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Current Issue BMJ Global Health
Maternal mortality decline in Zimbabwe, 2007/2008 to 2018/2019: findings from mortality surveys using civil registration, vital statistics and health system data (4 August, 2022) Reuben Musarandega, Jenny Cresswell, Thulani Magwali, Davidzoyashe Makosa, Rhoderick Machekano, Solwayo Ngwenya, Lennarth Nystrom, Robert Pattinson, Stephen Munjanja.
Conceptual framework for systemic capacity …
Health policy and systems research (HPSR) is critical in developing health systems to better meet the health needs of their populations. The highly contextualised nature of health systems point to the value of local knowledge and the need for context-embedded HPSR. Despite such need, relatively few individuals, groups or organisations carry out HPSR, particularly in low …
WHO and digital agencies: how to effectively tackle …
Introduction. On 30 January 2020, as a consequence of the globally deteriorating epidemiological situation, WHO Director-General Tedros Adhanom Ghebreyesus declared the COVID-19 situation to be a public health emergency of international concern.1 The global health disaster has been exacerbated by a concomitant epidemic of misinformation online, which has …
Babies before business: protecting the integrity of health
While health professionals may believe that these ‘gift relationships’ do not significantly compromise their professional judgement or create expectations or obligations, studies show otherwise.2 7 The impulse to reciprocate, even when gifts are of minimal value, influences objectivity and causes health workers to reweigh information and choices due to the …
HIV and SARS-CoV-2: the interplay of two wicked problems
### Summary box Concern is justified observing the link between the AIDS and COVID-19 pandemics. COVID-19 outcomes are significantly worse in many people living with HIV (PLHIV), even when vaccinated, because of their impaired immune system. Moreover, CD4 T-cells are affected by both HIV and SARS-CoV-2.1–3 SARS-CoV-2 variants can evolve in …
Conceptual framework for systemic capacity …
the capacity of a health ministry to conduct health policy processes--a case study from Tajikistan. Int J Health Plann Manage 2015;30:173–85. 28 Nangami MN, Rugema L, Tebeje B, et al. Institutional capacity for health systems research in East and Central Africa schools of public health: enhancing capacity to design and implement teaching
Epidemiological impact and cost-effectiveness analysis of …
Background A few studies have assessed the epidemiological impact and the cost-effectiveness of COVID-19 vaccines in settings where most of the population had been exposed to SARS-CoV-2 infection. Methods We conducted a cost-effectiveness analysis of COVID-19 vaccine in Kenya from a societal perspective over a 1.5-year time frame. An age …
Evaluating potential unintended consequences of COVID …
Introduction. In a recent article published in this journal, Bardosh et al set out to ‘outline a comprehensive set of hypotheses’ for why COVID-19 vaccine policies (namely, vaccination mandates and passports) ‘may cause more harm than good’.1 A clear articulation of potential unintended consequences is crucial for the ethical evaluation of any policy, including …
Racial discrimination and adverse pregnancy outcomes: a …
Introduction Racial discrimination has been consistently linked to various health outcomes and health disparities, including studies associating racial discrimination with patterns of racial disparities in adverse pregnancy outcomes. To expand our knowledge, this systematic review and meta-analysis assesses all available evidence on the association between self …
Babies before business: protecting the integrity of health
If health systems and health workers are to provide an environment of care that is ethical and reflects best practice in supporting good health and nutrition for infants, young children and their mothers, then there is an obligation to protect the health workers from being profoundly undermined by the institutional conflict of interest.
Maternal mortality decline in Zimbabwe, 2007/2008 to 2018/2019
Background Sustainable Development Goal (SDG) 3.1 target is to reduce the global maternal mortality ratio (MMR) to less than 70 maternal deaths per 100 000 live births by 2030. In the Ending Preventable Maternal Mortality strategy, a supplementary target was added, that no country has an MMR above 140 by 2030. We conducted two cross-sectional …
Maternal mortality decline in Zimbabwe, 2007/2008 to …
2 MusarandegafiR, etal BMJ Global Health 20227:e009465 doi:101136bmgh2022009465 BMJ Global Health Zimbabwe is a sub- Saharan Africa lower -middle- income country with an estimated population of 15 million, a gross national income per capita of US$1100 in 2020
When do persuasive messages on vaccine safety steer COVID …
health promotion campaigns that use a series of messages together to influence individual decision-making. On a bigger picture, our study suggests two important findings. First, the decision to take up or recommend a health intervention, such as vaccination, is based on perceived need that is derived from both an internalised
Turning users into ‘unofficial brand ambassadors’: marketing of
Introduction TikTok has over one billion monthly users and is particularly popular among children. We examined the (1) use of owned media by major unhealthy food and non-alcoholic beverage brands on TikTok and (2) nature of branded hashtag challenges instigated by such brands and the user-generated content created in response. Methods We assessed the …
Racial discrimination and adverse pregnancy outcomes: a …
van DaalenfiKR, etflal BMJ Global Health 20227:e009227 doi:101136bmgh-2022-009227 1 Racial discrimination and adverse pregnancy outcomes: a systematic review and meta-analysis Kim Robin van Daalen , 1 Jeenan Kaiser,2 Samuel Kebede,3 Gabriela Cipriano,4 Hassan Maimouni,5 Ekiomoado Olumese,6 Anthea Chui,7 Isla Kuhn,8 Clare Oliver- Williams 1 …
Appendix S1: Example of internal learning within a facility
Within the health system, learning on QoC may be shared horizontally (e.g., facility to facility, district to district). Using the example of efforts to improve initiation of early breastfeeding, the table below provides examples of learning that could be shared horizontally at different levels of the health system. Health system level
Strengthening global health security by embedding the …
klugefiH etfial BMJ Glob Health 213:e656 doi:11136bmgh217656 1 Strengthening global health security by embedding the International Health Regulations requirements into national health systems Hans Kluge,1 Jose Maria Martín-Moreno,2 Nedret Emiroglu,3 Guenael Rodier,4 Edward Kelley,5 Melitta Vujnovic,6 Govin Permanand7 Analysis
The quality of veterinary medicines and their implications for …
The quality of veterinary medicines and their implications for One Health Supplemental material 9. Failure frequency of samples collected in prevalence surveys per type of outlet Type of outlet Failure frequency % (n/N) Manufacturer 100.0% (1/1) Chemical shops* 80.2% (105/131) Online pharmacy 80.0% (4/5) Farm* 75.0% (3/4)
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