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Your search keyword '"Winch, Peter J."' showing total 20 results
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20 results on '"Winch, Peter J."'

1. Effects of the COVID‐19 pandemic on caregiver mental health and the child caregiving environment in a low‐resource, rural context

Author

Pitchik, Helen O., primary, Tofail, Fahmida, additional, Akter, Fahmida, additional, Sultana, Jesmin, additional, Shoab, AKM, additional, Huda, Tarique M. N., additional, Forsyth, Jenna E., additional, Kaushal, Natasha, additional, Jahir, Tania, additional, Yeasmin, Farzana, additional, Khan, Rizwana, additional, Das, Jyoti B., additional, Hossain, Md., additional, Hasan, Md. Rezaul, additional, Rahman, Mahbubur, additional, Winch, Peter J., additional, Luby, Stephen P., additional, and Fernald, Lia C. H., additional

Published
2021
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8. If I do not have enough water, then how could I bring additional water for toilet cleaning?! Addressing water scarcity to promote hygienic use of shared toilets in Dhaka, Bangladesh

Author

Saxton, Ronald E., primary, Yeasmin, Farzana, additional, Alam, Mahbub-Ul, additional, Al-Masud, Abdullah, additional, Dutta, Notan Chandra, additional, Yeasmin, Dalia, additional, Luby, Stephen P., additional, Unicomb, Leanne, additional, and Winch, Peter J., additional

Published
2017
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9. Behaviour change intervention to improve shared toilet maintenance and cleanliness in urban slums of Dhaka: a cluster-randomised controlled trial

Author

Alam, Mahbub-Ul, primary, Winch, Peter J., additional, Saxton, Ronald E., additional, Nizame, Fosiul A., additional, Yeasmin, Farzana, additional, Norman, Guy, additional, Masud, Abdullah-Al, additional, Begum, Farzana, additional, Rahman, Mahbubur, additional, Hossain, Kamal, additional, Layden, Anita, additional, Unicomb, Leanne, additional, and Luby, Stephen P., additional

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

Author

Rahman M, Jahir T, Akter F, Yeasmin F, Pitchik HO, Hasan R, Das JB, Grant HX, Hossain K, Sultana J, Huda TMN, Shoab A, Khan R, Tofail F, Luby SP, Fernald LCH, Rashid J, Ashrafee S, Leontsini E, and Winch PJ

Subjects
Humans, Child, Feasibility Studies, Bangladesh, Government, Child Development, Malnutrition
Abstract

Children in low- and middle-income countries face an increased risk of impaired cognitive development due to contaminated environments, poor nutrition, and inadequate responsive stimulation from caregivers. Implementing multi-component, community-level interventions may reduce these risks; however, there is little evidence supporting implementation of these interventions at scale. We assessed the feasibility of implementing a group-based intervention that included responsive stimulation, maternal and child nutrition, water and sanitation, and childhood lead exposure prevention through the government health system in Chatmohar, Bangladesh. After implementation, we conducted 17 in-depth interviews with frontline health service providers and 12 key informant interviews with their supervisors and managers to explore the facilitators and difficulties implementing such a complex programme within the health system. Factors facilitating implementation included: high quality training and skill level of providers, support from community members, family, and supervisors, positive relationships between providers and participants, and provision of children's toys and books free of cost. Difficulties included increased workload of the providers, complicated group-based yet stage-specific delivery where providers had to manage a large group of mother-child dyads representing many different child age-groups at once, and logistics difficulties in providing toys and books through a centralised health system process. Key informants made suggestions to ensure effective government-level scale-up including engaging relevant NGOs as partners, identifying feasible ways to make toys available, and offering providers meaningful even if non-monetary rewards. These findings can be used to shape the design and delivery of multi-component child development interventions to be delivered through the health system., (© 2023 John Wiley & Sons Ltd.)

Published
2023
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20. Integrating Mental Health into Maternal Health Care in Rural Mali: A Qualitative Study.

Author

Lasater ME, Murray SM, Keita M, Souko F, Surkan PJ, Warren NE, Winch PJ, Ba A, Doumbia S, and Bass JK

Subjects
Female, Humans, Mali, Maternal Health, Mental Health, Pregnancy, Pregnant Women, Qualitative Research, Rural Population, Maternal Health Services
Abstract

Introduction: Common perinatal mental disorders are prevalent in low- and middle-income countries. The gap between the need for and availability of mental health services, also known as the mental health treatment gap, is particularly acute for women during the perinatal period in rural Mali. This qualitative study aimed to identify a feasible and acceptable integrated care approach for the provision of maternal mental health care in rural Mali to help narrow the treatment gap and increase access to care., Methods: From April to June 2016, qualitative data were collected in the Sélingué health district and Bamako, Mali. In-depth interviews were conducted among women, community health workers, midwives, and mental health specialists. Focus group participants included community health workers, midwives, and an obstetric nurse. All data were inductively coded and analyzed using a thematic analysis approach., Results: Women described several coping strategies to manage their distress, including visiting their parents; confiding in a friend, relative, or community health worker; and participating in women's association groups. Mental health-related stigma was described as being widespread in the community and among health providers. In response to the lack of mental health services, midwives and community health workers supported the feasibility and acceptability of the integration of mental health services into maternal health services. Midwives were discussed as being key providers to conduct mental health screenings and provide initial psychosocial care for women., Discussion: Integrated maternal and mental health interventions are needed to narrow the gap between the need for and availability of mental health services in rural Mali. Findings from this study underscore the great need for mental health services for women in the perinatal period who reside in rural Mali and that it is both feasible and acceptable to integrate mental health screening and low-level psychosocial care into antenatal care, delivered by midwives., (© 2020 by the American College of Nurse-Midwives.)

Published
2021
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