Lancet
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Increasing refugee populations worldwide highlight the need for development indicators that cover refugees, especially as they tend to be excluded from national statistics. Refugee youth face double exclusion, as most wellbeing indices are not youth-specific. We developed a youth wellbeing index (YWI) for Palestinian refugees in Lebanon (PRL) and Palestinian refugees from Syria (PRS) living in Lebanon, with the aim of providing a snapshot of youth wellbeing to inform evidence-based youth-specific development strategies. ⋯ UNRWA funded the 2015 survey data collection and the Economic Research Forum funded the development of the YWI.
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For parents, how to manage child discipline is a difficult question in the task of raising a socially, emotionally, and physically mature adult. Negative discipline can be physical or psychological, and can negatively affect child development, mental health, and wellbeing. This study aimed to assess the prevalence of negative disciplinary methods (NDMs) and their associated factors in the West Bank, occupied Palestinian territory, as reported by mothers. ⋯ This study is part of a larger study of child discipline in Qatar and the occupied Palestinian territory. The study was conceptualised and planned with the funding of Qatar National Research.
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Diabetes is one of the most common chronic illnesses worldwide, and it is increasing in prevalence. Urinary incontinence is another worldwide health problem, with a reported prevalence that ranges from 9% to 67%. It decreases quality of life for men and women and has been associated with many poor outcomes, such as longer hospital stays, recurrent or persistent urinary tract infection, and a higher mortality rate. Previous studies have suggested that diabetes is an independent risk factor for urinary incontinence. In addition, the patients' background and clinical characteristics such as age, obesity, and child-bearing history have been found to increase the risk. The aim of this study was to determine the prevalence of urinary incontinence in women with type 2 diabetes in the north West Bank and to assess the role of potential risk factors, including age, marital status, weight, and diabetes control. ⋯ None.
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Integration of mental health and psychosocial support (MHPSS) into primary health care in the Gaza Strip involves the delivery of mental health services within the essential service package provided by UNRWA, as recommended by WHO to fill the treatment gap. In early 2016, a successful pilot demonstrated that the integration is achievable in limited resource settings, and resulted in the adoption of a stepped care model to screen, identify, support, and treat patients. This study aimed to evaluate the MHPSS integration process and outcomes at UNRWA health centres in the Gaza Strip. ⋯ WHO, and UNRWA resources.
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Cut wounds and lacerations are common, but effective treatment is essential to achieve good cosmetic outcomes and maintain function. We assessed the use of local anaesthetic, infection control procedures, and antibiotics in the management of cut wounds and lacerations. ⋯ Poor adherence to hand washing policies, environmental cleaning, and use of antibiotics was seen. Relevant reasons might be workload, lack of facilities, or lack of awareness of infection control polices, or a combination of these factors. Clear and consistent leadership with staff education and feedback needs to be implemented to achieve sustainable culture change and improve infection control management in Gaza hospitals.