zafar

{"title":"Cancer registration needs assessment at a tertiary medical centre in Kilimanjaro, Tanzania.","authors":"Leah L Zullig, Charles Muiruri, Amy Abernethy, Bryan J Weiner, John Bartlett, Olola Oneko, S Yousuf Zafar","doi":"10.12927/whp.2013.23271","DOIUrl":"https://doi.org/10.12927/whp.2013.23271","url":null,"abstract":"Cancer burden is increasing in Africa more than in any other continent, but population-based tracking of cancer incidence is incomplete. Cancer registries can improve understanding of cancer incidence. To assess organizational readiness to sustain registry development, we conducted a survey assessing change efficacy, resource availability and change commitment at the Kilimanjaro Christian Medical Centre (KCMC), an academic hospital in Moshi, Tanzania. Fifty-two surveys were returned (80% response rate). There was strong reliability among change efficacy and commitment survey items, with Cronbach's alphas of 0.93 and 0.77, respectively. Clinicians, nurses and administrators conveyed similar responses regarding change efficacy. Clinicians had similar responses for change commitment. Echoing opinion in many low- and middle-income countries, approximately one-third of respondents indicated there were no funds to maintain the registry, and funds were not obtainable. For most resources, respondents felt that resources were sufficient or attainable. Respondents were generally confident and committed to registry implementation. Lessons learned at KCMC may be more broadly relevant.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"14 2","pages":"12-23"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684014/pdf/nihms469124.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31460802","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}

引用次数: 6

Reasons for persistence of dwelling vulnerability to Chagas disease (American trypanosomiasis): a qualitative study in northeastern Brazil. 对恰加斯病(美洲锥虫病)持续居住易感性的原因:巴西东北部的一项定性研究

World health & population Pub Date : 2013-01-01 DOI: 10.12927/whp.2013.23441

Taís F Gomes, Francisca Samya S Freitas, Claudia M Bezerra, Marli M Lima, Filipe A Carvalho-Costa

{"title":"Reasons for persistence of dwelling vulnerability to Chagas disease (American trypanosomiasis): a qualitative study in northeastern Brazil.","authors":"Taís F Gomes, Francisca Samya S Freitas, Claudia M Bezerra, Marli M Lima, Filipe A Carvalho-Costa","doi":"10.12927/whp.2013.23441","DOIUrl":"https://doi.org/10.12927/whp.2013.23441","url":null,"abstract":"Interaction between Chagas disease vectors and man is continuous in vulnerable dwellings, in which the vectors feed on man and find conditions for reproduction. This study explores factors that affect the choice of home construction methods in a rural community in Brazil, emphasizing the rationale for the persistence of dwelling vulnerability. Information on local resident perspectives regarding safety and home construction methods was gathered through domiciliary interviews with open questionnaires. The study revealed a large proportion of vulnerable mud huts, with others under construction. Insecurity over land tenure inhibits the construction of definitive houses. Mud homes are associated with greater structural stability. Cultural and economic factors have clearly been linked to the choice of method for home construction. The economic evolution of family conflicts with traditional aspects as well as the relative increased cost of the materials needed for mud house construction has not completely inhibited building with mud. ","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"14 3","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2013.23441","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31628496","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: 9

Resource allocation in Pakistan's health sector: a critical appraisal and a path toward the Millennium Development Goals. 巴基斯坦卫生部门的资源分配:关键评价和实现千年发展目标的途径。

World health & population Pub Date : 2013-01-01 DOI: 10.12927/whp.2013.23438

Babar Tasneem Shaikh, Irum Ejaz, Arslan Mazhar, Assad Hafeez

{"title":"Resource allocation in Pakistan's health sector: a critical appraisal and a path toward the Millennium Development Goals.","authors":"Babar Tasneem Shaikh, Irum Ejaz, Arslan Mazhar, Assad Hafeez","doi":"10.12927/whp.2013.23438","DOIUrl":"https://doi.org/10.12927/whp.2013.23438","url":null,"abstract":"Pakistan is trying hard to sustain its progress toward the Millennium Development Goals. However, because of a lack of political commitment to innovative solutions to improve its financing mechanism, the health system is unable to provide even essential and basic services to the people. The country, with more than 70% of the population living on less than two US dollars a day, largely depends on direct taxes for its revenue. Because of inadequate financing, the quality of government services is inexcusably poor; therefore, a majority of people seek healthcare in the private sector. This has led to a horde of issues pertaining to equity, accessibility and fairness. High out-of-pocket expenses on health jeopardize a family's livelihood, pushing it into a vicious circle of poverty. In the wake of recent devolution, this paper presents options for future health financing that enables the provinces to exert their autonomy to safeguard the health of the most vulnerable in the country. Our recommendations follow the vision of the World Health Organization and the Commission on Macroeconomics and Health, to achieve universal health coverage and social protection for the poor. ","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"14 3","pages":"22-31"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2013.23438","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31628497","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: 7

Global access to safe water: accounting for water quality and the resulting impact on MDG progress. 全球获得安全用水:考虑水质及其对千年发展目标进展的影响。

World health & population Pub Date : 2013-01-01 DOI: 10.12927/whp.2013.23437

Kyle Onda, Joe Lobuglio, Jamie Bartram

{"title":"Global access to safe water: accounting for water quality and the resulting impact on MDG progress.","authors":"Kyle Onda, Joe Lobuglio, Jamie Bartram","doi":"10.12927/whp.2013.23437","DOIUrl":"https://doi.org/10.12927/whp.2013.23437","url":null,"abstract":"Monitoring of progress towards the Millennium Development Goal (MDG) drinking water target relies on classification of water sources as \"improved\" or \"unimproved\" as an indicator for water safety. We adjust the current Joint Monitoring Programme (JMP) estimate by accounting for microbial water quality and sanitary risk using the only-nationally representative water quality data currently available, that from the WHO and UNICEF \"Rapid Assessment of Drinking Water Quality\". A principal components analysis (PCA) of national environmental and development indicators was used to create models that predicted, for most countries, the proportions of piped and of other-improved water supplies that are faecally contaminated; and of these sources, the proportions that lack basic sanitary protection against contamination. We estimate that 1.8 billion people (28% of the global population) used unsafe water in 2010. The 2010 JMP estimate is that 783 million people (11%) use unimproved sources. Our estimates revise the 1990 baseline from 23% to 37%, and the target from 12% to 18%, resulting in a shortfall of 10% of the global population towards the MDG target in 2010. In contrast, using the indicator \"use of an improved source\" suggests that the MDG target for drinkingwater has already been achieved. We estimate that an additional 1.2 billion (18%) use water from sources or systems with significant sanitary risks. While our estimate is imprecise, the magnitude of the estimate and the health and development implications suggest that greater attention is needed to better understand and manage drinking water safety. ","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"14 3","pages":"32-44"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31628498","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: 25

The Bone and Joint Decade (BJD) initiative: how did Kuwait perform? 骨关节十年(BJD)倡议:科威特的表现如何?

World health & population Pub Date : 2013-01-01 DOI: 10.12927/whp.2013.23493

Elham Hamdan, Fawzi F Bouzubar, Michel D Landry

引用次数: 1

From the Editor-in-Chief. 来自总编辑。

World health & population Pub Date : 2013-01-01

John E Paul

引用次数: 0

Factors influencing motivation and retention of primary healthcare workers in the rural areas of Oyo State, Nigeria. 影响尼日利亚奥约州农村地区初级保健工作者积极性和留任的因素。

World health & population Pub Date : 2013-01-01 DOI: 10.12927/whp.2013.23580

Ayodele S Jegede, Prisca Adejumo, Boniface Ayanbekongshie Ushie

{"title":"Factors influencing motivation and retention of primary healthcare workers in the rural areas of Oyo State, Nigeria.","authors":"Ayodele S Jegede, Prisca Adejumo, Boniface Ayanbekongshie Ushie","doi":"10.12927/whp.2013.23580","DOIUrl":"https://doi.org/10.12927/whp.2013.23580","url":null,"abstract":"Background: Limited data exist on retention of primary healthcare (PHC) staff in rural areas, crippling the already fragile healthcare systems in Nigeria. This study investigated why PHC staff would or would not want to work in rural areas and how they could be retained.Methods: Four hundred and twelve (412) health workers and caregivers, and 21 key informants were interviewed in Ona-Ara LGA. Logistic regression statistics was used to analyse quantitative data and narrative for qualitative data.Results: There was no significant factor influencing health workers' unwillingness to work in rural areas and, relationship between their demographic characteristics and perceived reasons to do so. Combined factors influencing PHC workers' willingness to work in rural areas influenced use of PHC.Conclusion: Financial and non-financial incentives are responsible for workers' motivation to work in rural areas. The mal-distribution of health facilities and health workers between urban and rural areas must be addressed.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"14 4","pages":"23-36"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31915301","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: 7

The role of developing countries in generating Cochrane meta-analyses in the field of pediatrics (neonatology and neuropediatrics): a systematic analysis. 发展中国家在儿科学(新生儿学和神经儿科学)领域产生Cochrane荟萃分析中的作用:一项系统分析。

World health & population Pub Date : 2013-01-01 DOI: 10.12927/whp.2013.23272

Sascha Meyer, Christiane Willhelm, Wolfgang Girisch, Sven Gottschling, Stefan Gräber, Ludwig Gortner

{"title":"The role of developing countries in generating Cochrane meta-analyses in the field of pediatrics (neonatology and neuropediatrics): a systematic analysis.","authors":"Sascha Meyer, Christiane Willhelm, Wolfgang Girisch, Sven Gottschling, Stefan Gräber, Ludwig Gortner","doi":"10.12927/whp.2013.23272","DOIUrl":"https://doi.org/10.12927/whp.2013.23272","url":null,"abstract":"Background: There is a lack of up-to-date, systematic reviews that critically assess the role and potential limitations of evidence-based medicine and systematic Cochrane reviews originating in developing countries.Methods: We performed a systematic literature review of all Cochrane reviews published between 1997 and 2010 by the Cochrane Neonatal Review Group (CNRG) in the field of neuropediatrics. The main outcome parameter of our review was the assessment of the percentage of reviews that originated in developing countries and the number of reviews that provided conclusive/ inconclusive data.Results: In total, 262 reviews were performed in the field of neonatology and 112 in the field of neuropediatrics. Only a small fraction (15/262 in neonatology [7/15 conclusive] and 16/112 in neuropediatrics [9/16 conclusive]) originated in developing countries.Conclusions: There is an ongoing need for high-quality research that addresses specific issues that are most relevant to the medical care of children in developing countries. Funding and research agencies will play a pivotal role in selecting the most appropriate research programs for the developing world.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"14 2","pages":"24-32"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31461759","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: 7

Does health insurance ensure equitable health outcomes? An analysis of hospital services usage in urban India. 健康保险能确保公平的健康结果吗?印度城市医院服务使用情况分析。

World health & population Pub Date : 2013-01-01 DOI: 10.12927/whp.2013.23581

Mousumi Dutta, Zakir Husain

引用次数: 6

World Health & Population share a common theme around information needs. 世界卫生与人口有一个共同的主题，即信息需求。

World health & population Pub Date : 2013-01-01 DOI: 10.12927/whp.2013.23269

John E Paul

引用次数: 0