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Background: Emergency obstetric and newborn care (EmONC) in Bangladesh focusses on maternal health, whereby it addresses childbirth and postpartum complications to ensure women's health and well-being. It was transitioned to a digital platform to overcome challenges with the paper-based EmONC register and we conducted implementation research to assess the outcome. Here we outline the stakeholder engagement process integral to the implementation research process.
View Article and Find Full Text PDFMoral Distress Amongst District Leaders: Intensity, Dilemmas, and Coping Mechanisms in the Context of Covid-19.
Educ Adm Q
August 2023
University of Minnesota, Minneapolis, Minnesota, USA.
This study examines the sources and intensity of moral distress among school district leaders during the first full school year of the Covid-19 pandemic and investigates their coping mechanisms for addressing issues that create moral dilemmas for them. We draw on semi-structured interviews with 26 school district leaders across 13 school districts in the Northwestern United States. Brief summaries detailing themes in each interview were prepared.
View Article and Find Full Text PDFEfficiency of government policy during the COVID-19 pandemic.
Ann Oper Res
May 2023
University of Portsmouth, Richmond Building, Portland St., Portsmouth, PO1 3DE UK.
We introduce country-month indices of efficiency of government policy in dealing with the COVID-19 pandemic. Our indices cover 81 countries and the period from May 2020 to November 2021. Our framework assumes that governments impose stringent policies (listed in the Oxford COVID-19 Containment and Health Index) with the single goal of saving lives.
View Article and Find Full Text PDFPersonal and Clinical Notes Since the Haitian Earthquake of 2010 Lessons in Perseverance, Patience, and Politics.
Bull Hosp Jt Dis (2013)
June 2022
The Haitian Earthquake of 2010 represents one of the worst events to affect the "human condition" in our hemisphere in our lifetime. The gravity of this catastrophic event su- perimposed on unparalleled poverty and suffering provided the impetus to start ORSI (Orthopaedic Relief Services International), a 501c3 not for profit dedicated to providing sustainable infrastructural (equipment), clinical (teams), and educational support to the Haitian State Hospital sys- tem and its orthopedic residency training programs. Our success and accomplishments over 12 years has been built on a grassroots, "bottom up" approach to building trusting relationships between our visiting teams and hosts in Haiti.
View Article and Find Full Text PDFAdaptation of the Person-Centered Maternity Care Scale in the United States: Prioritizing the Experiences of Black Women and Birthing People.
Womens Health Issues
July 2022
Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California; Department of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, San Francisco, California; California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California.
Introduction: Mistreatment by health care providers disproportionately affects Black, Indigenous, and other people of color in the United States. The goal of this study is to adapt the global Person-Centered Maternity Care (PCMC) scale for use in the United States, with particular attention to the experiences of Black women and birthing people.
Methods: We used a community-engaged approach including expert reviews and cognitive interviews to assess content validity, relevance, comprehension, and comprehensiveness of the PCMC items.
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