Full Text Available
Access Full Text at Repository
Search Results - context comparative method
- Go to Previous Page
- Showing 1,001 - 1,003 results of 1,003
-
Applying the safe and just operating space (SJOS) framework to sustainable development in Zimbabwe by Ngadze, Fiona
Published 2023Get full text
ThesisFull Text AvailableAccess Full Text at Repository -
Physical activity and gross motor skills in rural South African preschool children by Tomaz, Simone Annabella
Published 2019“…Parents reported on their child’s screen time, and on factors within the home and community contexts in which physical activity and sedentary behaviours occur. …”
Get full text
ThesisFull Text AvailableAccess Full Text at Repository
Search Tools:
Refine Results
Page will reload when a filter is selected or excluded.- Nigeria 4 results 4
- "This study examines housing developments, both traditional and contemporary, in Yoruba society, within the context of alaafia, the concept of Yoruba well-being. The evaluation ranges in scope from materiality and physical characteristics of a dwelling to the emotional and spiritual satisfaction gained by living there. All of these aspects of a dwelling relate in some way to alaafia. Literature abounds on Yoruba architecture yet the influence of well-being on the design and construction has not been addressed. This study fills that gap. The traditional compound (agbo ile), as the oldest housing type, is researched in greater detail in order to understand basic Yoruba cultural traits and to establish the relationships between a residence and alaafia. Two types of self-contained housing (ile adagbe), and another communal-based type, the ""Brazilian"" (kojusimi-ki-nkojusio), were analyzed with the same parameters used in the evaluation of traditional compounds. This approach allows for a comparative study and exposes any tereotypes held by the Yoruba about particular dwelling types and their residents. The study draws similarities between the various types of housing. It also uncovers some of the changing values within alaafia and Yoruba culture. One's personal living space, its maintenance, ambiance and appearance are subjective issues. Personal preferences guide the prioritization of the traits of alaafia. Although all parts of alaafia may have been satisfied for an individual who lives in an apartment flat, this may not have been accomplished through traditional means. Instead of a shrine (ojubo) in the home, he/she may go to church or the mosque. Instead of being without the wisdom and influence of older generations, a young couple might extend this responsibility towards an older couple also living in the building, or to the landlord. This relationship becomes a pseudo-extended family. The influence of westernization in personal tastes as well as construction materials and methods are also addressed. The use of traditional materials has grown in popularity. This is due to the similarities in performance between modem and traditional materials, and the decreased cost of building with the latter. Recently, sustainability has become an issue in communities and town planning authorities. As a result'there is rising support for building with natural/local materials to avoid half-financed, abandoned projects. The traditional compound (agbo ile) plan is being resurrected in the contemporary courtyard house. Yet, the Brazilian type (kojusimi-kinkojusio) seems to be a closer match to traditional architectural types in terms of alaafia, reflecting the physical and the social worlds of the Yoruba people. Although the physical, economic, cultural and social environment is changing in Yorubaland, the pursuit of alaafia remains constant. The methods and ways that well-being is achieved have changed and impacted the architectural environment. " 1 results 1
- 'JUNE 12' CRISIS 1 results 1
- Acute phase proteins 1 results 1
- Adoption 1 results 1
- Alms begging 1 results 1
- Availability 1 results 1
- Bachelor degree in Social Studies 1 results 1
- Background: Child mortality remains unacceptably high, with Northern Nigeria reporting some of the highest rates globally (e.g. 192/1000 live births in Jigawa State). Coverage of key protect and prevent interventions, such as vaccination and clean cooking fuel use, is low. Additionally, knowledge, care-seeking and health system factors are poor. Therefore, a whole systems approach is needed for sustainable reductions in child mortality. Methods: This is a cluster randomised controlled trial, with integrated process and economic evaluations, conducted from January 2021 to September 2022. The trial will be conducted in Kiyawa Local Government Area, Jigawa State, Nigeria, with an estimated population of 230,000. Clusters are defined as primary government health facility catchment areas (n = 33). The 33 clusters will be randomly allocated (1:1) in a public ceremony, and 32 clusters included in the impact evaluation. The trial will evaluate a locally adapted ‘whole systems strengthening’ package of three evidence-based methods: community men’s and women’s groups, Partnership Defined Quality Scorecard and healthcare worker training, mentorship and provision of basic essential equipment and commodities. The primary outcome is mortality of children aged 7 days to 59 months. Mortality will be recorded prospectively using a cohort design, and secondary outcomes measured through baseline and endline cross-sectional surveys. Assuming the following, we will have a minimum detectable effect size of 30%: (a) baseline mortality of 100 per 1000 livebirths, (b) 4480 compounds with 3 eligible children per compound, (c) 80% power, (d) 5% significance, (e) intra-cluster correlation of 0.007 and (f) coefficient of variance of cluster size of 0.74. Analysis will be by intention-totreat, comparing intervention and control clusters, adjusting for compound and trial clustering. Discussion: This study will provide robust evidence of the effectiveness and cost-effectiveness of community-based participatory learning and action, with integrated health system strengthening and accountability mechanisms, to reduce child mortality. The ethnographic process evaluation will allow for a rich understanding of how the intervention works in this context. However, we encountered a key challenge in calculating the sample size, given the lack of timely and reliable mortality data and the uncertain impacts of the COVID-19 pandemic. 1 results 1
- Background: Fertility decline characterised by inter-birth intervals remains rather slow or stall in many countries of sub-Saharan African (SSA). Non-adherence to optimal inter-birth intervals often occasioned by low prevalence of contraceptive use and high fertility desires often lead to poor maternal and child health outcomes. Additionally, information on the influence of contraception and fertility desire on interval between first and second births (SBI) is rarely available. This study therefore aimed to examine the influence of fertility desire and contraception on SBI among women in four SSA countries. Methods: We analysed cross-sectional data on women aged 15–49 years who participated in the recent Demo graphic and Health Surveys in DR Congo, Ethiopia, Nigeria and South Africa. Semi-parametric Cox proportional hazards regression was employed for the analysis at 5% significance level. Results: The median time to second birth was 34 months in DR Congo; 35 months, Nigeria; 42 months, Ethiopia; and 71 months, South Africa. About 70% of the women desired additional child(ren) and two-thirds have never used contraceptive in both Nigeria and DR Congo. The hazard of second birth was significantly lower among women who desired additional child(ren) compared to desired for no more child in DR Congo (aHR=0.93; CI: 0.89–0.97), Ethiopia (aHR=0.64; CI: 0.61–0.67) and South Africa (aHR=0.51; CI: 0.47–0.55). Women who had never used contraceptive were 12%, 20% and 24% more likely to lengthen SBI than those who were current users in DR Congo, Nigeria and South Africa respectively. DR Congo and Nigerian women were about two times more likely to shorten SBI compared with their South African counterparts. Other significant determinants of SBI include ethnicity, rural residential, age and marital status at first birth, wealth and employment status. Conclusion: Findings showed differentials in the linkage between second birth interval and the desired fertility and contraception by country, demonstrating the importance of context. The contribution of these factors to second birth interval requires country context-specific attention if further decline in fertility and poor health outcomes associated with sub-optimal inter-birth interval is to be attained in SSA. 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
- Bayesian approach 1 results 1
- Behaviour change 1 results 1
- Book of Micah 1 results 1
- Child mortality 1 results 1
- Child survival 1 results 1
- Cluster randomised controlled trial 1 results 1
- Colleges of education 1 results 1
- Communication strategies 1 results 1
- Community 1 results 1
- Context: Caesarean Section (CS) is a major surgical procedure, often performed when a vaginal delivery is considered unsafe. Objective: This study was carried out to understand the interaction between acute phase proteins and nutritional factors consequent to caesarean section. The knowledge of this interaction is important for successful management of these patients. Methods: Plasma samples from fifty (50) pregnant women booked for elective caesarean section in Ibadan, Nigeria were collected on the day preceding surgery, one day and four days post-surgery to determine the levels of CRP, vitamin C, PCV, Total protein, albumin and globulin (Glb) levels. Results: The mean age of the patients studied was 32.29 + 3.66 years, range; 24 39 years. Significant elevations were observed in the levels of TP, Glb and CRP one day post-surgery (1DPS) compared with baseline (BS) (7.36 + 1.46) vs 6.56±1.30, (4.68 + 1.33) vs 2.70±1.51, (111.43 + 68.89) vs 6.00 ± 13.27 respectively, while albumin reduced significantly (2.68 + 1.08) vs 3.87±0 .63. Similar changes were observed on day 4. There was no significant change in the levels of Vitamin C. Conclusion: One of the positive predictive indicators of good outcome after caesarean delivery is adequate nutrition. 1 results 1
- Context: Gestational diabetes mellitus (GDM) complicates 3-5% of pregnancies. Prompt diagnosis helps to prevent its subsequent complications and one-step effective screening method is desirable for our environment. Objective: To compare the effectiveness of 50g glucose challenge test (GCT) with risk factors alone in screening for GDM. Study Design: Prospective study of booked, consenting pregnant women with no previous history of diabetes mellitus. Fasting sample of venous blood was obtained for plasma glucose, followed by administration of SOg oral glucose and collection of blood sample an hour later. The process was repeated after a week using 7Sg oral glucose; each patient serving as her own control. Threshold blood glucose of 140mg/dl was used for both post-ingestion tests. Statistical analysis was done using SPSS version 17. Results: All the seventy-nine study participants completed the 2 arms. Mean maternal and gestational ages at recruitment were 30.8+1.2 years and 24.2+1.6 weeks respectively. Among the respondent, 3S( 44.3%)were nulliparous while24(30.3%) had positive risk factors for GDM. The 50g GCT was abnormalin 10 patients (12.7%) while GDM was confirmed in 2 patients giving an incidence rate of2.5%. The 50g GCT was normal in 89.6% of women withnormat75g OGTT and it was more predictive of GDM (Positive Predictive Value, PPV -20%) compared to risk factors only (PPV-11.1 %). Conclusion: Using 50g GCT will enhance selection of patients for confirmatory test for GDM as compared to risk factors alone. It would therefore be of great benefit in this environment. 1 results 1
- Contextual implications 1 results 1
- Contraceptive use 1 results 1
- Curriculum implementation 1 results 1
- DEMOCRACY 1 results 1
- DISCOURSE 1 results 1
- Diarrhea 1 results 1
- Discourse conditioning acts 1 results 1
- Distance Learning 1 results 1
- see all…
- SUNScholar — Stellenbosch University Repository 329 results 329
- UCTD — University of Cape Town Open Access Repository 268 results 268
- UPSpace — University of Pretoria Institutional Repository 197 results 197
- AUC Knowledge Fountain — bepress 191 results 191
- KNUSTSpace — Kwame Nkrumah University of Science & Technology (Ghana) 1 results 1