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Supporting and strengthening research on urban health interventions for the prevention and control of vector-borne and other infectious diseases of poverty:scoping reviews and research gap analysis

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Infectious Diseases of Poverty 2018年第1期7卷 967-975页

作者： mariam otmani del barrio Frederic Simard Andrea Caprara Vectors Environment and Society UnitSpecial Programme for Research and Training in Tropical Diseases(TDR)World Health Organization(WHO)20avenue AppiaCH-1211 Geneva 27Switzerland Maladies Infectieuses et Vecteurs:Ecologie GenetiqueEvolution et Controle(MIVEGEC)IRD-CNRS University of MontpellierMontpellierFrance Ceara State 639 University FortalezaBrazil.

Background:More than half of the world’s population currently lives in urban settlements that grow both in size and *** 2050,approximately 70%of the global population will be living in urban conglomerations,mainly in low-and middle-income ***,poverty,different layers of inequalities as well as climate variability and change are some of the social and environmental factors that influence the exposure of human populations in urban settings to vector-borne diseases,which pose eminent public health ***,consistent,and evidencebased interventions for prevention and control of vector-borne and other infectious diseases of poverty in urban settings are needed to implement innovative and cost-effective public policy and to promote inclusive and equitable urban health *** body:While there is growing awareness of vector-borne diseases epidemiology at the urban level,there is still a paucity of research and action being undertaken in this area,hindering evidence-based public health policy decisions and practice and strategies for active community *** paper describes the collaboration and partnership of the Special Programme for Research and Training in Tropical Diseases(TDR)hosted by the World Health Organization(WHO)and the“VEctor boRne DiseAses Scoping reviews”(VERDAS)Research Consortium as they joined efforts in response to filling this gap in knowledge and evidence by supporting the development of a series of scoping reviews that highlight priority research gaps and policy implications to address vector-borne and other infectious diseases at the urban ***:The set of scoping reviews proposed in this special issue presents a critical analysis of the state-of-the-art of research on urban health interventions for the prevention and control of vector-borne and other infectious diseases of *** authors of the 6 reviews highlighted severe gaps in knowledge and identified organizational and theoretical lim

关键词： Vector-borne diseases Urban health interventions Climate change Effectiveness Research priority setting Surveillance Vector control

Establishing research priorities in prevention and control of vector-borne diseases in urban areas:a collaborative process

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Infectious Diseases of Poverty 2018年第1期7卷 860-869页

作者： Christian Dagenais Stephanie Degroote mariam otmani del barrio Clara Bermudez-Tamayo Valery Ridde Department of Psychology University of MontrealPavillon Marie-VictorinBureau C-355C.P.6128succursale Centre-ville.MontrealQC H3C 3J7Canada University of Montreal Public Health Research Institute MontrealQCCanada Vector Environment and Society UnitSpecial Programme for Research and Training in Tropical Diseases(TDR)World Health OrganizationGenevaSwitzerland Andalusian School of Public Health GranadaSpain CIBER of Epidemiology and Public Health(CIBERESP) MadridSpain IRD(French Institute for Research on Sustainable Development) CEPED(IRD-Universite Paris Descartes)Universites Paris Sorbonne CitesERL INSERM SAGESUDParisFrance.

Background:In 2015,following a call for proposals from the Special Programme for Research and Training in Tropical Diseases(TDR),six scoping reviews on the prevention and control of vector-borne diseases in urban areas were *** reviews provided a clear picture of the available knowledge and highlighted knowledge gaps,as well as needs and opportunities for future *** on the research findings of the scoping reviews,a concept mapping exercise was undertaken to produce a list of priority research needs to be ***:Members of the six research teams responsible for the“VEctor boRne DiseAses Scoping reviews”(VERDAS)consortium’s scoping reviews met for 2 days with decision-makers from Colombia,Brazil,Peru,Pan-American Health Organization,and World Health Organization.A total of 11 researchers and seven decision-makers(from ministries of health,city and regional vector control departments,and vector control programs)completed the concept mapping,answering the question:“In view of the knowledge synthesis and your own expertise,what do we still need to know about vector-borne diseases and other infectious diseases of poverty in urban areas?”Participants rated each statement on two scales from 1 to 5,one relative to‘priority’and the other to‘policy relevance’,and grouped statements into clusters based on their own individual criteria and ***:The final map consisted of 12 *** considered those entitled“Equity”,“Technology”,and“Surveillance”to have the highest *** cluster considered the most important concerns equity issues,confirming that these issues are rarely addressed in research on vector-borne *** the other hand,the“Population mobility”and“Collaboration”clusters were considered to be the lowest priority but remained identified by participants as research *** average policy relevance scores for each of the 12 clusters were roughly the same as the priority scores for all ***

关键词： Concept mapping Research priorities Vector-borne diseases Urban areas

Understanding gender and its intersection with social stratifiers on prevention and care seeking behavior of lymphatic filariasis in Nepal

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Infectious Diseases of Poverty 2023年第4期12卷 104-104页

作者： Abriti Arjyal Ayuska Parajuli Chandani Kharel mariam otmani del barrio Sushil Chandra Baral HERD International Kathmandu Nepal UNICEF UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR) World Health Organization Geneva Switzerland

BackgroundLymphatic filariasis (LF) is a debilitating and painful neglected tropical disease and is one of the leading causes of permanent disability. In many countries, the intersection of gender with various social stratifiers has influenced exposure to LF and ultimately impacting the disease burden and its elimination. This study aimed to explore the influence of gender and its intersection with other social stratifiers for the prevention and care seeking behavior of LF in *** study employed qualitative research methods: in-depth interviews (IDIs) and focus group discussions (FGDs) for data collection in Bardiya, Nepal. A total of 22 IDIs (11 male, 11 female) and 2 FGDs (1 male and 1 female) were conducted with the community people between January and March 2020. The participants were purposively selected to represent different social stratifiers including age, sex, ethnicity, occupation. The data collected were analyzed using a thematic framework approach with use of intersectional gender analysis *** study findings revealed that men spend more time outside their household compared to women while fulfilling their roles and responsibilities, largely determined by societal expectations and gender norms. This resulted in limited access to preventive health services for men, as they often missed annual mass drug administration programme in their community and limited access to preventive methods. Further traditional occupation, specific to particular ethnicity, influenced the vulnerability to LF for certain ethnic groups. The ability to prevent exposure varied among individuals. Although women made decisions regarding the use of protective methods, it was influenced by patriarchal and gender norms. They often felt a responsibility to take care and priorities males and other family members when resources are limited. The intersectionality of gender with other social stratifiers such as marital status, ethnicity, and geographical areas infl

关键词： Gender Intersectionality Lymphatic filariasis Social stratifer Intersectional gender analysis Gender norm Disease vulnerability

Assessing intersectional gender analysis in Nepal’s health management information system:a case study on tuberculosis for inclusive health systems

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Infectious Diseases of Poverty 2024年第2期13卷 52-62页

作者： Ayuska Parajuli Sampurna Kakchapati Abriti Arjyal Deepak Joshi Chandani Kharel mariam otmani del barrio Sushil C Baral HERD International Saibu Awas Cr-10 MargaBhaisepatiLalitpurNepal UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases(TDR) World Health OrganizationGenevaSwitzerland

Background Tuberculosis(TB)remains a major public health problem in Nepal,high in settings marked by prevalent gender and social *** social stratifiers intersect,either privileging or oppressing individuals based on their characteristics and contexts,thereby increasing risks,vulnerabilities and marganilisation associated with *** study aimed to assess the inclusiveness of gender and other social stratifiers in key health related national policies and the Health Management Information System(HMIS)of National Tuberculosis Programme(NTP)by conducting an intersectional analysis of TB cases recorded via *** A desk review of key policies and the NTP’s HMIS was *** intersectional analysis utilized two secondary data sources:annual NTP report(2017-2021)and records of 628 TB cases via HMIS 6.5 from two TB centres(2017/18-2018/19).Chi-square test and multi-variate analysis was used to assess the association between social stratifers and types of TB,registration category and treatment *** Gender,social inclusion and concept of intersectionality are incorporated into various health policies and strategies but lack effective *** has initiated the collection of age,sex,ethnicity and location data since 2014/15 through the ***,only age and sex disaggregated data are routinely reported,leaving recorded social stratifiers of TB patients static without analysis and ***,findings from the intersectional analysis using TB secondary data,showed that male more than 25 years exhibited higher odds[adjusted odds ratio(a OR)=4.95,95%confidence interval(CI):1.60-19.06,P=0.01]of successful outcome compared to male TB patients less than 25 ***,sex was significantly associated with types of TB(P<0.05)whereas both age(P<0.05)and sex(P<0.05)were significantly associated with patient registration category(old/new cases).Conclusions The results highlight inadequacy in the availability

关键词： Tuberculosis Intersectional gender analysis Gender and social inequities Social determinant Health Management Information System National Tuberculosis Programme Social inclusion Gender

Using intersectional gender analysis to identify challenges in tuberculosis care at four health care facilities in Uganda

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Infectious Diseases of Poverty 2024年第1期13卷 91-91页

作者： Winters Muttamba Samson Omongot Irene Najingo Roseline Nuwarinda Esther Buregyeya mariam otmani del barrio Rosemary Morgan Bruce Kirenga Sarah Ssali Makerere University Lung Institute Makerere University Kampala Uganda Division of Infection and Global Health School of Medicine University of St Andrews St. Andrews UK Infectious Disease Institute Makerere University Kampala Uganda School of Public Health Makerere University Kampala Uganda UNICEF UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR) World Health Organization Geneva Switzerland Johns Hopkins Bloomberg School of Public Health Baltimore MD USA School of Women and Gender Studies Makerere University Kampala Uganda

Background Tuberculosis(TB)care could be considered as a continuum from symptom recognition,decision to seek care,diagnosis,treatment initiation and treatment completion,with care along the continuum influenced by several *** dimensions could influence TB care,and indeed,more men than women are diagnosed with TB each *** study was done to identify social stratifiers that intersect with gender to influence TB *** A cross-sectional qualitative study was done at four health facilities in 3 districts in central Uganda between October 2020 and December *** was collected from patients seeking a diagnosis or on TB treat-ment through focus group discussions and key informant *** themes around gender guided by a gender and intersectionality lens were developed and thereafter thematic content analysis was *** Women have increased vulnerability to TB due to bio mass exposure through roles like *** have increased access to health care services as they interface with the health care system frequently given their role as child bearers and child care *** have a duty to provide for their families and this most often is prioritised over healthcare seeking,and together with belief that they are powerful beings leads to poor healthcare seeking hab-its and delays in healthcare *** on when and where to seek care were not straightforward for women,who most often rely on their husbands/partners to make *** Men and women experience challenges to TB care,and that these challenges are deeply rooted in roles assigned to them and further compounded by *** challenges need to be addressed through intersec-tional gender responsive interventions if TB control is to be improved.

关键词： Tuberculosis Gender Intersectionality Masculinity

Are we ready for telemonitoring inflammatory bowel disease?A review of advances,enablers,and barriers

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World Journal of Gastroenterology 2023年第7期29卷 1139-1156页

作者： Javier del Hoyo Mónica Millán Alejandro Garrido-Marín mariam Aguas Department of Gastroenterology La Fe University and Polytechnic HospitalValencia 46026Spain Department of Surgery La Fe University and Polytechnic HospitalValencia 46026Spain Health Research Institute La Fe La Fe University and Polytechnic HospitalValencia 46026Spain

This review summarizes the evidence about telemonitoring in patients with inflammatory bowel disease(IBD). To give an overview of the advances performed, as well as the enablers and barriers which favoured/hindered telemonitoring implementation. We performed a literature search in Pub Med, EMBASE, MEDLINE, Cochrane Database, Web of Science and Conference Proceedings. Titles and abstracts published up to September 2022 were screened for a set of inclusion criteria: telemonitoring intervention, IBD as the main disease, and a primary study performed. Ninety-seven reports were selected for full review. Finally, 20 were included for data extraction and critical appraisal. Most studies used telemonitoring combined with tele-education, and programs evolved from home telemanagement systems towards web portals through m Health applications. Web systems demonstrated patients’ acceptance, improvement in quality of life, disease activity and knowledge, with a good cost-effectiveness profile in the short-term. Initially, telemonitoring was almost restricted to ulcerative colitis, but new patient reported outcome measures, home-based tests and mobile devices favoured its expansion to different patients’ categories. However, technological and knowledge advances led to legal, ethical, economical and logistic issues. Standardization of remote healthcare is necessary, to improve the interoperability of systems as well as to address liability concerns and users’ preferences. Telemonitoring IBD is well accepted and improves clinical outcomes at a lower cost in the short-term. Funders, policymakers, providers, and patients need to align their interests to overcome the emerging barriers for its full implementation.

关键词： Inflammatory bowel disease Telemedicine Telemonitoring Information and communication technology Crohn´s disease Ulcerative colitis