Journal of global health science最新文献_第9页

Prevalence of undiagnosed diabetes and pre-diabetes and its associated risk factors in Vietnam 越南未确诊糖尿病和糖尿病前期患病率及其相关危险因素

Journal of global health science Pub Date : 2019-05-27 DOI: 10.35500/JGHS.2019.1.E7

Van Dat Nguyen, Q. M. Vien, T. Do, Cong Danh Phan, Huu Chau Nguyen, Van Tuyen Nguyen, Dinh Luong Nguyen, W. Sir, Y. Chon

{"title":"Prevalence of undiagnosed diabetes and pre-diabetes and its associated risk factors in Vietnam","authors":"Van Dat Nguyen, Q. M. Vien, T. Do, Cong Danh Phan, Huu Chau Nguyen, Van Tuyen Nguyen, Dinh Luong Nguyen, W. Sir, Y. Chon","doi":"10.35500/JGHS.2019.1.E7","DOIUrl":"https://doi.org/10.35500/JGHS.2019.1.E7","url":null,"abstract":"Background: Diabetes mellitus (DM) has rapidly become a significant public health concern in Vietnam. Although the prevalence of DM has been studied in northern and southern Vietnam, little data are available for the central region of the nation. Hence, this study aimed to estimate the prevalence of undiagnosed diabetes and prediabetes and its risk factors in a mixed urban and rural setting. Methods: We conducted a cross-sectional study in Khanh Hoa Province with 865 subjects (349 men and 516 women), who were aged 45 years and over and were randomly sampled by probability proportional to size method. The data of residents were collected by interviewing, anthropometric and clinical measurements — these factors associated with undiagnosed diabetes that were analyzed by using Logistic regression model. Results: Based the on using the age-standardized method, the prevalence of undiagnosed type 2 diabetes mellitus (T2DM) and prediabetes in Vietnam based on fasting plasma glucose or hemoglobin A1c were 8.1% and 50.1%, respectively. Risk factors were significantly increased the prevalence of both of undiagnosed T2DM and prediabetes including waist circumference, visceral fat level, metabolic syndrome, history of family diabetes, history of hypertension. Conclusion: The findings of our study were showed that the high proportions of prediabetes and undiagnosed diabetes in Vietnam. Our results suggest that the barriers to accessing screening programs and factors related to inadequate glycemic control should be investigated. Hence, the public health system should be playing the role of increasing awareness of and screening for diabetes in the community.","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89150688","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

Getting the right message out, at the right time, to the right audience 在正确的时间，把正确的信息传递给正确的受众

Journal of global health science Pub Date : 2019-05-27 DOI: 10.35500/JGHS.2019.1.E4

A. Bawah

引用次数: 0

Overt versus covert observations on health care providers' care and communication during antenatal care visits in Lao PDR 对老挝人民民主共和国产前保健访问期间卫生保健提供者的护理和沟通的公开与隐蔽观察

Journal of global health science Pub Date : 2019-05-27 DOI: 10.35500/JGHS.2019.1.E11

Sysavanh Phommachanh, D. Essink, E. Wright, J. Broerse, M. Mayxay

{"title":"Overt versus covert observations on health care providers' care and communication during antenatal care visits in Lao PDR","authors":"Sysavanh Phommachanh, D. Essink, E. Wright, J. Broerse, M. Mayxay","doi":"10.35500/JGHS.2019.1.E11","DOIUrl":"https://doi.org/10.35500/JGHS.2019.1.E11","url":null,"abstract":"Background: Antenatal care contributes to health delivery for mother and child by identifying potential problems early and providing advice to mothers. The quality of antenatal care in Laos remains inadequate. This study aims to assess the quality of the public antenatal care service in a real life setting and to investigate differences in results between overt and covert observation as ways to identify where interventions are most needed. Methods: This health-facility based, cross-sectional observation study compared overt and covert observation to identify strong and weak points during antenatal visits. Four trained nurses and midwives assessed performance using a World Health Organization checklist. For covert observation, research assistants posed as relatives of pregnant women attending an antenatal care session. Results: One hundred and fifty-four pregnant women were analyzed. Overall performance was poor for both overt and covert observation, but the scores for most items were lower when observation was covert. Provision of health promotion was insufficient. Less than one quarter of cases were advised to eat a variety of food during pregnancy, and none of the health providers provided counseling. Communication skills, behavior and attitude of health providers were highly inadequate. Less than a quarter of pregnant women were treated with kindness and respect. Less than 10% of available information materials were used during ANC session. Overall mean (standard deviation) time-spent for each ANC session was 15.3 (4.4) minutes. Conclusion: Using covert rather than only overt observation to identify where the antenatal care needs to be improved added detailed information on where improvement is needed. The level of performance was already inadequate when health workers knew they were being observed but it declined even further on most items when they were unaware of the observation. These findings can guide efforts to improve the quality of ANC services in Laos.","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85313199","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

Exploring factors associated with maternal health care utilization in Chad 探索乍得孕产妇保健利用的相关因素

Journal of global health science Pub Date : 2019-05-27 DOI: 10.35500/JGHS.2019.1.E31

Soojin Kim, Sun-young Kim

{"title":"Exploring factors associated with maternal health care utilization in Chad","authors":"Soojin Kim, Sun-young Kim","doi":"10.35500/JGHS.2019.1.E31","DOIUrl":"https://doi.org/10.35500/JGHS.2019.1.E31","url":null,"abstract":"Background: Maternal mortality is still one of the top health priorities in many lowand middle-income countries (LMICs). 99% of maternal deaths occur in LMICs, and Chad is one of the countries with the highest burden. Maternal health services, including antenatal, delivery and postnatal care, are proven to be effective for lowering the level of maternal morbidity and mortality, but their usage levels are often suboptimal in LMICs. In this regard, this study aims to explore factors associated with the utilization of maternal health care (MHC) services among Chadian women. Methods: A composite measure of MHC utilization, encompassing antenatal, delivery, and postnatal stages, has been adaptively constructed to better reflect the level of access to MHC in Chad. This outcome variable has 4-level categories (lowest, mid-low, mid-high, and highest), which incorporates the levels of utilization of prenatal, delivery and postnatal care. Using the data drawn from 2014–2015 Chad Demographic and Health Survey, a multivariate ordered logistic regression was fitted to identify factors affecting the utilization of MHC in Chad. Results: Only a very marginalized portion (7%) of women reported utilizing all the 3 MHC services. Factors found to have significant associations with MHC utilization were mothers' education, husbands/partners' education and occupation, marriage type, access to media, current use of contraceptives, household wealth level, regions, and place of residence. Conclusion: Our study suggests that it is imperative to promote overall levels of MHC service utilization in Chad to address the country's very high maternal burden. Efforts for promoting community-level maternal health activities that involve both women and men might help. In a longer-term, future maternal health programs would need to involve more proactively women from lower socioeconomic status and less developed areas tackling withincountry health inequalities, while the government strives to improve the country's overall socioeconomic status and health infrastructure.","PeriodicalId":93578,"journal":{"name":"Journal of global health science","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83343070","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

For the future: delivering better health in the Western Pacific region 未来:在西太平洋区域提供更好的卫生服务

Journal of global health science Pub Date : 2019-05-27 DOI: 10.35500/JGHS.2019.1.E27

T. Kasai

引用次数: 3

Effect of a comprehensive program on maternal and child healthcare service in Battambang, Cambodia: A multivariate difference-in-difference analysis 柬埔寨马德望妇幼保健服务综合方案的效果:一项多变量差异分析

Journal of global health science Pub Date : 2019-05-27 DOI: 10.35500/JGHS.2019.1.E2

Hwa-Young Lee, J. Heo, Hyeonseok Koh

{"title":"Effect of a comprehensive program on maternal and child healthcare service in Battambang, Cambodia: A multivariate difference-in-difference analysis","authors":"Hwa-Young Lee, J. Heo, Hyeonseok Koh","doi":"10.35500/JGHS.2019.1.E2","DOIUrl":"https://doi.org/10.35500/JGHS.2019.1.E2","url":null,"abstract":"Background: Interventions for raising use and quality of antenatal care and delivery service through building health information systems, training health professionals, and campaigning, etc., were performed in two operating districts of Battambang in Cambodia between 2013 and 2014 by Korean Foundation International Healthcare (KOFIH). We assessed the effect of KOFIH's comprehensive program on institutional delivery. Methods: We used two waves of Demographic and Health Survey collected in 2010 and 2014. The outcome measures were a delivery at a public facility and any type of facility (public or private). A difference-in-difference approach compared changes of the intervention group (Battambang province) with the control group (other 24 provinces) in terms of institutional delivery before and after program implementation. Results: Both intervention and control group showed an increase in both outcomes. Compared with a control group, the odds of giving birth to a baby at public facility or any type of health facility in the afterrelative to the before-period were significantly higher in Battambang province (odds ratio [OR], 2.12; 95% confidence interval [CI], 1.26–3.57 for delivery at the public facility and OR, 2.08; 95% CI, 1.00–4.30 for delivery at any type of facility). Conclusion: Comprehensive maternal and child health program performed by KOFIH in the Battambang area of Cambodia increased the use of institutional (public or any type) delivery. Recipient-driven, a need-based and comprehensive approach might have led to a positive effect.","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":"74428017","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

Mental health initiative after the 2015 disaster in Nepal 2015年尼泊尔灾难后的精神健康倡议

Journal of global health science Pub Date : 2019-05-27 DOI: 10.35500/JGHS.2019.1.E16

M. Jimba, Rachana Sharma, M. S. Fujimura, R. Dhital

引用次数: 0

Innovation to achieve UHC from the field: Krachi West case to expand access to healthcare in hard-to-reach communities 从实地实现全民健康覆盖的创新:克拉奇西部案例扩大难以到达的社区获得医疗保健的机会

Journal of global health science Pub Date : 2019-05-27 DOI: 10.35500/JGHS.2019.1.E14

Hyejin Jung

引用次数: 0

Congratulatory comment from the Korea Foundation for International Healthcare 韩国国际保健财团的贺词

Journal of global health science Pub Date : 2019-05-27 DOI: 10.35500/JGHS.2019.1.E17

M. Choo

引用次数: 0

Tuberculosis and universal health care legislations: pathways to upholding the right to health of every people 结核病和全民保健立法:维护每个人健康权的途径

Journal of global health science Pub Date : 2019-05-27 DOI: 10.35500/JGHS.2019.1.E10

Angelina Tan

引用次数: 0