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- Helander, Malin, et al.
(författare)
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Exploring stakeholders' perceived problems associated with the care and support of children and youth with mental ill health in Sweden : a qualitative study
- 2024
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Ingår i: Journal of Health, Population and Nutrition. - : Springer Nature. - 1606-0997 .- 2072-1315. ; 43:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundCare and support for children and youth with mental ill health have become more specialized and are provided by an increasing number of stakeholders. As a result, services are often fragmented, inefficient and unco-ordinated, with negative consequences for the service user and their family. Enhanced collaboration could lead to improved care and support but requires a shared understanding and a joint problem formulation between involved stakeholders to commence. The aim of this study was to explore different stakeholders' perceived problems associated with delivering care and support to children and youth with mental ill health and to discuss how the perceived problems relate to collaboration.MethodsA qualitative descriptive study was conducted, using short statements of perceived problems written by stakeholders involved in the care and support of children and youth with mental ill health during an inter-organizational workshop. The 26 stakeholders represented school and student health, primary health care, specialist care, social services, and different service user organizations. Data were collected during February 2020. Inductive content analysis with a summative approach was used when analysing the data.ResultsThe perceived problems were summarized in a model consisting of four main categories: Resources and governance; Collaboration and co-ordination; Knowledge and competence; and Stigma and confidence, containing 24 subcategories. These categories and subcategories were distributed over three levels: Societal level, Organizational level and Individual level. The perceived problems were shared on the category level but to some extent varied between stakeholder groups on the subcategory level. The perceived problems were either directly or indirectly related to collaboration.ConclusionsThe perceived problems often acted as barriers to achieving successful collaboration. The problems were distributed on all three levels in the developed model, indicating a complex problem. Even though the perceived problems were shared by stakeholders on an overall level, the findings indicate that the stakeholders did not have a completely shared understanding of the perceived problems, as they tended to focus on aspects most relevant to their own organization or perceptions. The challenge is to find which perceived problems are appropriate for inter-organization problem-solving and which can be solved within individual organizations.
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- Hitimana, Regis, et al.
(författare)
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Health-related quality of life determinants among Rwandan women after delivery: does antenatal care utilization matter? A cross-sectional study
- 2018
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Ingår i: Journal of Health Population and Nutrition. - : Springer Science and Business Media LLC. - 1606-0997 .- 2072-1315. ; 37
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Tidskriftsartikel (refereegranskat)abstract
- Background: Despite the widespread use of antenatal care (ANC), its effectiveness in low-resource settings remains unclear. In this study, self-reported health-related quality of life (HRQoL) was used as an alternative to other maternal health measures previously used to measure the effectiveness of antenatal care. The main objective of this study was to determine whether adequate antenatal care utilization is positively associated with women's HRQoL. Furthermore, the associations between the HRQoL during the first year (113 months) after delivery and socio-economic and demographic factors were explored in Rwanda. Methods: In 2014, we performed a cross-sectional population-based survey involving 922 women who gave birth 1-13 months prior to the data collection. The study population was randomly selected from two provinces in Rwanda, and a structured questionnaire was used. HRQoL was measured using the EQ-5D-3L and a visual analogue scale (VAS). The average HRQoL scores were computed by demographic and socio-economic characteristics. The effect of adequate antenatal care utilization on HRQoL was tested by performing two multivariable linear regression models with the EQ-5D and EQ-VAS scores as the outcomes and ANC utilization and socio-economic and demographic variables as the predictors. Results: Adequate ANC utilization affected women's HRQoL when the outcome was measured using the EQ-VAS. Social support and living in a wealthy household were associated with a better HRQoL using both the EQ-VAS and EQ-5D. Cohabitating, and single/unmarried women exhibited significantly lower HRQoL scores than did married women in the EQ-VAS model, and women living in urban areas exhibited lower HRQoL scores than women living in rural areas in the ED-5D model. The effect of education on HRQoL was statistically significant using the EQ-VAS but was inconsistent across the educational categories. The women's age and the age of their last child were not associated with their HRQoL. Conclusions: ANC attendance of at least four visits should be further promoted and used in low-income settings. Strategies to improve families' socio-economic conditions and promote social networks among women, particularly women at the reproductive age, are needed.
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- Islam, Md. Zahidul, et al.
(författare)
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Determinants of low birth weight and its effect on childhood health and nutritional outcomes in Bangladesh
- 2024
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Ingår i: Journal of Health, Population and Nutrition. - : Springer. - 1606-0997 .- 2072-1315. ; 43
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Tidskriftsartikel (refereegranskat)abstract
- Background: The high incidence of low birth weight (LBW) is associated with an increased risk of infant mortality, adverse pregnancy outcomes for mothers, and a decline in overall health and well-being. The current study aimed to identify the various determinants of LBW and its effect on adverse health and nutritional outcomes of children aged 0-23 months in Bangladesh. Methods: Bangladesh Demography and Health Survey (BDHS) 2017-18 data was used. A chi-square test and multivariable logistic regression analysis were used to find out the associations between independent variables and outcomes (e.g., LBW, child illness and undernutrition).Results: The overall prevalence of LBW among was 16.3%. Mother with no formal education (AOR=2.64, 95% CI= 0.55-3.30, p= 0.01), female child (AOR=1.31, 95% CI= 1.04-1.65, p=0.023); and poorest economic status (AOR= 1.69, 95% CI= 1.13-2.51, p=0.010), were identified significant determinants of LBW. Of home environment and hygiene factors, unimproved toilet facilities (AOR= 1.38, 95% CI= 1.03-1.84, p= 0.030) had a significant effect on LBW. In addition, children born with LBW were more likely to suffer fever (AOR=1.26, 95% CI= 1.05-1.60, p= 0.050), stunting (AOR=2.42, 95% CI= 1.86-3.15, p= <0.001), wasting (AOR=1.47, 95% CI= 1.02-2.25 p= 0.049), and underweight (AOR=3.19, 95% CI= 2.40-4.23, p= <0.001). Conclusion: One out of five children was LBW in Bangladesh. Maternal education, sex of child, wealth index, and toilet facilities had significant effects on LBW. In addition, LWB contributed to children’s poor health and nutritional outcomes. Enhancing maternal pregnancy, and child health outcomes necessitates policies addressing poverty, gender inequality, and social disparities. Key strategies include promoting regular prenatal care, early medical intervention, reproductive health education, and safe hygiene practices. To combat the negative impacts of LBW, a comprehensive strategy is vital, encompassing exclusive breastfeeding, nutritional support, growth monitoring, accessible healthcare, and caregiver education.
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- Johansson, Magdalena, et al.
(författare)
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Perceptions of Malawian Nurses about Nursing Interventions for Malnourished Children and Their Parents
- 2011
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Ingår i: Journal of Health, Population and Nutrition. - : Icddr:b. - 1606-0997 .- 2072-1315. ; 29:6, s. 612-618
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Tidskriftsartikel (refereegranskat)abstract
- in developing countries, malnutrition among children is a major public-health issue. The aim of the study was to describe perceptions of Malawian nurses about nursing interventions for malnourished children and their parents. A qualitative method was used. Data were collected and analyzed according to the phenomenographic research approach. Twelve interviews were performed with 12 nurses at a rural hospital in northern Malawi, Southeast Africa. Through the analysis, two major concepts, comprising four categories of description, emerged: managing malnutrition today and promotion of a favourable nutritional status. The categories of description involved identification and treatment of malnutrition, education during treatment, education during prevention, and assurance of food security. The participating nurses perceived education to be the most important intervention, incorporated in all areas of prevention and treatment of malnutrition. Identification and treatment of malnutrition, education during treatment, education to prevent malnutrition, and assurance of food security were regarded as the most important areas of intervention.
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- Khan, Ashraful, 1969-, et al.
(författare)
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Body composition of Bangladeshi children: comparison and development of leg-to-leg bioelectrical impedance equation
- 2012
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Ingår i: Journal of Health, Population and Nutrition. - 1606-0997 .- 2072-1315. ; 30:3, s. 281-290
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate the validity of the Tanita TBF 300A leg-to-leg bioimpedance analyzer for estimating fat-free mass (FFM) in Bangladeshi children aged 4-10 years and to develop novel prediction equations for use in this population, using deuterium dilution as the reference method. Two hundred Bangladeshi children were enrolled. The isotope dilution technique with deuterium oxide was used for estimation of total body water (TBW). FFM estimated by Tanita was compared to results of deuterium oxide dilution technique. Novel prediction equations were created for estimating FFM, using linear regression models, fitting child height and impedance as predictors. There was a significant difference in FFM and BF% (percentage of body fat) between methods (p<0.01), Tanita under-estimating TBW in boys (p=0.001) and under-estimating BF% in girls (p<0.001). A basic linear regression model with height and impedance explained 83% of the variance in FFM estimated by deuterium oxide dilution. The best fit equation to predict FFM from linear regression modeling was achieved by adding weight, sex and age to the basic model, bringing the adjusted R2 to 89% (standard error=0.90, p<0.001). These data suggest Tanita analyzer may be a valid field assessment technique in Bangladeshi children when using population-specific prediction equations such as the ones developed here.
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