First steps towards interprofessional health practice in Tanzania: an educational experiment in rural Bagamoyo district.

Abstract:

:Health workers in Tanzania struggle to provide adequate health care for populations with high maternal, neonatal, and child mortality and high prevalence of communicable and non-communicable diseases. There are longstanding shortages of staff and resources. Universities are training more health professionals and revising curricula to be sure that staff have the specific skills needed to work in rural districts. This includes training people from different disciplines to work more effectively together. While teamwork is important in all settings, it is particularly critical in rural areas where there are few trained professionals. The health professional schools at Muhimbili University of Health and Allied Sciences (MUHAS) developed curricula that share common competencies to promote interprofessional cooperation. In this article, we describe a pilot program developed by MUHAS to train its professional students (dentists, doctors, environmental health officers, nurses, and pharmacists) to work collaboratively with each other and with other health staff at the district level. We describe the reactions of participants, and identify some considerations for taking such an exercise to scale for education.

journal_name

J Public Health Policy

authors

Leshabari S,Lubbock LA,Kaijage H,Kalala W,Koehler G,Massawe S,Muganyizi P,Macfarlane SB,O'Sullivan PS

doi

10.1057/jphp.2012.49

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

S138-49

eissn

0197-5897

issn

1745-655X

pii

jphp201249

journal_volume

33 Suppl 1

pub_type

杂志文章
  • An analysis of China's national essential medicines policy.

    abstract::Although China embraced the concept of essential medicines in 1979 and issued its first National Essential Medicines List in 1982, until recently China has lacked a comprehensive national essential drug policy. In its most recent health-care reform (2009-2012), the Chinese government explicitly proposed the establishm...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2011.34

    authors: Guan X,Liang H,Xue Y,Shi L

    更新日期:2011-08-01 00:00:00

  • In the shadow of HIV/AIDS: forgotten diseases in sub-Saharan Africa: global health issues and funding agency responsibilities.

    abstract::The HIV/AIDS pandemic has generated international solidarity, particularly with sub-Saharan Africa. The mainly vertical approach to this challenge has, however, mobilized so much attention and so many resources that other crucial public health problems, such as chronic viral hepatitis and non-communicable diseases (NC...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2012.29

    authors: Lemoine M,Girard PM,Thursz M,Raguin G

    更新日期:2012-11-01 00:00:00

  • The impact of hand, foot and mouth disease control policies in Singapore: A qualitative analysis of public perceptions.

    abstract::Hand foot and mouth disease (HFMD) is a widespread pediatric disease in Asia. Most cases are relatively mild and caused by Coxsackie viruses, but in epidemics caused by Enterovirus 71, severe complications can occur. In response to the deaths of dozens of children in a 1997 outbreak (Podin in BMC Public Health 6:180,1...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/s41271-017-0066-z

    authors: Siegel K,Cook AR,La H

    更新日期:2017-05-01 00:00:00

  • Tobacco control and trade policy: proactive strategies for integrating policy norms.

    abstract::Palpable tension continues at the intersection of tobacco control and trade policy. Through consideration of four major tobacco control-related trade disputes, we suggest how to empower public health proponents in the face of entrenched economic policymaking norms. We argue that a more effective pro-tobacco control me...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2012.36

    authors: Drope J,Lencucha R

    更新日期:2013-01-01 00:00:00

  • Lessons from SARS and H1N1/A: employing a WHO-WTO forum to promote optimal economic-public health pandemic response.

    abstract::No formal system exists to review trade restrictions imposed during international public health emergencies rapidly. Failure to put one in place creates disincentives for surveillance and reporting, thereby undermining protection efforts. The 2003 SARS outbreak exposed weaknesses in global governance that caused uncoo...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2011.51

    authors: Mackey TK,Liang BA

    更新日期:2012-02-01 00:00:00

  • Air pollution control and the occurrence of acute respiratory illness in school children of Quito, Ecuador.

    abstract::Because of air quality management and control, traffic-related air pollution has declined in Quito, Ecuador. We evaluated the effect of a city-wide 5-year air pollution control program on the occurrence of acute respiratory illness (ARI). We compared two studies conducted at the same location in Quito: in 2000, 2 year...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/s41271-018-0148-6

    authors: Estrella B,Sempértegui F,Franco OH,Cepeda M,Naumova EN

    更新日期:2019-03-01 00:00:00

  • Toward universal human papillomavirus vaccination for adolescent girls in Hong Kong: a policy analysis.

    abstract::Studies have assessed early population-level impact of human papillomavirus (HPV) vaccination programs for preventing cervical cancer. Through a case study in Hong Kong we examined stakeholder engagement and interactions to promote a universal HPV vaccination program using the Health Policy Triangle framework for stru...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/s41271-020-00220-7

    authors: Chen R,Wong E,Wu L,Zhu Y

    更新日期:2020-06-01 00:00:00

  • Estimating costs of traffic crashes and crime: tools for informed decision making.

    abstract::Traffic crashes and crime both impose significant economic and social burdens through injury and loss of life, as well as property damage and loss. Efforts to reduce crashes and crime often result in competing demands on limited public resources. Comparable and up-to-date cost data on crashes and crime contribute to i...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:

    authors: Streff FM,Molnar LJ,Cohen MA,Miller TR,Rossman SB

    更新日期:1992-01-01 00:00:00

  • Does a liberal national transfusion law assure blood safety? A survey of blood bank directors' perspectives in Lebanon.

    abstract::In transfusion medicine today, 'zero risk' has become a universal objective. Thus, we investigated whether the level of blood safety as defined by Lebanese legislation is satisfactory. Our work covered the period from September 2008 to June 2012. First, we studied each chapter in law and regulations, and compared them...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2013.33

    authors: Haddad A,Bou Assi T,Ammar W,Baz E

    更新日期:2013-11-01 00:00:00

  • Occupational health: a classic example of class conflict.

    abstract::The history of class conflict in occupational health in the United States is illustrated by the current Pittston Company attack on coal miners' health benefits, the silicosis and asbestosis controversies, the corporate restrictions on state workers' compensation laws, and the unremitting management opposition to the f...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:

    authors: Kerr LE

    更新日期:1990-04-01 00:00:00

  • Reflections on health-care reforms in South Africa.

    abstract::We describe an economic framework, including demand- and supply-side factors, for approaching the analysis and planning of health system reform in South Africa, in order to avoid piecemeal debates. We argue that there is an urgent need to re-engineer the way health facilities are internally organized to achieve better...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2011.31

    authors: Ruff B,Mzimba M,Hendrie S,Broomberg J

    更新日期:2011-01-01 00:00:00

  • The fight against overweight and obesity in school children: Public policy in Mexico.

    abstract::Excess weight in schoolchildren is a serious health problem in Mexico. In 2010, the government established General Guidelines for Dispensing or Distribution of Foods and Beverages at School Food Establishments (SFEs) in Elementary Schools with the objective of stopping the epidemic of overweight and obesity. This stud...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/s41271-017-0090-z

    authors: Jiménez-Aguilar A,Morales-Ruán MDC,López-Olmedo N,Théodore F,Moreno-Saracho J,Tolentino-Mayo L,Bonvecchio A,Hernández-Ávila M,Rivera JA,Shamah-Levy T

    更新日期:2017-11-01 00:00:00

  • A cross-cultural comparison of population gambling patterns and regulatory frameworks: France and Québec.

    abstract::Few empirical studies have examined the relationships between differing regulatory approaches and patterns of gambling behaviors. This article reports on a correlational cross-cultural comparison of differences in the regulatory approaches and gambling behavior among general adult populations in France and Québec, Can...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2016.20

    authors: Kairouz S,Paradis C,Nadeau L,Tovar ML,Pousset M

    更新日期:2016-12-01 00:00:00

  • Tobacco harm reduction: are smokers becoming more hardcore?

    abstract::We undertook a systematic review to identify and summarise studies on hardcore smoking and hardening to: determine the degree of variability in definitions of hardcore smoking and hardening; assess the evidence for claims that smokers are becoming increasingly hardened within the context of harm reduction as a policy ...

    journal_title:Journal of public health policy

    pub_type: 杂志文章,评审

    doi:10.1057/s41271-020-00226-1

    authors: Buchanan T,Magee CA,V See H,Kelly PJ

    更新日期:2020-09-01 00:00:00

  • Finding common ground: how public health can work with organized labor to protect workers from environmental tobacco smoke. National Association for Public Health Policy.

    abstract::Tobacco is not and does not have to be a high priority for all segments of organized labor, but public health advocates should continue to promote the issue and find segments which are open to collaborative efforts to protect workers' health. Even in those unions representing workers for whom smoking and ETS pose a lo...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:1997-01-01 00:00:00

  • Building capacities of elected national representatives to interpret and to use evidence for health-related policy decisions: a case study from Botswana.

    abstract::Elected national representatives make decisions to fund health programmes, but may lack skills to interpret evidence on health-related topics. In 2011, we surveyed the 61 members of Botswana's Parliament about their use of epidemiological evidence, then provided two half-days of training about using evidence. We inclu...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2014.30

    authors: Cockcroft A,Masisi M,Thabane L,Andersson N

    更新日期:2014-11-01 00:00:00

  • Securing support for eye health policy in low- and middle-income countries: identifying stakeholders through a multi-level analysis.

    abstract::This article empirically evaluates advocacy in low- and middle-income countries as a key tool for raising policy priority and securing high-level decision maker support in eye health. We used a unique data set based on a survey conducted by World Health Organization in 2011 on eye care and prevention of blindness in 8...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2013.40

    authors: Morone P,Camacho Cuena E,Kocur I,Banatvala N

    更新日期:2014-05-01 00:00:00

  • Limitations of occupational air contaminant standards, as exemplified by the neurotoxin N-hexane.

    abstract::Available industry guidelines and federal standards have failed to fully protect workers from chemical toxicity: none exist for most chemicals, many are biased toward what can easily be achieved, and many were developed long after health consequences became evident. Limitations of occupational air contaminant standard...

    journal_title:Journal of public health policy

    pub_type: 杂志文章,评审

    doi:

    authors: Lanska DJ

    更新日期:1999-01-01 00:00:00

  • Worldwide need for a comprehensive database of stability data for pharmaceuticals stored in uncontrolled environments.

    abstract::Developing a database to compile all known, relevant information on the stability of pharmaceuticals in tropical environments would vastly increase access to this information, improving safety and reducing cost. Many studies have examined the stability of pharmaceuticals stored under conditions that exceed manufacture...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2013.16

    authors: Evans A,Knehans A

    更新日期:2013-08-01 00:00:00

  • Enforcement of the legal minimum drinking age in the United States.

    abstract::We studied patterns and levels of enforcement of the legal drinking age in the United States. Major findings include: (1) rates of enforcement of the legal drinking age are very low; (2) actions against outlets or adults providing alcohol to youth are particularly rare; (3) two of every thousand occasions of illegal d...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:

    authors: Wagenaar AC,Wolfson M

    更新日期:1994-04-01 00:00:00

  • Laboratory epidemiologist: skilled partner in field epidemiology and disease surveillance in Kenya.

    abstract::Although for over 20 years the Field Epidemiology Training Programs (FETPs) have provided a model for building epidemiology capacity in Ministries of Health worldwide, the model does not address laboratory training and its integration with epidemiology. To overcome this, Kenya added a laboratory management component i...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2008.3

    authors: Kariuki Njenga M,Traicoff D,Tetteh C,Likimani S,Oundo J,Breiman R,Nyamongo J,Burke H,Nsubuga P,White ME

    更新日期:2008-07-01 00:00:00

  • Development of an environmental health addendum to the Assessment Protocol for Excellence in Public Health.

    abstract::This paper discusses the process used to develop an environmental health addendum to the Assessment Protocol for Public Health (APEX/PH). Local health departments in Washington State are undertaking a trial program utilizing APEX/PH. The environmental health addendum was developed in response to the paucity of environ...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:

    authors: McDonald TL,Treser CD,Hatlen JB

    更新日期:1994-07-01 00:00:00

  • Policy alternatives for reducing tobacco sales to minors: results from a national survey of retail chain and franchise stores.

    abstract::Minors' access to tobacco has become an important public health issue. Little is known, however, about the knowledge, attitudes, beliefs, and behavior toward access among executives from businesses that sell tobacco. This study examined access from the perspective of corporate and regional headquarters of retail chain...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:

    authors: Altman DG,Linzer J,Kropp R,Descheemaeker N,Feighery E,Fortmann SP

    更新日期:1992-10-01 00:00:00

  • Failed drug policies in the United States and the future of AIDS: a perfect storm.

    abstract::How much could US policies have reduced the initial growth of the epidemic had we moved earlier to institute Harm Reduction drug policies such as needle exchange programs for injecting drug users? The US Centers for Disease Control estimates 50 000 HIV infections annually in the United States (156 per million populati...

    journal_title:Journal of public health policy

    pub_type: 历史文章,杂志文章

    doi:10.1057/jphp.2012.16

    authors: Drucker E

    更新日期:2012-08-01 00:00:00

  • The role of peanut-free school policies in the protection of children with peanut allergy.

    abstract::Peanut allergy that affects 1.4-4.5% of North American children, has increased in prevalence in the past 20 years, is often diagnosed early in life, and outgrown in fewer than 20-32% of children by age 6. Recent self-reported data suggest that over 50% of peanut allergic individuals have had a severe reaction. Because...

    journal_title:Journal of public health policy

    pub_type: 杂志文章,评审

    doi:10.1057/s41271-019-00216-y

    authors: Abrams EM,Greenhawt M

    更新日期:2020-06-01 00:00:00

  • European Union public opinion on policy measures to address childhood overweight and obesity.

    abstract::Increases in pediatric overweight and obesity throughout the European Union (EU) generate concern because of the many associated co-morbidities, psychosocial effects, and economic costs. A variety of policy approaches have been implemented, but counteracting weight gain has proven challenging. Do differences in public...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/jphp.2010.44

    authors: Suggs LS,McIntyre C

    更新日期:2011-02-01 00:00:00

  • Improving transfer task practices used with air travelers with mobility impairments: a systematic literature review.

    abstract::Manual lifting in healthcare and air transportation is a high-risk activity and a primary cause of musculoskeletal injuries for workers who are required to provide transfer assistance to people with mobility impairments. In the healthcare industry, safe patient-handling programs and policies are accepted as effective ...

    journal_title:Journal of public health policy

    pub_type: 杂志文章,评审

    doi:10.1057/jphp.2013.48

    authors: Fadul RM,Brown LM,Powell-Cope G

    更新日期:2014-02-01 00:00:00

  • Pro-drinking messages and message environments for young adults: the case of alcohol industry advertising in African American, Latino, and Native American communities.

    abstract::This paper examines targeted alcohol advertising in three ethnic communities: African Americans, Latinos, and Native Americans in the U.S. We focus on the appropriation of cultural systems and the reinvention of them as commodities to consumers. We outline the specific strategies used in each ethnic community. For Afr...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:

    authors: Alaniz ML,Wilkes C

    更新日期:1998-01-01 00:00:00

  • National health care reform minus public health: a formula for failure.

    abstract::Universal access to medical services will not address all important health needs. Impending health care reform, guided by public health strategies, could achieve many previously unattainable health goals. However, such a public health role seems unlikely. Public health reaches beyond the current popular notion of prev...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:

    authors: Freeman P,Robbins A

    更新日期:1994-10-01 00:00:00

  • Multilevel analysis of individual and community predictors of smoking prevalence and frequency in China: 1991-2004.

    abstract::This study uses a series of nationally representative samples from China. We studied more than 4,000 households to explore factors associated with both the prevalence and the frequency of cigarette smoking over 13 years between 1991 and 2004. By introducing variables at both the individual and the community level, we ...

    journal_title:Journal of public health policy

    pub_type: 杂志文章

    doi:10.1057/palgrave.jphp.3200163

    authors: Pan Z,Hu D

    更新日期:2008-04-01 00:00:00