Delivering Healthcare in an Environment of Poverty and Exclusion: A Lesson From the Base of the Pyramid

Sanabria, T

doi:10.1016/j.amjmed.2013.07.011

“…The low rate of usage of epinephrine is consistent with other studies [ 21 - 24 ], which report administration of epinephrine in less then 50% of cases where it is indicated.…”

Section: Discussionsupporting

confidence: 90%

Accidental exposures to peanut in a large cohort of Canadian children with peanut allergy

Cherkaoui

¹

,

Ben‐Shoshan

²

,

Alizadehfar

³

et al. 2015

Clinical & Translational All

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BackgroundWe previously estimated that the annual rate of accidental exposure to peanut in 1411 children with peanut allergy, followed for 2227 patient-years, was 11.9% (95% CI, 10.6, 13.5). This cohort has increased to 1941 children, contributing 4589 patient-years, and we determined the annual incidence of accidental exposure, described the severity, management, location, and identified associated factors.FindingsChildren with physician-confirmed peanut allergy were recruited from Canadian allergy clinics and allergy advocacy organizations from 2004 to May 2014. Parents completed questionnaires regarding accidental exposure to peanut over the preceding year. Five hundred and sixty-seven accidental exposures occurred in 429 children over 4589 patient-years, yielding an annual incidence rate of 12.4% (95% CI, 11.4, 13.4). Of 377 accidental exposures that were moderate or severe, only 109 (28.9%) sought medical attention and of these 109, only 40 (36.7%) received epinephrine. Of the 181 moderate/severe accidental exposures treated outside a health care facility, only 11.6% received epinephrine. Thirty-seven percent of accidental exposures occurred at home. In multivariate analyses, longer disease duration, recruitment through an allergy advocacy association, and having other food allergies decreased the likelihood of accidental exposures. Age ≥ 13 years at study entry and living with a single parent increased the risk.ConclusionDespite increased awareness, accidental exposures continue to occur, mainly at home, and most are managed inappropriately by both health care professionals and caregivers. Consequently, more education is required on the importance of strict allergen avoidance and the need for prompt and correct management of anaphylaxis.Electronic supplementary materialThe online version of this article (doi:10.1186/s13601-015-0055-x) contains supplementary material, which is available to authorized users.

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Developing SMS Health Messages for Pregnant Indigenous Australians Using Persuasive Technology

George

¹

2016

Improving Health Management Through Clinical Decision Support Systems

2

0

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While developed nations search for solutions to pay for the increasing financial burden of healthcare, developing nations provide a way forward in the deployment of innovative healthcare. Mobile SMS programs are low-cost and effective in supporting health services. Having been successfully used to address lifestyle factors directly affecting maternal outcomes, such as: smoking, physical activity, nutrition, substance use and psychological stressors. Of primary importance in the development of SMS behavior change programs to support the maternal healthcare of Indigenous Australian women, is cultural appropriateness; specifically, the cultural notion of ‘women's business'. In traditional Indigenous Australian culture, it is senior women who teach young women about maternal health and it is considered offensive for anyone other than a senior woman to instruct women on such matters. This discussion will consider the challenges in developing maternal healthcare SMS messages that aim to satisfy both the culturally sensitive requirements in addition to the medical requirements.

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Developing SMS Health Messages for Pregnant Indigenous Australians Using Persuasive Technology

George

¹

Public Health and Welfare

0

View full text Add to dashboard Cite

While developed nations search for solutions to pay for the increasing financial burden of healthcare, developing nations provide a way forward in the deployment of innovative healthcare. Mobile SMS programs are low-cost and effective in supporting health services. Having been successfully used to address lifestyle factors directly affecting maternal outcomes, such as: smoking, physical activity, nutrition, substance use and psychological stressors. Of primary importance in the development of SMS behavior change programs to support the maternal healthcare of Indigenous Australian women, is cultural appropriateness; specifically, the cultural notion of ‘women's business'. In traditional Indigenous Australian culture, it is senior women who teach young women about maternal health and it is considered offensive for anyone other than a senior woman to instruct women on such matters. This discussion will consider the challenges in developing maternal healthcare SMS messages that aim to satisfy both the culturally sensitive requirements in addition to the medical requirements.

show abstract

Delivering Healthcare in an Environment of Poverty and Exclusion: A Lesson From the Base of the Pyramid

Cited by 3 publications

References 4 publications

Accidental exposures to peanut in a large cohort of Canadian children with peanut allergy

Accidental exposures to peanut in a large cohort of Canadian children with peanut allergy

Developing SMS Health Messages for Pregnant Indigenous Australians Using Persuasive Technology

Developing SMS Health Messages for Pregnant Indigenous Australians Using Persuasive Technology

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