bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fistula Program Management using DHIS2: Experience of Fistula Care Plus Project in Bangladesh
Authors: Uddin Masum Salah , Huda Sk Nazmul 
Published: June 2019

Aims: To share the experience of using DHIS2 in managing the Fistula Care Plus Project in Bangladesh.
Methods: Since the beginning of the Fistula Care Plus Project in Bangladesh, we used DHIS2 for capturing cluster data from organizational units. Program data was entered in a customized DHIS2 platform on a quarterly basis. Program data was analyzed and shared with / disseminated to project partners and stakeholders on a regular basis. Directorate General of Health Services (DGHS) also included seven fistula related indicators for collecting fistula data from all the facilities across the country.
Results: We were able to capture and manage 100% of project data using DHIS2 throughout the project period. Fistula data reported at governmental platforms was negligible. Through a structured process called “clinical data for decision making (CDDM)”, project partners were given critical insights for quality monitoring and upholding performance. DHIS2 based performance analysis was also found very helpful for project monitoring.
Conclusion: DHIS2 was found to be very effective for fistula program management. Effective use of DHIS2 for fistula data management by the facilities throughout the country under the DGHS would require training and capacity building inputs.
Addressing the Shortage of Fistula Surgeons; up date from FIGO’s Training Initiative
Authors: Slinger Gillian , Trautvetter Lilli 
Published: June 2019

The FIGO Fistula Surgery Training Initiative has been developed to build the capacities of fistula surgeons in identified training centres using the Global Competency-Based Fistula Surgery Training Manual.
Since the launch of the Training Manual in 2011, the project has evolved, and in the last 4 years, has expanded substantially. Coming from 19 fistula affected countries around the world, there are presently 57 trainee fistula surgeons (‘Fellows’) on the Programme, undergoing training placements in established training centres, as well as receiving coaching visits in their home facilities to progressively build their fistula skills and activities over time.
While good progress has been made, FIGO recognises and is ready to address the challenges still facing the Programme, and the next exciting phase will include further expansion, with continued admission of Fellows and fistula care teams from selected, high-need countries, while moving towards programmatic consolidation, by further strengthening the skills and activities of Fellows already on the Programme, so that significantly more affected women have access to high quality, life changing fistula treatment.
It takes a village: The vital role of community organizations in enhancing fistula patient identification, referral, and reintegration in Kenya
Authors: Mohamed Habiba C. , Pollaczek Lindsey 
Published: June 2019

Action on Fistula, Kenya, is a multi-year initiative (2014-present) focused on expanding access to fistula care and building the national capacity for fistula treatment, training, and community mobilization. Led by Fistula Foundation in partnership with the Ministry of Health, public and private hospitals, and community-based outreach organizations, over 4,000 fistula repair surgeries have been performed at six hospitals throughout the country. One of key factors in driving the success of the program is the use of extensive community outreach networks to increase patient referrals, improve community awareness and knowledge of fistula, and facilitate reintegration for women following fistula repair surgery. Through this community initiative, women from all of Kenya’s 47 counties have been treated and over 85% of patients have come through the AOF partner outreach efforts.
Varied mobilization strategies have been utilized to maximize results, including training and engagement of community outreach workers, media engagement through radio spots and live talk shows, partnerships with health facilities and training of health center staff, community outreaches and rallies, and the use of “Kick Fistula out of Africa” soccer team to raise awareness and help destigmatize the condition. In the second phase of the initiative, reintegration programs were also initiated by the same community organizations and enhanced follow-up measures were put in place to assess longer-term outcomes for continence status, social and psychological wellbeing, and economic health.
Situation of obstetric fistula in a marginalized teagarden community of Bangladesh: A Qualitative Study.
Authors: Abdullah Abu Sayeed Md. 
Published: June 2019

Aims: To explore the situation of obstetric fistula among the teagarden women in Bangladesh.
Methods: A qualitative study was conducted. During the screening, a total number of five obstetric fistula cases identified from the 10 teagardens covering around 50 thousand populations. The study performed in depth face to face interview with the all women with a guideline.
Results: The mean age was 41 years. All were married before 15 years of age and delivered the following year. Obstructed labour was the reason for fistula in all cases. Mean duration of suffering was 19 years. One woman is found divorced, two woman’s husband leaves her and two is continuing her conjugal life. In all cases, husband separated and women were living alone. Only one woman receiving treatment from a tertiary facility left treatment due to economic crisis. The other causes of not receiving treatment include lack of knowledge and its treatment, misperception of self recovery, negligence, lack of time due to job at teagarden, ignorance, transportation and economic crisis. All women faced serious negligence and were culturally restricted to attend the family or religious programme. All women wanted to be cured.
Conclusions: Focused intervention is required to eliminate obstetric fistula, very small number of cases flag many stories. It is likely teagarden catchment areas in Bangladesh is vulnerable with obstetric fistula cases which are still unexplored. It’s important to know actual epidemiology of obstetric fistula in the teagarden community, on the other hands it also demands for establishment of timely referral pathway, proper management system including rehabilitation and reintegration in order to reduce or eliminate obstetric fistula in Bangladesh by 2030.
Evidence based classification/staging system for Obstetric Fistula: Planning and preliminary intervention in Nigeria
Authors: Adeoye S , OJengbede OA , Efem I , Amodu A , Nasir S , Wara A , Amir Y , Morhason-Bello IO , Abdus-Salam A , Bello OO , Lawal OO , Akinlusi F , Lawal K , Njagu P , Ibrahim H , Ogunmayin O , Afolabi KA 
Published: June 2019

Aims: To review the classification systems of obstetric fistula (OF).
Methods: A two-day stakeholders’ meeting in Nigeria involving fistula surgeons, nurses, anesthetists, trainee, fistula desk officers at the federal and state government levels and other stakeholders was facilitated by Engender health. The meeting involved presentation of common classifications of obstetric fistula, critical analysis of each classification, group and plenary discussions. Presentation involved a critical analysis of classification parameters, strength and weakness. Three working groups designed classification criteria, prognostic scoring and suggested level of surgical skills needed to manage the patient. Outcome of each group work was presented and discussed in plenary. Each of the classification scenarios were modified by consensus and ratified at subsequent follow up meeting.
Results: Three new classification systems of the OF were developed, and from these, a consensus classification was also developed in plenary. The initial three classifications developed from group work were similar to each other. Each classification considered size, location, previous repair, scaring, associated morbidity involvement of closing mechanism of the bladder neck, degree of urethral involvement and presence of transection of bladder neck (circumferential defect). The consensus classification, that was adopted, considered classification and prognostic scoring system. The four classification systems will be field tested to generate evidence for reliability and reproducibility.
Conclusions: We believe a new classification system of obstetric fistula that will provide robust information to the managing team and patient is long overdue. This modest idea is a wake-up call for practitioners to design appropriate tool that is back up with reproducible evidence.
Making the dream a reality: how are we going to end fistula within a generation?
Authors: Anastasi Erin , Asiamah Bridget 
Published: June 2019

Aims: To provide a global overview on progress, successes, challenges/lessons learned, and the way forward towards the UN global vision of ending fistula within a generation.
Methods: This interactive presentation will feature highlights of the 2018 United Nations Secretary-General's report on "Intensifying efforts to end obstetric fistula within a generation" and the subsequent United Nations General Assembly Resolution A/RES/71/169.
Results: Key elements in the Report include linking the call to end fistula within a generation with the achievement of the Sustainable Development Goals (SDGs); integrating fistula with global efforts to achieve universal access to emergency/essential surgery; addressing root causes of fistula; and calling for UNFPA/Campaign to End Fistula to lead development of a new global road map to end fistula within a generation.
Conclusions: To succeed in ending fistula within a generation, we must galvanize momentum and mobilize the international community to invest and act upon key recommendations of the 2018 Secretary General’s Report on fistula. These include: strengthening health systems; implementing and monitoring cost national strategies for eliminating fistula; including fistula into national SDGs implementation plans; strengthening national task forces for fistula; securing significantly increased, predictable, sustained, and adequate financial support; strengthening awareness-raising and advocacy; and improving research, data collection, monitoring and evaluation to end fistula and make the “invisible”, visible.
Obstetric Fistula Orientation Program in Nepal
Authors: Shakya Tara 
Published: June 2019

Aims: To find out the hidden cases by strengthening/upgrading the knowledge of the participants and also to refer the identified cases not only to the phect -NEPAL's fistula surgery center (Kathmandu Model Hospital/Kirtipur hospital) but also to the nearest fistula centers of the country.
Methods: In 2018, phect-NEPAL has conducted orientation program in seven districts. During the orientations, pretest/posttest was done with health service providers, female community health volunteers, NGOs /teachers and school students to see their knowledge on obstetric fistula. Public Health Concern Trust (phect-NEPAL) is working in this area not only in curative part but also in preventive/awareness part since 2014. Till now, phect-NEAPAL has conducted orientations in more than 17 districts (one Municipality and one village Municipality in each district).
Results: Among the 370 health service providers who got orientation in 2018, a total of 90% of health service providers know what is obstetric fistula, 55% know about Pelvic organs involved in obstetric Fistula, 47 % HSP knows about the causes of obstetric fistula, 22% know about symptoms of obstetric fistula, only 37% know about diagnostic criteria for identifying obstetric fistula and 49% have confusing knowledge with other gynae problems like uterine prolapse.
Among 660 FCHVs, almost 80 % of female community health volunteers did not heard about obstetric fistula. Those FCHVs who said they heard about obstetric fistula, more than 80% have confused knowledge of prolapse uterus /piles, leaking urine while coughing/sneezing, etc. Almost 90% of teachers and 60% of NGOs do not know about obstetric fistula.
Conclusion: Awareness on obstetric fistula is a Key Component for successful implementation of Obstetric Fistula Program in Nepal.
How Operation Fistula uses data visualization to help women with obstetric fistula
Authors: Hollbrügge Naledi 
Published: June 2019

Aims: To enable all parts of Operation Fistula to make data-driven decisions in their work and to use data visualisation to simplify complex processes. Moreover, to effectively use data visualisation to educate the public about Obstetric Fistula and other issues of gender inequality.
Methods: An experienced visual design analyst was hired full time to lead the analytics setup at the organisation and provide training for the team in the use of Tableau Desktop software.
Results: Using a visual representation of data has spread information about Obstetric Fistula in an entirely new way to new audiences. One of our analyses has received over 10,000 views at this time. The use of data visualisation has created powerful partnerships for the organisation that have allowed Operation Fistula to raise significant funds and improve visibility of the cause. Staff members are now empowered to use data in their everyday work to make data-driven decisions.
Conclusions: In a world that is driven by data, it is important that evidence-driven actions are implemented not only in the treatment of obstetric fistula but that we make data central to the everyday operation of our workplaces. Data visualisation is a powerful technique to make unfamiliar topics accessible, gain clarity on complex processes, and garner interest from otherwise unengaged actors. With new developments in commercial tools, data visualisation has become more accessible to every level of the business and is no longer exclusively the realm of data analysts.
Facilitating data for decision making to improve Health Management Information Systems reporting at four supported sites in Uganda
Authors: Kanakulya Hassan , Kyozira Carol , Kaduyu Paul , Mukisa Rose 
Published: June 2019

Aims: To share Data for Decision-Making (DDM) initiatives used across health service sites supported by USAID-funded Fistula Care Plus (FC+) Project at EngenderHealth.
Methods: FC+ and the HMIS Department at the Ministry of Health conducted a DQA at four supported sites in Jinja, Hoima, Masaka and Kamuli to verify whether reported data was consistent with facility registers. A qualitative assessment identified other data quality/capacity issues. The team worked with facility staff from October 2016 to March 2018 to address data and capacity gaps, including capacity building, feedback through DDM meetings, development of DDM committees, and support to action plans developed during the DQA exercise.
Results: 60%-80% of which were implemented. Three sites set programmatic targetsfor2017-2018 and shared them to facilitate better resource allocation. Three sites used data visualization. All sites made critical decisions based on data they generated, such as timely maternal death audits, forecasting and re-supply of HMIS tools. There was improved data accuracy, with scores on indicators of acceptable data quality increasing at Kamuli from 45% to 60%, Jinja from 9% to 33%, Kitovu from 60% to 83%, and Hoima 4 % to 23%.
Conclusions: These results demonstrate the value of and effective strategies for promoting pragmatic data use among those who collect clinical data, going beyond the traditional use of data for reporting purposes only.
HYDRODYNAMIC MODELING AS ONE OF THE DECISION METHODS FOR THE EFFICIENT DEVELOPMENT OF OIL FIELDS
Authors: Kondrat O. R. , Lukin O. A. 
Published: June 2019

Oil production is a complex process that requires modern technologies, work experience and responsible personnel to implement cost-effective projects. Oil field exploitation processes stimulation or modeling is a method for researching exploitation objects on their analogs (models) in order to determine characteristics of available projected objects and make them distinct.
The main objective of this research is to explore possibility and establishment of hydrodynamic stimulation results application effectiveness as a factor for decisions-making concerning oil or gas fields exploitation. The research, regarding optimization of oil field exploitation system, outlined the main directions and possibilities of oil extraction from depleted oil fields enhancement, and the hydrodynamic stimulation process as the main tool for solving such problems.
The study of efficiency of oil and gas field development presupposed developing geological and technological model of a hypothetical deposit with technological indicators of a real Ukraine deposit. The hydrodynamic model was adapted for all wells according to actual data. All geological and technological measures, carried out in the sight, were also modelled. Field exploitation history was adapted. Oil field exploitation system was optimized by improving the reservoir pressure enhancement system in the real field. Different variants of field exploitation were considered. They include the conversion of the producing well in the injection well, whereas the well in the vaulted part is injected.
DEFICIENT OF THE STATE BUDGET OF UKRAINE
Authors: Sydor H. V. , Tkachik O. I. 
Published: June 2019

Purpose. Investigation of essence of deficit of the State Budget from the point of view of existing approaches in economic science.
Methodology of research. The theoretical and methodological basis of the research is the scientific works of domestic and foreign authors on the research of the essence of the deficit of the State Budget of Ukraine, Internet resources. In the process of research used general and special methods, in particular: monographic – in the implementation of the literary review of the problem under study; systemic and structural analysis – in substantiating different approaches and different points of view before interpreting the essence of the State Budget deficit as a complex economic category. Findings. Generalized theoretical developments of domestic and foreign scientists-economists on the interpretation of the «deficit of the State Budget». At the theoretical level, it has been proved that over the entire period of functioning of Ukraine as an independent state there was an excess of the expenditure part of the State Budget over its revenue. Traced causal relationships, which are important reasons for the appearance of a deficit of the State Budget in Ukraine. The research of those scientists considering the definition of «deficit of the State Budget» from positive and negative sides is considered. It was established that it would assess the financing of the position of the state and the country affecting the budget and tax policy of the balance of payments, the state of the monetary system and the internal order, which allows to identify the deficit of the State Budget.
Originality. It is suggested to trace causal relationships, which are important reasons for the occurrence of the deficit of the State Budget in Ukraine.
Practical value. The obtained research results are the basis for solving practical problems of the correct scientific approach to understanding this concept at the present stage.
USE OF THE SWOT-ANALYSIS METHODS IN DEVELOPING THE INTERNATIONALIZATION STRATEGY OF HIGHER EDUCATION INSTITUTIONS
Authors: Verbovska L. S. , Stepanyuk H. S. , Kushlyk O. 
Published: June 2019

The article substantiates the influence of globalization processes on the development of institutions of higher education that take place in the world. The foreign countries universities experience of internationalization processes is considered. The concept of strategic management as an effective technology of higher education institutions management, particularly in the sphere of international activity and the necessity of carrying out the university diagnostics using existing strategic analysis tools, is substantiated. The potential advantages and opportunities provided by the internationalization strategy for the development of domestic institutions of higher education are determined. The development of the university internationalization strategy is based on the development of students international academic mobility and scientific and pedagogical workers, stimulation of educational programs and scientific researches joint with foreign partners, which ensure the implementation of productive mechanisms for the integration of the higher education domestic institutions into the global scientific and educational environment. The main factors influencing the formation of the internationalization strategy and the principles on which the development of such a strategy for modern universities is based are established. The SWOT-analysis of domestic universities has been conducted and the main results of the research based on the strengths and weaknesses, opportunities and threats of the international activity of higher education institutions are presented. This methodology of SWOT-analysis during developing the internationalization strategy allows combining the procedure of analytics and the procedure of choosing strategic alternatives. The SWOT-analysis matrix of strategic alternatives has been used to help the management of higher education institutions in formulating the internationalization strategy in the field of university international cooperation, which can be applied in such areas as internationalization of educational activities, internationalization of scientific activity, internationalization of social development. The main tasks of internationalization in Ukrainian higher education institutions and the expected results from the implementation of internationalization strategies in domestic universities are singled out.
Book Reviews
Authors: Gray Maggie , Ribbens Kees , Domsch Sebastian , Jones Dyfrig 
Published: June 2019

Thierry Groensteen, The Expanding Art of Comics: Ten Modern Masterpieces, trans. Ann Miller (Jackson: University Press of Mississippi, 2017). 240 pp. ISBN: 978-1-49-680802-8 ($65)Nina Mahrt, Die Darstellung realer Kriege in Comics (Frankfurt: Peter
Lang, 2016). 471 pp. ISBN: 978-3-631-67658-5 (€84.20)Anna Maria Jones and Rebecca N. Mitchell, eds, Drawing on the Victorians:
The Palimpsest of Victorian and Neo-Victorian Graphic Texts (Athens:
Ohio University Press, 2017). 386 pp. ISBN: 978-0-82-142247-2 ($80)Chris Murray, The British Superhero (Jackson: University Press of Mississippi, 2017). 240 pp. ISBN: 978-1-49-680737-3 ($65)