Result 1 - 10 of total 81
Nature
| Keywords | covid19 |
|---|---|
| Publisher | WHO |
| Document type | Article |
| Note | WHO #Covidence: #881832 |
| Database | COVID19 |
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2021 Volume 397, Issue 10282, Page(s) 1329–1331
| MeSH term(s) | Child ; Child Nutrition Disorders ; Family ; Female ; Humans ; Malnutrition/epidemiology ; Malnutrition/prevention & control |
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| Language | English |
| Publishing date | 2021-03-07 |
| Publishing country | England |
| Document type | Journal Article ; Comment |
| ZDB-ID | 3306-6 |
| ISSN | 1474-547X ; 0023-7507 ; 0140-6736 |
| ISSN (online) | 1474-547X |
| ISSN | 0023-7507 ; 0140-6736 |
| DOI | 10.1016/S0140-6736(21)00577-8 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Ua VI Zs.5: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
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| Zs.MG 94: Show issues |
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2020 Volume 581, Issue 7809, Page(s) 384
| MeSH term(s) | COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Contact Tracing ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/mortality ; Coronavirus Infections/prevention & control ; Delivery of Health Care/standards ; Humans ; Pandemics/prevention & control ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/mortality ; Pneumonia, Viral/prevention & control ; Prevalence ; Rwanda/epidemiology |
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| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-05-26 |
| Publishing country | England |
| Document type | Letter |
| ZDB-ID | 120714-3 |
| ISSN | 1476-4687 ; 0028-0836 |
| ISSN (online) | 1476-4687 |
| ISSN | 0028-0836 |
| DOI | 10.1038/d41586-020-01563-7 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Zs.A 26: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
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| Zs.MG 9: Show issues | ||||
| Zs.MO 244: Show issues |
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Nature
| Keywords | covid19 |
|---|---|
| Publisher | WHO |
| Document type | Article |
| Note | WHO #Covidence: #419927 |
| Database | COVID19 |
Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.
2020 Volume 581, Issue 7809, Page(s) 384–384
| Keywords | Multidisciplinary ; covid19 |
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| Language | English |
| Publisher | Springer Science and Business Media LLC |
| Publishing country | us |
| Document type | Article ; Online |
| ZDB-ID | 120714-3 |
| ISSN | 1476-4687 ; 0028-0836 |
| ISSN (online) | 1476-4687 |
| ISSN | 0028-0836 |
| DOI | 10.1038/d41586-020-01563-7 |
| Database | BASE - Bielefeld Academic Search Engine (life sciences selection) |
| Zs.A 26: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
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| Zs.MG 9: Show issues | ||||
| Zs.MO 244: Show issues |
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2019 Volume 565, Issue 7737, Page(s) 25
| MeSH term(s) | Developing Countries ; Evidence-Based Practice ; Federal Government ; Female ; Humans ; Life Expectancy/trends ; Maternal Mortality/trends ; Policy Making ; Public Policy/legislation & jurisprudence ; Research/legislation & jurisprudence ; Rwanda |
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| Language | English |
| Publishing date | 2019-01-03 |
| Publishing country | England |
| Document type | News |
| ZDB-ID | 120714-3 |
| ISSN | 1476-4687 ; 0028-0836 |
| ISSN (online) | 1476-4687 |
| ISSN | 0028-0836 |
| DOI | 10.1038/d41586-018-07863-3 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Zs.A 26: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
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| Zs.MG 9: Show issues | ||||
| Zs.MO 244: Show issues |
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2019 Volume 9, Issue 7, Page(s) e028427
Abstract: Introduction: In Rwanda, diabetes mellitus prevalence is estimated between 3.1% and 4.3%. To address non-communicable diseases and the shortage of health workforce, the Rwandan Ministry of Health has introduced the home-based care practitioners (HBCPs) ... ...
| Abstract | Introduction: In Rwanda, diabetes mellitus prevalence is estimated between 3.1% and 4.3%. To address non-communicable diseases and the shortage of health workforce, the Rwandan Ministry of Health has introduced the home-based care practitioners (HBCPs) programme: laypeople provide longitudinal care to chronic patients after receiving a six-month training. Leveraging technological mobile solutions may also help improve health and healthcare. The D²Rwanda study aims at: (a) determining the efficacy of an integrated programme for the management of diabetes in Rwanda, which will provide monthly patient assessments by HBCPs, and an educational and self-management mHealth patient tool, and; (b) exploring qualitatively the ways the interventions will have been enacted, their challenges and effects, and changes in the patients' health behaviours and HBCPs' work satisfaction. Methods and analysis: This is a mixed-methods sequential explanatory study. First, there will be a one-year cluster randomised controlled trial including two interventions ((1) HBCPs' programme; (2) HBCPs' programme + mobile health application) and usual care (control). Currently, nine hospitals run the HBCPs' programme. Under each hospital, administrative areas implementing the HBCPs' programme will be randomised to receive intervention 1 or 2. Eligible patients from each area will receive the same intervention. Areas without the HBCPs' programme will be assigned to the control group. The primary outcome will be changes in glycated haemoglobin. Secondary outcomes include medication adherence, mortality, complications, health-related quality of life, diabetes-related distress and health literacy. Second, at the end of the trial, focus group discussions will be conducted with patients and HBCPs. Financial support was received from the Karen Elise Jensens Fond, and the Universities of Aarhus and Luxembourg. Ethics and dissemination: Ethics approval was obtained from the Rwanda National Ethics Committee and the Ethics Review Panel of the University of Luxembourg. Findings will be disseminated via peer-reviewed publications and conference presentations. Trial registration number: NCT03376607; Pre-results. |
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| MeSH term(s) | Caregivers/education ; Caregivers/organization & administration ; Diabetes Mellitus, Type 2/therapy ; Female ; Home Care Services/organization & administration ; Humans ; Male ; Primary Health Care/organization & administration ; Program Evaluation ; Qualitative Research ; Quality of Life ; Randomized Controlled Trials as Topic ; Rwanda ; Telemedicine/methods |
| Language | English |
| Publishing date | 2019-07-24 |
| Publishing country | England |
| Document type | Clinical Trial Protocol ; Journal Article ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 2599832-8 |
| ISSN | 2044-6055 ; 2044-6055 |
| ISSN (online) | 2044-6055 |
| ISSN | 2044-6055 |
| DOI | 10.1136/bmjopen-2018-028427 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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BMJ global health
2022 Volume 7, Issue 7
Abstract: Introduction: Women researchers find it more difficult to publish in academic journals than men, an inequity that affects women's careers and was exacerbated during the pandemic, particularly for women in low-income and middle-income countries. We ... ...
| Abstract | Introduction: Women researchers find it more difficult to publish in academic journals than men, an inequity that affects women's careers and was exacerbated during the pandemic, particularly for women in low-income and middle-income countries. We measured publishing by sub-Saharan African (SSA) women in prestigious authorship positions (first or last author, or single author) during the time frame 2014-2016. We also examined policies and practices at journals publishing high rates of women scientists from sub-Saharan Africa, to identify potential structural enablers affecting these women in publishing. Methods: The study used Namsor V.2, an application programming interface, to conduct a secondary analysis of a bibliometric database. We also analysed policies and practices of ten journals with the highest number of SSA women publishing in first authorship positions. Results: Based on regional analyses, the greatest magnitude of authorship inequity is in papers from sub-Saharan Africa, where men comprised 61% of first authors, 65% of last authors and 66% of single authors. Women from South Africa and Nigeria had greater success in publishing than those from other SSA countries, though women represented at least 20% of last authors in 25 SSA countries. The journals that published the most SSA women as prominent authors are journals based in SSA. Journals with overwhelmingly male leadership are also among those publishing the highest number of SSA women. Conclusion: Women scholars in SSA face substantial gender inequities in publishing in prestigious authorship positions in academic journals, though there is a cadre of women research leaders across the region. Journals in SSA are important for local women scholars and the inequities SSA women researchers face are not necessarily attributable to gender discrepancy in journals' editorial leadership. |
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| MeSH term(s) | Authorship ; Bibliometrics ; Female ; Gender Equity ; Humans ; Male ; Nigeria ; Publishing |
| Language | English |
| Publishing date | 2022-07-09 |
| Publishing country | England |
| Document type | Journal Article |
| ISSN | 2059-7908 |
| ISSN | 2059-7908 |
| DOI | 10.1136/bmjgh-2022-008821 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.
2022 Volume 10, Issue 5, Page(s) e32305
Abstract: Background: Electronic health records (EHRs) have been implemented in many low-resource settings but lack strong evidence for usability, use, user confidence, scalability, and sustainability.: Objective: This study aimed to evaluate staff use and ... ...
| Abstract | Background: Electronic health records (EHRs) have been implemented in many low-resource settings but lack strong evidence for usability, use, user confidence, scalability, and sustainability. Objective: This study aimed to evaluate staff use and perceptions of an EHR widely used for HIV care in >300 health facilities in Rwanda, providing evidence on factors influencing current performance, scalability, and sustainability. Methods: A randomized, cross-sectional, structured interview survey of health center staff was designed to assess functionality, use, and attitudes toward the EHR and clinical alerts. This study used the associated randomized clinical trial study sample (56/112, 50% sites received an enhanced EHR), pulling 27 (50%) sites from each group. Free-text comments were analyzed thematically using inductive coding. Results: Of the 100 participants, 90 (90% response rate) were interviewed at 54 health centers: 44 (49%) participants were clinical and 46 (51%) were technical. The EHR top uses were to access client data easily or quickly (62/90, 69%), update patient records (56/89, 63%), create new patient records (49/88, 56%), generate various reports (38/85, 45%), and review previous records (43/89, 48%). In addition, >90% (81/90) of respondents agreed that the EHR made it easier to make informed decisions, was worth using, and has improved patient information quality. Regarding availability, (66/88) 75% said they could always or almost always count on the EHR being available, whereas (6/88) 7% said never/almost never. In intervention sites, staff were significantly more likely to update existing records (P=.04), generate summaries before (P<.001) or during visits (P=.01), and agree that "the EHR provides useful alerts, and reminders" (P<.01). Conclusions: Most users perceived the EHR as well accepted, appropriate, and effective for use in low-resource settings despite infrastructure limitation in 25% (22/88) of the sites. The implementation of EHR enhancements can improve the perceived usefulness and use of key functions. Successful scale-up and use of EHRs in small health facilities could improve clinical documentation, care, reporting, and disease surveillance in low- and middle-income countries. |
|---|---|
| Language | English |
| Publishing date | 2022-05-03 |
| Publishing country | Canada |
| Document type | Journal Article |
| ZDB-ID | 2798261-0 |
| ISSN | 2291-9694 |
| ISSN | 2291-9694 |
| DOI | 10.2196/32305 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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2018 Volume 27, Issue 12, Page(s) 2087–2106
Abstract: Pay-for-performance programs are introduced in an increasing number of low- and middle-income countries with the goal of reducing maternal and child mortality and morbidity through increased health service utilization and quality. Although most programs ... ...
| Abstract | Pay-for-performance programs are introduced in an increasing number of low- and middle-income countries with the goal of reducing maternal and child mortality and morbidity through increased health service utilization and quality. Although most programs incentivize formal health providers, some constraints to utilization might be better alleviated by incentivizing other actors in the health care system. This paper presents results from a randomized controlled trial set to evaluate the effects of two incentive schemes that were introduced on top of Rwanda's national Performance-Based Financing program at the health facility level. One scheme rewarded community health worker cooperatives for the utilization of five services by their communities. The second scheme provided in-kind transfers to users of three services. The analysis finds no impact of the cooperative performance payments on coverage of the targeted services, behaviors of community health workers, or outcomes at the cooperative level. Although health centers experienced frequent stock outs of the gifts, the demand-side intervention significantly increased timely antenatal care by 9.3 percentage points and timely postnatal care by 8.6 percentage points. This study shows that demand-side incentives can increase service utilization also when provided in addition to a supply-side pay-for-performance scheme. |
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| MeSH term(s) | Community Health Workers ; Delivery of Health Care/economics ; Developing Countries ; Female ; Humans ; Maternal Health Services/statistics & numerical data ; Pregnancy ; Prenatal Care/methods ; Reimbursement, Incentive/statistics & numerical data ; Rwanda |
| Language | English |
| Publishing date | 2018-08-29 |
| Publishing country | England |
| Document type | Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 1135838-5 |
| ISSN | 1099-1050 ; 1057-9230 |
| ISSN (online) | 1099-1050 |
| ISSN | 1057-9230 |
| DOI | 10.1002/hec.3822 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Zs.A 3555: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
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