New resource available: Workers Guide to Health and Safety

On International Workers’ Day, the Berkeley, CA-based health publisher Hesperian released a one-of-a-kind resource on workers’ health and safety. More than a decade in the making and drawing on the experiences of workers and health educators from every continent, this book aims to provide essential information to workers themselves, those who are the best placed and the most highly motivated to prevent the devastating factory disasters that all too often dominate the news.

The Workers’ Guide to Health and Safety provides occupational safety and health information in an accessible, well-illustrated format that speaks directly to workers’ experience. While covering workplace problems such as electrical hazards, machine dangers, ergonomics, chemical use, fire, among others, it also breaks new ground by also focusing on “social hazards”: low wages, long hours, sexual harassment, workplace violence, and other problems that affect factory workers’ health but are usually not considered part of occupational health and safety.

The book also covers specific illnesses that are common or exacerbated by factory conditions, such as HIV, tuberculosis, and mental health.

For a complete description of the book, a table of contents, and sample chapters, go to:

http://hesperian.org/books-and-resources/workers-guide-to-health-and-safety/

Despite the fact that most people spend the majority of their waking hours involved in working, this is one of the first resources to take a global look at the health problems caused by work and place them into a primary care context. PHM has long expressed interest in including worker health in its organizing efforts. This book provides activists with information and a framework for doing so.

Guy Ryder, Director-General of the International Labour Organization, has recognized the book as “an excellent resource in helping workers achieve safe and dignified jobs. The Workers’ Guide to Health and Safety is full of innovative and sustainable ways for workers, employers, and consumers to make that right a reality.” This is important, he continued, because “Globally, an estimated 2.3 million workers die every year from injuries at work and work related diseases. Many millions more are harmed by their work. This represents a colossal social and economic burden for enterprises, communities and countries, not to mention an appalling human and financial problem for workers and their families.”

Like all of Hesperian’s materials, the book has been extensively field-tested in 25 countries to ensure it will be as useful as possible.  The experience of training workers using early drafts of the book led Sanjiv Pandita, Director of the Asia Monitor Resource Centre in Hong Kong, to say: “This book has already empowered hundreds of workers involved in its field-testing across Asia. Hundreds of thousands of people throughout Asia need and will benefit from this book.”

Not a dry text about occupational safety, every chapter in the Workers’ Guide includes real stories about how workers have organized to improve conditions in the workplace and in the community, and the descriptions of the struggles of women and migrant workers make this book as timely as tomorrow’s headlines. The book also includes activities to involve workers in measuring and responding to hazards on the job. Finally, an extensive chemical index presents complex chemical information in a manner that is easy to understand that allows workers to identify chemicals they may be working with, understand their short-term and chronic health effects, and propose various ways to protect themselves by substituting safer chemicals, improving ventilation, and using the right personal protective equipment.

The 3 co-authors — Todd Jailer and Miriam Lara-Meloy (both members of PHM-USA), and Maggie Robbins — are all based in the San Francisco Bay Area, have a wealth of experience in working on issues of health, safety, and workplace organizing.

Todd Jailer, Managing Editor

Hesperian Health Guides

Knowledge for action.

Action for health.

todd@hesperian.org

www.hesperian.org

CHWs support Patients Post Surgery in Haiti

CHW Central [http://www.chwcentral.org/] has posted a new feature: Can CHWs address access and outcome measurement challenges in surgical care? Experience from Haiti. [http://www.chwcentral.org/blog/can-chws-address-access-and-outcome-measurement-challenges-surgical-care-experience-haiti] The Lancet Commission on Global Surgery* reveals that five billion people, as many as nine of ten individuals in low and middle-income countries, lack access to safe, affordable surgical care.  This affects the poor, marginalized, and rural populations who have limited funds, long distances to care and poor travel infrastructure. If they do reach care, there are often no surgeons or anesthetists, medications, oxygen, or blood.  

Dr. Alexi Matousek states that  global surgery faces two main crises: lack of access to surgical services for vulnerable populations and an inability to measure outcomes that would enable quality improvement.  He believes CHWs can be used to address both these issues.  He developed a program to use CHWs as surgical accompagnateurs who could link patients to care.  Accompagnateurs received mountain patients at the hospital, and took them through every step and location in the hospital to be evaluated for surgery, including financial support.  This simple intervention increased the elective operation rate four- fold for this vulnerable population.

Dr. Maotusek also developed  a Community Outcomes Measurement program using a mobile application that enables CHWs to administer a questionnaire on symptoms of infection, obtain GPS data and submit a high-quality photograph of the incision three times during the 30 days after an operation.   

The long-term goal is to assess whether CHWs with mobile phones could replace the need for surgeons to perform outpatient follow up for patients who have no symptoms of infection, and also to evaluate whether mobile health follow up can identify infections earlier than the current standard of care, leading to reduced morbidity.  

See the full article and video at CHW Central. [http://www.chwcentral.org/]

*Meara, JG, Leather, AJM, Hagander, L et al. Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015; (published online April 27.)  

Donna Bjerregaard

Senior Technical Advisor

Initiatives Inc.

264 Beacon Street

Boston, MA 02116

Tel:  617 262 0293

Fax: 617 262 2514

www.initiativesinc.com

www.chwcentral.org

New Portuguese translation of technical brief on multisectoral responses to GBV in Mozambique from Pathfinder Int.

Share a new Portuguese translation of Pathfinder’s technical brief: Multisectoral Responses to Gender-based Violence in Mozambique:  http://www.pathfinder.org/publications-tools/resposta-multissectorial-violencia-em-mocambique.html

This technical brief explores Pathfinder’s experience pioneering a multisectoral approach to primary and secondary prevention of GBV across two projects in Mozambique: (1) the “Enhancing Reproductive Rights to  Reduce Violence against Women in Gaza Province” project (2010–2013), funded by the UN Trust Fund to End Violence against Women; and (2) the “Enhancing Sexual and Reproductive Health and Rights of Women and Youth in Mozambique: Integrating Comprehensive GBV Services and Support and Safe Abortion Care in Inhambane and Gaza Provinces” project (2011–2013), funded by the Royal Norwegian Embassy.

The projects’ multisectoral approach included: a robust primary prevention component that engaged community organizations, activists, judges, and youth in reflection and dialogue to transform gender norms; a secondary prevention component that built on nascent national efforts to establish a multisectoral response to GBV (including establishment of the country’s first one-stop center for GBV survivors); and a strong advocacy component. The technical brief highlights implementation experience, lessons learned, and next steps for Pathfinder’s GBV programming in Mozambique.

Please contact TechnicalCommunications@pathfinder.org with any questions.

Apologies for cross-posting!

Best,

Sarah

Sarah Mehta, MPH

Technical Advisor for Program Documentation

SMehta@pathfinder.org | Skype: pathfinder.sarah.mehta

Tel: +1.617.972.1320

Adult community health-promoting interventions in primary health care: A systematic review.

Abstract

OBJECTIVE:

To examine evidence on the effectiveness of health-promoting community interventions carried out in primary health care.

METHODS:

Systematic review of originals and systematic reviews of health-promoting community interventions with the participation of primary health care. A working definition of community activities was used in the inclusion criteria. Databases searched up to 2013: PUBMED, EMBASE, CINHAL, Web of SCIENCE, IBECS, IME, and PSICODOC. No restrictions on year of publication or design. Articles were reviewed by separate researchers to identify risks of bias.

RESULTS:

Fifty-one articles published between 1966 and 2013 were included: 11 systematic reviews and 40 originals that described 39 community interventions. There is evidence on the effectiveness of community interventions in reducing cardiovascular risk factors, encouraging physical exercise, preventing falls and improving self-care among chronic patients compared with usual individual care. The effectiveness of some interventions increases when the community is involved in their development. Most assessments show positive results despite design limitations.

CONCLUSIONS:

The community approach may be more effective than the individual in usual preventive interventions in primary care. There is a lack of evidence on many community interventions in primary care and further research is needed.

More

Nigeria: Newman Street Returns With National Malaria Theme Song

The atmosphere at the Agip Recitall Hall, Muson Centre was electric as Nigeria’s hip-hop icon 2face Idibia launched the new National Malaria theme song titled “Play Your Part”. The occasion was the – launch of Newman Street Season 2. The song featuring Sani Danja and Eve B – was part of – activities to support the National Malaria Eradication Programme’s commemoration of the World Malaria Day 2015 tagged “Invest in the future, defeat malaria- Your Action Counts.” …more

New Ebola animation for community health workers in Guinea

New Ebola animation for community health workers in Guinea

http://medicalaidfilms.org/ebola/

We are pleased to announce the release today of a new animated film about Ebola created especially for health worker use for community education on Ebola in Guinea.  Since the Ebola crisis began in December 2013, it has seen over 26,000 reported cases and 11,000 deaths in Guinea, Liberia and Sierra Leone, including more than 500 health workers*.  Although the peak of the outbreak has passed, new cases are still reported every week in Guinea and Sierra Leone, and there remains an urgent need for education to address stigma and rebuild trust in health workers and services.

Medical Aid Films has collaborated with the Earth Institute at Columbia University to create an animation for use by community workers, also known as “contact tracers”, to help educate communities about  ‘contact tracingâ’.  This vital work is done to find everyone who has come into direct contact with a sick Ebola patient to help stop further transmission of the disease.

Our animation follows the story of a contact tracer, Mariam, as she goes about her work ­ visiting those who have come into contact with a ssick Ebola patient, finding those who are showing symptoms, and arranging appropriate care for those who need it.  The film will be used by the Government of Guinea and UNFPA in Guinea; and it is freely available in English and French for anyone to download and use, in both standard and mobile formats.

Through this film, we aim to support health workers in their vital role as contact tracers by providing a tool to help disseminate valuable education about transmission of Ebola, combatting myths, and reducing stigmatisation of health workers to build the understanding and trust that is needed to halt the spread of Ebola.

To access the English version, please visit: https://vimeo.com/127482748

To access the French version, please visit: https://vimeo.com/127484181

* http://apps.who.int/ebola/en/current-situation/ebola-situation-report-6-may-2015

Notes:

Review team: Alhoussaine Bah (Earth Institute), Dr Natalie Greenwold (Medical Aid Films), Ali Herbert (Samaritan’s Purse), Dr Lilian Kiapi (International Rescue Committee), Anne Liu (Earth Institute), Dr Nathalie MacDermott (Samaritan’s Purse), Cindil Redick (Earth Institute), Dr Jilian Sacks (Earth Institute), Elizabeth Zehe (Earth Institute).

The Earth Institute brings together the people and tools needed to address some of the world’s most difficult problems, from climate change and environmental degradation, to poverty, disease and the sustainable use of resources.

Medical Aid Films aims to save the lives of vulnerable women and children in developing countries by providing innovative training and education through film. All content is free to view and download from our website. For further information please contact Josie@medicalaidfilms.org

HIFA profile: Josie Gallo is Content Co-ordinator for Medical Aid Films in the United Kingdom. Professional interests: Media for development.       josie AT medicalaidfilms.org

__________

To send a message to the HIFA forum, simply send an email to: HIFA2015@dgroups.org

Evidence Review: what does good health information look like?

Evidence Review: what does good health information look like? Paul Treadgold and Carol Grant

http://www.pifonline.org.uk/what-does-good-health-information-look-like-an-evidence-review/

‘This research report summarises the best evidence available – from both research and practice – on what approaches areare most effective in ensuring the accuracy, readability, relevance and impact of consumer health information.

The growing recognition of information as the lifeblood of quality health services is reflected in legislation, the NHS Constitution and the NHS Patient Experience Framework.

However, despite the right to information, and clear evidence of the benefits, problems relating to poor communications and inadequate information have been one of the most common causes of complaints and patient dissatisfaction in the health service.

The biggest issue is not necessarily one of quantity – quality is paramount. How accessible, timely, readable, reeliable and useful is the information provided? What does high quality health information really look like?

We found a mixture of evidence (based on primary research and systematic reviews) and good practice guidelines and quality checklists developed by official bodies and special interest groups. In particular, we have highlighted the Information Standard, the DISCERN criteria for assessing the quality of publications about treatment choices, and criteria from the Picker Institute’s revisions to the checklist produced by IPDAS – the International Patient Decision Aid Standards Collaboration.

In some areas, for example on communicating risk, there is quite an extensive evidence base. In others, for example on revealing uncertainty or avoiding bias, there is more of an ethical (and legal) base for best practice’

Let’s build a future where people are no longer dying for lack of healthcare knowledge – Join HIFA: www.hifa2015.org  

BMJ: Ebola and ethics: autopsy of a failure

‘The World Bank estimates that the two year socioeconomic effect of the current Ebola epidemic could reach $32.6 billion. If only a fraction of this amount had been spent on health system preparedness … many of the more than 10,000 deaths reported might have been prevented [and] the benefits of a well prepared health system would extend to many other diseases, including HIV/AIDS, tuberculosis, and malaria.’

CITATION: Ebola and ethics: autopsy of a failure

BMJ 2015; 350 doi: http://dx.doi.org/10.1136/bmj.h2105 (Published 23 April 2015)

Cite this as: BMJ 2015;350:h2105

http://www.bmj.com/content/350/bmj.h2105

Let’s build a future where people are no longer dying for lack of healthcare knowledge – Join HIFA: www.hifa2015.org  

News: Sexuality education programming set to reach millions of young people across eastern and southern Africa

News: Sexuality education programming set to reach millions of young people across eastern and southern Africa

UNAIDS

8 May 2015

LUSAKA – Young people in eastern and southern Africa, like many of their peers around the world, often receive conflicting and inaccurate information about sex. This can lead to badly informed decisions about how, when or with whom to have sex and how to protect themselves against HIV.

With support from UNAIDS, UNESCO and SAfAIDS a major regional series of radio and TV programmes has been launched to address this gap. It is designed to deliver comprehensive sexuality education to young people and give them a forum to discuss issues around sex and sexuality, in a region where HIV prevalence is high. Across Africa, AIDS-related illness is still the leading cause of death among adolescents, and adolescent girls and young women are especially vulnerable to new HIV infections.

According to Charity Banda, HIV/AIDS Coordinator at Zambia’s Ministry of Education, this move is very important. “By facing puberty without being prepared, young people are left confused and unsupported. This ultimately makes them vulnerable to high-risk behaviours that increase their chances of contracting HIV. That’s why this new initiative is so timely.”

The series was first launched in Zambia on 21 February 2015 and is set to be broadcast in five other countries later this year: Malawi, Mozambique, Namibia, South Sudan and United Republic of Tanzania. The Zambian series has 26 TV episodes,  13 radio episodes and includes a 15 minute live talk show every Saturday called The Sexuality Talk Challenge.  

It is being aired on the largest television and radio network in the country, the Zambia National Broadcasting Corporation, which reaches more than 4 million people every day on TV alone. The programmes are being translated into several local languages.  

Guests on the show include young people, youth-led organizations, teachers, government officials, policy-makers and civil society representatives. Topics discussed on air have touched on: love, sex and healthy relationships; self-esteem and understanding yourself and your rights as an adolescent; peer pressure; and challenging misconceptions. One episode has also been dedicated to improving communication between young people and the significant adults in their lives.   

“Evidence has shown that teenagers who have discussed issues with their parents or guardians are more likely to make safer, smarter decisions about sex and their sexuality,” said Patricia Machawira, UNESCO’s Eastern and Southern Africa Regional Advisor on HIV and Education. “This includes waiting longer to begin having sex, having fewer sexual partners, using contraception and having the confidence to say “no” to doing anything they are not comfortable with,” she added.

The series’ frank and open discussions have already been sparking debate. The partners hope that by the time the programme finishes its run in Zambia at the end of June such discussions will have helped break down barriers to communication, with access to accurate information empowering young people to make informed choices for a better, healthier future.

As Medhin Tsehaiu, UNAIDS Country Director for Zambia, sums up, “Information is power and young people need to be equipped with the right information and skill to make right decisions.”

Online at: http://www.unaids.org/en/resources/presscentre/featurestories/2015/april/20150428_sexed

Best wishes, Neil

Let’s build a future where people are no longer dying for lack of healthcare knowledge – Join HIFA: www.hifa2015.org  

The Safe Delivery App – Launch and Scale Up

The Safe Delivery App is an innovative mobile health tool developed by Maternity Foundation in partnership with the University of Copenhagen and the University of Southern Denmark. Through simple animated clinical instruction films, the app can teach birth attendants in hard-to-reach areas how to manage complicated deliveries. The app is based on global clinical guidelines and has the potential to overcome the outreach barriers of conventional training programs, ensuring that more women have access to skilled care when giving birth.

You can find more information about the App, and links to download it at: http://maternity.dk/en/content/mhealth

The Safe Delivery App does not need any Internet connection once it is downloaded. Hence, health workers can use it offline. Some projects have preinstalled the app on phones before giving them to health workers, to ensure that the apps where on the phones, and because many of the health workers were located in rural areas with no connectivity at all.

The app is available for iPhones and Androids. There is no version for Windows phones. It has been used on cheap smart phones, and works well (e.g. Huawei Ascend Y330 smartphone model in Tanzania). However, it’s important that the phone has enough memory, recommended at least 4GB.

Finally the app is based on international clinical guidelines from WHO and ALSO, among others. When implementing in a new country and setting, the developers have adapted it to the national guidelines. Maternity Foundation plans to support partners in the roll-out, including supporting implementation, conducting research with academic partners, consolidating learning, disseminating results and best practices. The app automatically tracks user patterns, behavior and knowledge levels via GPRS. Knowledge levels are measured based on tests automatically generated via the app to each user. Hence, it is possible to analyze who is using the app, how much, where, how and with what effect. All of which we off course would be shared with those implementing the app in new settings.

Links for downloading the app are:

Google play: https://play.google.com/store/apps/details?id=dk.maternity.safedeliveryapp

App store: https://itunes.apple.com/app/id985603707

For more information, please contact:

Lotte Fast Carlsen

Fundraising, mHealth & Strategy   

MATERNITY FOUNDATION

Sortedam Dossering 81

DK-2100 Copenhagen

Tel. + 45 28934823

E-mail: lfast@maternity.dk

skype: lotte.fast

www.maternity.dk

sms LIV til 1245 og støt os med 100 kr

K4Health Releases Great Resource to Put Together Your Own Share Fair!

K4Health is pleased to announce the launch of How to Hold a Successful Share Fair (https://www.k4health.org/resources/how-hold-successful-share-fair), a reference tool for anyone who works in public health or international development and wants to bring together a group of people to discuss ideas, address challenges, and share best practices. The simple handbook guides users through the ins and outs of holding a share fair and includes customizable planning tools and concrete examples.

A share fair is a participatory event—usually focused on a single topic or field—that promotes learning from participants’ experiences to improve their work. As a knowledge management method, share fairs have the great ability to draw out experiential knowledge in creative and interesting ways to improve processes and solve challenges.

If you use How to Hold a Successful Share Fair (https://www.k4health.org/resources/how-hold-successful-share-fair)  in your work, please tell us how and let us know what you think: www.k4health.org/about/contact.

Thank you,

Rebecca

Rebecca A. Shore, MPH

Online Communications Manager, Knowledge for Health (K4Health)

Johns Hopkins Bloomberg School of Public Health

111 Market Place, Suite 310

Baltimore, Maryland 21202

Phone: 410-223-1611 | Skype: Ras_K4Health

Email: Rebecca.Shore@jhu.edu

@Rebecca_Shore

Use of an Interactive Voice Response System to Deliver Refresher Training in Senegal

For the 222 million women who have an unmet need for modern contraception, increasing access to high-quality family planning services is essential.

As countries work to scale up the number of health workers, it also makes sense to focus on the existing workforce. In-service training can improve the quality of family planning services by updating health workers’ knowledge, but it is often expensive and requires providers to leave their posts during the training.

CapacityPlus developed and deployed an innovative mLearning system to deliver refresher training to family planning providers. The system, which uses a combination of interactive voice response technology and SMS text messaging, was piloted among 20 midwives, nurses, nursing assistants, and health agents in Thiès Region, Senegal.

A new publication, Use of an Interactive Voice Response System to Deliver Refresher Training in Senegal: Findings from Pilot Implementation and Assessment, shows how the mLearning system delivered training via simple mobile phones and was found to be feasible, well-liked by participants, and associated with sustained gains in knowledge.

Read the new report (http://www.capacityplus.org/files/resources/ivr-system-refresher-training-senegal.pdf) and a related article (http://www.capacityplus.org/new-publication-spotlight-interactive-voice-response-system-refresher-training-senegal).

Carol Bales | Communications Officer

IntraHealth International | Because Health Workers Save Lives.

6340 Quadrangle Drive, Suite 200 | Chapel Hill, NC 27517

t. +1 (919) 313-9174 | m. +1 (919) 360-4031

cbales@capacityplus.org

NHI plan has become mythical

The SA National Health Insurance (NHI) plan is fast becoming the stuff of legend and folklore. Like the overused notions of transformation, equity, triple challenges, national democratic revolution, reconciliation, Rainbow Nation, national imperatives and ubuntu, the NHI has become part of meaningless government-speak….more

Salt might not be so bad after all

Salt intake that is often deemed high may actually have benefits, scientists say. “We humans eat more salt than is necessary. But we all do it. So the question is: why?” asks Paul Breslin, a professor of nutritional sciences who researches sodium appetite at New Jersey’s Rutgers University. In the past, people thought that salt boosted health – so much so that the Latin word for “health” – “salus” – was derived from “sal” (salt). In medieval times, salt was prescribed to treat a multitude of conditions, including toothaches, stomach aches and “heaviness of mind.”….more

Cheap junk food expands waistlines in emerging economies

Eating healthy is becoming an expensive luxury in emerging market countries, where vegetable prices have spiked while high fat, sugary junk foods have become cheaper, economists said on Monday….more

MEC wants rollout of CCP to Gauteng

The MEC for Health in Gauteng went also to Chiawelo Community Practice (led by a family physician) and got a full brief on it. Look here for more. She listened intently and then said that CCP must be rolled out across the province of Gauteng. She summoned the acting District Family Physician, Dr Jimmy Akii, and the senior district management team of Johannesburg that same evening to a meeting the next morning where she wanted a plan for rollout. She says that rollout must occur to other wards in Chiawelo, in key sites led by family physicians and then in support of all Ward-based Outreach Teams in Johannesburg. Family physicians met this morning to discuss this and plan a planning meeting on Monday next and then a presentation of proposal for way forward in Johannesburg to the monthly meeting of the district management team (extended to all facility managers)  next week Wednesday.

Long tea breaks by nurses plague Soweto clinic

Long tea breaks and an overwhelming number of patients flocking to the Chiawelo Healthcare Centre in Soweto contribute to the clinic’s inefficiency. These are some of the reasons Gauteng Health MEC Qedani Mahlangu heard on Tuesday morning while on a surprise walk-about at the Soweto clinic. Many of the patients she spoke to complained of waiting for more than an hour while nursing staff were on a tea break…..more and more and more

Glo launches mobile health insurance

Globacom, Nigeria’s National Carrier, has berthed the National Mobile Health Insurance product which would afford Nigerians the opportunity to have quality access to quality health care delivery system…..more

Cross-border payment systems key in Africa – Kganyago

The development of regional cross-border payment systems will lay a solid foundation for facilitating trade and investment in Africa, South African Reserve Bank (Sarb) Governor Lesetja Kganyago said on Tuesday….more

Department of health spending millions on negligence claims

Multimillion-rand negligence claims against the Department of Health have increased nine-fold since 2013, according to Stellenbosch University professor Ethelwynn Stellenberg…..more