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Internalized Stigma, Depressive Symptoms, And The Modifying Role Of Antiretroviral Therapy: A Cohort Study In Rural Uganda, Lisa M. Bebell, Annet Kembabazi, Nicholas Musinguzi, Jeffrey N. Martin, Peter W. Hunt, Yap Boum Ii, Kelli N. O'Laughlin, Conrad Muzoora, Jessica E. Haberer, Mwebesa Bosco Bwana, David R. Bangsberg, Mark J. Siedner, Alexander C. Tsai Dec 2021

Internalized Stigma, Depressive Symptoms, And The Modifying Role Of Antiretroviral Therapy: A Cohort Study In Rural Uganda, Lisa M. Bebell, Annet Kembabazi, Nicholas Musinguzi, Jeffrey N. Martin, Peter W. Hunt, Yap Boum Ii, Kelli N. O'Laughlin, Conrad Muzoora, Jessica E. Haberer, Mwebesa Bosco Bwana, David R. Bangsberg, Mark J. Siedner, Alexander C. Tsai

OHSU-PSU School of Public Health Faculty Publications and Presentations

Depression affects over 40% of people with HIV (PHIV) in low- and middle-income countries, and over half of PHIV report HIV-related internalized stigma. However, few longitudinal studies of PHIV have examined the relationship between HIV-related stigma and depression. Data were analyzed from the 2007-15 Uganda AIDS Rural Treatment Outcomes (UARTO) Study, a cohort of 454 antiretroviral therapy (ART)-naïve PHIV (68% women) starting ART. Our primary outcome was depression symptom severity over the first two years of ART, measured using a locally adapted version of the Hopkins Symptom Checklist; our primary exposure was the 6-item Internalized AIDS-Related Stigma Scale. Both scores …


We Have Seen His Star, Joseph Khabbaz Dec 2021

We Have Seen His Star, Joseph Khabbaz

The Main Thing Devotional

Saying, “Where is He who has been born King of the Jews? For we have seen His star in the East and have come to worship Him.” (Matthew 2:2)

You can walk through the darkest night when God is your guiding light.


Identifying And Evaluating Pain Management In Hospitalized Older Adults With Hip Fractures: An Integrative Review, Monique Guinocor Dec 2021

Identifying And Evaluating Pain Management In Hospitalized Older Adults With Hip Fractures: An Integrative Review, Monique Guinocor

Master of Science in Nursing Final Projects

Hip fractures are known to have the highest health morbidity and mortality, especially in the aging population. Having a hip fracture comes with insurmountable pain. Older adults experiences pain differently from other populations due to physiological changes, but this population experiences an undertreatment and mistreatment for pain, resulting in negative outcomes. Current methods for pain control include pharmacologic and nonpharmacologic interventions. Exploring different interventions for pain management is necessary so providers can implement methods that are effective in pain relief without inducing complications. The aim of this integrative review is to identify current pain management interventions and determine their effectiveness …


Teaching And Learning During Covid-19 Pandemic: A Qualitative Study On Elementary School Teachers In Indonesia, Kartika Yulianti, Amirul Mukminin Dec 2021

Teaching And Learning During Covid-19 Pandemic: A Qualitative Study On Elementary School Teachers In Indonesia, Kartika Yulianti, Amirul Mukminin

The Qualitative Report

In this study, we explored how teachers in elementary schools in urban and rural areas in Indonesia experienced teaching and learning during school closure or learning from home (LFH) period and examined the barriers that hindered the teaching and learning process in both contexts. We collected data through demographic profiles and semi-structured in-depth interviews with 18 teachers. We organized our analysis around their perspectives on teaching and learning during COVID-19 pandemic that they encountered emerged. Overall, an analysis of the text revealed that major themes related to the critical issues of (1) teaching and learning activities during school closure, (2) …


The NTh-Order Comprehensive Adjoint Sensitivity Analysis Methodology For Response-Coupled Forward/Adjoint Linear Systems (NTh-Casam-L): Ii. Illustrative Application, Dan Gabriel Cacuci Dec 2021

The NTh-Order Comprehensive Adjoint Sensitivity Analysis Methodology For Response-Coupled Forward/Adjoint Linear Systems (NTh-Casam-L): Ii. Illustrative Application, Dan Gabriel Cacuci

Faculty Publications

This work illustrates the application of the nth-order comprehensive adjoint sensitivity analysis methodology for response-coupled forward/adjoint linear systems (abbreviated as “nth-CASAM-L”) to a paradigm model that describes the transmission of particles (neutrons and/or photons) through homogenized materials, as encountered in radiation protection and shielding. The first-, second-, and third-order sensitivities of responses that depend on both the forward and adjoint particle fluxes are obtained exactly, in closed-form, underscoring the principles and methodology underlying the nth-CASAM-L. The results presented in this work underscore the fundamentally important role of the nth-CASAM-L in the quest …


The NTh-Order Comprehensive Adjoint Sensitivity Analysis Methodology For Response-Coupled Forward/Adjoint Linear Systems (NTh-Casam-L): I. Mathematical Framework, Dan Gabriel Cacuci Dec 2021

The NTh-Order Comprehensive Adjoint Sensitivity Analysis Methodology For Response-Coupled Forward/Adjoint Linear Systems (NTh-Casam-L): I. Mathematical Framework, Dan Gabriel Cacuci

Faculty Publications

This work presents the mathematical framework of the nth-Order Comprehensive Adjoint Sensitivity Analysis Methodology for Response-Coupled Forward/Adjoint Linear Systems (abbreviated as “nth-CASAM-L”), which is conceived for obtaining the exact expressions of arbitrarily-high-order (nth-order) sensitivities of a generic system response with respect to all of the parameters (including boundary and initial conditions) underlying the respective forward/adjoint systems. Since many of the most important responses for linear systems involve the solutions of both the forward and the adjoint linear models that correspond to the respective physical system, the sensitivity analysis of such responses makes it necessary …


The NTh-Order Comprehensive Adjoint Sensitivity Analysis Methodology For Response-Coupled Forward/Adjoint Linear Systems (NTh-Casam-L): I. Mathematical Framework, Dan Gabriel Cacuci Dec 2021

The NTh-Order Comprehensive Adjoint Sensitivity Analysis Methodology For Response-Coupled Forward/Adjoint Linear Systems (NTh-Casam-L): I. Mathematical Framework, Dan Gabriel Cacuci

Faculty Publications

This work presents the mathematical framework of the nth-Order Comprehensive Adjoint Sensitivity Analysis Methodology for Response-Coupled Forward/Adjoint Linear Systems (abbreviated as “nth-CASAM-L”), which is conceived for obtaining the exact expressions of arbitrarily-high-order (nth-order) sensitivities of a generic system response with respect to all of the parameters (including boundary and initial conditions) underlying the respective forward/adjoint systems. Since many of the most important responses for linear systems involve the solutions of both the forward and the adjoint linear models that correspond to the respective physical system, the sensitivity analysis of such responses makes it necessary …


Basis For Changes In The Disease Burden Estimates Related To Vitamin A And Zinc Deficiencies In The 2017 And 2019 Global Burden Of Disease Studies, Sonja Y. Hess, Alexander C. Mclain, Haley Lescinsky, Kenneth H. Brown, Ashkan Afshin, Reed Atkin, Saskia Jm Osendarp Dec 2021

Basis For Changes In The Disease Burden Estimates Related To Vitamin A And Zinc Deficiencies In The 2017 And 2019 Global Burden Of Disease Studies, Sonja Y. Hess, Alexander C. Mclain, Haley Lescinsky, Kenneth H. Brown, Ashkan Afshin, Reed Atkin, Saskia Jm Osendarp

Faculty Publications

Background:

The Global Burden of Disease (GBD) Study provides estimates of death and disability from eighty-seven risk factors, including some micronutrient deficiencies. Objectives:

To review methodological changes that led to large differences in the disease burden estimates for vitamin A and Zn deficiencies between the GBD 2017 and 2019 Studies. Methods:

GBD publications were reviewed; additional information was provided by GBD researchers. Results:

Vitamin A deficiency prevalence is based on plasma retinol concentration, whereas the estimate for Zn deficiency prevalence uses dietary adequacy as a proxy. The estimated global prevalence of vitamin A deficiency for children aged 1–4 years in …


A Review Of Transformative Strategies For Climate Mitigation By Grasslands, Nuria Gomez-Casanovas, Elena Blanc-Betes, Caitlin E. Moore, Carl J. Bernacchi, Ilsa Kantola, Evan H. Delucia Dec 2021

A Review Of Transformative Strategies For Climate Mitigation By Grasslands, Nuria Gomez-Casanovas, Elena Blanc-Betes, Caitlin E. Moore, Carl J. Bernacchi, Ilsa Kantola, Evan H. Delucia

United States Department of Agriculture-Agricultural Research Service / University of Nebraska-Lincoln: Faculty Publications

Grasslands can significantly contribute to climate mitigation. However, recent trends indicate that human activities have switched their net cooling effect to a warming effect due to management intensification and land conversion. This indicates an urgent need for strategies directed to mitigate climate warming while enhancing productivity and efficiency in the use of land and natural (nutrients, water) resources. Here, we examine the potential of four innovative strategies to slow climate change including: 1) Adaptive multi-paddock grazing that consists of mimicking how ancestral herds roamed the Earth; 2) Agrivoltaics that consists of simultaneously producing food and energy from solar panels on …


Statistical Development Of The Neutrosophic Lognormal Model With Application To Environmental Data, Zahid Khan, Adnan Amin, Sajjad Ahmad Khan, Muhammad Gulistan Dec 2021

Statistical Development Of The Neutrosophic Lognormal Model With Application To Environmental Data, Zahid Khan, Adnan Amin, Sajjad Ahmad Khan, Muhammad Gulistan

Neutrosophic Sets and Systems

No abstract provided.


Systematic Collective E-Cheating In A Saudi Arabian Higher Education Context: A Case Study, Amel M. Shoaib, Khawla A. Zahran Dec 2021

Systematic Collective E-Cheating In A Saudi Arabian Higher Education Context: A Case Study, Amel M. Shoaib, Khawla A. Zahran

Higher Learning Research Communications

Objectives: The primary purpose was to investigate organized group cheating in a Middle Eastern institution during the shift to e-learning brought on by the COVID-19 pandemic in 2019.

Method: The study explores the personal experiences of ten Saudi Arabian English as a Foreign Language program graduates in a higher education institution through in-depth interviews via qualitative interpretative phenomenological analysis. The study was guided by Ajzen’s theory of planned behavior.

Results: A novel type of misconduct coined systematic collective e-cheating was identified and discussed. In addition, insights on the causes and types of e-cheating in a Middle Eastern context were provided. …


Changes In Body Image, Eating Behaviors, And Exercise During The Covid-19 Pandemic, Megan Gressley Dec 2021

Changes In Body Image, Eating Behaviors, And Exercise During The Covid-19 Pandemic, Megan Gressley

Honors Projects

The Covid-19 pandemic transformed many different aspects of life as many individuals were sent home from school or work and were confined within their homes. Within restricted life, individuals experienced changes in their social lives, eating habits, and day-to-day routine. Within this research study I chose to examine how individuals' lives changed directly from the year before the Covid-19 pandemic to the first year of domestic shutdown. A sample of BGSU undergraduate students responded to a survey questioning them on their behaviors, feelings, and attitudes among these time periods. Results showed that individuals experienced significantly more disordered eating within the …


Corn Oil-Based Highly Flame Retardant Rigid Polyurethane Foams For Industrial Application, Muhammad Rizwan Sulaiman Dec 2021

Corn Oil-Based Highly Flame Retardant Rigid Polyurethane Foams For Industrial Application, Muhammad Rizwan Sulaiman

Electronic Theses & Dissertations

The synthesis of flame retardant polyurethane (PU) foam was carried out using two different flame retardants, such as triethyl phosphate (TEP) and triphenyl phosphate (TPP). The thermal and mechanical characteristics of the foam were analyzed. The obtained TGA results confirmed that the flame retardant acts in the gaseous form to stop the fire. All the prepared samples displayed excellent closed cell content, which was above 90 %. The burning time were reduced from 80 s to 7.5 s with the weight loss 3.2% of for sample E-12 (19.29 % TEP) and from 80 s to 11 s with the weight …


A Workers' Paradise: Re-Integrating Newfoundland Into Colonial American History, Elena Hynes Dec 2021

A Workers' Paradise: Re-Integrating Newfoundland Into Colonial American History, Elena Hynes

Electronic Theses & Dissertations

The island of Newfoundland is conspicuous in colonial British and North American histories, most particularly and paradoxically, in its absence, a state of affairs which this study aims to help address. Multiple factors, including a paucity of documentary sources and various historiographic trends, have traditionally contributed to Newfoundland’s marginalization within colonial historical narratives. However, developments in recent years have made Newfoundland’s potential integration into the broader colonial dialogue more feasible including the advent of the Atlantic perspective, the expansion of available sources, and the work of multiple regional historians who have challenged enduring historiographic trends characterizing Newfoundland colonial settlements as …


A Conflict Of Disinterest: The Problem Of Party In The Early American Republic, Darren Morgan Dec 2021

A Conflict Of Disinterest: The Problem Of Party In The Early American Republic, Darren Morgan

Electronic Theses & Dissertations

This study examines the lost classical republican virtue of disinterestedness—its early role in the nation’s founding, its eventual subordination to partisanship, and its enduring legacy in the realm of politics. Two seminal documents shaped Americans’ early ideas regarding disinterestedness, namely James Madison’s Federalist, No. 10 and George Washington’s “Farewell Address;” however, these cornerstones of impartial politics built upon a long history of classical republican thought from both ancient Rome and mother England. The eventual impracticality of such a virtue quickly gave way to a more enticing and interested form of politics in the early republic—one where lines were rapidly …


A Parametric Computational Fluid Dynamics (Cfd) Study Of In-Line Horizontal Axis Wind Turbines (Hawts) With Yaw, North Alyster Yates Dec 2021

A Parametric Computational Fluid Dynamics (Cfd) Study Of In-Line Horizontal Axis Wind Turbines (Hawts) With Yaw, North Alyster Yates

Masters Theses

Because of the constant use of non-renewable fossil fuels, and the enormous impact they have on global warming and pollution, there has been a push to use more eco-friendly and renewable sources for power. One such form is wind power via turbines. The most common form, Horizontal Axis Wind Turbines (HAWTs), can generate massive amounts of power. However, they also have a serious flaw in their design. As the wind passes through the swept area of the blades and past the tower, it creates massive disturbances in the airflow. These disturbances are called a ‘wake’. When trying to create a …


Isu String Project: Winter Concert, December 10, 2021, Benjamin Dekock, Aaron Jacobs, Cora Swenson Lee, Katherine Lewis Dec 2021

Isu String Project: Winter Concert, December 10, 2021, Benjamin Dekock, Aaron Jacobs, Cora Swenson Lee, Katherine Lewis

School of Music Programs

Center for the Performing Arts

December 10, 2021

Friday Evening

7:00 p.m.


Audiovisual Metadata Platform Pilot Development (Amppd), Final Project Report, Jon W. Dunn, Ying Feng, Juliet L. Hardesty, Brian Wheeler, Maria Whitaker, Thomas Whittaker, Shawn Averkamp, Bertram Lyons, Amy Rudersdorf, Tanya Clement, Liz Fischer Dec 2021

Audiovisual Metadata Platform Pilot Development (Amppd), Final Project Report, Jon W. Dunn, Ying Feng, Juliet L. Hardesty, Brian Wheeler, Maria Whitaker, Thomas Whittaker, Shawn Averkamp, Bertram Lyons, Amy Rudersdorf, Tanya Clement, Liz Fischer

Copyright, Fair Use, Scholarly Communication, etc.

This report documents the experience and findings of the Audiovisual Metadata Platform Pilot Development (AMPPD) project, which has worked to enable more efficient generation of metadata to support discovery and use of digitized and born-digital audio and moving image collections. The AMPPD project was carried out by partners Indiana University Libraries, AVP, University of Texas at Austin, and New York Public Library between 2018-2021.


Predation Efficiency Of Lionfish (Pterois Volitans And P. Miles) In Differing Levels Of Habitat Complexity, Abigail Ehlers Kimbrel Dec 2021

Predation Efficiency Of Lionfish (Pterois Volitans And P. Miles) In Differing Levels Of Habitat Complexity, Abigail Ehlers Kimbrel

All HCAS Student Capstones, Theses, and Dissertations

The invasion of the Indo-Pacific lionfish (Pterois sp.) into the Atlantic and Caribbean has received attention around the globe. Venomous spines, over-sized fanlike pectoral fins, slow movement, and novel feeding strategies have allowed lionfish to become effective apex- predators. Recent research has determined that lionfish use inshore mangrove habitats as foraging grounds, which are also used as nursery habitats for juvenile fish, thus reducing recruitment of native fish populations. The purpose of this study was three-fold: (1) determine the predation efficiency of lionfish in differing mangrove habitat complexities, (2) examine the influence of temperature and behavior of prey commonly found …


Editorial Foreword, Maciej Bernatt, Agata Jurkowska-Gomułka, Laura Zoboli Dec 2021

Editorial Foreword, Maciej Bernatt, Agata Jurkowska-Gomułka, Laura Zoboli

Yearbook of Antitrust and Regulatory Studies

No abstract provided.


Using Competitors’ Data – A Role For Competition Law? Some Thoughts On The Amazon Marketplace Case, Iga Małobęcka-Szwast Dec 2021

Using Competitors’ Data – A Role For Competition Law? Some Thoughts On The Amazon Marketplace Case, Iga Małobęcka-Szwast

Yearbook of Antitrust and Regulatory Studies

Based on the Commission’s investigation into Amazon’s practices, the article analyses whether Amazon’s use of sensitive data from independent retailers who sell via its marketplace may raise anticompetitive concerns and, if so, how they should be tackled, in particular, whether competition law is the right tool to address these concerns. Amazon’s conduct, which is being investigated by the Commission, does not easily fit in with well-established theories of harm. Therefore, it is proposed to develop new theories of harm that would be specifically tailored to challenges of digital markets and online platforms’ business models. Amazon’s conduct could be regarded as …


No Strings Attached? Zero-Price Practices On Social Media Markets Under Eu Abuse Of Dominance Assessment, Marta Sznajder Dec 2021

No Strings Attached? Zero-Price Practices On Social Media Markets Under Eu Abuse Of Dominance Assessment, Marta Sznajder

Yearbook of Antitrust and Regulatory Studies

Do customers pay too little when they pay nothing for accessing a social media platform ‘for free’, and/or do they pay too much? These ‘free’ online services attract customers even if they come at personal information or attention costs. As competition law traditionally focuses on positive prices, ‘free’ services raise the question whether and how they could be assessed as potentially harmful to competition and consumers. Thus, the aim of this paper is to discuss the extent to which EU competition law can be applied to evaluate unilateral abusive pricing practices of social media platforms providing ‘free’ services to customers. …


The (Ab)Use Of Soft Law In Shaping Eu Competition Law: Undermining The Effectiveness Of Leniency Programmes, Javier Guillen Carames Dec 2021

The (Ab)Use Of Soft Law In Shaping Eu Competition Law: Undermining The Effectiveness Of Leniency Programmes, Javier Guillen Carames

Yearbook of Antitrust and Regulatory Studies

One of the defining features of EU competition provisions is that they are enforceable and applicable by the authorities and courts of the European Union and those of its Member States. The European Commission and national competition authorities participate in the application of EU competition law to differing degrees. Different legal mechanisms are adopted to apply Article 101 TFEU, including leniency programmes aimed at pursuing cartels, considered to be the greatest risk to free competition in the European Union. These programmes are implemented using non-binding mechanisms of soft law, which has generated a number of issues for the European Commission …


Competition Issues In The Croatian Seaport Sector Regarding The Provision Of Nautical Tourism Services, Božena Bulum, Marija Pijaca, Željka Primorac Dec 2021

Competition Issues In The Croatian Seaport Sector Regarding The Provision Of Nautical Tourism Services, Božena Bulum, Marija Pijaca, Željka Primorac

Yearbook of Antitrust and Regulatory Studies

In the last decade, services in nautical tourism in the Republic of Croatia have been provided not only in marinas and other facilities intended for nautical tourism by the relevant domestic regulations, but also in other types of ports, such as public ports and sports club ports. Although marinas and public ports provide the same services i.e., berthing services for nautical tourism vessels, different corporate tax regimes apply to these two types of seaports. The first part of the paper gives an overview of the legal rules regulating seaports in Croatia. Subsequently, the competitive positions of marinas and public ports …


Productivity And Competitiveness Of The Agricultural Sector In Poland, Jacek Rodzinka, Tomasz Skica, Tadeusz Pomianek Dec 2021

Productivity And Competitiveness Of The Agricultural Sector In Poland, Jacek Rodzinka, Tomasz Skica, Tadeusz Pomianek

Yearbook of Antitrust and Regulatory Studies

This article attempts to assess the productivity and competitiveness of the agricultural sector in Poland. The data used in the article were provided by Polish FADN (Farm Accountancy Data Network) and the Central Statistical Office, which makes them a representative and reliable source of information on agriculture in Poland. Studies have shown that the agricultural sector in Poland is characterised by low productivity, especially of small and medium-sized farms prevailing in Poland, as well as low internal competitiveness measured by the share of the national agricultural sector in generating GDP. Studies have shown, on the other hand, that the situation …


How Much May An Unreasonable Delay Cost? Tar Lazio Annuls The Highest Sanction Ever Issued By The Italian Competition Authority, Zofia M. Mazur, Elisa Luna Scimeca Dec 2021

How Much May An Unreasonable Delay Cost? Tar Lazio Annuls The Highest Sanction Ever Issued By The Italian Competition Authority, Zofia M. Mazur, Elisa Luna Scimeca

Yearbook of Antitrust and Regulatory Studies

The present contribution describes and comments on recent ruling(s) issued by the Italian Regional Administrative Court of Lazio Region (TAR Lazio) which annuls the highest sanction ever imposed by the Italian Competition Authority (AGCM) for the breach of competition law. The Court found that the AGCM’s final decision vitiated on both procedural and substantive grounds. The TAR Lazio held that the Competition Authority violated the principle of ‘reasonable length of proceedings’ by deferring the initiation of the investigation without valid justification. For this reason, in the last part of the contribution, the authors briefly analyse the possible consequences of the …


Yane Svietiev, Experimentalist Competition Law And The Regulation Of Markets, Hart Publishing, 2020, 232 P., Marcin Mleczko Dec 2021

Yane Svietiev, Experimentalist Competition Law And The Regulation Of Markets, Hart Publishing, 2020, 232 P., Marcin Mleczko

Yearbook of Antitrust and Regulatory Studies

No abstract provided.


Implementation Of The Ecn+ Directive In Poland – Towards A More Effective Application Of Eu Competition Law? Conference Of The Office Of Competition And Consumer Protection And The Centre For Antitrust And Regulatory Studies, Warsaw, 2 March 2021, Monika Woźniak-Cichuta Dec 2021

Implementation Of The Ecn+ Directive In Poland – Towards A More Effective Application Of Eu Competition Law? Conference Of The Office Of Competition And Consumer Protection And The Centre For Antitrust And Regulatory Studies, Warsaw, 2 March 2021, Monika Woźniak-Cichuta

Yearbook of Antitrust and Regulatory Studies

No abstract provided.


An Investigation Of Chronic Pain As A Much-Neglected Symptom Of Hypermobile Ehlers-Danlos Syndrome, Sydney Collins Dec 2021

An Investigation Of Chronic Pain As A Much-Neglected Symptom Of Hypermobile Ehlers-Danlos Syndrome, Sydney Collins

Honors Theses

Ehlers Danlos Syndrome is a group of heritable loose connective tissue disorders with 13 distinguished subtypes. The hypermobile type of Ehlers Danlos Syndrome (hEDS) is the most common subtype and is caused by a genetic mutation that leads to defective collagen fibrils. This leads to joint instability and hypermobility, skin elasticity, widespread pain, fatigue, and generalized tissue fragility. Chronic pain is reported to be a symptom in as high as 92% of the hEDS population (Voermans et al., 2010); despite this prevalence, there is a significant lack of research, awareness, and treatment standardization regarding pain in hEDS. This literature review …


Combined Clinical Audits And Low-Dose, High-Frequency, In-Service Training Of Health Care Providers And Community Health Workers To Improve Maternal And Newborn Health In Mali: Protocol For A Pragmatic Cluster Randomized Trial, David Zombre, Jean-Luc Kortenaar, Farhana Zareef, Moussa Doumbia, Sekou Doumbia, Fadima Haidara, Katie Mclaughlin, Samba Sow, Zulfiqar Ahmed Bhutta, Diego G. Bassani Dec 2021

Combined Clinical Audits And Low-Dose, High-Frequency, In-Service Training Of Health Care Providers And Community Health Workers To Improve Maternal And Newborn Health In Mali: Protocol For A Pragmatic Cluster Randomized Trial, David Zombre, Jean-Luc Kortenaar, Farhana Zareef, Moussa Doumbia, Sekou Doumbia, Fadima Haidara, Katie Mclaughlin, Samba Sow, Zulfiqar Ahmed Bhutta, Diego G. Bassani

Centre of Excellence in Women and Child Health

Background: Although most births in Mali occur in health facilities, a substantial number of newborns still die during delivery and within the first 7 days of life, mainly because of existing training deficiencies and the challenges of maintaining intrapartum and postpartum care skills.
Objective: This trial aims to assess the effectiveness and cost-effectiveness of an intervention combining clinical audits and low-dose, high-frequency (LDHF) in-service training of health care providers and community health workers to reduce perinatal mortality.
Methods: The study is a three-arm cluster randomized controlled trial in the Koulikoro region in Mali. The units of randomization are each of …