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631 results on '"Winch, Peter J."'

1. Planetary health learning objectives: foundational knowledge for global health education in an era of climate change

Author

Jacobsen, Kathryn H, Waggett, Caryl E, Berenbaum, Pamela, Bayles, Brett R, Carlson, Gail L, English, René, Faerron Guzmán, Carlos A, Gartin, Meredith L, Grant, Liz, Henshaw, Thomas L, Iannotti, Lora L, Landrigan, Philip J, Lansbury, Nina, Li, Hao, Lichtveld, Maureen Y, McWhorter, Ketrell L, Rettig, Jessica E, Sorensen, Cecilia J, Wetzel, Eric J, Whitehead, Dawn Michele, Winch, Peter J, and Martin, Keith

Published
2024
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8. Geographic Access and Maternal Health Services Utilization in Sélingué Health District, Mali

Author

Tounkara, Moctar, Sangho, Oumar, Beebe, Madeleine, Whiting-Collins, Lillian Joyce, Goins, Rebecca R., Marker, Hannah C., and Winch, Peter J.

Subjects
Medical care -- Utilization, Maternal health services -- Distribution, Mothers -- Patient outcomes, Company distribution practices, Health care industry
Abstract

Introduction Maternal mortality is one of the main causes of death for women of childbearing age in Mali, and improving this outcome is slow, even in regions with relatively good geographic access to care. Disparities in maternal health services utilization can constitute a major obstacle in the reduction of maternal mortality in Mali and indicates a lack of equity in the Malian health system. Literature on maternal health inequity has explored structural and individual factors influencing outcomes but has not examined inequities in health facility distribution within districts with moderate geographic access. The purpose of this article is to examine disparities in education and geographic distance and how they affect utilization of maternal care within the Sélingué health district, a district with moderate geographic access to care, near Bamako, Mali. Methods We conducted a cross sectional survey with cluster sampling in the Sélingué health district. Maternal health services characteristics and indicators were described. Association between dependent and independent variables was verified using Kendall's tau-b correlation, Chi square, logistic regression with odds ratio and 95% confidence interval. Gini index and concentration curve were used to measure inequity. Results Most respondents were 20 to 24 years old. Over 31% of our sample had some education, 65% completed at least four ANC visits, and 60.8% delivered at a health facility. Despite this evidence of healthcare access in Sélingué, disparities within the health district contribute to inadequate utilization among approximately 40% of the women in our sample. The concentration index demonstrated the impact of inequity in geographic access, comparing women residing near and far from the referral care facility. Conclusion Maternal health services underutilization, within a district with moderate geographic access, indicates that deliberate attention should be paid to addressing geographic access even in such a district., Author(s): Moctar Tounkara [sup.1] , Oumar Sangho [sup.1] [sup.2] , Madeleine Beebe [sup.3] , Lillian Joyce Whiting-Collins [sup.3] , Rebecca R. Goins [sup.3] , Hannah C. Marker [sup.3] , Peter [...]

Published
2022
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11. Medicaid Adapts to Extreme Heat: Evolving State-Based Coverage of Home Air Conditioning.

Author

Keroack, Jenny L., Kennedy-Hendricks, Alene, and Winch, Peter J.

Abstract

Anthropogenic climate change is increasing the frequency and severity of extreme heat events, leading to increased morbidity and mortality. Many of the populations at greatest risk from the health threats of extreme heat are also more likely to receive health insurance coverage from the Medicaid program. While Medicaid has not historically covered air conditioners, an increasing number of states are offering coverage. Of the Medicaid programs administered by the 50 states and Washington DC, 13 currently offer an air conditioner coverage benefit and 2 have applied to offer coverage to the federal government. Most of these states have obtained various types of waivers under the Social Security Act to cover air conditioners. Section 1115 waivers tend to offer more flexible and holistic coverage. The states offering coverage vary in the types of air conditioners covered, the approximate frequency with which air conditioners have been furnished, and the billing codes utilized. The lack of a specific billing code or procedure modifier code for air conditioners is a barrier to tracking the effectiveness, reach, and implementation of air conditioner coverage policies within and across states. [ABSTRACT FROM AUTHOR]

Published
2024
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24. 'They Merely Prescribe and I Merely Swallow': Perceptions of Antenatal Pharmaceuticals and Nutritional Supplements Among Pregnant Women in Bamako, Mali

Author

Searle, Alexandra R., Hurley, Emily A., Doumbia, Seydou O., and Winch, Peter J.

Subjects
Dietary supplements -- Distribution -- Usage, Postnatal care -- Patient outcomes, Pregnant women -- Beliefs, opinions and attitudes -- Health aspects, Company distribution practices, Health care industry
Abstract

Objectives New international guidelines for antenatal care (ANC) will likely result in an increase in nutritional supplements and preventative medications for pregnant women in low and middle-income countries. Our objective was to understand how pregnant women in Mali perceive and experience multi-drug regimens in ANC in order to reveal factors that may influence uptake and adherence. Methods We conducted 29 semi-structured interviews and three focus groups with 21 pregnant women in two urban ANC sites in Bamako, Mali. Interviews focused on perception of purpose of ANC pharmaceuticals (particularly iron supplements, sulfadoxine-pyrimethamine as intermittent prevention of malaria and antiretroviral therapy for HIV), beliefs regarding efficacy and risk, and understanding of dosage and regimen. Transcripts were inductively coded and analyzed using the 'Framework' method. Results Participant descriptions of medication purpose, understanding of dosing, and beliefs about risks and efficacy varied widely, revealing that many pregnant women lack complete information about their medications. While some were burdened by side effects or complex regimens, women generally held favorable attitudes toward ANC medications. Responses suggest major barriers to adherence lie in the health system, namely insufficient patient-provider communication and inconsistent prescribing practices. Conclusions for Practice National health programs looking to improve maternal and child health with ANC pharmaceuticals need to place greater attention on patient counseling and consistent implementation of administration guidelines. Communication that positions pharmaceuticals as beneficial to mother and child, while presenting understandable information about purpose, dosing and potential side effects can promote uptake of multi-drug regimens and ANC services in general., Author(s): Alexandra R. Searle [sup.1] , Emily A. Hurley [sup.1] [sup.2] , Seydou O. Doumbia [sup.3] , Peter J. Winch [sup.1] Author Affiliations: (1) grid.21107.35, 0000 0001 2171 9311, Department [...]

Published
2020
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26. Effects of water quality, sanitation, handwashing, and nutritional interventions on diarrhoea and child growth in rural Bangladesh: a cluster randomised controlled trial

Author

Luby, Stephen P, Rahman, Mahbubur, Arnold, Benjamin F, Unicomb, Leanne, Ashraf, Sania, Winch, Peter J, Stewart, Christine P, Begum, Farzana, Hussain, Faruqe, Benjamin-Chung, Jade, Leontsini, Elli, Naser, Abu M, Parvez, Sarker M, Hubbard, Alan E, Lin, Audrie, Nizame, Fosiul A, Jannat, Kaniz, Ercumen, Ayse, Ram, Pavani K, Das, Kishor K, Abedin, Jaynal, Clasen, Thomas F, Dewey, Kathryn G, Fernald, Lia C, Null, Clair, Ahmed, Tahmeed, and Colford, John M, Jr

Published
2018
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27. Psychosocial Factors Mediating the Effect of the CHoBI7 Intervention on Handwashing with Soap: A Randomized Controlled Trial

Author

George, Christine Marie, Biswas, Shwapon, Jung, Danielle, Perin, Jamie, Parvin, Tahmina, Monira, Shirajum, Saif-Ur-Rahman, K. M., Rashid, Mahamud-ur, Bhuyian, Sazzadul Islam, Thomas, Elizabeth D., Dreibelbis, Robert, Begum, Farzana, Zohura, Fatema, Zhang, Xiaotong, Sack, David A., Alam, Munirul, Sack, R. Bradley, Leontsini, Elli, and Winch, Peter J.

Abstract

Inadequate hand hygiene is estimated to result in nearly 300,000 deaths annually, with the majority of deaths being among children younger than 5 years. In an effort to promote handwashing with soap and water treatment behaviors among highly susceptible household members of cholera patients, we recently developed the Cholera-Hospital-Based Intervention-for-7-Days (CHoBI7); "chobi" means picture in Bengali. This 1-week handwashing with soap and water treatment intervention is delivered by a promoter in the hospital and the home to cholera patients and their household members. In our randomized controlled trial of this intervention, we observed a significant reduction in symptomatic cholera infections during the 1-week intervention period compared to the control arm and sustained high uptake of observed handwashing with soap behaviors up to 12 months postintervention. The aim of the present study was to assess the underlying mechanism of change that led to the high handwashing with soap behavior observed among participants who received the CHoBI7 intervention. Handwashing with soap was measured using 5-hour structured observation, and psychosocial factors were assessed using a structured questionnaire among 170 intervention and 174 control household members enrolled in the CHoBI7 trial. To investigate potential mediators of the CHoBI7 intervention effect, mediation models were performed. Response efficacy was found to mediate the intervention's effect on habit formation for handwashing with soap at the 1-week follow-up, and disgust, convenience, and cholera awareness were mediators of habit maintenance at the 6- to 12-month follow-up. These results support the use of theory-driven approaches for the development and implementation of handwashing with soap interventions.

Published
2017
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30. Psychosocial Factors Mediating the Effect of the CHoBI7 Intervention on Handwashing With Soap : A Randomized Controlled Trial

Author

George, Christine Marie, Biswas, Shwapon, Jung, Danielle, Perin, Jamie, Parvin, Tahmina, Monira, Shirajum, Saif-Ur-Rahman, K. M., Rashid, Mahamud-ur, Bhuyian, Sazzadul Islam, Thomas, Elizabeth D., Dreibelbis, Robert, Begum, Farzana, Zohura, Fatema, Zhang, Xiaotong, Sack, David A., Alam, Munirul, Sack, R. Bradley, Leontsini, Elli, and Winch, Peter J.

Published
2017

34. Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program)

Author

Thomas, Elizabeth D., Zohura, Fatema, Hasan, M. Tasdik, Rana, Md. Sohel, Teman, Alana, Parvin, Tahmina, Masud, Jahed, Bhuyian, Md. Sazzadul Islam, Hossain, Md. Khobair, Hasan, Maynul, Tahmina, Sanya, Munmun, Farzana, Khan, Md. Abul Hashem, Monira, Shirajum, Sack, David A., Leontsini, Elli, Winch, Peter J., Alam, Munirul, and George, Christine Marie

Published
2020
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49. Impact of adding hand-washing and water disinfection promotion to oral cholera vaccination on diarrhoea-associated hospitalization in Dhaka, Bangladesh: evidence from a cluster randomized control trial

Author

Najnin, Nusrat, Leder, Karin, Qadri, Firdausi, Forbes, Andrew, Unicomb, Leanne, Winch, Peter J, Ram, Pavani K, Leontsini, Elli, Nizame, Fosiul A, Arman, Shaila, Begum, Farzana, Biswas, Shwapon K, Clemens, John D, Ali, Mohammad, Cravioto, Alejandro, and Luby, Stephen P

Published
2017
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50. Implementing a group‐based multi‐component early child development intervention through the government health system in rural Bangladesh: A feasibility study.

Author

Rahman, Mahbubur, Jahir, Tania, Akter, Fahmida, Yeasmin, Farzana, Pitchik, Helen O., Hasan, Rezaul, Das, Jyoti Bhushan, Grant, Hannah X., Hossain, Khobair, Sultana, Jesmin, Huda, Tarique Md. Nurul, Shoab, AKM, Khan, Rizwana, Tofail, Fahmida, Luby, Stephen P., Fernald, Lia C. H., Rashid, Jahangir, Ashrafee, Sabina, Leontsini, Elli, and Winch, Peter J.

Published
2023
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