Introduction: The delay in seeking emergency obstetric care leads to significant maternal morbidity and mortality and can worsen during pandemics, especially in humanitarian conflict settings with low uptake of obstetric services. To mitigate the challenges related to the second delay caused by lack of transport in the COVID-19 pandemic, the organisation United Nations Population Fund implements a community-based referral project called Referral Hub in the Rohingya refugee population in Bangladesh. The objective of the paper is to describe the implementation process of the Referral hub and present clients' utilisation and perception of the service.
View Article and Find Full Text PDFBackground: Delays in seeking timely maternity care from health care professionals are crucial to address among the Rohingya population where many preventable pregnancy-related deaths occur within the camps when care is not sought. To address the challenges related to the referral of emergency and routine Sexual and Reproductive Health and Rights (SRHR) cases, United Nations Population Fund, through its partners, implemented a community-based referral transportation project called Referral hub. This paper presents the barriers and facilitators to the implementation of this referral transportation system from the perspectives of the beneficiaries and providers.
View Article and Find Full Text PDFBackground & Objectives: Chronic kidney disease (CKD) is one of the leading causes of mortality in developing countries, however, evidence from some geographical areas of India is scantly available on its risk factors. Other than diabetes and hypertension, several personal and environmental factors are also associated with CKD.
Methods: A population-based case-control study was conducted over a period of 12 months in two high CKD reporting districts of Odisha, India.
A series of recent publications, within the framework of network science, have focused on the coexistence of mixed attractive and repulsive (excitatory and inhibitory) interactions among the units within the same system, motivated by the analogies with spin glasses as well as to neural networks, or ecological systems. However, most of these investigations have been restricted to single layer networks, requiring further analysis of the complex dynamics and particular equilibrium states that emerge in multilayer configurations. This article investigates the synchronization properties of dynamical systems connected through multiplex architectures in the presence of attractive intralayer and repulsive interlayer connections.
View Article and Find Full Text PDFWe investigate the impact of attractive-repulsive interaction in networks of limit cycle oscillators. Mainly we focus on the design principle for generating an antiphase state between adjacent nodes in a complex network. We establish that a partial negative control throughout the branches of a spanning tree inside the positively coupled limit cycle oscillators works efficiently well in comparison with randomly chosen negative links to establish zero frustration (antiphase synchronization) in bipartite graphs.
View Article and Find Full Text PDFBackground: Many LMICs have implemented Publicly Funded Health Insurance (PFHI) programmes to improve access and financial protection. The national PFHI scheme implemented in India for a decade has been recently modified and expanded to cover free hospital care for 500 million persons. Since increase in annual cover amount is one of the main design modifications in the new programme, the relevant policy question is whether such design change can improve financial protection for hospital care.
View Article and Find Full Text PDF