{"title":"Uptake of community health fund: why is Mtwara District lagging behind?","authors":"Teoford Ndomba, S. Maluka","doi":"10.35500/jghs.2019.1.e50","DOIUrl":"https://doi.org/10.35500/jghs.2019.1.e50","url":null,"abstract":"Background: Globally, there is an increased advocacy for community-based health insurance (CBHI) schemes. CBHI refers to voluntary, non-profit health insurance, normally organized at local level where formal health insurance does not provide protection against the cost of illness. The community health fund (CHF) is a type of CBHI scheme which is being implemented in Tanzania since 1996. Despite this seemingly noble initiative, there is a growing concern that this scheme has not achieved its intended objectives. At present, enrolment rate in CHF is still low and there is also high dropout of members from CHF. This study explored the socio-economic, political, and health system factors that contribute to the low uptake of the CHF in Mtwara Region. Methods: This study employed descriptive qualitative case study design. The study primarily relied on 2 data collection techniques, namely individual interviews (n = 49) and focus group discussions (n = 12). A thematic analysis approach was used to analyse the collected data. Results: The findings of the study indicate that the most important factors which hindered the uptake of the CHF were: low household income, lack of knowledge of the CHF scheme and poor quality of health care services. Conclusion: The study concludes that individual, community, and health systems factors contribute to the low enrolment in the CHF schemes. Therefore, increased enrollment in the CHF schemes requires collaborative efforts of community leaders, health providers and health system managers. This study underlines the need for continuous sensitization of communities. Therefore, local government authorities should make CHF a permanent agenda in community meetings. Likewise, the government needs to invest more in the health sector with a view to improving the quality of health care services, particularly availability of medicines, medical supplies and health care providers.","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"2017 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74037457","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 Lancet Global Health Commission on High Quality Health Systems: countries are seizing the quality agenda","authors":"Todd P. Lewis, M. Kruk","doi":"10.35500/jghs.2019.1.e43","DOIUrl":"https://doi.org/10.35500/jghs.2019.1.e43","url":null,"abstract":"The health needs and expectations of populations around the world are changing, and health systems need to change with them. As disease burdens shift from infectious to noncommunicable diseases, as citizens grow to expect more from their health systems, and as leaders set ambitious global goals for health, health systems are struggling to keep pace.1-3 While improving access to and utilization of care were important for reducing infectious diseases and improving maternal and child health, it is increasingly clear that skilled, integrated, and longitudinal health care is needed in addition to improved access and utilization to address emergent chronic and complex conditions.4-6 In others words, quality is more essential than ever.","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"149 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73555739","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":"New law on prevention and control of alcohol related harms in Vietnam","authors":"Kidong Park","doi":"10.35500/jghs.2019.1.e49","DOIUrl":"https://doi.org/10.35500/jghs.2019.1.e49","url":null,"abstract":"","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85756644","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":"Risk factors of diarrhea of children under five in Malawi: based on Malawi Demographic and Health Survey 2015–2016","authors":"Juyoung Moon, J. Choi, Jiyoung Oh, Kyung-hee Kim","doi":"10.35500/jghs.2019.1.e45","DOIUrl":"https://doi.org/10.35500/jghs.2019.1.e45","url":null,"abstract":"Background: Diarrhea of children under 5 in Malawi, a high-burden country for diarrhea, accounted for 7% of under-5 mortality in 2017. Preceding studies have revealed the association between diarrhea of under-fives and characteristics of children and households including water, sanitation and hygiene (WASH). There has been limited household-level analysis regarding diarrhea in Malawi, thus the aim of our study is to identify risk factors of diarrheal disease among children under 5 in Malawi. Methods: Data set for this study were drawn from the Malawi Demographic and Health Survey conducted in 2015–2016 and 14,872 children were selected as study samples. Independent variables included social-demographic characteristics, household living conditions and WASH environment. Variables that had a P-value lower than 0.05 in the simple logistic analysis were included in multiple logistic regression model. Results: Approximately 20% of children had diarrhea within 2 weeks. In multiple model, demographic characteristics of sex and age of child, size of child at birth, region, mother's age and working status were associated with the risk of diarrhea. Regarding WASH environment, 30 minutes or longer to get water (adjusted odds ratio [AOR], 1.184; 95% confidence interval [CI], 1.045–1.342), unimproved toilet facilities (AOR, 1.185; 95% CI, 1.088–1.291), toilet facilities located in yard/plot (AOR, 1.344; 95% CI, 1.056–1.711) and elsewhere (AOR, 1.375; 95% CI, 1.048–1.805), and lack of handwashing facility with water and soap (AOR, 1.180; 95% CI, 1.010–1.379) increased the odds of diarrhea. Conclusion: The findings of this study showed that socio-demographic characteristics and poor conditions of WASH increased the diarrheal risk of young children. The location of toilet facility implies that proximity is important, but it is necessary to determine the location according to local circumstances. Our study suggests that WASH infrastructure and behavior change strategies need to prioritize Malawi's vulnerable groups.","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"345 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79646983","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":"What Lessons Does the Political Transition in 1989 Central and Eastern Europe Offer for Health System Reform in a Changed North Korea?","authors":"M. Mckee","doi":"10.35500/jghs.2019.1.e34","DOIUrl":"https://doi.org/10.35500/jghs.2019.1.e34","url":null,"abstract":"POLITICAL TRANSITIONS ARE COMPLEX In 1964, the then British Prime Minister Harold Wilson is reported to have said that “a week is a long time in politics”.1 He was reminding his listeners that sometimes things can change incredibly quickly. Thirty years ago, the political landscape of Europe changed profoundly in the course of a few months. In May 1989 the Hungarian government began to dismantle the section of the Iron Curtain that separated it from its neighbours in the West. Large numbers of East Germans took advantage of this to flee to the Federal Republic of Germany and, one after another, the communist regimes of Central and Eastern Europe collapsed, bring to an end the division of Europe that had lasted for forty years. It had been clear for a long time that the post-war division of Europe was not sustainable. Dissent was growing. However, no one could have predicted the course of events that ensued.","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80021177","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":"Not just a girl problem: ensuring the rights of adolescent girls through community-wide approach to menstrual hygiene management in Nepal","authors":"Nina Jinjoo Rhim, R. Yadav","doi":"10.35500/jghs.2019.1.e44","DOIUrl":"https://doi.org/10.35500/jghs.2019.1.e44","url":null,"abstract":"Good Neighbors International (GNI) is an international humanitarian development nongovernmental organization founded in Korea in 1991 with the mission to make the world a place without hunger, where people live together in harmony. For the last 28 years, GNI has been focusing on protecting the rights of children in 36 countries in Asia, Africa and Latin America and the Caribbean, with the support of 7 Support Country Offices and 4 Global Offices. GNI is committed to community development projects to create a safe and healthy environment for children to grow up in. Children are ensured to the right to receive quality education, access to equitable healthcare, safe drinking water, and sustainable means of income generation for their families (Fig. 1). All of this, however, cannot be achieved by Good Neighbors alone. GNI ensures that strong community partnership and network is built so that members of the local communities are involved in the decision-making processes (Fig. 2). J Glob Health Sci. 2019 Dec;1(2):e44 https://doi.org/10.35500/jghs.2019.1.e44 pISSN 2671-6925·eISSN 2671-6933","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80817260","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":"Congratulatory commentary from Consortium of Universities for Global Health","authors":"Keith Martin","doi":"10.35500/jghs.2019.1.e36","DOIUrl":"https://doi.org/10.35500/jghs.2019.1.e36","url":null,"abstract":"","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74534037","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":"A new platform for theories and action in global health","authors":"Jae-wook Choi","doi":"10.35500/JGHS.2019.1.E26","DOIUrl":"https://doi.org/10.35500/JGHS.2019.1.E26","url":null,"abstract":"","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85036003","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":"Journal of Global Health Science, new platform of global health research","authors":"Sung-Tae Hong","doi":"10.35500/JGHS.2019.1.E25","DOIUrl":"https://doi.org/10.35500/JGHS.2019.1.E25","url":null,"abstract":"","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85884752","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}
Chang-gyo Yoon, Arieta Latianara, W. Irava, Eugenia Lee, Kunhee Park
{"title":"Working conditions and perception on incentives of Fiji community health workers: findings from a survey with a convenience sample in 2016","authors":"Chang-gyo Yoon, Arieta Latianara, W. Irava, Eugenia Lee, Kunhee Park","doi":"10.35500/JGHS.2019.1.E8","DOIUrl":"https://doi.org/10.35500/JGHS.2019.1.E8","url":null,"abstract":"","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91215876","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}