From Voluntary Principles to Binding Precedent: The African Union Convention for the Protection and Assistance of Internally Displaced Persons in Africa comes into Force

Large-scale displacement of people has become a defining characteristic of Africa. Unlike refugees, the legal framework for protection of internally displaced persons in Africa like many parts of the world have just evolved.  The idea to protect this category of persons within the region have not attracted the much attention that it deserves despite the truism that in Africa internally displaced persons outnumber refugees. The burden of offering protection to internally displaced persons have been left within the shoulders of national government on the ground that they remains within the borders of their own states  who in rare if not in all cases have no municipal law to cater for their welfare. Worse still, in the case of Africa, no specialized institution exists to cater for this class of her citizens as intervention in most cases are Ad- hoc in nature coupled with the attendant highly fragmented response. This paper assesses the emerging/evolving trend of legal protection for internally displaced persons in Africa especially with the coming into force of the regional framework- Kampala Convention for the Protection and Assistance to Internally Displaced Persons in Africa which imposes expanded obligations on states beyond the traditional horizon.  The paper apart from tracing briefly the antecedents of the Kampala convention also delved into monumental and unprecedented advancements that have been made in it which has now become realistic and profound with its entry into force. Keywords: Africa Union, Internally Displaced Persons, Refugees, Kampala Conventio

Study protocol on Enhanced Primary Healthcare (EnPHC) interventions: a quasi-experimental controlled study on diabetes and hypertension management in primary healthcare clinics

Aim: This paper describes the study protocol, which aims to evaluate the effectiveness of a multifaceted intervention package called ‘Enhanced Primary Healthcare’ (EnPHC) on the process of care and intermediate clinical outcomes among patients with Type 2 diabetes mellitus (T2DM) and hypertension. Other outcome measures include patients’ experience and healthcare providers’ job satisfaction. Background: In 2014, almost two-thirds of Malaysia’s adult population aged 18 years or older had T2DM, hypertension or hypercholesterolaemia. An analysis of health system performance from 2016 to 2018 revealed that the control and management of diabetes and hypertension in Malaysia was suboptimal with almost half of the patients not diagnosed and just one-quarter of patients with diabetes appropriately treated. EnPHC framework aims to improve diagnosis and effective management of T2DM, hypertension or hypercholesterolaemia and their risk factors by increasing prevention, optimising management and improving surveillance of diagnosed patients. Methods: This is a quasi-experimental controlled study which involves 20 intervention and 20 control clinics in two different states in Malaysia, namely Johor and Selangor. The clinics in the two states were matched and randomly allocated to ‘intervention’ and ‘control’ arms. The EnPHC framework targets different levels from community to primary healthcare clinics and integrated referral networks. Data are collected via a retrospective chart review (RCR), patient exit survey, healthcare provider survey and an intervention checklist. The data collected are entered into tablet computers which have installed in them an offline survey application. Interrupted time series and difference-in-differences (DiD) analyses will be conducted to report outcomes

Kebijakan Pemerintahan Mustafa Kemal Ataturk Terhadap Suku Kurdi Di Turki Tahun 1923-1938 M

vii, 67 hlm,; ilus 30 cm

Kebijakan Pemerintahan Mustafa Kemal Ataturk Terhadap Suku Kurdi Di Turki Tahun 1923-1938 M

vii, 67 hlm,; ilus 30 cm

Semantic error analysis of instagram machine translation from Indonesian to English

viii, 90 hlm.; ilus.; 25 cm

Semantic error analysis of instagram machine translation from Indonesian to English

viii, 90 hlm.; ilus.; 25 cm

The Effectiveness of Enhanced Primary Healthcare (EnPHC) interventions on Type 2 diabetes management in Malaysia: Difference-in-differences (DID) analysis

Aims To evaluate the effectiveness of the Enhanced Primary Healthcare (EnPHC) interventions on process of care and intermediate clinical outcomes among type 2 diabetes patients. Methods This was a quasi-experimental controlled study conducted in 20 intervention and 20 control public primary care clinics in Malaysia from November 2016 to June 2019. Type 2 diabetes patients aged 30 years and above were selected via systematic random sampling. Outcomes include process of care and intermediate clinical outcomes. Difference-in-differences analyses was conducted. Results We reviewed 12,017 medical records of patients with type 2 diabetes. Seven process of care measures improved: HbA1c tests (odds ratio (OR) 3.31, 95% CI 2.13, 5.13); lipid test (OR 4.59, 95% CI 2.64, 7.97), LDL (OR 4.33, 95% CI 2.16, 8.70), and urine albumin (OR 1.99, 95% CI 1.12, 3.55) tests; BMI measured (OR 15.80, 95% CI 4.78, 52.24); cardiovascular risk assessment (OR 174.65, 95% CI 16.84, 1810.80); and exercise counselling (OR 1.18, 95% CI 1.04, 1.33). We found no statistically significant changes in intermediate clinical outcomes (i.e. HbA1c, LDL, HDL and BP control). Conclusions EnPHC interventions was successful in enhancing the quality of care, in terms of process of care, by changing healthcare providers behaviour