Background
Asthma education, a key component of long-term asthma management, is challenging in resource-limited settings with shortages of clinical staff. Task-shifting educational roles to lay (non-clinical) staff is a potential solution. We conducted a randomised controlled trial of an enhanced a...sthma care intervention for children in Malawi, which included reallocation of asthma education tasks to lay-educators. In this qualitative sub-study, we explored the experiences of asthmatic children, their families and lay-educators, to assess the acceptability, facilitators and barriers, and perceived value of the task-shifting asthma education intervention.
Methods
We conducted six focus group discussions, including 15 children and 28 carers, and individual interviews with four lay-educators and a senior nurse. Translated transcripts were coded independently by three researchers and key themes identified.
Results
Prior to the intervention, participants reported challenges in asthma care including the busy and sometimes hostile clinical environment, lack of access to information and the erratic supply of medication. The education sessions were well received: participants reported greater understanding of asthma and their treatment and confidence to manage symptoms. The lay-educators appreciated pre-intervention training, written guidelines, and access to clinical support. Low education levels among carers presented challenges, requiring an open, non-critical and individualised approach.
Discussion
Asthma education can be successfully delivered by lay-educators with adequate training, supervision and support, with benefits to the patients, their families and the community. Wider implementation could help address human resource shortages and support progress towards Universal Health Coverage.
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La miocarditis es una enfermedad inflamatoria con compromiso focal o difuso del miocardio, que se presenta de forma fulminante, pudiendo ser aguda, subaguda o crónica.Las que poseen un nivel de gravedad suficiente para reconocerlas clínicamente, son raras, pero la prevalencia de los casos leves y ...asintomáticos probablemente sea más elevada.
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Profile of Health Crisis Response of District with High Risk of Natural Disaster : District of North Kolaka, Indonesia
Profile of Health Crisis Response within District with High Risk of Natural Disaster : District of North Halmahera, Indonesia
Profile of Health Crisis Response within District with High Risk of Disaster : District of North Bengkulu, Indonesia
Profile of health crisis response of potential areas of natural disaster Indonesia : District of Berau
This Rapid Advice Guideline updates the Interim Guidance on the “Assessment of infants with microcephaly in the context of Zika virus” published in February 2016 (WHO/ZIKV/MOC/16.3). The recommendations provides guidance on the screening, clinical assessment, neuroimaging, laboratory investigati...on and follow-up of children born to women living in areas of Zika virus transmission. The Guideline summarises the evidence base and rationale in support of the recommendations and expands the scope to address complications beyond microcephaly and what is now referred to as the congenital Zika virus syndrome
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Intensive Care Med (2009) 35:9–29DOI 10.1007/s00134-008-1336-9
Although thousands of papers have been devoted tohospital-acquired pneumonia (HAP), many controversiesremain, and management of HAP is probably often sub-optimal. Several reviews or guidelines have been pub-lished rec...ently, mostly by North American initiatives(CDC, ATS). Three European Societies (ERS, ESCMID andESICM) were interested in producing a document thatcould complement in some way the last IDSA/ATS guidelines published 3 years ago. In addition, the Helics
working group supported this initiative.
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Guidelines for the Management and Therapy of Urine Incontinence in Children in Indonesia
Childhood Respiratory Diseases & the Environment learning objectives
•To understand how the respiratory tract is affected by the environment
•To describe respiratory diseases linked to the environment
•To list one population-level intervention and one personal-level intervention for d...ecreasing risk of respiratory diseases
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La PFA pour les Sociétés de la Croix-Rouge et du Croissant-Rouge comprend plusieurs parties qui peuvent être utilisées séparément ou ensemble. Il comprend ce guide, un petit livret sur l'APF et quatre modules de formation sur l'APF. Ce guide contient des informations générales sur les premie...rs secours psychologiques. Il peut être utilisé seul pour la psycho-éducation et comme référence pour les modules de formation qui l'accompagnent. Les modules de formation comprennent des instructions, des notes et des ressources de formation pour les animateurs.
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El presente protocolo se aplica en las Instituciones Prestadoras de Servicios de Salud del Ministerio de Salud, a través de las Direcciones de Redes Integradas de Servicios de Salud y de los gobiernos regionales, a través de las Direcciones Regionales de Salud o Gerencias Regionales de Salud , EsS...alud, Sanidad de las Fuerzas Armadas y Policiales y las entidades privadas.
En el documento encontrarás consideraciones generales y específicas, así como información sobre el flujo de atención (admisión, triaje, punto de vacunación, monitoreo y observación), entre otros.
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Profile of Health Crisis Response within District with High Risk of Natural Disaster : District of Landak, Indonesia
Clinical Practice Guidelines and Clinical Pathway for Therapy and Management of Heart Disease and Blood Vessels in Indonesia
Profile of health crisis response of district, city or area in Indonesia with high risk of natural disaster : District of Ketapang
Este libro de consulta tiene como objetivo detallar por qué la salud debe ser parte de los procesos de planificación urbana y territorial y cómo hacer que esto suceda. Reúne dos elementos vitales que necesitamos para construir ciudades habitables y un planeta habitable: 1) Procesos para guiar el... desarrollo de asentamientos humanos - en este documento denominado “planificación urbana y territorial”; y 2) Importancia de la salud humana, el bienestar y la equidad sanitaria en todos los niveles, desde el local al mundial, y desde la salud humana a la planetaria.
Este libro de consulta identifica una selección completa de recursos y herramientas existentes para apoyar la incorporación de la salud en la planeación urbana y territorial, incluidos marcos de promoción, puntos de entrada y orientación, así como herramientas y estudios de casos ilustrativos. No proporciona prescripciones para escenarios específicos; estos deben estar determinados por el contexto, las personas y los recursos disponibles.
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Profile of health crisis response in potential areas of natural disaster in Indonesia : Province of North Maluku
Profile of health crisis response in potential areas of natural disaster in Indonesia : Province of West Sulawesi
Profile of health crisis response within potential areas of natural disaster in Indonesia : District of Mukomuko