3,155 results match your criteria Eastern Mediterranean Health Journal [Journal]


A retrospective study of small molecule disorder types of metabolism in paediatric patients in intensive care.

East Mediterr Health J 2019 Jan 23;24(11):1103-1111. Epub 2019 Jan 23.

Department of Paediatrics, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Background: Although inborn errors of metabolism (IEM) are rare individually, collectively IEM cause substantial morbidity and mortality and the diagnosis is challenging.

Aims: To analyse epidemiological and clinical data, final diagnosis and clinical outcomes of patients with a suspected diagnosis of IEM (small molecule disorders type) admitted to a paediatric intensive care unit (PICU).

Methods: We collected and analysed medical records data of all patients admitted to the PICU at Alexandria University Children's Hospital, from January 2010 to December 2014, with a suspected or confirmed diagnosis of small molecule disorders, including clinical presentations, laboratory results and clinical outcomes. Read More

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http://dx.doi.org/10.26719/emhj.18.056DOI Listing
January 2019
1 Read

Knowledge, attitudes, behaviours and practices towards diabetes mellitus in Kuwait.

East Mediterr Health J 2019 Jan 23;24(11):1098-1102. Epub 2019 Jan 23.

Dasman Diabetes Institute, Kuwait.

Background: Rates of diabetes in Kuwait are among the highest in the world.

Aims: To inform prevention initiatives, this study assessed diabetes knowledge, attitudes towards it, and personal behaviour relating to risk factors among the Kuwaiti population.

Methods: A cross-sectional knowledge, attitudes, beliefs and practices survey of 1124 people was performed between July and September 2015. Read More

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http://applications.emro.who.int/emhj/v24/11/EMHJ_2018_24_11
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http://dx.doi.org/10.26719/2018.24.11.1098DOI Listing
January 2019
2 Reads

Quality of life in Iranian elderly population using the SF-36 questionnaire: systematic review and meta-analysis.

East Mediterr Health J 2019 Jan 23;24(11):1088-1097. Epub 2019 Jan 23.

Department of Epidemiology, School of Public Health, Hamadan University of Medical Science, Hamadan, Islamic Republic of Iran.

Background: Ageing is a major known risk factor that is a threat to human health. To date, many studies have investigated quality of life (QOL) among the elderly population in the Islamic Republic of Iran. However, their results were inconsistent. Read More

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http://applications.emro.who.int/emhj/v24/11/EMHJ_2018_24_11
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http://dx.doi.org/10.26719/2018.24.11.1088DOI Listing
January 2019
5 Reads

Repellency effect of flumethrin pour-on formulation against vectors of Crimean-Congo haemorrhagic fever.

East Mediterr Health J 2019 Jan 23;24(11):1082-1087. Epub 2019 Jan 23.

Department of Medical Entomology and Vector Control, School of Public Health and National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.

Background: Ticks are able to transmit important diseases to humans, including Rocky Mountain spotted fever, Q fever, Crimean-Congo haemorrhagic fever, summer Russian encephalitis, and relapsing fever.

Aims: To determine the repellency effect of 1% flumethrin pour-on formulation against hard ticks.

Methods: The concentration of flumethrin pour-on formulation was 1 mg/10 kg body weight and was administered on the dorsal midline from the head to the base of the tail. Read More

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http://dx.doi.org/10.26719/emhj.18.004DOI Listing
January 2019
1 Read

Study protocol for promoting physical activity among women based on the MAPP process.

East Mediterr Health J 2019 Jan 23;24(11):1074-1081. Epub 2019 Jan 23.

Nursing and Midwifery Care Research Center, Nursing and Midwifery School, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.

Background: The participation of all stakeholders is necessary when a community-based intervention is designed. For running a practical intervention, it is necessary to have a framework to design the programme while considering all stages of planning, implementation and evaluation.

Aims: To describe a study protocol based on the MAPP process (Mobilizing for Action through Planning and Partnerships) for promoting physical activity (PA). Read More

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http://applications.emro.who.int/emhj/v24/11/EMHJ_2018_24_11
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http://dx.doi.org/10.26719/2018.24.11.1074DOI Listing
January 2019
4 Reads

Screening of congenital hyperthyroidism in Morocco: a pilot study.

East Mediterr Health J 2019 Jan 23;24(11):1066-1073. Epub 2019 Jan 23.

Service de la Santé publique, Direction régionale de la Santé de Fès-Boulemane, Fès (Maroc).

Background: In Morocco we have no reliable information on the incidence of congenital hypothyroidism (HC).

Aims: The aim of our study was to explore the feasibility of a neonatal screening program for this disease in Morocco.

Methods: We conducted a screening campaign in the HC 15 615 newborns in the wilaya of Fez in north-central Morocco. Read More

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http://dx.doi.org/10.26719/2018.24.11.1066DOI Listing
January 2019
2 Reads

Prevalence and determinants of Caesarean delivery in Punjab, Pakistan.

East Mediterr Health J 2019 Jan 23;24(11):1058-1065. Epub 2019 Jan 23.

Population Council, Islamabad, Pakistan.

Background: Caesarean section (C-section) is a life-saving obstetric procedure that reduces maternal mortality and improves reproductive health. Although, vaginal delivery is still an important safe and low-cost method of delivery, C-section is sometimes performed when it is not even required, which creates health challenges for pregnant women and their newborn infants.

Aims: To estimate the effect of a set of institutional, demographic, socioeconomic and spatial variables on C-section delivery (n = 2424) in Punjab, Pakistan. Read More

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http://dx.doi.org/10.26719/2018.24.11.1058DOI Listing
January 2019

Identifying hotspots of viral haemorrhagic fevers in the Eastern Mediterranean Region: perspectives for the Emerging and Dangerous Pathogens Laboratory Network.

East Mediterr Health J 2019 Jan 23;24(11):1049-1057. Epub 2019 Jan 23.

Department of Communicable Disease Prevention and Control, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.

Background: The emergence and re-emergence of viral haemorrhagic fevers (VHFs) is a growing concern worldwide. They are associated with major epidemics with an estimated 51-101 million cases each year, of which around 67 000 are fatal. In 2007, 13 countries in the Eastern Mediterranean Region reported VHF cases. Read More

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http://dx.doi.org/10.26719/emhj.18.002DOI Listing
January 2019
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Characteristics of women applying for a legal abortion in the Islamic Republic of Iran.

East Mediterr Health J 2019 Jan 23;24(11):1040-1048. Epub 2019 Jan 23.

Iran Legal Medicine Organization Research Centre, Tehran, Islamic Republic of Iran.

Background: Legal abortion has been permitted in the Islamic Republic of Iran since 2003 if there is serious and incurable disease that would cause the mother or the fetus suffering.

Aims: This study evaluated the characteristics of women applying for a legal abortion licence to the Tehran Province General Office of Legal Medicine, and compared the findings with earlier studies to evaluate changes over time.

Methods: All women visiting the office between August 2011 and 2012 to apply for a legal abortion licence were interviewed and sociodemographic data, reason for the application and outcome of the application were recorded. Read More

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http://applications.emro.who.int/emhj/v24/11/EMHJ_2018_24_11
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http://dx.doi.org/10.26719/emhj.18.001DOI Listing
January 2019
6 Reads

The neglected role of stewardship in strategic purchasing of health services: who should buy?

East Mediterr Health J 2019 Jan 23;24(11):1038-1039. Epub 2019 Jan 23.

Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.

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http://dx.doi.org/10.26719/2018.24.11.1038DOI Listing
January 2019
1 Read

WHO collaborating centres in the Eastern Mediterranean Region: an agenda for action and improvement (Editorial).

East Mediterr Health J 2019 Jan 23;24(11):1035-1037. Epub 2019 Jan 23.

Regional Director, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.

The World Health Organization (WHO) is the key United Nations specialized agency dedicated to promoting population health and health outcomes. In order for the Organization to achieve its strategic objectives, WHO designates selected institutions as collaborating centres to assit with carrying out WHO core activities. The Eastern Mediterranean Region (EMR) currently hosts 45 collaborating centres (as of December 2018), which is only 5% of the 832 WHO collaborating centres located worldwide, and yet EMR countries host about 10% of the global population. Read More

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http://dx.doi.org/10.26719/2018.24.11.1035DOI Listing
January 2019

Improving access to assistive technology in the Eastern Mediterranean Region.

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East Mediterr Health J 2018 Dec 18;24(10):1030-1031. Epub 2018 Dec 18.

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http://dx.doi.org/10.26719/2018.24.10.1030DOI Listing
December 2018
1 Read

Challenges for pregnant Syrian refugees in Lebanon.

Authors:
Lena Abdin

East Mediterr Health J 2018 Dec 18;24(10):1026-1029. Epub 2018 Dec 18.

School of Advanced International Studies, Johns Hopkins University, Washington, United States of America.

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http://dx.doi.org/10.26719/2018.24.10.1026DOI Listing
December 2018
3 Reads

Use of complementary and alternative medicine among paediatric patients with hepatogastrointestinal diseases.

East Mediterr Health J 2018 Dec 18;24(10):1018-1025. Epub 2018 Dec 18.

Department of Paediatric Gastroenterology, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.

Background: The use of complementary and alternative medicine (CAM) is becoming increasingly popular in Middle Eastern countries; it is often used for paediatric medical conditions such as chronic gastrointestinal complaints and failure to thrive. It is also commonly used in patients with chronic hepatic conditions such as cirrhosis and in hepatic transplant patients.

Aims: This study aimed to evaluate the prevalence, types and associated factors of CAM use in children with hepatogastrointestinal disease in Shiraz, Islamic Republic of Iran. Read More

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http://dx.doi.org/10.26719/2018.24.10.1018DOI Listing
December 2018
1 Read

Trends in occupational injuries and diseases among Saudi and non-Saudi insured workers.

East Mediterr Health J 2018 Dec 18;24(10):1010-1017. Epub 2018 Dec 18.

Department of Environmental Sciences, Faculty of Sciences, University of Gujrat, Hafiz Hayat Campus, Jalalpur Road, Gujrat, Pakistan.

Background: The ongoing industrial and infrastructural development in Saudi Arabia carries a high risk of occupational injuries/diseases.

Aims: To compare trends in occupational injuries and diseases among Saudi and non-Saudi insured workers.

Methods: We used the index values method and slope (S) calculation to analyse the occupational injuries/diseases trends from data in the annual statistical reports published by the General Organization for Social Insurance between 2004 and 2014. Read More

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http://dx.doi.org/10.26719/2018.24.10.1010DOI Listing
December 2018
2 Reads

Effect of postpartum depression on women's mental and physical health four years after childbirth.

East Mediterr Health J 2018 Dec 18;24(10):1002-1009. Epub 2018 Dec 18.

Department of Psychiatry, Faculty of Medicine; and Psychiatry and Behavioral Sciences Research Center, Addiction Institute; Mazandaran University of Medical Sciences, Sari, Islamic Republic of Iran.

Background: Postpartum depression has been shown to affect women's health in the long term but no studies have assessed this in the Islamic Republic of Iran.

Aims: This study determined the prevalence of current depression and illness in women who had experienced postpartum depression four years after childbirth, and evaluated the factors associated with current depression.

Methods: In a cohort study in 2009, 1801 pregnant women without depression at 32-42 weeks of pregnancy attending Mazandaran primary healthcare centres were examined for postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS). Read More

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http://dx.doi.org/10.26719/2018.24.10.1002DOI Listing
December 2018
1 Read

Customary practices, domestic violence, and psychosomatic pain among adolescent mothers in Turkey.

East Mediterr Health J 2018 Dec 18;24(10):994-1001. Epub 2018 Dec 18.

Department of Psychiatry, Dicle University School of Medicine, Diyarbakır, Turkey.

Background: Adolescent motherhood is present in many societies worldwide, including Turkey.

Aims: We aimed to determine the demographical and cultural characteristics of adolescent mothers, lifetime domestic violence and history of miscarriage, and whether they suffer from any kind of medically unexplained (psychosomatic) pain in a study in south-eastern Turkey.

Methods: We included 501 mothers in this case-control study. Read More

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http://dx.doi.org/10.26719/2018.24.10.994DOI Listing
December 2018
2 Reads

Cost estimation of medical care management of lung cancer in Tunisia.

East Mediterr Health J 2018 Dec 18;24(10):988-993. Epub 2018 Dec 18.

Service d'Épidémiologie et de Statistique, Hôpital Mami, Ariana (Tunisie).

Background: Lung cancer management is very expensive for the Tunisian healthcare system.

Aim: The aim of this study was to evaluate the direct costs of treating lung cancer in Tunisia, and to identify the main treatment of high expenditure.

Methods: A retrospective study was conducted in 2012 including all patients admitted between 2008 and 2010 for lung cancer management. Read More

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http://dx.doi.org/10.26719/2018.24.10.988DOI Listing
December 2018
3 Reads

Assessment of overweight and obesity in Iranian adolescents: optimal cut-off values of anthropometric indices.

East Mediterr Health J 2018 Dec 18;24(10):975-987. Epub 2018 Dec 18.

Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Islamic Republic of Iran.

Background: Various indices have been used to estimate overweight and obesity; all have limitations and strengths. The prevalence of overweight and obesity may differ by ethnicity.

Aims: This study evaluated waist circumference (WC), waist-to-hip ratio (WHpR), waist-to-height ratio (WHtR) and neck circumference (NC) as reliable alternatives to body mass index for screening for overweight and obesity, and determined their optimum cut-off values in different ethnic groups. Read More

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http://dx.doi.org/10.26719/2018.24.10.975DOI Listing
December 2018
1 Read

Global recommendations to prevent tooth decay must be evidencebased.

East Mediterr Health J 2018 Dec 18;24(10):973-974. Epub 2018 Dec 18.

Department for Epidemiology and Health Promotion, New York University College of Dentistry, New York United States of America.

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http://applications.emro.who.int/emhj/v24/10/EMHJ_2018_24_10
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http://dx.doi.org/10.26719/2018.24.10.973DOI Listing
December 2018
8 Reads

Cholera in Yemen: concerns remain over recent spike but control efforts show promise (Editorial).

East Mediterr Health J 2018 Dec 18;24(10):971-972. Epub 2018 Dec 18.

Infectious Hazard Management, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.

October 2018 would be two years since the world came to know of the first case of cholera in war-torn Yemen. Soon after, the outbreak developed at an unprecedented scale and turned into one of the worst historical cholera events in terms of cases reported. By the end of September 2018, more than one million suspected cases had been reported across the country in all but one governorate, where approximately 60% of these cases remained concentrated in roughly half of the 330 districts in the country. Read More

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http://dx.doi.org/10.26719/2018.24.10.971DOI Listing
December 2018
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Meeting on health workforce observatories in the Eastern Mediterranean Region.

Authors:

East Mediterr Health J 2018 Dec 9;24(9):965-967. Epub 2018 Dec 9.

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http://dx.doi.org/10.26719/2018.24.9.965DOI Listing
December 2018
1 Read

Transformation of nursing education: the experience of Bahrain.

East Mediterr Health J 2018 Dec 9;24(9):959-964. Epub 2018 Dec 9.

Nursing Consultant, Manama, Bahrain. Former Regional Advisor for Nursing, Midwifery and Allied Health Personnel, WHO Regional office for the Eastern Mediterranean, Cairo, Egypt.

Nursing and midwifery education has developed significantly in Bahrain, and in particular the transformation that took place with the establishment of the College of Health Sciences in 1976. The institution played a pioneering role in national health professions education and meeting national and regional needs for nurses and midwives. This review aims to examine those strategies that enabled transformation of nursing education and the integration of contemporary nursing education models. Read More

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http://dx.doi.org/10.26719/2018.24.9.959DOI Listing
December 2018
2 Reads

Addressing health workforce shortages and maldistribution in Afghanistan.

East Mediterr Health J 2018 Dec 9;24(9):951-958. Epub 2018 Dec 9.

WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.

Background: Afghanistan has the second lowest health workforce density and the highest level of rural residing population in the Eastern Mediterranean Region. Ongoing insecurity, cultural, socio-economic and regulatory barriers have also contributed to gender and geographic imbalances. Afghanistan has introduced a number of interventions to tackle its health worker shortage and maldistribution. Read More

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http://dx.doi.org/10.26719/2018.24.9.951DOI Listing
December 2018
2 Reads

Task sharing in health workforce: An overview of community health worker programmes in Afghanistan, Egypt and Pakistan.

East Mediterr Health J 2018 Dec 9;24(9):940-950. Epub 2018 Dec 9.

Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.

Background: Community health workers (CHWs) help reduce healthcare disparities and improve access to and quality of care in many countries.

Aim: To provide an overview to compare and contrast characteristics of CHW programmes in Egypt, Pakistan and Afghanistan and describe the strengths, weaknesses and challenges of the programmes.

Methods: Scientific databases and grey literature were searched including PubMed, Medline, Cochrane Review Library, WHO databases, and grey literature websites including those of national health ministries. Read More

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http://applications.emro.who.int/emhj/v24/09/EMHJ_2018_24_09
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http://dx.doi.org/10.26719/2018.24.9.940DOI Listing
December 2018
6 Reads

Capacity building on health diplomacy: a training experience from Pakistan.

East Mediterr Health J 2018 Dec 9;24(9):933-939. Epub 2018 Dec 9.

Health Services Academy, Islamabad, Pakistan.

Modern-day globalization means that many health issues cannot be resolved by the affected country alone, and this necessitates political consultations, diplomatic negotiations and cross-border solutions. A few examples that require health diplomacy efforts are: halting resentment towards immunization, addressing the burden of noncommunicable diseases, enabling access to drugs and technology, and liberalizing trade to reduce the cost of drugs. The agenda of Sustainable Development Goals (SDGs) demands a concerted effort to achieve the ambitious targets. Read More

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http://applications.emro.who.int/emhj/v24/09/EMHJ_2018_24_09
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http://dx.doi.org/10.26719/2018.24.9.933DOI Listing
December 2018
8 Reads

Developing a national competency-based curriculum for technical nurses in Egypt.

East Mediterr Health J 2018 Dec 9;24(9):922-932. Epub 2018 Dec 9.

School of Nursing, Midwifery & Indigenous Health, Charles Sturt University, Sydney, Australia.

Nursing in Egypt has evolved over recent decades. Development has accelerated following recent government recognition of the contribution nurses make to healthcare access, quality and delivery. A vision to enhance nursing capacity resulted in a recent mandate requiring all nursing curricula to be competency based. Read More

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http://applications.emro.who.int/emhj/v24/09/EMHJ_2018_24_09
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http://dx.doi.org/10.26719/2018.24.9.922DOI Listing
December 2018
9 Reads

Implementing an interprofessional education programme in Lebanon: overcoming challenges.

East Mediterr Health J 2018 Dec 9;24(9):914-921. Epub 2018 Dec 9.

School of Nursing, University of North Carolina at Greensboro, Greensboro, North Carolina, United States of America.

Background: The Lebanese American University has a well-functioning inter-professional education (IPE) programme; this is a fundamental pedagogical approach in healthcare education in which students from different professions learn together, ultimately leading to improving the skills of the health care workforce and thus improving patient outcomes. The programme includes nursing, nutrition, medicine, pharmacy and social work students, and has now been running for 6 years.

Aims: This paper aims at describing the implementation of an IPE programme in Lebanon by focusing on how to overcome the main challenges. Read More

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http://dx.doi.org/10.26719/2018.24.9.914DOI Listing
December 2018
3 Reads

Yemen field epidemiology training programme: a tool for strengthening the public health workforce.

East Mediterr Health J 2018 Dec 9;24(9):905-913. Epub 2018 Dec 9.

Yemen Field Epidemiology Training Programme, Ministry of Public Health and Population, Sana'a, Yemen.

Background: The shortage of skilled public health workers, especially epidemiologists, remains an important challenge for building effective public health systems in many low-income countries, including Yemen. To address this need, in 2011 the Ministry of Public Health and Population established the Yemen Field Epidemiology Training Programme (Y-FETP).

Aims: To describe the Y-FETP and its strengths and challenges in addressing Yemen's National Health System (NHS) needs. Read More

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http://applications.emro.who.int/emhj/v24/09/EMHJ_2018_24_09
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http://dx.doi.org/10.26719/2018.24.9.905DOI Listing
December 2018
6 Reads

From workforce intelligence to workforce development: advancing the Eastern Mediterranean pharmaceutical workforce for better health outcomes.

East Mediterr Health J 2018 Dec 9;24(9):899-904. Epub 2018 Dec 9.

Royal Pharmaceutical Society, United Kingdom.

Background: The pharmaceutical workforce in the World Health Organization (WHO) Eastern Mediterranean Region plays a key role in improving health outcomes through responsible use of drugs and optimizing effective choice and use. Investment in this workforce's development and planning is fundamental to achieving universal health coverage.

Aims: To provide an overview of the pharmacy workforce capacity trends in the Region and emphasize the importance of workforce intelligence for strategic development. Read More

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http://dx.doi.org/10.26719/2018.24.9.899DOI Listing
December 2018
1 Read

A mapping of nursing and midwifery research in the Eastern Mediterranean Region, 2006-2016.

East Mediterr Health J 2018 Dec 9;24(9):888-898. Epub 2018 Dec 9.

Hariri School of Nursing, American University of Beirut, Beirut, Lebanon.

Background: Nurses and midwives constitute the largest group of health care professionals globally. Challenges to these professions make it difficult to set regional priorities for policies and research development.

Aims: The purpose of this study was to map current nursing and midwifery research in the Eastern Mediterranean Region. Read More

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http://dx.doi.org/10.26719/2018.24.9.888DOI Listing
December 2018
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Factors influencing medical specialists' dual practice in the Islamic Republic of Iran.

East Mediterr Health J 2018 Dec 9;24(9):877-887. Epub 2018 Dec 9.

Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Isamic Republic of Iran.

Background: Dual practice (DP) is performing several different jobs at the same time and has effects on healthcare services delivery.

Aims: To identify the causes of medical specialists' tendency towards DP in the Islamic Republic of Iran.

Methods: We used a qualitative approach to identify the factors affecting DP in medical specialists in 2016. Read More

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http://dx.doi.org/10.26719/2018.24.9.877DOI Listing
December 2018
2 Reads

Effect of dual practice on service delivery time by surgeons in the Islamic Republic of Iran: multi-level analysis of a national survey, 2016.

East Mediterr Health J 2018 Dec 9;24(9):866-876. Epub 2018 Dec 9.

Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.

Background: One of the work patterns which affects the supply of specialists is the phenomenon of dual practice (DP), i.e., working simultaneously in the public and private sectors. Read More

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http://applications.emro.who.int/emhj/v24/09/EMHJ_2018_24_09
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http://dx.doi.org/10.26719/2018.24.9.866DOI Listing
December 2018
11 Reads

Perceived healthcare workforce needs in Lebanon: a step towards informed human resources planning and professional development.

East Mediterr Health J 2018 Dec 9;24(9):855-865. Epub 2018 Dec 9.

Syndicate of Hospitals in Lebanon, Beirut, Lebanon.

Background: Research in various countries has previously investigated the competencies required for effective management of health care organizations. Yet, limited information is available on the skills and knowledge areas, which are currently lacking among the healthcare workforce employed in environments with limited resources.

Aims: The aim of this study was to assess the perceived healthcare workforce needs at the management and clinical/practice levels in Lebanon. Read More

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http://applications.emro.who.int/emhj/v24/09/EMHJ_2018_24_09
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http://dx.doi.org/10.26719/2018.24.9.855DOI Listing
December 2018
6 Reads

Human resources for health strategies: the way to achieve universal health coverage in the Islamic Republic of Iran.

East Mediterr Health J 2018 Dec 9;24(9):846-854. Epub 2018 Dec 9.

Gerash University of Medical Sciences, Gerash, Islamic Republic of Iran.

Background: It is impossible to achieve universal health coverage (UHC) without an adequate, competent and motivated workforce.

Aims: The study aimed to describe how the Iranian health sector has formulated its human resources strategies to achieve UHC.

Methods: This was a qualitative study using a conceptual framework approach to content analysis. Read More

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http://dx.doi.org/10.26719/2018.24.9.846DOI Listing
December 2018
2 Reads

Encouraging junior doctors to work in rural Sudan: a discrete choice experiment.

East Mediterr Health J 2018 Dec 9;24(9):838-845. Epub 2018 Dec 9.

Public Health Institute, Federal Ministry of Health, Khartoum, Sudan.

Background: Out-migration of physicians and urban-rural maldistribution are two of the most serious challenges facing the health sector.

Aims: To determine the preference of junior doctors for rural postings in Sudan, and estimate how much junior doctors are willing to trade off from their salaries for nonmonetary incentives.

Methods: The study targeted junior doctors who had completed their internship training and were taking their Medical Licensing Examination at the Sudan Medical Council for permanent registration. Read More

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http://dx.doi.org/10.26719/2018.24.9.838DOI Listing
December 2018
2 Reads

Physicians' retention rate and its effective factors in the Islamic Republic of Iran.

East Mediterr Health J 2018 Dec 9;24(9):830-837. Epub 2018 Dec 9.

Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Islamic Republic of Iran.

Background: Migration of physicians from less developed countries to affluent ones has become as one of the major concerns of human resource policy-makers. This leads to problems such as inequity in the distribution of physicians, lack of physicians in less developed areas, as well as an excess of the health workforce in developed environs. Thus, policy-makers aim to increase retention of physicians in their places of origin. Read More

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http://dx.doi.org/10.26719/2018.24.9.830DOI Listing
December 2018
6 Reads

An estimation of staffing requirements in primary care in Oman using the Workload Indicators of Staffing Needs method.

East Mediterr Health J 2018 Dec 9;24(9):823-829. Epub 2018 Dec 9.

Planning Affairs Department, Ministry of Health, Muscat, Oman.

Background: Oman is a high-income country having a relatively small population scattered over large sparsely populated areas. This presents challenges to the provision of health services. It is important to ensure that all health facilities at all levels of care have the right number and skills mix of health workers to deliver quality health care. Read More

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http://dx.doi.org/10.26719/2018.24.9.823DOI Listing
December 2018
2 Reads

Public health education and health system needs in Pakistan: a mixed methods study.

East Mediterr Health J 2018 Dec 9;24(9):813-822. Epub 2018 Dec 9.

Prime Institute of Public Health, Peshawar Medical College, Riphah International University, Islamabad, Pakistan.

Background: Pakistan has recently observed a significant growth in public health education programmes. Little is known about the structure of these programmes nor whether they are adequately responsive to national health system needs.

Aims: We reviewed existing public health degree programmes in Pakistan along with an exploration of the national public health market and health system needs. Read More

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http://dx.doi.org/10.26719/2018.24.9.813DOI Listing
December 2018
2 Reads

The need for research evidence to meet health workforce challenges in the Eastern Mediterranean Region (Editorial).

East Mediterr Health J 2018 Dec 9;24(9):811-812. Epub 2018 Dec 9.

Global Health and Tropical Medicine, Instituto de Higiene e Medecina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal.

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http://dx.doi.org/10.26719.2018.24.9.811DOI Listing
December 2018
6 Reads

Achieving the Sustainable Development Goal 3: challenges in HIV testing in the Eastern Mediterranean Region (Editorial).

East Mediterr Health J 2017 Dec 14;23(10):647-648. Epub 2017 Dec 14.

Department of Communicable Diseases Prevention and Control (DCD), WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.

In the era prior to antiretroviral therapy (ART), taking an HIV test was associated with great fear, as a diagnosis of HIV infection signaled imminent death. As we mark World AIDS Day on 1 December 2017, it is worth reflecting on the success over the last two decades whereby treatment for HIV infection has become safer, more effective and simpler as new regimens with fixed combinations of antiretroviral drugs have become available (ARV). The use of ARVs has equally revolutionized HIV prevention beyond condom use, syringe exchange and screening of transfusion blood and transplant organs. Read More

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December 2017
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Regional consultation on haemovigilance.

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East Mediterr Health J 2017 Oct 30;23(8):581-583. Epub 2017 Oct 30.

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October 2017
2 Reads

Towards a renewed public health regulatory and surveillance role in water, sanitation and hygiene (Editorial).

East Mediterr Health J 2017 Oct 30;23(8):525-526. Epub 2017 Oct 30.

Environmental Health Department, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.

Evidence from the burden of disease studies indicates that improving water, sanitation and hygiene (WSH) is a primary disease prevention measure. It prevents 57% of diarrheal deaths, contributes to prevention and management of neglected tropical diseases, and is the first line of defense against Cholera. Moreover, water and sanitation (W&S) services and hygiene contribute to programme initiatives including new-born, child and maternal health; infection prevention and control; universal health care; antimicrobial resistance; and health emergencies. Read More

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October 2017
10 Reads

Continuing the work of the late Dr Mahmoud Fikri, WHO Regional Director for the Eastern Mediterranean (Editorial).

Authors:
Jaouad Mahjour

East Mediterr Health J 2018 Jan;23(11):719-720

Acting Regional Director, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.

It was with terrible shock and profound sadness for all to learn that Dr Mahmoud Fikri, WHO Regional Director for the Eastern Mediterranean, tragically died of a heart attack on 17 October 2017, as he was en route to Uruguay to attend the WHO Global Conference on Noncommunicable Diseases. Dr Fikri had been appointed as Regional Director in January 2017 by WHO's Executive Board following his nomination by the Regional Committee for the Eastern Mediterranean in October 2016. He had taken office on 1 February, 2017. Read More

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January 2018
3 Reads

Improving evidence informed policy-making for health in the Eastern Mediterranean Region (Editorial).

East Mediterr Health J 2018 Mar 5;23(12):793-794. Epub 2018 Mar 5.

Acting Regional Director, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.

Health policies should be based on a sound understanding of the problems, issues and context in which they operate, for which they require reliable data and information for action. The policies should also be informed by the best available research evidence, which also helps in better capturing the problem, understanding existing trends and patterns, and setting reasonable objectives that can be achieved using effective interventions. More importantly, research can provide evidence of comparative effectiveness of alternative interventions for a given public health issue; the costs and feasibility of implementing each intervention; and efficiency of the proposed interventions (policies) in comparison with alternative interventions. Read More

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March 2018
5 Reads

The push to eradicate poliomyelitis in the Eastern Mediterranean Region (Editorial).

East Mediterr Health J 2017 Nov 19;23(9):587-588. Epub 2017 Nov 19.

Manager, Polio Eradication and Emergency Support, World Health Organization, Geneva, Switzerland.

The Eastern Mediterranean Region, and the world, has never been closer to eradicating poliomyelitis. Wild poliovirus transmission is at the lowest levels in history and is limited to a few zones in the two remaining polio-endemic countries - Afghanistan and Pakistan. As at 30 October 2017, only 13 cases of poliomyelitis due to wild poliovirus type 1 (WPV 1) had been reported in the Region in 2017: 8 from Afghanistan and 5 from Pakistan. Read More

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November 2017
4 Reads

Working together to improve lives in the Eastern Mediterranean Region (Editorial).

East Mediterr Health J 2018 Jul 29;24(6):503. Epub 2018 Jul 29.

Regional Director, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.

It was an immense honour when the World Health Organization Regional Office for the Eastern Mediterranean (WHO/EMRO) welcomed me as its new Regional Director on 1 June 2018. On this occasion, I would like to extend my sincere thanks and appreciation to the members of the WHO Executive Board during its 143rd session in Geneva, Switzerland, for giving me an opportunity to propose my agenda for change towards a stronger and healthier Region. I look forward to my tenure as Regional Director, and have been impressed by the support displayed by WHO/EMRO staff, the WHO Executive Board, and public health bodies further afield. Read More

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July 2018
2 Reads

The role of access to affordable and quality assured blood and blood products for achieving Universal Health Coverage (Editorial).

East Mediterr Health J 2018 Jun 10;24(3):235-236. Epub 2018 Jun 10.

Head & Medical Director, Dubai Blood Donation Center, Dubai, United Arab Emirates (Former Director, WHO Collaborating Centre for Training and Research in Blood Transfusion, Sharjah, United Arab Emirates).

The theme of World Health Day 2018 is 'Universal health coverage: everyone, everywhere' under the slogan 'Health for All'. Universal Health Coverage (UHC), as pertains to blood and blood products, means that all individuals and communities have access to affordable and timely supplies of safe and quality-assured blood and blood products. Blood and blood products are essential components in the proper management of women suffering from bleeding associated with pregnancy and childbirth; children suffering from severe anaemia due to malaria and malnutrition; patients with blood and bone marrow disorders and immune deficiency conditions; victims of trauma, emergencies, disasters and accidents; and patients undergoing advanced medical and surgical procedures. Read More

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http://applications.emro.who.int/EMHJ/v24/03/EMHJ_2018_24_03
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http://dx.doi.org/10.26719/2018.24.3.235DOI Listing
June 2018
11 Reads

World No Tobacco Day 2018: towards a sustainable campaign involving the cardiovascular community (Editorial).

East Mediterr Health J 2018 Jul 17;24(5):409-410. Epub 2018 Jul 17.

Department of Noncommunicable Diseases and Mental Health, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.

The movement to reduce tobacco use has been gathering pace in the Eastern Mediterranean Region (EMR), as governments aim at implementing legislation to encourage populations to turn away from tobacco consumption and avoid the associated health risks. Indeed, within the Region it was in 2007 that Egyptian cardiologist Prof. Hamdi El Sayed, former member of parliament and former head of the Medical Syndicate, successfully proposed legislation for the implementation of graphic health warnings on tobacco packets covering 50% of visible packaging. Read More

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http://applications.emro.who.int/emhj/v24/05/EMHJ_2018_24_05
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http://dx.doi.org/10.26719/2018.24.5.409DOI Listing
July 2018
11 Reads