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Resource Mobilization for M&E; A Driver of Performance of Health Outreach Program in Kibera informal Settlement, Nairobi, Kenya
Mercy Byegon,
Christopher Gakuu,
Harriet Kidombo
Issue:
Volume 7, Issue 3, September 2022
Pages:
46-53
Received:
17 January 2020
Accepted:
9 November 2021
Published:
20 July 2022
DOI:
10.11648/j.hep.20220703.11
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Abstract: Non-governmental organizations in both developed and developing countries implement different types of outreach health services in collaboration with local health facilities and authorities to respond to the uneven distribution of health services. In most cases local health authorities can mobilize hospitals and their staff to support or perform health outreach-related activities in places that are difficult to reach through integrating program activities into the national health plan as a key factor for improving remote populations’ health outcomes on a large scale. The objective of the study was to establish the influence of resource mobilization for M&E on performance of programs funded by NGOs. The study was mixed method hence it was guided by cross sectional survey design and correlation design. The target population totaled to 367 from which a sample of 269 was obtained using stratified proportionate sampling and simple random sampling. Descriptive data was presented in frequencies and percentages, and central tendency was explained using the means and standard deviation for variability. The Karl Pearson Product Moment was used in correlational analysis. Test of hypothesis was done using linear. The null hypothesis was tested, and the following results found: (R2 = 0.437, t = 15.972, p = 0.000 < 0.05). The null hypothesis was thus rejected and concluded that resource mobilization for monitoring and evaluation has significant influence on performance of outreach programs funded by NGOs. The study, therefore, recommends policy interventions from the grant providers targeting outreach programs, and other stakeholders such as the government through the NGO Coordination Board ought to closely examine the various dimensions of M&E activities as a strategy to improve the impact made by such programs in Kenya.
Abstract: Non-governmental organizations in both developed and developing countries implement different types of outreach health services in collaboration with local health facilities and authorities to respond to the uneven distribution of health services. In most cases local health authorities can mobilize hospitals and their staff to support or perform he...
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Determinants of Use of Antenatal Care Services in Rural Mali
Yaya Sidibe Sidibe,
Mamady Sissoko,
Amadou Bamba,
Issoufou Soumaila Mouleye
Issue:
Volume 7, Issue 3, September 2022
Pages:
54-60
Received:
24 June 2022
Accepted:
12 July 2022
Published:
20 July 2022
DOI:
10.11648/j.hep.20220703.12
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Abstract: The objective of this paper is to identify the factors affecting the use of antenatal care services in rural areas using the Multiple Indicator Cluster Survey (MICS, 2015). In this framework, logistic regression was used to give the binary dependent variable. In addition, the Poisson regression model and negative binomial model were used to analyze the target variable which is a count variable. The regression results indicate that marital status, educational attainment, rural wealth index, contraceptive use, and number of births are significantly associated with the use of antenatal care among women living in rural areas. On the other hand, the determinants of the number of prenatal care visits are the poor rural wealth index, the level of income satisfaction (very satisfied, fairly satisfied), the use of contraceptive methods, the level of higher education as well as the woman age. The results obtained suggest that we propose a policy to create income-generating activities for women in order to promote the accessibility of health care and to sensitize the rural population on the need for girls schooling. In addition, the state must effectively promote the extension of care supply in rural areas.
Abstract: The objective of this paper is to identify the factors affecting the use of antenatal care services in rural areas using the Multiple Indicator Cluster Survey (MICS, 2015). In this framework, logistic regression was used to give the binary dependent variable. In addition, the Poisson regression model and negative binomial model were used to analyze...
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Pandemic Preparedness - The Political Economy (Nigeria Case Study on COVID-19)
Wambebe Nathaniel Mopa,
Xiaoli Duan,
Irekpitan Okukpon
Issue:
Volume 7, Issue 3, September 2022
Pages:
61-64
Received:
29 June 2022
Accepted:
14 July 2022
Published:
28 July 2022
DOI:
10.11648/j.hep.20220703.13
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Abstract: In December 2019, the world was introduced to a previously unknown virus known as ‘Coronavirus Disease (COVID-19). This disease metamorphosed into a pandemic of epic proportions which left the international community in a quandary as to the most effective measures to curtail its spread and reduce the effects on human health. With majority of developing countries putting in place state-of-the-art health care facilities to manage the pandemic and prevent deaths, developing countries in Africa lacking state-of-the-art health facilities to curb the spread of the pandemic and its management with country like Nigeria appearing to be ill-prepared to tackle the pandemic. Nigeria, with a population of over 200 million people, through the efforts of State Governments, has put in place various measures and facilities to tackle the pandemic and prevent a human development crisis. Unfortunately, prior to this pandemic, Nigeria has had a history of uncoordinated data collection and analysis for evidence-based decision making. However, the effectiveness of these measures and the effect of the pandemic on the socio-political economy of Nigeria leaves much to be desired. This paper examines the reality of Nigeria’s efforts in curbing COVID-19, focusing on the examples of Lagos and Kaduna States. It highlights the effects of the pandemic on Nigeria’s socio-political economy and proffers solutions towards ensuring Nigeria’s continued preparedness and reductions in infected persons as a result of the virus.
Abstract: In December 2019, the world was introduced to a previously unknown virus known as ‘Coronavirus Disease (COVID-19). This disease metamorphosed into a pandemic of epic proportions which left the international community in a quandary as to the most effective measures to curtail its spread and reduce the effects on human health. With majority of develo...
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Social Health Insurance and Its Role in Catastrophic Health Expenditure: A Cross-Sectional Study in Illam District, Nepal
Sanjeeb Shah,
Nilambar Jha,
Vijay Kumar Khanal,
Gyanu Nepal Gurung,
Mausam Shrestha,
Bibek Shah
Issue:
Volume 7, Issue 3, September 2022
Pages:
65-70
Received:
16 July 2022
Accepted:
1 August 2022
Published:
10 August 2022
DOI:
10.11648/j.hep.20220703.14
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Abstract: Nepal remains committed to achieving universal health coverage, to ensure that government introduced social health insurance program in Illam district with objective that everyone should get health services they need and in doing so they should not go under the financial hardship. The study aims to assess the achievement of the program objective by determining the catastrophic health expenditure. A cross-sectional study was conducted in Illam district of Nepal, among 300 insured households whose date of service had come into effect. Face to face interview was done to collect the data using pretested semi-structured questionnaire with the sample selected through multi-stage random sampling technique. Binary logistic regression analysis was used to identify the factors associated with catastrophic health expenditure. The prevalence of catastrophic health expenditure was 13.2%. Additionally, univariate analysis showed household income and saving were mostly used for coping with out-of-pocket health payment while multivariate analysis revealed that No. of working Member in household, Presence of Under five children, Presence of chronic illness, Poverty line of household were significant factors associated with catastrophic health expenditure. Despite of the high utilization, social health insurance has not reduced the catastrophic health expenditure however, it has contained it. Thus, to further decrease the financial hardship, government needs to redesign the benefit package with wider scope and control the provider side moral hazard.
Abstract: Nepal remains committed to achieving universal health coverage, to ensure that government introduced social health insurance program in Illam district with objective that everyone should get health services they need and in doing so they should not go under the financial hardship. The study aims to assess the achievement of the program objective by...
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Economic Cost of Diabetes Mellitus in the Middle East: A Systematic Review
Issue:
Volume 7, Issue 3, September 2022
Pages:
71-77
Received:
25 August 2022
Accepted:
7 September 2022
Published:
16 September 2022
DOI:
10.11648/j.hep.20220703.15
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Abstract: Diabetic patients require expensive long-term therapy and care and the all-embracing implication of such disease negatively impacts society as a whole. Multiple indicators show that large number of diabetes mellitus-affected countries are located in the Middle East, which in some estimates reach around sixty percent of the global diabetes pandemic. It is already acknowledged that the incessant expansion of a non-transmittable illness in this region forces huge monetary expenses on families and nations. This systematic review analyzed the literature on the economic cost of diabetes in the Middle East and yielded 13 studies focusing on this issue. Results show that Middle-Eastern countries bare substantial economic cost, directly and indirectly, for treating and managing its diabetes population. From those nations, the Arabic-speaking countries share a higher portion of diabetes cost compared to other countries. While the Gulf states comprised the highest proportion of such cost. Although studies have been conducted on the cost of diabetes mellitus in the Middle East, yet very little has had significant impact on the awareness of the economic problem associated with it. The focus of this study shall be to encapsulate existing evidence on the expense of diabetes mellitus in the Middle East, survey the strategies used to work out costs, and explore regions for future implication.
Abstract: Diabetic patients require expensive long-term therapy and care and the all-embracing implication of such disease negatively impacts society as a whole. Multiple indicators show that large number of diabetes mellitus-affected countries are located in the Middle East, which in some estimates reach around sixty percent of the global diabetes pandemic....
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