Inadequate health financing is one of the major challenges systems in low-income countries currently face. Health reforms are being implemented with an increasing interest policies that abolish user fees.

Research into informal caregivers’ burden does not distinguish between different stages of impairment. This study explored the determinants from an in-depth perspective in order to identify which apply phases impairment.Methods: was a cross-sectional including frail older persons aged 65 and above. Instruments used were interRAI Home Care, Zarit-12 interview ad hoc economic questionnaire. A combination variables Stress Process Model Role Theory sub-group analysis enabled refined multivariate...

Use of evidence in health policymaking plays an important role, especially resource-constrained settings where informed decisions on resource allocation are paramount. Several knowledge translation (KT) models have been developed, but few applied to low income countries. If KT expected explain uptake and implementation, or lack it, they must be contextualized take into account the specificity countries for example, strong influence donors. The main objective this research is elaborate a...

Informal caregivers are essential figures for maintaining frail elderly at home. Providing informal care can affect the caregivers' physical and psychological health labour market participation capabilities. They need support to prevent caregiver burden. A variety of existing measures help home, but with some limitations. The objective this review was explore experiences caring in community use supportive policy Belgium compare these other European countries.An empirical qualitative case...

Introduction Little is known about the outcomes of subjects with a history severe acute malnutrition (SAM). We therefore sought to explore long-term effects SAM during childhood on human capital in adulthood terms education, cognition, self-esteem and health-related disabilities daily living. Methodology traced 524 adults (median age 22) eastern Democratic Republic Congo, who were treated for at Lwiro hospital between 1988 2007 41 months). compared them 407 community controls comparable sex....

To gain understanding of care pathways and induced mobility patterns obstetric fistula patients in French-speaking West African repair centres.We followed prospectively during 18 months a cohort Mali Niger (2008-2009). 120 were recruited at different stages their process 5 reference centres. Follow-up was carried out centres communities. Quantitative data collected through close-ended questionnaires three time points. Medico-social explored longitudinal analysis focusing on six indicators:...

although informal caregivers (ICG) find caring for a relative mainly satisfying, it can be difficult at times and lead to state of subjective burden characterised by -among others- fatigue stress. The objective this study is analyse the relationship between perceived social support in providing care frail older people.a descriptive cross-sectional was conducted using data from large nationwide longitudinal effectiveness study. Pearson correlations were calculated variables burden. Logistic...

We report a patient-centered intervention study in 9 municipalities of rural Nicaragua aiming at reduction internalized social stigma new AFB positive tuberculosis (TB) patients diagnosed between March 2004 and July 2005. Five out municipal teams were coached to tailor introduce package. New TB assigned the group when implementing effectively least clubs home visits. compared changes treatment outcome control groups. The was measured through score computed 15 days 2 months treatment. results...

Abstract Objectives To assess the prevalence and distribution patterns of multimorbidity among urban older adults in Burkina Faso. Methods Cross‐sectional study community‐dwelling elderly people aged ≥60 Bobo‐Dioulasso. We performed interviews, clinical examination medical record review. Multimorbidity was defined as co‐occurrence at least two chronic diseases one person whether a coincidence or not. Results The overall 65%. Age ≥70 associated with multivariate analysis: adjusted OR = 1.65,...

There has been a lot of attention on the role human resource management interventions to improve delivery health services in low- and middle-income countries. However, studies this subject are few due limited research implementation programmes methodological difficulties conducting experimental interventions. The authors present protocol an evaluation district-level capacity-building intervention identify determinants performance workers managerial positions understand how changes (if any)...

Adequate care for individuals living with chronic illnesses calls a healthcare system redesign, moving from acute, disease-centered to patient-centered models. The aim of this study was identify Belgian stakeholders’ perceptions on the strengths, weaknesses, opportunities and threats people diseases in Belgium. Four focus groups were held stakeholders micro meso level, addition two interviews who could not attend group sessions. Data collection discussion based Chronic Care model. Thematic...

Older people usually prefer staying at home rather than going into residential care. The Belgian National Institute for Health and Disability Insurance wishes to invest in care by financing innovative projects that effectively help older stay longer. In this study protocol we describe the evaluation of 34 projects. These are clustered according type their main intervention such as case management, night care, occupational therapy psychological/psychosocial support. goal is identify which...

There is growing interest in the use of management concept a 'learning organisation'. The objective this review to explore work undertaken towards application health sector general and reach goal universal coverage particular. Of are exploration evaluation frameworks their health. We used scoping literature based on York methodology. conducted an online search using selected keywords some main databases science, websites reference books learning organisations. restricted focus our sources...

Stakeholder roles in the application of evidence are influenced by context, nature evidence, policy development process, and stakeholder interactions. Past research has highlighted role stakeholders knowledge translation (KT) without paying adequate attention to peculiarities low-income countries. Here we identify roles, relations, interactions among key involved KT Uganda challenges that they face. This study employed qualitative approaches examine links various KT. In-depth interviews were...

Objectives To examine the effects of home care interventions for frail older people in delaying permanent institutionalization during 6 months follow‐up. Design Longitudinal quasi‐experimental research study, part a larger study called Protocol 3. Setting Community Belgium. Participants Frail adults who received (n = 4,607) and comparison group did not 3,633). Organizations delivering included participants provided they were aged 65 older, frail, at risk institutionalization. A was...

Background It is well documented that treatment for severe acute malnutrition (SAM) effective. However, little known about the long-term outcomes children treated SAM. We sought to trace former SAM patients 11 30 years after their discharge from hospital, and describe longer-term survival growth adulthood. Methods A total of 1,981 records subjects admitted between 1988 2007 were taken archives Lwiro in South Kivu, DRC. The median age on admission was 41 months. Between December 2017 June...