bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sustainable Planning for Health – Review of Frameworks for Health System Strengthening
Authors: Rasch L , Quentin W , Geene R 
Published: October 2021

Abstract

Background
Imbalances in the distribution of health as well as global interconnectedness led to the consideration of health as a global public good. Health is placed therefor at the center of the goal-based movement for sustainability led by the United Nations (UN). Health System Strengthening (HSS) is an approach to align and harmonize all stakeholders in sustainable planning for health.

Methods
Frameworks published by nation states, multilateral institutions or global health initiatives were retrieved and analyzed in form of a critical realist review informed by poststructuralist curiosity. The aim was to understand how these frameworks contribute to the context of sustainable planning for health with the overall goal of improved health system performance.

Results
Eleven frameworks published by nation states, multilateral institutions or global health initiatives were obtained for this thesis. The frameworks support an understanding of how a health system is structured, how resources are allocated, how the financing and delivery of care is organized and how the different stakeholders of a health system are governed. Frameworks for health systems are a policy tool to introduce a common language for the architecture of health systems and to describe the way in which performance relates to functions in the form of a result-chain. The stakeholders involved in the development and implementation of these approaches are limited and predominantly from the global south. Gender, Equity and Human-rights criteria (GER-criteria) to address values are not sufficiently reflected in the frameworks.

Conclusions
The analysis in this thesis shows that HSS is an approach that requires an understanding of health system architecture and how it relates to performance. Although the different frameworks make the case for performance assessment and the linkage to resources, what is missing is a value-based approach that centers the knowledge generated by the Global South.

Key messages
Frameworks for HSS are policy tools for a common language for the architecture of health systems and to describe the way in which performance relates to functions in the form of a result-chain. Value-based approaches that center the knowledge generated by the Global South need to be included in sustainable planning for health.
Associated factors to breast feeding practice in neonatal intensive care unit
Authors: Sylla A , Soukaina L , Nani S , Hassoune S , Lehlimi M , Badr A , Hajjaji S , Chemsi M , Habzi A , Benomar S 
Published: October 2021

Abstract

Background
Improving breast milk feeding (BF) can avoid globally per year 800000 deaths in children under 5 years old. In Morocco the breast milk feeding rate decreased from 51% to 27,8% between 1992 and 2011, the breast feeding rate in neonatal intensive care unit (NICU) is lower (12,4%). The objective of this study is to determine the associated factors of BF practice in NICU.

Methods
A cross-sectional study was conducted between 04 January and 20 April 2021 in NICU ward of teaching hospital Ibn Roch of Casablanca (Morocco). We included Moroccan couples mother/newborn who can practice the BF presents during the study period. We used face to face interview using questionnaire. Student, Mann-Whitney-Wilcoxon and Khi2 tests were used to test association between BMF and potential associated factors. The potential associated factors with p ≤ 0.05 were considered as associated factors of BF practice. Data were analyzed using R 3.6.3.

Results
We included 107 couple mother/newborn. Around 77% of mothers practice BF. The mother factors associated with BF practice were: residence (30.5% rural; 69.5% urban; p = 0.007); marital status (2.4% single; 0% divorced; 97.6% married; p = 0.02); getting prior information about BF (6.2% no; 93.8%yes; p = 0.02), mother knowledge score about BF (median score yes = 10, no = 9;p= 0.03). The newborn associated factors were: hospitalization reasons (50.7% respiratory distress; 17.3% infections; 13.3% jaundice; 18.7% others; p = 0.03) and the gender (58.2% male; 41.8% female; p = 0,02)

Conclusions
The practice rate is lower for rural single mother who don't get any prior information about BF (lower knowledge). These mothers must get more attention from the healthcare staffs and training programs to improve the breast feeding in NICU.

Key messages
We can do better about the management of newborn hospitalized in NICU with actions like BF practice (promotion of breastfeeding). The benefits of breast feeding practice are significantly greater than his risks about the management of newborn hopitalized in NICU.
Determinants of mothers knowledge about breastfeeding in neonatology intensive care
Authors: Sylla A , Sana A , Nani S , Hassoune S , Lehlimi M , Badr A , Hajjaji S , Chemsi M , Habzi A , Benomar S 
Published: October 2021

Abstract

Background
Breastfeeding (BF) is one of the most effective ways to ensure child health and survival. In Morocco the BF rate decreased from 51% to 27,8% between 1992 and 2011. The breast feeding rate in neonatal intensive care unit (NICU) is lower 12,4%. Studies showed if we improve the mothers knowledge, the BF practice rate increase in NICU. We aim to determine associated factors of mothers knowledge about BF in NICU of Ibn Rochd teaching hospital in Casablanca (Morocco).

Methods
A cross-sectional study was conducted between 04 January and 23 April 2021 in NICU ward of teaching hospital Ibn Roch of Casablanca (Morocco). We included Moroccan mothers who can practice the BF presents during the study period. We used face to face interview using questionnaire. A scoring system from 0 to 16 points was used to measure the knowledge. The student, ANOVA, Mann-Whitney-Wilcoxon, Kruskal Wallis, Pearson and spearman correlation tests were used to test association between BF and potential associated factors. Associated factors with p ≤ 0.05 were considered as determinants of BF. Data were analyzed using R 3.6.3.

Results
We included 111 mothers. The mean score of knowledge was 10.38 ± 2.31. Associated factors with BF knowledge were: healthcare staffs support (yes mean score =11.06 and no = 9.72; p = 0.002); getting prior information about BF (yes mean score =10.53 and no = 9; p = 0.012). The knowledge increase with age of mother (correlation coefficient = 0.26; p = 0.005) and parity (correlation coefficient = 0.30; P = 0.001).

Conclusions
Mothers and specifically younger primiparous should receive more attention from training program and healthcare staffs in NICU to improve the knowledge and practice of BF.

Key messages
we can enhance significantly the survival and health of newborn hospitalized in NICU by simple actions as advices, encouragement toward the newborn mothers to improve their knowledge about BF. Healthcare staffs and facilities have to be the teachers and school about breast feeding.
Survey of Public Health Professionals on perspectives towards Direct-to-Consumer Genetic Tests
Authors: Sassano M , Hoxhaj I , Stojanovic J , Acampora A , Boccia S 
Published: October 2021

Abstract

Background
The diffusion of Direct-to-Consumer Genetic Tests (DTC-GTs) requires properly literate professionals to appropriately address the challenges they pose to Public Health (PH). Hence, we conducted a survey to assess the current state of knowledge, attitudes, and behaviors of PH professionals members of the European Public Health Association (EUPHA) towards DTC-GTs.

Methods
The results of a scoping review conducted on PubMed to identify articles on healthcare professionals' perspectives towards DTC-GTs were used to elaborate a survey, which was validated through a focus group with experts. EUPHA members were invited to participate through email invitation, and EUPHA and EUPHAnxt newsletters. We performed a descriptive analysis of the results, and a univariate analysis to evaluate associations between selected variables.

Results
Two hundred and seventy-seven PH professionals (44.4% male, 55.6% female) completed the survey, 67.1% of whom were not involved in genetics or genomics within their professional activities. Although 78.0% were that companies are advertising and selling genetic tests directly to consumers, most of them reported a low level of awareness towards DTC-GTs applications and regulation aspects. The majority reported that a qualified health professional be involved in the DTC-GT process (91.7%), and did not feel prepared to address citizens' questions (64.6%). Eventually, 72.6% of the respondents stated that the provision of DTC-GT should be regulated on a national level, similarly to medicines.

Conclusions
Our results revealed a high level of awareness about the existence of DTC-GTs. Despite the overall positive attitudes, PH professionals reported a high need for strengthening regulatory aspects of DTC-GTs provision process. The growing interest of DTC-GTs among citizens and the poor knowledge of PH Professionals about these tests highlights the need to identify strategies for literacy improvement.

Key messages
Given the challenges for health systems, improving Public Health professionals' literacy on new technologies such as Direct-to-Consumer Genetic Tests is essential. The need for strengthening the regulation of Direct-to-Consumer Genetic Tests expressed Public Health professionals should guide policymakers.
Robotic surgery - prevention of the risk of cytokine storm in women with endometrial cancer
Authors: Tzvetkova S , Tsvetanova K , Dimitrov T 
Published: October 2021

Abstract

Background
Endometrial carcinoma is frequently diagnosed gynecologic neoplasm all over the world. Most often, women aged between 50 and 70 are affected by it. One third of the diagnosed patients pertain to a younger age group. The data of Bulgarian National Cancer Registry show that uterine body cancer accounts for 8,3% of all oncologic diseases of women.

Methods
97 women with endometrial carcinoma, Ist stage, with clarified diagnosis for one year (2020) and already operated in UMHAT “Dr.G.Stranski”- Pleven, have been tested. 62 of these patients had undergone robotic surgery and 35 - conventional surgery. The immunologic parameters were tested before the surgical intervention, at the 3rd hour and on the 3rd day via Human ELISA-Diaclone. Statistic processing is with STATGRAF.

Results
The comparative survey between the robotic surgery patients and open surgery patients demonstrated that in the early post-operation period the open surgery patients had considerably increased serum cytokine level compared to the robotic surgery patients. The minimal invasive surgery demonstrates a reduced acute-phase response and a better preservation of cellular immune mechanisms compared to the open surgery.

Conclusions
The acceptance and implementation of mini-invasive surgical system Da Vinci in Bulgaria for treatment of endometrial carcinoma (Ist stage) reduces the cytokine explosion, decreases the post-surgical risk as well as the reanimation care days and hospital stay. Psychological stress and hospitalization time are reduced, quality of life is improved.

Key messages
Surveying the robotic surgery role in the treatment of women with endometrial carcinoma, Its stage via cytokine profile determination. Through Da Vinci, the hemorrhage and post-surgical complications are minimal, the psychological stress and hospital stay are reduced, the treatment cost is diminished and life quality is improved.
Can hospitals impact users’ experience? Application of an evaluation tool to enhance Design for All
Authors: Mosca EI , Steinfeld E , Capolongo S 
Published: October 2021

Abstract

Background
Design for All (DfA) strategy addressing human diversity, social inclusion and equality, can have an impact on users' well-being in healthcare facilities. However, evaluation tools are needed to identify the extent to which DfA influences users' experience and service quality. This study explores the application of the Design for All A.U.D.I.T. (Assessment Usability Design & Inclusion Tool).

Methods
The tool's structure is based on a multicriteria framework that evaluate hospital areas through a rating system. The hierarchical framework includes three Categories of DfA outcomes (Physical-spatial quality; Sensorial-cognitive quality and Social quality) with related criteria, indicators and requirements. The tool has been applied in the evaluation of two private hospitals, one in Buffalo (US) and one in Milan (Italy).

Results
The analysis of findings addressed both spatial and DfA qualities. For spaces, Horizontal circulation had the best scores in both hospitals (76% Italy, 88% US). The Italian hospital Vertical circulation had the lowest score (46%), while in the Buffalo facility Outdoor spaces had the lowest scores. Regarding DfA qualities, the Italian hospital obtained the highest score in Environmental Factors (84%), due to a sustainable design approach, while Social Inclusion got the lowest score (54%). The Buffalo facility scored higher on Social Inclusion (87%) because it provides diverse services for users. Both the hospitals had problems with Wayfinding due to layout and signs, scoring low on this criterion (59% Italy, 39% US).

Conclusions
The analysis of the hospitals demonstrated that the tool can evaluate spaces and DfA outcomes along dimensions of health and well-being. The system can be used to identify critical aspects and suggest design strategies, defining priorities for interventions. Further research directions will consider applications in different hospitals to ensure the tool scalability and application to new building projects.

Key messages
The evaluation tool enhances Public Health by measuring hospital quality in terms of Design for All and user needs. The tool can be applied in the decision-making process during design and renovation of specific areas of hospitals to implement Inclusive Design.
Disability benefit application in Switzerland: An analysis of linked administrative and survey data
Authors: Altwicker-Hamori S 
Published: October 2021

Abstract

Background
One priority of the European Disability Strategy 2010-2020 was to increase the labor market participation of individuals with disabilities. Switzerland shares this priority: The guiding principle of disability insurance is ‘rehabilitation before pension'. Access to rehabilitation measures to restore, maintain or improve the earning capacity of individuals with disabilities via disability insurance benefit (DB) application is essential. The aim of this study was thus to identify factors associated with DB application in Switzerland.

Methods
A novel dataset was created linking survey information from the 2010 Social Protection and Labour Market with administrative data on DB application (2009-2018). Multiple logistic regression was used to examine the association between health-related, demographic and socioeconomic factors and DB application in adults aged 18-55 (N = 18,448).

Results
Higher odds of DB application were found for those suffering from long-term health-related activity limitations (OR 2.88; 95% CI 1.29-6.44); born outside of Switzerland (OR 1.75; 95% CI 1.32-2.32); living without a working partner (OR 1.54; 95% CI 1.17-2.02); living without a child aged 0-14 years (OR 1.70; 95% CI 1.29-2.26); aged 18-39 (OR 1.41; 95% CI 1.09-1.83); with an occupation in ‘Manufacturing' (OR 2.75; 95% CI 1.68-4.50), ‘Construction and mining' (OR 2.03; 95% CI 1.13-3.66), ‘Trade and transport' (OR 2.12; 95% CI 1.30-3.45), ‘Business and administration' (OR 1.68; 95% CI 1.03-2.72), and ‘Health, teaching, culture and science' (OR 1.55; 95% CI 1.05-2.29); and renters (OR 1.44; 95% CI 1.07-1.94). No statistically significant association was found between sex or registered unemployment within five years preceding the survey and DB application.

Conclusions
This study confirmed limited European evidence suggesting that DB application is more than a health-related phenomenon. However, it presented a less consistent picture on the role of marginalisation in DB application.

Key messages
One of the main contributions of this study stems from the promising and innovative method of linking detailed survey information to highly reliable administrative records. As such, the study not only offered novel results but also demonstrated the potential of the dataset for public health research.
Managers’ experience-based understanding of capacity to work in workers with common mental disorders
Authors: Tengelin E , Hensing G , Holmgren K , Ståhl C , Bertilsson M 
Published: October 2021

Abstract

Background
The capacity to work among workers with common mental disorders (CMD) is important to understand but scarcely explored from a manager perspective, even though their views could add essential knowledge. The aim of this study was to explore and describe managers' experience-based understanding of capacity to work in individuals with CMD.

Methods
This qualitative focus group study used inductive manifest content analysis as analytic technique. First-line managers with experiences of employees with CMDs were recruited via organizations and networks. Eight focus group interviews with altogether 31 participants were performed.

Results
The analysis resulted in five categories of managers' experience-based understanding of occupational functioning in workers with CMDs: (1) The capacity to mentally focus on work tasks decreases or disappears, with negative consequences for work output. (2) The capacity to commit to continuous and coherent tasks changes, making tasks that span over longer periods of time difficult. (3) The capacity to independently adapt to the needs of the situation decreases, causing the worker to need more guidance and instructions than usual. (4) The capacity to keep up professional appearances is reduced, meaning that the worker struggle with the professional role. Finally, (5) the ability to interact socially and professionally decreases, which potentially causes conflicts at the workplace.

Conclusions
This study shows managers' experience-based understanding of CMDs in workers as severe changes and reductions of employees' capacities needed for occupational functioning. These findings add to the understanding of the construction of the capacity at the workplace. A deeper understanding of reduced work capacity is also needed to adapt workplaces and our findings can facilitate work accommodations for employees with CMDs.

Key messages
This study adds a manager perspective to the increasing knowledge about how capacity to work is influenced by CMD. This study shows that managers experience that CMD in workers severely change and reduce employees’ capacities needed for occupational functioning.
COVID-19 impact on financial security: evidence from the National Public Engagement Survey in Wales
Authors: Allen J , Cotter-Roberts A , Kadel R , Hughes K , Dyakova M 
Published: October 2021

Abstract

Background
A nationally representative COVID-19 Public Engagement Survey for Wales, led by the World Health Organization Collaborating Centre on Investment for Health and Well-being at Public Health Wales, has been ongoing from April 2020, helping to inform a sustainable recovery from the COVID-19 pandemic. A data analysis was performed as part of the Welsh Health Equity Status Report initiative focusing on income and job security, which influences living conditions and lifestyle behaviours.

Methods
A Generalized Linear Model was used to calculate the predicted probability of response for variables of interest, e.g. whether an individual reported being in a worse financial situation due to the pandemic, across the life course, socio-economic gradient and sex. Data collected via telephone between 03 April - 25 July 2020 produced a sample ranging between approx. 2,500 - 7,500 participants. The sample was weighted according to deprivation quintile (using the Welsh Index of Multiple Deprivation), age group and sex.

Results
A significantly higher proportion of survey respondents (18 - 24 years of age) reported being worried about losing their job or not being able to find one, than any other age group. A significantly higher proportion of survey respondents in the most deprived population fifth (33.7%) reported being in a worse financial situation as a result of the restrictions, compared to the least deprived fifth (21.7%).

Conclusions
COVID-19 has had a major impact on people's lives and livelihoods in Wales, hitting the most deprived and vulnerable the most. It has increased job insecurity, especially among younger/working age people. The government has taken unprecedented financial and other measures to address inequities; nevertheless, most are temporary and not specifically targeted to support specific (vulnerable) groups. Measures to promote sustainable economic recovery, job security and safeguarding due to the COVID-19 pandemic need continuity and consistency

Key messages
COVID-19 has had a significant impact on income and job security in Wales, disproportionately affecting the most deprived. To mitigate COVID-19 harms, a continuous and consistent focus on equity is essential to promote sustainable economic recovery.
COVID-19 pandemic impact on Primary Health Care Accessibility in Portugal
Authors: Leiras G , Nunes AB , Martins A 
Published: October 2021

Abstract

The COVID-19 pandemic disrupted health systems worldwide, mobilizing most of its resources to COVID-19 care. In Portugal, since mid-March 2020, the scheduled assistance activity of the primary health care services has been altered or interrupted, to respond to the needs of users with suspected or diagnosed SARS-CoV-2 infection. This study intends aims to assess the impact of the COVID-19 pandemic in terms of access to primary health care during 2020 in Portugal. Primary Health Care accessibility data were extracted from the national data transparency portal. Data were aggregated by the 5 health regions and compared to homologous periods for years 2019 and 2020. In Portugal, in 2020 the number of primary health care consultations decreased in the regions of Alentejo (-5%), Algarve (-1%) and Centre (-1%) but increased in both North (+6%) and Lisbon and the Tagus Valley regions (+7%). The number of scheduled appointments decreased in the 5 regions (-16%), increasing the unscheduled appointments (+24%). Those differences were higher during the first lockdown (-42% schedule appointments vs + 13% unscheduled appointments). Presential consultations decreased by 38%, non-presential increased by 101%, and domiciliary consultations were reduced by 37%. Changes to regular activity of primary health care units compromised the access to presential health care by the non-COVID-19 population. After the first pandemic wave, the resumption of scheduled activity changed from face-to-face to non-presential consultation. The adoption of new technologies and telemedicine increased the total of registered consultations, compared to previous year. However, not all non-presential consultation is in fact patient-facing teleconsultation, with some of them being just for prescription renewal or to prescribe complementary exams. Predominantly urban regions were less affected by the suspension of presential activity, maintaining their assistance by non-presential provision of care and telework.

Key messages
Amidst the COVID-19 pandemic, the Portuguese primary health care services ensured the assistance to their population by non-presential provision of care. Predominantly rural regions were most affected by the suspension of presential consultation.