scholarly journals How do nutrition professionals working in low‐income countries perceive and prioritize actions to prevent wasting? A mixed‐methods study

2020 ◽  
Vol 16 (4) ◽  
Author(s):  
Scott B. Ickes ◽  
Christina Craig ◽  
Rebecca A. Heidkamp
Keyword(s):  
Mixed Methods ◽  
Low Income ◽  
Mixed Methods Study ◽  
Low Income Countries ◽  
Nutrition Professionals

scholarly journals Research protocol for a mixed-methods study to characterise and address the socioeconomic impact of accessing TB diagnosis and care in Nepal

2020 ◽  
Vol 5 ◽  
pp. 19
Author(s):  
Kritika Dixit ◽  
Bhola Rai ◽  
Tara Prasad Aryal ◽  
Gokul Mishra ◽  
Noemia Teixeira de Siqueira-Filha ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Low Income ◽  
Group Discussion ◽  
Mixed Methods Study ◽  
Low Income Countries ◽  
Socioeconomic Impact ◽  
Poverty Level ◽  
Tb Treatment ◽  
Scientific Meetings ◽  
National Workshop

Background: WHO’s 2015 End TB Strategy advocates social and economic (socioeconomic) support for TB-affected households to improve TB control. However, evidence concerning socioeconomic support for TB-affected households remains limited, especially in low-income countries. Protocol: This mixed-methods study in Nepal will: evaluate the socioeconomic impact of accessing TB diagnosis and care (Project 1); and create a shortlist of feasible, locally-appropriate interventions to mitigate this impact (Project 2). The study will be conducted in the Chitwan, Mahottari, Makawanpur, and Dhanusha districts of Nepal, which have frequent TB and poverty. The study population will include: approximately 200 people with TB (Cases) starting TB treatment with Nepal’s National TB Program and 100 randomly-selected people without TB (Controls) in the same sites (Project 1); and approximately 40 key in-country stakeholders from Nepal including people with TB, community leaders, and TB healthcare professionals (Project 2). During Project 1, visits will be made to people with TB’s households during months 3 and 6 of TB treatment, and a single visit made to Control households. During visits, participants will be asked about: TB-related costs (if receiving treatment), food insecurity, stigma; TB-related knowledge; household poverty level; social capital; and quality of life. During Project 2, stakeholders will be invited to participate in: a survey and focus group discussion (FGD) to characterise socioeconomic impact, barriers and facilitators to accessing and engaging with TB care in Nepal; and a one-day workshop to review FGD findings and suggest interventions to mitigate the barriers identified. Ethics and dissemination: The study has received ethical approval. Results will be disseminated through scientific meetings, open access publications, and a national workshop in Nepal.  Conclusions: This research will strengthen understanding of the socioeconomic impact of TB in Nepal and generate a shortlist of feasible and locally-appropriate socioeconomic interventions for TB-affected households for trial evaluation.

scholarly journals Research protocol for a mixed-methods study to characterise and address the socioeconomic impact of accessing TB diagnosis and care in Nepal

2020 ◽  
Vol 5 ◽  
pp. 19
Author(s):  
Kritika Dixit ◽  
Bhola Rai ◽  
Tara Prasad Aryal ◽  
Gokul Mishra ◽  
Noemia Teixeira de Siqueira-Filha ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Low Income ◽  
Group Discussion ◽  
Mixed Methods Study ◽  
Low Income Countries ◽  
Socioeconomic Impact ◽  
Poverty Level ◽  
Tb Treatment ◽  
Scientific Meetings ◽  
National Workshop

Background: WHO’s 2015 End TB Strategy advocates social and economic (socioeconomic) support for TB-affected households to improve TB control. However, evidence concerning socioeconomic support for TB-affected households remains limited, especially in low-income countries. Protocol: This mixed-methods study in Nepal will: evaluate the socioeconomic impact of accessing TB diagnosis and care (Project 1); and create a shortlist of feasible, locally-appropriate interventions to mitigate this impact (Project 2). The study will be conducted in the Chitwan, Mahottari, Makawanpur, and Dhanusha districts of Nepal, which have frequent TB and poverty. The study population will include: approximately 200 people with TB (Cases) starting TB treatment with Nepal’s National TB Program and 100 randomly-selected people without TB (Controls) in the same sites (Project 1); and approximately 40 key in-country stakeholders from Nepal including people with TB, community leaders, and TB healthcare professionals (Project 2). During Project 1, visits will be made to people with TB’s households during months 3 and 6 of TB treatment, and a single visit made to Control households. During visits, participants will be asked about: TB-related costs (if receiving treatment), food insecurity, stigma; TB-related knowledge; household poverty level; social capital; and quality of life. During Project 2, stakeholders will be invited to participate in: a survey and focus group discussion (FGD) to characterise socioeconomic impact, barriers and facilitators to accessing and engaging with TB care in Nepal; and a one-day workshop to review FGD findings and suggest interventions to mitigate the barriers identified. Ethics and dissemination: The study has received ethical approval. Results will be disseminated through scientific meetings, open access publications, and a national workshop in Nepal.  Conclusions: This research will strengthen understanding of the socioeconomic impact of TB in Nepal and generate a shortlist of feasible and locally-appropriate socioeconomic interventions for TB-affected households for trial evaluation.

scholarly journals Global PRoMiSe (Perioperative Recommendations for Medication Safety): protocol for a mixed-methods study

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e038313
Author(s):  
Karen C Nanji ◽  
Alan Forbes Merry ◽  
Sofia D Shaikh ◽  
Christina Pagel ◽  
Hao Deng ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Low Income ◽  
Medication Safety ◽  
Massachusetts General Hospital ◽  
Perioperative Period ◽  
Income Group ◽  
Mixed Methods Study ◽  
Low Income Countries ◽  
Research Committee ◽  
Dissemination Strategy

IntroductionMedication errors (MEs), which occur commonly in the perioperative period, have the potential to cause patient harm or death. Many published recommendations exist for preventing perioperative MEs; however, many of these recommendations conflict and are often not applicable to middle-income and low-income countries. The goal of this study is to develop and disseminate consensus-based recommendations for perioperative medication safety that are tailored to country income level.Methods and analysisThe primary site of this mixed-methods study is Massachusetts General Hospital/Harvard Medical School. Participants include a minimum of 108 international medication safety experts, 27 from each of the World Bank’s four country income groups (high, upper-middle, lower-middle and low-income). Using the Delphi method, participants will rate the appropriateness of candidate medication safety recommendations by completing online surveys using RedCAP. We will use Condorcet ranking methods to prioritise the final recommendations for each country income group. We will execute a comprehensive dissemination strategy for the recommendations across each country income group. Finally, we will conduct semistructured interviews with our participants to evaluate the initial adoption and implementation of the recommendations in each country income group.Ethics and disseminationThis study was approved by the Human Research Committee/Institutional Review Board at Partners Healthcare (2019P003567). Findings will be published in peer-reviewed journals and presented at local and international conferences.Trial registration numberNCT04240301.

scholarly journals Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India

2020 ◽  
Vol 17 (22) ◽  
pp. 8629
Author(s):  
Priyanka Athavale ◽  
Nehaa Khadka ◽  
Shampa Roy ◽  
Piyasree Mukherjee ◽  
Deepika Chandra Mohan ◽  
...  
Keyword(s):  
Early Childhood ◽  
Mixed Methods ◽  
Oral Health ◽  
Focus Groups ◽  
Low Income ◽  
Mixed Methods Study ◽  
Maternal Child Health ◽  
Junk Food ◽  
Sugary Drinks ◽  
Maternal Child

In India, globalization has caused a nutrition transition from home-cooked foods to processed sugary snacks and drinks, contributing to increased early childhood caries (ECC). This mixed-methods study describes risk factors for ECC and associations with undernutrition in low-income communities in Mumbai. Interviews with mothers of 959 children, ages six-months through six-years, addressed maternal-child nutrition and oral health, and children received dental exams and anthropometric assessments. Focus groups with community health workers and mothers explored experiences and perceptions of oral health, nutrition, and ECC. Descriptive and logistic regression analyses of quantitative data, and content analysis of qualitative data were performed. Eighty percent of children lived 5 min from a junk-food store, over 50% consumed junk-food and sugary tea daily, 50% experienced ECC, 19% had severe deep tooth decay, 27% experienced mouth pain, and 56% experienced chronic and/or acute malnutrition. In children ages 3–6, each additional tooth with deep decay was associated with increased odds of undernutrition (Odds Ratio [OR] 1.10, Confidence Interval [CI] 1.02–1.21). Focus groups identified the junk-food environment, busy family life, and limited dental care as contributors to ECC. Policy interventions include limits on junk-food marketing and incorporating oral health services and counseling on junk-food/sugary drinks into maternal–child health programs.

scholarly journals Comparing Type of Health Insurance Among Low-Income Children: A Mixed-Methods Study from Oregon

2010 ◽  
Vol 15 (8) ◽  
pp. 1238-1248 ◽  
Author(s):  
Jennifer E. DeVoe ◽  
Lorraine Wallace ◽  
Shelley Selph ◽  
Nicholas Westfall ◽  
Stephanie Crocker
Keyword(s):  
Health Insurance ◽  
Mixed Methods ◽  
Low Income ◽  
Mixed Methods Study ◽  
Low Income Children
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