GLORIA

GEOMAR Library Ocean Research Information Access

X

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 11
    Online Resource
    Online Resource
    Incidence of type 1 diabetes among children and adolescents during peace and war times in Yemen
    Hindawi Limited ; 2022
    In:  Pediatric Diabetes Vol. 23, No. 3 ( 2022-05), p. 310-319
    Details
    In: Pediatric Diabetes, Hindawi Limited, Vol. 23, No. 3 ( 2022-05), p. 310-319
    Type of Medium: Online Resource
    ISSN: 1399-543X , 1399-5448
    URL: Issue
    URL: Article
    DOI: 10.1111/pedi.v23.3
    DOI: 10.1111/pedi.13318
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2022
    detail.hit.zdb_id: 2025536-6
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 12
    Online Resource
    Online Resource
    Innovative Approaches to Improve Public Health Practice in the Eastern Mediterranean Region: Findings From the Sixth Eastern Mediterranean Public Health Network Regional Conference
    JMIR Publications Inc. ; 2019
    In:  JMIR Public Health and Surveillance Vol. 5, No. 1 ( 2019-03-07), p. e11382-
    Details
    In: JMIR Public Health and Surveillance, JMIR Publications Inc., Vol. 5, No. 1 ( 2019-03-07), p. e11382-
    Type of Medium: Online Resource
    ISSN: 2369-2960
    URL: Article
    DOI: 10.2196/11382
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2019
    detail.hit.zdb_id: 2874192-4
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 13
    Online Resource
    Online Resource
    Severe Acute Respiratory Infections With Influenza and Noninfluenza Respiratory Viruses: Yemen, 2011-2016
    SAGE Publications ; 2019
    In:  INQUIRY: The Journal of Health Care Organization, Provision, and Financing Vol. 56 ( 2019-01), p. 004695801985073-
    Details
    In: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, SAGE Publications, Vol. 56 ( 2019-01), p. 004695801985073-
    Abstract: In 2010, Yemen started the surveillance for severe acute respiratory infections (SARIs) by establishing 2 sentinel sites in Sana’a and Aden city. This study aims to determine the proportions of influenza and noninfluenza viruses among SARI patients and to determine the severity of SARI and its associated factors. The data of SARI patients who were admitted to SARI surveillance sites at Al Johory hospital in Sana’a and Al Wahdah hospital in Aden city during the period 2011-2016 were analyzed. The proportions of positive influenza viruses (type A, B) and noninfluenza viruses (respiratory syncytial, adenovirus, human parainfluenza, and human metapneumovirus), intensive care unit (ICU) admission rate, and fatality rate among SARI patients were calculated. A total of 1811 of SARI patients were admitted during 2011-2016. Of those, 78% were 〈 15 years old. A total of 89 (5%) patients had influenza viruses and 655 (36%) had noninfluenza viruses. The overall ICU admission rate was 40% and the case-fatality rate was 8%. Infection by influenza type (A, B) and mixed (adenovirus, human parainfluenza) was significantly associated with lower ICU admission. Age 〈 15 years old, infection with influenza B, pre-existence of chronic diseases, and admission to Aden site were significantly associated with higher fatality rate among patients. In conclusion; SARI patients in Yemen had a high ICU admission and case-fatality rates. Influenza type B, chronic diseases, and admission to Aden site are associated with higher fatality rate. Expanding surveillance sites and panel of laboratory tests to involve other pathogens will help to provide accurate diagnosis for SARI etiology and give more comprehensive picture. Training staff for SARI case management will help to reduce severe outcomes.
    Type of Medium: Online Resource
    ISSN: 0046-9580 , 1945-7243
    URL: Article
    DOI: 10.1177/0046958019850731
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2019
    detail.hit.zdb_id: 2147137-X
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 14
    Online Resource
    Online Resource
    The Immunization Data Quality Assessment, Sana’a Capital, 2021
    JMIR Publications Inc. ; 2022
    In:  Iproceedings Vol. 8, No. 1 ( 2022-2-21), p. e36572-
    Details
    In: Iproceedings, JMIR Publications Inc., Vol. 8, No. 1 ( 2022-2-21), p. e36572-
    Abstract: The Expanded Program of Immunization (EPI) aims to increase immunization coverage. However, this cannot be achieved without an efficient data management system and without ensuring data quality. Objective We aimed to assess the quality of immunization data at Sana’a capital. Methods The World Health Organization data quality self-assessment tools were used. Three random urban districts and the only rural district (Bani-Al Hairth) at Sana’a capital were selected. From each district, one-third of the public health facilities (HFs) that were providing EPI services were randomly selected. Accuracy ratios (ARs), discrepancy levels (DLs), completeness, and timeliness were calculated from tally sheets and reports for Bacillus Calmette-Guerin (BCG) vaccines, third doses of pentavalent-3 (Penta-3) vaccines, and first doses of measles and rubella (MR-1) vaccines. The quality index was assessed for the five components (ie, recording and reporting, archiving, demographic information, core output/analysis, and using data for action) through a prestructured questionnaire. Results While the overall ARs and DLs for BCG, Penta-3, and MR-1 indicated overreporting at the HF level, there was overreporting for BCG and Penta-3 and underreporting for MR-1 at the district level. With regard to the overall quality index, recording and reporting achieved the highest score (90% and 96%, respectively), while using data for action had the lowest score (61% and 78%, respectively) at the HF and district levels. While completeness and timeliness were scored 100% at all HFs, both were inadequate at the Al-Sabain (93% and 99%, respectively) and Bani-Al Hairth (75% and 83%, respectively) districts. Conclusions The findings showed that the quality of immunization data in Sana’a capital’s HFs and districts was inadequate, with weaknesses in using data for action. Furthermore, completeness and timeliness were found to be unsatisfactory at the rural district and one of the urban districts. Ensuring data quality through strengthening the EPI data management system should be prioritized. Larger-scale and regular assessments of the EPI data management system are recommended.
    Type of Medium: Online Resource
    ISSN: 2369-6893
    URL: Article
    DOI: 10.2196/36572
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2022
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 15
    Online Resource
    Online Resource
    The Rotavirus Surveillance System in Yemen: Evaluation Study
    JMIR Publications Inc. ; 2021
    In:  JMIR Public Health and Surveillance Vol. 7, No. 6 ( 2021-6-8), p. e27625-
    Details
    In: JMIR Public Health and Surveillance, JMIR Publications Inc., Vol. 7, No. 6 ( 2021-6-8), p. e27625-
    Abstract: Rotavirus (RV) kills over 185,000 children 〈 5 years every year and is responsible for over one-third of all child diarrheal deaths worldwide. The Rotavirus Surveillance System (RVSS) in Yemen was launched in 2007 at five sentinel sites to monitor the impact of the vaccine on RV morbidity and mortality. Objective This study aimed to determine the usefulness of the RVSS, assess its performance, and identify the strengths and weaknesses of its implementation. Methods The Centers for Disease Control and Prevention’s updated guidelines on evaluating a public health surveillance system were used to evaluate the RVSS. In this assessment, qualitative indicators, such as usefulness, flexibility, stability, simplicity, and acceptability, were assessed through in-depth interviews with stakeholders at the central level and semistructured questionnaires with the sentinel site coordinators. The indicators for quantitative attributes—sensitivity, positive predictive value (PPV), completeness, and timeliness—were assessed by reviewing the results of laboratory samples and a random sample of case report forms. The scores for the indicators were expressed as poor ( 〈 60%), average (60% to 〈 80%), and good (≥80%). Results The overall usefulness score of the RVSS was 73%, indicating an average rank. The RVSS was rated as having good flexibility (91%) and stability (81%), and average simplicity (77%) and acceptability (76%). In terms of quantitative attributes, the system was poor for sensitivity (16%), average for PPV (73%), and good for completeness (100%) and timeliness (100%). Conclusions Although the system attributes were flexible, stable, capable of providing quality data, and performing timely data reporting, some attributes still needed improvements (eg, usefulness, simplicity, acceptability, and PPV). There is a need for a gradual replacement of donor funds with government funds to ensure sustainability. The RVSS in Yemen strongly requires a progressive increase in the number of sites in governorates and sensitivity enhancement.
    Type of Medium: Online Resource
    ISSN: 2369-2960
    URL: Article
    DOI: 10.2196/27625
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2021
    detail.hit.zdb_id: 2874192-4
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 16
    Online Resource
    Online Resource
    Table_1.DOCX
    Frontiers Media SA ; 2023
    In:  Frontiers in Public Health Vol. 11 ( 2023-5-26)
    Details
    In: Frontiers in Public Health, Frontiers Media SA, Vol. 11 ( 2023-5-26)
    Abstract: The Public Health Empowerment Program (PHEP) is a 3-month training program for frontline public health staff to improve surveillance quality and strengthen the early warning system capacities. Studies evaluating the program and its impact on the health systems in the Eastern Mediterranean Region (EMR) are lacking. Therefore, this study aimed to assess the level of PHEP graduates’ engagement in field epidemiology activities, assess their perceived skills and capacity to perform these activities and assess the extent to which PHEP helped the graduates to perform field epidemiology activities. Methods: A descriptive evaluation study was conducted based on levels 3 and 4 of Kirkpatrick’s model for evaluating training programs to assess the change in graduates’ behavior and the direct results of the program. Data were collected using two online surveys targeting PHEP graduates and programs’ directors/ technical advisers. Results: A total of 162 PHEP graduates and 8 directors/ technical advisers participated in the study. The majority of PHEP graduates reported that they are often involved in activities such as responding to disease outbreaks effectively (87.7%) and monitoring surveillance data collection (75.3%). High proportions of PHEP graduates rated their skills as good in performing most of field epidemiology activities. The majority of graduates reported that the PHEP helped them much in conducting, reviewing, and monitoring surveillance data collection (92%), responding effectively to public health events and disease outbreaks (91.4%), and communicating information effectively with agency staff and with the local community (85.2%). Conclusion: PHEP appears to be an effective program for improving the public health workforce’s skills and practices in epidemiological competencies in the EMR. PHEP strengthened the engagement of the graduates in most field epidemiology activities, especially during COVID-19.
    Type of Medium: Online Resource
    ISSN: 2296-2565
    URL: Article
    URL: Article
    DOI: 10.3389/fpubh.2023.1180678
    DOI: 10.3389/fpubh.2023.1180678.s001
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2023
    detail.hit.zdb_id: 2711781-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 17
    Online Resource
    Online Resource
    The global case fatality rate of coronavirus disease 2019 by continents and national income: A meta‐analysis
    Wiley ; 2022
    In:  Journal of Medical Virology Vol. 94, No. 6 ( 2022-06), p. 2402-2413
    Details
    In: Journal of Medical Virology, Wiley, Vol. 94, No. 6 ( 2022-06), p. 2402-2413
    Abstract: Europe showed the highest COVID‐19 case fatality rate (CFR) until mid‐October 2020, and North America and South America follows. Asia showed the highest CFR since the first confirmed case of COVID‐19 emerged, however, it had shown a declining tendency since March 2020. CFRs in high‐income countries showed an explosive increase compared with those in low‐income countries, which can be interpreted as due to the under‐reporting of mortality cases from COVID‐19.
    Type of Medium: Online Resource
    ISSN: 0146-6615 , 1096-9071
    URL: Issue
    URL: Article
    DOI: 10.1002/jmv.v94.6
    DOI: 10.1002/jmv.27610
    RVK:
    XA 10000
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 752392-0
    detail.hit.zdb_id: 1475090-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 18
    Online Resource
    Online Resource
    Awareness and Preparedness of Field Epidemiology Training Program Graduates to Respond to COVID-19 in the Eastern Mediterranean Region: Cross-Sectional Study
    JMIR Publications Inc. ; 2020
    In:  JMIR Medical Education Vol. 6, No. 1 ( 2020-9-18), p. e19047-
    Details
    In: JMIR Medical Education, JMIR Publications Inc., Vol. 6, No. 1 ( 2020-9-18), p. e19047-
    Abstract: The Field Epidemiology Training Program (FETP) is a 2-year training program in applied epidemiology. FETP graduates have contributed significantly to improvements in surveillance systems, control of infectious diseases, and outbreak investigations in the Eastern Mediterranean Region (EMR). Objective Considering the instrumental roles of FETP graduates during the coronavirus disease (COVID-19) crisis, this study aimed to assess their awareness and preparedness to respond to the COVID-19 pandemic in three EMR countries. Methods An online survey was sent to FETP graduates in the EMR in March 2020. The FETP graduates were contacted by email and requested to fill out an online survey. Sufficient number of responses were received from only three countries—Jordan, Sudan, and Yemen. A few responses were received from other countries, and therefore, they were excluded from the analysis. The questionnaire comprised a series of questions pertaining to sociodemographic characteristics, knowledge of the epidemiology of COVID-19, and preparedness to respond to COVID-19. Results This study included a total of 57 FETP graduates (20 from Jordan, 13 from Sudan, and 24 from Yemen). A total of 31 (54%) graduates had attended training on COVID-19, 29 (51%) were members of a rapid response team against COVID-19, and 54 (95%) had previous experience in response to disease outbreaks or health emergencies. The vast majority were aware of the main symptoms, mode of transmission, high-risk groups, and how to use personal protective equipment. A total of 46 (81%) respondents considered themselves well prepared for the COVID-19 outbreak, and 40 (70%) reported that they currently have a role in supporting the country’s efforts in the management of COVID-19 outbreak. Conclusions The FETP graduates in Jordan, Sudan, and Yemen were fully aware of the epidemiology of COVID-19 and the safety measures required, and they are well positioned to investigate and respond to the COVID-19 pandemic. Therefore, they should be properly and efficiently utilized by the Ministries of Health to investigate and respond to the current COVID-19 crisis where the needs are vastly growing and access to outside experts is becoming limited.
    Type of Medium: Online Resource
    ISSN: 2369-3762
    URL: Article
    DOI: 10.2196/19047
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2020
    detail.hit.zdb_id: 2874582-6
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 19
    Online Resource
    Online Resource
    Health System Resilience in the Eastern Mediterranean Region: Perspective on the Recent Lessons Learned
    JMIR Publications Inc. ; 2022
    In:  Interactive Journal of Medical Research Vol. 11, No. 2 ( 2022-12-21), p. e41144-
    Details
    In: Interactive Journal of Medical Research, JMIR Publications Inc., Vol. 11, No. 2 ( 2022-12-21), p. e41144-
    Abstract: Public health has a pivotal role in strengthening resilience at individual, community, and system levels as well as building healthy communities. During crises, resilient health systems can effectively adapt in response to evolving situations and reduce vulnerability across and beyond the systems. To engage national, regional, and international public health entities and experts in a discussion of challenges hindering achievement of health system resilience (HSR) in the Eastern Mediterranean Region, the Eastern Mediterranean Public Health Network (EMPHNET) held its seventh regional conference in Amman, Jordan, between November 15 and 18, 2021, under the theme “Towards Resilient Health Systems in the Eastern Mediterranean: Breaking Barriers.” This viewpoint paper portrays the roundtable discussion of experts on the core themes of that conference. Objective Our aim was to provide insights on lessons learned from the past and explore new opportunities to attain more resilient health systems to break current barriers. Methods The roundtable brought together a panel of public health experts representing Field Epidemiology Training Programs (FETPs), Centers for Disease Control and Prevention in Atlanta, World Health Organization, EMPHNET, universities or academia, and research institutions at regional and global levels. To set the ground, the session began with four 10-12–minute presentations introducing the concept of HSR and its link to workforce development with an overall reflection on the matter and lessons learned through collective experiences. The presentations were followed by an open question and answer session to allow for an interactive debate among panel members and the roundtable audience. Results The panel discussed challenges faced by health systems and lessons learned in times of the new public health threats to move toward more resilient health systems, overcome current barriers, and explore new opportunities to enhance the HSR. They presented field experiences in building resilient health systems and the role of FETPs with an example from Yemen FETP. Furthermore, they debated the lessons learned from COVID-19 response and how it can reshape our thinking and strategies for approaching HSR. Finally, the panel discussed how health systems can effectively adapt and prosper in the face of challenges and barriers to recover from extreme disruptions while maintaining the core functions of the health systems. Conclusions Considering the current situation in the region, there is a need to strengthen both pandemic preparedness and health systems, through investing in essential public health functions including those required for all-hazards emergency risk management. Institutionalized mechanisms for whole-of-society engagement, strengthening primary health care approaches for health security and universal health coverage, as well as promoting enabling environments for research, innovation, and learning should be ensured. Investing in building epidemiological capacity through continuous support to FETPs to work toward strengthening surveillance systems and participating in regional and global efforts in early response to outbreaks is crucial.
    Type of Medium: Online Resource
    ISSN: 1929-073X
    URL: Article
    DOI: 10.2196/41144
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2022
    detail.hit.zdb_id: 2697014-4
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 20
    Online Resource
    Online Resource
    Evaluation of Blood Transfusion Services in Public and Private Blood Bank Centers, Sana’a Capital, Yemen
    SAGE Publications ; 2019
    In:  INQUIRY: The Journal of Health Care Organization, Provision, and Financing Vol. 56 ( 2019-01), p. 004695801987094-
    Details
    In: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, SAGE Publications, Vol. 56 ( 2019-01), p. 004695801987094-
    Abstract: The aim of this study was to evaluate blood transfusion services (BTS) at the main blood banks (BBs) of the Sana’a Capital. The 4 main BBs at Sana’a Capital were evaluated according to the safe World Health Organization BTS standards. Qualitative and quantitative data were collected using semi-structured questionnaires covering 6 components: activities, quality assurance system (QAS) and training, donation, grouping and compatibility testing, components, and screening for transfusion-transmitted infections (TTIs). An overall mean percent score for BTS was calculated where 〈 60% is considered unsatisfactory, 60% to 79.9% satisfactory, and ≥80% highly satisfactory. The 4 BBs screen for HIV, hepatitis B, and hepatitis C and perform all functions except therapeutic transfusion. While 75% of the staff in BBs had received training in biosafety and half of the staff had received training in Standard Operating Procedures (SOPs), no QAS in place at any of the 4 BBs. The 4 BBs depended on 71% of their transfusions on family donors. Two BBs do not perform reverse grouping and do not keep patient/donor samples for the required minimum 5 days. Only one BB achieved an overall high satisfactory score and one achieved a satisfactory score. Findings highlight the increasing challenges facing BTS in Sana’a Capital especially the lack of therapeutic transfusion, poor QAS, and predominant dependence on the family donors. Therefore, there is a need to develop and train staff on QAS and to increase awareness among public on importance of voluntary donation. A wider scale evaluation of BTS in Sana’a is recommended.
    Type of Medium: Online Resource
    ISSN: 0046-9580 , 1945-7243
    URL: Article
    DOI: 10.1177/0046958019870943
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2019
    detail.hit.zdb_id: 2147137-X
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...