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Social Determinants of Health: Approach to Address the Underlying Socio-economic Disparities 健康的社会决定因素:解决潜在社会经济差异的方法
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7432
P. Acharya
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7432 Health Prospect 2012;11:42-44
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7432 Health Prospect 2012;11:42-44
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引用次数: 0
Cost-effectiveness of models of care quality for children affected by HIV and AIDS in Nepal 尼泊尔受艾滋病毒和艾滋病影响的儿童护理质量模式的成本效益
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7425
Pms Pradhan, G. Bhatta, Kiran Bam
Background: With an estimated sixty four thousand people living with HIV in Nepal, there are tremendous implications for children, whose lives are greatly affected when a parent is infected. The objective of this study is to identify and assess cost effectiveness for existing models of care for children affected with HIV/AIDS Methods: The study performed cost effective analysis for types of care and support for children affected by HIV and AIDS in Nepal from a societal perspective. Types of care and support to Children affected by HIV/AIDS were assessed, Comparator minimum was estimated based on government minimum standards guideline; comparative analysis for cost effectiveness was done in terms of care quality, and overall modes of care delivery. Results: This study identified only three types of care model (comprehensive institutional model of care, home based care and support, community based care with income generation) prevalent in Nepal. Out of this three types of models of care: Community based care with income generation was assessed as the most cost effective care model in Nepal. Conclusion: Community based care with income generation imparted children with better socialization and professional skills. However, continuum of care was often missed by one model, therefore other existing models of child care were also essential to provide care and provision of safety nets for children who fail to reach the care homes should also be considered by the government. DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7425 Health Prospect 2012;11:19-25
背景:尼泊尔估计有6.4万人感染艾滋病毒,这对儿童的影响巨大,父母一方感染艾滋病毒,儿童的生活就会受到极大影响。本研究的目的是确定和评估现有的艾滋病毒/艾滋病儿童护理模式的成本效益。方法:本研究从社会角度对尼泊尔受艾滋病毒/艾滋病影响的儿童的护理和支持类型进行了成本效益分析。对受艾滋病毒/艾滋病影响的儿童的照料和支助类型进行了评估,根据政府最低标准准则估计比较国最低标准;在护理质量和整体护理模式方面进行了成本效益的比较分析。结果:本研究仅确定了尼泊尔流行的三种护理模式(综合机构护理模式、以家庭为基础的护理和支持、以社区为基础的创收护理)。在这三种类型的护理模式中:以社区为基础的创收护理被评估为尼泊尔最具成本效益的护理模式。结论:以社区为基础的创收服务使儿童具有更好的社交能力和专业技能。然而,一种模式往往忽略了持续的照顾,因此,其他现有的儿童照顾模式对于提供照顾也至关重要,政府也应考虑为无法进入护理院的儿童提供安全网。DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7425 Health Prospect 2012;11:19-25
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引用次数: 2
Systematic Reviews in Public Health 公共卫生系统评价
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7429
D. Paudel
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7429 Health Prospect 2012;11:33-35
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7429 Health Prospect 2012;11:33-35
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引用次数: 0
Female Feticide: A Mass Murder 杀害女性胎儿:一场大屠杀
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7434
Pm Bhandari, Sr Mishra
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7434 Health Prospect 2012;11:47-49
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7434 Health Prospect 2012;11:47-49
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引用次数: 1
Sexual Behaviour among Higher Secondary School Students of Kathmandu Metropolitan City 加德满都大都市中学生的性行为
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7424
P. Khanal
Background:Lack of knowledge and skills to avoid risky behaviour and lack of access to youth- friendly reproductive health information and services place young people in a position of great vulnerability.Adolescents are at the stage of experimentation and are easily influenced by their peers and are therefore a vulnerable population at risk for HIV/ AIDS and other STIs. Safe sexual behaviour has a crucial role in the prevention of problems related to sexual and reproductive health. The study was designed to explore the sexual behaviour among students of Higher Secondary School in Kathmandu Metropolitan City. Methods: The study was cross-sectional and a total of 268 students enrolled in 12th grade from 6 Higher Secondary Schools were involved in the data collection process. Data collection was done using anonymous, self-administered questionnaire Results: Among total 263 unmarried students, nearly onefifth (17.9%) students have ever had sexual contact. Study showed that nearly half of the sexually experienced students (46.8%) were involved in unsafe sexual behaviour. Conclusion: Nearly one-fifth students had premarital sex and nearly half of the students had been involved in unsafe sexual behavior. Based on the findings, the study recommends that the major concern should be on making the sexual relations safe and it is therefore necessary to encourage young people to be consistent condom users. DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7424 Health Prospect 2012;11:15-18
背景:缺乏避免危险行为的知识和技能,以及无法获得对青年友好的生殖健康信息和服务,使青年处于非常脆弱的地位。青少年处于试验阶段,容易受到同龄人的影响,因此是易受艾滋病毒/艾滋病和其他性传播感染风险的弱势群体。安全的性行为在预防与性健康和生殖健康有关的问题方面具有至关重要的作用。本研究旨在探讨加德满都市高中学生的性行为。方法:采用横断面研究方法,对来自6所高中的268名高三学生进行数据收集。数据收集采用匿名、自我管理的问卷调查方式。结果:在263名未婚学生中,近五分之一(17.9%)的学生有过性接触。研究表明,近一半有过性经历的学生(46.8%)有过不安全的性行为。结论:近五分之一的学生发生过婚前性行为,近一半的学生发生过不安全的性行为。基于这些发现,该研究建议,主要关注的应该是如何使性关系安全,因此有必要鼓励年轻人始终如一地使用避孕套。DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7424 Health Prospect 2012;11:15-18
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引用次数: 3
Role of Medical Sociology and Anthropology in Public Health and Health System Development 医学社会学和人类学在公共卫生和卫生系统发展中的作用
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7427
R. Sigdel
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7427 Health Prospect 2012;11:28-29
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7427 Health Prospect 2012;11:28-29
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引用次数: 4
Public Health Informatics: An Essence for Improving Public Health in Developing Nations 公共卫生信息学:改善发展中国家公共卫生的本质
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7435
R. Paudel
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7435 Health Prospect 2012;11:50-52
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7435 Health Prospect 2012;11:50-52
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引用次数: 0
Triumphs and Despair -Journey of Health Prospect from Newsletter to Peer Reviewed Journal 胜利与绝望——从时事通讯到同行评议期刊的健康前景之旅
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7426
Sr Mishra, Shyam Bahadur Katuwal, Nk Mahato
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7426 Health Prospect 2012;11:26-27
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7426 Health Prospect 2012;11:26-27
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引用次数: 1
Association between Mental Disorders and Suicide 精神障碍与自杀之间的关系
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7441
Angel Bikram Bista
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7441 Health Prospect 2012;11:66-66
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7441 Health Prospect 2012;11:66-66
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引用次数: 1
Insight into Human Resources for Health Status in Nepal 洞察尼泊尔卫生状况人力资源
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7431
C. Shrestha, R. Bhandari
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7431 Health Prospect 2012;11:40-41
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7431 Health Prospect 2012;11:40-41
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引用次数: 15
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