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"Mehari"
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Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: a novel analysis from the Global Burden of Disease Study 2015
2017
National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015.
We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure–the Healthcare Quality and Access (HAQ) Index–on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0·88), an index of 11 universal health coverage interventions (r=0·83), and human resources for health per 1000 (r=0·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total fertility rates. This frontier allowed us to better quantify the maximum levels of personal health-care access and quality achieved across the development spectrum, and pinpoint geographies where gaps between observed and potential levels have narrowed or widened over time.
Between 1990 and 2015, nearly all countries and territories saw their HAQ Index values improve; nonetheless, the difference between the highest and lowest observed HAQ Index was larger in 2015 than in 1990, ranging from 28·6 to 94·6. Of 195 geographies, 167 had statistically significant increases in HAQ Index levels since 1990, with South Korea, Turkey, Peru, China, and the Maldives recording among the largest gains by 2015. Performance on the HAQ Index and individual causes showed distinct patterns by region and level of development, yet substantial heterogeneities emerged for several causes, including cancers in highest-SDI countries; chronic kidney disease, diabetes, diarrhoeal diseases, and lower respiratory infections among middle-SDI countries; and measles and tetanus among lowest-SDI countries. While the global HAQ Index average rose from 40·7 (95% uncertainty interval, 39·0–42·8) in 1990 to 53·7 (52·2–55·4) in 2015, far less progress occurred in narrowing the gap between observed HAQ Index values and maximum levels achieved; at the global level, the difference between the observed and frontier HAQ Index only decreased from 21·2 in 1990 to 20·1 in 2015. If every country and territory had achieved the highest observed HAQ Index by their corresponding level of SDI, the global average would have been 73·8 in 2015. Several countries, particularly in eastern and western sub-Saharan Africa, reached HAQ Index values similar to or beyond their development levels, whereas others, namely in southern sub-Saharan Africa, the Middle East, and south Asia, lagged behind what geographies of similar development attained between 1990 and 2015.
This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-system characteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world.
Bill & Melinda Gates Foundation.
Journal Article
Design and Implementation of a Risk Management Tool: A Case Study of the Moodle Platform
2018
During the last years, the distinctive feature of our society has been the rapid pace of technological change. In the Moroccan context, universities have put digital learning at the heart of their projects of development thanks to a wide range of hybrid training devices, Small Private Online Course (SPOC) and Massive Open Online Courses (MOOCs) via Virtual Work Environment (ENT, Environnement Numérique de Travail ). On the one hand, the purpose of using these devices consist in helping improve their performance and in enhancing their attractiveness. On the other hand, is aimed at meeting the increasingly diverse student’s needs, thanks to the infrastructures reorganization and a renovated pedagogy. Also, extensive use of information and communication technologies at different universities exposes them to a problem related to information system (IS) risks in general and e-learning in particular. The risk assessment is quite complicated and multidimensional. It must take into account many components, including assets, threats, vulnerabilities, controls already in place and analyses. In this work, we first propose the methods of risk management. We then present the risk analysis related to the Moodle platform.
Journal Article
Unhomeliness, unending phobias and liminality in Senait Mehari’s Heart of Fire
2017
In Senait Mehari’s Heart of Fire, the legacy of childhood maltreatment is reproduced in the relationship between the father, Ghebrehiwet, and the daughter, Senait. A former victim of atrocity, Ghebrehiwet is a broken man with an identity that makes him transfer his traumatised childhood and his dissatisfaction with Eritrea’s political system to his family members. Because of these psychosocial issues, he gives his three daughters away to the Eritrean Liberation Front (ELF) to train and fight as child soldiers. Drawing on trauma studies, postcolonial theories as well as current research on child soldier narratives, this article examines Mehari’s depiction of her experiences with her father and, later, with fellow soldiers during the Second Eritrean Civil War. Specifically, it examines the concepts of unhomeliness and liminality, with reference to Mehari’s depiction of her anxiety in the tension-filled space of her parental home and the contingent ‘homes’ of the various ELF camps where she stayed as a child soldier. To that end, the article considers Mehari’s unending phobias as a recurring motif in Heart of Fire.
Journal Article
Ethiopia : Gidabo Dam project to be completed by June 2016
2016
(c) 2016 Al Bawaba (Albawaba.com) Provided by SyndiGate Media Inc. ( Syndigate.info ).
Newsletter
Ethiopia : HEALTH OFFICIALS to unveil new software to ban illicit activities
2015
The software likewise educate the public of the quality, safety and curability, of medicines, as per [Mehari Berhanu]. The new softer runs in Amharic, Afan Oromo, Tigrigna and English languages, Mehari said, including it will likewise be developed in more 10 languages.
Newsletter
Eritrea : Call made on social service rendering institutions to reinforce participation in crime prevention
2014
At the seminar the Police Commissioner gave extensive briefings with regards the objective and vision of Eritrean Police, participation of the public in crime prevention, the prevalence of crime in the past three months, as well as the shortcomings...
Newsletter
Creighton University
2025
Consistently ranked among the top universities in the Midwest, Creighton University is a Jesuit Catholic university with an enrollment of approximately 8,000 undergraduate, graduate, and professional students. With a student-to-faculty ratio of 11:1, it offers more than 70 majors through nine schools and colleges, including institutions focused on arts and sciences, business, law, medicine, dentistry, pharmacy, and nursing. Its 130-acre campus is adjacent to the downtown business district of Omaha, Nebraska. Creighton University was founded in 1878 and named after Omaha businessman Edward Creighton.
Report
El retorno de un aventurero
2016
Sin duda, el [El Mehari] es un vehículo icónico. Desde que Citroën lo presentó en 1968, este auto, sinónimo de diseño impertinente, logró cambiar los códigos de los cabriolets al ofrecer su carrocería plástica, colores pop y una proyección desvergonzada. Este descapotable atípico fue construido sobre el chasis del Dyane 6 (modelo del segmento B) y ofrecía gran versatilidad, practicidad y economía. Mediante su ingenioso cuerpo en plástico ABS modular que alcanzaba un peso ligero total de 525 kg y con una resistencia total a la corrosión, se promocionó la posibilidad de lavarlo hasta por debajo, con el mero uso de un chorro de agua mediante una manguera. De inmediato, el Mehari tuvo gran éxito y se convirtió en un símbolo de libertad, exaltando el estilo de vida simple y sin preocupaciones. Tanto, que estuvo presenten en películas que fueron furor en ese momento, como Le Gendarme (El Gendarme), con Louis de Funès, o participando en varias carreras del mundo como la Lieja-Dakar-Lieja, en 1969, o la París-Kabul-París, en 1970, entre otras y, prestó servicio en las fuerzas armadas y la Gendarmería francesa.
Newspaper Article
Eritrea : Barentu - Seminar conducted to raise public awareness pertaining to law
2012
A seminar aimed at raising popular awareness regarding law was conducted in Barentu. Col.
Newsletter
ERITREA : Vigorous efforts made to meet demand of plastic material
2012
He explained that the factory is equipped with modern machinery and produces 17 types of plastic pipes with diameters ranging from 20 to 315 centimeters. The head of the production unit of the factory, Mr.
Newsletter