An ancillary care policy in a vaccine trial conducted in a resource-constrained setting: evaluation and policy recommendations
BMJ Global Health
by Lemey, G., Lariviere, Y., Osang'ir, B. I., Zola, T., Kimbulu, P., Milolo, S., Danoff, E., Tchuma, Y., Maketa, V., Mitashi, P., Ravinetto, R., Van Damme, P., Van geertruyden, J.-P., Muhindo-Mavoko, H.
1w ago
Introduction Clear guidelines to implement ancillary care (AC) in clinical trials conducted in resource-constrained settings are lacking. Here, we evaluate an AC policy developed for a vaccine trial in the Democratic Republic of the Congo and formulate policy recommendations. Methods To evaluate the AC policy, we performed a longitudinal cohort study, nested in an open-label, single-centre, randomised Ebola vaccine trial conducted among healthcare personnel. Participants’ demographic information, residence distance to the study site and details on the financial and/or medical support provided ..read more
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Useful or not? The discussion of traditional Chinese medicine to treat COVID-19 on a Chinese social networking site
BMJ Global Health
by Wang, D., Lu, J., Zhou, J., Wong, V. K. W.
1w ago
The use of traditional medicine is a global phenomenon, and the WHO advocated its appropriate integration into modern healthcare systems. However, there is a hot debate about the legitimacy of traditional medicine among the general public. Here, we investigated the debate in the Chinese digital context by analysing 1954 responses related to 100 questions about traditional Chinese medicine (TCM) treatment against COVID-19 on the Zhihu platform. Attitude function theory was applied to understand the reasons underlying public attitudes. Results showed that Zhihu users generally held a supportive ..read more
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Do various types of prelacteal feeding (PLF) have different associations with breastfeeding duration in Indonesia? A cross-sectional study using Indonesia Demographic and Health Survey datasets
BMJ Global Health
by Rahmartani, L. D., Quigley, M. A., Carson, C.
1w ago
Introduction Prelacteal feeding (PLF) is anything other than breastmilk given to newborns in the first few days of birth and/or before breastfeeding is established. PLF comes in many forms and is known as a challenge to optimal breastfeeding. Interestingly, both breastfeeding and PLF are common in Indonesia. This study investigated the association between PLF (any PLF, formula, honey, water and other milk) and breastfeeding duration. Methods This study used Indonesia Demographic and Health Surveys data from 2002, 2007 and 2017. Sample sizes were 5558 (2007), 6268 (2007) and 6227 (2017) mothers ..read more
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Leader of peoples health
BMJ Global Health
by Mirza, Z.
1w ago
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Urgent support mechanism: saving millions of COVID-19 vaccines from expiry in Africa
BMJ Global Health
by Fallah, M. P., Sembuche, S., Kabwe, P. C., Dereje, N., Abubakar, T., Chipendo, T., Ojo, J., Bamutura, M., Shaweno, T., Ramakhunoane, S., Ts'oeu, S., Ndoula, S. T., Agoambin, N., Kangbai, D. M., Jalloh, M. B., Tinuga, F., Mutayoba, R., Jalang'o, R. E., Kiarie, J., Legge, G. A., David, V., Clarke, A. T., Kamara, P. S., Kalangwa, K., Sakanga, V., Ndembi, N., Raji, T., Abdulaziz, M.
1w ago
Delivering COVID-19 vaccines with 4–6 weeks shelf life remains one of Africa’s most pressing challenges. The Africa Centres for Disease Control and Prevention (Africa CDC) leadership recognised that COVID-19 vaccines donated to many African countries were at risk of expiry considering the short shelf life on delivery in the Member States and slow vaccine uptake rates. Thus, a streamlined rapid response system, the urgent support mechanism, was developed to assist countries accelerate COVID-19 vaccine uptake. We describe the achievements and lessons learnt during implementation of the urgent su ..read more
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Reaching the unreached through building trust: a mixed-method study on COVID-19 vaccination in rural Lao PDR
BMJ Global Health
by Phrasisombath, K., Kubota, S., Elliott, E. M., Horiuchi, S., Ounaphom, P., Phimmachak, L., Souksavanh, O., Vongsouvanh, P., Rakotomalala Robinson, D., Channavong, S., Deharo, E., Seal, W. R. E., Lo, Y.-R. J., Phoummalaysith, B.
1w ago
Introduction The global COVID-19 vaccine rollout has been impacted by socioeconomic disparities and vaccine hesitancy, but few studies examine reasons for changed attitudes. In Lao People’s Democratic Republic (Lao PDR), a nationwide government-led initiative was developed in response to COVID-19, focused on community health ownership and trust in primary healthcare. The intervention team including health and governance sectors conducted capacity-building workshops with local staff and community representatives and visited villages for vaccination outreach. This study investigates the impact o ..read more
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Mapping the international health regulations monitoring and evaluation framework: an expert consultation, triangulation crosswalk and quantitative analysis
BMJ Global Health
by Nguni, R., Kandel, N., Bell, C., Choupe, L. B. T., Gribble, R., Huda, Q., de la Rocque, S., Sreedharan, R., Suryantoro, L., Vedrasco, L., Mancero, T., Chamla, D., Nguyen, P. N., Perehinets, I., Samhouri, D., Samuel, R., Stephen, M., Talisuna, A., Xing, J., Chungong, S.
1w ago
The International Health Regulations Monitoring and Evaluation Framework (IHRMEF) includes four components regularly conducted by States Parties to measure the current status of International Health Regulations (IHR) 2005 core capacities and provide recommendations for strengthening these capacities. However, the four components are conducted independently of one another and have no systematic referral to each other before, during or after each process, despite being largely conducted by the same team, country and support organisations. This analysis sets out to identify ways in which IHRMEF c ..read more
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Economic barriers to prevent the smuggling of health goods in Iran
BMJ Global Health
by Mahmoudi Meymand, F., Takian, A., Jaafaripooyan, E.
1w ago
Introduction In recent years, smuggling of health goods has apparently increased in the country. Despite the preventive and regulatory measures taken to combat this problem, the outcomes seem to be undesirable. This study thus aims to identify and elucidate the role of economic barriers in the prevention of smuggling health goods in Iran. Method We conducted semistructured interviews with 29 purposefully identified key informants in the detection, prevention and control of health goods smuggling in different organisations, between May 2021–January 2022. An inductive data-driven thematic analys ..read more
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Caregiving for Chinas one-child generation: a simulation study of caregiving responsibility and impact on womens time use
BMJ Global Health
by Kwete, X., Knaul, F. M., Essue, B. M., Touchton, M., Arreola-Ornelas, H., Langer, A., Calderon-Anyosa, R., Nargund, R. S.
1w ago
Introduction The introduction, strict enforcement and recent exit of China’s one-child policy (OCP) resulted in China’s demographical changes, and, alongside its epidemiological transition, disproportionately impacted caregiving needs and demands on women. This study examines women’s caregiving responsibilities in contemporary China and evaluates how the OCP affected them. Methods We simulated the female population aged 25–54 years in 2020 in China and their caregiving responsibilities based on epidemiological and demographic data for women, their parents and parents-in-law, and children under ..read more
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Public participation in decisions about measures to manage the COVID-19 pandemic: a systematic review
BMJ Global Health
by Munthe-Kaas, H. M., Oxman, A. D., von Lieres, B., Gloppen, S., Ohren, A.
1w ago
Background During the COVID-19 pandemic, governments and health authorities faced tough decisions about infection prevention and control measures such as social distancing, face masks and travel. Judgements underlying those decisions require democratic input, as well as expert input. The aim of this review is to inform decisions about how best to achieve public participation in decisions about public health and social interventions in the context of a pandemic or other public health emergencies. Objectives To systematically review examples of public participation in decisions by governments an ..read more
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