Ethiopian Journal of Health Development最新文献

{"title":"Evaluation of the effectiveness of research and innovative activities of medical universities and research organizations of the Republic of Kazakhstan","authors":"V. Koikov, A. Akanov, A. Abduazhitova, A. Aubakirova, D. Otargalieva","doi":"10.32921/2225-9929-2021-1-41-4-21","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-1-41-4-21","url":null,"abstract":"Despite the existing achievements of individual organizations, the effectiveness of the majority of Kazakhstani medical universities and research organizations continues to remain at a low level. By order of the Ministry of Health of the Republic of Kazakhstan dated December 23, 2020 №ҚР DSM-316/2020, the rules for assessing the effectiveness of research and innovative activities (RIA) were approved. As part of the implementation of the new Rules for assessing RIA, we assessed the performance of RIA of medical universities and reaearch organizations of the Republic of Kazakhstan for 2020, as well as an assessment of the dynamics of key indicators of RIA for the period from 2018 to 2020. When evaluating RIA of medical universities and resraerch organizations, the following key indicators were taken into account: The volume of profit from scientific research, The number of publications in the Web of Science (WoS), Scopus, Springer, Citation of scientific works, The number of patents and other titles of protection (in which, as a patent holder the organization itself is indicated), The level of commercialization of the RIA results, The level of participation in international conferences and forums. The assessment of the effectiveness of the RIA of Kazakhstani medical universities, research organizations over the past 3 years has revealed such positive aspects as an increase in the number of articles published annually in scientific journals indexed in authoritative databases by 44.4%, an increase in the share of publications of Kazakhstani authors in high-ranking journals (Q1-Q2) from 25.6% to 48.8%, an increase in the share of employees with the Hirsch index according to WoS / Scopus - from 7.7% to 10.2%, an increase in the average Hirsch index according to WoS / Scopus - from 0.15 to 0.18, an increase in the patent activity medical universities and research organizations - by 17.8%, an increase in the volume of profit received annually from the commercialization of research results - by 99.7%. On the other hand, there is a low activity of a fairly large share of domestic medical universities and research organizations in the field of science in terms of individual indicators. Taking into account the results of the study, further steps were proposed for the development of medical science in the Republic of Kazakhstan, as well as measures, the implementation of which is required at the level of medical universities and research organizations. Keywords: scientific and innovative activities, indicators of science, rating, medical science","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":"18 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88073062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the Quality of Life of Glaucoma Patients In Kazakhstan (on the Example of Balkhash)","authors":"Saltanat Makhanova, Raushan Sekenova","doi":"10.32921/2225-9929-2021-2-42-52-62","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-2-42-52-62","url":null,"abstract":"The purpose of the study: analysis and assessment of the quality of life of glaucoma patients in Kazakhstan on the example of Balkhash. Methods. The study was conducted on the basis of the municipal state institution (KSU) \"Polyclinic No. 2\" of the city of Balkhash, Karaganda region in the period from 2019 to 2020. The study involved 46 men and 74 women. The average age of the respondents was ≥64 years. To determine the quality of life of glaucoma patients, we conducted a questionnaire compiled by ourselves and the NEI VFQ-25 questionnaire. The respondents were conditionally divided into three groups: group 1-patients who receive only conservative treatment; group 2 – patients who underwent laser correction in parallel with conservative treatment; group 3-patients who, in addition to previous types of treatment, were operated on. Results. Among the comparison groups, the values of indicators of dependence on the help of others (23.7) and role difficulties (23.9) and social activity (81.6) were significantly lower in patients receiving only conservative treatment. In this group, along with the physical and mental components, it was found that the gap in visual indicators is up to 4 times. Conclusions. The results of the study show that in glaucoma patients receiving only conservative treatment, the quality of life is low compared to the control groups according to all indicators of the scales. A significant impact on the decrease in the quality of life of patients receiving conservative treatment is caused by the discomfort associated with regular use of drugs prescribed for glaucoma and their side effects. Keywords: glaucoma, quality of life, NEI VFQ-256 questionnaire, Kazakhstan.","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":"250 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75059079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the World Experience of Functioning of Medico-Rescue Systems for Providing Emergency Medical Care to Victims in Emergency Conditions on the Roads of the Republic Significance","authors":"Assemgul Sisenova, A. Ismailova","doi":"10.32921/2225-9929-2021-4-44-62-68","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-4-44-62-68","url":null,"abstract":"Purpose of the study. To analyze the world experience of the functioning of medical and rescue systems for providing emergency medical care to victims in emergency situations on the highways of republican significance. The study included publications from the MEDLINE, CyberLeninka, eLIBRARY.RU databases, regulatory documentation on the provision of EMF. We analyzed studies published over the past 5 years. All other articles have been deleted.Experience shows that the lives of victims often depend on the kind of assistance they will receive in the first minutes after an accident, which directly depends on the speed of response and the experience of providing medical assistance by the teams of the route-medical rescue center.Considering the importance of preventing and reducing deaths due to an emergency on the highways of republican significance, the article presents an analysis of the literature, revealing the experience of the functioning of medical rescue systems for providing emergency medical care to victims in road traffic accidents.Further improvement of the disaster medicine service for the provision of emergency medical care is one of the most important conditions for ensuring the preservation and strengthening of the health of the population of the Republic of Kazakhstan","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":"436 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78783602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmacoeconomic Analysis of Use of Parenteral Nutrition Medications in Kazakhstan's Health System’s Conditions","authors":"G. Zagidullina, Anar Zhussupova, Zaid Zholdassоv, A. Tabarov, Z. Salpynov","doi":"10.32921/2225-9929-2021-2-42-41-51","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-2-42-41-51","url":null,"abstract":"Objective: To study the clinical effectiveness, safety, and cost-effectiveness of parenteral nutrition medications. Methods. A modelling and a cost-effectiveness assessment were applied concerning the use of the NuTRIflex Lipid group medications. A comparative analysis of the parenteral nutrition medications’ effectiveness was performed, using cost-minimization, missed opportunities and budget impact analyses. The analysis was carried out by modelling in MS Excel Software. Results. The cost-minimization analysis demonstrated that NuTRIflex medications (NuTRIflex Lipid plus, NuTRIflex Lipid Special) were the least expensive options of parenteral nutrition for a minimum level of a daily dose’s cost as well as for a minimum level of costs for side-effects elimination. Based on the results of the missed opportunities analysis, the use of NuTRIflex Lipid peri medication will provide 55.8% (without side effects consideration) and 85.4% (with side effects consideration) more patients with parenteral nutrition, than that of Oliclinomel N4-550 E. From a payer’s perspective in the healthcare system, the budget impact analysis showed that the use of NuTRIflex Lipid peri will save costs equaling to 2.1 billion tenge versus Oliclinomel N4-550 E (on the assumption that side effects take place). Conclusion. It is impossible to make a definite conclusion on the superiority of NuTRIflex Lipid’s clinical effectiveness and safety over Oliclinomel and vice versa, since there are no direct comparative studies, assessing clinical effectiveness and safety in evidence-based medicine databases. More patients will receive parenteral nutrition if the NuTRIflex Lipid medication is used compared with the use of Oliclinomel, and it would be cost-saving from a payer’s perspective in Kazakhstan’s health system. Keywords: Nutritional support, parenteral nutrition, cost-minimization analysis, missed opportunity, budget impact analysis","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":"13 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82846065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Benefits of Functioning as a Mentor for Nurse Students in the Republic of Kazakhstan - Discussion Paper Based on Current Literature","authors":"M. Merasto, Annina Kangas-Niemi, Eveliina Kivinen","doi":"10.32921/2225-9929-2021-1-41-22-30","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-1-41-22-30","url":null,"abstract":"The aim of the study: The aim of this discussion paper is to identify and provide an overview of the benefits of mentorship for the mentor of nurse students and describe the facilitators and barriers the nurse mentors encounter in their mentorship activities during nurse students' clinical practice. Methods: The databases CINAHL, Medline, Pub Med and Science Direct from 2016-2021 were searched. The studies were screened by title, abstract and full text. 25 studies met the inclusion criteria. Results: Eight key themes emerged from the included studies. These theme areas were as follows; 1) being a role model, 2) recognition of role value and esteem, 3) keeping up to date, 4) student attributes, 5) colleague attributes, 6) time challenges, 7) location challenges and 8) lack of financial remuneration. The findings revealed nurse mentors experiencing knowledge transfer and facilitating students’ learning as major benefits of mentoring. Being a role model was reported in many of the selected articles. The mentoring role promoted the overall clinical quality, patient safety, and additionally made nurse mentors feel valued. Overall “lack of time” was referred several times as a barrier and frustrating element in the mentor’s work. Conclusions: Mentors have an important role and should be acknowledged as one of the cornerstones of quality nursing education. The findings highlight the significant benefits of mentoring from the mentor’s perspective. In the Republic of Kazakhstan, the goal is to develop the mentoring of nurse students and to train more competent mentors in the coming years. It is important to point out that mentoring has multiple benefits for the mentor, the student, the work community, and the health care organization as well as for nursing education. Research in these areas is important when developing mentoring nationwide. Keywords: education, Kazakhstan, mentor, mentoring, nurses, students, nursing.","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":"63 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77234311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of a Knowledge Translation Platform for Institutionalizing Evidence-Informed Policy-making in the National Health System","authors":"V. Koikov","doi":"10.32921/2225-9929-2021-3-43-4-12","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-3-43-4-12","url":null,"abstract":"The creation of sustainable health systems that contribute to the improvement, maintenance and restoration of human health, as well as the well-being of present and future generations is an urgent and important task for most low and middle income countries, including Kazakhstan. The COVID-19 pandemic is challenging health systems and requires effective action to effectively respond to existing and emerging public health challenges. The experience of many countries indicates that the success of EIP implementation is largely related to the creation of an effective platform for translation the best evidence to the field of health policy making - the Knowledge Translation Platform (KTP).This review includes an analysis of existing approaches to institutionalizing EIP in the national health system and selection of the optimal model for Kazakhstan.A review of international experience shows that KTP is a nationally functioning structure designed to create and develop links between researchers, policy makers and other users of research results. KTP can be localized in different ways, and the organization of KTP activities can take several different forms. There are a number of positive examples of the establishment of KTP in Lebanon, Brazil, Chile, Zambia, Malawi and other countries.For the Republic of Kazakhstan, a model for the creation of the KTP - Knowledge4Policy - is proposed on the basis of the Salidat Kairbekova National Scientific Center for Healthcare Development. This platform should be formed in close cooperation with medical universities, research institutes, scientific centers and NGOs and is designed to become a leading center for strengthening public policy and practice in the field of health.The functioning of this platform on the basis of close interaction with all key stakeholders is designed to ensure the active transfer of the results of scientific research and development of Kazakhstani and foreign researchers into the field of health policy formation, as well as, in turn, the timely addressing of policy makers' requests to those organizations that conduct research and developments.All this will make it possible to accelerate and improve the efficiency of reforms in the industry, transparency of decisions and the consistency of developed and implemented measures, timely response of the health care system to existing and future challenges to public health, which, ultimately, should ensure a reduction in preventable human losses, material and financial resources at all levels of the national health system and increase the likelihood of long-term public health success.","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":"8 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82513367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the Effectiveness of Implemented State Programs in the Healthcare Sector of Kazakhstan","authors":"A. Orazymbetova, Galiya Sultanbekova","doi":"10.32921/2225-9929-2021-2-42-32-40","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-2-42-32-40","url":null,"abstract":"The aim: evaluate the effectiveness of the implemented state programs in the field of healthcare in Kazakhstan. Methods. The paper analyzes 4 state programs for the development of the healthcare system implemented in the years of independence of Kazakhstan and describes preliminary data on the program - \"State Program for the Development of Healthcare of the Republic of Kazakhstan for 2020-2025\". Results. As a result of the implementation of the state programs \"Healthy Nation\", the state programs for 2005-2010, \"Salamatty Kazakhstan\", \"Densaulyk\", maternal mortality decreased by 3,3 times, infant mortality decreased by 1,7 times, mortality from diseases of the circulatory system almost 3 times, mortality from malignant neoplasms by 1,4 times, mortality from tuberculosis by 8,4 times, as a result, life expectancy increased by 6,96 years and reached 73,18 years. Conclusion. Over the years of implementation of health development programs of the Republic of Kazakhstan, there has been a positive trend in indicators that characterize the health of the population, which in turn contributes to improving the quality and increasing the life expectancy of the country's population. Basic health indicators have been improved and health funding has been increased. However, despite these results, life expectancy and funding remain low compared to other countries. Keywords: state programs, strategic planning, healthcare system, Kazakhstan","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":"9 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78643412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systems for Risk Identification as a Stage of Healthcare Risk Management","authors":"Gaukhar Alzhaxina, Gulnara Kurenkeyeva","doi":"10.32921/2225-9929-2021-1-41-31-38","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-1-41-31-38","url":null,"abstract":"The relevance of studying the issues of risk management is also associated with environmental changes, both external and internal. In connection with the COVID-19 pandemic, healthcare organizations faced new risks related to the safety of patients and staff, the activities of the healthcare organization itself in the context of the spread of a global, previously unknown infection. The article discusses approaches to methods of identifying risks associated with medical activities in the system of Kazakhstan and foreign healthcare. Keywords: Health care system, Risk Management, Patient Safety, Incident, Incident report","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":"27 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84141999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Voluntary Vaccination Against COVID-19 in Kazakhstan: Opinion of the population","authors":"G. Orazova, Aidos K. Bolatov, Yelena Gudym, Zhanar Zhamiyeva","doi":"10.32921/2225-9929-2021-3-43-48-53","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-3-43-48-53","url":null,"abstract":"The aim of the study: to assess the attitude of the population of the Republic of Kazakhstan to voluntary vaccination against COVID-19.Methods. The study is based on the results of a sociological survey conducted by the authors from March to May 2021. The survey was conducted among residents who have not been vaccinated against COVID-19. The total number of respondents is 252, of which 60.7% (n = 153) are women and 39.4% (n = 99) are men. The average age of the respondents was 31.7 ± 12.5.Results. In total 84.5% of respondents did not agree to receive the vaccine, and 8.3% found it difficult to answer. According to our data, 38% of respondents believe that the effectiveness of vaccination is not fully proven, and 31% are sure that vaccines against COVID-19 are harmful to human health. 17% of the respondents noted that information about the vaccine was not available, most of which were from the rural population.Conclusions. Advocacy for COVID-19 vaccination is not available to the public, especially in rural areas. We hypothesize that the main reason for the rejection of voluntary vaccination is that the majority of the population believes that the effectiveness of vaccines against COVID-19 is incompletely proven and they can be harmful to health. Requires a wide range of active public awareness activities by health organizations and various public organizations to increase public confidence in COVID-19 vaccine prevention","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":"27 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91092459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Professional Standards in Regulating the Professional Activities of Healthcare Professionals","authors":"V. Koikov","doi":"10.32921/2225-9929-2021-2-42-4-19","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-2-42-4-19","url":null,"abstract":"This review is devoted to the analysis of the existing shortcomings in the sectoral qualifications system and the development of suggestions for improving the mechanisms for regulating the professional activities of healthcare professionals in the Republic of Kazakhstan. The main problems in the development of human resources for health care that require a systemic solution include the lack of compliance of training programs and the system of continuous professional development of workers in the industry, a system for assessing professional readiness and admission of health professionals for practical activities to the needs of practical health care, the lack of a clear delineation of the competencies of health professionals by levels qualifications. The above problems are based on the imperfection of the Sectoral Qualifications System due to the absence of the Sectoral Qualifications Framework (covering all professions and professional activities in the health sector) and professional standards (regulating in detail for each qualification level all those labor functions and professional tasks that are necessary for those working in the industry. specialists, as well as the skills, knowledge, and even personal competencies required for this). The implementation of professional standards in the development of educational programs at all levels of education, in the activities of organizations that assess the professional readinesss of healthcare professionals, in the personnel policy of the health system, regions and medical organizations, will ensure that the competencies of graduates of educational programs and specialists working in the health sector correspond to the real needs of practical healthcare. All this will make it possible to achieve greater labor productivity of healthcare professionals, improve the quality of medical and other services provided, reduce the costs of recruiting and enhance the competitiveness of both specialists working in healthcare organizations. Keywords: sectoral qualifications system, professional standards, healthcare professionals","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":"12 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79702655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}