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Quality of implementation of the school health program in a rural district of Oyo State, Nigeria: a public-private comparison
Published 2019Subjects: “…School health policy framework…”
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Page will reload when a filter is selected or excluded.- Nigeria 3 results 3
- Theoretical frameworks 2 results 2
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- Adolescents 1 results 1
- Adult learners 1 results 1
- Ageing 1 results 1
- Ageing –related Diseases 1 results 1
- Alternative methodological framework 1 results 1
- Background There is abundant evidence that the first and only School Health Policy (SHPo) in Nigeria was adopted in 2006, but no study has since evaluated the quality of implementation (QoI) in government and privately funded schools. This study was conducted to evaluate the QoI of the School Health Program (SHP) in public and private primary schools of a rural Local Government Area in Oyo State using the SHPo framework as a guide. Subjects and methods A comparative-descriptive cross-sectional design was chosen. A two-stage sampling technique was used to select 46 primary schools in a rural area: 30 public and 16 private. An observational checklist was used to assess the five domains of the SHP, namely: School Health Services (SHS), Skills Based Health Education (SBHE), School Feeding Services (SFS), Healthful School Environment (HSE) and School, Home and Community Relationship (SHCR), as listed in the Nigerian SHPo framework. QoI was assessed by exploring the availability, suitability and functionality of basic provisions for SHP implementation. Results The majority of schools (90% public; 87.5%private) had first-aid boxes, but they had no contents in 23.3%of public and 68.8% of private schools. In only one private school was evidence of periodic medical inspection. A school meal service was present in 93.3%of public and 18.8%of private schools. Only one private school practiced medical screening. Some had gendersensitive toilets (81.3% private; 33.3% public). None of the schools had evidence of pre-employment medical and routine screening for non-communicable diseases for staff. Overall, around 50% of schools had poor QoI of the SHP (63.3% public; 25.0% private). Conclusion QoI of the SHP in selected rural public and private primary schools was generally poor, but with better quality in private than public schools. 1 results 1
- Background: Integrated care is the coordination of general and behavioral health and is a highly promising and practical approach to improving healthcare delivery and patient outcomes. While there is growing interest and investment in integrated care implementation internationally, there are no formal guidelines for integrated care implementation applicable to diverse healthcare systems. Furthermore, there is a complex interplay of factors at multiple levels of influence that are necessary for successful implementation of integrated care in health systems. methods: Guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework (Aarons et al., 2011), a multiple case study design was used to address two research objectives: 1) To highlight current integrated care implementation efforts through seven international case studies that target a range of healthcare systems, patient populations and implementation strategies and outcomes, and 2) To synthesize the shared and unique challenges and successes across studies using the EPIS framework. Results: The seven reported case studies represent integrated care implementation efforts from five countries and continents (United States, United Kingdom, Vietnam, Israel, and Nigeria), target a range of clinical populations and care settings, and span all phases of the EPIS framework. Qualitative synthesis of these case studies illuminated common outer context, inner context, bridging and innovation factors that were key drivers of implementation. Conclusions: We propose an agenda that outlines priority goals and related strategies to advance integrated care implementation research. These goals relate to: 1) the role of funding at multiple levels of implementation, 2) meaningful collaboration with stakeholders across phases of implementation and 3) clear communication to stakeholders about integrated care implementation. 1 results 1
- Background: Nigeria is currently populated by about 200 million people of diverse ethnic, cultural and religious inclinations. Projections estimate that the proportion and absolute number of older persons aged 60 years and above (currently about 5% of the total population) will increase to 25 million by the year 2050. Ageing of the Nigerian population has far reaching multifaceted economic, psychosocial, educational and health implications. Situation analysis: In this paper, a scenario-based analysis is presented on the likely trajectory of health security for older Nigerians by the year 2050. Ageing – associated diseases are predominantly non - communicable (NCD) and their burden is likely to increase over the next 30 years. The combined burden of NCDs and infectious diseases (malaria, tuberculosis, HIV/AIDS, emerging and re – emerging diseases) suggest that the demand on health services (preventive, diagnostic, curative, rehabilitative and palliative care) from older persons and the elderly will increase in tandem with the growth of this segment of the population. Conclusion: A blueprint for achieving healthy ageing for older persons by the year 2050 is presented. This encompasses set targets, strategic plans and a monitoring and evaluation scheme. Improved funding and coverage of the National Health Insurance Scheme, better pensions and retirement benefit coverage, other social schemes and policy interventions and rigorous implementation schemes are all required for achieving health security by the year 2050 with respect to ageing and ageing – related disorders. 1 results 1
- Background: The human Papillomavirus (HPV) vaccine has demonstrated efficacy in the prevention of cervical cancer when given in early adolescence. The recommendation of the vaccine by health care workers (HCW) is crucial to the uptake of the vaccine by adolescents and the process of this recommendation is important as it determines subsequent uptake of the vaccine. Understanding of the facilitators and barriers of recommendation of this vaccine can help in the development of strategies to improve its recommendation rates and uptake. This study therefore explored the facilitators and barriers for the recommendation of HPV vaccine for adolescents by HCW in Ibadan, Nigeria using the Theoretical Domain Framework (TDF). Methods: Key informant interviews were conducted with 14 purposively selected HCW who were in charge of vaccination. Content analysis was used after deductive coding of the data using the domains of the TDF. Relevant concepts for facilitators and barriers of HPV vaccine recommendation and quotes were then identified. Results: Mean age of the HCW was 47.7 ± 6.5 years and they consisted of eight nurses, four medical doctors, one medical social worker and one health visitor. Ten domains of the TDF were represented among the facilitators and barriers against the recommendation of HPV vaccination by the HCW, except the goals; memory, attention, decision process; emotion; and behavioral regulation domains. The domains with the highest frequency of concepts were: knowledge, skills, social/professional role and identity, beliefs about capabilities, beliefs about consequences, intention and environmental context and resources. Domains with conflicting statements in the concept were: environmental context and resources, and beliefs about consequences. While those with perceived strength of concept were: social influences, reinforcement and optimism. Conclusion: All the 10 identified domains of the TDF are potential areas of focus for strategies for improving the recommendation of HPV vaccine for adolescents by health care workers in Nigeria and other countries with similar sociocultural settings. 1 results 1
- Built assets 1 results 1
- Campus 1 results 1
- Content analysis 1 results 1
- Demand for Tourism 1 results 1
- Design frameworks 1 results 1
- Despite global calls for a transition to modern energy, Nigerian households continue to face obstacles in accessing clean cooking energy. This paper examines the barriers to household fuel choice in rural and urban areas of Ogun Sate, Nigeria, employing an access framework. Through a cross-sectional study involving 597 households, we examined the factors associated with the selection of household cooking fuel and the access challenges. The framework conceptualises fuel choice as a function of three key access dimensions: affordability, availability, and acceptability, using multinomial logit regression. The findings showed that firewood and kerosene remain Nigeria’s dominant household fuel sources. The results highlight that fuel choice is influenced not only by affordability factors but also by factors related to availability and acceptability. Consequently, the study recommends a comprehensive approach beyond affordability, to ensure modern energy sources are culturally acceptable while establishing secure supply chains towards a more environmentally sustainable energy future. 1 results 1
- Developing 1 results 1
- EPIS framework 1 results 1
- Embedded mobile agent 1 results 1
- Energy access 1 results 1
- Epstein framework, 1 results 1
- Experiment 1 results 1
- Facilitating 1 results 1
- Financing 1 results 1
- Framework of laws on education 1 results 1
- Frameworks 1 results 1
- Global healthcare 1 results 1
- Gorman-Lancaster demand framework 1 results 1
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