Public health triangulation is a process for reviewing, synthesising and interpreting secondary data from multiple sources that bear on the same question to make public decisions. It can be used understand dynamics of HIV transmission measure impact programs. While traditional intervention research metaanalysis would ideal information decision making, they are infrequently available, often decisions based only surveillance survey data. The involves examination wide variety both biological,...

Background Ukraine developed Europe's most severe HIV epidemic due to widespread transmission among persons who inject drugs (PWID). Since 2004, prevention has focused on key populations; antiretroviral therapy (ART) coverage increased. Recent data show increases in reported cases through 2011, especially attributed sexual transmission, but also signs of potential slowing. We conducted a triangulation exercise better analyze available and inform program implementation. Methods Findings...

In Brief Objectives: To determine the prevalence and factors of Viagra use in combination with crystal methamphetamine its association HIV risk behavior a probability sample men who have sex (MSM). Study Design: A cross-sectional, random-digit dial telephone survey MSM San Francisco conducted between June 2002 January 2003. Results: Of 1976 MSM, 13.5% used alone, 7.1% without Viagra, 9.6% mood-altering substance (excluding methamphetamine), 5.1% methamphetamine. using methamphetamine, 57%...

Globally, neonatal mortality accounts for nearly half of under-five mortality, and intrapartum related events are a leading cause. Despite the rise in resuscitation (NR) training programs low- middle-income countries, their impact on quality NR skills amongst providers with limited formal medical education, particularly those working rural primary health centers (PHCs), remains incompletely understood.This study evaluates PRONTO International simulation simulated resuscitations live...

Inadequately treated, preeclampsia and eclampsia (PE/E) may rapidly lead to severe complications in both mothers neonates, are estimated cause 60,000 global maternal deaths annually. Simulation-based training on obstetric neonatal emergency management has demonstrated promising results low- middle-income countries. However, the impact of simulation use evidence-based practices for PE/E diagnosis low-resource settings remains unknown.This study was based a statewide, high fidelity in-situ...

Abstract This manuscript explores the question of seasonality severe acute respiratory syndrome coronavirus 2 by reviewing 4 lines evidence related to viral viability, transmission, ecological patterns, and observed epidemiology disease 2019 in Southern Hemispheres’ summer early fall.

In the state of Bihar, India a multi-faceted quality improvement nurse-mentoring program was implemented to improve provider skills in normal and complicated deliveries. The objective this analysis examine changes diagnosis management postpartum hemorrhage (PPH) mother intrapartum asphyxia infant primary care facilities during program.

To develop effective and sustainable simulation training programs in low-resource settings, it is critical that facilitators are thoroughly trained debriefing, a component of learning. However, large knowledge gaps exist regarding the best way to train evaluate debrief settings.Using mixed methods approach, this study explored feasibility evaluating debriefing skills nurse mentors Bihar, India. Videos obstetric neonatal post-simulation debriefs were assessed using two known tools: Center for...

As the global under-five mortality rate declines, an increasing percentage is attributable to early neonatal mortality. A quarter of deaths are due perinatal asphyxia. However, resuscitation (NR) simulation training in low-resource settings, where majority occur, has achieved variable success. In Bihar, India, poorest region South Asia, there tremendous need for a new approach reducing morality. This analysis aims assess impact novel in-situ program, developed by PRONTO International and...

Globally, there were 2.7 million neonatal deaths in 2015. Significant mortality reduction could be achieved by improving care low- and middle-income countries (LMIC), where the majority of occur. Determining physical readiness facilities to identify manage complications is an essential component strategies reduce mortality.We developed clinical cascades for 6 common conditions then utilized these assess 23 health Kenya Uganda at 2 time-points 2016 2017. We calculated changes resource...

Improvement of the quality maternal and child health care remains a focus in India. Working with Government Bihar, CARE-India facilitated comprehensive set improvement initiatives. PRONTO's simulation team-training was incorporated into large-scale

Background Improvement of the quality maternal and child health care remains a focus in India.Working with Government Bihar, CARE-India facilitated comprehensive set improvement initiatives.PRONTO's simulation team-training was incorporated into largescale Apatkaleen Matritva evam Navjat Tatparta (AMANAT) nurse-mentoring program Bihar supported by to improve outcomes.Along-with AMANAT program, PRONTO components provided training on nontechnical technical competencies for managing variety...

Strategic, high quality HIV testing services (HTS) delivery is an essential step towards reaching the end of AIDS by 2030. We conducted HTS Data Use workshops in five African countries to increase data use for strategic program decision-making. Feedback was collected on extent which workshop skills and tools were applied practice identify future capacity-building needs. later six semistructured phone interviews with planning teams sent a web-based survey 92 past participants. The provided...

Maternal and neonatal mortality in Bihar, India was far higher than the aspirational levels set out by Sustainable Development Goals. Provider training programs have been implemented many low-resource settings to improve obstetric outcomes. This longitudinal investigation assessed diagnoses management of postpartum hemorrhage (PPH), hypertensive disorders pregnancy, birth asphyxia (BA), low weight (LBW), as part CARE’s AMANAT program 22 District Hospitals between 2015 2017. Physicians nurse...

Abstract We sought to assess the proportion of elicited close contacts diagnosed with coronavirus disease 2019 at start and before exiting quarantine in San Francisco. From June 8 August 31, 6946 were identified: 3008 (46.3%) tested, 940 (13.5%) tested positive, 90% positive first 9 days quarantine.

Background Use of simulation in neonatal resuscitation (NR) training programmes has increased throughout low-income and middle-income countries. Many such have demonstrated a positive impact on NR knowledge skill acquisition along with reduction early mortality fresh stillbirth rates. However, retention after remains challenge. Methods This study assessed facility level PRONTO International’s Bihar, India. Training was conducted within CARE India’s statewide in-job, on-site Apatkaleen...

Abstract Background Since 2014, the Government of Bihar and CARE India have implemented a nurse mentoring program that utilizes PRONTO International’s simulation team trainings to improve obstetric neonatal care. Together they trained educators known as Nurse Mentor Supervisors conduct in rural health facilities across state. Sustaining knowledge engagement these at large-scale has proven difficult resource intensive. To address this, University Utah with International input from California...

This analysis assessed changes over time in skill and knowledge related to the use of evidence-based practices associated with quality maternal neonatal care during a nurse midwife mentoring intervention at primary health clinics (PHCs) Bihar, India. Nurse mentors (NMMs) entered live birth observation data into mobile App from 320 PHCs. The NMMs completed prompted questions after every witnessed. consisted around three main themes, "What went well?", needed improvement?" can be done...

: Mentoring programs that include simulation, bedside mentoring, and didactic components are becoming increasingly popular to improve quality. These designed with little evidence inform the optimal composition of mentoring activities would yield greatest impact on provider skills patient outcomes. We examined association number maternal neonatal emergency simulations performed diagnosis postpartum hemorrhage (PPH) intrapartum asphyxia in real patients.

Simulation training in basic and emergency obstetric neonatal care has previously shown success reducing maternal mortality low-resource settings. Though preterm birth is the leading cause of deaths, application this methodology geared specifically towards morbidity not yet been implemented evaluated. The East Africa Preterm Birth Initiative (PTBi-EA) was a multi-country cluster randomized controlled (CRCT) trial that successfully improved outcomes neonates Migori County, Kenya Busoga region...

Welcome to Annals of Global Health,Annals Health is a peer-reviewed, fully open access, online journal dedicated publishing high quality articles all aspects global health. The journal's mission advance health, promote research, and foster the prevention treatment disease worldwide. Its goals are improve health well-being people, equity, wise stewardship earth's environment. latest impact factor 3.64.Annals supported by Program for Public Common Good at Boston College. It was founded in 1934...