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How the Learning Disabilities Cause Psychosocial Problems among children in South Sudan: A Case of Jamjang Refugee Camps 学习障碍如何导致南苏丹儿童的社会心理问题:贾姆詹难民营案例
Pub Date : 2024-01-31 DOI: 10.21522/tijar.2014.11.01.art016
Abraham Ngor Achiek, James Selugo
The study on the learning disabilities and associated psychosocial problems among children in South Sudan started in 2022 to 2024. The deepening loneliness and vulnerability of the children with the learning disabilities that influence the psychosocial problems among children resulted from the conflict in Sudan, which scattered families, social fabric, community structures, and pushed the families to seek international protection. The families have limited access to livelihood and highly dependent on relief services that exacerbate the situation for nurturing children. The study aimed at ascertaining the presence of the learning disabilities, associated psychosocial problems and the ways to mitigate and address a growing phenomenon among refugee children in Jamjang camps. The study employed qualitative, quantitative, and ethnographical/anthropological method to explore the growing phenomenon. The tools used in the design includes questionnaires, interviews, and observations. The study ascertained the presence of the learning disabilities among children which consists of dyslexia, dysgraphia, dyscalculia, attention deficit hyperactivity disorder, auditory processing disorder, visual and perceptual disorder. These conditions were manifested in deficiency to write, spell, comprehend, articulate written point, grammatical errors, arithmetic calculation, and inattention. The study confirmed how the learning disabilities cause the psychosocial problems which includes low self-esteem, lack of confidence, anxiety, depression, posttraumatic stress disorder, bully, stigma, and neglect. The finding confirmed the phenomenon can be addressed through mental health support, multisensory approaches, and Skinner’s Operant conditioning theory; Cognitive Behavioral theory of Bandura are crucial in reducing the adverse effects of the phenomenon. Keywords: Anxiety, Dyslexia, Depression, Dysgraphia, Learning Disabilities, Psychosocial.
关于南苏丹儿童学习障碍和相关社会心理问题的研究始于 2022 年至 2024 年。苏丹冲突导致学习障碍儿童的孤独感和脆弱性加深,影响了儿童的社会心理问题,冲突使家庭、社会结构和社区结构分散,迫使这些家庭寻求国际保护。这些家庭获得生计的机会有限,高度依赖救济服务,这加剧了养育儿童的状况。本研究旨在确定学习障碍的存在情况、相关的社会心理问题以及缓解和解决贾姆让难民营中日益严重的儿童学习障碍现象的方法。研究采用了定性、定量和人种学/人类学方法来探讨这一日益严重的现象。设计中使用的工具包括问卷调查、访谈和观察。研究确定了儿童中存在的学习障碍,包括阅读障碍、书写障碍、计算障碍、注意力缺陷多动障碍、听觉处理障碍、视觉和知觉障碍。这些病症表现为书写、拼写、理解、书面表达、语法错误、算术计算和注意力不集中。研究证实了学习障碍如何导致社会心理问题,包括自卑、缺乏自信、焦虑、抑郁、创伤后应激障碍、欺凌、耻辱和忽视。研究结果证实,可以通过心理健康支持、多感官方法、斯金纳的操作性条件反射理论和班杜拉的认知行为理论来解决这一现象,这些理论对于减少这一现象的不良影响至关重要。关键词焦虑、阅读障碍、抑郁、书写障碍、学习障碍、社会心理。
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引用次数: 0
The Essence of Monitoring and Evaluation Systems for Good Governance of Catholic Institutions in Zambia 赞比亚天主教机构善治监测与评估系统的本质
Pub Date : 2024-01-31 DOI: 10.21522/tijar.2014.11.01.art010
Jonas Phiri
Monitoring and evaluation (M&E) are a process that involves collecting and analysing data to measure progress toward achieving specific goals and objectives. This process helps organisations to identify what is working and what is not and to make informed decisions on how to improve their programs and projects. This paper focuses on the necessity of M&E in Catholic institutions in Zambia, Lusaka in particular. It underscores the fact that there is no good governance in these institutions due to inadequate M&E mechanisms. The only means of M&E are meetings. The research was done in Lusaka District and some parts of Central Province. It was conducted in 7 institutions. The sample size was 257. There were 252 questionnaires which were administered purposively and randomly to those in the first line, middle and top leadership, and management positions, and 5 in-depth interviews were carried out purposively. It identifies the causes of poor governance as inadequate results-based M&E systems, deficient focus on Key Result Areas (KRAs) and Key Performance Indicators (KPIs), and irregular monitoring of institutional activities. The recommendations were that there was need to build capacity in the areas of performance management, stewardship approach to management (good governance), and to enhance M&E systems. Theoretically, the results can be generalised to all Catholic institutions in Zambia. Keywords: Catholic Institutions, Good Governance, Key Performance Indicators, Key Result Areas Monitoring and Evaluation, Stewardship.
监测与评估(M&E)是一个涉及收集和分析数据的过程,以衡量实现特定目标和目的的进展情况。这一过程有助于各组织确定哪些是有效的,哪些是无效的,并就如何改进其计划和项目做出明智的决策。本文重点论述了在赞比亚,特别是在卢萨卡的天主教机构中开展监测与评估的必要性。它强调了这样一个事实,即由于监测和评价机制不完善,这些机构没有良好的管理。M&E 的唯一手段就是开会。研究在卢萨卡区和中央省的部分地区进行。研究在 7 个机构进行。样本量为 257 份。对一线、中层和高层领导以及管理职位的人员有目的性地随机发放了 252 份调查问卷,并有目的性地进行了 5 次深入访谈。报告指出,管理不善的原因是基于结果的监测和评价系统不完善、对关键成果领域(KRA)和关键绩效指标(KPI)重视不够以及对机构活动的监测不规范。提出的建议是,需要在绩效管理、管理指导方法(善治)和加强监测与评估系统等领域进行能力建设。从理论上讲,这些结果可以推广到赞比亚的所有天主教机构。关键词天主教机构、善治、关键绩效指标、关键成果领域、监测与评估、管理。
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引用次数: 0
Factors Affecting Skill Acquisition during Clinical Learning Among Preservice Registered Nursing Students at Levy Mwanawasa Medical University in Lusaka, Zambia 影响赞比亚卢萨卡利维姆瓦纳瓦萨医科大学在职注册护理学生在临床学习中掌握技能的因素
Pub Date : 2024-01-31 DOI: 10.21522/tijar.2014.11.01.art008
Roseline Tambo, Marjorie Kabinga Makukula, Namayipo Nankamba
Clinical learning is integral to nursing education, essential for the competence development required in a three-year diploma program. This research aimed to investigate factors affecting skill acquisition during clinical learning among preservice Registered Nursing students at Levy Mwanawasa Medical University in Lusaka, Zambia. A cross-sectional descriptive design, employing a self-administered adapted questionnaire pretested for reliability in the UK and Swaziland (Cronbach’s alpha: 0.77–0.96, correlation: 0.74) was used. Stratified random sampling based on training level selected 80 participants meeting inclusion criteria through a random sampling method. Data analysis included descriptive statistics, chi-square tests, and binary logistic regression using SPSS version 26, with a 95% confidence interval and 5% significance level. The study identified four predictors significantly correlated with skill acquisition during clinical learning: inadequate supportive learning environment (100%, n=80, p=0.003), inadequate Student-Patients allocation (83.75%, p=0.048), and inadequate Resources (56.25%, p=0.002), and inadequate motivation to learn (51.25%, p=0.037). Incompetence of clinical instructors and mentors (57.5%, p=0.233) and mild Anxiety (85%, p=0.762). Binary Logistic Regression, adjusted for independent variables, indicated that an improved supportive learning environment decreased skill acquisition odds (Odds Ratio=0.049, p=0.025), while increased resource availability raised odds (Odds Ratio=3.338, p=0.01) for students who perceived these variables as inadequate. The omnibus test was significant (chi-square=14.095, p=0.015), accurately classifying 72.5% of cases. Collaboration among educators, clinical staff, and policymakers is crucial for enhancing nursing education quality by addressing factors affecting clinical skills acquisition. Keywords: Anxiety, clinical learning, competence of clinical instructors and mentors, resources, skill acquisition, supportive learning environment.
临床学习是护理教育不可或缺的一部分,对三年制文凭课程所要求的能力发展至关重要。本研究旨在调查影响赞比亚卢萨卡利维姆瓦纳瓦萨医科大学注册护理专业职前学生在临床学习中掌握技能的因素。研究采用了横断面描述性设计,使用了在英国和斯威士兰经过可靠性预先测试的自填式改编问卷(Cronbach's alpha:0.77-0.96,相关性:0.74)。根据培训水平进行分层随机抽样,通过随机抽样方法选出了 80 名符合纳入标准的参与者。数据分析包括描述性统计、卡方检验和二元逻辑回归(使用 SPSS 26 版),置信区间为 95%,显著性水平为 5%。研究发现了四个与临床学习过程中技能掌握明显相关的预测因素:支持性学习环境不足(100%,n=80,p=0.003)、学生与患者分配不足(83.75%,p=0.048)、资源不足(56.25%,p=0.002)和学习动机不足(51.25%,p=0.037)。临床教师和导师不称职(57.5%,p=0.233)和轻度焦虑(85%,p=0.762)。对自变量进行调整后的二元逻辑回归表明,对于认为这些变量不足的学生而言,支持性学习环境的改善降低了技能掌握几率(Odds Ratio=0.049,p=0.025),而资源可用性的增加提高了几率(Odds Ratio=3.338,p=0.01)。综合测试结果显示(chi-square=14.095,p=0.015),72.5%的病例被准确分类。教育者、临床工作人员和政策制定者之间的合作对于通过解决影响临床技能掌握的因素来提高护理教育质量至关重要。关键词:焦虑;临床学习;能力焦虑、临床学习、临床教师和导师的能力、资源、技能掌握、支持性学习环境。
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引用次数: 0
https://www.texilajournal.com/academic-research/article/2443-statistical-investigation-of https://www.texilajournal.com/academic-research/article/2443-statistical-investigation-of
Pub Date : 2024-01-31 DOI: 10.21522/tijar.2014.11.01.art005
Grace Eleojo Abalaka, Toyese Yinusa Agbaje
Due to the COVID-19 pandemic in 2019/2020, employees worldwide started the working from home (WFH) job pattern which required public sector organizational leaders to deal with problems arising from management of remote working staffs that were overwhelmed with trying to place a dividing line between their jobs and place of residence alongside learning new skills. This study is a descriptive, analytical, and explanatory cross-sectional survey utilizing both qualitative and quantitative data to determine the policies and processes that existed in State public sector organizations for the management of employees during an emergency such as COVID-19 that required remote working as well as their training requirements. Fifty-four public sector organizations participated in the study. Data collected from 54 in-depth interviews of organizational heads and questionnaire administered to 50 human resource managers revealed that availability of WFH policies and guidelines is significantly associated with self-confidence to engage employees remotely. Factors like availability of resources, ICT proficiency, flexibility, work-life balance, virtual platforms, and project management tools proficiencies influence effectiveness of engaging remote work in the public sector. This study revealed that 64% of public sector administrators require additional trainings for effective staff engagement. When organizational executives and HR managers successfully practice employee engagement, staff are enabled to create personal schedules that balance their jobs and lifestyle in the novel post-COVID-19 WFH realities. Such practices are likewise advantageous to organizations as staffs WFH would experience improved health and productivity thus lessening expenses associated with absenteeism and staff turnovers as well as augmenting corporate advancements. Keywords: Employee Engagement, SHRM Policies, WFH, COVID-19.
由于 2019/2020 年的 COVID-19 大流行,世界各地的员工开始采用在家工作(WFH)的工作模式,这就要求公共部门组织的领导者处理远程工作员工的管理问题,这些员工在学习新技能的同时,还要努力在工作和居住地之间划清界限,不堪重负。本研究是一项描述性、分析性和解释性的横断面调查,利用定性和定量数据来确定国家公共部门组织在 COVID-19 等需要远程工作的紧急情况下管理员工的政策和流程,以及他们的培训要求。54 个公共部门组织参与了这项研究。从对 54 名组织负责人的深入访谈和对 50 名人力资源管理人员的问卷调查中收集到的数据显示,全职家庭政策和指导方针的可用性与员工远程工作的自信心有很大关系。资源的可用性、信息和通信技术的熟练程度、灵活性、工作与生活的平衡、虚拟平台和项目管理工具的熟练程度等因素影响着公共部门远程工作的有效性。这项研究显示,64% 的公共部门管理者需要额外的培训才能有效促进员工参与。当组织高管和人力资源经理成功实践员工参与时,员工就能制定个人日程表,在《19 世纪职业发展与全职家庭》之后的新现实中平衡工作和生活方式。这种做法对组织同样有利,因为员工全职在家会提高健康水平和工作效率,从而减少缺勤和员工流失带来的开支,并促进企业进步。关键词员工参与、SHRM 政策、WFH、COVID-19。
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引用次数: 0
Topological Relation Aware Transformer 拓扑关系感知变压器
Pub Date : 2024-01-31 DOI: 10.21522/tijar.2014.11.01.art015
Nathan Manzambi Ndongala
We present a Topological Relation Aware Transformer (T-RAT), a specialized head transformer to open sets, an element of the topology τ generated by the set S, the set of all pre-existing relations between input tokens of the model. From this topological space (S, τ), we present the way to spread each open set to one head of our Transformer. T-RAT improves exact match accuracy in Text-To-SQL challenge (62.09%) without any enhancement of large language models compared to the baseline models RAT-SQL (57.2%) and Light RAT-SQL (60.25%). Keywords: Deep learning, Natural Language Processing, Neural Semantic Parsing, Relation Aware Transformer, RAT-SQL, Text-To-SQL Transformer.
我们提出了拓扑关系感知变换器(T-RAT),这是一个专门用于开放集的头部变换器,开放集是由集合 S 生成的拓扑结构 τ 中的一个元素,集合 S 是模型输入标记之间所有已有关系的集合。从这个拓扑空间(S,τ)中,我们提出了将每个开放集扩散到转换器的一个头部的方法。与基线模型 RAT-SQL (57.2%) 和 Light RAT-SQL (60.25%) 相比,T-RAT 提高了 Text-To-SQL 挑战赛中的精确匹配准确率(62.09%),而无需增强大型语言模型。关键词深度学习、自然语言处理、神经语义解析、关系感知转换器、RAT-SQL、Text-To-SQL 转换器。
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引用次数: 0
https://www.texilajournal.com/academic-research/article/2441-analysis-of-health https://www.texilajournal.com/academic-research/article/2441-analysis-of-health
Pub Date : 2024-01-31 DOI: 10.21522/tijar.2014.11.01.art003
Edson Chipalo, Ikenna Obasi Odii
Digital sexual violence correlates with cyberbullying victimization, leading to the manifestation of psychological distress and diverse forms of suicidality such as thoughts, attempts, and self-harm. The purpose of this study was to examine the prevalence and association between exposure to digital sexual violence and mental health outcomes (i.e., mental distress and suicide risk) for boys and girls aged 13 to 24 in Namibia. This cross-sectional study utilized national data from the 2019 Namibia Violence Against Children and Youth Survey (VACS) involving 5,191 participants, with 4,211 being girls and 980 boys. Chi-square tests were used to determine the prevalence estimates and significant association for bivariate, and two logistic regression models were applied to assess the significant association for multivariate. The prevalence results indicated that exposure to digital sexual violence was associated with higher rates of moderate/severe mental distress in the past 30 days (boys [64.5%] vs. girls [65.2%]) and increased lifetime risk of suicide (boys [27.4%] vs. girls [40.1%]). Similarly, regression results showed that exposure to digital sexual violence was associated with a higher likelihood of reporting moderate/severe mental distress in the past 30 days (boys: 95% CI = 4.67-22.09; girls: 95% CI =2.75-4.88) and a lifetime risk of suicide (boys: 95% CI =2.16-10.63; girls: 95% CI = 2.68-4.75). In order to reduce mental distress and suicide risk behaviors, interventions should include implementing a safer online environment through digital literacy programs, reducing stigma, offering mental health counseling services, and establishing crisis hotlines for victims of digital sexual violence in Namibia. Keywords: Boys, Digital sexual violence, Exposure, Girls, Mental distress, Namibia, Suicide risk.
数字性暴力与网络欺凌受害相关,会导致心理困扰和多种形式的自杀行为,如想法、企图和自残。本研究的目的是调查纳米比亚 13-24 岁男孩和女孩遭受数字性暴力和心理健康结果(即心理困扰和自杀风险)的发生率和相关性。这项横断面研究利用了2019年纳米比亚暴力侵害儿童和青少年调查(VACS)的全国数据,共有5191人参与,其中女孩4211人,男孩980人。采用卡方检验来确定流行率估计值和二元变量的显著关联,并采用两个逻辑回归模型来评估多元变量的显著关联。流行率结果表明,在过去 30 天内,遭受数字性暴力与较高的中度/严重精神痛苦率(男生 [64.5%] 与女生 [65.2%])和较高的终生自杀风险(男生 [27.4%] 与女生 [40.1%])相关。同样,回归结果显示,遭受数字性暴力与过去 30 天内报告中度/严重精神痛苦的可能性较高(男孩:95% CI = 4.67-22.09;女孩:95% CI =2.75-4.88)和终生自杀风险较高(男孩:95% CI =2.16-10.63;女孩:95% CI =2.68-4.75)有关。为了减少精神痛苦和自杀风险行为,干预措施应包括通过数字扫盲项目营造更安全的网络环境、减少耻辱感、提供心理健康咨询服务,以及为纳米比亚的数字性暴力受害者设立危机热线。关键词男孩 数字性暴力 暴露 女孩 心理困扰 纳米比亚 自杀风险
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引用次数: 0
https://www.texilajournal.com/academic-research/article/2452-research-output-and https://www.texilajournal.com/academic-research/article/2452-research-output-and
Pub Date : 2024-01-31 DOI: 10.21522/tijar.2014.11.01.art014
Jonas Phiri
The Church is a non-profit commonweal and service organization. She exists for the promotion of integral human development. She does this through her institutions of education, health, spiritual - pastoral and social welfare. However, most of these Catholic institutions are managed with insufficient strategic planning. As a result, low performance characterizes them. The focus of this paper is enhancing strategic planning for high - performance of Catholic institutions in Zambia. It underscores the need for strategic planning for efficient and effective management of Catholic institutions and identifies deficient proficiency because of inadequate strategic planning. The study was conducted in seven (7) institutions in Lusaka District and some parts of Central Province. The sample size was 257. There were 252 questionnaires which were administered purposively and randomly to first line, middle and top leadership, and management positions, and 5 in-depth interviews were purposively carried out. The research discovered that Catholic institutions were not proficient because they did not have a clear vision, precise policies and procedures, sufficient financial capacity and did not have the ability to adapt to changing times. Recommendations were made thus, to build capacity of leaders and managers in the areas of management audit, leadership and management development, and strategic management. Theoretically, the results can be generalised to all Catholic institutions in Zambia. Keywords: Catholic institutions, management audit, leadership and management development, Strategic planning, strategic management.
教会是一个非营利的公益和服务组织。她的存在是为了促进人类的全面发展。教会通过其教育、卫生、精神、牧养和社会福利机构来实现这一目标。然而,大多数天主教机构的管理都缺乏战略规划。因此,这些机构的绩效低下。本文的重点是加强战略规划,提高赞比亚天主教机构的绩效。它强调了对天主教机构进行高效和有效管理的战略规划的必要性,并指出了由于战略规划不足而导致的能力缺陷。这项研究在卢萨卡地区和中央省部分地区的七(7)所天主教机构中进行。样本数量为 257 份。对一线、中层和高层领导以及管理职位有针对性地随机发放了 252 份调查问卷,并有针对性地进行了 5 次深入访谈。研究发现,天主教机构之所以不精通,是因为它们没有明确的愿景、精确的政策和程序、充足的财政能力,也没有适应时代变化的能力。因此,提出了在管理审计、领导力和管理发展以及战略管理方面培养领导者和管理者能力的建议。从理论上讲,这些结果可以推广到赞比亚的所有天主教机构。关键词天主教机构、管理审计、领导力与管理发展、战略规划、战略管理。
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引用次数: 0
To Explore the Perceived Food Taboos during Pregnancy and their Relation to Maternal Nutrition and Health 探讨孕期食物禁忌认知及其与孕产妇营养健康的关系
Pub Date : 2023-08-30 DOI: 10.21522/tijar.2014.se.23.01.art006
Rabecca Kayumba
The purpose of this study was to explore perceived food taboos during pregnancy and their relation to maternal nutritional status and health outcomes. The study was guided by the following objectives: To investigate food taboos identified for pregnant women in Namwala District, to identify dietary taboos that were embraced by the Women and to highlight nutritional challenges related to dietary taboos during pregnancy. Descriptive research design was used as the framework for carrying out the study with an estimated population comprising pregnant women who attended and received antenatal services at various clinics. From this estimated population, a sample comprising 74 pregnant women was selected using Purposive sampling method. SPSS V25 was used to analyze the raw data descriptively. The results clearly showed widespread practice of food taboos during pregnancy and the main reason for adherence was culture. The following interventions were recommended: Developing a team of community care givers, with the inclusion of traditional leadership to help break the barrier of food taboos in maternal nutrition. The Ministry of Education can spearhead a curriculum with maternal nutritional education in the school curriculum as early as primary school level in order to discourage people from observing detrimental food taboos. Ante-natal Clinics should include awareness strategies and a Health Feeding Programme in order to provide nutritious meals to pregnant women whist attending antenatal, like School Health Nutrition (SHN) in schools. This strategy would increase ante-natal attendance with definite positive health outcomes among them, reduction in the number of Pre-term births in Zambia. Keywords: Antenatal, Community, Culture, Feeding, Health, Maternal, Nutrition, Taboos.
本研究的目的是探讨怀孕期间的食物禁忌及其与产妇营养状况和健康结果的关系。该研究以以下目标为指导:调查Namwala区孕妇的食物禁忌,确定妇女接受的饮食禁忌,并强调与怀孕期间饮食禁忌相关的营养挑战。使用描述性研究设计作为开展研究的框架,估计人口包括在不同诊所就诊并接受产前服务的孕妇。从估计的人群中,采用目的抽样方法选取74名孕妇作为样本。采用SPSS V25对原始数据进行描述性分析。研究结果清楚地表明,怀孕期间普遍存在食物禁忌,而遵守禁忌的主要原因是文化。建议采取以下干预措施:建立一个社区护理人员团队,包括传统领导,以帮助打破产妇营养中的食物禁忌障碍。教育部可以早在小学阶段就率先在学校课程中开设产妇营养教育课程,以劝阻人们遵守有害的食物禁忌。产前诊所应包括提高认识战略和保健喂养方案,以便向参加产前检查的孕妇提供营养膳食,如在学校提供学校保健营养。这一战略将增加产前护理,其中肯定会产生积极的健康结果,减少赞比亚的早产数量。关键词:产前,社区,文化,喂养,健康,产妇,营养,禁忌。
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引用次数: 0
Determinants of Antituberculosis Drug Acceptability among Children with Tuberculosis in Osun State Nigeria 尼日利亚奥松州结核病儿童抗结核药物可接受性的决定因素
Pub Date : 2023-08-30 DOI: 10.21522/tijar.2014.se.23.01.art005
O. Chijioke-Akaniro
Acceptability of antituberculosis drugs by affected caregivers and children is key to disease elimination. This is affected by many factors including drug, patients, and health institution-related factors. This study aims to assess the influence of the introduction of dispersible formulation on acceptability of antituberculosis drugs. A historical cohort design was used to assess and compare the acceptability of old loose non-dispersible and new dispersible antituberculosis drugs, using a convergent parallel mixed method of data collection. Determinants of tuberculosis drug acceptability were assessed using binary logistic regression. The findings were triangulated with results from the qualitative data. The rate of acceptability of the new dispersible formulation, 112 (88.2%) was significantly higher than the rate of acceptability of old loose non-dispersible drugs, 13 (10.5%), p<0.001. The median age of children with good acceptability, 7.0 (4.0 – 10.0) years was significantly lower than those with poor acceptability, 10.0 (8.0 – 13.0) years, p <0.001. Drug formulation was a significant predictor of acceptability; the fixed-dose dispersible drug had a higher probability of being acceptable relative to lose non-dispersible formulation, (Odd Ratio = 62.3, p <0.001, 95% CI= 25.3 – 153.3). The qualitative data showed that health education about tuberculosis has positive influences on drug acceptability. In conclusion, the formulation of drugs is a key factor in the acceptability of antituberculosis drugs. Hence, there is a need to further promote the recently introduced child-friendly antituberculosis drugs, coupled with strengthening the health education of caregivers to achieve tuberculosis elimination. Keywords: Antituberculosis, Acceptability, Fixed-Dose Combination, Dispersible, Tuberculosis.
受影响的护理人员和儿童接受抗结核药物是消除疾病的关键。这受到许多因素的影响,包括药物、患者和卫生机构相关因素。本研究旨在评估分散剂型的引入对抗结核药物可接受性的影响。采用历史队列设计,采用趋同平行混合数据收集方法,评估和比较旧的松散非分散性抗结核药物和新的分散性抗结核药物的可接受性。采用二元逻辑回归评估结核药物可接受性的决定因素。这些发现与定性数据的结果进行了三角测量。新分散制剂的合格率为112(88.2%),显著高于旧松散非分散制剂的合格率13 (10.5%),p<0.001。可接受性较好的患儿中位年龄7.0(4.0 ~ 10.0)岁显著低于可接受性较差的患儿中位年龄10.0(8.0 ~ 13.0)岁,p <0.001。药物配方是可接受性的显著预测因子;与非分散制剂相比,固定剂量分散制剂被接受的概率更高(奇比= 62.3,p <0.001, 95% CI= 25.3 ~ 153.3)。定性数据表明,结核病健康教育对药物可接受性有积极影响。综上所述,药物处方是影响抗结核药物可接受性的关键因素。因此,有必要进一步推广最近推出的儿童友好型抗结核药物,同时加强对护理人员的健康教育,以实现消除结核病。关键词:抗结核;可接受性;固定剂量联合;
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引用次数: 0
Sustainability of Donor Funded HIV Prevention, Care, and Treatment Programs for Key Populations in Nigeria 捐助者资助的尼日利亚关键人群艾滋病预防、护理和治疗项目的可持续性
Pub Date : 2023-08-30 DOI: 10.21522/tijar.2014.se.23.01.art004
Margaret Shelleng
Overseas development assistance (ODA) for HIV from bilateral donors other then the US has fallen 57% in the last decade. HIV responses in low- and middle-income countries is $8 billion short for 2025. Donors want national governments to gradually take over HIV responses to maintain program gains and investments. Programs with greater sustainability capacity can maintain positive outcomes and benefits over time. We examine Nigeria's donor funded KP HIV program for sustainability. A mixed-methods approach using Washington University Program Sustainability Assessment Tool (PSAT) to survey perspectives of key informants from HIV stakeholders. Overall and domain mean scores and standard deviation determined, and quantitative analysis conducted using IBM Statistical Package for the Social Sciences (SPSS) version 28. Thematic analysis was applied to open-ended questions from key informant interviews. A total of 24 consenting respondents participated. Overall mean sustainability score was 4.72. Highest mean scoring domains were program adaptation (5.6) and program evaluation (5.59), lowest means scores were partnerships (3.17) and funding stability (3.56). Sociocultural and political contexts hinder strategic behavioral change communication to promote KP and quality services. Suboptimal political support, funding insecurity, limited partnerships, and donor-driven strategic planning cycles threaten the program's sustainability. Keywords: HIV, Key Populations, Program Sustainability.
在过去十年中,除美国外,来自双边捐助者的艾滋病海外发展援助(ODA)下降了57%。到2025年,低收入和中等收入国家的艾滋病毒应对工作还缺80亿美元。捐助者希望各国政府逐步接管艾滋病防治工作,以保持项目成果和投资。具有更强可持续性能力的项目可以长期保持积极的成果和效益。我们考察了尼日利亚捐助者资助的KP艾滋病方案的可持续性。使用华盛顿大学项目可持续性评估工具(PSAT)的混合方法来调查来自艾滋病利益相关者的关键线人的观点。总体和领域的平均得分和标准偏差确定,并使用IBM社会科学统计软件包(SPSS)版本28进行定量分析。主题分析应用于关键信息者访谈中的开放式问题。共有24位同意的受访者参与了调查。总体平均可持续性得分为4.72。平均得分最高的领域是项目适应(5.6)和项目评价(5.59),平均得分最低的领域是伙伴关系(3.17)和资金稳定性(3.56)。社会文化和政治环境阻碍了战略行为改变沟通,以促进KP和优质服务。不理想的政治支持、资金不安全、有限的合作伙伴关系以及捐助者驱动的战略规划周期威胁着项目的可持续性。关键词:HIV,重点人群,项目可持续性。
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TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH
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