Global Healthcare Conference - GHC

Selected Accepted Papers

Selected Accepted Papers

This paper describes the training programme in Cambodia to upgrade knowledge and skills of physiotherapists in public and private rehabilitation sectors, which filled the gaps in physiotherapy knowledge and practice, and eventually improved physiotherapy services in the country. It is anticipated that such training programme can be replicated in other Asian countries where physiotherapy is still seen as a support and technical job.
Abstract Global Development Report in 2014 highlighted that nine out of ten people in need of palliative care to relieve the pain and symptoms of a life-threatening illness, live in low income countries and a large majority of them are not receiving adequate care. Descriptive qualitative study was carried out in the National Institute of Cancer (NICM), the Cancer Home (CH) and Shantha Sevana Hospice (SSH), Maharagama and Ceylinco oncology unit Colombo. Purposive sample of nurses who provided palliative care to the adult cancer patients of the selected institutions were included to the study. Focus Group Discussions were conducted using semi-structured interviewer guide. Max Van Manen’s Phenomenological approach was followed to analyze qualitative data. Ethical approval for the study was obtained from the Ethical Review Committee of the Faculty of Medical Sciences, University of Sri Jayewardenepura. Confidentiality and anonymity of the information gathered were maintained. Credibility, transferability and neutrality were maintained. Data saturation was received with three FGDs (twenty nurses’) about the nurses understanding of palliative care for cancer survivors. Thematic analysis of the data identified three key themes. 1) caring which emerged from three sub categories, provide need-based care of patients, provide quality care and feel satisfied. 2) inter- personal relationship which derived from collaborative care, nurse patient relationship and close attention. 3) seek continuous education which derived from need to improve knowledge, need to improve skills and need to update knowledge. With the existing basic knowledge. Nurses’ tried to follow holistic approach which is essential for individualistic care that palliative care calls for. Measures to improve and extend the palliative care to the cancer survivors and to the family in the current setting would be beneficial.
THE ROLE OF ANTENATAL SERVICES IN SUPPORTING TEENAGE PREGNANT GIRLS IN LERIBE DISTRICT OF LESOTHO Seema E. Ntjabane, MPH1, Debbie SK. Habedi, DLitt et Phil in Health Studies2 and Tennyson Mgutshini, PhD in Public Health3 .(2018). 7th Annual International Conference on Global Health Care (GHC2018), 23rd -24th July in Singapore 1Researcher, 2Supervisor: Department of Health Studies: College of Human Sciences, University of South Africa, Pretoria, SA and 3Professor: Department of Health Studies: College of Human Sciences, University of South Africa, Pretoria, South Africa. Correspondence: Dr DSK Habedi Department of Health Studies College of Human Sciences University of South Africa Pretoria South Africa E-mail:habeddsk@unisa.ac.za Tel No: 012 429 6180 The role of antenatal services in supporting teenage pregnant girls in Leribe district of Lesotho Aim This paper describes the role of antenatal services in supporting teenage pregnant girls in Leribe district of Lesotho. Background Teenage pregnancy is a serious public heath challenge associated with poor health and social exclusion in Leribe district of Lesotho. Research examining the specific role played by antenatal services in support of teenage pregnant girls is limited. Method A qualitative, descriptive and contextual study design was used. In-depth individual interviews (n=12) were conducted with teenage pregnant girls who attended antenatal services at the teenage corner, also known as, adolescent health corner of Motebang Hospital during the time of data collection. Result Findings of the study revealed that teenage pregnant girls require antenatal services that are unique, friendly, comprehensive and sensitive to their needs. Antenatal care is an essential medical care aimed at identifying early and treating problems and complications during pregnancy. Thus, it is considered to be a critical intervention aimed at reducing maternal morbidity and mortality. From the review of the interviews, it was clear that the support teenage pregnant girls got from the family, school, community and the male partner was not enough to facilitate their coping with pregnancy. The study also found that these pregnant girls have a variety of needs such as basic needs, need for educational services, need for nutrition services, need for counselling services and the need for financial assistance. If not addressed, these needs may have a negative impact on the pregnancy and its outcome. Conclusions Teenage pregnant girls’ experiences of attending antenatal clinic services influence future choices with regard to seeking health care. It is very crucial to strengthen male or partner involvement in antenatal care as this strategy is associated with lower stress for pregnant girls and positive pregnancy outcomes. In general, teenage pregnant girls prefer antenatal services that are accessible, equitable, acceptable, appropriate, comprehensive, effective and efficient (WHO 2002:27).
Text base interventions have come to prominence over the last decade, due in part to the advances in Information and Communication Technologies and the proliferation of mobile phones. Particularly in the eHealth and health promotion domain, text-messaging interventions have shown a number of positive results. While the Health application context is broad and not quite saturated as of yet, the authors noted there was little in the way of supporting first time and new fathers. Further, new mothers have an increasing number of support services, including those in the eHealth domain, but fathers have not been so fortunate to date. With around 10% of fathers experience Paternal Perinatal Depression (PPND) and factoring in new fathers reluctance to seek help plus their limited contact with perinatal health services it has highlighted some serious mental health needs and issues. Using a mobile phone medium to reach these father’s provides an ideal platform to provide support, education, and method of contact. The authors have designed and developed one such Information and Communication Technology (ICT) based architecture, delivering a diversifying and evolving range of SMS4Dads platforms. This paper details the Randomized Control of the platform and a number of its evolving features.
Smoke and ash are not homogenous products as they are a solid residue of combustion and contain a complex mixture of chemical products. The ash content varies dependent on its source, but it usually comprises particles of carbon or soot and trace elements. The acute health effects of exposure are not limited to symptoms affecting the eyes, throat and lungs. They can contribute to asthma and cardiopulmonary chronic disease rates and can also contribute to increased risk of some cancers. Smoke and ash presents public health risk to people and communities, through direct and indirect ingestion, inhalation and absorption. The purpose of this study was to look at the public health implications through the identification of ash components at its source and to reduce the confounding effects from other origins. The study investigated the concentration of various chemicals materials from prescribed burns in the Darling Escarpment, adjacent to Perth’s metropolitan area. The relationship between smoke and ash was explored to determine whether concentrations of a range of particulate of sizes (TSP, PM10, PM2.5,) and metals that occur as a result of smoke generated during prescribed burns. Thus establishing a relationship between the concentrations of the air pollutants studied and potential adverse human health effects. It was demonstrated that the smoke concentration from the prescribed burn exceeded Department of Health, Western Australia guidelines of 300 µg/m3. The level of metal present within the ash samples did not exceed health investigation levels and were unlikely to pose a potential risk if left in-situ. However, the metal concentrations in the smoke could not be established while the metals in the ash have the potential of pose a risk if disturbed or mobilised by wind or water. The findings from this study contribute to the management of prescribed burns by providing a better understanding of the composition of smoke and ash and the effects of potential distribution via aerial deposition or runoff
Abstract Today, discussions of global health often exclude the training of health professionals as an important consideration. It was not always so. Forty years ago when the Handbook of Health Professions Education was published, the education of health professionals was seen as integral to the future of global health. This trend rested on five premises: • Integration of educational sciences into health professions training including behavioral objectives, the taxonomies of learning, and principles of testing and measurement • The use of statistics as a diagnostic and predictive tool in training and clinical practice. • Understanding the cognitive processes by which clinical decisions were made • .Coordinating basic science and clinical training with the pressing health problems of the population the health professional would serve. • Emphasis on primary care This paper will explore how these trends actually played out in the U.S. and what the current situation means for the future ________________________________________
Based on empirical studies, the present study developed “group reminiscence therapy for community-dwelling older adults” and tested its feasibility in improving the sense of well-being and promoting active aging among older adults. The intervention involved a 60-minute session once per week for 7 consecutive weeks. The sessions were designed according to Erikson’s life cycle-based developmental tasks alongside objects inducing reminiscence. The measuring tools were the World Health Organization-5 Well-Being Index and 15-item Geriatric Depression Scale, which were used for the pretest and posttest, and a qualitative analysis conducted after each session. The results, which were obtained through a nonparametric sign test, suggested that although the participants showed no significant improvements (p = 0.063) in their levels of depression after the intervention, their well-being index showed statistically significant improvements. Notable items were “I have felt cheerful and in high spirits,” “I have felt calm and relaxed,” and “I have felt active and vigorous,” all of which attained statistical significance (p < 0.05). In addition, the participants’ overall sense of well-being exhibited a significant improvement (p = 0.000). The qualitative analysis results further indicated that the participants began to express their feelings through positive language. Thus, the proposed structured 7-week group reminiscence therapy mitigated older adults’ negative emotions and enhanced their positive feelings, thereby fulfilling the purpose of promoting good mental health. The results could can as a reference for the development of group reminiscence therapy for older adults