Strengthening capacity to research the social determinants of health in low- and middle-income countries: lessons from the INTREC programme.

Abstract:

BACKGROUND:The INDEPTH Training & Research Centres of Excellence (INTREC) collaboration developed a training programme to strengthen social determinants of health (SDH) research in low- and middle-income countries (LMICs). It was piloted among health- and demographic researchers from 9 countries in Africa and Asia. The programme followed a blended learning approach and was split into three consecutive teaching blocks over a 12-month period: 1) an online course of 7 video lectures and assignments on the theory of SDH research; 2) a 2-week qualitative and quantitative methods workshop; and 3) a 1-week data analysis workshop. This report aims to summarise the student evaluations of the pilot and to suggest key lessons for future approaches to strengthen SDH research capacity in LMICs. METHODS:Semi-structured interviews and questionnaires with 24 students from 9 countries in Africa and Asia were used to evaluate each teaching block. Information was collected about the students' motivation and interest in studying SDH, any challenges they faced during the consecutive teaching blocks, and suggestions they had for future courses on SDH. RESULTS:Of the 24 students who began the programme, 13 (54%) completed all training activities. The students recognised the need for such a course and its potential to improve their skills as health researchers. The main challenges with the online course were time management, prior knowledge and skills required to participate in the course, and the need to get feedback from teaching staff throughout the learning process. All students found the face-to-face workshops to be of high quality and value for their work, because they offered an opportunity to clarify SDH concepts taught during the online course and to gain practical research skills. After the final teaching block, students felt they had improved their data analysis skills and were better able to develop research proposals, scientific manuscripts, and policy briefs. CONCLUSIONS:The INTREC programme has trained a promising cadre of health researchers who live and work in LMICs, which is an essential component of efforts to identify and reduce national and local level health inequities. Time management and technological issues were the greatest challenges, which can inform future attempts to strengthen research capacity on SDH.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Henschke N,Mirny A,Haafkens JA,Ramroth H,Padmawati S,Bangha M,Berkman L,Trisnantoro L,Blomstedt Y,Becher H,Sankoh O,Byass P,Kinsman J

doi

10.1186/s12889-017-4399-0

subject

Has Abstract

pub_date

2017-05-25 00:00:00

pages

514

issue

1

issn

1471-2458

pii

10.1186/s12889-017-4399-0

journal_volume

17

pub_type

杂志文章
  • Consumers' salient beliefs regarding dairy products in the functional food era: a qualitative study using concepts from the theory of planned behaviour.

    abstract:BACKGROUND:Inadequate consumption of dairy products without appropriate dietary substitution may have deleterious health consequences. Social research reveals the factors that may impede compliance with dietary recommendations. This is particularly important given the recent introduction of functional dairy products. O...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-11-843

    authors: Nolan-Clark DJ,Neale EP,Probst YC,Charlton KE,Tapsell LC

    更新日期:2011-11-03 00:00:00

  • Assessing the construct validity and reliability of the Parental Perception on Antibiotics (PAPA) scales.

    abstract:BACKGROUND:The overuse of antibiotics is becoming an increasing concern. Antibiotic resistance, which increases both the burden of disease, and the cost of health services, is perhaps the most profound impact of antibiotics overuse. Attempts have been made to develop instruments to measure the psychosocial constructs u...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-73

    authors: Alumran A,Hou XY,Sun J,Yousef AA,Hurst C

    更新日期:2014-01-23 00:00:00

  • Adverse influence of multilevel socioeconomic status on physical activity: results from a national survey in Vietnam.

    abstract:BACKGROUND:This study aims to explore associations of individual- and provincial-level socioeconomic status (SES) and the combined interaction among these SES with individual physical activity (PA). METHOD:This analyze used data of 3068 Vietnamese people aged 18-65 years from the national representative STEPS survey i...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-08695-5

    authors: Vu THL,Bui TTQ,Nguyen TKN,Hoang VM

    更新日期:2020-04-25 00:00:00

  • Fruits and vegetables at home (FLAM): a randomized controlled trial of the impact of fruits and vegetables vouchers in children from low-income families in an urban district of France.

    abstract:BACKGROUND:Fruits and Vegetables (FV) consumption is considered a marker of social inequalities in health since it is considerably decreased in disadvantaged populations. The main objective of this trial was to evaluate the impact of vouchers for FV purchase on the consumption of FV among children living in disadvantag...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12889-018-5908-5

    authors: Buscail C,Margat A,Petit S,Gendreau J,Daval P,Lombrail P,Hercberg S,Latino-Martel P,Maurice A,Julia C

    更新日期:2018-08-28 00:00:00

  • Factors associated with malaria infection in Mudzi District, Mashonaland East Zimbabwe, 2019: a case-control study.

    abstract:BACKGROUND:Kondo Rural Health Centre recorded 27 malaria patients between the 27th of January 2019 and the 2nd of February 2019 against an epidemic threshold of 19 with the malaria outbreak being confirmed on the 5th of February 2019. Indoor residual spraying as part of integrated vector management control activities h...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09872-2

    authors: Masango TT,Nyadzayo TK,Gombe NT,Juru TP,Shambira G,Chiwanda S,Tshimanga MT

    更新日期:2020-11-19 00:00:00

  • What physicians want to learn about sickness certification: analyses of questionnaire data from 4019 physicians.

    abstract:BACKGROUND:Sickness absence is a problem in many Western countries. Physicians have an essential role in sickness certification of patients, which is often recommended in health care but may have side effects. Despite the potentially harming impact of sickness absence, physicians have very limited training in insurance...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-10-61

    authors: Löfgren A,Hagberg J,Alexanderson K

    更新日期:2010-02-09 00:00:00

  • Relationship of obesity to physical activity, domestic activities, and sedentary behaviours: cross-sectional findings from a national cohort of over 70,000 Thai adults.

    abstract:BACKGROUND:Patterns of physical activity (PA), domestic activity and sedentary behaviours are changing rapidly in Asia. Little is known about their relationship with obesity in this context. This study investigates in detail the relationship between obesity, physical activity, domestic activity and sedentary behaviours...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-11-762

    authors: Banks E,Lim L,Seubsman SA,Bain C,Sleigh A

    更新日期:2011-10-04 00:00:00

  • Canadian and English students' beliefs about waterpipe smoking: a qualitative study.

    abstract:BACKGROUND:Waterpipe smoking is becoming popular among western students. The aim was to understand the appeal to students of this form of smoking when other forms of smoking are becoming less common. METHODS:Waterpipe smokers were identified by snowball sampling and interviewed following a semi-structured schedule in ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-9-10

    authors: Roskin J,Aveyard P

    更新日期:2009-01-10 00:00:00

  • Household cost-benefit equations and sustainable universal childhood immunisation: a randomised cluster controlled trial in south Pakistan [ISRCTN12421731].

    abstract:BACKGROUND:Household decision-makers decide about service use based largely on the costs and perceived benefits of health interventions. Very often this leads to different decisions than those imagined by health planners, resulting in under-utilisation of public services like immunisation. In the case of Lasbela distri...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-5-72

    authors: Andersson N,Cockcroft A,Ansari N,Omer K,Losos J,Ledogar RJ,Tugwell P,Shea B

    更新日期:2005-06-28 00:00:00

  • Counting the cost of child mortality in the World Health Organization African region.

    abstract:BACKGROUND:Worldwide, a total of 6.282 million deaths occurred among children aged less than 5 years in 2013. About 47.4 % of those were borne by the 47 Member States of the World Health Organization (WHO) African Region. Sadly, even as we approach the end date for the 2015 Millennium Development Goals (MDGs), only eig...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-2465-z

    authors: Kirigia JM,Muthuri RD,Nabyonga-Orem J,Kirigia DG

    更新日期:2015-11-06 00:00:00

  • The impact of drought on the association between food security and mental health in a nationally representative Australian sample.

    abstract:BACKGROUND:The association between food insecurity and mental health is established. Increasingly, associations between drought and mental health and drought and food insecurity have been observed in a number of countries. The impact of drought on the association between food insecurity and mental health has received l...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-1102

    authors: Friel S,Berry H,Dinh H,O'Brien L,Walls HL

    更新日期:2014-10-24 00:00:00

  • Distribution of health literacy strengths and weaknesses across socio-demographic groups: a cross-sectional survey using the Health Literacy Questionnaire (HLQ).

    abstract:BACKGROUND:Recent advances in the measurement of health literacy allow description of a broad range of personal and social dimensions of the concept. Identifying differences in patterns of health literacy between population sub-groups will increase understanding of how health literacy contributes to health inequities a...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-2056-z

    authors: Beauchamp A,Buchbinder R,Dodson S,Batterham RW,Elsworth GR,McPhee C,Sparkes L,Hawkins M,Osborne RH

    更新日期:2015-07-21 00:00:00

  • CARRS Surveillance study: design and methods to assess burdens from multiple perspectives.

    abstract:BACKGROUND:Cardio-metabolic diseases (CMDs) are a growing public health problem, but data on incidence, trends, and costs in developing countries is scarce. Comprehensive and standardised surveillance for non-communicable diseases was recommended at the United Nations High-level meeting in 2011. AIMS:To develop a mode...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-701

    authors: Nair M,Ali MK,Ajay VS,Shivashankar R,Mohan V,Pradeepa R,Deepa M,Khan HM,Kadir MM,Fatmi ZA,Reddy KS,Tandon N,Narayan KM,Prabhakaran D

    更新日期:2012-08-28 00:00:00

  • How orthodox protestant parents decide on the vaccination of their children: a qualitative study.

    abstract:BACKGROUND:Despite high vaccination coverage, there have recently been epidemics of vaccine preventable diseases in the Netherlands, largely confined to an orthodox protestant minority with religious objections to vaccination. The orthodox protestant minority consists of various denominations with either low, intermedi...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-408

    authors: Ruijs WL,Hautvast JL,van Ijzendoorn G,van Ansem WJ,van der Velden K,Hulscher ME

    更新日期:2012-06-06 00:00:00

  • Use of traditional medicines to cope with climate-sensitive diseases in a resource poor setting in Bangladesh.

    abstract:BACKGROUND:This study aims to explore the use of traditional medicines to cope with climate sensitive diseases in areas vulnerable to climate change. We assessed the extent to which traditional or alternative medicines were used for the treatment of the climate sensitive diseases by villagers as part of their health-co...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-202

    authors: Haque MA,Louis VR,Phalkey R,Sauerborn R

    更新日期:2014-02-25 00:00:00

  • Maternal deaths among rural-urban migrants in China: a case-control study.

    abstract:BACKGROUND:Disparity in maternal mortality exists between rural-urban migrant and urban resident women in China, but little research has provided evidence for related policy development. The objective of this study was to identify associations with and risks for maternal death among rural-urban migrant women in order t...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-512

    authors: Zhang J,Zhang X,Qiu L,Zhang R,Hipgrave DB,Wang Y,Zhang P,Pang R,Guo S

    更新日期:2014-05-27 00:00:00

  • Real-time monitoring and just-in-time intervention for adherence to pre-exposure prophylaxis among men who have sex with men in China: a multicentre RCT study protocol.

    abstract:BACKGROUND:Pre-exposure prophylaxis (PrEP) is an effective biomedical strategy to prevent transmission of HIV infection, although medication adherence remains a challenge. We present the protocol for a multicentre randomised controlled trial to measure the effectiveness of a real-time monitoring and just-in-time interv...

    journal_title:BMC public health

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12889-020-08709-2

    authors: Jin X,Wang H,Li H,Chu Z,Zhang J,Hu Q,Lv W,Huang X,Chen Y,Wang H,He X,Zhang L,Hu Z,Bao R,Li S,Ding H,Geng W,Jiang Y,Shang H,Xu J,CROPrEP Study Team.

    更新日期:2020-07-24 00:00:00

  • Prescribing indicators at primary health care centers within the WHO African region: a systematic analysis (1995-2015).

    abstract:BACKGROUND:Rational medicine use is essential to optimize quality of healthcare delivery and resource utilization. We aim to conduct a systematic review of changes in prescribing patterns in the WHO African region and comparison with WHO indicators in two time periods 1995-2005 and 2006-2015. METHODS:Systematic search...

    journal_title:BMC public health

    pub_type: 杂志文章,meta分析

    doi:10.1186/s12889-016-3428-8

    authors: Ofori-Asenso R,Brhlikova P,Pollock AM

    更新日期:2016-08-22 00:00:00

  • Simulation suggests that rapid activation of social distancing can arrest epidemic development due to a novel strain of influenza.

    abstract:BACKGROUND:Social distancing interventions such as school closure and prohibition of public gatherings are present in pandemic influenza preparedness plans. Predicting the effectiveness of intervention strategies in a pandemic is difficult. In the absence of other evidence, computer simulation can be used to help polic...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-9-117

    authors: Kelso JK,Milne GJ,Kelly H

    更新日期:2009-04-29 00:00:00

  • House calls by community health workers and public health nurses to improve adherence to isoniazid monotherapy for latent tuberculosis infection: a retrospective study.

    abstract:BACKGROUND:Patient adherence to isoniazid (INH) monotherapy for latent tuberculosis infection (LTBI) has been suboptimal despite its proven efficacy. Various strategies have been studied to improve adherence, but all have been based at a clinic or treatment program. At the Santa Clara Valley Tuberculosis Clinic, it was...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-894

    authors: Chang AH,Polesky A,Bhatia G

    更新日期:2013-09-28 00:00:00

  • Gender differences in predictors of self-rated health among older adults in Brazil and Chile.

    abstract:BACKGROUND:The determinants of self-rated health (SRH) have been widely investigated to explain social differences and gender differences in health. This study aimed to investigate the gender differences in predictors of SRH among Brazilian and Chilean older adults. METHODS:We used two samples of older people: 2052 Br...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-1666-9

    authors: Campos AC,Albala C,Lera L,Sánchez H,Vargas AM,Ferreira e Ferreira E

    更新日期:2015-04-11 00:00:00

  • Ownership and use of long-lasting insecticidal nets for malaria prevention in Butajira area, south-central Ethiopia: complex samples data analysis.

    abstract:BACKGROUND:Despite the encroaching of endemic malaria to highland-fringe areas above 2000 meters above sea level in Ethiopia, there is limited information on ownership and use of mosquito nets for malaria prevention. Thus, this study was designed to assess long-lasting insecticidal nets (LLIN) possession and use for ma...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-99

    authors: Woyessa A,Deressa W,Ali A,Lindtjørn B

    更新日期:2014-01-31 00:00:00

  • Analysis of disease profile, and medical burden by lead exposure from hospital information systems in China.

    abstract:BACKGROUND:Though lead (Pb)-gasoline has been banned for decades in China, Pb continues to be a vital risk factor for various diseases. Traditional studies, without large sample size, were unable to identify explicitly the associations among Pb, its disease profile, and the related medical burden. This study was design...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-7515-5

    authors: Song H,Liu J,Cao Z,Luo W,Chen JY

    更新日期:2019-08-27 00:00:00

  • Evaluating the performance of interpreting Verbal Autopsy 3.2 model for establishing pulmonary tuberculosis as a cause of death in Ethiopia: a population-based cross-sectional study.

    abstract:BACKGROUND:In resource- poor settings, verbal autopsy data are often reviewed by physicians in order to assign the probable cause of death. But in addition to being time and energy consuming, the method is liable to produce inconsistent results. The aim of this study is to evaluate the performance of the InterVA 3.2 mo...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-1039

    authors: Tadesse S,Tadesse T

    更新日期:2012-11-29 00:00:00

  • The socio-environmental determinants of railway suicide: a systematic review.

    abstract:BACKGROUND:Railway suicide has significant adverse impacts for the victims, their family and friends, witnesses to the incident, general public and train network. There is no previous review on the socio-environmental factors and railway suicide. The research question asked in this review was: 'What socio-environmental...

    journal_title:BMC public health

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2458-14-20

    authors: Too LS,Milner A,Bugeja L,McClure R

    更新日期:2014-01-10 00:00:00

  • Rates of influenza vaccination in older adults and factors associated with vaccine use: a secondary analysis of the Canadian Study of Health and Aging.

    abstract:BACKGROUND:Influenza vaccination has been shown to reduce morbidity and mortality in the older adult population. In Canada, vaccination rates remain suboptimal. We identified factors predictive of influenza vaccination, in order to determine which segments of the older adult population might be targeted to increase cov...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-4-36

    authors: Andrew MK,McNeil S,Merry H,Rockwood K

    更新日期:2004-08-11 00:00:00

  • Beyond cost-effectiveness, morbidity and mortality: a comprehensive evaluation of priority setting for HIV programming in Uganda.

    abstract:BACKGROUND:While there has been progress in controlling the HIV epidemic, HIV still remains a disease of global concern. Some of the progress has been attributed to increased public awareness and uptake of public health interventions, as well as increased access to anti- retroviral treatment and the prevention of verti...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-6690-8

    authors: Kapiriri L,Lee NM,Wallace LJ,Kwesiga B

    更新日期:2019-04-01 00:00:00

  • Ethnic minority women prefer strong recommendations to be screened for cancer.

    abstract:BACKGROUND:Cancer screening invitations can explicitly recommend attendance or encourage individuals to consider the risks and benefits before deciding for themselves. Public preferences for these approaches might vary. We explored ethnic minority women's preferences for a strong recommendation to be screened. METHODS...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-017-4093-2

    authors: Marlow LA,Meisel SF,Wardle J

    更新日期:2017-02-03 00:00:00

  • Prevalence and correlates of hyperglycemia in a rural population, Vietnam: implications from a cross-sectional study.

    abstract:BACKGROUND:Despite the increasing prevalence of type 2 diabetes in urban areas, relatively little has been known about its actual prevalence and its associations in rural areas, Vietnam. The purpose of this study was to evaluate the prevalence of impaired fasting glucose (IFG), impaired glucose tolerance (IGT), diabete...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-939

    authors: Quang Binh T,Tran Phuong P,Thi Nhung B,Dinh Thoang D,Van Thang P,Khanh Long T,Van Thanh D

    更新日期:2012-11-01 00:00:00

  • The Cornella Health Interview Survey Follow-Up (CHIS.FU) Study: design, methods, and response rate.

    abstract:BACKGROUND:The aim of this report is to describe the main characteristics of the design, including response rates, of the Cornella Health Interview Survey Follow-up Study. METHODS:The original cohort consisted of 2,500 subjects (1,263 women and 1,237 men) interviewed as part of the 1994 Cornella Health Interview Study...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-3-12

    authors: Garcia M,Schiaffino A,Fernandez E,Marti M,Salto E,Perez G,Peris M,Borrell C,Nieto FJ,Borras JM,Cornella Health Interview Survey Follow-Up Study.

    更新日期:2003-03-07 00:00:00