| 1. |
- Lemma, Hailemariam, et al.
(författare)
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Deploying artemether-lumefantrine with rapid testing in Ethiopian communities : impact on malaria morbidity, mortality and healthcare resources
- 2010
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Ingår i: Tropical medicine & international health. - Oxford, England : Blackwell Science. - 1360-2276 .- 1365-3156. ; 15:2, s. 241-250
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To assess the impact and feasibility of artemether-lumefantrine deployment at community level, combined with phased introduction of rapid diagnostic tests (RDTs), on malaria transmission, morbidity, and mortality and health service use in a remote area of Ethiopia.Methods: Two-year pilot study in two districts: artemether-lumefantrine was prescribed after parasitological confirmation of malaria in health facilities in both districts. In the intervention district, artemether-lumefantrine was also made available through 33 community health workers (CHWs); of these, 50% were equipped with RDTs in the second year.Results: At health facilities; 54 774 patients in the intervention and 100 535 patients in the control district were treated for malaria. In the intervention district, 75 654 patients were treated for malaria by community health workers. Use of RDTs in Year 2 excluded non-Plasmodium falciparumin 89.7% of suspected cases. During the peak of malaria transmission in 2005, the crude parasite prevalence was 7.4% (95% CI: 6.1-8.9%) in the intervention district and 20.8% (95% CI: 18.7-23.0%) in the control district. Multivariate modelling indicated no significant difference in risk of all-cause mortality between the intervention and the control districts [adjusted incidence rate ratio (aIRR) 1.03, 95%CI 0.87-1.21, P = 0.751], but risk of malaria-specific mortality was lower in the intervention district (aIRR 0.60, 95%CI 0.40-0.90, P = 0.013).Conclusions: Artemether-lumefantrine deployment through a community-based service in a remote rural population reduced malaria transmission, lowered the malaria case burden for health facilities and reduced malaria morbidity and mortality during a 2-year period which included a major malaria epidemic.
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| 2. |
- MacFarlane, Anne, et al.
(författare)
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Framework for Refugee and Migrant Health Research in the WHO European Region
- 2023
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Ingår i: Tropical medicine & international health. - : John Wiley & Sons. - 1360-2276 .- 1365-3156. ; 28:2, s. 90-97
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Tidskriftsartikel (refereegranskat)abstract
- Migration is a longstanding, growing global phenomenon. As a social determinant of health, migration can lead to health inequities between people on the move and host populations. Thus, it is imperative that there is a coordinated effort to advance migration- and health-related goals. WHO has a specific remit to support evidence-based decision-making in its Member States. As part of that remit, WHO Europe presents this Framework for Refugee and Migrant Health Research in the WHO European Region. It is designed as a starting point for debating and analysing a broad range of options and approaches to help inform a WHO global research agenda on health and migration. This is important because refugee and migrant health research is a complex interdisciplinary field that is expanding in a fast-changing socio-political environment. The Framework is intended for all stakeholders involved: academic, civil society organisations, refugees, migrants, policy-makers, healthcare providers, educators and funders. It is developed by academics in consultation with these stakeholder groups. It reflects on three specific interrelated dynamics in research practice. These are (i) research prioritisation; (ii) study samples and (iii) research design. The Framework offers recommendations to consider for each one of these. It elucidates the value of involving refugees and migrants in research and research agendas and the need to develop an ecosystem that will support and sustain participatory, interdisciplinary, transdisciplinary and inter-sectoral projects.
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| 3. |
- Puthoopparambil, Soorej Jose, 1985-, et al.
(författare)
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Collection and integration of data on refugee and migrant health in the WHO European Region : technical guidance
- 2020
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- This technical guidance outlines current evidence, knowledge and best practice relating to the integration of migration health data into national health information systems. It highlights key principles, summarizes priority actions and challenges, maps existing international commitments and frameworks and provides practical policy considerations for promoting collection and integration of migration health data. Specific areas for intervention include establishing a multistakeholder working group for overseeing data collection and integration, creating a regulatory framework for preventing unauthorized access and use of health data for non-health purposes, integrating core variables into the data collection system and promoting data linkage. While the main intended audience of this technical guidance series is policy-makers across sectors at local, national and regional levels, the contents of this publication will also be of value for health-care practitioners, health planners and health information specialists and law enforcement officials.
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