2 research outputs found

    Reducing Under-five Childhood Mortality using IMCI/e-IMCI: Implementation Approaches in Nigeria

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    To address the global issue of healthcare disparity and access to care, particularly in children under-five years of age, Integrated Management of Childhood Illness (IMCI) was put in place by WHO and UNICEF. To address poor adherence to IMCI that affects Under-five Mortality Rates (U5MRs), e-IMCI was introduced 1. With its three components: improvement of case management skills of health-care staff, overall health systems, and family and community health practices, IMCI/e-IMCI targets under-five children’s health with a holistic approach 2. While IMCI/e-IMCI helps to provide quality care, save cost and potentially time, inadequate healthcare providers’ training remains a primary challenge to the quality of implementation at the global level especially in lower-middle income countries like Nigeria. This paper presents the barriers to IMCI/e-IMCI from the policy makers, health workers and patient standpoint in Nigeria. Also, the paper elaborates on various implementation approaches to address these barriers in the context of the Nigerian health care system.Master of Public Healt

    Do health risk perceptions motivate water - and health-related behaviour?: A systematic literature review

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    Health-related risk perceptions are important determinants of health behaviours and components of behaviour change theories. What someone thinks or feels will motivate or hinder their intention or hesitancy to implement a certain behaviour. Thus, a perceived potential risk to our health and well-being can influence our health-promoting and/or health-seeking behaviour. We aimed to review and synthesize available peer-reviewed literature to better understand the links between water and health-related risk perceptions and behaviours. We conducted the first systematic review of peer-reviewed literature on risk perceptions and behaviours in the context of water and health, published between 2000 and 2021. A total of 187 publications met the inclusion criteria. We extracted data relating to study characteristics and categorized our results according to the major themes emerging from the literature, namely drinking water, sanitation, hygiene and wasterelated topics, health risk factors, diseases and mental health implications, and preventative measures. Our review shows that the literature has grown over the past twenty years, reporting information from different countries belonging to different income groups around the globe, conducted in various settings and contexts, among different target populations, from various disciplinary angles, using different methods, theories and approaches. Our review provides evidence of health risk perceptions determining behaviour particularly related to drinking water sources and water safety. Evidence on disease prevention, health seeking, variations and changes in perception and behaviour over space, geography, socioeconomic differences and time, and the relevance of cultural context is provided. Our review shows that risk perception studies are vital for WASH governance in terms of policy, raising awareness, education and behaviour change. In order to make risk perception and behaviour studies even more relevant to effective public health planning and health messaging, future research needs to increasingly focus on early culturally sensitive interventions and changes in perceptions and behaviours over time
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