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535 results for “community health”
Perceived quality of care among households ever enrolled in a community-based health insurance scheme in two districts of northeast Ethiopia: A community-based, cross-sectional study
<p class="MsoNormal"><strong><span>Objectives: </span></strong><span>The purpose of this study was to examine how clients perceived the quality of health care they received and to identify associated factors both at the individual and facility levels.</span></p> <p class="MsoNormal"><strong><span>Design: </span></strong><span>A community-based, cross-sectional study.<span> </span></span></p> <p class="MsoNormal"><strong><span>Setting:</span></strong><span> Two rural districts of northeast Ethiopia</span><span>, Tehulederie and Kallu.</span></p> <p class="MsoNormal"><strong><span>Participants:</span></strong><span> 1081 rural households who had ever been enrolled in community-based health insurance and visited a health center at least once in the previous 12 months.<span> </span>Furthermore, 194 health care providers participated in the study to provide cluster-level data. <a name="_Hlk84940584"></a></span></p> <p class="MsoNormal"><span><strong><span>Outcome measures</span></strong></span><span><span>: The outcome variable of interest was the perceived quality of care, which was measured using a 17-item scale. </span></span><span>Respondents were asked to rate the degree to which they agreed on 5-point response items relating to their experiences with health care in the outpatient departments of nearby health centers. A multilevel linear regression analysis was used to identify predictors of perceived quality of care. </span></p> <p class="MsoNormal"><strong><span>Results:</span></strong><span> The mean perceived quality of care was 70.28 (SD=8.39). <a name="_Hlk85270466"></a>Five dimensions of perceived quality of care were extracted from the factor analysis, with the patient-provider communication dimension having the highest <span>mean score (M=77.84, SD=10.12), and information provision having the lowest (M=64.67, SD=13.87). Wealth status, current insurance status, perceived health status, presence of chronic illness, and time to a recent health center visit </span></span><span><span>were individual level variables that showed a significant association with the perceived quality of care. At the cluster level, the work experience of health care providers, patient volume, and an interaction term between patient volume and staff job satisfaction also showed a significant association</span><span>.</span></span><span><span> <span> </span></span></span></p> <p class="MsoNormal"><strong><span>Conclusions:</span></strong><span> Much work remains to improve the quality of care, especially on information provision and access to care quality dimensions. A range of individual and cluster-level characteristics influence the perceived quality of care. For a better quality of care, it is vital to optimize the patient-provider ratio and enhance staff job satisfaction.</span></p>
Community-based integrated animal health management to reduce the impact of cerebral Coenurosis in Bonga sheep in Kaffa zone, southwestern Ethiopia
<p>Coenurosis, a fatal parasitic disease, is widespread in the highlands of Ethiopia, where 75% of the country's sheep population is found. There is a significant prevalence of the disease in the current study area. Therefore, the current study was conducted to reduce the impact of cerebral coenurosis on sheep production in the study area by integrating different prevention and control options and raising community awareness of the disease. Questionnaire surveys, coproscopic examination of dog feces, and household-level surveillance were used to collect data on reported coenurosis cases and taeniid infections. Awareness creation training and regular dog deworming were used as an intervention to reduce the prevalence of the disease. A total of 107, 134, 153, and 124 dogs were dewormed during the first, second, third, and fourth rounds during the study period, respectively. Eggs were detected in 58.53% (95% CI 47.4- 68.86) of pre-deworming fecal samples of dogs. Eggs were detected in 24.18% (95% CI: 40.0–49.7) of the fecal samples after the intervention, 34.35% less than before the intervention. At the beginning of the intervention, the level of awareness of farmers in the intervention sites about the cause of the disease was 12.2%, which increased to 51.03% at the end of the intervention. The community-based integrated animal health management approach for coenurosis control has the potential to be expanded throughout the country, thus reducing economic losses in communities where the disease is endemic.</p>
Global & Community Health: Implementation of and patient satisfaction with the first neurologic telemedicine program in Mexico during COVID-19
<p>Since the coronavirus disease 2019 (COVID-19) pandemic outbreak, due to the large number of patients requiring in-hospital care, hospitals worldwide were converted into COVID-19 referral centers. In addition, as part of the mitigation strategies besides social distancing and mandatory use of facemasks, other measures to reduce the risk of infection among healthcare workers such as increasing the time between work shifts and sending high-risk personnel to in-home isolation were taken, leading to a significantly reduced workforce, requiring relocation of medical personnel from multiple specialties to the frontline. </p> <p>By April 2020, due to the reduction of medical and administrative staff in addition to the steadily increasing number of patients, our center decided to stop all face-to-face non-COVID-19 consultations. Therefore, we decided to adapt to the challenges and started researching how to implement a teleneurology program to re-open our neurology continuity clinic. Here, we describe our experience developing and implementing a teleneurology program in Mexico and patient satisfaction with our program.</p> <p>To assess patient satisfaction and quality of the healthcare received, at the end of the consultations, to those who had internet access, we sent via e-mail or text message an anonymous 24-question online-based questionnaire (modified for the COVID-19 pandemic) developed and validated for the Spanish-speaking population.</p> <p>We included 304 patients. The most common neurologic disorders we attended were neuromuscular disorders in 33.6% of patients, headache disorders in 32.9%, epilepsy in 11.5%, cerebrovascular diseases in 5.9%, and movement disorders in 5.6%. None of the patients required an in-person visit. Of the 304 patients, only 125 (41%) answered the survey, 86.4% preferred teleneurology instead of an in-person consultation, 83.3% (90/108) of them because of concerns about getting COVID-19; 92% completely agree that they felt comfortable when talking to the neurologist through a camera and a microphone; 96% reported being satisfied with their consultation; 87.2% completely agree in trusting that their privacy would be protected. However, 4% were not satisfied, but their reasons were not specified. Our findings suggest that telemedicine is a feasible and acceptable option to continue with neurological patient care during the COVID-19 pandemic.</p>
Supplementary material 1 from: Ngoute CO, Hunter D, Lecoq M (2021) Perception and knowledge of grasshoppers among indigenous communities in tropical forest areas of southern Cameroon: Ecosystem conservation, food security, and health. Journal of Orthoptera Research 30(2): 117-130. https://doi.org/10.3897/jor.30.64266
Supplementary material 1 from: Ngoute CO, Hunter D, Lecoq M (2021) Perception and knowledge of grasshoppers among indigenous communities in tropical forest areas of southern Cameroon: Ecosystem conservation, food security, and health. Journal of Orthoptera Research 30(2): 117-130. https://doi.org/10.3897/jor.30.64266
Effectiveness of community-based health education and home support program to reduce blood pressure among patients with uncontrolled hypertension in Nepal: A cluster-randomized trial
<p><b>Background: </b>Hypertension is a major global public health problem. Elevated blood pressure can cause cardiovascular and kidney diseases. We assessed the effectiveness of health education sessions and home support programs in reducing blood pressure among patients with uncontrolled hypertension in a suburban community of Nepal.</p> <p><b>Methods</b>: We conducted a community-based, open-level, parallel-group, cluster randomized controlled trial in Birendranagar municipality of Surkhet, Nepal. We randomly assigned four clusters (wards) into intervention and control arms. We provided four health education sessions, frequent home and usual care for intervention groups over six months. The participants of the control arm received only usual care from health facilities. The primary outcome of this study was the proportion of controlled systolic blood pressure (SBP). The analysis included all participants who completed follow-up at six months.</p> <p><b>Results</b>: 125 participants were assigned to either the intervention (n=63) or the control (n=62) group. Of them, 60 participants in each group completed six months follow-up. The proportion of controlled SBP was significantly higher among the intervention participants compared to the control (58.3% vs. 40%). Odds ratio of this was 2.1 with 95% CI: 1.01-4.35 (p=0.046) and that of controlled diastolic blood pressure (DBP) was 1.31 (0.63-2.72) (p=0.600). The mean change (follow-up minus baseline) in SBP was significantly higher in the intervention than in the usual care (-18.7 mmHg vs. -11.2 mmHg, p=0.041). Such mean change of DBP was also higher in the intervention (-10.95 mmHg vs. -5.53 mmHg, p=0.065). The knowledge score on hypertension improved by 2.38 (SD 2.4) in the intervention arm, which was significantly different from that of the control group, 0.13 (1.8) (p<0.001).</p> <p><b>Conclusions</b>: Multiple health education sessions complemented by frequent household visits by health volunteers can effectively improve knowledge on hypertension and reduce blood pressure among uncontrolled hypertensive patients at the community level in Nepal. </p> <p><b>Keywords:</b> Hypertension; Blood pressure; Systolic Blood Pressure; Diastolic Blood Pressure; Cardiovascular disease; Health Education; Home Support</p> <p><b>Trial Registration: </b>ClinicalTrial.gov: <span>NCT02981251</span></p>
Supplementary material 1 from: Scaccia N, Günther T, Lopez de Abechuco E, Filter M (2021) The Glossaryfication Web Service: an automated glossary creation tool to support the One Health community. Research Ideas and Outcomes 7: e70183. https://doi.org/10.3897/rio.7.e70183
The Glossaryfication Web Service: an automated glossary creation tool to support the One Health community
Effectiveness of an HIV-adapted IMCI Training and Supervision Programme for Community Health Workers
ClinicalTrials.gov study NCT01774136. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Exergaming for Health: Impact of a Community-Based Active Video Gaming Curriculum in Pediatric Weight Management
ClinicalTrials.gov study NCT02436330. IPD Sharing: Not stated. Countries: 0. Publications: 47.
A Community-based Family Holistic Health Promotion Project in Hong Kong: A Cluster Randomized Controlled Trial (cRCT)
ClinicalTrials.gov study NCT02866773. IPD Sharing: NO. Countries: 1. Publications: 4.
Community Health Workers and Precision Medicine
ClinicalTrials.gov study NCT04843332. IPD Sharing: NO. Countries: 1. Publications: 4.
Project to Use Community Health Workers to Reduce Maternal Deaths
ClinicalTrials.gov study NCT03024905. IPD Sharing: NO. Countries: 1. Publications: 1.
Implementing Mental Health Programs Across Communities in Iowa & Indiana for Transformation
ClinicalTrials.gov study NCT06575894. IPD Sharing: YES. Countries: 0. Publications: 1.
Task Sharing Counseling Intervention by Community Health Workers for Prenatal Depression in South Africa
ClinicalTrials.gov study NCT01977326. IPD Sharing: Not stated. Countries: 1. Publications: 5.
The Influence of Qigong Wuqinxi on Health Status of the Community-Dwelling Older Adults
ClinicalTrials.gov study NCT05462197. IPD Sharing: NO. Countries: 1. Publications: 3.
CHV-NEO: Community-based Digital Communication to Support Neonatal Health
ClinicalTrials.gov study NCT05187897. IPD Sharing: YES. Countries: 1. Publications: 1.
Integrating Community Health Workers to Improve Diabetes Prevention
ClinicalTrials.gov study NCT03006666. IPD Sharing: Not stated. Countries: 1. Publications: 2.
Leading Advancements in the Uptake of Newborn Community Health
ClinicalTrials.gov study NCT05111899. IPD Sharing: UNDECIDED. Countries: 1. Publications: 1.
Community Park-Based Programs for Health Promotion: Active Older Adults Prospective Cohort Study
ClinicalTrials.gov study NCT06604650. IPD Sharing: NO. Countries: 1. Publications: 2.
Syrian Refugee Young Adults as Community Mental Health Workers-Lebanon
ClinicalTrials.gov study NCT05265611. IPD Sharing: YES. Countries: 1. Publications: 2.
T1DTechCHW: Enhancing the Community Health Worker Model to Promote Diabetes Technology Use in Young Adults From Underrepresented Minority Groups
ClinicalTrials.gov study NCT05211869. IPD Sharing: NO. Countries: 1. Publications: 23.
ScienceDex guides
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These curated guides explain access requirements, typical timelines, costs, and reuse considerations for widely used research datasets.
Allen Brain Atlas
Allen Brain Atlas is an Allen Institute collection of brain map atlases, datasets, APIs, and analysis tools covering mouse, human, and non-human primate brain resources.
Annotated Behaviour and Observability Dataset (ABODe)
ABODe is a University of Edinburgh DataShare dataset for behavior classification in group-housed mice using home-cage video, identities, bounding boxes, ground-plate positions, and annotator labels.
DANDI Archive for NWB datasets
DANDI is a BRAIN Initiative archive for publishing and sharing neurophysiology data, including electrophysiology, optophysiology, and behavioral data packaged as NWB and related standards.
International Brain Laboratory public data
The International Brain Laboratory public data releases expose standardized mouse decision-making experiments, including Neuropixels recordings, widefield calcium imaging, behavior, and session metadata accessed through the ONE API.
OpenNeuro
OpenNeuro is a free, open platform for sharing neuroimaging datasets, with public search, dataset pages, and download paths for web, S3, DataLad, and the OpenNeuro CLI.