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1. Correction: A mixed methods analysis of the medication review intervention centered around the use of the ‘Systematic Tool to Reduce Inappropriate Prescribing’ Assistant (STRIPA) in Swiss primary care practices

Author

Jungo, Katharina Tabea, Deml, Michael J., Schalbetter, Fabian, Moor, Jeanne, Feller, Martin, Lüthold, Renata Vidonscky, Huibers, Corlina Johanna Alida, Sallevelt, Bastiaan Theodoor Gerard Marie, Meulendijk, Michiel C., Spruit, Marco, Schwenkglenks, Matthias, Rodondi, Nicolas, and Streit, Sven

Published
2024
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2. A mixed methods analysis of the medication review intervention centered around the use of the ‘Systematic Tool to Reduce Inappropriate Prescribing’ Assistant (STRIPA) in Swiss primary care practices

Author

Jungo, Katharina Tabea, Deml, Michael J., Schalbetter, Fabian, Moor, Jeanne, Feller, Martin, Lüthold, Renata Vidonscky, Huibers, Corlina Johanna Alida, Sallevelt, Bastiaan Theodoor Gerard Marie, Meulendijk, Michiel C, Spruit, Marco, Schwenkglenks, Matthias, Rodondi, Nicolas, and Streit, Sven

Published
2024
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6. Patient altruism at the end of life: A scoping review.

Author

Sterie, Anca-Cristina, Borasio, Gian Domenico, Deml, Michael J., Gamondi, Claudia, Jox, Ralf J., Larkin, Philip, Trombert, Alexia, Rubli Truchard, Eve, and Bernard, Mathieu

Subjects
ALTRUISM, PATIENTS, DEATH, CAREGIVERS, MEDICAL care
Abstract

Objectives: The concept of altruism is evidenced in various disciplines but remains understudied in end-of-life (EOL) contexts. Patients at the EOL are often seen as passive recipients of care, whereas the altruism of professionals and families receives more research and clinical attention. Our aim was to summarize the state of the scientific literature concerning the concept of patient altruism in EOL contexts. Methods: In May 2023, we searched 11 databases for scientific literature on patient altruism in EOL contexts in consultation with a health information specialist. The scoping review is reported using the PRISMA checklist for scoping reviews. We used a data charting form to deductively extract data from the selected articles and then mapped data into 4 themes related to our research questions: how authors describe and employ the concept of patient altruism; expressions of patient altruism; consequences of patients' altruistic acts; and possible interventions fostering patient altruism. Results: Excluding duplicates, 2893 articles were retrieved; 33 were included in the final review. Altruism was generally considered as an act or intention oriented toward the benefit of a specific (known) or non-specific (generic) recipient. Patients expressed altruism through care and support, decisions to withhold treatment or actively hasten death, and engagement in advance care planning. Consequences of altruism were categorized in patient-centered (contribution to meaning in life and quality of life), non-patient-centered (leaving a positive impact and saving money), and negative consequences (generating feelings of guilt, exposing individuals with low self-esteem). Interventions to encourage altruism comprised specific interventions, providing opportunities to plan for future care, and recognizing and respecting the patients' altruistic motivations. Significance of results: We identified heterogeneous and limited research conceptualization of patient altruism and its operationalization in palliative care settings. A deeper conceptual, empirical, and theoretical exploration of patient altruism in EOL is necessary. [ABSTRACT FROM AUTHOR]

Published
2024
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8. Correction: A mixed methods analysis of the medication review intervention centered around the use of the ‘Systematic Tool to Reduce Inappropriate Prescribing’ Assistant (STRIPA) in Swiss primary care practices (BMC Health Services Research, (2024), 24, 1, (350), 10.1186/s12913-024-10773-y)

Author

Jungo, Katharina Tabea, Deml, Michael J., Schalbetter, Fabian, Moor, Jeanne, Feller, Martin, Lüthold, Renata Vidonscky, Huibers, Corlina Johanna Alida, Sallevelt, Bastiaan Theodoor Gerard Marie, Meulendijk, Michiel C., Spruit, Marco, Schwenkglenks, Matthias, Rodondi, Nicolas, Streit, Sven, Jungo, Katharina Tabea, Deml, Michael J., Schalbetter, Fabian, Moor, Jeanne, Feller, Martin, Lüthold, Renata Vidonscky, Huibers, Corlina Johanna Alida, Sallevelt, Bastiaan Theodoor Gerard Marie, Meulendijk, Michiel C., Spruit, Marco, Schwenkglenks, Matthias, Rodondi, Nicolas, and Streit, Sven

Abstract

In this article, the author name Corlina Johanna Alida Huibers was incorrectly written as Johanna Alida Corlina Huibers due to a typesetting mistake. The author group has been updated above and the original article has been corrected. The publisher apologises to the authors and readers for the inconvenience caused by this error.

Published
2024

9. A mixed methods analysis of the medication review intervention centered around the use of the ‘Systematic Tool to Reduce Inappropriate Prescribing’ Assistant (STRIPA) in Swiss primary care practices

Author

Apotheek Klinische Farmacie, Psychiatrie Zorg, Jungo, Katharina Tabea, Deml, Michael J., Schalbetter, Fabian, Moor, Jeanne, Feller, Martin, Lüthold, Renata Vidonscky, Huibers, Johanna Alida Corlina, Sallevelt, Bastiaan Theodoor Gerard Marie, Meulendijk, Michiel C., Spruit, Marco, Schwenkglenks, Matthias, Rodondi, Nicolas, Streit, Sven, Apotheek Klinische Farmacie, Psychiatrie Zorg, Jungo, Katharina Tabea, Deml, Michael J., Schalbetter, Fabian, Moor, Jeanne, Feller, Martin, Lüthold, Renata Vidonscky, Huibers, Johanna Alida Corlina, Sallevelt, Bastiaan Theodoor Gerard Marie, Meulendijk, Michiel C., Spruit, Marco, Schwenkglenks, Matthias, Rodondi, Nicolas, and Streit, Sven

Published
2024

10. Correction to: A mixed methods analysis of the medication review intervention centered around the use of the ‘Systematic Tool to Reduce Inappropriate Prescribing’ Assistant (STRIPA) in Swiss primary care practices (BMC Health Services Research, (2024), 24, 1, (350), 10.1186/s12913-024-10773-y)

Author

MS Geriatrie, Apotheek Klinische Farmacie, Jungo, Katharina Tabea, Deml, Michael J., Schalbetter, Fabian, Moor, Jeanne, Feller, Martin, Lüthold, Renata Vidonscky, Huibers, Corlina Johanna Alida, Sallevelt, Bastiaan Theodoor Gerard Marie, Meulendijk, Michiel C., Spruit, Marco, Schwenkglenks, Matthias, Rodondi, Nicolas, Streit, Sven, MS Geriatrie, Apotheek Klinische Farmacie, Jungo, Katharina Tabea, Deml, Michael J., Schalbetter, Fabian, Moor, Jeanne, Feller, Martin, Lüthold, Renata Vidonscky, Huibers, Corlina Johanna Alida, Sallevelt, Bastiaan Theodoor Gerard Marie, Meulendijk, Michiel C., Spruit, Marco, Schwenkglenks, Matthias, Rodondi, Nicolas, and Streit, Sven

Published
2024

11. Correction: A mixed methods analysis of the medication review intervention centered around the use of the ‘Systematic Tool to Reduce Inappropriate Prescribing’ Assistant (STRIPA) in Swiss primary care practices (BMC Health Services Research, (2024), 24, 1, (350), 10.1186/s12913-024-10773-y)

Author

Sub Natural Language Processing, Natural Language Processing, Jungo, Katharina Tabea, Deml, Michael J., Schalbetter, Fabian, Moor, Jeanne, Feller, Martin, Lüthold, Renata Vidonscky, Huibers, Corlina Johanna Alida, Sallevelt, Bastiaan Theodoor Gerard Marie, Meulendijk, Michiel C., Spruit, Marco, Schwenkglenks, Matthias, Rodondi, Nicolas, Streit, Sven, Sub Natural Language Processing, Natural Language Processing, Jungo, Katharina Tabea, Deml, Michael J., Schalbetter, Fabian, Moor, Jeanne, Feller, Martin, Lüthold, Renata Vidonscky, Huibers, Corlina Johanna Alida, Sallevelt, Bastiaan Theodoor Gerard Marie, Meulendijk, Michiel C., Spruit, Marco, Schwenkglenks, Matthias, Rodondi, Nicolas, and Streit, Sven

Published
2024

18. A mixed methods analysis of the medication review intervention centered around the use of the ‘Systematic Tool to Reduce Inappropriate Prescribing’ Assistant (STRIPA) in Swiss primary care practices.

Author

Schalbetter, Fabian, Jungo, Katharina Tabea, Deml, Michael J., Moor, Jeanne, Feller, Martin, Lüthold, Renata Vidonscky, Alida Huibers, Corlina Johanna, Marie Sallevelt, Bastiaan Theodoor Gerard, Meulendijk, Michiel C., Spruit, Marco, Schwenkglenks, Matthias, Rodondi, Nicolas, and Streit, Sven

Abstract

Background Electronic clinical decision support systems (eCDSS), such as the ‘Systematic Tool to Reduce Inappropriate Prescribing’ Assistant (STRIPA), have become promising tools for assisting general practitioners (GPs) with conducting medication reviews in older adults. Little is known about how GPs perceive eCDSS-assisted recommendations for pharmacotherapy optimization. The aim of this study was to explore the implementation of a medication review intervention centered around STRIPA in the ‘Optimising Pharmaco Therapy In the multimorbid elderly in primary CAre’ (OPTICA) trial. Methods We used an explanatory mixed methods design combining quantitative and qualitative data. First, quantitative data about the acceptance and implementation of eCDSS-generated recommendations from GPs (n=21) and their patients (n=160) in the OPTICA intervention group were collected. Then, semi-structured qualitative interviews were conducted with GPs from the OPTICA intervention group (n=8), and interview data were analyzed through thematic analysis. Results In quantitative findings, GPs reported averages of 13 min spent per patient preparing the eCDSS, 10 min performing medication reviews, and 5 min discussing prescribing recommendations with patients. On average, out of the mean generated 3.7 recommendations (SD=1.8). One recommendation to stop or start a medication was reported to be implemented per patient in the intervention group (SD=1.2). Overall, GPs found the STRIPA useful and acceptable. They particularly appreciated its ability to generate recommendations based on large amounts of patient information. During qualitative interviews, GPs reported the main reasons for limited implementation of STRIPA were related to problems with data sourcing (e.g., incomplete data imports), preparation of the eCDSS (e.g., time expenditure for updating and adapting information), its functionality (e.g., technical problems downloading PDF recommendation reports), and appropriateness of recommendations. Conclusions Qualitative findings help explain the relatively low implementation of recommendations demonstrated by quantitative findings, but also show GPs’ overall acceptance of STRIPA. Our results provide crucial insights for adapting STRIPA to make it more suitable for regular use in future primary care settings (e.g., necessity to improve data imports). [ABSTRACT FROM AUTHOR]

Published
2024
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20. Broken bones and apple brandy: resilience and sensemaking of general practitioners and their at-risk patients during the COVID-19 pandemic in Switzerland.

Author

Hoeks, Rebekah A., Deml, Michael J., Dubois, Julie, Senn, Oliver, Streit, Sven, Rachamin, Yael, and Jungo, Katharina Tabea

Subjects
*GENERAL practitioners, *CLAVICLE fractures, *OENOTHERAPY, *HOME care services, *PHYSICIAN-patient relations, *SOCIAL networks, *INTERNET, *PHYSICIANS' attitudes, *INTERVIEWING, *PRIMARY health care, *PATIENTS' attitudes, *QUALITATIVE research, *CONTINUUM of care, *PSYCHOSOCIAL factors, *AT-risk people, *QUESTIONNAIRES, *QUALITY assurance, *RESEARCH funding, *THEMATIC analysis, *PSYCHOLOGICAL adaptation, *COVID-19 pandemic, *PSYCHOLOGICAL resilience, *DISINFECTION & disinfectants
Abstract

In early 2020, when the first COVID-19 cases were confirmed in Switzerland, the federal government started implementing measures such as national stay-at-home recommendations and a strict limitation of health care services use. General practitioners (GPs) and their at-risk patients faced similar uncertainties and grappled with subsequent sensemaking of the unprecedented situation. Qualitative interviews with 24 GPs and 37 at-risk patients were conducted which were analyzed using thematic analysis. Weick's (1993) four sources of -resilience – improvisation, virtual role systems, attitudes of wisdom and respectful interaction – heuristically guide the exploration of on-the-ground experiences and informal ways GPs and their at-risk patients sought to ensure continuity of primary care. GPs used their metaphorical Swiss army knives of learned tools as well as existing knowledge and relationships to adapt to the extenuating circumstances. Through improvisation, GPs and patients found pragmatic solutions, such as using local farmer apple brandy as disinfectant or at-home treatments of clavicle fractures. Through virtual role systems, GPs and patients came to terms with new and shifting roles, such as "good soldier" and "at-risk patient" categorizations. Both parties adopted attitudes of wisdom by accepting that they could not know everything. They also diversified their sources of information through personal relationships, formal networks, and the internet. The GP-patient relationship grew in importance through respectful interaction, and intersubjective reflection helped make sense of shifting roles and ambiguous guidelines. The empirical analysis of this paper contributes to theoretical considerations of sensemaking, resilience, crisis settings and health systems. [ABSTRACT FROM AUTHOR]

Published
2023
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21. Masern-Impfung: Nutzen und neue Herausforderungen

Author

Baldesberger, Nadja, primary, Lucas Ramanathan, Pia, additional, Wingeier, Bernhard, additional, Etter, Gisela, additional, Gallmann, Caesar, additional, Schmid-Thurneysen, Lisa, additional, Posfay-Barbe, Klara, additional, Deml, Michael J., additional, Bguelin, Charles, additional, Huber, Benedikt M., additional, and Tarr, Philip, additional

Published
2023
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22. Vaccination contre la rougeole: avantages et nouveaux défis

Author

Baldesberger, Nadja, primary, Lucas Ramanathan, Pia, additional, Wingeier, Bernhard, additional, Etter, Gisela, additional, Gallmann, Caesar, additional, Schmid-Thurneysen, Lisa, additional, Posfay-Barbe, Klara, additional, Deml, Michael J., additional, Bguelin, Charles, additional, Huber, Benedikt M., additional, and Tarr, Philip, additional

Published
2023
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23. Rougeole, vaccination contre la rougeole

Author

Baldesberger, Nadja, primary, Lucas Ramanathan, Pia, additional, Wingeier, Bernhard, additional, Etter, Gisela, additional, Gallmann, Caesar, additional, Schmid-Thurneysen, Lisa, additional, Posfay-Barbe, Klara, additional, Deml, Michael J., additional, Bguelin, Charles, additional, Huber, Benedikt M., additional, and Tarr, Philip, additional

Published
2023
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25. Masern, Masernimpfung

Author

Baldesberger, Nadja, primary, Lucas Ramanathan, Pia, additional, Wingeier, Bernhard, additional, Etter, Gisela, additional, Gallmann, Caesar, additional, Schmid-Thurneysen, Lisa, additional, Posfay-Barbe, Klara, additional, Deml, Michael J., additional, Bguelin, Charles, additional, Huber, Benedikt M., additional, and Tarr, Philip, additional

Published
2023
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28. Healthcare professional and professional stakeholders’ perspectives on vaccine mandates in Switzerland: A mixed-methods study

Author

Dietrich, Léna G., primary, Lüthy, Alyssa, additional, Lucas Ramanathan, Pia, additional, Baldesberger, Nadja, additional, Buhl, Andrea, additional, Schmid Thurneysen, Lisa, additional, Hug, Lisa C., additional, Suzanne Suggs, L., additional, Speranza, Camilla, additional, Huber, Benedikt M., additional, Tarr, Philip E., additional, and Deml, Michael J., additional

Published
2022
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29. Health Care Professionals’ Interest in Vaccination Training in Switzerland: A Quantitative Survey

Author

Lucas Ramanathan, Pia, primary, Baldesberger, Nadja, additional, Dietrich, Léna G., additional, Speranza, Camilla, additional, Lüthy, Alyssa, additional, Buhl, Andrea, additional, Gisin, Martina, additional, Koch, Roswitha, additional, Nicca, Dunja, additional, Suggs, L. Suzanne, additional, Huber, Benedikt M., additional, Deml, Michael J., additional, and Tarr, Philip E., additional

Published
2022
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31. Affenpocken

Author

Simon, Noemi R., primary, Schpf, Isabella C., additional, Haerry, David, additional, Deml, Michael J., additional, Mller, Simon, additional, Aebi-Popp, Karoline, additional, Egli, Rolf, additional, Kulier, Regina, additional, Meynard, Anne, additional, Schmidt, Axel J., additional, Rowedder, Axel, additional, Bguelin, Charles, additional, Falch, Beatrix, additional, Etter, Gisela, additional, Bertisch, Barbara, additional, Braun, Dominique L., additional, Nemeth, Johannes, additional, Calmy, Alexandra, additional, and Tarr, Philip, additional

Published
2022
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32. La variole du singe

Author

Simon, Noemi R., primary, Schpf, Isabella C., additional, Haerry, David, additional, Deml, Michael J., additional, Mller, Simon, additional, Aebi-Popp, Karoline, additional, Egli, Rolf, additional, Kulier, Regina, additional, Meynard, Anne, additional, Schmidt, Axel J., additional, Rowedder, Axel, additional, Bguelin, Charles, additional, Falch, Beatrix, additional, Etter, Gisela, additional, Bertisch, Barbara, additional, Braun, Dominique L., additional, Nemeth, Johannes, additional, Calmy, Alexandra, additional, and Tarr, Philip, additional

Published
2022
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34. Wie Risikogruppen und Hausrzte das erste Pandemiejahr erlebten

Author

Jungo, Katharina Tabea, Deml, Michael J., Heoks, Rebekah, Senn, Oliver, Streit, Sven, and Rachamin, Yael

Subjects
360 Social problems & social services, 610 Medicine & health, General Medicine
Abstract

Als die COVID-19-Pandemie Anfang 2020 unseren Alltag auf den Kopf stellte und es zum ersten Shutdown kam, gab es insbesondere für Betroffene aus sogenannten Risikogruppen und deren Hausärzte und Hausärztinnen neue Herausforderungen. Ein Forschungsprojekt zeigt nun auf, welche Auswirkungen die Pandemie auf die Kontinuität der Grundversorgung hatte.

Published
2022
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35. The impact of the COVID-19 pandemic on the continuity of care for at-risk patients in Swiss primary care settings: A mixed-methods study

Author

Deml, Michael J; https://orcid.org/0000-0003-2224-8173, Minnema, Julia, Dubois, Julie; https://orcid.org/0000-0001-9241-0231, Senn, Oliver; https://orcid.org/0000-0003-4422-7250, Streit, Sven, Rachamin, Yael; https://orcid.org/0000-0002-1484-6934, Jungo, Katharina Tabea; https://orcid.org/0000-0002-1782-1345, Deml, Michael J; https://orcid.org/0000-0003-2224-8173, Minnema, Julia, Dubois, Julie; https://orcid.org/0000-0001-9241-0231, Senn, Oliver; https://orcid.org/0000-0003-4422-7250, Streit, Sven, Rachamin, Yael; https://orcid.org/0000-0002-1484-6934, and Jungo, Katharina Tabea; https://orcid.org/0000-0002-1782-1345

Abstract

Continuity of care is important for the health of aging individuals with comorbidities. When initial coronavirus mitigation campaigns involved messaging such as “Stay at home—stay safe,” and banned provision of non-urgent care, at-risk patients depending upon regular consultations with general practitioners (GPs) faced confusion about the possibility of seeking non-COVID-19 related healthcare. We employed a sequential explanatory mixed-methods design, consisting of a quantitative component followed by a qualitative component, to understand at-risk patients' health services use during the COVID-19 pandemic in Switzerland. Quantitatively, we used electronic medical records data from 272 GPs and 266,796 patients. Based on pre-pandemic data, we predicted weekly consultation counts as well as weekly measurement counts (blood pressure, glycated hemoglobin, and low-density lipoprotein cholesterol) per 100 patients that would be expected in 2020 in absence of a pandemic and compared those to actual observed values. Qualitatively, we conducted 23 semi-structured interviews with 24 GPs (∼45 min) and 37 interviews with at-risk patients (∼35 min). Quantitative results demonstrate a significant decrease in consultation and measurement counts during the first shutdown period, with consultation counts quickly returning to normal and moving within expected values for the rest of 2020. Qualitative data contextualize these findings with GPs describing constantly implementing material, administrative, and communication changes. GPs reported communication gaps with the authorities and noted a lack of clear guidelines delineating how to define “at-risk patients” and what cases were “urgent” to treat during shutdowns. Patient interviews show that patient-level factors, such as fear of contracting coronavirus, perceptions that GPs were overburdened, and a sense of solidarity, influenced patients’ decisions to consult less at the beginning of the pandemic. Findings demonstrate communicatio

Published
2022

38. Vaccine hesitancy and HPV vaccine uptake among male and female youth in Switzerland: a cross-sectional study

Author

Kiener, Laura M, primary, Schwendener, Corina L, additional, Jafflin, Kristen, additional, Meier, Audrey, additional, Reber, Noah, additional, Schärli Maurer, Susanna, additional, Muggli, Franco, additional, Gültekin, Nejla, additional, Huber, Benedikt M, additional, Merten, Sonja, additional, Deml, Michael J, additional, and Tarr, Philip E, additional

Published
2022
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41. Impfskepsis – 10 Punkte für eine erfolgreiche Impfberatung

Author

Schmid-Thurneysen, Lisa, primary, Zimmermann, Clara, additional, Deml, Michael J., additional, Wingeier, Bernhard, additional, Gallmann, Caesar, additional, Carp, Peter, additional, Iff, Martin, additional, Hug-Batschelet, Henriette, additional, Schmidt, Martin, additional, Avoledo, Pierino, additional, Etter, Gisela, additional, HUBER, Benedikt M., additional, and Tarr, Philip, additional

Published
2022
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42. Vaccino-hésitation: 10 messages pour une consultation vaccinale réussie

Author

Schmid-Thurneysen, Lisa, primary, Zimmermann, Clara, additional, Deml, Michael J., additional, Wingeier, Bernhard, additional, Gallmann, Caesar, additional, Carp, Peter, additional, Iff, Martin, additional, Hug-Batschelet, Henriette, additional, Schmidt, Martin, additional, Avoledo, Pierino, additional, Etter, Gisela, additional, HUBER, Benedikt M., additional, and Tarr, Philip, additional

Published
2022
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43. Vaccino-hésitation – Partie 1: ­Introduction

Author

Zimmermann, Clara, primary, Schmid Thurneysen, Lisa, additional, Deml, Michael J., additional, Wingeier, Bernhard, additional, Gallmann, Caesar, additional, Carp, Peter, additional, Delfino, Alexandre, additional, Gafner, Rebecca, additional, Schudel, Sophie, additional, Engel, Rebecca, additional, Iff, Martin, additional, Hug-Batschelet, Henriette, additional, Schmidt, Martin, additional, Avoledo, Pierino, additional, Etter, Gisela, additional, Huber, Benedikt M., additional, and Tarr, Philip, additional

Published
2022
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44. Impfskepsis – Teil 1: Einführung

Author

Zimmermann, Clara, primary, Schmid Thurneysen, Lisa, additional, Deml, Michael J., additional, Wingeier, Bernhard, additional, Gallmann, Caesar, additional, Carp, Peter, additional, Delfino, Alexandre, additional, Gafner, Rebecca, additional, Schudel, Sophie, additional, Engel, Rebecca, additional, Iff, Martin, additional, Hug-Batschelet, Henriette, additional, Schmidt, Martin, additional, Avoledo, Pierino, additional, Etter, Gisela, additional, Huber, Benedikt M., additional, and Tarr, Philip, additional

Published
2022
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45. Parents’ vaccination information seeking, satisfaction with and trust in medical providers in Switzerland: a mixed-methods study

Author

Ebi, Selina Jana, primary, Deml, Michael J, additional, Jafflin, Kristen, additional, Buhl, Andrea, additional, Engel, Rebecca, additional, Picker, Julia, additional, Häusler, Julia, additional, Wingeier, Bernhard, additional, Krüerke, Daniel, additional, Huber, Benedikt M, additional, Merten, Sonja, additional, and Tarr, Philip E, additional

Published
2022
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46. HPV vaccine awareness, knowledge and information sources among youth in Switzerland: a mixed methods study

Author

Schwendener, Corina L, primary, Kiener, Laura M, additional, Jafflin, Kristen, additional, Rouached, Sarah, additional, Juillerat, Anna, additional, Meier, Vincent, additional, Schärli Maurer, Susanna, additional, Muggli, Franco, additional, Gültekin, Nejla, additional, Baumann, Aron, additional, Debergh, Marlyse, additional, Gruillot, Catherine, additional, Huber, Benedikt, additional, Merten, Sonja, additional, Buhl, Andrea, additional, Deml, Michael J., additional, and Tarr, Philip E., additional

Published
2022
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48. The Youth Attitudes about Vaccines (YAV-5) scale: adapting the parent attitudes about childhood vaccines short scale for use with youth in German, French, and Italian in Switzerland, exploratory factor analysis and mokken scaling analysis

Author

Olarewaju, Victoria O., primary, Jafflin, Kristen, additional, Deml, Michael J., additional, Gültekin, Nejla, additional, Muggli, Franco, additional, Schärli, Susanna, additional, Gruillot, Catherine, additional, Kloetzer, Andrea, additional, Huber, Benedikt M., additional, Merten, Sonja, additional, and Tarr, Philip E., additional

Published
2021
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50. Chronic political instability and HIV/AIDS response in Guinea-Bissau

Author

Galjour, Joshua, Havik, Philip J, Aaby, Peter, Rodrigues, Amabelia, Hoemeke, Laura, Deml, Michael J, Zhao, Jinkou, Mpinga, Emmanuel Kabengele, Individual Health Care (IHC), Global Health and Tropical Medicine (GHTM), and Instituto de Higiene e Medicina Tropical (IHMT)

Subjects
Infectious Diseases, SDG 17 - Partnerships for the Goals, Sociology and Political Science, SDG 3 - Good Health and Well-being, SDG 5 - Gender Equality, SDG 1 - No Poverty, SDG 16 - Peace, Justice and Strong Institutions, virus diseases, SDG 10 - Reduced Inequalities
Abstract

BACKGROUND: The Republic of Guinea-Bissau in West Africa has a high HIV/AIDS disease burden and has experienced political instability in the recent past. Our study used qualitative methods to better understand key stakeholders' perceptions of the effects of chronic political instability on the HIV/AIDS response in Guinea-Bissau from 2000 to 2015 and lessons learned for overcoming them. METHODS: Seventeen semi-structured in-depth key informant interviews were conducted in Bissau, Guinea-Bissau in 2018. Interviews were recorded and transcribed verbatim, coded thematically, and analyzed inductively. RESULTS: Four themes emerged: (1) constantly start over; (2) the effects of instability rippling from central level throughout the health pyramid; (3) vulnerable populations becoming more vulnerable; and (4) coping mechanisms. CONCLUSIONS: Stakeholders from government, civil society, and donor organizations have recognized instability's effects as a barrier to mounting an effective local response to HIV/AIDS in Guinea-Bissau. To mitigate the effects of the country's political instability on the health sector, concerted efforts should be made to strengthen the capacities of health officials within the Ministry of Health to shield them from the effects of the country's political instability. publishersversion published

Published
2021

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