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Evidence on the impact of community health workers in the prevention, identification, and management of undernutrition amongst children under the age of five in conflict-affected or fragile settings: a systematic literature review
Background
Malnutrition, specifically undernutrition, is a significant global challenge that contributes to nearly half of deaths in children under the age of five. The burden of undernutrition is disproportionately borne by conflict-affected, fragile settings (CAFS); children living in a conflict zone being more than twice as likely to suffer from malnourishment. Community health worker (CHW) models have been employed in CAFS to improve healthcare coverage and identify and treat illnesses. However, there lacks systematic evidence on the impact of CHW models in preventing, identifying, and managing child undernutrition in CAFS. We conducted this review to systematically evaluate evidence of CHW models in preventing, identifying, and managing undernutrition in children under the age of five in CAFS.
Methodology
This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting standards. The search strategy was developed using the Population-Intervention-Comparisons-Outcomes-Setting framework as a guide. Searches were performed using Ovid online database search platform, searching the databases of Ovid MEDLINE(R), COCHRANE, Embase Classic, Embase, Econlit, Global Health, SCOPUS, and Social Policy and Practice. Peer-reviewed publications were eligible for inclusion if they evaluated an intervention using a CHW model that aims to prevent, identify, or manage some form of undernutrition in children under five in a CAFS.
Results
We identified 25 studies—spanning 10 countries—that were included in the systematic review. CHW models were implemented alongside a variety of interventions, including behaviour change communication, supplementary foods, nutrition counselling, and integrated community health programmes. Key barriers in implementing successful CHW models include disruption of programmes due to active conflict, states of emergency, militancy, or political unrest; weak links between the community-based interventions and public health system; weak health system capacity that impeded referral and follow-ups; and cost of care and care-seeking. Key facilitators include CHWs’ connection to the community, close proximity of programmes to the community, supervision, and investment in high quality training and tools.
Conclusions
The findings suggest that CHW models may be effective, cost-effective, acceptable, feasible, and scalable in the prevention, identification, and management child undernutrition in CAFS. The study findings also confirmed a need for greater evidence in the field. These findings may inform policymaking, programme implementation, and design to strengthen best practices for CHW models addressing child undernutrition in CAFS.
Journal Article
Ambition : why it's good to want more and how to get it
Be bold. Be brave. Embrace your ambition. Ever have that nagging feeling that you are better than the sum of your current achievements? Do you have a secret desire to be achieving much more, to change the world or to reach the top of your game? Then it is time to use your ambition to your advantage. It has been proven that ambitious people achieve greater levels of success, whether that be a higher level of education, a more prestigious job, a higher income or more satisfaction in life. Grounded in scientific research and with contributions from people at the height of their success in business, music, the arts and sport, Ambition will help you to harness your aspirations to achieve your lifetime goals.
Book
sniff out a good idea
Sally Preston did not have time to spend hours in the kitchen preparing home-made food for her daughter, but neither did she want to feed her jars of processed baby food laden with colouring and additives. So she decided to make nutritious baby food which was ready-frozen in ice-cube trays so busy parents could instantly pop out as much or as little as they needed. Her company, Babylicious, now has its products stocked by supermarkets across the country and will have a turnover of L4 million this year. Karen Darby decided that instead of cold-calling customers to persuade them to switch energy suppliers, she would set up a comparison service called Simply Switch so that the customers themselves would want to pick up the phone and make the call to see if they could get a better deal. Inspiration for that winning business idea is all around. One just has to look carefully and spot it before someone else does.
Trade Publication Article
الطموح : لماذا تعد الرغبة في المزيد أمرا جيدا وكيف تحصل عليه
لقد ثبت أن الأشخاص الطموحين يحققون مستويات أعلى من النجاح. ومن خلال الاستناد إلى الأبحاث العلمية والرؤى الملهمة لأولئك المتربعين على قمة مجالاتهم، سوف يساعدك هذا الكتاب على فهم أنك تستطيع فعل أكثر مما تعتقد باستغلال الموارد التي لديك بالفعل. اكتشاف حافزك الحقيقي ومعرفة كيفية استخدامه كوقود لتحقيق نجاح أكبر. التقاط نصائح وأساليب عملية حول كيفية استخدام مواهبك. التعلم من الآخرين الذين وصلوا إلى ذروة نجاحهم في إدارة الأعمال والموسيقى والفنون والرياضة، ومن بينهم جون تورودي، وميلين كلاس، وويل جرينوود، وكاتي هوبكنز، وجافين باترسون. إذا كنت تريد الحصول على هذه الترقية التي تطمح إليها أو تحقيق ذلك الهدف الكبير المغير للحياة أو بدء مشروعك الناجح أو تلقي تلك الإشادة المميزة أو إحداث اختلاف إيجابي في العالم، فإن لديك بالفعل وقود وطموح بداخلك. وقد حان الوقت لاستخدامه لدفع نجاحك.
Book
Finding Success Working with Animals Is Challenging, but Rewarding for Some
She enjoyed it so much that she set up Rona Brown Associates two decades ago. As an animal consultant and trainer to the film industry, based in Stockbridge, Hampshire, she earns about UKpound 25,000 a year. Emma Collins took a temporary job at the Triple \"A\" Pet Resort, a luxury pet hotel and care centre in West Boldon near Newcastle-upon- Tyne, five years ago. She is now operations manager earning up to UKpound 15,000 and is responsible for all the pets there, which range from dogs and cats to marmosets and snakes. [Bob Trollope], 39, earns UKpound 14,000 a year, and his role includes feeding the lions, cleaning their housing and ensuring the safety of visitors to the park.
Newsletter
OPINION: British Career Consultant Doesn't Help Much
To see more of the Financial Mail on Sunday, or to subscribe to the newspaper, go to http://www.financialmail.co.uk UKpound preceding a numeral refers to the United Kingdom's pound sterling. I came across London-based consultants Career Energy. Their programmes are aimed at 28 to 35-year-olds earning UKpound 25,000- UKpound 40,000 a year and their literature is relentlessly upbeat, using phrases such as \"master your own destiny\" and \"take control of your career.\" For UKpound 950 plus VAT, Career Energy offers a six week \"unlimited support\" programme which in practical terms means six to eight sessions with a consultant and seminars on how to apply for jobs.
Newsletter
British Entertainment Lawyer Enjoys Glamorous Perks
Sep. 17--First nights, concerts and showbiz parties are not the usual haunt of solicitors, but David Franks is as likely to be found backstage with the stars as he is sitting at his desk. As a partner specialising in music and theatre entertainment law with the Simkins Partnership in central London, David represents singers, musicians and performing artists ranging from Sir Cliff Richard to Lord Lloyd-Webber's Really Useful Company. There are more than 86,000 solicitors in Britain. Women account for just over a third, but the number entering the profession is rising steadily. Janet Paraskeva is chief executive of the Law Society, which represents solicitors in England and Wales. She says: \"Many people have a fixed idea of what a solicitor does, but in fact there is a much wider range of possibilities available.\"
Newsletter
The peril of rolling out Tech City UK
Rachel Bridge is an author, public speaker and journalist specialising in entrepreneurship and SMEs ONLINE Advice for entrepreneurs telegraph. co.uk/businessclub Credit: Rachel Bridge
Newspaper Article