Global health journal (Amsterdam, Netherlands)最新文献

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The use of oral human immunodeficiency virus pre-exposure prophylaxis in pregnant and lactating women in sub-Saharan Africa: considerations, barriers, and recommendations 在撒哈拉以南非洲的孕妇和哺乳期妇女中使用口服人体免疫缺陷病毒暴露前预防疗法:考虑因素、障碍和建议
Global health journal (Amsterdam, Netherlands) Pub Date : 2024-06-01 DOI: 10.1016/j.glohj.2024.04.002
Enos Moyo , Grant Murewanhema , Perseverance Moyo , Tafadzwa Dzinamarira , Andrew Ross
{"title":"The use of oral human immunodeficiency virus pre-exposure prophylaxis in pregnant and lactating women in sub-Saharan Africa: considerations, barriers, and recommendations","authors":"Enos Moyo ,&nbsp;Grant Murewanhema ,&nbsp;Perseverance Moyo ,&nbsp;Tafadzwa Dzinamarira ,&nbsp;Andrew Ross","doi":"10.1016/j.glohj.2024.04.002","DOIUrl":"https://doi.org/10.1016/j.glohj.2024.04.002","url":null,"abstract":"<div><p>In sub-Saharan Africa (SSA), 63% of new human immunodeficiency virus (HIV) infections in 2021 were among women, particularly adolescent girls, and young women. There is a high incidence of HIV among pregnant and lactating women (PLW) in SSA. It is estimated that the risk of HIV-acquisition during pregnancy and the postpartum period more than doubles. In this article, we discuss the safety and effectiveness of drugs used for oral HIV pre-exposure prophylaxis (PrEP), considerations for initiating PrEP in PLW, the barriers to initiating and adhering to PrEP among them and suggest recommendations to address these barriers. Tenofovir/emtricitabine, the most widely used combination in SSA, is safe, clinically effective, and cost-effective among PLW. Any PLW who requests PrEP and has no medical contraindications should receive it. PrEP users who are pregnant or lactating may experience barriers to starting and adhering for a variety of reasons, including personal, pill-related, and healthcare facility-related issues. To address the barriers, we recommend an increased provision of information on PrEP to the women and the communities, increasing and/or facilitating access to PrEP among the PLW, and developing strategies to increase adherence.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 2","pages":"Pages 41-45"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000216/pdfft?md5=daf71420bd6b221bd667aecfa0ac64f1&pid=1-s2.0-S2414644724000216-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141483847","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: 0
Exploring the intersection of the medical metaverse and healthcare ethics: future considerations and caveats 探索医学元宇宙与医疗伦理的交叉点:未来的考虑因素和注意事项
Global health journal (Amsterdam, Netherlands) Pub Date : 2024-03-01 DOI: 10.1016/j.glohj.2024.02.005
Colm McCourt
{"title":"Exploring the intersection of the medical metaverse and healthcare ethics: future considerations and caveats","authors":"Colm McCourt","doi":"10.1016/j.glohj.2024.02.005","DOIUrl":"10.1016/j.glohj.2024.02.005","url":null,"abstract":"<div><p>The medical metaverse and digital twin are set to revolutionise healthcare. Like all emerging technologies their benefits must be weighed against their ethical and social, impacts. If we consider the advances of medical technology as an expression of our values, such as the pursuit of knowledge, cures and healing, an ethical study allows us to align our values and steer the technology towards an agreed goal. However, to appreciate the long-term consequents of a technology, those consequences must be considered in the context of a society already shaped by that technology. This paper identifies the technologies currently shaping society and considers the ethical, and social consequences of the medical metaverse and digital twin in that future society.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 1","pages":"Pages 36-40"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S241464472400006X/pdfft?md5=be01e42b04a563852f32d16198145db4&pid=1-s2.0-S241464472400006X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139888133","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: 0
Planetary health risks in urban agriculture 城市农业的地球健康风险
Global health journal (Amsterdam, Netherlands) Pub Date : 2024-03-01 DOI: 10.1016/j.glohj.2024.02.007
Nilanjana Ganguli , Anna Maria Subic , Janani Maheswaran , Byomkesh Talukder
{"title":"Planetary health risks in urban agriculture","authors":"Nilanjana Ganguli ,&nbsp;Anna Maria Subic ,&nbsp;Janani Maheswaran ,&nbsp;Byomkesh Talukder","doi":"10.1016/j.glohj.2024.02.007","DOIUrl":"https://doi.org/10.1016/j.glohj.2024.02.007","url":null,"abstract":"<div><p>Urban agriculture is gaining recognition for its potential contributions to environmental resilience and climate change adaptation, providing advantages such as urban greening, reduced heat island effects, and decreased air pollution. Moreover, it indirectly supports communities during weather events and natural disasters, ensuring food security and fostering community cohesion. However, concerns about planetary health risks persist in highly urbanized and climate-affected areas. Employing electronic databases such as Web of Science and PubMed and adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we identified 55 relevant papers to comprehend the planetary health risks associated with urban agriculture. The literature review identified five distinct health risks related to urban agriculture: (1) trace metal risks in urban farms; (2) health risks associated with wastewater irrigation; (3) zoonotic risks; (4) other health risks; and (5) social and economic risks. The study highlights that urban agriculture, while emphasizing environmental benefits, particularly raises concerns about trace metal bioaccumulation in soil and vegetables, posing health risks for populations. Other well studied risks included wastewater irrigation and backyard livestock farming. The main limitations in the available literature were in studying infectious diseases and antibiotic resistance associated with urban agriculture.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 1","pages":"Pages 4-10"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000071/pdfft?md5=d2f636312ea515074da9c490a6a7e3fc&pid=1-s2.0-S2414644724000071-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296486","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: 0
Data, digital worlds, and the avatarization of health care 数据、数字世界和医疗保健的虚拟化
Global health journal (Amsterdam, Netherlands) Pub Date : 2024-03-01 DOI: 10.1016/j.glohj.2024.02.003
Jane Thomason
{"title":"Data, digital worlds, and the avatarization of health care","authors":"Jane Thomason","doi":"10.1016/j.glohj.2024.02.003","DOIUrl":"10.1016/j.glohj.2024.02.003","url":null,"abstract":"<div><p>Significant technological trends are impacting health care, from consumerisation, datafication, circular economy, and platformization of services. Web 3.0, or the Internet of Value, enables direct peer-to-peer value exchange, opening up new business models that will impact health care. Among the many technologies that will also be part of the healthcare transformation is artificial intelligence, which shocked the world with the debut of ChatGPT in 2022. This opinion piece will explore how AI underpins the health transformation and, far from being an enemy of health, is the critical friend health care has been waiting for.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 1","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000034/pdfft?md5=8e003d082a49c4ec16cf4b0e371b2313&pid=1-s2.0-S2414644724000034-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139893000","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: 0
Social prescribing in the metaverse: a new frontier for primary care practice 元宇宙中的社会处方:初级保健实践的新领域
Global health journal (Amsterdam, Netherlands) Pub Date : 2024-03-01 DOI: 10.1016/j.glohj.2024.02.006
Arunpirasath Nadarasa
{"title":"Social prescribing in the metaverse: a new frontier for primary care practice","authors":"Arunpirasath Nadarasa","doi":"10.1016/j.glohj.2024.02.006","DOIUrl":"10.1016/j.glohj.2024.02.006","url":null,"abstract":"<div><p>The advent of immersive technologies such as the metaverse, extended reality, artificial intelligence, and blockchain offers novel possibilities to transform healthcare services. These innovations coincide with clinicians' aspirations to deliver more comprehensive, patient-centered care tailored to individuals' singular needs and preferences. Integration of these emerging tools may confer opportunities for providers to engage patients through new modalities and expand their role. However, responsible implementation necessitates deliberation of ethical implications and steadfast adherence to foundational principles of compassion and interpersonal connection underpinning the profession. While the metaverse introduces new channels for social prescribing, this perspective advocates that its ultimate purpose should be strengthening, not supplanting, human relationships. We propose an ethical framework centered on respect for patients' dignity to guide integration of metaverse platforms into medical practice. This framework serves both to harness their potential benefits and mitigate risks of dehumanization or uncompassionate care. Our analysis maps the developing topology of metaverse-enabled care while upholding moral imperatives for medicine to promote healing relationships and human flourishing.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 1","pages":"Pages 32-35"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000058/pdfft?md5=a9443b1ed232a175ad32e1ed93e00dc1&pid=1-s2.0-S2414644724000058-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139827076","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: 0
Alcohol and illicit drugs: prevalence of alcohol and illicit drug use and their predictors in young people from Argentina, Bulgaria, Chile and Romania 酗酒和非法药物:阿根廷、保加利亚、智利和罗马尼亚年轻人中酗酒和使用非法药物的流行率及其预测因素
Global health journal (Amsterdam, Netherlands) Pub Date : 2024-03-01 DOI: 10.1016/j.glohj.2024.02.002
Daniel Vankov , David Jankovszky , Borislav Vankov , Martin Galanternik , Claudia Rodriguez
{"title":"Alcohol and illicit drugs: prevalence of alcohol and illicit drug use and their predictors in young people from Argentina, Bulgaria, Chile and Romania","authors":"Daniel Vankov ,&nbsp;David Jankovszky ,&nbsp;Borislav Vankov ,&nbsp;Martin Galanternik ,&nbsp;Claudia Rodriguez","doi":"10.1016/j.glohj.2024.02.002","DOIUrl":"10.1016/j.glohj.2024.02.002","url":null,"abstract":"<div><h3>Background</h3><p>Alcohol and illicit drugs (AID) continue to be a major global health concern. Although preventable, AID is linked to millions of deaths annually worldwide. The situation is particularly grave for young people, with AID being a major direct risk factor for disability-adjusted youth life-years lost and death. It further contributes to assaults, road crashes, accidental poisoning, and suicide, leading to long-term issues and public health concerns.</p></div><div><h3>Objective</h3><p>This study aimed at disclosing current AID prevalence data for Argentinian, Bulgarian, Chilean and Romanian youth. It shed light on the predictors of AID in young people from those countries.</p></div><div><h3>Method</h3><p>The study used an online survey to gather data from people aged 18 to 25 (<em>n</em> = 1,297). The survey was underpinned by the theory of planned behaviour (TPB). Predictors were investigated separately for drinking alcohol and using illicit drugs.</p></div><div><h3>Results</h3><p>Our data revealed that across the four target countries, 49% to 90% of the participants drank alcohol, and 8% to 35% used illicit drugs in the past three months. Between 20% and 91% of them intended to drink, and between 8% and 31% intended to use illicit drugs in the following three months. Our TPB model predicted statistically significant (<em>P</em> &lt; 0.001) amounts of variance in drinking alcohol (between 61% and 72%) and using illicit drugs (between 20.3% and 74.4%). Intention was consistent in significantly predicting both behaviours. Evidence around the predictive validity of self-efficacy, age and gender was mixed across the investigated countries.</p></div><div><h3>Conclusion</h3><p>This research provided an update on the scarce AID epidemiological data. It also supplied evidence about what theoretically-informed measures might be useful targets of interventions in the case of Argentina, Bulgaria, Chile and Romania. This new knowledge of understanding substance abuse determinants and prevalence may help researchers and practitioners better meet young people's health prevention needs.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 1","pages":"Pages 16-23"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000022/pdfft?md5=fd1bc8c6658b546dd11632d6b035a095&pid=1-s2.0-S2414644724000022-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139830497","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: 0
Implementation of an international medical student pen-pal club: survey outcomes of perceptions in cultural competency and global health 国际医科学生笔友俱乐部的实施:文化能力和全球健康观念的调查结果
Global health journal (Amsterdam, Netherlands) Pub Date : 2024-03-01 DOI: 10.1016/j.glohj.2024.02.004
Max J. Goodman , Jennifer Livschitz , Ji Won Kim , Megan L. Schultz
{"title":"Implementation of an international medical student pen-pal club: survey outcomes of perceptions in cultural competency and global health","authors":"Max J. Goodman ,&nbsp;Jennifer Livschitz ,&nbsp;Ji Won Kim ,&nbsp;Megan L. Schultz","doi":"10.1016/j.glohj.2024.02.004","DOIUrl":"10.1016/j.glohj.2024.02.004","url":null,"abstract":"<div><h3>Background</h3><p>Pen-pal clubs (PPC) are used worldwide for students to learn about different cultures and other skillsets without the need for travel. Many medical students are interested in global health opportunities abroad but costs, scheduling, and other barriers allow few to participate in such experiences. It is important that medical students have nuanced global medical perspectives and can contribute to the global medical community.</p></div><div><h3>Objective</h3><p>The purpose of this study is to demonstrate that an international medical student PPC improves medical students’ perspectives of cultural competency and global health engagement.</p></div><div><h3>Methods</h3><p>In 2021, a novel medical student PPC was established that began between an American and Japanese medical school. Following a shareholders meeting, it was decided that the number of medical schools involved globally be expanded through previous institutional affiliations and online presences. In total, the club connected 50 American medical students and 52 medical students from 17 high- and middle-income countries. The primary form of communication was online; pen-pals were encouraged to communicate monthly using provided topics, although frequency and way of communication was their discretion. In February 2022, American PPC members were emailed a qualitative survey to assess the PPC's impact.</p></div><div><h3>Results</h3><p>The survey was completed by 42% of American PPC members, 95% of which were 22‒26 years. Participants were preclinical medical students, 60% whom were female and the majority either white (47%) or Asian (43%). Overall, the PPC positively influenced American medical students’ perception of global medicine, medical education, and their cultural competency after joining the PPC compared to prior (<em>P</em> = 0.004).</p></div><div><h3>Conclusion</h3><p>PPCs encourage medical students to think from a global perspective and foster open-mindedness within varying social and cultural contexts. Having a global communication platform for students during medical school education may be an additional way to train aspiring global leaders.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 1","pages":"Pages 11-15"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000046/pdfft?md5=c62f7658dd57cdf60fa3e99d463ac1af&pid=1-s2.0-S2414644724000046-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139880399","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: 0
Individual alcohol consumption by the population of Russia versus regional living conditions 俄罗斯居民个人饮酒量与地区生活条件的关系
Global health journal (Amsterdam, Netherlands) Pub Date : 2024-03-01 DOI: 10.1016/j.glohj.2024.02.001
Sergey A. Maksimov, Svetlana A. Shalnova, Galina A. Muromtseva, Yuliya A. Balanova, Svetlana E. Evstifeeva, Anna V. Kapustina, Oksana M. Drapkina
{"title":"Individual alcohol consumption by the population of Russia versus regional living conditions","authors":"Sergey A. Maksimov,&nbsp;Svetlana A. Shalnova,&nbsp;Galina A. Muromtseva,&nbsp;Yuliya A. Balanova,&nbsp;Svetlana E. Evstifeeva,&nbsp;Anna V. Kapustina,&nbsp;Oksana M. Drapkina","doi":"10.1016/j.glohj.2024.02.001","DOIUrl":"10.1016/j.glohj.2024.02.001","url":null,"abstract":"<div><h3>Background</h3><p>There are substantial regional differences in drinking alcohol in Russia, both at the population and individual levels. However, the causes of these differences have not been studied yet.</p></div><div><h3>Objective</h3><p>The goal of our study was to examine the effect of regional living conditions on individual alcohol consumption by the population of Russia.</p></div><div><h3>Methods</h3><p>For the analysis, we used data from a cross-sectional epidemiological study conducted in 2013‒2014. The final analytical sample included 18,130 people aged 25‒64 years. We conducted the interviews face to face, based on which any drinking in the last year, as well as alcohol abuse, were considered as a response. Alcohol abuse was recorded when the respondent consumed 5.75 or more grams of pure ethanol per day (75th percentile of average daily alcohol consumption among alcohol drinkers). The assessment of the regional living conditions was accomplished via integral indexing, which was previously performed based on publicly available data for 2010–2014. Associations were assessed using generalized scoring equations with unchanging standard errors. The associations were expressed by odds ratios (<em>OR</em>) and 95% confidence intervals (<em>CI</em>).</p></div><div><h3>Results</h3><p>Deterioration of social conditions and increase in demographic depression in the region of residence increased the odds of any drinking (<em>OR</em> 1.51, 95% <em>CI</em>: 1.33 to 1.72, <em>P</em> &lt; 0.001 and <em>OR</em> 1.22, 95% <em>CI</em>: 1.05 to 1.41, <em>P</em> = 0.009, respectively). The odds of alcohol abuse increased with the deterioration of social living conditions and the growth of the industrial development in the region: <em>OR</em> 1.35, 95% <em>CI</em>: 1.14 to 1.59, <em>P</em> &lt; 0.001 and <em>OR</em> 1.16, 95% <em>CI</em>: 1.05 to 1.28, <em>P</em> = 0.002, respectively.</p></div><div><h3>Conclusion</h3><p>Our analysis allowed assessing the impact of the regional living conditions on individual drinking alcohol in the population of Russia.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 1","pages":"Pages 24-31"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000010/pdfft?md5=d79d99becb1302e0ec9e7133160f022f&pid=1-s2.0-S2414644724000010-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139886275","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: 0
System barriers to the provision of quality maternal health care in two regional teaching and referral hospitals in Kenya: a qualitative study 肯尼亚两家地区教学医院和转诊医院提供优质孕产妇保健服务的系统障碍:定性研究
Global health journal (Amsterdam, Netherlands) Pub Date : 2023-12-01 DOI: 10.1016/j.glohj.2023.11.004
Domisiano Koome Impwii , Lucy Kivuti-Bitok
{"title":"System barriers to the provision of quality maternal health care in two regional teaching and referral hospitals in Kenya: a qualitative study","authors":"Domisiano Koome Impwii ,&nbsp;Lucy Kivuti-Bitok","doi":"10.1016/j.glohj.2023.11.004","DOIUrl":"https://doi.org/10.1016/j.glohj.2023.11.004","url":null,"abstract":"<div><h3>Objective</h3><p>Sub-Saharan Africa accounts for 66% of global maternal deaths. In Kenya, 362 maternal deaths occur in every 100 000 live births. Most of these deaths occur as a result of suboptimal quality care of mothers during labor, delivery, or within 24 h of delivery. This study explored barriers that nurse-midwives encounter in trying to provide high-quality obstetric care during these periods.</p></div><div><h3>Methods</h3><p>A qualitative research design utilizing focus group discussion as part of a mixed method study was used to find out the participants’ experiences. Data were collected between February and March 2022 in the maternity units of two regional teaching and referral hospitals in Kenya. Eligible participants were nurse-midwives in charge of the maternity unit. The discussion was conducted in English, tape-recorded, and transcribed verbatim. Data were analyzed thematically, following Braun and Clarke 6-step framework. Nvivo version 7.0 computer software was used to facilitate this process.</p></div><div><h3>Results</h3><p>Two focused group discussions each involving seven participants were conducted. The participants agreed that maternal mortality due to postpartum hemorrhage and pregnancy-induced hypertension is a major health concern. Further, maternal care in the two hospitals was substandard. Themes that emerged as barriers were: inadequate supplies; inadequate obstetric knowledge and skills; shortage of nurse-midwives, and inadequate support supervision. The underlying factors include inadequate funding by the county government and high staff turnover.</p></div><div><h3>Conclusion</h3><p>This study showed that nurse-midwives are working under very difficult circumstances which are hindering the provision of quality maternal care. This is mainly due to system failures and inadequate nurse-midwife numbers. Targeted strategies need to be urgently implemented to mitigate these challenges to improve the quality of maternal health care.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"7 4","pages":"Pages 200-205"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644723000933/pdfft?md5=c04af3bcaa5804094b9ff22b1eeb3321&pid=1-s2.0-S2414644723000933-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138769618","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: 0
Leadership, communication, and science: three pillars essential to public health emergency response and closing the gap in the HIV response among key populations 领导力、沟通和科学:公共卫生应急和缩小关键人群中艾滋病毒防治差距的三大支柱
Global health journal (Amsterdam, Netherlands) Pub Date : 2023-12-01 DOI: 10.1016/j.glohj.2023.11.003
Tafadzwa Dzinamarira , Enos Moyo , Perseverance Moyo , Munashe Chimene , Grant Murewanhema
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