Publications
13 results found
Sakuma Y, Miller MLE, Babalis DS, et al., 2024, Shining a spotlight on the inclusion of disabled participants in clinical trials: a mixed methods study, Trials, ISSN: 1745-6215
Taddese H, Bergh K, Bishu S, 2022, Identifying the Determinants of Patient Satisfaction in the Context of Antenatal Care in Kenya, Tanzania, and Malawi using Service Provision Assessment Data, BMC Health Services Research, ISSN: 1472-6963
Soltan F, Cristofalo D, Marshall D, et al., 2022, Community-based interventions for improving mental health in refugee children and adolescents in high-income countries, Cochrane Database of Systematic Reviews, Vol: 2022, Pages: 1-88, ISSN: 1469-493X
BackgroundAn unprecedented number of people around the world are experiencing forced displacement due to natural or man‐made events. More than 50% of refugees worldwide are children or adolescents. In addition to the challenges of settling in a new country, many have witnessed or experienced traumatic events. Therefore, refugee children and adolescents are at risk of developing mental health problems such as post‐traumatic stress disorder, and require appropriate and effective support within communities.ObjectivesTo assess the effectiveness and acceptability of community‐based interventions (RCTs only) in comparison with controls (no treatment, waiting list, alternative treatment) for preventing and treating mental health problems (major depression, anxiety, post‐traumatic stress disorder, psychological distress) and improving mental health in refugee children and adolescents in high‐income countries.Search methodsDatabases searches included the Cochrane Common Mental Disorders Controlled Trials Register (all available years), CENTRAL/CDSR (2021, Issue 2), Ovid MEDLINE, Embase, six other databases, and two trials registries to 21 February 2021. We checked reference lists of included study reports. Selection criteriaStudies of any design were eligible as long as they included child or adolescent refugees and evaluated a community‐based mental health intervention in a high‐income country. At a second stage, we selected randomised controlled trials.Data collection and analysisFor randomised controlled trials, we extracted data relating to the study and participant characteristics, and outcome data relating to the results of the trial. For studies using other evaluation methods, we extracted data relating to the study and participant characteristics. W derived evidence on the efficacy and availability of interventions from the randomised controlled trials only. Data were synthesised narratively.Main resultsWe screened 5005 records and sought full‐text manuscripts of 62
Hibino M, Otaki Y, Kobeissi E, et al., 2022, Blood pressure, hypertension and the risk of aortic dissection incidence and mortality: results from the Japan-specific health checkups study, the UK biobank study and a metaanalysis of cohort studies, Circulation, Vol: 145, Pages: 633-644, ISSN: 0009-7322
Background: Hypertension or elevated blood pressure (BP) is an important risk factor for aortic dissection (AD); however, few prospective studies concerning this topic have been published. We investigated the association between hypertension/elevated BP and AD in two cohorts and conducted a meta-analysis of published prospective studies, including these two studies.Methods: We analyzed data from the Japan Specific Health Checkups (J-SHC) Study and UK Biobank, which prospectively followed 534,378 and 502,424 participants, respectively. Multivariable Cox regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (95% CIs) for the association of hypertension/elevated BP with AD incidence in the UK Biobank and AD mortality in the J-SHC Study. In the meta-analysis, summary relative risks (RRs) were calculated using random effects models. A potential nonlinear dose-response relationship between BP and AD was tested using fractional polynomial models, and the best-fitting second-order fractional polynomial regression model was determined.Results: In the J-SHC Study and UK Biobank, there were 84 and 182 ADs during 4- and 9-year follow-up, and the adjusted HRs of AD were 3.57 (95% CI, 2.17-6.11) and 2.68 (95% CI: 1.78-4.04) in hypertensive individuals, 1.33 (95% CI: 1.05-1.68) and 1.27 (95% CI: 1.11-1.48) per 20-mmHg increase in systolic BP (SBP), and 1.67 (95% CI: 1.40-2.00) and 1.66 (95% CI: 1.46-1.89) per 10-mmHg increase in diastolic BP (DBP), respectively. In the meta-analysis, the summary RRs were 3.07 (95% CI 2.15-4.38, I2=76.7%, n=7 studies, 2,818 ADs, 4,563,501 participants) for hypertension and 1.39 (95% CI: 1.16-1.66, I2=47.7%, n=3) and 1.79 (95% CI: 1.51-2.12, I2=57.0%, n=3) per 20-mmHg increase in SBP and per 10-mmHg in DBP, respectively. The AD risk showed a strong, positive dose-response relationship with SBP and even more so with DBP. The risk of AD in the nonlinear dose-response analysis was significant at SBP >132 mmHg and DBP >7
Semrau M, Ali O, Deribe K, et al., 2020, EnDPoINT: protocol for an implementation research study to integrate a holistic package of physical health, mental health and psychosocial care for podoconiosis, lymphatic filariasis and leprosy into routine health services in Ethiopia, BMJ Open, Vol: 10, Pages: e037675-e037675, ISSN: 2044-6055
<jats:sec><jats:title>Introduction</jats:title><jats:p>Neglected tropical diseases (NTDs) causing lower limb lymphoedema such as podoconiosis, lymphatic filariasis (LF) and leprosy are common in Ethiopia. Routine health services for morbidity management and disability prevention (MMDP) of lymphoedema caused by these conditions are still lacking, even though it imposes a huge burden on affected individuals and their communities in terms of physical and mental health, and psychosocial and economic outcomes. This calls for an integrated, holistic approach to MMDP across these three diseases.</jats:p></jats:sec><jats:sec><jats:title>Methods and analysis</jats:title><jats:p>The ‘Excellence in Disability Prevention Integrated across NTDs’ (EnDPoINT) implementation research study aims to assess the integration and scale-up of a holistic package of care—including physical health, mental health and psychosocial care—into routine health services for people with lymphoedema caused by podoconiosis, LF and leprosy in selected districts in Awi zone in the North–West of Ethiopia. The study is being carried out over three phases using a wide range of mixed methodologies. Phase 1 involves the development of a comprehensive holistic care package and strategies for its integration into the routine health services across the three diseases, and to examine the factors that influence integration and the roles of key health system actors. Phase 2 involves a pilot study conducted in one subdistrict in Awi zone, to establish the care package’s adoption, feasibility, acceptability, fidelity, potential effectiveness, its readiness for scale-up, costs of the interventions and the suitability of the training and training materials. Phase 3 involves scale-up of the care package in three whole districts, as well as its evaluation in regard to coverage, implementation, clinical (physical health, mental
Stonehill A, Bishu SG, Taddese HB, 2020, Factors associated with long-acting and short-acting reversible contraceptive use in Ethiopia: an analysis of the 2016 Demographic and Health Survey, The European Journal of Contraception & Reproductive Health Care, Vol: 25, Pages: 350-358, ISSN: 1362-5187
Taddese H, 2020, Male involvement in reproductive, maternal, newborn, and child health: evaluating gaps between policy and practice in Uganda, Reproductive Health, Vol: 17, Pages: 1-9, ISSN: 1742-4755
Introduction: Male involvement in maternal and child health is a practice wherein fathers and male communitymembers actively participate in caring for women and supporting their family to access better health services.There is positive association between male involvement and better maternal and child health outcomes. However,the practice is not always practiced optimally, especially in low- and middle-income countries, where women maynot have access to economic resources and decision-making power.Aim: This study investigates how key stakeholders within the health system in Uganda engage with the ‘maleinvolvement’ agenda and implement related policies. We also analyzed men’s perceptions of male involvementinitiatives, and how these are influenced by different political, economic, and organizational factors.Methodology: This is a qualitative study utilizing data from 17 in-depth interviews and two focus groupdiscussions conducted in Kasese and Kampala, Uganda. Study participants included men involved in a maternalhealth project, their wives, and individuals and organizations working to improve male involvement; all purposivelyselected.Result: Through thematic analysis, four major themes were identified: ‘gaps between policy and practice’, ‘resourcesand skills’, ‘inadequate participation by key actors’, and ‘types of dissemination’. These themes represent the barriersto effective implementation of male involvement policies. Most health workers interviewed have not beenadequately trained to provide male-friendly services or to mobilize men. Interventions are highly dependent onexternal aid and support, which in turn renders them unsustainable. Furthermore, community and religious leaders,and men themselves, are often left out of the design and management of male involvement interventions. Finally,communication and feedback mechanisms were found to be inadequate.Conclusion: To enable sustainable behavior
Soltan F, Uphoff E, Newson R, et al., 2020, Community-based interventions for improving mental health in refugee children and adolescents in high-income countries, Cochrane Database of Systematic Reviews, ISSN: 1469-493X
Huepers A, Taddese H, Filippidis F, 2018, European Union citizens’ views on development assistance for developing countries, during the recent migrant crisis in Europe, Globalization and Health, Vol: 14, ISSN: 1744-8603
Background:Development assistance from governments of high income countries represents the vast majority of international funding for global health. Recent stagnation of this important source of funding may affect attainment of major global health goals. The financial crisis is widely accredited as denting governments’ outlay for development aid, as well as citizen’s support for aid. Europe has also recently experienced record levels of migration; the so called ‘European migration crisis’. This study aims to analyse trends in public attitudes towards development aid in European Union (EU) countries, in the context of the European migrant crisis.Methods:Eurobarometer survey data from 2011 (prior to the migrant crisis) and 2015 (at the peak of the crisis) was analysed for 27 EU countries. The outcome variables related to people’s levels of support to three statements around the importance of supporting people in developing countries, increasing countries’ commitments to aid and willingness to pay extra for products from developing countries. EU Member States were categorised as ‘arrival’ or ‘destination’ countries in view of migration routes and numbers of asylum applications per 100,000 population, respectively. Multiple linear regression analysis was performed, adjusting for countries’ economic status (gross domestic product per capita).Results:In general, support for development aid has increased from 2011 to 2015, but was largely unaffected by migration status when applying the regression model. In 2015, the belief that development assistance is ‘very important’ was significantly higher in countries where migrants first arrived compared to other EU Member States, with a trend towards this association also apparent in 2011.Conclusions:The positive trends in public support for development aid are encouraging in an age where economic hardships at home, as well as the tone of national politi
Alsaud A, taddese, filippidis F, 2018, Trends and correlates of the public’s perception of the healthcare system in the European Union: a multi-level analysis of Eurobarometer survey data from 2009 to 2013, BMJ Open, Vol: 8, ISSN: 2044-6055
Objective The aim of the study is to assess trends in public perceptions of health systems in 27 European Union (EU) member states following the financial crisis (2009–2013), in order to discuss observed changes in the context of the financial crisis.Design Repeated cross-sectional studies.Setting 27 EU countries.Participants EU citizens aged 15 years and older.Methods The study mainly uses the Eurobarometer Social Climate Survey, conducted annually between 2009 and 2013, thereby analysing 116 706 observations. A multilevel logistic regression was carried out to analyse trends over time and the factors associated with citizens’ perceptions of their healthcare systems.Results Europeans generally exhibit positive perceptions of their national healthcare systems, 64.0% (95% CI 63.6% to 64.4%). However, we observed a significant drop in positive perceptions in the years following the crisis, especially within countries most affected by the crisis. Concerning fiscal characteristics, wealthier countries and those dedicating higher proportion of their national income to health were more likely to maintain positive perceptions. At the individual level, perceptions of healthcare systems were significantly associated with respondents’ self-perceptions of their social status, financial capacity and overall satisfaction in life.Conclusions Our finding confirms previous observations that citizens’ perceptions of their healthcare systems may reflect their overall prospects within the broader socioeconomic systems they live in; which have in turn been affected by the financial crisis and the policy measures instituted in response.
Makanjuola T, Taddese HB, Booth A, 2014, Factors Associated with Adherence to Treatment with Isoniazid for the Prevention of Tuberculosis amongst People Living with HIV/AIDS: A Systematic Review of Qualitative Data, PLoS ONE, Vol: 9, ISSN: 1932-6203
Objective: To systematically identify from qualitative data in the published literature the main barriers to adherence toisoniazid preventive therapy (IPT) for tuberculosis (TB) among people living with HIV/AIDS (PLWHA).Methods: We searched ten data sources, including MEDLINE and EMBASE for articles published in peer-reviewed journalsfrom inception through to December 2011 for evidence relevant to IPT for TB in relation to PLWHA. Studies were assessedfor quality using the CASP critical appraisal tool for qualitative studies. Data extracted from studies were then analysedthematically using thematic synthesis.Results: Eight studies, two of which were conducted within the same clinical trial, met the inclusion criteria. In addition tothe influence of personal characteristics, five overarching themes were identified: Individual personal beliefs; HIV treatmentand related issues; Socio-economic factors; Family and other social support factors, and Relationships with health providers.The review confirms current understanding of adherence to treatment as influenced by patients’ understanding of, andbeliefs related to treatment regimens. This is in-turn influenced by broader factors, namely: socio-economic factors such aspoverty and lack of health facilities; the level of support available to patients from family and other networks and the stigmathat emanates from these relationships; and relationships with health providers, which in-turn become a delicate issuegiven the sensitivity of dealing with two chronic diseases of significant morbidity and mortality toll. HIV treatment relatedissues also influence adherence to IPT, whereby challenges related to the acceptance, organisation and administration ofthese two long-term treatment regimens and stigma related to HIV/AIDS, are seen to be major factors.Conclusion: Understanding this complex interplay of factors more clearly is essential for healthcare decision-makers to beable to achieve the level of adherence required to
Banke-Thomas AO, Kouraogo SF, Siribie A, et al., 2013, Knowledge of Obstetric Fistula Prevention amongst Young Women in Urban and Rural Burkina Faso: A Cross-Sectional Study, PLoS ONE, Vol: 8, ISSN: 1932-6203
Hambolu D, Freeman J, Taddese HB, 2013, Predictors of Bovine TB Risk Behaviour amongst Meat Handlers in Nigeria: A Cross-Sectional Study Guided by the Health Belief Model, PLoS ONE, Vol: 8, ISSN: 1932-6203
Background: Bovine Tuberculosis (bTB) is still a serious public health threat in developing countries. The aim of this study isto determine the social and cognitive factors predicting one of the risk behaviours amongst meat handlers in Nigeria,namely, eating Fuku Elegusi. This is the practice of eating the visibly infected parts of the lung in-order to convincecustomers to buy meat. The study is guided by the health belief model (HBM).Methods: This is a cross-sectional study of 349 randomly selected meat handlers in Oko-Oba Abattoir, in Lagos State.Descriptive statistics and multiple logistic regression analysis were employed to determine perceptions and prevalence ofrisk behaviours and to identify predictors of eating Fuku Elegusi.Results: Just over a quarter (28.1%) of the study participants knew that eating Fuku Elegusi could be a source of bTB inhumans. The prevalence of eating Fuku Elegusi was found to be 22%. Across all knowledge indicators related to bTB, thosewho don’t eat Fuku Elegusi exhibited better knowledge. Strong predictors of eating Fuku Elegusi were: being male (OR: 2.39,95% CI: 1.10 to 5.19; p = 0.03), not knowing that eating Fuku Elegusi exposes to bTB (OR: 3.72, 95% CI: 1.69 to 8.22; p = 0.001),and the perception that one cannot sell meat without tasting it (perceived barrier) (OR: 1.35, 95% CI: 1.13 to 1.60; p = 0.001).Lower risk of eating Fuku Elegusi was predicted by perceived susceptibility to bTB due to another risk behaviour, namely,not washing hands after handling meat (OR: 0.78, 95% CI: 0.64 to 0.96; p-value = 0.021). Television and radio were the mostacceptable media for TB prevention messages (78.5% and 75.6% respectively).Conclusion: Meat handlers in developing countries bear high risk to bTB owing to prevailing social and cognitiondeterminants. Findings were largely consistent with the propositions of HBM.
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