2篇
您的检索式：作者名="Neil Andersson"
|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Communities and service providers address access to perinatal care in postconflict Northern Uganda:socialising evidence for participatory action显示文摘Objectives Describe participatory codesign of interventions to improve access to perinatal care services in Northern Uganda.Study design Mixed-methods participatory research to codesign increased access to perinatal care.Fuzzy cognitive mapping,focus groups and a household survey identified and documented the extent of obstructions to access.Deliberative dialogue focused stakeholder discussions of this evidence to address the obstacles to access.Most significant change stories explored the participant experience of this process.Setting Three parishes in Nwoya district in the Gulu region,Northern Uganda.Participants Purposively sampled groups of women,men,female youth,male youth,community health workers,traditional midwives and service providers.Each of seven stakeholder categories included 5-8 participants in each of three parishes.Results Stakeholders identified several obstructions to accessing perinatal care:lack of savings in preparation for childbirth in facility costs,lack of male support and poor service provider attitudes.They suggested joining saving groups,practising saving money and income generation to address the short-term financial shortfall.They recommended increasing spousal awareness of perinatal care and they proposed improving service provider attitudes.Participants described their own improved care-seeking behaviour and patient-provider relationships as short-term gains of the codesign.Conclusion Participatory service improvement is feasible and acceptable in postconflict settings like Northern Uganda.Engaging communities in identifying perinatal service delivery issues and reflecting on local evidence about these issues generate workable community-led solutions and increases trust between community members and service providers. | Loubna Belaid Pamela Atim Eunice Atim Emmanuel Ochola Martin Ogwang Pontius Bayo Janet Oola Isaac Wonyima Okello Ivan Sarmiento Laura Rojas-Rozo Kate Zinszer Christina Zarowsky Neil Andersson | 2021 | Family Medicine and Community Health2021，9，2： | 0 |
| 2 | Equity and seeking treatment for young children with fever in Nigeria: a cross-sectional study in Cross River and Bauchi States显示文摘Background:Poor children have a higher risk of contracting malaria and may be less likely to receive effective treatment.Malaria is an important cause of morbidity and mortality in Nigerian children and many cases of childhood fever are due to malaria.This study examined socioeconomic factors related to taking children with fever for treatment in formal health facilities.Methods:A household survey conducted in Bauchi and Cross River states of Nigeria asked parents where they sought treatment for their children aged 0–47 months with severe fever in the last month and collected information about household socio-economic status.Fieldworkers also recorded whether there was a health facility in the community.We used treatment of severe fever in a health facility to indicate likely effective treatment for malaria.Multivariate analysis in each state examined associations with treatment of childhood fever in a health facility.Results:43%weighted(%wt)of 10,862 children had severe fever in the last month in Cross River,and 45%wt of 11,053 children in Bauchi.Of these,less than half(31%wt Cross River,44%wt Bauchi)were taken to a formal health facility for treatment.Children were more likely to be taken to a health facility if there was one in the community(OR 2.31[95%CI 1.57–3.39]in Cross River,OR 1.33[95%CI 1.0–1.7]in Bauchi).Children with fever lasting less than five days were less likely to be taken for treatment than those with more prolonged fever,regardless of whether there was such a facility in their community.Educated mothers were more likely to take children with fever to a formal health facility.In communities with a health facility in Cross River,children from less-poor households were more likely to go to the facility(OR 1.30;95%CI 1.07-1.58).Conclusion:There is inequity of access to effective malaria treatment for children with fever in the two states,even when there is a formal health facility in the community.Understanding the details of inequity of access in the two states could help the state governments to plan interventions to increase access equitably.Increasing geographic access to health facilities is needed but will not be enough. | Bikom Patrick Odu Steven Mitchell Hajara Isa Iyam Ugot Robbinson Yusuf Anne Cockcroft Neil Andersson | 2015 | Infectious Diseases of Poverty2015，4，1： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员