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Xiaoyan Ke & Jing Liu

Ministry of Health & Family Welfare, India

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, M. K. C. Nair

C. A. Bernad

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Charlson, F.J.

Circulation

Daniel Mont

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F. B. Assumpção, Jr

G. Divan

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H. E. Erskine

Huffman, M. et al.

Human Resources for Health

Hunt, J.

India State-Level Disease Burden Initiative Suicide Collaborators

Institute for Community Inclusion at University of Massachusetts

J. Dieleman, L. Singh et al.

J. G. Scott

J. M. Rey

Leonard Cheshire Disability and Inclusive Development Centre

Lu C., Li Z.

Maroufou Jules Alao, Blaise Ayivi and Didier Lacombe

McKee, M.

Mental, Neurological, and Substance Use Disorders: Disease Control Priorities, Third Edition (Volume 4).

Muula, S. A. et al.

N. K. Arora

Nkhalamba, L.

P. K. Maulik

Patel V.

PLOS Medecine

Plos Medicine

PLOS One

Rylance, S.

S .Gulati

Schwalm, J.

United Nations Children's Fund (UNICEF) & International STEP by STEP Association

United Nations Children's Fund (UNICEF) & World Health Organisation (WHO)

V. Patel

Valerie Karr et al.

Write State University Dayton

Publication Years

2020-2026

2010-2019

2000-2009

Detection, management and prevention of hyperbilirubinemia in term and late preterm newborn infants

Ministry of Health & Family Welfare, India (2016) C1

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Detection, management and prevention of hyperbilirubinemia in term and late preterm newborn infants. Standard Treatment Guidelines

Ministry of Health & Family Welfare, India (2016) C1

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Resource Effective Strategies to Prevent and Treat Cardiovascular Disease

Schwalm, J.; McKee, M.; Huffman, M. et al. Circulation (2016) CC

Cardiovascular disease (CVD) is the leading cause of global deaths, with the majority occurring in low- and middle-income countries (LMIC). The primary and secondary prevention of CVD is suboptimal throughout the world, but the evidence-practice gaps are much more pronounced in LMIC. Barriers at the ... patient, health-care provider, and health system level prevent the implementation of optimal primary and secondary prevention. Identification of the particular barriers that exist in resource-constrained settings is necessary to inform effective strategies to reduce the identified evidence-practice gaps. Furthermore, targeting modifiable factors that contribute most significantly to the global burden of CVD, including tobacco use, hypertension, and secondary prevention for CVD will lead to the biggest gains in mortality reduction. We review a select number of novel, resource-efficient strategies to reduce premature mortality from CVD, including: (1) effective measures for tobacco control; (2) implementation of simplified screening and management algorithms for those with or at risk of CVD, (3) increasing the availability and affordability of simplified and cost-effective treatment regimens including combination CVD preventive drug therapy, and (4) simplified delivery of health care through task-sharing (non-physician health workers) and optimizing self-management (treatment supporters). Developing and deploying systems of care that address barriers related to the above, will lead to substantial reductions in CVD and related mortality. more

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Task-shifting to improve asthma education for Malawian children: a qualitative analysis

Nkhalamba, L.; Rylance, S.; Muula, S. A. et al. Human Resources for Health (2021) CC

Background Asthma education, a key component of long-term asthma management, is challenging in resource-limited settings with shortages of clinical staff. Task-shifting educational roles to lay (non-clinical) staff is a potential solution. We conducted a randomised controlled trial of an enhanced a ... sthma care intervention for children in Malawi, which included reallocation of asthma education tasks to lay-educators. In this qualitative sub-study, we explored the experiences of asthmatic children, their families and lay-educators, to assess the acceptability, facilitators and barriers, and perceived value of the task-shifting asthma education intervention. Methods We conducted six focus group discussions, including 15 children and 28 carers, and individual interviews with four lay-educators and a senior nurse. Translated transcripts were coded independently by three researchers and key themes identified. Results Prior to the intervention, participants reported challenges in asthma care including the busy and sometimes hostile clinical environment, lack of access to information and the erratic supply of medication. The education sessions were well received: participants reported greater understanding of asthma and their treatment and confidence to manage symptoms. The lay-educators appreciated pre-intervention training, written guidelines, and access to clinical support. Low education levels among carers presented challenges, requiring an open, non-critical and individualised approach. Discussion Asthma education can be successfully delivered by lay-educators with adequate training, supervision and support, with benefits to the patients, their families and the community. Wider implementation could help address human resource shortages and support progress towards Universal Health Coverage. more

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