Antibiotic Guardian Birmingham Workshop4 All of Us
Antibiotic resistance is one of the biggest threats facing us today!
European Antibiotic Awareness Day (EAAD) is part of the UK 5 Year Antimicrobial Resistance Strategy 2013 to 2018, which focuses on antibiotics and sets out actions to slow the development and spread of antimicrobial resistance.
This year, to run in line with EAAD; Public Health England has established the Antibiotic Guardian pledge campaign. It calls on everyone in the UK, the public and healthcare community to become antibiotics guardian by choosing one simple pledge about how they will make better use of these vital medicines.
To ensure that the information and knowledge on Antibiotic Stewardship is disseminated to those practising healthcare across the nation, a series of awareness and educational events have been developed. These educational workshop events, to be held in Leeds, Birmingham and London, will provide guidance, resources and information for practitioners on topics associated with antibiotic awareness. The events will provide an opportunity to understand how you and your organisation can support combat the global challenge faced by antibiotic resistance whilst gaining advice, support and resources to inform patients and staff.
This document summarizes a study on the impact of mentor mothers on adherence to antiretroviral therapy (HAART) among HIV-positive mothers in Kenya. The study found that 98% of HIV-positive mothers identified during the study period were started on option B+ treatment immediately. All 91 mothers were supported by mentor mothers and remained actively engaged in care. Partner testing increased 60% with mentor mother support. Mothers in focus groups reported reduced infections and less stigma with treatment. The conclusion is that involving mentor mothers can significantly contribute to eliminating mother-to-child transmission of HIV.
This document discusses global and national responses to antimicrobial resistance (AMR). It summarizes various international initiatives in 2014 to address AMR, including a ministerial conference in the Netherlands and a meeting of the Global Health Security Agenda in Washington DC. It also outlines Australia's national response, including establishing a steering group, allocating funding, and developing a national strategy to improve surveillance, prevent infections, promote appropriate antibiotic use, and engage internationally. Gaps in addressing AMR in various settings are identified.
Engaging Communities_Michael Favin_5.8.14CORE Group
1) The document discusses a project in Timor-Leste that partnered with communities to improve vaccination rates by sharing responsibility between health services and communities.
2) Key activities of the project included community participation in micro-planning, training leaders, school orientations on immunization, and tracking children's vaccination status.
3) The "Uma Imunizasaun" tool, adapted from India, was used to monitor every child's vaccinations at the community level through volunteer record keeping and home visits to increase vaccination timeliness and coverage.
This document summarizes a partnership between the Maryland Expanded Food and Nutrition Education Program (EFNEP) and local community health clinics to address childhood obesity. The partnership developed a pilot program called Transforming Lifestyles Project that implements policies, systems, and environmental changes in clinics. This includes adding physical activity screening questions to patient records and referring overweight pediatric patients to EFNEP for nutrition education. The program aims to evaluate this clinical linkage using surveys with 40 parent-child dyads. Recommendations for developing similar partnerships emphasize collaborating with clinics, gaining senior support, piloting changes, training staff, and using a comprehensive, culturally-sensitive approach.
Smart Use of Antibiotics (SUA) in Indonesiamarkovingian
Smart Use of Antibiotics (SUA) in Indonesia
Diberikan dan disampaikan pada Seminar "Cegah Resistensi Antibiotik: Demi Selamatkan Manusia", kerjasama Kemenkes, WHO, dan Yayasan Orang Tua Peduli, didukung oleh React, 5 Agustus 2015
Effect of Peer Counselling by Mother Support Groups on Infant and Young Child...POSHAN
This document summarizes a study that evaluated the impact of peer counseling by mother support groups on infant and young child feeding practices in Lalitpur District, India. The study involved training mother support groups to conduct home visits and counseling sessions, which resulted in significant improvements in several feeding practices after 2 and 5 years, such as exclusive breastfeeding rates increasing from 11% to 71%. The program was found to be effective and able to sustain positive results with continued reinforcement, counseling, and support. It cost approximately $4.70 USD per birth to implement, presenting the program as a promising model for improving child nutrition outcomes at scale.
The document discusses South Africa's PMTCT (prevention of mother-to-child transmission) programme. It notes that around 300,000 mothers need treatment each year, with transmission rates currently around 11% and a goal of reducing to 5% by 2011. Coverage of testing and treatment through public primary health facilities has reached 95%. Key players in PMTCT implementation include the government, donors, civil society organizations, and the private sector.
Antibiotic Guardian Birmingham Workshop4 All of Us
Antibiotic resistance is one of the biggest threats facing us today!
European Antibiotic Awareness Day (EAAD) is part of the UK 5 Year Antimicrobial Resistance Strategy 2013 to 2018, which focuses on antibiotics and sets out actions to slow the development and spread of antimicrobial resistance.
This year, to run in line with EAAD; Public Health England has established the Antibiotic Guardian pledge campaign. It calls on everyone in the UK, the public and healthcare community to become antibiotics guardian by choosing one simple pledge about how they will make better use of these vital medicines.
To ensure that the information and knowledge on Antibiotic Stewardship is disseminated to those practising healthcare across the nation, a series of awareness and educational events have been developed. These educational workshop events, to be held in Leeds, Birmingham and London, will provide guidance, resources and information for practitioners on topics associated with antibiotic awareness. The events will provide an opportunity to understand how you and your organisation can support combat the global challenge faced by antibiotic resistance whilst gaining advice, support and resources to inform patients and staff.
This document summarizes a study on the impact of mentor mothers on adherence to antiretroviral therapy (HAART) among HIV-positive mothers in Kenya. The study found that 98% of HIV-positive mothers identified during the study period were started on option B+ treatment immediately. All 91 mothers were supported by mentor mothers and remained actively engaged in care. Partner testing increased 60% with mentor mother support. Mothers in focus groups reported reduced infections and less stigma with treatment. The conclusion is that involving mentor mothers can significantly contribute to eliminating mother-to-child transmission of HIV.
This document discusses global and national responses to antimicrobial resistance (AMR). It summarizes various international initiatives in 2014 to address AMR, including a ministerial conference in the Netherlands and a meeting of the Global Health Security Agenda in Washington DC. It also outlines Australia's national response, including establishing a steering group, allocating funding, and developing a national strategy to improve surveillance, prevent infections, promote appropriate antibiotic use, and engage internationally. Gaps in addressing AMR in various settings are identified.
Engaging Communities_Michael Favin_5.8.14CORE Group
1) The document discusses a project in Timor-Leste that partnered with communities to improve vaccination rates by sharing responsibility between health services and communities.
2) Key activities of the project included community participation in micro-planning, training leaders, school orientations on immunization, and tracking children's vaccination status.
3) The "Uma Imunizasaun" tool, adapted from India, was used to monitor every child's vaccinations at the community level through volunteer record keeping and home visits to increase vaccination timeliness and coverage.
This document summarizes a partnership between the Maryland Expanded Food and Nutrition Education Program (EFNEP) and local community health clinics to address childhood obesity. The partnership developed a pilot program called Transforming Lifestyles Project that implements policies, systems, and environmental changes in clinics. This includes adding physical activity screening questions to patient records and referring overweight pediatric patients to EFNEP for nutrition education. The program aims to evaluate this clinical linkage using surveys with 40 parent-child dyads. Recommendations for developing similar partnerships emphasize collaborating with clinics, gaining senior support, piloting changes, training staff, and using a comprehensive, culturally-sensitive approach.
Smart Use of Antibiotics (SUA) in Indonesiamarkovingian
Smart Use of Antibiotics (SUA) in Indonesia
Diberikan dan disampaikan pada Seminar "Cegah Resistensi Antibiotik: Demi Selamatkan Manusia", kerjasama Kemenkes, WHO, dan Yayasan Orang Tua Peduli, didukung oleh React, 5 Agustus 2015
Effect of Peer Counselling by Mother Support Groups on Infant and Young Child...POSHAN
This document summarizes a study that evaluated the impact of peer counseling by mother support groups on infant and young child feeding practices in Lalitpur District, India. The study involved training mother support groups to conduct home visits and counseling sessions, which resulted in significant improvements in several feeding practices after 2 and 5 years, such as exclusive breastfeeding rates increasing from 11% to 71%. The program was found to be effective and able to sustain positive results with continued reinforcement, counseling, and support. It cost approximately $4.70 USD per birth to implement, presenting the program as a promising model for improving child nutrition outcomes at scale.
The document discusses South Africa's PMTCT (prevention of mother-to-child transmission) programme. It notes that around 300,000 mothers need treatment each year, with transmission rates currently around 11% and a goal of reducing to 5% by 2011. Coverage of testing and treatment through public primary health facilities has reached 95%. Key players in PMTCT implementation include the government, donors, civil society organizations, and the private sector.
Improving follow-up and HIV testing rates of exposed infants through a suppor...3GDR
This document summarizes a study that aims to reduce loss to follow up in a mother-to-child HIV prevention program in South Africa by testing an intervention package involving enhanced care, SMS messages, and patient tracking. The randomized controlled trial will compare follow up rates to a previous study to determine if the intervention can significantly increase the number of mothers and infants receiving HIV test results. SMS messages will provide support, reminders and health information. Researchers hope to complete the study in early 2011 to evaluate the intervention's effects on retention in HIV care.
HPTN 067/ADAPT methods and results from women in Cape TownИлья Антипин
Grant R. и др. «HPTN 067/ADAPT methods and results from women in Cape Town» 8th IAS Conference on HIV Pathogenesis, Treatment and Prevention, Vancouver, 2015. MOSY0103.
Iowa TelePrEP: Delivering PrEP through Telemedicine and Public Health Partner...YTH
Telemedicine is a collection of means or methods for enhancing health care, public health and health education delivery and support using telecommunications technologies. With more than 95% of adults, and 100% of young adults between the age of 18-29 owning a cell phone in the United States, a technology-based health intervention can be available to hard-to-reach populations or underserved areas.
Panelists will engage a rich dialogue and showcase innovative and effective ways to create prevention programs for HIV and STDs using the potential telehealth can offer, specifically with linking young people to HIV pre-exposure prophylaxis, or PrEP. This plenary brings together leaders in the field of HIV prevention, research and policy along with private organizations and companies that are currently active on the field of biomedical prevention.
Thailand experiences on PrEP and HIV self-testingCheryl Johnson
Thailand has piloted PrEP and HIV self-testing programs targeting at-risk groups. PrEP is available through research studies and hospitals on a self-pay basis, though challenges remain around registration and inclusion in national healthcare. Several PrEP demonstration projects have enrolled hundreds of MSM and transgender individuals. HIV self-testing research includes an online counseling and supervised self-testing program, as well as oral fluid testing pilots, but legal and test kit issues remain regarding over-the-counter use in Thailand. Overall the document outlines Thailand's experiences with emerging HIV prevention methods.
HIV self-testing is currently not legally allowed in Thailand and must be performed by a laboratory technician or medical doctor in clinical settings. Committees were established in 2015 to work on allowing and regulating HIV self-testing, including public acceptance, education, linkage to care, and pilot demonstrations targeting key populations. Efforts have also been made to establish HIV testing by community workers for men who have sex with men and transgender individuals using rapid diagnostic tests. Studies are planned to assess acceptability and accuracy of HIV self-testing among key populations. For HIV self-testing to be implemented, stronger WHO recommendations are needed as well as guidelines, pilot projects, lower cost test kits, and increased demand for HIV testing in general.
This presentation was given by Craig Cooper, Chief Executive Officer, National Association of People With HIV Australia, at the AFAO Members Forum – May 2015.
Realizing the potential for HIV self-testing - a summary of latest evidenceCheryl Johnson
This document summarizes the latest evidence on HIV self-testing (HIVST). It finds that HIVST is acceptable and increases testing frequency. Sensitivity and specificity of HIVST can be high, though linkage to care needs improvement. While risks like false results exist, clear messaging can mitigate them. Several countries now allow HIVST, and demand is estimated at millions of tests in 2018. The WHO is developing guidelines on HIVST to expand testing and reach undiagnosed populations. In conclusion, HIVST is an additional tool that countries should utilize alongside traditional testing to work towards ending the HIV epidemic.
This document summarizes the results of a survey of 588 patients on their knowledge and perceptions of biosimilars. The majority of patients felt not well-informed about biosimilars and had concerns that biosimilars may differ in effectiveness or safety compared to original biologics. Most patients would not want to switch from an original biologic and had little trust in automatic substitution of a biosimilar. The document recommends engaging patients through trusted sources to provide balanced biosimilar information and involving patients in decisions through informed consent without mandatory switching. Real-world monitoring of outcomes for specific biologics was also recommended.
Dr. Jeff Bender - One Health Antibiotic Stewardship Science and Practice - Wh...John Blue
One Health Antibiotic Stewardship Science and Practice - What are the Major Gaps in Knowledge or Translation? How Do We Find the Answers to What We Don't Know? - Dr. Kerry Keffaber, Chief Veterinarian, Scientific Affairs and Policy, Elanco Animal Health; Dr. Jeff Bender, Professor, Environmental Sciences, University of Minnesota; Dr. Nora Schrag, Clinical Assistant Professor/Agricultural Practices, Kansas State University; Mr. Joe Swedberg, Chairman of the Board, Farm Foundation, Hormel Foods Corporation (retired); Dr. David G. White, Associate Dean for Research, University of Tennessee Institute of Agriculture, from the 2017 NIAA Antibiotic Symposium - Antibiotic Stewardship: Collaborative Strategy for Animal Agriculture and Human Health, October 31 - November 2, 2017, Herndon, Virginia, USA.
More presentations at http://www.swinecast.com/2017-niaa-antibiotic-symposium-antibiotic-stewardship
The Impact of Pandemic Lockdown Measures on Nutrition of School-age Children:...POSHAN
The survey assessed the health and nutrition of school-aged children in Pakistan before and after COVID-19 lockdowns. It found that lockdowns reduced household incomes and access to healthcare while increasing food insecurity, sedentary behavior, child labor, and malnutrition. Recommendations include developing better data on pandemics' indirect effects and holistic strategies that consider their multifaceted impacts.
This document discusses promoting prevention and treatment of diarrhea through increased availability and use of oral rehydration salts (ORS) and zinc. It provides an overview of diarrhea as a major killer of children globally and in India. It outlines the components of effective diarrhea management using ORS and zinc, and discusses field challenges around low treatment rates with ORS and zinc in Uttar Pradesh. It then describes interventions being implemented in Uttar Pradesh to improve diarrhea management, including capacity building, supply chain strengthening, and a social marketing initiative in Lalitpur district.
This document discusses promoting the prevention and treatment of diarrhea through increased availability and use of oral rehydration salts (ORS) and zinc. It provides an overview of diarrhea as a major killer of children globally and in India. It outlines the components of effective diarrhea management with ORS and zinc, and some field challenges in Uttar Pradesh like widespread diarrhea prevalence, low ORS and zinc use, and inappropriate antibiotic use. The document then discusses interventions in Uttar Pradesh like training healthcare providers, improving supply chains, generating evidence, and establishing partnerships to promote ORS and zinc for diarrhea treatment. It highlights a social marketing initiative in Lalitpur using community empowerment, health education, and enhanced distribution to increase access and affordability
The Role of the Pharmacy in Adherence Supporticapclinical
This document discusses the expanding role of pharmacists in supporting HIV treatment adherence. It provides examples of how pharmacists in Cote d'Ivoire, Kenya, and South Africa work to enhance adherence through patient education, integrated appointment and pill count systems, visual analogue scales to assess adherence, and task-shifting some responsibilities to peer educators. The document also presents case studies demonstrating pharmacist interventions around medication counseling, drug interactions, pediatric dosing, and adherence barriers.
Health partners elluminate ppt_final_9.13.10CChangeProgram
C-Change (Communication for Change) is a USAID-fundd program to improve the effectiveness and sustainability of social and behavior change communication (SBCC) as an integral part of development efforts in malaria, HIV and AIDS, and family planning/reproductive health.
C-Change works with USAID and the President's Malaria Initiative (PMI) to prevent and control malaria in several PMI target countries, including Ethiopia, Kenya, Mozambique, Sao Tome and Principe, as well as others.
On September 13, 2010, C-Change and MCHIP facilitated a narrated presentation of the work of two PMI grantees, Concern Universal and HealthPartners, via a webinar. Participants included Save the Children, USAID, CDC, IFPH, and others.
For more information, please visit: http://www.c-changeprogram.org/
Dr Kathleen Holloway specialised in the public health of pharmaceuticals in low and middle-income countries and with a special interest in promoting more rational use of antibiotics.
Zinc is an essential micronutrient that promotes immunity and cellular health. Research studies have found that zinc supplementation for children with diarrhea reduces the severity and duration of episodes, lowers the risk of future illnesses, and is more cost-effective than standard treatment without zinc. The document provides details on zinc's benefits, efficacy evidence from studies, dosage recommendations, and mechanisms for how zinc improves outcomes for childhood diarrhea.
Maternal Anemia within Child Survival Grants: Lessons Learned at Helen Keller...jehill3
Maternal Anemia within Child Survival Grants: Lessons Learned at Helen Keller International
Core Group Spring Meeting Pre-Session, Monday April 26, 2010
This study examined the impact of oral rehydration therapy (ORT) corners in health facilities in Northern Nigeria on caregivers' knowledge and skills for managing childhood diarrhea. Surveys with 229 caregivers, 21 ORT corner providers, and 23 health facility providers found that caregivers using ORT corners had greater diarrhea prevention and management knowledge than non-users. However, knowledge was still not optimal. ORT corner providers reported lack of supplies as a major barrier. The study also found a lack of materials, supervision, and protocols for delivering ORT services and inadequate documentation of services provided. Recommendations included ensuring ORT corners are consistently stocked with essential supplies and have strong supply chain management to avoid stockouts.
1) The study examined the impact of oral rehydration therapy (ORT) corners in health facilities in Northern Nigeria on caregivers' knowledge and skills for managing childhood diarrhea.
2) It found that caregivers who used ORT corners had better knowledge of diarrhea prevention, management, and home treatment compared to non-users. However, knowledge was still not optimal.
3) The study also identified challenges, including a lack of supplies at ORT corners, inadequate guidelines and supervision, and incomplete documentation of services provided.
This document summarizes a presentation given by Neil Dugdale of Sobi (Swedish Orphan Biovitrum) at the 2017 Cambridge Rare Disease Network Summit. The presentation discusses Sobi's work in rare diseases, including developing orphan drugs, partnering with patient advocacy groups, and donating factor therapy to expand treatment access for hemophilia in developing countries. Sobi aims to pioneer new approaches to rare disease management through multi-stakeholder engagement and community co-creation.
info4africa/MRC KZN Community Forum | 25 March 2014 | The Department of Healt...info4africa
Speaker: Ms Zamazulu Mtshali – Deputy Manager for the Integrated Nutrition Programme (INP), KwaZulu-Natal Department of Health
Ms Mtshali's presentation will highlight studies that show the presence of nutritional transition in KwaZulu-Natal, where both under and over-nutrition are prevalent. Within the context of the HIV and AIDS pandemic and food insecurity, the high prevalence of under-nutrition, micronutrient deficiencies and emergent over-nutrition presents a complex series of challenges.
Over the years, significant gains have been made with regards to scaling up nutrition, with the development of policies and guidelines for the implementation of nutrition strategies. There is now a renewed focus on specific priority groups for nutrition interventions to have a bigger impact.
Improving follow-up and HIV testing rates of exposed infants through a suppor...3GDR
This document summarizes a study that aims to reduce loss to follow up in a mother-to-child HIV prevention program in South Africa by testing an intervention package involving enhanced care, SMS messages, and patient tracking. The randomized controlled trial will compare follow up rates to a previous study to determine if the intervention can significantly increase the number of mothers and infants receiving HIV test results. SMS messages will provide support, reminders and health information. Researchers hope to complete the study in early 2011 to evaluate the intervention's effects on retention in HIV care.
HPTN 067/ADAPT methods and results from women in Cape TownИлья Антипин
Grant R. и др. «HPTN 067/ADAPT methods and results from women in Cape Town» 8th IAS Conference on HIV Pathogenesis, Treatment and Prevention, Vancouver, 2015. MOSY0103.
Iowa TelePrEP: Delivering PrEP through Telemedicine and Public Health Partner...YTH
Telemedicine is a collection of means or methods for enhancing health care, public health and health education delivery and support using telecommunications technologies. With more than 95% of adults, and 100% of young adults between the age of 18-29 owning a cell phone in the United States, a technology-based health intervention can be available to hard-to-reach populations or underserved areas.
Panelists will engage a rich dialogue and showcase innovative and effective ways to create prevention programs for HIV and STDs using the potential telehealth can offer, specifically with linking young people to HIV pre-exposure prophylaxis, or PrEP. This plenary brings together leaders in the field of HIV prevention, research and policy along with private organizations and companies that are currently active on the field of biomedical prevention.
Thailand experiences on PrEP and HIV self-testingCheryl Johnson
Thailand has piloted PrEP and HIV self-testing programs targeting at-risk groups. PrEP is available through research studies and hospitals on a self-pay basis, though challenges remain around registration and inclusion in national healthcare. Several PrEP demonstration projects have enrolled hundreds of MSM and transgender individuals. HIV self-testing research includes an online counseling and supervised self-testing program, as well as oral fluid testing pilots, but legal and test kit issues remain regarding over-the-counter use in Thailand. Overall the document outlines Thailand's experiences with emerging HIV prevention methods.
HIV self-testing is currently not legally allowed in Thailand and must be performed by a laboratory technician or medical doctor in clinical settings. Committees were established in 2015 to work on allowing and regulating HIV self-testing, including public acceptance, education, linkage to care, and pilot demonstrations targeting key populations. Efforts have also been made to establish HIV testing by community workers for men who have sex with men and transgender individuals using rapid diagnostic tests. Studies are planned to assess acceptability and accuracy of HIV self-testing among key populations. For HIV self-testing to be implemented, stronger WHO recommendations are needed as well as guidelines, pilot projects, lower cost test kits, and increased demand for HIV testing in general.
This presentation was given by Craig Cooper, Chief Executive Officer, National Association of People With HIV Australia, at the AFAO Members Forum – May 2015.
Realizing the potential for HIV self-testing - a summary of latest evidenceCheryl Johnson
This document summarizes the latest evidence on HIV self-testing (HIVST). It finds that HIVST is acceptable and increases testing frequency. Sensitivity and specificity of HIVST can be high, though linkage to care needs improvement. While risks like false results exist, clear messaging can mitigate them. Several countries now allow HIVST, and demand is estimated at millions of tests in 2018. The WHO is developing guidelines on HIVST to expand testing and reach undiagnosed populations. In conclusion, HIVST is an additional tool that countries should utilize alongside traditional testing to work towards ending the HIV epidemic.
This document summarizes the results of a survey of 588 patients on their knowledge and perceptions of biosimilars. The majority of patients felt not well-informed about biosimilars and had concerns that biosimilars may differ in effectiveness or safety compared to original biologics. Most patients would not want to switch from an original biologic and had little trust in automatic substitution of a biosimilar. The document recommends engaging patients through trusted sources to provide balanced biosimilar information and involving patients in decisions through informed consent without mandatory switching. Real-world monitoring of outcomes for specific biologics was also recommended.
Dr. Jeff Bender - One Health Antibiotic Stewardship Science and Practice - Wh...John Blue
One Health Antibiotic Stewardship Science and Practice - What are the Major Gaps in Knowledge or Translation? How Do We Find the Answers to What We Don't Know? - Dr. Kerry Keffaber, Chief Veterinarian, Scientific Affairs and Policy, Elanco Animal Health; Dr. Jeff Bender, Professor, Environmental Sciences, University of Minnesota; Dr. Nora Schrag, Clinical Assistant Professor/Agricultural Practices, Kansas State University; Mr. Joe Swedberg, Chairman of the Board, Farm Foundation, Hormel Foods Corporation (retired); Dr. David G. White, Associate Dean for Research, University of Tennessee Institute of Agriculture, from the 2017 NIAA Antibiotic Symposium - Antibiotic Stewardship: Collaborative Strategy for Animal Agriculture and Human Health, October 31 - November 2, 2017, Herndon, Virginia, USA.
More presentations at http://www.swinecast.com/2017-niaa-antibiotic-symposium-antibiotic-stewardship
The Impact of Pandemic Lockdown Measures on Nutrition of School-age Children:...POSHAN
The survey assessed the health and nutrition of school-aged children in Pakistan before and after COVID-19 lockdowns. It found that lockdowns reduced household incomes and access to healthcare while increasing food insecurity, sedentary behavior, child labor, and malnutrition. Recommendations include developing better data on pandemics' indirect effects and holistic strategies that consider their multifaceted impacts.
This document discusses promoting prevention and treatment of diarrhea through increased availability and use of oral rehydration salts (ORS) and zinc. It provides an overview of diarrhea as a major killer of children globally and in India. It outlines the components of effective diarrhea management using ORS and zinc, and discusses field challenges around low treatment rates with ORS and zinc in Uttar Pradesh. It then describes interventions being implemented in Uttar Pradesh to improve diarrhea management, including capacity building, supply chain strengthening, and a social marketing initiative in Lalitpur district.
This document discusses promoting the prevention and treatment of diarrhea through increased availability and use of oral rehydration salts (ORS) and zinc. It provides an overview of diarrhea as a major killer of children globally and in India. It outlines the components of effective diarrhea management with ORS and zinc, and some field challenges in Uttar Pradesh like widespread diarrhea prevalence, low ORS and zinc use, and inappropriate antibiotic use. The document then discusses interventions in Uttar Pradesh like training healthcare providers, improving supply chains, generating evidence, and establishing partnerships to promote ORS and zinc for diarrhea treatment. It highlights a social marketing initiative in Lalitpur using community empowerment, health education, and enhanced distribution to increase access and affordability
The Role of the Pharmacy in Adherence Supporticapclinical
This document discusses the expanding role of pharmacists in supporting HIV treatment adherence. It provides examples of how pharmacists in Cote d'Ivoire, Kenya, and South Africa work to enhance adherence through patient education, integrated appointment and pill count systems, visual analogue scales to assess adherence, and task-shifting some responsibilities to peer educators. The document also presents case studies demonstrating pharmacist interventions around medication counseling, drug interactions, pediatric dosing, and adherence barriers.
Health partners elluminate ppt_final_9.13.10CChangeProgram
C-Change (Communication for Change) is a USAID-fundd program to improve the effectiveness and sustainability of social and behavior change communication (SBCC) as an integral part of development efforts in malaria, HIV and AIDS, and family planning/reproductive health.
C-Change works with USAID and the President's Malaria Initiative (PMI) to prevent and control malaria in several PMI target countries, including Ethiopia, Kenya, Mozambique, Sao Tome and Principe, as well as others.
On September 13, 2010, C-Change and MCHIP facilitated a narrated presentation of the work of two PMI grantees, Concern Universal and HealthPartners, via a webinar. Participants included Save the Children, USAID, CDC, IFPH, and others.
For more information, please visit: http://www.c-changeprogram.org/
Dr Kathleen Holloway specialised in the public health of pharmaceuticals in low and middle-income countries and with a special interest in promoting more rational use of antibiotics.
Zinc is an essential micronutrient that promotes immunity and cellular health. Research studies have found that zinc supplementation for children with diarrhea reduces the severity and duration of episodes, lowers the risk of future illnesses, and is more cost-effective than standard treatment without zinc. The document provides details on zinc's benefits, efficacy evidence from studies, dosage recommendations, and mechanisms for how zinc improves outcomes for childhood diarrhea.
Maternal Anemia within Child Survival Grants: Lessons Learned at Helen Keller...jehill3
Maternal Anemia within Child Survival Grants: Lessons Learned at Helen Keller International
Core Group Spring Meeting Pre-Session, Monday April 26, 2010
This study examined the impact of oral rehydration therapy (ORT) corners in health facilities in Northern Nigeria on caregivers' knowledge and skills for managing childhood diarrhea. Surveys with 229 caregivers, 21 ORT corner providers, and 23 health facility providers found that caregivers using ORT corners had greater diarrhea prevention and management knowledge than non-users. However, knowledge was still not optimal. ORT corner providers reported lack of supplies as a major barrier. The study also found a lack of materials, supervision, and protocols for delivering ORT services and inadequate documentation of services provided. Recommendations included ensuring ORT corners are consistently stocked with essential supplies and have strong supply chain management to avoid stockouts.
1) The study examined the impact of oral rehydration therapy (ORT) corners in health facilities in Northern Nigeria on caregivers' knowledge and skills for managing childhood diarrhea.
2) It found that caregivers who used ORT corners had better knowledge of diarrhea prevention, management, and home treatment compared to non-users. However, knowledge was still not optimal.
3) The study also identified challenges, including a lack of supplies at ORT corners, inadequate guidelines and supervision, and incomplete documentation of services provided.
This document summarizes a presentation given by Neil Dugdale of Sobi (Swedish Orphan Biovitrum) at the 2017 Cambridge Rare Disease Network Summit. The presentation discusses Sobi's work in rare diseases, including developing orphan drugs, partnering with patient advocacy groups, and donating factor therapy to expand treatment access for hemophilia in developing countries. Sobi aims to pioneer new approaches to rare disease management through multi-stakeholder engagement and community co-creation.
info4africa/MRC KZN Community Forum | 25 March 2014 | The Department of Healt...info4africa
Speaker: Ms Zamazulu Mtshali – Deputy Manager for the Integrated Nutrition Programme (INP), KwaZulu-Natal Department of Health
Ms Mtshali's presentation will highlight studies that show the presence of nutritional transition in KwaZulu-Natal, where both under and over-nutrition are prevalent. Within the context of the HIV and AIDS pandemic and food insecurity, the high prevalence of under-nutrition, micronutrient deficiencies and emergent over-nutrition presents a complex series of challenges.
Over the years, significant gains have been made with regards to scaling up nutrition, with the development of policies and guidelines for the implementation of nutrition strategies. There is now a renewed focus on specific priority groups for nutrition interventions to have a bigger impact.
This document provides an overview and update on dental contract reform prototypes that have been testing alternative payment models in the UK. It discusses the support for reforming dental contracts to improve access and oral health outcomes. The prototypes have been running since early 2016 and are evaluating clinical pathways and two remuneration models. Regulations allowing the prototypes to continue have been extended to 2020 to allow for further testing and evaluation. The document reviews oral health and clinical pathway data from the prototypes and engagement events are being held to gather input on the evaluation report.
This document summarizes a presentation on promoting rational use of medicines. It discusses:
1) The definition of rational drug use and the magnitude of irrational use globally. Interventions like standard treatment guidelines and educational strategies are discussed.
2) Data on inadequate diagnosis and overuse of injections in developing countries is presented.
3) Strategies to promote rational use include educational, managerial, economic and regulatory approaches. Educational strategies target both providers and consumers. Managerial strategies include essential drug lists and supervision. Economic strategies aim to remove financial incentives for irrational prescribing.
4) Studies evaluating the impact of various interventions like training, supervision, guidelines and public policies generally find a significant positive effect on rational drug use outcomes. Multi-
I am professionally pharmacist. These slides for clinical subject especially for pharmacy department students. I hope students get more benefits about it.
This document summarizes research on improving adherence to oral chemotherapy through nursing interventions. It describes barriers to adherence such as side effects and costs. It then outlines several studies that tested nursing interventions like education using tools like MOATT, follow-up calls, and oral chemotherapy clinics. These interventions showed improvements in medication knowledge and adherence and reduced side effects and health care costs. The document advocates for standardizing oral chemotherapy education and monitoring to help patients better manage treatment at home.
Introduction of the NZ Health IT Plan enables better gout management - Reflections of an early adopter. Presented by Peter Gow, Counties Manukau DHB, at HINZ 2014, 12 November 2014, 11.37am, Plenary Room
Oral rehydration therapy (ORT) is a treatment for dehydration caused by diarrhea that involves drinking a mixture of water, glucose, and salts. While it reduced child mortality from diarrhea, its use stagnated in the 2000s with 1.5 million deaths per year still occurring. Issues included a misalignment between demand and supply for oral rehydration solution (ORS) packets as well as poor logistical execution at the country level where ORS did not reach rural populations as intended. Opportunities exist to improve product design, packaging, marketing, and distribution systems to better drive ORT utilization.
This document discusses HIV pre-exposure prophylaxis (PrEP). It summarizes evidence from clinical trials that taking the antiretroviral medication Truvada daily reduces the risk of HIV infection by 86%. It acknowledges concerns that PrEP could reduce condom use or encourage risky behavior, but clinical trials found high adherence to daily dosing was very protective. Immediate cost is a major barrier to widespread use, but PrEP may become more affordable over time, similar to oral contraceptives. Guidelines are needed on targeting high-risk groups and determining how long individuals need to remain on PrEP.
PSI Diarrhea Prevention and Safe Water Approaches jehill3
Unsafe water and lack of sanitation are major global problems, contributing to over 1.5 million child deaths from diarrhea each year. Household water treatment (HWT) options like sodium hypochlorite, Aquatabs, and PUR can provide low-cost solutions, treating water for a family of 6 for less than a penny per day. Social marketing approaches that combine communications and product access have helped programs in over 30 countries treat over 60 billion liters of water, improving health behaviors and reducing diarrhea prevalence in places like Madagascar. Lessons show that focusing on key behavior drivers, partnerships, and multiple communication channels can enable HWT to effectively and affordably scale up safe water access.
The document discusses global sanitation issues and innovative solutions being piloted by USAID's Hygiene Improvement Project in various countries. 2.6 billion people lack basic sanitation and 1.1 billion still practice open defecation. New approaches are needed beyond subsidized latrines. Projects in Ethiopia, Madagascar, Peru, and Uganda aim to create demand, strengthen local markets and entrepreneurs, and link sanitation to hygiene. Monitoring tools also developed to measure access and behaviors. Handwashing promotion highlighted as a way to reduce diarrhea by 50%.
Wellness and Agriculture for Life Advancement (WALLA)jehill3
This document summarizes a food security program in Malawi called Wellness and Agriculture for Life Advancement (WALA). The program aimed to reduce food insecurity for over 214,000 households. Key activities included improving maternal and child health, smallholder farming, and community capacity. The program was implemented by several organizations and involved conservation agriculture, village savings and loans, and direct food assistance. Lessons learned stressed the importance of clear targeting, planning, understanding of synergies between sectors, and monitoring mechanisms to promote integration across activities and organizations.
This document discusses the potential for mobile health (mhealth) technologies to help address healthcare challenges in remote areas with limited resources. It provides examples of how SMS and other mobile technologies have been used in a pilot project in Kenya to:
1) Provide patient follow-up, adherence tracking, and reporting of new symptoms to improve information sharing and care. This saved fuel costs and staff time.
2) Enable remote care requests, drug information, and point-of-care support to enhance patient care. This led to more patients enrolling in health programs.
3) Help manage drug and supply stockouts, support group coordination, training, and CHW communication to improve healthcare logistics and operations.
Preliminary results from a survey on the use of metrics and evaluation strate...jehill3
Preliminary results from a survey on the use of metrics and evaluation strategies among mHealth projects
Patricia Mechael, Nadi Kaonga
Center for Global Health and Economic Development at the Earth Institute, Columbia University
CORE Group Spring Meeting, April 30, 2010
This document discusses using mobile health (mhealth) applications to address challenges in community health programs. It outlines mhealth ideas from working groups in areas like integrated community case management (ICCM), nutrition, tuberculosis, HIV, and monitoring and evaluation. Examples of proposed mhealth interventions include using phones to answer community health worker questions, improve referral systems, collect and transfer data, monitor adherence, and reduce stigma. The document concludes by sharing the results of an mhealth competition in Malawi and providing prompts for small groups to design an mhealth checklist to assess whether and how mhealth should be integrated into different community health topics and settings.
Working with the “institutional” health system: HAI’s model of health systems...jehill3
This document outlines HAI's model of health systems strengthening which focuses on working with public sector institutional health systems. It discusses the importance of strong public health systems for scalability, equity, and specialized services. HAI works in key areas like integrating services, leadership and management, health systems research, and community linkages. Examples from Timor-Leste and Côte d'Ivoire show HAI's work improving maternal and child health services, developing health facilities, training health workers, and strengthening community outreach. The document concludes by discussing opportunities to further strengthen whole health systems through integrated services, workforce issues, information systems, and leadership coordination.
This document discusses improving community health through an integrated community case management (ICCM) approach. The ICCM approach has 3 components: improving case management by health staff, strengthening the overall health system, and engaging families and communities through practices. A key part of the community component is utilizing community health workers and mobilizing communities.
Boosting Nutrition Impact via Integrated Program Strategiesjehill3
The document summarizes an integrated nutrition program in Bangladesh called Jibon o Jibika that targeted 200,000 children under age 2. It showed that reducing undernutrition was more effective when all program components, such as food production, marketing, health, water and sanitation, were implemented together. Stunting, wasting, and being underweight declined more in areas where all components worked together. Dietary diversity and income also increased more in integrated areas. The document discusses proven interventions to reduce undernutrition and calls for more evidence on how best to integrate different sector approaches, prioritize interventions, and strengthen programs targeting mothers and children under age 2.
Retention, attrition and motivation of voluntary workers in community-based p...jehill3
Retention, attrition and motivation of voluntary workers in community-based programs
Peter Winch and Anne Palaia, Johns Hopkins Bloomberg School of Public Health
CORE Group Spring Meeting, April 29, 2010
Community Directed Interventions to Improve Malaria in Pregnancy Control Serv...jehill3
The document summarizes a community-directed intervention project in Nigeria to improve malaria control among pregnant women. Key points:
- The project trained community volunteers to provide intermittent preventive treatment (IPTp) and insecticide-treated bednets in their communities, in addition to clinic services. This increased access to malaria prevention and treatment.
- Evaluation found higher uptake of IPTp and bednets in intervention areas compared to control areas relying solely on clinics. However, stockouts of commodities and user fees reduced impact.
- Community involvement through volunteers was effective but regular support is needed. Advocacy is also key to ensure free services and continuous supply of medicines and bednets.
HBLSS: Improving on Innovation
American College of Nurse Midwives
Safe Motherhood and Reproductive Health Working Group Showcase
CORE Group Spring Meeting, April 29, 2010
Meeting the Water, Sanitation and Hygiene Needs of People Living with HIV/AID...jehill3
Meeting the Water, Sanitation and Hygiene Needs of People Living with HIV/AIDS and their Families
Elizabeth Younger, USAID
SBC Working Group Showcase
CORE Group Spring Meeting, April 29, 2010
Barrier Analysis Survey: Working Group Participationjehill3
Barrier Analysis Survey: Working Group Participation
Mitzi Hanold, Food for the Hungry
SBC Working Group Showcase
CORE Group Spring Meeting, April 29, 2010
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
One health condition that is becoming more common day by day is diabetes.
According to research conducted by the National Family Health Survey of India, diabetic cases show a projection which might increase to 10.4% by 2030.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
In Sync with Zinc
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13. Zinc Utilization Results (NEPAL August 2008) ORS use: 68% RHF use: 56%** % all children with diarrhea % zinc users Treated with zinc 15.4% Treated with zinc and ORS/ORT 12.1% 79% Treated with zinc for 10 days or more 10.1% 66%
14. Zinc Utilization Results (Benin November 2009) ORS use: 40%, RHF: 18% % all children with diarrhea % zinc users Treated with zinc 30.9% Treated with zinc and ORS/ORT 27% 87.5% Treated with zinc for 10 days or more 14.1% 45.7%
Our program objectives: First, We wanted to make sure that a quality affordable zinc product was widely available through the commercial sector (specifically in private pharmacies and chemist shops) Then we focused on improving caregiver knowledge about zinc along with ORS/ORT as the newly recommended first line treatment for childhood diarrheas and encouraging zinc use for every bout of uncomplicated diarrhea. Finally, we wanted to improve private provider knowledge and change their treatment recommendations away from antibiotics and antidiarrheals—replacing these treatments with zinc, while still encouraging ORS/ORT use.
Our three main activities in Nepal focused on: Encouraging three local pharmaceutical firms to produce quality, affordable dispersible zinc tablets and distribute them through their normal commercial channels. Creating a generic communications campaign to educate the public about zinc, raise their awareness, and encourage use. We created a program logo, pictured here, that was used on all communication materials. The campaign encompassed radio and TV spots, billboards, posters, and point-of-sale materials. And, we trained over 8000 public and private providers (including doctors, nurses, chemists and Female Health Care Volunteers).
Use RESULTS: 15% of children with diarrhea in the last 2 weeks had been treated with zinc. Our baseline from the DHS in 2006 was less than 1 percent. We were concerned that mothers might substitute zinc for ORS as it was not co-packaged, but our research data shows that 79% of caregivers treating with zinc also treated with ORS or ORT — and 66% treated for the full 10 days. Again, very encouraging results
Use RESULTS: 15% of children with diarrhea in the last 2 weeks had been treated with zinc. Our baseline from the DHS in 2006 was less than 1 percent. We were concerned that mothers might substitute zinc for ORS as it was not co-packaged, but our research data shows that 79% of caregivers treating with zinc also treated with ORS or ORT — and 66% treated for the full 10 days. Again, very encouraging results
Household survey results. In terms of knowledge of zinc among all caregivers of children under 5: 52% had heard of zinc and knew that it was an appropriate diarrhea treatment. 28 percent knew that zinc needed to be given for 10 days, and 41% knew where to obtain zinc. These are excellent results, given that knowledge is the first step in changing behavior.
Zinc can be successfully marketed as an accompaniment to ORS without being co-packaged where ORS is well established and use is relatively high. We need to continue to monitor the behaviors of providers—particularly chemists—and seek to find ways to reduce the use of anti-diarrheals and other pills and syrups There were a number of significant policy lessons learned: Zinc treatment programs are most effective when public and private sector programs are coordinated and working in tandem. While this type of coordination takes time and effort, in the end, the strong public-private partnership that was developed in Nepal, with MOH leadership championing both programs, was a key element in program success
This slide shows the impact of exposure to mass media communications (those who heard zinc messages on TV or radio). 98% of those exposed to a zinc message knew that zinc was an appropriate treatment for diarrhea compared to 39% of those who had received the information through another channel. 86% exposed vs 21% of those not exposed to the messages knew that zinc needed to be taken for 10 days.
This graph demonstrates the impact of the mass media communications on correct use behaviors which supplement provider education. 38% of those who heard (and recalled) the message about using zinc and ORS together correctly administered zinc with ORS or ORT vs 9% who had not heard a radio or TV message but received advice from a provider 25% of caregivers who had heard the message about treating for 10 days used the zinc for the full 10 days, vs 8 percent of those who had not. And in terms of overall correct use (both ORT/ORS and 10 days) 33% of those who had heard the messages vs 7% who did not treated correctly.
Th e household survey results parallel the findings of our Mystery Client Survey: 82% recommended an anti-diarrheal. About 2/3 recommended ORS, Fewer than hoped for (about 30%) recommended zinc as the first line treatment In discussions with chemists, their response was: mothers want the diarrhea to stop TODAY. When told to take the zinc the full 10 days,caregivers’ initially think it will take 10 days for the diarrhea to stop. Work still needs to be done to convince both providers and caregivers of the value of zinc in protecting against further bouts of diarrhea and that antidiarrheals may be harmful for children under 5. The good news is: recommendation for Antibiotic use is low (confirmed in our discussions with chemists)
This table shows treatment practices for diarrhea in the past two weeks: This data indicates that both public and private sector providers are providing zinc and that ORS and ORT use is high—even among traditional healers and those who treat at home. The promotion of zinc and early promotion of ORT by the Ministry continues to result in high ORS/ORT use However, the continuing high use of antibiotics, use of antidiarrheals and prescription of other unknown pills and syrups by private sector chemists and doctors are concerning. And, there is still a portion of caregivers who do nothing to treat the diarrhea. 1 Public sector: government hospitals/clinics, PHC centers, health posts, FCHV 2. Private Sector: private hospitals/clinics