Medicine and Health Sciences Commons^™

Kidquest Childhood Obesity Prevention Program: Analysis Of Its Influence On Health Of Rural South Dakota 5th And 6th Grade Children, Nayef Bumaryoum

Electronic Theses and Dissertations

Obesity is a growing problem throughout the developed world. This project will focus on obesity in rural children by studying those living in an area of South Dakota. Research shows high levels of overweight and obese children in this demographic. The two major objectives of this study are to evaluate the efficacy of the KidQuest (KQ) nutrition and physical activity curriculum in reducing the proportion of children and adolescents who are overweight and obese within participating South Dakota 5th and 6th grade children using baseline/post-intervention data and to determine which KQ teacher type is most effective as evaluated by anthropometric, …

Sisters Of Mercy: The Walking Nun's Siouxland Journey And Experiences In Nursing (1890-1965), Diane L. Smith

Electronic Theses and Dissertations

Nursing history is like a kaleidoscope, with prisms of time representing the past, present, and future experiences of nursing. The existence of nursing history is unknown until it is written; similar to the shadowed image of a kaleidoscope mirror is the history of the Sisters of Mercy in Siouxland. Uncovered collections, documents, letters, pictorial archives, and oral histories provide a way to examine the work of the Sisters of Mercy in Siouxland in light of the Careful Nursing Model. On December 12, 1831, Catherine McAuley became the Foundress of the Religious Sisters of Mercy Order in Dublin, Ireland. These Sisters …

Photovoice: Engaging School Communities In Wellness Efforts, Hilary J. Overby

Electronic Theses and Dissertations

Introduction: Currently there are no interactive tools that allow school communities to assess their school wellness needs and foster interest in wellness efforts. PhotoVoice is a participatory action research methodology commonly used in public health that utilizes photography to document and showcase community strengths and weaknesses in order to promote change. Purpose: The purpose of this study was to gather perceptions of a school community after using PhotoVoice to document school wellness efforts 1. Participants: High school students (n=103) and school community members (i.e., residents of community, school faculty) (n=188) were recruited across three school districts. Methods: High school students …

Virus-Like Particles Generaged By Expressing Proteins Of Porcine Reproductive And Respiratory Syndrome Virus (Prrsv) Using The Recombinant Baculovirus Expression System, April Anne Nelsen

Electronic Theses and Dissertations

Porcine reproductive and respiratory syndrome virus (PRRSV) is an enveloped, single stranded, positive sense RNA virus and a member of Arteriviridae. Its genome encodes 10 open reading frames for at least 7 structural proteins and 14 non-structural proteins. Membrane (M), Nuclepcapsid (N), and Glycoprotein-5 (GP5) are the major structural proteins of PRRSV, while Envelope (E), Glycoprotein-2 (GP2), Glycoprotein-3 (GP3), and Glycoprotein-4 (GP4) are the minor structural proteins of PRRSV. GP5 induces neutralizing antibodies and forms heterodimers with M, while N is the most immunogenic protein of PRRSV. Previous studies have shown viral structural proteins are able to form virus-like particles …

Tracking Energy Balance In Adolescents: Levels Of Compliance, Energy Flux, And Learning, Senlin Chen, Xihe Zhu, Gregory J. Welk, Youngwon Kim

Human Movement Studies & Special Education Faculty Publications

Background/Objective: Advancing knowledge about energy balance (EB) is important for helping to reverse the obesity epidemic in many modern societies. This study examined adolescents' experience and perception of using an objective self-monitoring tool (SenseWear armband; SWA) and a portable diet journal to track EB for 7 days.

Methods: Forty-five 6th grade students in a midwestern state of the United States [Caucasian: n = 34, 76%; age: 11.7 ± 1.8 years; body mass index (BMI): 20.84 ± 3.94] participated in the study. The SWA, diet journal, and semistructured individual interview were used to measure energy expenditure (EE) and physical activity (PA), …

Promoting Character And Resiliency Among Elementary School Students: An Assessment Of The Care Now Program, Eddie Hill, Tammi Milliken, Jennifer Goff, Debbie Clark

Human Movement Studies & Special Education Faculty Publications

Youth, especially in inner-city areas of the country, are in need of effective, outcome-based camp programs when school is not in session. Character and Resiliency Education (CARE) Now (CN) is a comprehensive in- and afterschool program designed to promote academic enrichment through positive youth development with a focus on enhancing character and resiliency. In the summer of 2013, CN was adapted to create a three-week long day camp at a high-needs elementary school in eastern Virginia. Using theoretically-based and outcome focused programming, CN was widely praised for its effectiveness among youth in this summer camp. To assess its impact, a …

Contributors And Constraints To Involvement With Youth Sports Officiating, Lynn Ridinger

Human Movement Studies & Special Education Faculty Publications

There is a growing concern about the shortage of sports officials and its impact on organized youth sport. The purpose of this study was to gain a better understanding of psychosocial factors that impact involvement with youth sports officiating by comparing and contrasting the experiences of officials from two distinct sports. In-depth interviews were conducted with baseball umpires and lacrosse officials. Resulting themes were classified as either contributors or constraints to involvement with officiating. The most striking difference between the two groups was the support provided in terms of mentorship, training, and administrative consideration. The baseball umpires received greater support …

Moving Beyond Cardio: The Value Of Resistance Training, Balance Training, And Other Forms Of Exercise In The Management Of Diabetes, Marni J. Armstrong, Sheri R. Colberg, Ronald J. Sigal

Human Movement Studies & Special Education Faculty Publications

Traditionally, aerobic training has been a central focus of exercise promotion for diabetes management. However, people with diabetes have much to gain from other forms of exercise. This article reviews the evidence and recommendations on resistance, balance, and flexibility training, as well as other, less traditional, forms of exercise such as yoga and Tai Chi.

Diagnosing An International Health Crisis: A Structural Exploration Of Ebola 2014, Maddison Zayn Jansen

Honors Program Theses

The Ebola crisis of 2014, though concentrated most heavily in three small countries in western Africa, awoke the international community to its lack of effective health crisis infrastructure. As the disease rocked the globe, multinational groups scrambled to help those directly affected and protect the overwhelming majority of people not directly affected. Most preventative measures failed, and pre-existing initiatives to stem the flow of the disease only served to open the floodgates more. After careful examination of the literature surrounding medical, cultural, financial, national, and global circumstances enabling Ebola to flourish, as well as applying individual analysis and examination, it …

Giving Thanks: The Ethics Of Grateful Patient Fundraising, Stacey A. Tovino

Faculty Articles

Grateful patient fundraising, defined as the solicitation of philanthropic donations by health care providers from current and former patients, raises a number of legal and ethical issues. Elsewhere, I detailed the confidentiality issues raised by the use and disclosure of patient identifiable information by hospital development officers, major gifts officers, institutionally-related foundations, and commercial fundraisers, and proposed corrections to federal health information confidentiality regulations to better balance the competing aims of health care philanthropy and health information confidentiality. In this Article, I analyze several outstanding issues raised by physician involvement in grateful patient fundraising. That is, physicians who solicit philanthropic …

Intraosseous Vascular Access In The Emergency Department, Nicole M. Helsper Devoe

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Current guidelines and recommendations from the American College of Surgeons Advanced Trauma Life Support and the American Heart Association (AHA) include intraosseous (IO) access as a second-line alternative when delayed or failed peripheral vascular access occurs in emergent or trauma situations. IO access is underutilized in the emergency department (ED) due to registered nurses’ knowledge deficit, lack of training and education, and lack of supplies (Cheung, Rosenberg, & Vaillancourt, 2014). The National Association of EMS Physicians (NAEMSP) supports the use of IO access and describes IOs as a significant time saving intervention in achieving vascular access and decreasing the time …

Improving Perceptions Of Menopause With An Educational Tool About Non- Pharmacologic Menopause Symptom Management, Megan Larsen

Doctor of Nursing Practice (DNP) Practice Innovation Projects

The time period surrounding menopause, or perimenopause, often is associated with many symptoms that are unpleasant and life changing for women. These symptoms, which occur in up to 70% of perimenopausal women, can negatively impact quality of life. There is little information available about how a woman can proactively reduce her menopause symptoms naturally, and many are unable to utilize pharmacologic methods. The literature review included in this paper reveals several different non-pharmacologic treatment methods that are supported by peer reviewed research, including: relaxation and stress reduction, ingestion of soy nuts, acupuncture, lifestyle behavior changes, and exercise. It has been …

Chemotherapy-Induced Peripheral Neuropathy Education And Assessment, Kim Schmidt

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Chemotherapy-induced peripheral neuropathy (CIPN) is a debilitating side effect of most chemotherapeutic agents used to treat cancer. To ensure the best possible care and outcomes for patients, nurses should be at the forefront of CIPN education and patient assessments. The purpose of this project was to evaluate an educational intervention for oncology nurses on CIPN and CIPN patient assessment by assessing the knowledge and confidence level of nurses in assessing CIPN before and after an educational session. The methodology for this project was a quasi-experimental one-group pretest multiple posttest design with a convenience sample of nurses employed by the Cancer …

การรักษาผู้ป่วยมะเร็งตับระยะลุกลามด้วยวิธีที่ไม่ใช้การผ่าตัด, เกศรินทร์ ถานะภิรมย์, ธนรัตน์ ศุภศิริ, ภัทรมน ก่อเกียรติพิทักษ์, ณัฐพงศ์ วิบูลย์ศิริชัย, สมบัติ ตรีประเสริฐสุข

Chulalongkorn Medical Journal

โรคมะเร็งตับ เป็นปัญหาสำคัญทั่วโลก แม้ว่าจะในปัจจุบันจะมีการพัฒนาระบบการคัดกรองมะเร็งที่ใช้อย่างแพร่หลายขึ้นมาเพื่อตรวจหามะเร็งตั้งแต่ระยะเริ่มแรก แต่พบว่าผู้ป่วยส่วนใหญ่ก็ยังได้รับการวินิจฉัยในระยะที่ไม่สามารถผ่าตัดได้แล้ว ถ้าจัดแบ่งมะเร็งตามระยะโดยใช้เกณฑ์ของBarcelona Clinic Liver Cancer (BCLC) แล้ว มะเร็งตับระยะลุกลามหมายถึงผู้ป่วยที่มีอาการจากมะเร็ง มีมะเร็งลุกลามไปที่เส้นเลือด มีมะเร็งแพร่กระจายออกจากตับ เช่น ไปที่ต่อมน้ำเหลืองซึ่งพบว่าผู้ป่วยมะเร็งในระยะนี้มีพยากรณ์โรคที่ไม่ค่อยดีนัก โดยมีค่ามัธยฐานของอัตราการรอดชีวิตอยู่ที่ 3 - 6 เดือนถ้าไม่ได้รับการรักษา ปัจจุบันมีวิธีการรักษาผู้ป่วยมะเร็งตับระยะลุกลามด้วยวิธีที่ไม่ใช้การผ่าตัดอยู่หลายวิธี เช่น การใช้ยาต้านมะเร็งในกลุ่ม molecular targeted therapy เช่น Sorafenibซึ่งออกฤทธิ์ผ่านทางกลไก multikinase inhibitors ที่มีหลักฐานสนับสนุนถึงประโยชน์จากการใช้ยามากที่สุดโดยเพิ่มอัตราการรอดชีวิตในผู้ป่วยมะเร็งตับระยะลุกลาม กลไกในการเกิดและการพัฒนาของมะเร็งตับนั้นซับซ้อน และมีการเปลี่ยนแปลงของโมเลกุลหลายตำแหน่งที่เกี่ยวข้อง จึงนำไปสู่การศึกษาของยาในกลุ่มนี้อีกมากมาย นอกจากยากลุ่มนี้แล้วการรักษาอื่นที่มีข้อมูลในผู้ป่วยมะเร็งตับระยะลุกลามได้แก่การฉายแสงทั้งจากภายนอก (External beam radiation) หรือการใช้ 90Yittriumซึ่งได้มีการพัฒนามาใช้ไม่นานนี้และมีข้อมูลการศึกษามากในผู้ป่วยที่มีเส้นเลือดพอร์ทัลอุดตัน (portalvein thrombosis) การทำ transarterial embolization, การใช้ drug-eluting-bead หรือการให้ยาเคมีบำบัด ซึ่งในแต่ละวิธีการรักษานั้นมีข้อมูลสนับสนุนต่าง ๆ กันไป โดยบทความนี้จะทบทวนหลักฐานทางการศึกษาต่าง ๆ ที่เกี่ยวข้องกับการวินิจฉัยและการรักษาผู้ป่วยมะเร็งตับระยะลุกลามด้วยวิธีที่ไม่ใช้การผ่าตัด.

Report On The Community Conversation On Breastfeeding In Brookings Businesses, Sara A. Mehltretter Drury, Rebecca A. Kuehl, Jenn Anderson

Communication Studies Publications

The Brookings Supports Breastfeeding (BSB) team hosted a Community Conversation on Breast feeding in Brookings Businesses, a public deliberation event on November 1, 2014. The deliberation focused on the question, “How can our community support the breastfeeding experience in Brookings businesses?” The event was held from 10am-2pm at the McCrory Gardens Education &Visitor Center in Brookings, SD.

Background

The BSB project is a community effort to promote dialogue and deliberation about supporting breastfeeding in Brookings businesses. It is funded through a Community Innovation grant from the Bush Foundation, and is a partnership between South Dakota State University (SDSU), the Brookings …

Brca1 185delag Mutation Enhances Interleukin-1Β Expression In Ovarian Surface Epithelial Cells, Kamisha T. Woolery, Mai Mohamed, Rebecca J. Linger, Kimberly P. Dobrinski, Jesse Roman, Patricia A. Kruk

Pathology and Cell Biology Faculty Publications

Familial history remains the strongest risk factor for developing ovarian cancer (OC) and is associated with germline BRCA1 mutations, such as the 185delAG founder mutation. We sought to determine whether normal human ovarian surface epithelial (OSE) cells expressing the BRCA1 185delAG mutant, BRAT, could promote an inflammatory phenotype by investigating its impact on expression of the proinflammatory cytokine, Interleukin-1β (IL-1β). Cultured OSE cells with and without BRAT were analyzed for differential target gene expression by real-time PCR, western blot, ELISA, luciferase reporter, and siRNA assays. We found that BRAT cells expressed increased cellular and secreted levels of …

Tp53 And Mdm2 Single Nucleotide Polymorphisms Influence Survival In Non-Del(5q) Myelodysplastic Syndromes, Kathy L. Mcgraw, Thomas Cluzeau, David A. Sallman, Ashley A. Basiorka, Brittany A. Irvine, Ling Zhang, P.K. Epling-Burnette, Dana E. Rollison, Mar Mallo, Lubomir Sokol, Francesc Solé, Jaroslaw Maciejewski, Alan F. List

Pathology and Cell Biology Faculty Publications

P53 is a key regulator of many cellular processes and is negatively regulated by the human homolog of murine double minute-2 (MDM2) E3 ubiquitin ligase. Single nucleotide polymorphisms (SNPs) of either gene alone, and in combination, are linked to cancer susceptibility, disease progression, and therapy response. We analyzed the interaction of TP53 R72P and MDM2 SNP309 SNPs in relationship to outcome in patients with myelodysplastic syndromes (MDS). Sanger sequencing was performed on DNA isolated from 208 MDS cases. Utilizing a novel functional SNP scoring system ranging from +2 to −2 based on predicted p53 activity, we found statistically significant differences …

Itraq-Based Proteomic Analysis Of Visual Cycle-Associated Proteins In Rpe Of Rd12 Mice Before And After Rpe65 Gene Delivery, Qinxiang Zheng, Yueping Ren, Radouil Tzekov, Shanshan Hua, Minghan Li, Jijing Pang, Jia Qu, Wensheng Li

Ophthalmology Faculty Publications

Purpose. To investigate the iTRAQ-based proteomic changes of visual cycle-associated proteins in RPE of rd12 mice before and after RPE65 gene delivery. Mehtods. The right eyes of rd12 mice underwent RPE65 gene delivery by subretinal injection at P14, leaving the left eyes as control. C57BL/6J mice were served as a wide-type control group. ERGs were recorded at P42, and RPE-choroid-sclera complex was collected to evaluate the proteomic changes in visual cycle-associated proteins by iTRAQ-based analysis. Western blot was used to confirm the changes in the differentially expressed proteins of interest. Results. ERG parameters improved dramatically at P42 after …

Visual Electrodiagnostic Testing In Birdshot Chorioretinopathy, Radouil Tzekov, Brian Madow

Ophthalmology Faculty Publications

Birdshot chorioretinopathy (BSCR) is a rare form of autoimmune posterior uveitis that can affect the visual function and, if left untreated, can lead to sight-threatening complications and loss of central vision. We performed a systematic search of the literature focused on visual electrophysiology studies, including electroretinography (ERG), electrooculography (EOG), and visual evoked potentials (VEP), used to monitor the progression of BSCR and estimate treatment efficacy. Many reports were identified, including using a variety of methodologies and patient populations, which makes a direct comparison of the results difficult, especially with some of the earlier studies using nonstandardized methodology. Several different electrophysiological …

Craniopharyngioma Causing Bilateral Vision Loss 4 Months After Unremarkable Magnetic Resonance Imaging Of The Brain, Rainy Betts, Curtis E. Margo, Mitchell Drucker

Ophthalmology Faculty Publications

A 65-year-old man developed bilateral vision loss 4 months after magnetic resonance imaging demonstrated no lesion in the vicinity of the optic chiasm, hypothalamus, and suprasellar tissues. Repeat computed tomography 3 months later showed a predominantly cystic mass of the suprasellar cistern with extension into the anterior third ventricle, which histologically was a craniopharyngioma. The clinical course of this case fuels the controversy whether craniopharyngiomas arise from embryonic rests or can be acquired. From a clinical perspective, it raises questions about when to obtain imaging studies dedicated to the chiasm and the appropriate interval in which a scan should be …

Frataxin Levels In Peripheral Tissue In Friedreich Ataxia, Michael Lazaropoulos, Yina Dong, Elisia Clark, Nathaniel R. Greeley, Lauren A. Seyer, Karlla W. Brigatti, Carlton Christie, Susan L. Perlman, George R. Wilmot, Christoper M. Gomez, Katherine D. Mathews, Grace Yoon, Theresa Zesiewicz, Chad Hoyle, Sub H. Subramony, Alicia F. Brocht, Jennifer M. Farmer, Robert B. Wilson, Eric C. Deutsch, David R. Lynch

Neurology Faculty Publications

No abstract provided.

Addition Of Interleukin-21 For Expansion Of T-Cells For Adoptive Immunotherapy Of Murine Melanoma, Christine Kathryn Zoon, Wen Wan, Laura Graham, Harry D. Bear

Surgery Publications

We previously demonstrated that interleukin (IL)-7/15 was superior to IL-2 for expansion of T cells in vitrofor adoptive immunotherapy. We sought to ascertain whether IL-21 would further improve yield and therapeutic efficacy of T cells in culture. Naïve T cell receptor (TcR) transgenic splenocytes or antigen-sensitized lymph node cells were harvested from PMEL-1 mice and exposed to bryostatin-1 and ionomycin (B/I) for 18 h. Cells were then cultured in IL-2, IL-21, IL-7/15 or IL-7/15/21 for six days. Harvested cells were analyzed by flow cytometry and used to treat C57Bl/6 mice injected intravenously with B16 melanoma. Lungs were harvested and …

Bilateral Choroidal Neovascularization After Pegylated Interferon Therapy, Pir Salim Mahar, Abdul Sami Memon

Section of Ophthalmology

A 30-year-old male presented with gradual decrease in vision in his both eyes after the use of interferon alpha for his hepatitis-C. Ocular examination of patient included, Best Corrected Visual Acuity (BCVA), fundus photographs, Fundus Fluorescein Angiography (FFA) and Optical Coherence Tomography (OCT). His BCVA was recorded as 6/18 in the right eye and 6/12 in the left eye. The anterior segments were unremarkable, with normal intraocular Pressure (IOP) in his both eyes. Both fundi revealed the presence of bilateral Choroidal Neovascularization (CNV), confirmed on FFA and OCT. To the best of authors' knowledge, simultaneous presence of CNV in both …

Reply To Letter To The Editor, "Response To Medical Students' Attitudes Towards Female Sex Workers", Jenna T. Nakagawa, Muge Akpinar-Elci

Community & Environmental Health Faculty Publications

No abstract provided.

Caribbean Heat Threatens Health, Well-Being, And The Future Of Humanity, Cheryl C. Macpherson, Muge Akpinar-Elci

Community & Environmental Health Faculty Publications

Climate change has substantial impacts on public health and safety, disease risks and the provision of health care, with the poor being particularly disadvantaged. Management of the associated health risks and changing health service requirements requires adequate responses at local levels. Health-care providers are central to these responses. While climate change raises ethical questions about its causes, impacts and social justice, medicine and bioethics typically focus on individual patients and research participants rather than these broader issues. We broaden this focus by examining awareness among health-care providers in the Caribbean region, where geographic and socioeconomic features pose particular vulnerabilities to …

Measurement Of 8-Oxo-7, 8-Dihydro-2' Deoxyguanosine In Human Semen And Urine By Isotope-Dilution Liquid Chromatography-Tandem Mass Spectrometry With On-Line Solid Phase Extraction: Comparison With A Commercial Available Enzyme-Linked Immunosorbent Assay, Hueiwang A. Jeng, Mu R. Chao, Ruei N. Li, Chih H. Pan, Wen Y. Lin

Community & Environmental Health Faculty Publications

This study aimed to assess the correlation between 8-oxo-7,8-dihydro-2’-deoxyguanosine (8-oxo-dGuo) in semen and urine, and to compare the analytical methods of the isotope-diluted liquid chromatograph-tandem mass spectrometry (LC-MS/MS) coupled with an on-line Solid-Phase Extraction (SPE) and commercial Enzyme- Linked Immunosorbent Assay (ELISA) used for detecting 8-oxo-dGuo as an oxidative DNA damage marker. Semen and urine samples were simultaneously collected from 85 apparently healthy human subjects. An optimized DNA extraction method was employed to extract DNA from sperm while minimizing oxidation of DNA. All of the biological samples were analyzed by LC-MS/MS and ELISA. All of the biological samples were detected …

Social Determinants And Oral Health Related Behaviors Among Thai Adolescents During 2003 - 2013, Araya Tienkon

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: risk behaviors of chronic non-communicable diseases, i.e. unhealthy diet and tobacco use are related to oral health. Moreover, dental care utilization is one of the vital components for achieving optimal oral health. Objective: To describe the distributions of oral health related behaviors among Thai adolescents across the country, in addition to determining the association of social determinants and oral health related behaviors among Thai adolescents. Materials and methods: the data were taken from the nationally representative Health & Welfare Survey (HWS) conducted by National Statistical Office of Thailand in 2003, 2005, 2006, 2009, and 2013. The data of 37,293 …

Ceftriaxone-Resistant Salmonella Enterica Serotype Typhimurium Sequence Type 313 From Kenyan Patients Is Associated With The Blactx-M-15 Gene On A Novel Inchi2 Plasmid, Samuel Kariuki, Chinyere Okoro, John Kiiru, Samuel Njoroge, Geoffrey Omuse, Gemma Langridge, Robert A. Kingsley, Gordon Dougan, Gunturu Revathi

Pathology, East Africa

Multidrug-resistant bacteria pose a major challenge to the clinical management of infections in resource-poor settings. Although nontyphoidal Salmonella (NTS) bacteria cause predominantly enteric self-limiting illness in developed countries, NTS is responsible for a huge burden of life-threatening bloodstream infections in sub-Saharan Africa. Here, we characterized nine S. Typhimurium isolates from an outbreak involving patients who initially failed to respond to ceftriaxone treatment at a referral hospital in Kenya. These Salmonella enterica serotype Typhimurium isolates were resistant to ampicillin, chloramphenicol, cefuroxime, ceftriaxone, aztreonam, cefepime, sulfamethoxazole-trimethoprim, and cefpodoxime. Resistance to β-lactams, including to ceftriaxone, was associated with carriage of a combination …

Proceedings Of The African Pathologists Summit; March 22-23, 2013; Dakar, Senegal: A Summary, Shahin Sayed

Pathology, East Africa

Context: This report presents the proceedings of the African Pathologists Summit, held under the auspices of the African Organization for Research and Training in Cancer.

Objectives: To deliberate on the challenges and constraints of the practice of pathology in Sub-Saharan Africa and the avenues for addressing them.

Participants: Collaborating organizations included the American Society for Clinical Pathology; Association of Pathologists of Nigeria; British Division of the International Academy of Pathology; College of Pathologists of East, Central and Southern Africa; East African Division of the International Academy of Pathology; Friends of Africa-United States and Canadian Academy of Pathology Initiative; International Academy …

Impact Of Service Provision Platforms On Maternal And Newborn Health In Conflict Areas And Their Acceptability In Pakistan: A Systematic Review, Zohra S. Lassi, Wafa Aftab, Shabina Ariff, Rohail Kumar, Imtiaz Hussain, Nabiha Musavi, Zahid Memon, Sajid B. Soofi, Zulfiqar A. Bhutta

Woman and Child Health

Various models and strategies have been implemented over the years in different parts of the world to improve maternal and newborn health (MNH) in conflict affected areas. These strategies are based on specific needs and acceptability of local communities. This paper has undertaken a systematic review of global and local (Pakistan) information from conflict areas on platforms of health service provision in the last 10 years and information on acceptability from local stakeholders on effective models of service delivery; and drafted key recommendations for improving coverage of health services in conflict affected areas.

The literature search revealed ten studies that …