МЕТОДОЛОГІЧНІ МОЖЛИВОСТІ ДОСВІДУ ТРАНСГУМАНІТАРНОСТІ В ДИДАКТИЧНО-ОСВІТНІЙ ДІЯЛЬНОСТІ. (Methodological possibilities of the experience of transhumantarish in the didactic-educational activity)

Стаття присвячена розгляду методологічного потенціалу концепту трансгуманітарності, який передбачає розгляд не лише феномена людини в реаліях сьогодення, але й середовища, створеного людиною, особливостей її діяльності та існування. Наголошується на евристичному потенціалі досвіду трансгуманітарності в осмисленні характеру та спрямованості трансформацій, що відбуваються в освітній сфері. Акцентується увага на необхідності зміни гуманітарної парадигми на трансгуманітарну в дидактично-освітній діяльності. (This article is dedicated to the analysis of methodological potential of the concept of transhumantarish, which foresees the analysis not only the phenomena of a human in the realities of our time, but also the environmrnt, which was creatcol by a human, peculiarities of its activity and existence. Transhumanitarity foresees the changes in scientific perception, it reflects all cultural practices, connected with the human world, where the inner potential of personal "I" is realized. Concept of transhumanitarity comes from centrical understanding of a person, her position in the world and personal nature. It orients educational process to the necessity of searching and creation by a person the social requirements in all identical and cultural forms. Attention is accented to the circumstances that formation and development of transhumanitarity as a new humanitarian direction is prepared by scientific-technogical and cultural development of mankind. It is stressed on the problem of the evristic potential of the experience, transhumantarism in the comprehension of the character and the direction of transformations, which take place in the educational sphcre. Attention is paid to the necessity of changing the humanistic paradigm for the transhumanistic in the didactic-educational activity The article proves the need and nature of innovational development of education in the modern society. Innovational part of transhumanitarity orients the didactic-educational process to the maximal development of creative qualities to the formation of great motivation of self-development of individium. Educational activity is more concentrated on the development of capability to education. It is emphasized that the accentualization on free development of the personality, creative selt-vealization is one of the educational bearings of informational epoch. Organization of educational process, educational institutions and technogies are directed to the disclosing of inner world of a person who happens to be "in the movement" (self-changing and self-formation). It is emphasized that the accentualization on free development of the personality, creative selt-vealization is one of the educational bearings of informational epoch. Stressed, that the dialogue in education is the desire to attract people to active learning of the world

Characteristics of neonatal near-miss in hospitals in Benin, Burkina Faso and Morocco in 2012-2013.

: The objective of this study is to explore the usefulness of neonatal near miss in low- and middle-income countries by examining the incidence of neonatal near miss and pre-discharge neonatal deaths across various obstetric risk categories in 17 hospitals in Benin, Burkina Faso and Morocco. : Data were collected on all maternal deaths, maternal near miss, neonatal near miss (based on organ-dysfunction markers), Caesarean sections, stillbirths, neonatal deaths before discharge and non-cephalic presentations, and on a sample of births not falling in any of the above categories. : The burden of stillbirth, pre-discharge neonatal death or neonatal near miss ranged from 23 to 129 per 1000 births in Moroccan and Beninese hospitals, respectively. Perinatal deaths (range 17-89 per 1000 births) were more common than neonatal near miss (range 6-43 per 1000 live births), and between a fifth and a third of women who had suffered a maternal near miss lost their baby. Pre-discharge neonatal deaths and neonatal near miss had a similar distribution of markers of organ dysfunction, but unlike pre-discharge neonatal deaths most neonatal near miss (63%, 81% and 71% in Benin, Burkina Faso and Morocco, respectively) occurred among babies who were not considered premature, low birthweight or with a low 5-min Apgar score as defined by WHO's pragmatic markers of severe neonatal morbidity. : Whether the measurement of neonatal near miss adds useful insights into the quality of perinatal or newborn care in settings where facility-based intrapartum and early newborn mortality is very high is uncertain. Perhaps the greatest advantage of adding near miss is the shift in focus from failure to success so that lessons can be learned on how to save lives even when clinical conditions are life-threatening.<br/

Cost and impact of policies to remove and reduce fees for obstetric care in Benin, Burkina Faso, Mali and Morocco.

BACKGROUND: Across the Africa region and beyond, the last decade has seen many countries introducing policies aimed at reducing financial barriers to obstetric care. This article provides evidence of the cost and effects of national policies focussed on improving financial access to caesarean and facility deliveries in Benin, Burkina Faso, Mali and Morocco. METHODS: The study uses a comparative case study design with mixed methods, including realist evaluation components. This article presents results across 14 different data collection tools, used in 4-6 research sites in each of the four study countries over 2011-13. The methods included: document review; interviews with key informants; analysis of secondary data; structured extraction from medical files; cross-sectional surveys of patients and staff; interviews with patients and observation of care processes. RESULTS: The article finds that the policies have contributed to continued increases in skilled birth attendance and caesarean sections and a narrowing of inequalities in all four countries, but these trends were already occurring so a shift cannot be attributed solely to the policies. It finds a significant reduction in financial burdens on households after the policy, suggesting that the financial protection objectives may have been met, at least in the short term, although none achieved total exemption of targeted costs. Policies are domestically financed and are potentially sustainable and efficient, and were relatively thoroughly implemented. Further, we find no evidence of negative effects on technical quality of care, or of unintended negative effects on untargeted services. CONCLUSIONS: We conclude that the policies were effective in meeting financial protection goals and probably health and equity goals, at sustainable cost, but that a range of measures could increase their effectiveness and equity. These include broadening the exempted package (especially for those countries which focused on caesarean sections alone), better calibrated payments, clearer information on policies, better stewardship of the local health system to deal with underlying systemic weaknesses, more robust implementation of exemptions for indigents, and paying more attention to quality of care, especially for newborns

ОБРАЗ ЛЮДИНИ ЕПОХИ «ПЛИННОЇ МОДЕРНОСТІ» (The image of a human of the époque of instable modernity)

Акцентується увага, що складність, мінливість, не прогнозованість сучасних реалій зумовлені не лише природними та соціальними катаклізмами, але й антропологічною кризою, необхідністю розглянути людину як нову антропологічну реальність, відмовившись від традиційних уявлень, які сформувалися у попередні епохи. Наголошується, що у просторі сучасності складається нова ідентичність людини, яка детермінована лише сама собою, є можливісною та відкритою світові (Attention is accented to the problem of that complicity, nonchangeability of modern realities are caused not only by natural and social cataclisms, but also by the anthropological crisis, the necessity of examining the person as a new anthropological reality, refused from the traditional ideas which were formed during the preri ous epoques. It is stressed that in the space of modernity we have a new identity to a person, which is determined only by oneself, possible and open to the world

Investigating the effect of relationship satisfaction on postpartum women's health-related quality of life in Burkina Faso: a cross-sectional analysis

INTRODUCTION: The period following childbirth poses physiological, physical, social and psychological challenges to women that may affect their quality of life. Few studies in Africa have explored women's health-related quality of life (HrQoL) and its determinants in postpartum populations, including the quality of women's relationships with their male partners. We investigated whether relationship satisfaction was associated with better HrQoL among postpartum women in Burkina Faso, 8 months after childbirth. METHODS: We analysed data from 547 women from the control arm of a randomised controlled trial in Burkina Faso. The study outcome was a woman's HrQoL, assessed using the cross-culturally validated WHOQOL-BREF tool, with response categories adapted for Burkina Faso. The exposure was relationship satisfaction measured using questions adapted from the Dyadic Adjustment Scale and Marital Assessment Test tools. We calculated the median HrQOL scores for the study sample, overall and for each domain of HrQOL (physical, psychological, social and environmental). The association between relationship satisfaction and HrQoL was examined using multiple linear regression models with robust SEs. RESULTS: Postpartum women had high median HrQoL scores in the physical (88.1), psychological (93.1), social (86.1) and environmental (74.0) domains and overall HrQoL (84.0). We found that higher relationship satisfaction is associated with increased HrQoL. After adjusting for potential confounders, we found that for each point increase in relationship satisfaction score, the increase in HrQoL was 0.39 (p<0.001) for the overall HrQoL; 0.32 (p=0.013) for the physical domain; 0.25 (p=0.037) for the psychological domain; 0.46 (p<0.001) for the social domain and 0.49 (p<0.001) for the environmental domain. CONCLUSION: Higher relationship satisfaction is associated with higher HrQoL scores. Policies should aim to support women to cope with the challenges of childbirth and childcare in the postpartum period to improve postpartum women's HrQoL

Taenia solium porcine cysticercosis in Madagascar: Comparison of immuno-diagnostic techniques and estimation of the prevalence in pork carcasses traded in Antananarivo city

Taenia solium cysticercosis was reported in official veterinary and medical statistics to be highly prevalent in pigs and humans in Madagascar, but few estimates are available for pigs. This study aimed to estimate the seroprevalence of porcine cysticercosis among pigs slaughtered in Antananarivo abattoirs. Firstly, the diagnostic performance of two antigen-ELISA techniques (B158B60 Ag-ELISA and HP10 Ag-ELISA) and an immunoblotting method were compared with meat inspection procedures on a sample of pigs suspected to be infected with (group 1; n = 250) or free of (group 2; n = 250) T. solium based on direct veterinary inspection in Madagascar. Sensitivity and specificity of the antigen ELISAs were then estimated using a Bayesian approach for detection of porcine cysticercosis in the absence of a gold standard. Then, a third set of pig sera (group 3, n = 250) was randomly collected in Antananarivo slaughterhouses and tested to estimate the overall prevalence of T. solium contamination in pork meat traded in Antananarivo. The antigen ELISAs showed a high sensitivity (>84%), but the B158B60 Ag-ELISA appeared to be more specific than the HP10 Ag-ELISA (model 1: 95% vs 74%; model 2: 87% vs 71%). The overall prevalence of porcine cysticercosis in Antananarivo slaughterhouses was estimated at 2.3% (95% credibility interval [95%CrI]: 0.09–9.1%) to 2.6% (95%CrI: 0.1–10.3%) depending on the model and priors used. Since the sample used in this study is not representative of the national pig population, village-based surveys and longitudinal monitoring at slaughter are needed to better estimate the overall prevalence, geographical patterns and main risk factors for T. solium contamination, in order to improve control policies. (Résumé d'auteur

Designing Transnational Hydroclimatological Observation Networks and Data Sharing Policies in West Africa

Surface observations provide ground evidence of climate change to support the scientific guidance paving the way to better adaptation and mitigation actions. The West African Science Service Centre on Climate Change and Adapted Land Use (WASCAL) has designed a multi-stakeholder initiative to rescue the deteriorated near-surface weather, climate and hydrological equipment of West African countries. The main goal for this multi-stakeholder framework was to monitor the climate and collect long term and high-quality records of essential climate variables in support of research, education, capacity building, and climate services provision. Proactive and inclusive partnership initiatives were developed to jointly (re)design and (re)implement near surface observatiories with the national meteorological and hydrological services or agencies (NMHS/As) in West Africa. The co-production scheme used by this framework succeeded in evaluating the existing observations networks, to modernizing sensors and field equipment, and densifying the sites in order to improve the quality of data collection, transmission, archiving, processing and sharing policies. After more than four years of community-of-practice, the existing regional basic hydroclimatic was increased/upgraded by 45% with automatic weather observing systems while fifty automatic water level, ten water quality sensors, three mesoscale research catchments, and several pilot sites to benefit countries’ services provision, research infrastructure, education, and capacity building. Country-specific data sharing policies were harmonized and signed to support data services delivery. This practice paper exposes the concepts, outcomes, challenges, lessons learned and the ways forward in setting-up the framework and keeping it on working to leverage the co-production of data & information services for better-informed decision-making in the field of sustainable development in West Africa

Systematic review of the magnitude and case fatality ratio for severe maternal morbidity in sub-Saharan Africa between 1995 and 2010

<p>Abstract</p> <p>Background</p> <p>Analysis of severe maternal morbidity (maternal near misses) provides information on the quality of care. We assessed the prevalence/incidence of maternal near miss, maternal mortality and case fatality ratio through systematic review of studies on severe maternal morbidity in sub-Saharan Africa.</p> <p>Methods</p> <p>We examined studies that reported prevalence/incidence of severe maternal morbidity (maternal near misses) during pregnancy, childbirth and postpartum period between 1996 and 2010. We evaluated the quality of studies (objectives, study design, population studied, setting and context, definition of severe acute obstetric morbidity and data collection instruments). We extracted data, using a pre-defined protocol and criteria, and estimated the prevalence or incidence of maternal near miss. The case-fatality ratios for reported maternal complications were estimated.</p> <p>Results</p> <p>We identified 12 studies: six were cross-sectional, five were prospective and one was a retrospective review of medical records. There was variation in the setting: while some studies were health facility-based (at the national referral hospital, regional hospital or various district hospitals), others were community-based studies. The sample size varied from 557 women to 23,026. Different definitions and terminologies for maternal near miss included acute obstetric complications, severe life threatening obstetric complications and severe obstetric complications. The incidence/prevalence ratio and case-fatality ratio for maternal near misses ranged from 1.1%-10.1% and 3.1%-37.4% respectively. Ruptured uterus, sepsis, obstructed labor and hemorrhage were the commonest morbidities that were analyzed. The incidence/prevalence ratio of hemorrhage ranged from 0.06% to 3.05%, while the case fatality ratio for hemorrhage ranged from 2.8% to 27.3%. The prevalence/incidence ratio for sepsis ranged from 0.03% to 0.7%, while the case fatality ratio ranged from 0.0% to 72.7%.</p> <p>Conclusion</p> <p>The incidence/prevalence ratio and case fatality ratio of maternal near misses are very high in studies from sub-Saharan Africa. Large differences exist between countries on the prevalence/incidence of maternal near misses. This could be due to different contexts/settings, variation in the criteria used to define the maternal near misses morbidity, or rigor used carrying out the study. Future research on maternal near misses should adopt the WHO recommendation on classification of maternal morbidity and mortality.</p