Process evaluation of community mobilization activities

This report presents the findings of a process evaluation by the Population Council of community mobilization (CM) activities implemented under the PAIMAN project in Pakistan. PAIMAN developed a comprehensive communication, advocacy, and mobilization (CAM) strategy to increase knowledge and awareness of harmful practices among women and their family and to improve their health-seeking behaviors. The CAM roadmap acknowledges the importance of engaging communities in order to achieve behavior change and links clients with providers and services. The main objective of this evaluation was to assess the process of CM implementation and to identify its gaps in order to develop corrective strategies and guidelines for future activities. The report notes a number of deficiencies and lists suggestions and recommendations in order to review and improve the CAM strategy in Pakistan

Safe Motherhood Applied Research and Training (SMART) Report 4: Knowledge and behaviour of service providers

The Safe Motherhood Applied Research and Training (SMART) project was an operations research project designed to develop and test interventions to reduce maternal, perinatal, and neonatal mortality and morbidity in predominantly rural districts of Pakistan. The study area was in the district of Dera Ghazi Khan; the control area was in the district of Layyah. The project focused on three areas: empowering women to seek appropriate and timely general, maternal, and newborn care; supporting methods that encourage men to play a positive and active role in decision-making and seeking care for their families in matters relating to maternal and newborn care; and improving and strengthening health services. The project had two intervention sites and one control site to look at the impact of two different interventions (within communities and within health facilities). It was expected that project results would be useful to others working toward reducing maternal, perinatal, and neonatal mortality and morbidity, nationally and internationally. The interventions and findings from this study have been published in six reports, of which this is Report 4: Knowledge and Behaviour of Service Providers

Training institutions for community midwives in Pakistan: An initial assessment

This study focuses on the training of community midwives (CMWs) in Pakistan, to specifically look at the institutions providing CMW training to see what resources (both physical and human resources) they had available and how these resources were being utilized. This study served as an early evaluation of the trainings and upgrades by the PAIMAN project, to assess how their interventions fared, and provides documentation for future decisions regarding the management, training, and practice of CMWs in Pakistan. As Pakistan transitions from a country with a high level of home births to a country where most births take place in institutional settings, trained CMWs can ease that transition, saving the lives of mothers and newborns as the transition unfolds. The report concludes that the MNCH needs to take more ownership of the program to better coordinate the training of tutors and clinical supervisors and to provide better supervision of the curriculum and trainings being imparted to the CMW trainees

Contactless Human Activity Recognition using Deep Learning with Flexible and Scalable Software Define Radio

Ambient computing is gaining popularity as a major technological advancement for the future. The modern era has witnessed a surge in the advancement in healthcare systems, with viable radio frequency solutions proposed for remote and unobtrusive human activity recognition (HAR). Specifically, this study investigates the use of Wi-Fi channel state information (CSI) as a novel method of ambient sensing that can be employed as a contactless means of recognizing human activity in indoor environments. These methods avoid additional costly hardware required for vision-based systems, which are privacy-intrusive, by (re)using Wi-Fi CSI for various safety and security applications. During an experiment utilizing universal software-defined radio (USRP) to collect CSI samples, it was observed that a subject engaged in six distinct activities, which included no activity, standing, sitting, and leaning forward, across different areas of the room. Additionally, more CSI samples were collected when the subject walked in two different directions. This study presents a Wi-Fi CSI-based HAR system that assesses and contrasts deep learning approaches, namely convolutional neural network (CNN), long short-term memory (LSTM), and hybrid (LSTM+CNN), employed for accurate activity recognition. The experimental results indicate that LSTM surpasses current models and achieves an average accuracy of 95.3% in multi-activity classification when compared to CNN and hybrid techniques. In the future, research needs to study the significance of resilience in diverse and dynamic environments to identify the activity of multiple users

Highly efficient catalytic degradation of low-density polyethylene using a novel tungstophosphoric acid/kaolin clay composite catalyst

In order to take advantage of Bronsted acidity of tungstophosphoric acid(TPA) and Lewis acidity of kaolin, TPA loaded kaolin catalysts with varying percentages of TPA (10-50wt%) have been prepared by wet impregnation method. Fourier Transform Infra-Red Spectrometer, X-ray diffractometer, Brunauer-Emmett-Teller surface area analyzer, and Scanning Electron Microscope characterizations were performed to confirm the successful loading of TPA onKaolin. Catalytic cracking of low-density polyethylene (LDPE), by employing our TPA loaded Kaolin as the catalyst, produced a higher percentage of fuel oil (liquid and gaseous hydrocarbons) with negligible amount of semisolid wax (1.0 wt.%), significantly lower compared to the thermal cracking which produced ~22wt.% solid black residue. Moreover, GCMS analysis of oil showed that thermal cracking produces mainly higher hydrocarbons(C22) as compared to the catalytic cracking where larger fraction oflowerhydrocarbons were obtained. We purpose that the higher performance of our catalysts was due to the presence of both Bronsted and Lewis acid sites, which increase their catalytic efficiency and degraded the LDPE at the relatively lower temperatures. Our results suggest that prepared materials were effectivecatalysts with low cost and easily scalable production method; suitable for large-scale highperformance catalytic cracking of LDPE based materials

Safe Motherhood Applied Research and Training (SMART) Report 2: The interventions

The Safe Motherhood Applied Research and Training (SMART) project, an operations research project designed to develop and test interventions to reduce maternal, perinatal, and neonatal mortality and morbidity in predominantly rural districts of Pakistan, was a three-year project (2003 to 2006) funded by the European Union. The study area was in the district of Dera Ghazi Khan; the control area was in the district of Layyah. The project focused on three areas to accomplish its goals: empowering women to seek appropriate and timely general, maternal, and newborn care; supporting methods that encourage men to play a positive and active role in decision-making and seeking care for their families in matters relating to maternal and newborn care; and improving and strengthening health services. The project had two intervention sites and one control site to look at the impact of two different interventions (within communities and within health facilities). It was expected that project results would be useful to others working toward reducing maternal, perinatal, and neonatal mortality and morbidity, nationally and internationally. The interventions and findings from this study are published in six reports, of which this is Report 2: The Interventions

Post-abortion care in Pakistan: A national study

The objectives of this Population Council study were twofold: first to collect information on prevailing practices of abortion and post‐abortion care in Pakistan and, second, to gauge changes in the magnitude and quality of abortion‐related complications and care during the last decade (since the 2002 national study of “Unwanted Pregnancy and Post‐abortion Complications in Pakistan”). The study found that the level of post‐abortion family planning (FP) counseling in both public and private health facilities offering PAC services was inadequate. There has been no improvement over the decade in the level of counseling reported, and, even more disappointingly, only half of health facilities provided women receiving PAC with contraceptives. We therefore recommend that family planning should be included in all medical curricula, from the undergraduate level to in-service trainings. Interaction, coordination, and synergy between the departments of family planning and gynecology/obstetrics in hospitals should be strengthened to ensure that contraceptive supplies and FP counseling become standard operating procedure both following a delivery (postpartum) and after women have received post‐abortion care

Depression, Suicidal Tendencies, Hopelessness, and Stress among Patients with Learning Disabilities

Self-harm and suicide are most commonly observed in adolescents specially females in Asian countries and in western. The psychosocial predictors, along with hopelessness and non-suicidal injury (NSSI), have not been studied properly before. Therefore, there is a need to address these issues. The objective of the study was to ascertain the psychosocial and clinical features predicting suicide and NSSI in adolescents with major depression. Increased number of suicidality and impaired family function at entry is autonomously connected with a suicidal attempt. NSSI are connected at base line and apply additive effect on likelihood, one keeping on through treatment period. Poor family functions, as well as family problems and social problems, were the causative agents for adolescent’s high suicidality and NSSI. A history of NSSI treatment is a clinical marker for suicidality. The previous suicidal attempts should be evaluated in depressed juvenile patients as indicators of future suicidal intent and behavior. Both suicidal and NSSI adolescents during the therapy and after treatment endure to be depressed when they are engaged in study. Major causes of suicide among our study participants were lost friend(s), drug abuse, living alone, disturbed parental marriage, sexual abuse, and other domestic problems

Standred interferon therapy and its Response rates in Chronic HCV Patients in District Mardan, Khyber Pakhtunkhwa

To eradicate the Hepatitis C Virus from the bodies of the infected individuals Interferon and Ribavirin based therapy is used. HCV is highly prevalent in District Mardan Khyber Pakhtunkhwa that is why it is important to determine the response of standard interferon based therapy in Chronic HCV patients of this region. A total of 215 patients were selected for interferon based therapy. The patients were selected from three different Tehsil of District Mardan. After confirmation of active HCV infection by q-PCR, standard interferon with Ribavirin was given to patients for 6 months. After completion of therapy, end of treatment virologic response (ETR) was calculated. After completion of the 6 months long therapy, the results obtained were as. Out of total 215 patients, 168 (78.13%) were negative for HCV RNA and showing end of treatment response (ETR) while 47 (21.86%) were positive for HCV RNA and did not show ETR. In Tehsil Mardan, out of 102 patients who had completed therapy, 76 patients (74.51%) showed ETR and 26 (25.49%) did not show the ETR. In Tehsil Kattlang, we found that out of total 51 patients who had taken 6 months therapy, 41 (80.39%) were negative for HCV RNA and 10 (19.61%) were resistant to therapy while in Tehsil Tkhatbhai, out of 62, 50 (80.64%) were negative and 12 (19.35%) were positive. The above discussion shows that antiviral therapy against HCV infection in chronic HCV patients of District Mardan KPK province is 78.13%. The high response rate may be due to the prevalence of genotypes 2 and 3