Monitoring and Evaluation: Civil Society Organisations’ Competitive Edge in Effective Poverty Alleviation

The role of Civil Society Organisations as preferred partners in development is strongly emerging across the globe. Among many reasons, one is reasonably good governance. The social sector has shown the acumen to learn and apply corporate management practices and international standards fast enough to start leading the competition. Notwithstanding the fact that a large part of development funding under soft loans and grants is channeled to the government, the CSOs receive a significant share directly and indirectly to implement development projects in communities. It has opened tremendous opportunities for CSOs to experiment and evolve new approaches in project management, community organisation, service delivery, product development, resource mobilisation and financial management. What makes the civil society organisations different from the public sector organisations? Fundamentally two things; these are non-governmental and nonprofit. However, the real difference is in the way civil society organisations are managed. It includes leadership, commitment, professionalism, systems and practices, thrust of work and most of all performance.

Monitoring and Evaluation: Civil Society Organisations’ Competitive Edge in Effective Poverty Alleviation

The role of Civil Society Organisations as preferred partners in development is strongly emerging across the globe. Among many reasons, one is reasonably good governance. The social sector has shown the acumen to learn and apply corporate management practices and international standards fast enough to start leading the competition. Notwithstanding the fact that a large part of development funding under soft loans and grants is channeled to the government, the CSOs receive a significant share directly and indirectly to implement development projects in communities. It has opened tremendous opportunities for CSOs to experiment and evolve new approaches in project management, community organisation, service delivery, product development, resource mobilisation and financial management. What makes the civil society organisations different from the public sector organisations? Fundamentally two things; these are non-governmental and nonprofit. However, the real difference is in the way civil society organisations are managed. It includes leadership, commitment, professionalism, systems and practices, thrust of work and most of all performance

Awareness regarding breast feeding and complementary feeding in mothers of children with severe acute malnutrition at stabilization centre Multan

Breast feeding is the most natural way of feeding the infants and help to reduce child mortality and morbidity and millions of deaths could be prevented each year if mothers were aware of benefits of exclusive breast feeding for 4 -6 months and early initiation of breast feeding. In current study, awareness regarding breast feeding and complementary feeding in mothers of severely malnourished children was evaluated. The results showed that 99% mothers considered breast milk safe and effective but practically only 23% babies were breast fed while 77% were bottle fed. According to 58% mothers, there should be a early initiation of breast feeding, while 57% were un aware of the facts that clostrum should be given while 43% (43/100) of then considered it unhealthy and non effective. The current awareness reveals that most of the mothers prefer to give commercially available foods for their infants instead of breast feeding. This situation is alarming regarding child health and there is need to educate the mothers especially about the beneficial and health curing effects of breast feeding

An efficient of Sansevieriatrifasciataplantas biosorbent for the treatment of metal contaminated industrial effluents

Sansevieriatrifasciata was studied as a potential biosorbent for chromium, copper and nickel removal in batch process from electroplating and tannery effluents. Different parameters influencing the biosorption process such as pH, contact time, and amount of biosorbent were optimized while using the 80 mm sized particles of the biosorbent. As high as 91.3 % Ni and 92.7 % Cu were removed at pH of 6 and 4.5 respectively, while optimum Cr removal of 91.34 % from electroplating and 94.6 % from tannery effluents was found at pH 6.0 and 4.0 respectively. Pseudo second order model was found to best fit the kinetic data for all the metals as evidenced by their greater R2 values. FTIR characterization of biosorbent revealed the presence of carboxyl and hydroxyl groups on its surface that were responsible for metal uptake. The data for Cr removal from both the effluents was best explained by Langmuir model, while data for Ni and Cu removal was best fitted to Freundlich isotherm. Moreover, 84% biosorbent was recovered on desorptio

Awareness regarding breast feeding and complementary feeding in mothers of children with severe acute malnutrition at stabilization centre Multan

Breast feeding is the most natural way of feeding the infants and help to reduce child mortality and morbidity and millions of deaths could be prevented each year if mothers were aware of benefits of exclusive breast feeding for 4 -6 months and early initiation of breast feeding. In current study, awareness regarding breast feeding and complementary feeding in mothers of severely malnourished children was evaluated. The results showed that 99% mothers considered breast milk safe and effective but practically only 23% babies were breast fed while 77% were bottle fed. According to 58% mothers, there should be a early initiation of breast feeding, while 57% were un aware of the facts that clostrum should be given while 43% (43/100) of then considered it unhealthy and non effective. The current awareness reveals that most of the mothers prefer to give commercially available foods for their infants instead of breast feeding. This situation is alarming regarding child health and there is need to educate the mothers especially about the beneficial and health curing effects of breast feeding

Genetic diversity of rose germplasm in Pakistan characterized by random amplified polymorphic DNA (RAPD) markers

Random amplified polymorphic DNA (RAPD) markers have been found to be very useful in studying the genetic variability of different species, including Rosa. Present studies were undertaken for the identification and  analysis of genetic variation within a collection of 4 species and 30 accessions of rose using RAPD analysis  technique. The results showed the molecular distinctions among the genotypes when analysed using 25 RAPD primers. Total amplified bands were 146, out of which 110 were polymorphic, with an average of seven bands per primer. Maximum number of bands (10) was produced by primer GLD-20, while GLC-02 produced the  minimum number of bands (2). Maximum polymorphism in the present study was obtained by primer GLA-03, GLA-05, GLA-07, GLA-10, GLC-02, GLC-06, GLC-08, GLC-10, OPG-11 and OPE-19 which produced 100%  polymorphic bands, while primer GLB-11 produced only 42.85% polymorphic bands. This study demonstrated the potential of RAPD technique for the characterization of genetic variation within the rose germplasm.Key words: Random amplified polymorphic DNA, polymorphism, rose germplasm, primer

Comparing sensitivity and specificity of pacemaker ID application and cardiac rhythm management device-finder application in identifying cardiac implantable electronic device manufacturer using chest radiograph - An observational study

Background: Smartphone-based applications to identify cardiac implantable electronic devices (CIED) are extremely useful in circumstances, where urgent device interrogation is needed, and a device identification card is not available. Few studies have provided insights regarding the utility of these applications. We have studied two widely available applications i.e., Pacemaker ID app (PMIDa) or Cardiac Rhythm Management Device-Finder (CRMD-f) to identify device manufacturers in CIEDs.Methods: 547 patients who underwent CIED implantation from the year 2016-2020 in our institute were enrolled. There were 438 Medtronic and 109 St. Jude\u27s devices. All chest radiographs were de-identified and resized into 225*225 pixels focusing on the CIED. PMIDa and CRMD-f applications were used to identify the CIED. Accuracy, sensitivity, specificity, negative predictive value, and positive predictive value for both applications were calculated and compared.Results: Overall, CRMD-f application has higher specificity (93.58 vs. 82.5%) but lower sensitivity (53.6 vs. 55%) than PMIDa. The accuracy of both applications was comparable (61.6% vs. 60.5%). Accuracy varied with CIED model and type tested, and radiograph projection used. Accuracy is greatest with Cardiac-Resynchronization-Therapy (CRT) devices for both applications, followed by a single lead pacemaker.Conclusion: CRMD-f has higher accuracy and specificity for CIED manufacturer identification. Both PMIDa and CRMD-f are specific tools to identify CIED but have low sensitivity

Translating knowledge for action against stroke – using 5-minute videos for stroke survivors and caregivers to improve post-stroke outcomes: study protocol for a randomized controlled trial (Movies4Stroke)

Participant timeline. (DOCX 48 kb

Effect of 5-minute movies shown via a mobile phone app on risk factors and mortality after stroke in a low- to middle-income country: Randomized controlled trial for the stroke caregiver dyad education intervention (Movies4Stroke)

Background: Pakistan is the sixth most populous nation in the world and has an estimated 4 million stroke survivors. Most survivors are taken care of by community-based caregivers, and there are no inpatient rehabilitation facilities.Objective: The objective of this study was to evaluate the effectiveness and safety of locally designed 5-min movies rolled out in order of relevance that are thematically delivered in a 3-month program to deliver poststroke education to stroke survivor and caregiver dyads returning to the community.Methods: This study was a randomized controlled, outcome assessor–blinded, parallel group, single-center superiority trial in which participants (stroke survivor-caregiver dyads) with first-ever stroke (both ischemic and hemorrhagic) incidence were randomized within 48 hours of their stroke into either the video-based education intervention group or the control group. The video-based education intervention group had health education delivered through short videos that were shown to the participants and their caregivers at the time of admission, before discharge, and the first and third months of follow-up after discharge. The control group had standardized care including predischarge education and counseling according to defined protocols. All participants enrolled in the video education intervention and control groups were followed for 12 months after discharge for outcome assessment in the outpatient stroke clinics. The primary outcome measures were the proportion of participants achieving control of blood pressure, blood sugar, and blood cholesterol in the video intervention versus the control group. Several predefined secondary outcomes were included in this study, of which we report the mortality and functional disability in this paper. Analysis was by performed using the intention-to-treat principle.Results: A total of 310 stroke survivors and their caregiver dyads (participant dyads) were recruited over a duration of 6 months. In total, 155 participant dyads were randomized into the intervention and control groups, each. The primary outcome of control of three major risk factors revealed that at 12 months, there was a greater percentage of participants with a systolic BP(18/54, 33% vs 11/52, 21%; P=.16), diastolic BP(44/54, 81% vs 37/52, 71%; P=.21), HbA1c levelP=.32), and low-density lipoprotein level/dL (36/51, 70% vs 30/45, 67%; P=.68) in the intervention group than in the control group. The secondary outcome reported is the mortality among the stroke survivors because the number of stroke-related complications was higher in the control group than in the intervention group (13/155, 8.4% vs 2/155, 1.3%), and this difference was statistically significant (P\u3c.001).Conclusions: The Movies4Stroke trial failed to achieve its primary specified outcome. However, secondary outcomes that directly related to survival skills of stroke survivors demonstrated the effectiveness of the video-based intervention on improving stroke-related mortality and survival without disability