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Development of the Adolescent Health Services Quality of Care Index for Mystery Client Studies 青少年卫生服务服务质量指标的发展及其神秘性研究
Pub Date : 2023-06-16 DOI: 10.21428/3d48c34a.7bc5a40f
O. Arije, J. Madan, T. Hlungwani
The mystery client (MC) methodology is a common quality of care research approach for adolescent sexual and reproductive health (ASRH) services. However, there are gaps in the assessment tools that have been used. The objective of this study was to develop the Adolescent Health Quality of Care (AHQOC) index for the assessment of ASRH services. We carried out a cross-sectional descriptive study in 27 selected primary and secondary public health facilities in a rural and an urban local government area (LGA) in Ogun State, Nigeria. Twelve MCs were recruited and trained for this study, six in each LGA. The selected MC scenarios included young males and females who want information on premarital sex, pregnancy prevention, sexually transmitted infection (STI), and contraception. The data collection instrument was a questionnaire administered to the MCs soon after each MC visit. We used exploratory factor analysis to develop a AHQOC index. The index was tested for reliability with Cronbach’s Alpha test and for intra-rater consistency with the intraclass correlation coefficient test. The Kaiser-Meyer-Olkin (KMO) test results of our initial 37-item pool was 0.7169. Exploratory factor analysis with varimax rotation and communality cutoff of 0.3 retained 27 items. The Cronbach's Alpha of the 27-items scale was 0.80, with two subscales having Cronbach's Alpha of 0.76 and 0.85. The intraclass correlation (ICC) coefficient to assess the intra-rater consistency for the 27-item tool in the predominantly urban LGA was 0.66 (0.10 – 0.92) p=0.001, and 0.72 (0.37 – 0.91) p=0.001 for the predominantly rural LGA. The relationships between the full scales and subscales, and a validity item (MC ranking of health worker on proficiency from 1 (worst) to 10 (best)) were positive, and statistically significant. The tool developed is a valuable and validated tool for assessing quality of ASRH services in public health facilities.
神秘客户(MC)方法是青少年性健康和生殖健康(ASRH)服务中常见的护理质量研究方法。然而,已经使用的评估工具存在差距。本研究的目的是开发青少年健康护理质量(AHQOC)指数,用于评估ASRH服务。我们在尼日利亚奥贡州农村和城市地方政府地区(LGA)的27个选定的初级和二级公共卫生设施中进行了一项横断面描述性研究。本研究招募并培训了12名mc,每个LGA 6名。选定的MC场景包括年轻男性和女性,他们希望获得有关婚前性行为、怀孕预防、性传播感染(STI)和避孕的信息。数据收集工具是在每次MC访问后不久向MC发放问卷。我们采用探索性因子分析建立AHQOC指数。采用Cronbach’s Alpha检验信度,采用类内相关系数检验秩内一致性。初始37项池的KMO检验结果为0.7169。变量旋转和群落截断0.3的探索性因子分析保留了27个项目。27项量表的Cronbach's Alpha为0.80,其中两个子量表的Cronbach's Alpha分别为0.76和0.85。在以城市为主的LGA中,用于评估27项工具的类内相关(ICC)系数为0.66 (0.10 - 0.92)p=0.001,在以农村为主的LGA中为0.72 (0.37 - 0.91)p=0.001。完整量表和子量表与效度项目(卫生工作者熟练程度MC排名从1(最差)到10(最好))之间的关系呈正相关,且具有统计学意义。所开发的工具是评估公共卫生设施中ASRH服务质量的一种有价值且经过验证的工具。
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引用次数: 0
Assessment of Client's Knowledge, Attitude and Health Seeking Behavior Towards Tuberculosis at Serrekunda Health Center and Brikama District Hospital. Serrekunda保健中心和Brikama地区医院肺结核知识、态度和就诊行为的评估
Pub Date : 2023-06-16 DOI: 10.21428/3d48c34a.a43d7c52
A. Jallow, A. Sillah, O. Owolabi, J. Sutherland, Adam Barrow
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引用次数: 0
Eh!woza: Working at the intersection of biomedical research, youth development and the creative industries to engage young people around infectious diseases 嗯!woza:致力于生物医学研究、青年发展和创意产业的交叉领域,让年轻人关注传染病
Pub Date : 2023-06-16 DOI: 10.21428/3d48c34a.c03082a8
A. Koch, E. Young
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引用次数: 0
Setting an agenda for decolonisation of global health research 制定全球卫生研究非殖民化议程
Pub Date : 2023-06-16 DOI: 10.21428/3d48c34a.fb09dacf
N. Tagoe, S. Abimbola, L. Gilson, D. Kamuya, S. Molyneux, Kui Muraya, Olivia U. Rutazibwa, C. Atuire
Nadia Tagoe1 Seye Abimbola2 Lucy Gilson3 Dorcas Kamuya4 Sassy Molyneux5 Kui Muraya6 Olivia Rutazibwa7 Caesar Atuire8 1Kwame Nkrumah University Of Science And Technology, Ghana, 2University of Sydney, Australia, 3University of Cape Town, South Africa, 4KEMRI Wellcome Trust Research Programme, Kenya., University of Oxford, United Kingdom, 5University of Oxford, United Kingdom., KEMRI Wellcome Trust Research Programme, Kenya., 6Population Council, Kenya, 7London School of Economics and and Political Science, United Kingdom, 8University of Ghana, Ghana., University of Oxford
Nadia tago1 Seye abimbol2 Lucy Gilson3 Dorcas Kamuya4 Sassy Molyneux5 Kui Muraya6 Olivia Rutazibwa7 Caesar ature8 1Kwame Nkrumah加纳科技大学,2澳大利亚悉尼大学,3南非开普敦大学,4KEMRI Wellcome Trust研究项目,肯尼亚5 .牛津大学,英国, KEMRI威康信托研究项目,肯尼亚。, 6肯尼亚人口理事会,7英国伦敦经济与政治学院,8加纳大学,加纳。牛津大学
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引用次数: 0
Engaging the community and building public trust in the control and prevention of public health diseases 在控制和预防公共卫生疾病方面使社区参与并建立公众信任
Pub Date : 2023-06-16 DOI: 10.21428/3d48c34a.a34c28f0
Waqas Ahmad
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引用次数: 0
Influence Of Internet Exposure On Sexual Behaviour Of Adolescents In Urban And Rural Communities Of Ife Local Government Area, Osun State, Nigeria 互联网暴露对尼日利亚奥逊州Ife地方政府区城乡社区青少年性行为的影响
Pub Date : 2023-06-16 DOI: 10.21428/3d48c34a.10002901
M. Ijadunola, Ifeoluwa V. Owoeye, Dotun T. Oyeniyi, Kareemot Oyewale, Olufunso A. Soile
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引用次数: 0
Ultra-sensitive detection of Asymptomatic sub-microscopic Plasmodium falciparum Malaria infection amongst Children in Ngali, Center Region of Cameroon 喀麦隆中部地区恩加利儿童无症状亚显微恶性疟原虫疟疾感染的超灵敏检测
Pub Date : 2023-06-16 DOI: 10.21428/3d48c34a.971a3515
B. Obase, L. Esemu, E. Gabriel, Ndiabamoh Crespo’o, Yukie M. Lloyd, R. Leke, A. Jules, N. Anna, Kenji Obadiah
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引用次数: 0
Building the Capacity of A Nursing Home through Applied Research, Competency-based Education, and Visionary Leadership 透过应用研究、能力教育及远见领导,建立养老院的能力
Pub Date : 2023-06-16 DOI: 10.21428/3d48c34a.cc21b2fa
Subadhra D. Rai, Christina Loh
Nursing homes (NHs) in Singapore provide essential care services for the elderly who for many reasons, are unable to age at home. And yet, NHs are perceived as a human dumping ground and a career killer for nurses. The perception of career killer may not be far from the truth because the sector had been under-invested in terms of remuneration and career progression and the care work is physical, routine, and repetitive. It also does not help when the physical environment of most NHs are structured as a no-frill factory-style that allows provision of care to be streamlined, what one writer observed it as “safe but soulless” (Basu, 2016). NHs also suffer from chronic staff shortage due to high turnover and burnout. One NH in Singapore is trying to change these negative perceptions through education, research, and providing care using the Green House Model approach. Its Nursing Director is the force behind the push to create a formal Academy where research and education could be conducted to provide care that is evidence-informed and staff feel empowered. Research and education are not synonymous with NHs because of the nature of the care work and negative perceptions. This presentation will discuss how applied research and competency-based education programmes are two key areas in bringing about essential change in a sector that has been dogged with negative images. Using the data of a recent learning needs assessment research, a number of educational modules are being developed for an in-house competency-based training programmes to empower the staff and build their capacity. Visionary leadership and having the moral courage to effect change is the third factor.
新加坡的养老院(NHs)为由于各种原因无法在家养老的老年人提供基本的护理服务。然而,NHs被认为是一个人类垃圾场,是护士的职业杀手。职业杀手的看法可能与事实相差不远,因为该行业在薪酬和职业发展方面投入不足,而且护理工作是体力、常规和重复的。当大多数NHs的物理环境被构建为无装饰的工厂式结构时,它也没有帮助,允许精简护理的提供,一位作家将其观察为“安全但没有灵魂”(Basu, 2016)。由于高流动率和职业倦怠,NHs还遭受长期员工短缺的困扰。新加坡的一家NH正试图通过教育、研究和使用温室模型方法提供护理来改变这些负面看法。它的护理主任是推动建立一个正式学院的幕后推手,在那里可以进行研究和教育,以提供有证据的护理,让员工感到有能力。由于护理工作的性质和负面看法,研究和教育不是NHs的同义词。本演讲将讨论应用研究和基于能力的教育计划是如何在一个一直被负面形象困扰的部门带来根本性变化的两个关键领域。利用最近一项学习需要评价研究的数据,正在为内部以能力为基础的培训方案制订若干教育模块,以赋予工作人员权力并建立他们的能力。第三个因素是具有远见卓识的领导能力和实现变革的道德勇气。
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引用次数: 0
Guidance for Good Randomized Clinical Trials: using five principles of a good trial to avoid the harm and waste of missed research opportunities and uninformative trials 良好随机临床试验指南:利用良好试验的五项原则,避免因错失研究机会和缺乏信息的试验而造成的伤害和浪费
Pub Date : 2023-06-16 DOI: 10.21428/3d48c34a.14666f65
Nick Medhurst, M. Landray
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引用次数: 0
Point Prevalence Survey of Antibiotic Use at Four Hospitals in Rural Kenya 肯尼亚农村四家医院抗生素使用情况点流行调查
Pub Date : 2023-06-16 DOI: 10.21428/3d48c34a.6281870b
P. Karanja, Antony Kiunga, George Karoki
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引用次数: 0
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The Global Health Network Conference Proceedings 2022
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