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Maternal health and its affecting factors in Nepal

Family Medicine and Community Health 2016年第3期4卷 30-34页

作者： gehendra mahara Jill Barr Janeeta Thomas Wei Wang Xiuhua Guo Department of Epidemiology and Health Statistics School of Public HealthCapital Medical UniversityBeijingChina Beijing Municipal Key Laboratory of Clinical Epidemiology BeijingChina School of Health and Well-Being University of WolverhamptonUK Ashwani Ayruvedic Hospital KeralaIndia School of Medical and Health Sciences Edith Cowan UniversityPerthAustralia

Maternal health is still a public health problem in developing countries,especially in low-resource settings rural and poor *** main aim of this article is to critically evaluate and explore the situation of maternal health in Nepal based on published or unpublished governmental or nongovernmental organization’s scientific reports regarding maternal *** found that there were several direct or indirect causes and affecting factors of maternal death in Nepal,which are *** have been facing different consequences during pregnancy and delivery,attributed to lack of proper knowledge or less available and affordable health facilities in rural ***,there is needed an essential maternal health knowledge to women and also establish health facilities with a quality health care service on affordable and accessible to prevent maternal death and minimize complications.

关键词： Maternal health maternal mortality Nepal

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The Malaysian health care system:Ecology,plans,and reforms

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Family Medicine and Community Health 2016年第3期4卷 19-29页

作者： Andrea Sebastian Mohamed Ali Alzain Collins Otieno Asweto gehendra mahara Xiuhua Guo Manshu Song Youxin Wang Wei Wang School of Public Health Capital Medical UniversityBeijingChina Beijing Municipal Key Laboratory of Clinical Epidemiology BeijingChina Beijing Municipal Key Laboratory of Environmental Toxicology BeijingChina School of Medical and Health Sciences Edith Cowan UniversityPerthWAAustralia Community Medicine Department Faculty of Medicine and Health SciencesUniversity of DongolaSudan

Malaysia is on its way to achieving developed nation status in the next 4 ***,Malaysia is on track for three Millennium Development Goals(MDG1,MDG4,and MDG7).The maternal mortality rate,infant mortality rate,and mortality rate of children younger than 5 years improved from 25.6%(2012)to 6.6%(2013),and 7.7%(2012)per 100,000 live births,respectively whereas immunization coverage for infants increased to an average of 90%.As of 2013 the ratio of physicians to patients improved to 1:633 while the ratio of health facilities to the population was 1:10,*** current government administration has proposed a reform in the form of the 10th Malaysian Plan coining the term“One Care for One Malaysia”as the newly improved and reorganized health care plan,where efficiency,effectiveness,and equity are the main *** review illustrates Malaysia’s transition from pre-independence to the current state,and its health and socioeconomic achievement as a *** aims to contribute knowledge through identifying the plans and reforms by the Malaysian government while highlighting the challenges faced as a nation.

关键词： Health care health care reform One Care Malaysia

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Space-Time Cluster Analysis of Tuberculosis Incidence in Beijing, China

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Journal of Tuberculosis Research 2018年第4期6卷 302-319页

作者： gehendra mahara Mina Karki Kun Yang Sipeng Chen Wei Wang Xiuhua Guo Department of Epidemiology and Health Statistics School of Public Health Capital Medical University Beijing China Department of Medical Statistics and Epidemiology School of Public Health Sun Yat-sen University Guangzhou China Beijing Municipal Key Laboratory of Clinical Epidemiology Beijing China Mental Hospital Kathmandu Nepal Department of Evidence-Based Medicine Xuanwu Hospital Beijing China Fuwai Hospital Chinese Academy of Medical Science Beijing China School of Medical Sciences Edith Cowan University Perth Australia

Tuberculosis is one of the top killer diseases in the globe. The aim of this study was to explore the geographic distribution patterns and clustering characteristics of the disease incidence in terms of both space and time with high relative risk locations for tuberculosis incidence in Beijing area. A retrospective space-time clustering analysis was conducted at the districts level in Beijing area based on reported cases of sputum smear-positive pulmonary tuberculosis (TB) from 2005 to 2014. Global and local Moran’s I, autocorrelation analysis along with Ord (Gi*) statistics was applied to detect spatial patterns and the hotspot of TB incidence. Furthermore, the Kuldorff’s scan statistics were used to analyze space-time clusters. A total of 40,878 TB cases were reported in Beijing from 2005 to 2014. The annual average incidence rate was 22.11 per 100,000 populations (ranged from 16.55 to 25.71). The seasonal incidence occurred from March to July until late autumn. A higher relative risk area for TB incidence was mainly detected in urban and some rural districts of Beijing. The significant most likely space-time clusters and secondary clusters of TB incidence were scattered diversely in Beijing districts in each study year. The risk population was mainly scattered in urban and dense populated districts, including in few rural districts.

关键词： Tuberculosis Spatial Statistics Space-Time Analysis Beijing China

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