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  1. Book ; Online ; Thesis: Essays on health and development

    Rogge, Lisa Manuela [Verfasser]

    2022  

    Author's details Lisa Manuela Rogge
    Keywords Soziale Probleme, Sozialarbeit ; Social problems, Social work
    Subject code sg360
    Language English
    Publisher Gottfried Wilhelm Leibniz Universität
    Publishing place Hannover
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  2. Article ; Online: Global economic burden of unmet surgical need for appendicitis.

    Reuter, Anna / Rogge, Lisa / Monahan, Mark / Kachapila, Mwayi / Morton, Dion G / Davies, Justine / Vollmer, Sebastian

    The British journal of surgery

    2022  Volume 109, Issue 10, Page(s) 995–1003

    Abstract: Background: There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis.: Methods: Data ... ...

    Abstract Background: There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis.
    Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism.
    Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and $73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and $75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality.
    Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially.
    MeSH term(s) Appendicitis/epidemiology ; Appendicitis/surgery ; Cost of Illness ; Financial Stress ; Health Care Costs ; Humans
    Language English
    Publishing date 2022-08-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1093/bjs/znac195
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.66: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  3. Book ; Article ; Online: Knowing versus doing

    Chavarría, Eliana / Diba, Farah / Marcus, Maja E. / Marthoenis / Reuter, Anna / Rogge, Lisa / Vollmer, Sebastian

    Protective health behavior against COVID-19 in Indonesia

    2020  

    Abstract: The COVID-19 pandemic shapes the lives of people around the globe - at the same time, people themselves have the power to shape the pandemic. By employing protective health behavior, such as social distancing, hygiene, mask wearing, and appropriate ... ...

    Abstract The COVID-19 pandemic shapes the lives of people around the globe - at the same time, people themselves have the power to shape the pandemic. By employing protective health behavior, such as social distancing, hygiene, mask wearing, and appropriate actions when infected, the population can contribute to alleviating the severity of an outbreak. This may be of particular importance whenever health systems or populations are vulnerable to shocks, as is frequently the case in low- and middle-income settings. Therefore, understanding the underlying drivers of protective health behavior against COVID-19 is urgently needed to shape policy responses. We investigate the individual-level determinants of disease knowledge and behavior in the context of the COVID-19 pandemic in Aceh, Indonesia. We use data from a representative population sample of 40-70-year old's, obtained from telephone interviews between March and May 2020 and face-to-face interviews in 2019. We employ linear probability models that account for a comprehensive set of factors that were previously found to influence knowledge and practice during pandemics. These factors pertain to socioeconomic characteristics, behavioral economic preferences, pandemic knowledge, and informational sources. We find that both knowledge and uptake of protective health behavior are relatively high. Knowledge is the largest explanatory driver of protective health behavior, while socioeconomics and economic preferences are minor determinants. However, knowledge itself is strongly shaped by socioeconomic gradients, being lower in less educated, less wealthy and rural households. Similarly, information sources predict knowledge, and differ significantly by socioeconomic groups.
    Keywords ddc:330 ; COVID-19 ; Health Knowledge ; Health Behavior ; Economic Preferences ; Indonesia ; South-East Asia ; covid19
    Subject code 306
    Language English
    Publisher Göttingen: Georg-August-Universität Göttingen, Courant Research Centre - Poverty, Equity and Growth (CRC-PEG)
    Publishing country de
    Document type Book ; Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Using peer education to improve diabetes management and outcomes in a low-income setting: a randomized controlled trial.

    Seuring, Till / Marthoenis / Rhode, Sabrina / Rogge, Lisa / Rau, Holger / Besançon, Stéphane / Zufry, Hendra / Sofyan, Hizir / Vollmer, Sebastian

    Trials

    2019  Volume 20, Issue 1, Page(s) 548

    Abstract: Background: Diabetes is an important health burden in Indonesia. However, diabetes management and treatment remain poor, with most people with diabetes in Indonesia not achieving the recommended blood glucose levels. Peer education may have particular ... ...

    Abstract Background: Diabetes is an important health burden in Indonesia. However, diabetes management and treatment remain poor, with most people with diabetes in Indonesia not achieving the recommended blood glucose levels. Peer education may have particular potential in low-income settings in complementing diabetes care without being a large additional strain on the health system.
    Methods/design: This cluster randomized controlled trial aims to identify the effect of the implementation of peer education for patients with type 2 diabetes on diabetes-related outcomes in Aceh, Indonesia, which will complement the diabetes treatment provided at primary-care health posts (puskesmas). Altogether, 29 puskesmas were recruited in Banda Aceh and Aceh Besar, each of which was randomly assigned to either the control or the intervention group. Then, 534 people with diabetes were identified and recruited through their respective puskesmas. The intervention consists of up to two peer education groups per puskesmas, which are led by previously trained people with diabetes. Peer education sessions are held every month for 18 months, with follow-up data being collected 9 and 18 months after the first peer education session. The main objective is to improve diabetes management and the health behavior of participants receiving peer education to reduce their average blood glucose levels as measured by glycated hemoglobin (HbA1c) levels. Secondary outcomes are the effects of peer education on lipid levels, waist circumference, blood pressure, quality of life, treatment adherence, diabetes knowledge, physical activity, and dietary diversity. Data sources for the measurement of outcomes include patient and health facility surveys and biomarker measurements. An economic evaluation will be conducted to assess the cost-effectiveness of the intervention.
    Discussion: This trial will contribute to the evidence on the effectiveness and cost-effectiveness of peer education in improving diabetes management in a low-income setting in Indonesia and in other comparable contexts.
    Trial registration: ISRCTN registry, ISRCTN68253014 . Registered on 18 February 2019.
    MeSH term(s) Adult ; Aged ; Diabetes Mellitus, Type 2/blood ; Diabetes Mellitus, Type 2/therapy ; Glycated Hemoglobin A/analysis ; Humans ; Middle Aged ; Outcome Assessment, Health Care ; Patient Education as Topic ; Peer Group ; Poverty ; Research Design
    Chemical Substances Glycated Hemoglobin A ; hemoglobin A1c protein, human
    Language English
    Publishing date 2019-09-02
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2040523-6
    ISSN 1745-6215 ; 1468-6694 ; 1468-6708
    ISSN (online) 1745-6215 ; 1468-6694
    ISSN 1468-6708
    DOI 10.1186/s13063-019-3656-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Healthcare providers' perception of the referral system in maternal care facilities in Aceh, Indonesia: a cross-sectional study.

    Diba, Farah / Ichsan, Ichsan / Muhsin, Muhsin / Marthoenis, Marthoenis / Sofyan, Hizir / Andalas, Mohammad / Monfared, Ida / Richert, Katharina / Kaplan, Lennart / Rogge, Lisa / Doria, Siobhan / Samadi, Samadi / Vollmer, Sebastian

    BMJ open

    2019  Volume 9, Issue 12, Page(s) e031484

    Abstract: Objectives: Our study investigates the barriers perceived by staff in the referral systems in maternal healthcare facilities across Aceh province in Indonesia.: Design: With a cross-sectional approach, two sets of surveys were administered during ... ...

    Abstract Objectives: Our study investigates the barriers perceived by staff in the referral systems in maternal healthcare facilities across Aceh province in Indonesia.
    Design: With a cross-sectional approach, two sets of surveys were administered during September to October 2016 in 32 sampling units of our study. We also collected referral data in the form of the frequency of ingoing and outgoing referral cases per facility.
    Setting: In three districts, Aceh Besar, Banda Aceh and Bireuen, a total of 32 facilities including hospitals, community health centres, and private midwife clinics that met the criteria of providing at least basic emergency obstetric and neonatal care (BEonC) were covered.
    Participants: Across the 32 healthcare centres, 149 members of staff (mainly midwives) agreed to participate in our surveys.
    Primary and secondary outcome measures: The first survey consisted of 65 items focusing on organisational measures as well as case numbers for example, patient counts, mortality rate and complications. The second survey with 68 items asked healthcare providers about a range of factors including attitudes towards the referral process in their facility and potential barriers to a well-functioning system in their district.
    Results: Overall, mothers'/families' consent as well as the complex administration process were found to be the main barriers (36% and 12%, respectively). Healthcare providers noted that information about other facilities has the biggest room for improvement (37%) rather than transport, timely referral of mothers and babies, or the availability of referral facilities.
    Conclusions: The largest barrier perceived by healthcare providers in our study was noted to be family consent and administrative burden. Moreover, lack of information about the referral system itself and other facilities seemed to be affecting healthcare providers and mothers/families alike and improvements perhaps through a shared information system is needed.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Community Health Centers/organization & administration ; Cross-Sectional Studies ; Female ; Health Personnel/psychology ; Health Personnel/statistics & numerical data ; Humans ; Indonesia ; Maternal Health Services/organization & administration ; Obstetric Labor Complications/prevention & control ; Pregnancy ; Quality of Health Care ; Referral and Consultation/statistics & numerical data
    Language English
    Publishing date 2019-12-08
    Publishing country England
    Document type 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-2019-031484
    Database MEDical Literature Analysis and Retrieval System OnLINE

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