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1 – 10 of over 30000Uzma Iram and Muhammad S. Butt
The main purpose of this study is to identify and quantify the relative importance of various socioeconomic factors and maternal care practices which may have significant role in…
Abstract
Purpose
The main purpose of this study is to identify and quantify the relative importance of various socioeconomic factors and maternal care practices which may have significant role in determining child mortality at different level of child ages in Pakistan.
Design/methodology/approach
This paper examines the role of household, demographic and environment factors as determinants of early children mortality in Pakistan. A number of individual, household and local characteristics are related to the probability of child mortality. This study employed a sequential model which is based on a sequence of binary choice models for the conditional probability of choosing a higher response category.
Findings
This study identifies that mother feeding protects children from early exposure to diseases and ill‐health in different ways. It also appeared that mother's education is strongly related to neonatal mortality, infant mortality as well as child mortality not only through the improved child caring practices but also through other proximate determinants such as prenatal care, income and environmental contamination.
Research limitations/implications
Social policies attempting to promote early initiation of mother feeding and utilization of prenatal care could make major contribution to the reduction of under five years mortality in Pakistan
Practical implications
Health care intervention programmes should focus on illiterate mothers whose children have all the cumulative risks due to poor health care utilization.
Originality/value
This could be the first ever effort in describing child mortality status with the help of sequential probit technique for Pakistan.
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Abstract
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Christine Murray and Paige Smith
This article presents the results of a study involving 261 domestic violence researchers representing a variety of professional disciplines. The purpose of this study was to…
Abstract
This article presents the results of a study involving 261 domestic violence researchers representing a variety of professional disciplines. The purpose of this study was to identify researchers' perceptions of the connections between research and practice in domestic violence. The study builds on previous literature that identified a gap between research and practice in domestic violence. Through a factor analysis of the Domestic Violence Research‐Practice Perceptions Scales: Researcher Form, a new instrument developed for this study, a four‐factor conceptual framework for understanding the domestic violence research‐practice gap was identified. The four factors identified were labelled as follows: (a) personal practice orientation, (b) beliefs about practitioners, (c) beliefs about researchers, and (d) beliefs about a research‐practice gap. Researchers were shown to differ in their scores on the first factor subscale based on whether they had prior experience of providing services to clients affected by domestic violence and whether domestic violence is the primary focus of their research agenda. Implications of the findings for integrating research and practice in domestic violence are then discussed.
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Will Kaberuka, Alex Mugarura, Javan Tindyebwa and Debra S. Bishop
The purpose of this paper is to establish socio-economic factors and maternal practices that determine child mortality in Uganda.
Abstract
Purpose
The purpose of this paper is to establish socio-economic factors and maternal practices that determine child mortality in Uganda.
Design/methodology/approach
The paper examines the role of sex, birth weight, birth order and duration of breastfeeding of a child; age, marital status and education of the mother; and household wealth in determining child mortality. The study employs a logistic regression model to establish which of the factors significantly impacts child mortality in Uganda.
Findings
The study established that education level, age and marital status of the mother as well as household wealth significantly impact child mortality. Also important are the sex, birth weight, birth order and breastfeeding duration.
Research limitations/implications
Policies aimed at promoting breastfeeding and education of female children can make a significant contribution to the reduction of child mortality in Uganda.
Practical implications
Health care intervention programs should focus on single, poor and uneducated mothers as their children are at great risk due to poor and inadequate health care utilization.
Originality/value
This paper could be the first effort in examining child mortality status in Uganda using a logistic regression model.
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Dewi Permatasari, Ghozali Maski, Susilo and Asfi Manzilati
Development policies should boost the potency of human and natural resources. Reducing poverty and disparities and economic growth between regions still require hard work from…
Abstract
Development policies should boost the potency of human and natural resources. Reducing poverty and disparities and economic growth between regions still require hard work from stakeholders in North Maluku. Our study presents that poverty reduction and unemployment reduction in North Maluku have not been optimal. The poverty rate in North Maluku Province in 2011 was 9.17%, while the unemployment rate in the same period was 5.4%.
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John Tsiantis, Marjorie Smith, Thalia Dragonas and Antony Cox
The paper presents results from the implementation and evaluation of a EU/WHO multi‐centre programme on the promotion of children's psychosocial development through primary health…
Abstract
The paper presents results from the implementation and evaluation of a EU/WHO multi‐centre programme on the promotion of children's psychosocial development through primary health care services. The aims of the study were to develop methods for use by primary health care workers in their contact with families on issues pertaining to healthy psychosocial development in the first two years of life, to develop a training programme for primary health care workers to implement in their contact with the families, to evaluate the effectiveness of the programme and to promote the implementation of the developed intervention techniques through the network of primary health care services.
Daniel James Acton, Rosalyn Arnold, Gavin Williams, Nicky NG, Kirstyn Mackay and Sujeet Jaydeokar
This preliminary study aims to examine the use of a co-designed immersive virtual reality intervention programme in improving access to health care for people with intellectual…
Abstract
Purpose
This preliminary study aims to examine the use of a co-designed immersive virtual reality intervention programme in improving access to health care for people with intellectual disability.
Design/methodology/approach
A co-production approach was used to design a virtual reality intervention in collaboration with people with intellectual disability, their families and carers. A mixed-method single sample pre-test-post-test design examined using a virtual reality intervention simulating health-care environments to improve access of attending health-care appointments. Qualitative feedback was used to understand participants’ experience and opinions of using the digital technology.
Findings
The study found that the intervention did help people access health-care appointment and reduced their fear. Improvements were also found in quality-of-life post intervention. Positive feedback was provided from participants on using digital technologies indicating the novelty of the approach and potential further applications.
Originality/value
To the best of the authors’ knowledge, this is the first study which has used virtual reality to support people with intellectual disability access health care.
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Nibedita Shankar Ray-Bennett, Denise Marsha Jeanor Corsel, Nimisha Goswami and Maqbul Hossain Bhuiyan
The quality and availability of sexual and reproductive health care are key determinants to reducing maternal mortalities and morbidities in disaster settings; yet, these services…
Abstract
Purpose
The quality and availability of sexual and reproductive health care are key determinants to reducing maternal mortalities and morbidities in disaster settings; yet, these services are often lacking in developing countries. Reducing maternal mortality and morbidity is currently the main targets of the UN’s Sustainable Development Goal (SDG) 3. The purpose of this study was to develop an intervention package called RHCC (Reproductive Health Kit 8; Capacity building; Community awareness), and to implement and evaluate it in three primary health-care (PHC) facilities in Belkuchi, Bangladesh, in order to improve the quality and availability of post-abortion care (PAC) during the 2017 floods.
Design/methodology/approach
This research used both quantitative and qualitative methods to develop, implement and assess the RHCC in three flood-prone PHC facilities in Belkuchi.
Findings
The RHCC was implemented during the floods of 2017. The findings pre- and post-intervention suggest it led to an increase in skilled management among health workers, an increase in the quality of care for clients and the availability of PAC at three PHC facilities during floods.
Originality/value
Due to its geographic location, Bangladesh is exposed to recurrent floods and cyclones. Evidence-based integrated intervention packages, such as the RHCC, can improve the quality and availability of reproductive health care during disasters at PHC level and, in doing so, can promote the UN’s agenda on “disaster resilient health system” to achieve the SDG 3, and the WHO’s campaign on universal health coverage.
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Gaston Perman, Mariana Prevettoni, Tami Guenzelovich, Marcelo Schapira, Javier Saimovici, María Victoria González, Roxana Ramos, Leonardo Garfi, Lucila Hornstein, Cristian Gallo Acosta, María Florencia Cunha Ferré, Silvana Scozzafava and Carlos Vassallo Sella
Our objective was to evaluate the cost-utility of a health and social care integration programme for frail older adults in Buenos Aires, Argentina.
Abstract
Purpose
Our objective was to evaluate the cost-utility of a health and social care integration programme for frail older adults in Buenos Aires, Argentina.
Design/methodology/approach
Based on a study of the programme’s effectiveness, a Markov model was conducted to assess its cost-utility. The active intervention was the health and social care integration programme, and the control was the best standard of care so far. The setting was the patients' home of residence. A third-party payer perspective and a lifelong time horizon were adopted. All transition probabilities, quality-adjusted life years (QALYs) and costs were estimated from the effectiveness study. A discount rate of 3.5% was applied to costs and benefits. Costs are expressed in international dollars (Int$), calculated according to the International Monetary Fund’s purchasing power parity rate. Different sensitivity analyses were performed. The model was built in Excel 365. Construct validity, verification during model construction and internal consistency of the results were assessed.
Findings
The programme had an average cost of Int$18,768.22/QALY, and the control Int$42,609.68/QALY. In the incremental analysis, the programme saved Int$26,436.10 and gained 0.81 QALYs over the control. In the sensitivity analyses, in 99.96% of cases, the programme was less costly and more effective.
Practical implications
The cost savings can facilitate the scalability.
Originality/value
The health and social care integration programme for frail older adults was more effective and less costly than the best standard of care to date. This study contributes to the scarce evidence on the efficiency of integrated care strategies for frail older persons.
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Nick Gould and Joanna Richardson
This article reports on the first health technology appraisal conducted jointly between the National Institute for Health and Clinical Excellence (NICE) and Social Care Institute…
Abstract
This article reports on the first health technology appraisal conducted jointly between the National Institute for Health and Clinical Excellence (NICE) and Social Care Institute for Excellence (SCIE). The appraisal systematically reviewed evidence for the clinical effectiveness of parent‐training/education programmes in the management of children with conduct disorders. This appraisal is highly topical in the light of cross‐cutting policy agendas concerned with increasing parenting capacity. It is also methodologically innovative in its approach to synthesising the meta‐analysis of trial evidence on outcomes of programmes with qualitative evidence on process and implementation. The appraisal found parent‐training/education programmes to be effective in the management of children with conduct disorders, and it identifies the generic characteristics of effective programmes. It is concluded that this approach offers an exemplar for the development of systematic reviewing of complex psychosocial interventions that are relevant to integrated children's services.
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