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- Bergström, Anna, 1983-, et al.
(författare)
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A facilitated social innovation : stakeholder groups using Plan-Do-Study-Act cycles for perinatal health across levels of the health system in Cao Bang province, Vietnam
- 2023
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Ingår i: Implementation Science Communications. - : BioMed Central (BMC). - 2662-2211. ; 4:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundUniversal coverage of evidence-based interventions for perinatal health, often part of evidence-based guidelines, could prevent most perinatal deaths, particularly if entire communities were engaged in the implementation. Social innovations may provide creative solutions to the implementation of evidence-based guidelines, but successful use of social innovations relies on the engagement of communities and health system actors. This proof-of-concept study aimed to assess whether an earlier successful social innovation for improved neonatal survival that employed regular facilitated Plan-Do-Study-Act meetings on the commune level was feasible and acceptable when implemented on multiple levels of the health system (52 health units) and resulted in actions with plausibly favourable effects on perinatal health and survival in Cao Bang province, northern Vietnam.MethodsThe Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework guided the implementation and evaluation of the Perinatal Knowledge-Into-Practice (PeriKIP) project. Data collection included facilitators’ diaries, health workers’ knowledge on perinatal care, structured observations of antenatal care, focus group discussions with facilitators, their mentors and representatives of different actors of the initiated stakeholder groups and an individual interview with the Reproductive Health Centre director. Clinical experts assessed the relevance of the identified problems and actions taken based on facilitators’ diaries. Descriptive statistics included proportions, means, and t-tests for the knowledge assessment and observations. Qualitative data were analysed by content analysis.ResultsThe social innovation resulted in the identification of about 500 relevant problems. Also, 75% of planned actions to overcome prioritised problems were undertaken, results presented and a plan for new actions to achieve the group’s goals to enhance perinatal health. The facilitators had significant roles, ensuring that the stakeholder groups were established based on principles of mutual respect. Overall, the knowledge of perinatal health and performance of antenatal care improved over the intervention period.ConclusionsThe establishment of facilitated local stakeholder groups can remedy the need for tailored interventions and grassroots involvement in perinatal health and provide a scalable structure for focused efforts to reduce preventable deaths and promote health and well-being.
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- Lam, Thanh Tu, et al.
(författare)
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Performance Evaluation of Incremental Relaying in Underlay Cognitive Radio Networks with Imperfect CSI
- 2021
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Ingår i: IEEE ICCE 2020: 2020 IEEE EIGHTH INTERNATIONAL CONFERENCE ON COMMUNICATIONS AND ELECTRONICS (ICCE). - : IEEE. - 9781728154718 ; , s. 472-477
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Konferensbidrag (refereegranskat)abstract
- The performance of both primary and secondary networks in underlay cognitive radio networks (CRNs) with the help of incremental amplify and forward (IAF) relaying under imperfect channel state information (CSI) are investigated. Particularly, the interference probability at primary networks denoted by IP as well as the outage probability at secondary networks denoted by OP, are computed in the closed-form expressions. Our findings show that the impact of the imperfect CSI on the performance of IP is non-negligible. To tackle the high value of IP, reducing the transmit power at the secondary transmitters is a proper solution, it, however, will also increase the OP at the secondary networks. Thus, a simple power control coefficient is proposed to compromise the performance between two networks. Finally, Monte-Carlo simulations are provided to verify the accuracy of the proposed mathematical frameworks.
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