Journal of global health
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Journal of global health · Jun 2019
Increasing coverage of pediatric diarrhea treatment in high-burden countries.
Diarrhea is the second leading cause of infectious deaths in children under-five globally. Oral rehydration salts (ORS) and zinc could avert an estimated 93% of deaths, but progress to increase coverage of these interventions has been largely stagnant over the past several decades. The Clinton Health Access Initiative (CHAI), along with donors and country governments in India, Kenya, Nigeria, and Uganda, implemented programs to scale-up ORS and zinc coverage from 2012 to 2016. The programs sought to demonstrate that increases in pediatric diarrhea treatment rates are possible at scale in high-burden settings through a holistic approach addressing both supply and demand barriers. We describe the overall program model and the activities undertaken in each country. The overall goal of the paper is to share the program results and lessons learned to inform other countries aiming to scale-up ORS and zinc. ⋯ Increasing ORS and zinc coverage at scale in high-burden countries and states is possible through a comprehensive approach that targets both demand and supply barriers, including pricing, optimal product qualities, provider dispensing practices, stocking rates, and consumer demand.
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Journal of global health · Dec 2018
ReviewCosts associated with management of non-communicable diseases in the Arab Region: a scoping review.
Global mortality rates resulting from non-communicable diseases (NCDs) are reaching alarming levels, especially in low- and middle-income countries, imposing a considerable burden on individuals and health systems as a whole. This scoping review aims at synthesizing the existing literature evaluating the cost associated with the management and treatment of major NCDs across all Arab countries; at evaluating the quality of these studies; and at identifying the gap in existing literature. ⋯ The findings revealed that data on the direct costs of NCDs remains limited by the paucity of this type of evidence and the generally low quality of studies published in this area. There is a need for future studies, of improved and harmonized methodology, as such evidence is key for decision-makers and directs health care planning.
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Journal of global health · Dec 2018
ReviewA systematic review of associations between non-communicable diseases and socioeconomic status within low- and lower-middle-income countries.
Non-communicable diseases (NCDs) are the leading cause of death globally. Eighty-two percent of premature NCD deaths occur within low- and lower middle-income countries (LLMICs). Research to date, largely drawn from high-income countries, suggests that disadvantaged and marginalized groups have a higher NCD burden, but there has been a dearth of research studying this relationship within LLMICs. The purpose of this systematic review is to map the literature on evidence from LLMICs on the socio-economic status (SES) gradient of four particular NCDs: cardiovascular disease, cancer, diabetes, and chronic respiratory diseases. ⋯ Prospero: CRD42015020169.
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Journal of global health · Dec 2018
ReviewGlobal and regional estimates of the morbidity due to type I diabetes among children aged 0-4 years: a systematic review and analysis.
Epidemiology of type 1 diabetes mellitus (T1DM) among children aged 0-4 years globally is not well understood. We aim to assess the incidence of T1DM in low- and middle-income countries (LMIC) by conducting a systematic review of previous reports. We also aim to address possible contribution to child mortality and to identify any temporal trends. ⋯ The identified large variation in incidence estimates for different parts of the world, along with scarcity of information and the identified strong temporal increase in T1DM incidence suggest a clear need for further research into this subject.
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Journal of global health · Dec 2018
50 years of Iranian clinical, biomedical, and public health research: a bibliometric analysis of the Web of Science Core Collection (1965-2014).
A substantial growth has been reported in Iran's number of clinical, biomedical, and public health research publications over the last 30 years. It is of interest to investigate whether this quantitative growth has also led to a larger number of papers with a high citation impact; to explore where the capacity for performing research lies; and which fields/institutions are lagging behind. ⋯ In Iran, a great capacity for research lies in clinical, biomedical, and public health fields which can be strengthened with further investment. It is important to use this capacity in a way that would align with the national population health needs. It is also essential to consider the limitations of only relying on bibliometric tools for assessing health research activities. Finally, the Iranian science policy-makers are encouraged to (i) support the researchers and institutions that have proved research capacity; (ii) direct further resources towards research areas and/or institutions that are lagging behind; (iii) facilitate further international collaboration with the academics and/or institutions that have shown the capacity for conducting successful research projects with Iran.