scholarly journals Continuous Knowledge Translation in Action: Designing a Programmatic Research Trial for Equitable Eye Health for Rural Nepalese Women

2020 ◽  
Vol 17 (1) ◽  
pp. 345 ◽  
Author(s):  
Yadira Perez Hazel ◽  
Cathy Malla ◽  
Anita Afford ◽  
Tessa Hillgrove ◽  
Reeta Gurung ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Gender Equity ◽  
Design Process ◽  
Vulnerable Populations ◽  
Intervention Strategies ◽  
Health Interventions ◽  
Translation Process ◽  
Left Behind ◽  
Eye Health ◽  
Rural Nepal

Reaching vulnerable populations through programmatic eye health interventions requires a focus on not only the intervention strategies, but the adaptability of the program design process itself. Knowing who is left behind and why solutions that will be effective on the ground at the time of implementation are not necessarily generated. There is a need for eye health programmatic design processes that can trial interventions and allow for continuous knowledge translation along the way. In rural Nepal, women are impacted by multiple and interconnected determinants of health, as well as unique barriers to accessing information and services, requiring targeted programming strategies. This article describes a programmatic design and knowledge translation process that aims to increase women’s uptake of eye health services in rural Nepal. The article outlines key learnings of this knowledge translation process, and how this may contribute to addressing gender equity in eye health.

Child nutrition

2018 ◽  
pp. 190-194
Author(s):  
Marly Cardoso ◽  
Jonathan Wells
Keyword(s):  
Public Health ◽  
Early Life ◽  
Growth And Development ◽  
Child Nutrition ◽  
Intervention Strategies ◽  
Health Interventions ◽  
Global Burden ◽  
Public Health Interventions ◽  
Good Nutrition ◽  
Healthy Growth

The ‘first 1000 days of life’, covering conception to age two, is recognised as a critical period for the growth and development of young children. Evidence suggests that good nutrition in early life can help adults become taller, stronger, healthier, and more intelligent and, thus, more economically productive, with many benefits for the next generation as well. The concept of a ‘window of opportunity’ is essential for designing intervention strategies. However, how to promote healthy growth in the first 2–3 years, without provoking excess weight gain and adiposity, is a major challenge to public health policymakers. This chapter addresses the global burden of childhood under and over-nutrition, highlighting the main public health interventions for improving child nutrition.

scholarly journals Surgical eye camp in rural area of Nepal and its role in Vision 2020

2017 ◽  
Vol 6 (2) ◽  
pp. 1-5 ◽  
Author(s):  
R Kharel Sitaula ◽  
S N Joshi ◽  
S Khanal
Keyword(s):  
Cataract Surgery ◽  
Rural Areas ◽  
Public Health Problem ◽  
Screening Tests ◽  
Major Public Health Problem ◽  
Vision 2020 ◽  
Cross Sectional ◽  
Eye Health ◽  
Rural Nepal ◽  
Eye Camps

Blindness continues to remain a major public health problem in Nepal and cataract is the leading cause. Cataract surgical coverage is relatively low in the rural areas where prevalence of blindness is high. To evaluate the role of surgical out­reached eye camps in rural Nepal and its impact in Vision 2020. This is a descriptive cross sectional camp based study in a remote village of Nepal, where 4 days screening of the eye disease mainly the cataract was done. 250 patients (54.80% males and 45.20% females) underwent eye health screening tests. Cataract was the commonest ocular disease (29.6%) among the screened population and 24% (60 patients) of them required cataract surgery (57% male and 43% female). The mean age of the operated patient was 71.84 ± 10.6years. Among the operated cases, bilateral blindness was present in 21.66% and unilateral blindness in 70% but after vision restoring cataract surgery, normal visual acuity (6/6-6/18) was achieved in 31(51.66%), and vision of 6/24-6/60 in 23 (38.33%) cases. Cataract remains to be the major cause of blindness in Nepal and arrangement of repeated surgical eye camps in the remote areas of Nepal could aid in reducing the prevent­able cause of blindness thereby help in achieving the goal of Vision 2020. 

scholarly journals Empower women: examining the feasibility of using a 360° digital-first magazine as a health teaching and knowledge translation tool for millennial women

2021 ◽  
Author(s):  
Julene R. Chung
Keyword(s):  
Knowledge Translation ◽  
Digital Media ◽  
Gender Equity ◽  
Knowledge Network ◽  
Women And Gender ◽  
Power And Control ◽  
And Gender ◽  
Relations Of Power ◽  
And Control ◽  
Health Teaching

Worldwide, women experience inequities in health due to unfair relations of power and control over their lives (Women and Gender Equity Knowledge Network, 2007). This is especially true in the area of women’s health (Husoy-Onarheim, Iversen, & Bloom, 2016; Perry, 2012). As healthcare shifts to a health promotion model, women are being empowered through the facilitation of health literacy and informed decision-making (Wuest, Merritt-Gray, Berman, & Ford-Gilboe, 2002; Leaffer & Mickelberg, 2006). In recent years, digital media has become one of the primary ways millennial women access health information (Allison, et al., 2012). Yet there are limited resources that are accurate, engaging and easy to understand (Allison, et al., 2012; Calvillo, Roman, & Roa, 2013). This project examined the feasibility of using a digital magazine as a health teaching and knowledge translation tool for millennial Canadian women. The result of this project was a pilot 360° magazine experience designed to engage millennial women in discussions about taboo health topics.

scholarly journals Variations in Non-Pharmaceutical Interventions by State Correlate with COVID-19 Disease Outcomes

2021 ◽  
Author(s):  
Annika J Avery ◽  
Jiayi Wang ◽  
Xinyu Ma ◽  
Qingkai Pan ◽  
Elizabeth E McGrady ◽  
...  
Keyword(s):  
Public Health ◽  
Respiratory Virus ◽  
Intervention Strategies ◽  
Health Interventions ◽  
Public Health Interventions ◽  
The Public ◽  
Disease Outcomes ◽  
Effective Public Health ◽  
Pharmaceutical Interventions

The COVID-19 pandemic highlighted the lack of understanding around effective public health interventions to curtail the spread of an emerging respiratory virus. Here, we examined the public health approaches implemented by each state to limit the spread and burden of COVID-19. Our analysis revealed that stronger statewide interventions positively correlated with fewer COVID-19 deaths, but some neighboring states with distinct intervention strategies had similar SARS-CoV-2 case trajectories. Additionally, more than two weeks is needed to observe an impact on SARS-CoV-2 cases after an intervention is implemented. These data provide a critical framework to inform future interventions during emerging pandemics.

scholarly journals Gender equity in eye health of Nepal: A hospital-based study

2012 ◽  
Vol 4 (2) ◽  
pp. 277-281 ◽  
Author(s):  
M K Shrestha ◽  
H Chan ◽  
R Gurung
Keyword(s):  
Gender Equity ◽  
Clinical Care ◽  
Hospital Setting ◽  
Surgical Care ◽  
Urban Hospital ◽  
Eye Care ◽  
Care Services ◽  
Eye Health ◽  
Clinical Records ◽  
The Impact

Introduction: There is a lack of literature examining the impact of gender on access to eye care in developing countries. Objective: To assess the differences in access to eye care between females and males, in the urban hospital setting and in rural outreach clinics. Materials and methods: A retrospective study was designed to review the patients who sought eye care at a tertiary level eye care institute and its rural outreach clinics from 2006 to 2009 in Nepal. Data were retrieved from clinical records. Results: In the hospital, females accounted for 50.8% of patients receiving outpatient care and 48.3% of patients receiving surgical care. In rural outreach clinics, females accounted for 56.1% of clinic patients and 51.5% of patients undergoing surgery. Fewer girls than boys aged 0-14 years (44.3%) sought clinical care at the hospital. Conclusion: Females account for approximately half of the hospital eye care services in Nepal. More females seek care at rural outreach clinics than at the urban hospital. However, given the female burden of disease in Nepal, there is still much improvement to be made in this area of care.DOI: http://dx.doi.org/10.3126/nepjoph.v4i2.6544 Nepal J Ophthalmol 2012; 4 (2): 277-281

scholarly journals Evaluating the feasibility and acceptability of a co-design approach to developing an integrated model of care for people with multi-morbid COPD in rural Nepal: a qualitative study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e045175
Author(s):  
Uday Narayan Yadav ◽  
Jane Lloyd ◽  
Kedar Prasad Baral ◽  
Narendra Bhatta ◽  
Suresh Mehata ◽  
...  
Keyword(s):  
Design Process ◽  
Low Income ◽  
Integrated Model ◽  
Evaluation Framework ◽  
Design Approach ◽  
Rural Setting ◽  
Secondary Outcome ◽  
Secondary Outcome Measure ◽  
Model Of Care ◽  
Rural Nepal

ObjectiveTo understand the feasibility and acceptability of a co-design approach to developing an integrated model of healthcare for people with multi-morbid chronic obstructive pulmonary disease (COPD) in rural Nepal.SettingsA rural setting of Nepal.ParticipantsData collection included five video recordings, five key informant interviews and observation notes from a final co-design workshop that involved a total of 68 stakeholders: persons with COPD and their family members; healthcare providers, including respiratory physicians; local community leaders; representatives from local, provincial and federal government; academics; and representatives from non-government organisations.Primary and secondary outcome measure(s)Feasibility and acceptability of using a co-design approach to develop an integrated model of care for people with multi-morbid COPD in rural Nepal.ResultsOur qualitative evaluation of the Hasso Plattner’s co-design process found that all stakeholders (including people with COPD/community members, primary care practitioners and local government/senior health officials) were actively engaged in and significantly contributed to the process of co-design. Four main themes were identified which determined the feasibility and acceptability of the resulting integrated model of care: engagement of stakeholders, factors contributing to the co-design, consequences of the co-design process, and challenges and opportunities learnt by the researchers and participants in the co-design process. Based on the relationship between the four main themes emerging from this research, we developed an evaluation framework to guide the co-design of a health service innovation.ConclusionOur study demonstrated the feasibility and acceptability of the Hasso Plattner’s co-design process. Our findings suggest that this co-design approach can be useful and acceptable to local communities and government agencies. It enabled the meaningful contribution of a diverse group of stakeholders in the design and delivery of health services in low-income and middle-income countries.

Understanding the Role of Bereavement in the Pathway to Suicide

2017 ◽  
Vol 41 (S1) ◽  
pp. S293-S294
Author(s):  
K. Galway ◽  
S. Mallon ◽  
G. Leavey ◽  
J. Rondon-Sulbaran
Keyword(s):  
Northern Ireland ◽  
Knowledge Translation ◽  
Suicide Prevention ◽  
Prevention Research ◽  
Left Behind ◽  
Common Precursor ◽  
Suicide Bereavement ◽  
Competing Interest ◽  
The Impact

IntroductionBereavement is considered to be a common precursor of death by suicide. Studies suggest those bereaved by suicide may be particularly vulnerable to suicide themselves. Recently, there has been a concern over the number of deaths by suicide across UK and Europe. As a result, an increasing number have been exposed to bereavement by suicide. It remains unclear how these deaths might impact on future suicide rates.ObjectivesTo examine a two-year cohort of all suicides in Northern Ireland, in order to report on bereavements recorded in the records of those who died by suicide. To assess the bearing of these deaths on those left behind.AimsTo provide an estimate of the prevalence and types of bereavements that may have contributed towards the suicide.MethodsFollowing the sociological autopsy approach to studying death by suicide, data was collected from a range of sources, including GP records and Coroner records and interviews with bereaved relatives. The analyses draw on relatives’ accounts in order to increase our understanding of the impact of suicide bereavement. Interviews took place between 18 months and 5 years after the death by suicide.ResultsOf the 403 deaths by suicide, 15% of the individuals experienced bereavement and 9% bereavement by suicide. The results support the assertion in the literature that bereavement by suicide increases the risk of suicide through a process of suicide contagion.ConclusionsThe conclusion explains how the findings will be fed into knowledge translation processes, to provide future programs of suicide prevention research and changes to practice.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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