1,156 results match your criteria BMJ global health[Journal]


Food insecurity as a risk factor for preterm birth: a prospective facility-based cohort study in rural Haiti.

BMJ Glob Health 2020 Jul;5(7)

Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, USA.

Introduction: Haiti has an estimated neonatal mortality rate of 32/1000 live births, the highest in the Western Hemisphere. Preterm birth and being born small for gestational age (SGA) are major causes of adverse neonatal outcomes worldwide. To reduce preterm birth and infants born SGA, it is important to understand which women are most at risk and how risk varies within countries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002341DOI Listing

Combating hepatitis B and C by 2030: achievements, gaps, and options for actions in China.

BMJ Glob Health 2020 Jun;5(6)

Duke Global Health Institute, Duke University, Durham, North Carolina, USA

China has the highest number of hepatitis B and C cases globally. Despite remarkable achievements, China faces daunting challenges in achieving international targets for hepatitis elimination. As part of a large-scale project assessing China's progress in achieving health-related Sustainable Development Goals using quantitative, qualitative data and mathematical modelling, this paper summarises the achievements, gaps and challenges, and proposes options for actions for hepatitis B and C control. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002306DOI Listing

Operational research to support equitable non-communicable disease policy in low-income and middle-income countries in the sustainable development era: a scoping review.

BMJ Glob Health 2020 Jun;5(6)

School of Health and Related Research, The University of Sheffield, Sheffield, UK

Introduction: Non-communicable diseases (NCDs) represent a growing health burden in low-income and middle-income countries (LMICs). Operational research (OR) has been used globally to support the design of effective and efficient public policies. Equity is emphasised in the Sustainable Development Goal (SDG) framework introduced in 2015 and can be analysed within OR studies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2019-002259DOI Listing

The reactive vaccination campaign against cholera emergency in camps for internally displaced persons, Borno, Nigeria, 2017: a two-stage cluster survey.

BMJ Glob Health 2020 Jun;5(6)

International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.

Introduction: In 2017, amidst insecurity and displacements posed by Boko Haram armed insurgency, cholera outbreak started in the Muna Garage camp for Internally Displaced Persons (IDPs) in Borno State, Nigeria. In response, the Borno Ministry of Health and partners determined to provide oral cholera vaccine (OCV) to about 1 million people in IDP camps and surrounding communities in six Local Government Areas (LGAs) including Maiduguri, Jere, Konduga, Mafa, Dikwa, and Monguno. As part of Monitoring and Evaluation, we described the coverage achieved, adverse events following immunisation (AEFI), non-vaccination reasons, vaccination decisions as well as campaign information sources. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002431DOI Listing

Spatial and epidemiological drivers of malaria among adults in the Democratic Republic of the Congo.

BMJ Glob Health 2020 Jun;5(6)

Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Background: Adults are frequently infected with malaria and may serve as a reservoir for further transmission, yet we know relatively little about risk factors for adult infections. In this study, we assessed malaria risk factors among adults using samples from the nationally representative, cross-sectional 2013-2014 Demographic and Health Survey (DHS) conducted in the Democratic Republic of the Congo (DRC). We further explored differences in risk factors by urbanicity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002316DOI Listing

Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic.

BMJ Glob Health 2020 Jun;5(6)

Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium.

Introduction: The COVID-19 pandemic has substantially impacted maternity care provision worldwide. Studies based on modelling estimated large indirect effects of the pandemic on services and health outcomes. The objective of this study was to prospectively document experiences of frontline maternal and newborn healthcare providers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002967DOI Listing

Implementation of the new WHO antenatal care model for a positive pregnancy experience: a monitoring framework.

BMJ Glob Health 2020 Jun;5(6)

UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, WHO, Geneva, Switzerland.

Monitoring the implementation and impact of routine antenatal care (ANC), as described in the new World Health Organization (WHO) ANC model, requires indicators that go beyond the previously used global benchmark indicator of four or more ANC visits. To enable consistent monitoring of ANC content and care processes and to provide guidance to countries and health facilities, WHO developed an ANC monitoring framework. This framework builds on a conceptual framework for quality ANC and a scoping review of ANC indicators that mapped existing indicators related to recommendations in the new WHO ANC model. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002605DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307532PMC

Modelling the pandemic: attuning models to their contexts.

BMJ Glob Health 2020 06;5(6)

Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.

The evidence produced in mathematical models plays a key role in shaping policy decisions in pandemics. A key question is therefore how well pandemic models relate to their implementation contexts. Drawing on the cases of Ebola and influenza, we map how sociological and anthropological research contributes in the modelling of pandemics to consider lessons for COVID-19. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307539PMC

e-income countries from a provider's perspective: a systematic review.

BMJ Glob Health 2020 Jun;5(6)

Centre for Maternal and Newborn Health, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.

Introduction: Maternal health services are effective in reducing the morbidity and mortality associated with pregnancy and childbirth. We conducted a systematic review on costs of maternal health services in low-income and middle-income countries from the provider's perspective.

Methods: We searched multiple peer-reviewed databases (including African Journal Online, CINAHL Plus, EconLit, Popline, PubMed, Scopus and Web of Science) and grey literature for relevant articles published from year 2000. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002371DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309188PMC

The 6-star doctor? Physicians' communication of poor prognosis to patients and their families in Cape Coast, Ghana.

BMJ Glob Health 2020 Jun;5(6)

Department of Global Public Health, Karolinska Institute, Stockholm, Stockholm County, Sweden.

Introduction: Communication is considered a key skill for physicians globally and has formed a central part of medical curricula since the WHO identified it as a key attribute of the '5-star doctor'. Communication of poor prognosis to patients and caregivers is particularly challenging, yet an important example of physicians' clinical communication, and a priority within palliative care research. Knowledge is scarce regarding the different positions physicians adopt during poor prognosis communication, especially in sub-Saharan countries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002334DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311005PMC

Patient pathways of tuberculosis care-seeking and treatment: an individual-level analysis of National Health Insurance data in Taiwan.

BMJ Glob Health 2020 Jun;5(6)

School of Health and Related Research, The University of Sheffield, Sheffield, UK.

Introduction: Patients with tuberculosis (TB) often experience difficulties in accessing diagnosis and treatment. Patient pathway analysis identifies mismatches between TB patient care-seeking patterns and service coverage, but to date, studies have only employed cross-sectional aggregate data.

Methods: We developed an algorithmic approach to analyse and interpret patient-level routine data on healthcare use and to construct patients' pathways from initial care-seeking to treatment outcome. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2019-002187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307534PMC

"!" How lay health workers respond to barriers to uptake and retention in HIV care among pregnant and breastfeeding mothers in Malawi.

BMJ Glob Health 2020 Jun;5(6)

Division of Infectious Diseases, University of North Carolina School of Medicine, Chapel HIll, North Carolina, USA.

Background: In the era of Option B+ and 'treat all' policies for HIV, challenges to retention in care are well documented. In Malawi, several large community-facility linkage (CFL) models have emerged to address these challenges, training lay health workers (LHW) to support the national prevention of mother-to-child transmission (PMTCT) programme. This qualitative study sought to examine how PMTCT LHW deployed by Malawi's three most prevalent CFL models respond to known barriers to access and retention to antiretroviral therapy (ART) and PMTCT. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2019-002220DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304641PMC

Power and politics: the case for linking resilience to health system governance.

Authors:
Stephanie M Topp

BMJ Glob Health 2020 Jun;5(6)

College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002891DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299011PMC

Large-scale public venues as medical emergency sites in disasters: lessons from COVID-19 and the use of Fangcang shelter hospitals in Wuhan, China.

BMJ Glob Health 2020 06;5(6)

Department of Emergency, Shanghai East Hospital, Tongji University School of Medicine / National Emergency Medical Team (Shanghai), Shanghai, China

Since the COVID-19 outbreak, Wuhan has adopted three methods of admitting patients for treatment: designated hospitals, newly built temporary hospitals and Fangcang shelter hospitals. It has been proven that converting large-scale public venues such as stadiums and exhibition centres into Fangcang shelter hospitals, which serve as hospitals for isolation, treatment and disease monitoring of patients with mild symptoms, is the most effective way to control virus transmission and reduce mortality. This paper presents some experiences learnt from treating COVID-19 in Wuhan, the first city to report the outbreak and which suffered from a shortage of emergency supplies, heavy workload among staff and a shortage of hospital beds during the early stages of the pandemic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002815DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298718PMC

Rapid urban health security assessment tool: a new resource for evaluating local-level public health preparedness.

BMJ Glob Health 2020 06;5(6)

Center for Global Health Science & Security, Georgetown University, Washington, District of Columbia, USA.

Urbanisation will be one of the defining demographic trends of the 21st century-creating unique opportunities for sustainable capacity development, as well as substantial risks and challenges for managing public health and health emergencies. Plans and policies for responding to public health emergencies are generally framed at higher levels of governance, but developing, improving and sustaining the capacities necessary for implementing these policies is a direct function of local-level authorities. Evaluating local-level public health capacities is an important process for identifying strengths and weaknesses that can impact the preparedness for, detection of and response to health security threats. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002606DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299020PMC

An analysis of International Health Regulations Emergency Committees and Public Health Emergency of International Concern Designations.

BMJ Glob Health 2020 Jun;5(6)

Johns Hopkins Center for Health Security, Baltimore, Maryland, USA.

Introduction: Nine events have been assessed for potential declaration of a Public Health Emergency of International Concern (PHEIC). A PHEIC is defined as an extraordinary event that constitutes a public health risk to other states through international spread and requires a coordinated international response. The WHO Director-General convenes Emergency Committees (ECs) to provide their advice on whether an event constitutes a PHEIC. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002502DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299007PMC

Innovative financing to fund surgical systems and expand surgical care in low-income and middle-income countries.

BMJ Glob Health 2020 Jun;5(6)

Global Health and Population, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.

Strong surgical systems are necessary to prevent premature death and avoidable disability from surgical conditions. The epidemiological transition, which has led to a rising burden of non-communicable diseases and injuries worldwide, will increase the demand for surgical assessment and care as a definitive healthcare intervention. Yet, 5 billion people lack access to timely, affordable and safe surgical and anaesthesia care, with the unmet demand affecting predominantly low-income and middle-income countries (LMICs). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299051PMC

The community health worker as service extender, cultural broker and social change agent: a critical interpretive synthesis of roles, intent and accountability.

BMJ Glob Health 2020 Jun;5(6)

College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.

This paper is a critical interpretive synthesis of community health workers (CHWs) and accountability in low-income and middle-income countries. The guiding questions were: What factors promote or undermine CHWs as accountability agents? (and) Can these factors be intentionally fostered or suppressed to impel health system accountability? We conducted an iterative search that included articles addressing the core issue of CHWs and accountability, and articles addressing ancillary issues that emerged in the initial search, such as 'CHWs and equity.'CHWs are intended to comprise a 'bridge' between community members and the formal health system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002296DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299037PMC

Income security in times of ill health: the next frontier for the SDGs.

BMJ Glob Health 2020 May;5(6)

Social Protection Department, International Labour Organization, Geneve, Switzerland.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002493DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299024PMC

Income security during periods of ill health: a scoping review of policies, practice and coverage in low-income and middle-income countries.

BMJ Glob Health 2020 06;5(6)

Department of Global Public Health, Karolinska Institute, Stockholm, Sweden

The COVID-19 pandemic is a reminder that insufficient income security in periods of ill health leads to economic hardship for individuals and hampers disease control efforts as people struggle to stay home when sick or advised to observe quarantine. Evidence on income security during periods of ill health is growing but has not previously been reviewed as a full body of work concerning low-income and middle-income countries (LMICs). We performed a scoping review to map the range, features, coverage, protective effects and equity of policies that aim to provide income security for adults whose ill health prevents them from participating in gainful work. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002425DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299014PMC

Oxygen provision to fight COVID-19 in sub-Saharan Africa.

BMJ Glob Health 2020 06;5(6)

NIHR Global Health Research Unit Tackling Infections to Benefit Africa (TIBA), University of Edinburgh, Edinburgh, UK.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002786DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295423PMC

The impact of diabetes on the productivity and economy of Bangladesh.

BMJ Glob Health 2020 Jun;5(6)

Department of Epidemiology and Preventive Medicine, Monash University School of Public Health and Preventive Medicine, Melbourne, Victoria, Australia.

Aims: To estimate the impact of type 2 diabetes in terms of mortality, years of life lost (YLL) and productivity-adjusted life years (PALY) lost in Bangladesh.

Methods: A life table model was constructed to estimate the productivity of the Bangladeshi population of current working age (20-59 years) with diabetes. Follow-up to 60 years (retirement age) was simulated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002420DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295429PMC

Mitigating the impact of COVID-19 on children's surgery in Africa.

BMJ Glob Health 2020 06;5(6)

Nuffield Department of Surgical Sciences, Oxford University Hospitals NHS Trust, Oxford, Oxfordshire, UK.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-003016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292041PMC

Where are the women? Gender inequalities in COVID-19 research authorship.

BMJ Glob Health 2020 07;5(7)

The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002922DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298677PMC

Community health workers for pandemic response: a rapid evidence synthesis.

BMJ Glob Health 2020 06;5(6)

The George Institute for Global Health, Vishakhapatnam, India.

Introduction: Coronavirus disease (COVID-19), affects 213 countries or territories globally. We received a request from National Health Systems Resource Centre, a public agency in India, to conduct rapid evidence synthesis (RES) on community health workers (CHWs) for COVID-19 prevention and control in 3 days.

Methods: We searched PubMed, websites of ministries (n=3), public agencies (n=6), multilateral institutions (n=3), COVID-19 resource aggregators (n=5) and preprints (n=1) (without language restrictions) for articles on CHWs in pandemics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002769DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292038PMC

How to design a complex behaviour change intervention: experiences from a nutrition-sensitive agriculture trial in rural India.

BMJ Glob Health 2020 Jun;5(6)

Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.

Many public health interventions aim to promote healthful behaviours, with varying degrees of success. With a lack of existing empirical evidence on the optimal number or combination of behaviours to promote to achieve a given health outcome, a key challenge in intervention design lies in deciding what behaviours to prioritise, and how best to promote them. We describe how key behaviours were selected and promoted within a multisectoral nutrition-sensitive agriculture intervention that aimed to address maternal and child undernutrition in rural India. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002384DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282327PMC

A rapid risk analysis tool to prioritise response to infectious disease outbreaks.

BMJ Glob Health 2020 Jun;5(6)

Biosecurity Program, The Kirby Institute, Kensington, New South Wales, Australia.

Epidemics are influenced by both disease and societal factors and can grow exponentially over short time periods. Epidemic risk analysis can help in rapidly predicting potentially serious outcomes and flagging the need for rapid response. We developed a multifactorial risk analysis tool 'EpiRisk' to provide rapid insight into the potential severity of emerging epidemics by combining disease-related parameters and country-related risk parameters. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282290PMC

Quantifying the cost of in-kind contributions to a multidonor-funded health research capacity-building programme: the case of the Consortium for Advanced Research Training in Africa.

BMJ Glob Health 2020 Jun;5(6)

Public Health, University of the Witwatersrand, Johannesburg, South Africa.

Introduction: There are significant investments in health research capacity development in the 'global-south'. The monetary value of contributions from institutions running these programmes is not known.

Methods: Using the Consortium for Advanced Research Training in Africa (CARTA) as a case study we estimate in-kind contributions made by consortium members. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002286DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282305PMC

Prioritising the role of community health workers in the COVID-19 response.

BMJ Glob Health 2020 06;5(6)

Division of Global Health Equity, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

COVID-19 disproportionately affects the poor and vulnerable. Community health workers are poised to play a pivotal role in fighting the pandemic, especially in countries with less resilient health systems. Drawing from practitioner expertise across four WHO regions, this article outlines the targeted actions needed at different stages of the pandemic to achieve the following goals: (1) PROTECT healthcare workers, (2) INTERRUPT the virus, (3) MAINTAIN existing healthcare services while surging their capacity, and (4) SHIELD the most vulnerable from socioeconomic shocks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002550DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298684PMC

Community-based interventions for detection and management of diabetes and hypertension in underserved communities: a mixed-methods evaluation in Brazil, India, South Africa and the USA.

BMJ Glob Health 2020 Jun;5(6)

Department of Health Metrics Sciences, University of Washington, Institute for Health Metrics and Evaluation, Seattle, Washington, USA

Introduction: As non-communicable disease (NCD) burden rises worldwide, community-based programmes are a promising strategy to bridge gaps in NCD care. The HealthRise programme sought to improve hypertension and diabetes management for underserved communities in nine sites across Brazil, India, South Africa and the USA between 2016 and 2018. This study presents findings from the programme's endline evaluation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2019-001959DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7279660PMC

Understanding efficiency and the effect of pay-for-performance across health facilities in Tanzania.

BMJ Glob Health 2020 May;5(5)

Health Organisation, Policy and Economics, Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK.

Background: Ensuring efficient use and allocation of limited resources is crucial to achieving the UHC goal. Performance-based financing that provides financial incentives for health providers reaching predefined targets would be expected to enhance technical efficiency across facilities by promoting an output-oriented payment system. However, there is no study which has systematically assessed efficiency scores across facilities before and after the introduction of pay-for-performance (P4P). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002326DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264634PMC

Pandemicity, COVID-19 and the limits of public health 'science'.

BMJ Glob Health 2020 04 17;5(4). Epub 2020 Apr 17.

Global Health and Social Medicine, Harvard Medical School, Boston, MA, United States

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002571DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222576PMC

The good and the bad: using C reactive protein to distinguish bacterial from non-bacterial infection among febrile patients in low-resource settings.

BMJ Glob Health 2020 May;5(5)

Foundation for Innovative New Diagnostics (FIND), Geneva, Switzerland

C reactive protein (CRP), a marker for the presence of an inflammatory process, is the most extensively studied marker for distinguishing bacterial from non-bacterial infections in febrile patients. A point-of-care test for bacterial infections would be of particular use in low-resource settings where other laboratory diagnostics are not always available, antimicrobial resistance rates are high and bacterial infections such as pneumonia are a leading cause of death. This document summarises evidence on CRP testing for bacterial infections in low-income and middle-income countries (LMICs). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002396DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259834PMC

Engaging men to transform inequitable gender attitudes and prevent intimate partner violence: a cluster randomised controlled trial in North and South Kivu, Democratic Republic of Congo.

BMJ Glob Health 2020 May;5(5)

Airbel Impact Lab, International Rescue Committee, Washington, DC, USA.

Introduction: The study objective was to understand the effectiveness of Engaging Men through Accountable Practice (EMAP), a group-based discussion series which sought to transform gender relations in communities, on intimate partner violence (IPV), gender inequitable attitudes and related outcomes.

Methods: A two-armed, matched-pair, cluster randomised controlled trial was conducted between 2016 and 2018 in eastern Democratic Republic of Congo. Adult men (n=1387) and their female partners (n=1220) participated in the study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2019-002223DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259847PMC

Universal masking for COVID-19: evidence, ethics and recommendations.

Authors:
Tak Kwong Chan

BMJ Glob Health 2020 05;5(5)

Pharmacology and Pharmacy, Hong Kong University, Hong Kong, Hong Kong

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002819DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254130PMC

Cost-effectiveness of different strategies for screening and treatment of in migrants from endemic countries to the European Union.

BMJ Glob Health 2020 May;5(5)

Instituto de Salud Global Barcelona, Barcelona, Spain.

Background: The best strategy for controlling morbidity due to imported strongyloidiasis in migrants is unclear. We evaluate the cost-effectiveness of six possible interventions.

Methods: We developed a stochastic Markov chain model. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254101PMC

Regulating international clinical research: an ethical framework for policy-makers.

BMJ Glob Health 2020 May;5(5)

Department of Bioethics, The Clinical Center, National Institutes of Health, Bethesda, Maryland, USA

The global distribution of clinical trials is shifting to low-income and middle-income countries (LMICs), and adequate regulations are essential for protecting the rights and interests of research participants in these countries. However, policy-makers in LMICs can face an ethical trade-off: stringent regulatory protections for participants can lead researchers or sponsors to conduct their research elsewhere, potentially depriving the local population of the opportunity to benefit from international clinical research. In this paper, we propose a three-step ethical framework that helps policy-makers to navigate this trade-off. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259867PMC

Community health workers in palliative care provision in low-income and middle-income countries: a systematic scoping review of the literature.

BMJ Glob Health 2020 May;5(5)

Department of Education, Oxford University, Oxford, UK.

Background: Community health workers (CHWs) are currently deployed in improving access to palliative care in a limited number of low-income or middle-income countries (LMICs). This review therefore aimed to document evidence from LMICs regarding (1) where and how CHWs are currently deployed in palliative care delivery, (2) the methods used to train and support CHWs in this domain, (3) the evidence surrounding the costs attached with deploying CHWs in palliative care provision and (4) challenges and barriers to this approach.

Methods: We conducted a systematic scoping review of the literature, adhering to established guidelines. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252978PMC

The relatively young and rural population may limit the spread and severity of COVID-19 in Africa: a modelling study.

BMJ Glob Health 2020 05;5(5)

Mathematics, University of Oxford, Oxford, UK.

Introduction: A novel coronavirus disease 2019 (COVID-19) has spread to all regions of the world. There is great uncertainty regarding how countries' characteristics will affect the spread of the epidemic; to date, there are few studies that attempt to predict the spread of the epidemic in African countries. In this paper, we investigate the role of demographic patterns, urbanisation and comorbidities on the possible trajectories of COVID-19 in Ghana, Kenya and Senegal. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjgh-2020-002699DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252974PMC