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6521. Enhancing the quality of maternal and neonatal care by the Safe Childbirth Project in Al Shifa Hospital, Gaza occupied Palestinian territory (oPt): a descriptive retrospective study.

作者: Itimad Abu Ward.;Amani Jouda.;Suha Balousha.;Signe Egenberg.;Naila Al Masri.;Ellen Blix.
来源: Lancet. 2021年398 Suppl 1卷S34页
The Safe Childbirth Project is a campaign, launched by WHO in 2012, to improve the quality of care for women and babies during childbirth by promoting evidence-based practice and a midwifery-led approach to care. It was intended to contribute towards achieving UN Sustainable Development Goal 3: ensure healthy lives and promote wellbeing for all at all ages. In September, 2015, the project was launched in the maternity ward of Dar Al-Shifa Hospital, Gaza City, to promote midwifery-led care for low-risk deliveries, with de-medicalisation of normal birth, early initiation of breastfeeding, and early detection of complications during the postpartum period.

6522. Associations between stressful working conditions and psychosomatic symptoms among Palestinian nurses: a cross-sectional survey.

作者: Yousef Jaradat.;Espen Bjertness.;Morten Birkeland Nielsen.;Rita Bast-Pettersen.
来源: Lancet. 2021年398 Suppl 1卷S33页
Stressful working conditions among nurses have adverse effects on their physical and mental health. We investigated associations between self-reported stressful working conditions and psychosomatic symptoms among nurses in the Hebron district, occupied Palestinian Territory, and whether there are differences the sexes in the perceptions of working conditions and psychosomatic symptoms.

6523. Child deprivation among Palestinian refugees in Lebanon and Palestinian refugees from Syria living in Lebanon: a cross-sectional analysis of co-occurrence of deprivation indicators.

作者: Zeina Jamaluddine.;Alexandra Irani.;Nisreen Salti.;Sawsan Abdulrahim.;Jad Chaaban.;Khalil El-Asmar.;Hala Ghattas.
来源: Lancet. 2021年398 Suppl 1卷S32页
Palestinian refugees in Lebanon (PRL) and Palestinian refugees from Syria (PRS) living in Lebanon have high poverty rates. As the social, economic, and physical environment in which a child develops is a strong determinant of health and wellbeing, a comprehensive approach that recognises the influence of multidimensional deprivation on child wellbeing is needed. This study investigates overlaps (co-occurrences) in deprivation indicators experienced by Palestinian children compared to those experienced by other vulnerable children living alongside them in Lebanon; children who are Syrian refugees (SYR) and children who are Lebanese nationals (LBN).

6524. Gestational age recorded at delivery versus estimations using antenatal care data from the Electronic Maternal and Child Health Registry in the West Bank: a comparative analysis.

作者: Mervett Isbeih.;Mahima Venkateswaran.;Eatimad Abbas.;Khadija Abu-Khader.;Tamara Awwad.;Mohammad Baniode.;Buthaina Ghanem.;Taghreed Hijaz.;Asad Ramlawi.;Rand Salman.;Richard White.;J Frederik Frøen.
来源: Lancet. 2021年398 Suppl 1卷S31页
Estimated dates of delivery have important consequences for clinical decisions during pregnancy and labour. The Electronic Maternal and Child Health Registry (MCH eRegistry) in Palestine includes antenatal care data and birth data from hospitals. Our objective was to compare computed best estimates of gestational age in the MCH eRegistry with the gestational ages recorded by health-care providers in hospital delivery units.

6525. Long-term health effects after conflict-related traumatic amputation among patients in Gaza.

作者: Hanne Heszlein-Lossius.;Anas Ismail.;Yahya Al-Borno.;Samar Shaqqoura.;Nashwa Skaik.;Iman Al Hinnawi.;Mahmoud Matar.;Mads Gilbert.
来源: Lancet. 2021年398 Suppl 1卷S30页
In the past 10-15 years, thousands of civilians in Gaza have experienced conflict-related traumatic injuries. How injuries affect survivors' risks of negative long-term health effects and serious illness is unclear. We report follow-up findings in a group of patients with traumatic amputations.

6526. WHO/International Society of Hypertension risk prediction charts versus the UK Prospective Diabetes Study risk engine for cardiovascular risk assessment among patients with type 2 diabetes: a comparative study.

作者: Tayseer Afifi.;Mohammed Obeid.;Meral Abdelati.;Abdarrahman Almoqaid.;Mosab Samaan.;Khamis Elessi.
来源: Lancet. 2021年398 Suppl 1卷S3页
Patients with type 2 diabetes are at increased risk of developing cardiovascular diseases, and assessment of cardiac risk is important for preventive strategies. We compared the performance of two cardiac assessment tools to predict 10-year cardiovascular risk.

6527. The psychological impact of deprivation in regions affected by conflict: a multilevel analysis of a cross-sectional survey in the occupied Palestinian territory.

作者: Weeam Hammoudeh.;Suzan Mitwalli.;Rawan Kafri.;Tracy Kuo Lin.;Rita Giacaman.;Tiziana Leone.
来源: Lancet. 2021年398 Suppl 1卷S29页
Deprivation is an important determinant of poor health. Locality can be key in understanding variation in deprivation across a population. This study aimed to analyse how different forms of deprivation affect mental health among Palestinians, and how they account for locality effects in the occupied Palestinian territory.

6528. Prevalence and characteristics of Palestine refugee mothers at risk of postpartum depression in Amman, Jordan: a cross-sectional study.

作者: Kyoko Yoneda.;Majed Hababeh.;Akiko Kitamura.;Akihiro Seita.;Yasuhiko Kamiya.
来源: Lancet. 2021年398 Suppl 1卷S28页
Postpartum depression (PPD) is a major public health concern because it adversely affects maternal health and children's physical and mental development. The prevalence of PPD in Arab countries is higher than the worldwide prevalence. Additionally, refugee women are more likely to develop PPD than women in the general population, but little research of refugee women in Arab countries is available. The United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) have provided primary health care to Palestine refugees since 1950 and began the Mental Health and Psychosocial (MHPSS) programme in Jordan in 2017 to enhance the psychosocial and social wellbeing of Palestine refugees. We assessed the prevalence of PPD and examined associated factors among Palestine refugee women living in Amman, Jordan.

6529. Assessment of the surveillance system for adverse events following immunisation in the Gaza Strip: a cross-sectional study.

作者: Jehad A Awad.;Majdi I Dhair.;Nedal I Ghuneim.;Khaled Abu Ali.;Yousef S Al-Yaqoubi.;Maysoon Abu Rabee'.;Amal Sarsour.
来源: Lancet. 2021年398 Suppl 1卷S27页
In the occupied Palestinian territory, the expanded programme on immunisation (EPI) has successfully targeted 13 diseases through vaccination and achieved high population coverage. However, surveillance of adverse events following immunisation (AEFI) is inadequate in the Gaza Strip, as only post-BCG lymphadenitis is reported. This study assessed the adherence of health-care workers (HCWs) to the AEFI surveillance system in the Gaza Strip.

6530. Effect of hypertension on pregnancy outcomes at UNRWA health centres in Gaza governorates: a comparative study.

作者: Khalil Jamil El-Qatrawi.
来源: Lancet. 2021年398 Suppl 1卷S26页
Hypertensive disorders affect 10% of all pregnant women and increase the risk of adverse maternal and neonatal outcomes and the psychological wellbeing and quality of life of women. This study is to the best of my knowledge the first to investigate these issues in the Gaza Strip. I compared adverse effects in pregnancy between hypertensive and non-hypertensive women.

6531. Anti-D immunoglobulin versus immunoglobulin G for the treatment of acute immune thrombocytopenia in children: a 10-year retrospective study.

作者: Mohammed K El-Habil.
来源: Lancet. 2021年398 Suppl 1卷S25页
Anti-D immunoglobulin (anti-D) therapy is cheaper and has a shorter infusion time than intravenous immunoglobulin G (IgG), but their comparative effects in the treatment of acute immune thrombocytopenia (ITP) have not been studied thoroughly. The aim of this study was to compare the effect of anti-D and intravenous IgG in the treatment of acute ITP in children.

6532. Effect of nurse-supported care on pain management in women undergoing caesarean delivery: a comparative study.

作者: Samar El Hams.;Noor El Najar.;Khaled Abu El-Aish.
来源: Lancet. 2021年398 Suppl 1卷S24页
Pain management after caesarean delivery is important because acute pain in the postoperative period is associated with persistent pain, increased opioid use and postpartum depression, and delayed functional recovery. We investigated the role of nurse-supported care in acute pain management after caesarean delivery, which as far as we know has not previously been investigated in Gaza.

6533. Effects of change in hospital treatment payment policy for Palestinian refugees in Lebanon: a health economics analysis.

作者: Sara V de Almeida.;Gloria Paolucci.;Akihiro Seita.;Hala Ghattas.
来源: Lancet. 2021年398 Suppl 1卷S23页
In 2016, the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) changed from covering the full cost of secondary care in contracted public and private hospitals in Lebanon, Jordan, to requesting that these hospitals pay 10% of the costs. Meanwhile, services at UNWRA-contracted Palestine Red Crescent Society (PRCS) hospitals remained fully covered. We did a health economics analysis to assess the effects this policy change on the demand for secondary care in UNRWA hospitals.

6534. Non-communicable diseases among Palestinian refugees from Syria: a cross-sectional study on prevalence, case management, access to and utilisation of UNRWA Health Services.

作者: Monique Chaaya.;Lilian A Ghandour.;Fouad M Fouad.;Aline Germani.;Rana Charide.;Yousef Shahin.;Suha Ismail.;Saleh Fahd.
来源: Lancet. 2021年398 Suppl 1卷S22页
As of Feb 14, 2014, UNRWA had registered almost 53 000 Palestinian refugees from Syria (PRS) who had fled to Lebanon as the result of the conflict in Syria. Half of the PRS had gone to one of the 12 Palestinian camps, which are overcrowded and of poor infrastructure. Consequently, there is concern for the wellbeing of PRS; in particular, their health status and access to medical care. Little attention has been given to non-communicable diseases (NCDs) in the acute phases of emergencies. Therefore, an assessment of the prevalence of NCDs among PRS, as well as the patterns of use of available health care services by PRS, is warranted.

6535. Spatial agency among children living in the Dheisheh refugee camp in the West Bank: a qualitative investigation of space and place as risk and protection factors from political and military violence.

作者: Federica Cavazzoni.;Hala Kittaneh.;Guido Veronese.
来源: Lancet. 2021年398 Suppl 1卷S21页
In Palestine, the ongoing Israeli occupation shapes and endangers all spaces that are used by children in their everyday lives. In this study, Palestinian children were considered active agents in their lives, both affecting and being affected by the world around them. Our research aimed to explore the role of resources, competencies, and attitudes of spatial agency in the lives of children in the occupied Palestinian territory. Specifically, we investigated how children use domestic and social spaces to actively maintain positive function and wellbeing despite an environmental backdrop of military violence.

6536. Survival analysis for patients with cancer in Gaza applying for Israeli permits to exit the Gaza Strip for health care: a retrospective cohort study of patients from 2008 to 2017.

作者: Benjamin Bouquet.;Francesco Barone-Adesi.;Mohamed Lafi.;Kathryn Quanstrom.;Federica Riccardi.;Henry V Doctor.;Walaa Shehada.;Juliana Nassar.;Sali Issawi.;Mahmoud Daher.;Gerald Rockenschaub.;Arash Rashidian.
来源: Lancet. 2021年398 Suppl 1卷S20页
Gaza has been under land, sea, and aerial blockade for more than 13 years, during which time Israel has continued its permit regime to control access for Palestinian patients from Gaza to health facilities in the West Bank (including East Jerusalem), Israel, and Jordan. Specific groups, such as patients with cancer, have a high need for permits owing to a lack of services in Gaza. The approval rate for patient permits to exit Gaza dropped from 94% in 2012 to 54% in 2017. We aimed to assess the effect of access restrictions due to permit denials or delays on all-cause mortality for patients with cancer from Gaza who were referred for chemotherapy, radiotherapy, or both.

6537. Quality of Early Essential Newborn Care in hospitals in Gaza: a pre-intervention and post-intervention study.

作者: Shireen N Abed.;Sireen Al Attar.;Bothaina Shaikh Khalil.;Laila Al Masharfa.;Nashwa Skaik.;Luca Ronfani.;Silvia Pivetta.;John C S Murray.; .
来源: Lancet. 2021年398 Suppl 1卷S2页
In 2017, the Ministry of Health in Gaza introduced Early Essential Newborn Care (EENC) as its primary maternal and neonatal care strategy. EENC comprises a package of simple evidence-based interventions that are delivered during labour and delivery, and in the early post-partum period, to prevent or treat the most important causes of morbidity and mortality in newborn babies. Four public maternity hospitals in Gaza, responsible for approximately 75% of all deliveries, began implementation of EENC in June, 2017. Clinical coaching was delivered by national facilitators over 2 days, and targeted all clinical staff in maternity and neonatal units. Subsequently, EENC quality improvement teams were formed to address contextual factors that influence practice. This study aimed to determine whether introduction of EENC resulted in changes in clinical practices for vaginal births.

6538. Health attacks and protection strategies during Gaza's Great March of Return: a mixed methods study using data from WHO's Surveillance System for Attacks on Healthcare.

作者: Walaa Shehada.;Benjamin Bouquet.;Juliana Nassar.;Carolyn Briody.;Nadia Alfarra.;Henry V Doctor.;Mahmoud Daher.;Gerald Rockenschaub.;Graham Kirkwood.;Allyson Pollock.;Hyo-Jeong Kim.
来源: Lancet. 2021年398 Suppl 1卷S19页
WHO defines an attack on health care as "any act of verbal or physical violence or obstruction or threat of violence that interferes with the availability, access and delivery of curative and/or preventive health services during emergencies." Gaza's Great March of Return (GMR) began on Mar 30, 2018, with 322 Palestinians killed and 33 141 injured by December, 2019, and first-response health-care teams exposed to high levels of violence. The aims of this study were threefold: to explore the vulnerabilities of health workers to attacks during the GMR; to understand the effectiveness and comprehensiveness of systems for monitoring health attacks; and to identify potential strategies and interventions to improve protection.

6539. Development of a targeted client communication intervention for pregnant and post-partum women: a descriptive study.

作者: Binyam Bogale.;Kjersti Mørkrid.;Brian O'Donnell.;Buthaina Ghanem.;Itimad Abu Ward.;Khadija Abu Khader.;Mervett Isbeih.;Michael Frost.;Mohammad Baniode.;Taghreed Hijaz.;Tamara Awwad.;Yousef Rabah.;J Frederik Frøen.
来源: Lancet. 2021年398 Suppl 1卷S18页
Targeted client communication using text messages can inform, motivate, and remind pregnant and postpartum women to use care in a timely way. The mixed results of previous studies of the effectiveness of targeted client communication highlight the importance of theory-based co-design with users. We planned, developed, and tested a theory-based intervention tailored to pregnant and postpartum women, to be automatically distributed via an electronic maternal and child health registry in occupied Palestinian territory.

6540. The impact of e-health system implementation on UNWRA health services: an observational study.

作者: Ghada Ballout.;Najeeb Al-Shorbaji.;Wafaa Zeidan.;Yousef Shahin.;Majed Hababeh.;Suha Saleh.;Shatha Albeik.;Akihiro Seita.
来源: Lancet. 2021年398 Suppl 1卷S17页
The United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) provides primary-health-care services to more than 5 million Palestinian refugees in five operational fields (Jordan, Syria, Lebanon, West Bank, and Gaza) through 144 health centres. UNRWA developed its electronic health records (e-Health) system to improve monitoring and facilitation of health services provided to Palestinian refugees. By the end of 2017, the system had been deployed in 129 health centres, included the health files of 3 million patients, and managed more than 8 million visits per year. We assessed whether preventive-health-care services had improved following implementation of the system.
共有 7394 条符合本次的查询结果, 用时 5.1690155 秒