ABSTRACT We conducted a randomized controlled trial of 5‐month resilience‐based program (Girls First Resilience Curriculum or RC) among 2308 rural adolescent girls at 57 government schools in Bihar, India. Local women with least 10th grade education served as group facilitators. Girls receiving RC improved more (vs. controls) on emotional resilience, self‐efficacy, social‐emotional assets, psychological wellbeing, and social wellbeing. Effects were not detected depression. There was small,...

Despite a recent proliferation of interventions to improve health, education, and livelihoods for girls in low middle income countries, psychosocial wellbeing has been neglected. This oversight is particularly problematic as attending development may be important not only but also physical wellbeing. study examines the health effects Girls First, combined (Girls First Resilience Curriculum [RC]) adolescent Health [HC]) intervention (RC + HC) versus its individual components (i.e., RC,...

OBJETIVO: Mostrar, a traves de un diagnostico en America Latina y el Caribe, panorama legislativo curricular sobre sexualidad prevencion contra virus inmunodeficiencia humana (VIH) ambito escolar, contrastandolo con los comportamientos sexuales reportados encuestas demograficas salud. METODOS: En mayo 2008 se realizo, apoyo del Fondo Poblacion las Naciones Unidas (UNFPA), una encuesta informantes clave 34 paises la Region. El cuestionario autoaplicado solicito informacion sustantiva agentes...

<h3>ABSTRACT</h3> <h3>Background:</h3> A significant determinant of population health outcomes is the quality care provided for noncommunicable diseases, obstetric, and pediatric care. We present results on clinical practice in these areas as measured among nearly 4,000 providers working at more than 1,000 facilities 6 Eastern European Central Asian countries. <h3>Methods:</h3> This study was conducted between March 2011 April 2013 Albania, Armenia, Georgia, Kazakhstan, Kirov Province...

We conducted a national level assessment of the quality clinical care practice in Ukrainian healthcare system for two important causes death and chronic disease conditions. tested hypotheses: a) is predicted by physician facility characteristics b) health status care. During 2009–2010 Ukraine, we collected nationally-representative data from facilities, physicians, Clinical Performance Value (CPV®) vignettes, patient surveys general population. Each completed written CPV® vignette—a...

Introduction: We evaluated the quality of basic obstetric care provided by Mexican general physicians, nurses, and professional midwives compared with World Health Organization (WHO) guidelines for evidence‐based practices national guidelines. Methods: Vaginal births were observed in 5 hospitals states from June 2006 until July 2007. created indices based on WHO standards during normal birth. These included 1) favorable at admission, 2) labor, birth, immediately postpartum, 3) harmful or...

To present, through an evaluation in Latin America and the Caribbean, current regulatory curricular landscape of sexuality HIV prevention school setting, contrast it with sexual behaviors as reported by demographic health surveys.In May 2008, support United Nations Population Fund (UNFPA), a survey was conducted involving key contacts 34 countries Region. The self-administered questionnaire sought in-depth information on school-based HIV/AIDS programs from staff various stakeholders,...

Abstract Background In Mexico 87% of births are attended by physicians. However, the decline in national maternal mortality rate has been slower than expected. The Mexican Ministry Health’s 2009 strategy to reduce gives a role two non-physician models that meet criteria for skilled attendants: obstetric nurses and professional midwives. This study compares contrasts these provider types with medical model, analyzing perspectives on their respective training, scope practice, also perception...

To explore the routine and effective use of genetic testing for patients with intellectual disability developmental delay (ID/DD), we conducted a prospective, randomized observational study 231 general pediatricians (40%) specialists (60%), using simulated 9 rare pediatric illnesses. Participants cared 3 randomly assigned patients, care responses were scored against explicit evidence-based criteria. Scores calculated as percentage criteria completed. Care varied widely, median overall score...

There are 600 million girls in low and middle income countries (LMICs), many of whom at great risk for poor health education. is thus need programs that can effectively improve wellbeing these girls. Although interventions have been developed to address issues, most focus on education without integrating attention social emotional factors. This omission unfortunate, as nascent evidence indicates factors closely related paper describes the methods a 4-arm randomized controlled trial among...

Variability in treatment is linked to lower quality of care and higher costs. Rheumatoid arthritis (RA) a chronic inflammatory disease for which management may vary considerably among rheumatologists. The extent this variability its cost ramifications have not been widely studied. This prospective study evaluated the quantified potential implications.We used Clinical Performance Value® vignettes measure RA community-based Three online vignettes--representing patients likely seen practice...

Although the majority of births in Mexico are attended by skilled birth attendants, maternal mortality remains moderately high, raising questions about quality training and delivery care. We conducted an exhaustive review curricula three representative schools for education clinical preparation types attendant - obstetric nurses, professional midwives general physicians National Autonomous University (UNAM) School Obstetric Nursing; CASA Professional Midwifery School; UNAM Medicine, Iztacala...

To measure level and variation of healthcare quality provided by different types facilities in Ghana Kenya which factors (including levels government engagement with small private providers) are associated improved quality. Provider knowledge was assessed through responses to clinical vignettes. Associations between performance on vignettes facility characteristics, provider characteristics self-reported interaction were examined using descriptive statistics multivariate regressions. Survey...

Background: Poor clinical outcomes are caused by multiple factors such as disease progression, patient behavior, and structural elements of care. One other important factor that affects outcome is the quality care delivered a provider at bedside. Guidelines pathways have been developed with promise advancing evidence-based practice. Yet, these alone shown mixed results or fallen short in increasing adherence to Thus, effective, novel tools required for sustainable practice change raising...

Of the more than 1.1 million men diagnosed worldwide annually with prostate cancer, majority have indolent tumors. Distinguishing between aggressive and cancer is an important clinical challenge. The current approaches for assessing tumor aggressiveness are recognized as insufficient. A validated protein-based assay has been shown to predict from biopsy. main objective of this study was measure utility new in management early-stage cancer. One hundred twenty nine board-certified urologists...

Cesarean delivery is one of the most widely used surgical interventions in Latin America and many cases it performed with no clear medical indication. Our objective was to analyze relationship between reported indications for a cesarean support that indication clinical record four Mexican hospitals, during 2006-2007 period.The data are from 604 (37.1%) women total 1,625 who were admitted hospital labor, gave birth through cesarean. Multivariate logistical regression analysis explore...