scholarly journals Impact of health service provision on mothers and infants in a rural village in North West Frontier Province, Pakistan

1998 ◽  
Vol 1 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Christine A Northrop-Clewes ◽  
Nisar Ahmad ◽  
Parvez I Paracha ◽  
David I Thurnham
Keyword(s):  
Health Service ◽  
Child Mortality ◽  
Demographic Data ◽  
Service Research ◽  
Low Literacy ◽  
Health Service Provision ◽  
North West ◽  
Neonatal Deaths ◽  
North West Frontier Province ◽  
The Impact

AbstractObjective:The objective of this paper is to examine the impact of the Health Service Research Project of the Pakistan Medical Research Council (PMRC) on mothers and infants in Budhni village, North West Frontier Province (NWFP), Pakistan.Methods:Information from the PMRC records on the socioeconomic and demographic situation over the last 10 years and anthropometric measurements made on all infants from 1986–96 were collected and analysed.Results:The demographic data showed a number of changes, namely a reduction in birth rate and improvements in perinatal, neonatal, infant and child mortality rates. Literacy in the village was poor (27 and 39% literate in 1986 and 1996, respectively) and female literacy showed no improvement (14%). Improvements in sanitation and in the water supply introduced by the PMRC had limited success, as clean water was subsequently contaminated by unclean hands and utensils, and 50% of the population continued to use open fields for sanitation. In 1986 only 27% of children 0–5 years were vaccinated, but by 1996, 96% of children had completed polio, diphtheria/pertussis/tetanus (DPT) and bacille Calmette-Guérin (BCG) vaccination programmes and 95% of women of child-bearing age were vaccinated against tetanus. Protection against tetanus reduced neonatal deaths and from 1333 onwards there have been no further cases.Anthropometric data for the period 1986–96 for infants (0–24 months) showed that at birth the majority of infants were close to the 50th National Centre for Health Statistics (NCHS) centile for weight and length, and only 5% of birth-weights were less than 2.5 kg. Growth charts showed faltering in length and weight and by 24-months length in both boys and girls was below the 3rd NCHS centile and weights were just above.Conclusions:Reductions in child mortality have occurred over the period 1986–96. However, the slow progress in adopting hygienic practices, despite health education, and the low literacy rates, particularly in women, may hamper continued improvement.

Pashtun and Punjabi Taliban

Pakistan ◽  
2020 ◽  
pp. 131-144
Author(s):  
Mariam Abou Zahab
Keyword(s):  
North West ◽  
Competition And Cooperation ◽  
Sectarian Violence ◽  
The North ◽  
North West Frontier Province ◽  
Tribal Areas ◽  
The Impact

This chapter attempts to analyse the dynamics of the Pashtun–Punjabi nexus and the areas of competition and cooperation between Sunni sectarian groups and the Pakistani Taliban. It outlines the links between Sunni sectarian groups and the Afghan Taliban, the impact of the collapse of the Taliban regime in Afghanistan and the implications of the relocation of Punjabi jihadi/sectarian groups in the North West Frontier Province (NWFP) and the Federally Administered Tribal Areas (FATA). It also focuses on the consequences of the storming of Islamabad's Lal Masjid in July 2007, and it investigates the re-emergence of sectarian groups in Karachi and in the Punjab and its implications for Pakistan. The Punjab and Karachi have been the primary hubs of sectarian violence in Pakistan since the 1980s, but in the post-9/11 environment the Sunni-Shia conflict has assumed a new dimension.

Evaluation of the Impact of a Technology Appraisal Process in England: The South and West Development and Evaluation Committee

2003 ◽  
Vol 8 (1) ◽  
pp. 18-24 ◽  
Author(s):  
Simon Dixon ◽  
Pat Coleman ◽  
Jon Nicholl ◽  
Alan Brennan ◽  
Sandra Touch
Keyword(s):  
Health Service ◽  
Routine Data ◽  
Clinical Excellence ◽  
Technology Appraisal ◽  
North West ◽  
Evaluation Committee ◽  
Health Authorities ◽  
Service Staff ◽  
The Cost ◽  
The Impact

Objectives: To examine the influence of the English National Health Service (NHS) South and West (S&W) region Development and Evaluation Committee (DEC) technology appraisal reports on purchasing and clinical decisions in the S&W and elsewhere in the NHS, and to estimate the cost of the DEC process. Methods: Two postal questionnaires examining issues of awareness, influence and quality of the DEC reports were sent to samples of clinical and managerial health service staff in S&W NHS region, the North West NHS region, and three other randomly selected health authorities elsewhere. Supplementary telephone interviews were undertaken with a subsample of staff. Trends in utilisation before and after the publication of four S&W DEC reports were examined using routine health service data. Results: Survey response rates ranged between 73% and 85%. Within health authorities in the S&W, agreement about the impact of the DEC in informing policy and purchasing decisions was consistently high, although responses from clinicians were more equivocal. In the topic areas examined, the impact of the DEC reports could not be separated from wider influences on practice. The cost of each DEC report is estimated to have been £24 659. Conclusions: Health service staff perceived that the S&W DEC process had had an impact on policy decisions and clinical practice locally; however, any actual impact on practice could not be identified with routine data. The approach used in this study would be valuable in evaluating the impact of the English NHS National Institute for Clinical Excellence.

scholarly journals How to engage patient partners in health service research: a scoping review protocol

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Sarah Cecilie Tscherning ◽  
Hilary Louise Bekker ◽  
Tina Wang Vedelø ◽  
Jeanette Finderup ◽  
Lotte Ørneborg Rodkjær
Keyword(s):  
Health Service ◽  
Narrative Analysis ◽  
Scoping Review ◽  
Health Service Research ◽  
Public Involvement ◽  
Research Process ◽  
Patient And Public Involvement ◽  
Service Research ◽  
Review Protocol ◽  
The Impact

Abstract Background The patients’ and the carers’ roles in health service research has changed from being solely participants in studies to also being active partners and co-designers in the research process. Research carried out with or by patient partners is an increasingly accepted component of health service research in many countries, but how researchers can best approach engaging patient partners in the research process is still not clear. There is a need for guidance to support researchers when engaging patient partners and assess how such engagement impacts on research outputs. The aim of this paper is to present a protocol for a scoping review of published literature on how to engage patient partners effectively in the research process. Investigating this aim implies examining: a) how to engage patient partners in the research process; and b) what impact such engagement has on research outputs. This scoping review protocol is the first to examine how to engage patient partners effectively across different diseases and research areas. Methods A scoping review using a systematic process informed by Arksey and O’Malley’s framework will be carried out across six electronic databases using the terms ‘patient participation’, ‘community participation’, ‘research personnel’, ‘patient and public involvement’ and ‘patient partner’. We will include published reviews concerning engagement of patient partners in the research process in healthcare settings, and exclude studies assessing engagement in treatment and healthcare. Two reviewers will screen the titles and abstracts of articles independently for inclusion, and extract data from articles that meet the inclusion criteria. Where there is disagreement, a third reviewer will be consulted to facilitate consensus. The data elicited will include: author and study characteristics; research aims and findings; description of patient engagement in the research process; and assessment impact. Descriptive data and narrative analysis will synthesize findings. Discussion To understand how to engage patient partners effectively in the research process, the impact of such engagement must be taken into consideration to give a qualified suggestion for future guidance. We hope this review will raise awareness of which common elements constitute effective engagement of patient partners in the research process.

Parental satisfaction with health services provided to children with Down syndrome in north-west England: an ENT perspective

2006 ◽  
Vol 121 (4) ◽  
pp. 382-386 ◽  
Author(s):  
P S Hans ◽  
A Belloso ◽  
P Z Sheehan
Keyword(s):  
Down Syndrome ◽  
Health Services ◽  
Demographic Data ◽  
Waiting Times ◽  
Speech And Language ◽  
Language Therapy ◽  
Health Service Provision ◽  
Speech And Language Therapy ◽  
North West ◽  
Children With Down Syndrome

Aims: To evaluate parents' satisfaction with medical and allied health services provided to children with Down syndrome in north-west England, comparing ENT and its allied services with other areas of health service provision.Methods: A questionnaire survey of parents attending a north-west England Down syndrome association conference. Demographic data, departments visited, satisfaction with each service (scored one to five), waiting times for each service (scored one to five), service need (scored one to three) and accessibility (scored one to three) were recorded.Results: Otolaryngology had been used by 50 per cent of children, with a satisfaction of 2.63 (the second worst score). Speech and language therapy was used by 90 per cent of the children, with a satisfaction of 3.26 (the worst score). The service felt to be most needed and also most difficult to access was speech and language therapy.Conclusion: Otorhinolaryngology departments should assess how they can improve their service to this population with specific ENT needs. Speech and language services for children with Down syndrome should be expanded.

Sign in / Sign up

Export Citation Format

Share Document