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  1. Article ; Online: A mixed-methods evaluation of community-based healthy kitchens as social enterprises for refugee women

    Nadine R. Sahyoun / Zeina Jamaluddine / Jowel Choufani / Sandra Mesmar / Amelia Reese-Masterson / Hala Ghattas

    BMC Public Health, Vol 19, Iss 1, Pp 1-

    2019  Volume 11

    Abstract: Abstract Background The aim of this study is to investigate the potential impact of a community-based intervention - the Healthy Kitchens, Healthy Children (HKHC) intervention - on participating women’s household’s economics and food security status, ... ...

    Abstract Abstract Background The aim of this study is to investigate the potential impact of a community-based intervention - the Healthy Kitchens, Healthy Children (HKHC) intervention - on participating women’s household’s economics and food security status, decision making, mental health and social support. Methods We established two healthy kitchens in existing community-based organizations in Palestinian camps in Lebanon. These were set up as small business enterprises, using participatory approaches to develop recipes and train women in food preparation, food safety and entrepreneurship. We used a mixed-methods approach to assess the impact of participating in the program on women’s economic, food security, decision making, social and mental health outcomes. A questionnaire was administered to women at baseline and at an 8-month endpoint. The end line survey was complemented by a set of embedded open-ended questions. Results Thirty-two Palestinian refugee women were employed within the kitchens on a rotating basis. Participating women had a 13% increase in household expenditure. This was translated into a significant increase in food (p < 0.05) and clothing expenditures (p < 0.01), as well as a reduction in food insecurity score (p < 0.01). These findings were supported by qualitative data which found that the kitchens provided women with financial support in addition to a space to form social bonds, discuss personal issues and share experiences. Conclusions This model created a social enterprise using the concept of community kitchens linked to schools and allowed women to significantly contribute to household expenditure and improve their food security.
    Keywords Community kitchens ; Decision making ; Food security ; Refugees ; Social enterprise ; Public aspects of medicine ; RA1-1270
    Subject code 360 ; 300
    Language English
    Publishing date 2019-11-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Revitalizing child health

    Kathleen L. Strong / Jennifer Requejo / Ambrose Agweyu / Sk Masum Billah / Cynthia Boschi-Pinto / Sayaka Horiuchi / Zeina Jamaluddine / Marzia Lazzerini / Abdoulaye Maiga / Neil McKerrow / Melinda Munos / Joanna Schellenberg / Ralf Weigel

    Global Health Action, Vol 14, Iss

    lessons from the past

    2021  Volume 1

    Abstract: Essential health, education and other service disruptions arising from the COVID-19 pandemic risk reversing some of the hard-won gains in improving child survival over the past 40 years. Although children have milder symptoms of COVID-19 disease than ... ...

    Abstract Essential health, education and other service disruptions arising from the COVID-19 pandemic risk reversing some of the hard-won gains in improving child survival over the past 40 years. Although children have milder symptoms of COVID-19 disease than adults, pandemic control measures in many countries have disrupted health, education and other services for children, often leaving them without access to birth and postnatal care, vaccinations and early childhood preventive and treatment services. These disruptions mean that the SARS-CoV-2 virus, along with climate change and shifting epidemiological and demographic patterns, are challenging the survival gains that we have seen over the past 40 years. We revisit the initiatives and actions of the past that catalyzed survival improvements in an effort to learn how to maintain these gains even in the face of today’s global challenges.
    Keywords child health and well being ; child mortality ; global public health initiatives ; epidemiology ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Taylor & Francis Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Factors associated with Human Papilloma Virus (HPV) vaccine recommendation by physicians in Lebanon, a cross-sectional study

    Abi Jaoude, Joseph / Diana Khair / Hiba Dagher / Halim Saad / Patrick Cherfan / Mohamad Ali Kaafarani / Zeina Jamaluddine / Hala Ghattas

    Vaccine. 2018,

    2018  

    Abstract: Persistent Human Papilloma Virus (HPV) infection is associated with the development of cervical cancer, a leading cause of female death worldwide. In Lebanon, cervical cancer is the 6th most common cancer amongst girls and women aged 14–44 years. ... ...

    Abstract Persistent Human Papilloma Virus (HPV) infection is associated with the development of cervical cancer, a leading cause of female death worldwide. In Lebanon, cervical cancer is the 6th most common cancer amongst girls and women aged 14–44 years. Cervical cancer is preventable through HPV vaccination; however, Lebanon does not include HPV vaccination in its national routine vaccination schedule. Hence, physician recommendation is key for patient vaccine uptake. We conducted a cross-sectional study in Beirut, Lebanon to assess factors affecting physician recommendation regarding HPV vaccination. Physicians practicing in Obstetrics and Gynecology (OBGYN), Pediatrics, Family Medicine and Infectious Diseases were included in the study. In total, 228 physicians completed the survey (28.79% response rate). The survey consisted of a set of demographic and HPV knowledge questions along with clinical vignettes. The vignettes presented theoretical patients who differed in gender, age, sexual activity, social background and whether the patient presented with his mother or not. The results show that physicians tend to recommend the vaccine more commonly for vignettes presenting female patients, with an Adjusted Odds Ratio (AOR) of 6.8. Also, physicians were more likely to recommend the vaccine for vignettes with patients coming from a non-conservative background (AOR = 2.1), vignettes where patients claim to be sexually active (AOR = 2.7) and vignettes where patients presented with their mother (AOR = 1.4). Physicians tend to recommend the vaccine less in vignettes with married patients (AOR = 0.5). Physicians with higher knowledge scores recommended the vaccine more often (AOR = 3.4). Overall, OBGYN physicians recommended the vaccine less than pediatricians (AOR = 0.5). These results show that Lebanese physicians’ recommendations rely on factors external to international guidelines. The results also highlight the importance of knowledge in adequate patient consultation. Thus, improved physician awareness towards international guidelines and physician education regarding HPV vaccination is essential in order to improve patient care in Lebanon.
    Keywords Papillomaviridae ; cross-sectional studies ; death ; education ; females ; girls ; guidelines ; infectious diseases ; odds ratio ; patient care ; patients ; pediatricians ; pediatrics ; surveys ; uterine cervical neoplasms ; vaccination ; vaccines ; women ; Lebanon
    Language English
    Size p. .
    Publishing place Elsevier Ltd
    Document type Article
    Note Pre-press version
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2018.10.065
    Database NAL-Catalogue (AGRICOLA)

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  4. Article ; Online: In pursuit of ‘safe’ water

    Sabrina Rasheed / Sera L Young / Zeina Jamaluddine / Hugo Melgar-Quiñonez / Amber Wutich / Ellis Adams / Mallika Alexander / Mobolanle Balogun / Genny Carrillo / Kelly Chapman / Stroma Cole / Hassan Eini-zinab / Jorge Escobar-vargas / Hala Ghattas / Ashley Hagaman / Kenneth Maes / Jyoti Mathad / Javier Moran / Nasrin Omidvar /
    Luisa Samayoa-figueroa / Sonali Srivastava / Chad Staddon / Andrea Sullivan / Yihenew Tesfaye / Alex Trowell / Desire Tshala-katumbay / Raymond Tutu / Justin Stoler / Alexandra Brewis / Divya Krishnakumar / Jonathan Maupin / Vidya Venkataramanan / Jo-Anne L Geere / Benjamin Thomae / Paul R Hunter / Jam Farooq Ahmed / Michael J. Boivin / Shalean M. Collins / Matthew C. Freeman / Monet Ghorbani / Wendy E. Jepson / Joshua D. Miller / Milton Marin Morales / Patrick M. Owuor / Asher Y. Rosinger / Marianne V. Santoso / Roseanne C. Schuster / Mahdieh Sheikhi / Nathaly Triviño

    BMJ Global Health, Vol 5, Iss

    the burden of personal injury from water fetching in 21 low-income and middle-income countries

    2020  Volume 10

    Abstract: Introduction Water fetching for household needs can cause injury, but documentation of the burden of harm globally has been limited. We described the frequency, characteristics and correlates of water-fetching injuries in 24 sites in 21 low-income and ... ...

    Abstract Introduction Water fetching for household needs can cause injury, but documentation of the burden of harm globally has been limited. We described the frequency, characteristics and correlates of water-fetching injuries in 24 sites in 21 low-income and middle-income countries in Asia, Africa and Latin America and the Caribbean.Methods In a survey of 6291 randomly selected households, respondents reported whether and how they had experienced water-fetching injuries. Responses were coded for injury type, mechanism, bodily location and physical context. We then identified correlates of injury using a multilevel, mixed-effects logistic regression model.Results Thirteen per cent of respondents reported at least one water-fetching injury. Of 879 injuries, fractures and dislocations were the most commonly specified type (29.2%), and falls were the most commonly specified mechanism (76.4%). Where specified, 61.1% of injuries occurred to the lower limbs, and dangerous terrain (69.4%) was the most frequently reported context. Significant correlates included being female (aOR=1.50, 95% CI 1.15 to 1.96); rural (aOR=4.80, 95% CI 2.83 to 8.15) or periurban residence (aOR=2.75, 95% CI 1.64 to 4.60); higher household water insecurity scores (aOR=1.09, 95% CI 1.07 to 1.10) and reliance on surface water (aOR=1.97, 95% CI 1.21 to 3.22) or off-premise water sources that required queueing (aOR=1.72, 95% CI 1.19 to 2.49).Conclusion These data suggest that water-fetching injuries are an underappreciated and largely unmeasured public health challenge. We offer guidelines for comprehensive data collection on injuries to better capture the true burden of inadequate water access. Such data can guide the design of interventions to reduce injury risk and promote equitable water access solutions.
    Keywords Medicine (General) ; R5-920 ; Infectious and parasitic diseases ; RC109-216
    Subject code 333
    Language English
    Publishing date 2020-10-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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