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Brian G. Dowling

U.S. falls behind other developed countries in infant mortality - Los Angeles Times - 0 views

  • U.S. falls behind other developed countries in infant mortality The United States ranks 29th. The rate has not improved because of an increase in premature births, health officials say.
  • A rise in twins and triplets, driven by the use of infertility treatments, contributed somewhat to the rise in premature and low-birth-weight births, Petrini said. But even accounting for those trends, premature births are increasing, possibly tied to rising rates of obesity, diabetes and hypertension.
  • "We as a nation place less emphasis on primary care and prevention than a lot of these other industrialized democracies do that have lower rates than we do," said Dr. Ann O'Malley of the Center for Studying Health System Change, a Washington-based research group.
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  • Health advocates acknowledge that many of those countries have more homogeneous populations than the United States. But they also have fewer gaps in healthcare coverage and health systems that emphasize primary care."We're great in this country at taking care of really sick people with high-tech interventions," O'Malley said. "But we're not very good at plugging people into preventive care."
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    Healthcare, even in our own backyard, is often a matter of a new way of thinking and not necessarily a funding problem.
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    Our potential motivation to get behind global child healthcare seems dubious if we are 29th in the world. The problem does is not a matter of not enough money but how we live our lives.
Brian G. Dowling

jopsa.org - Projects and perspectives on global health - 0 views

  • From the start of our projects to the finish, it’s people who determine what FrontlineSMS:Medic does, when we do it, and why. The tech tools we use exist to serve patients, community health workers, and healthcare professionals – not the other way around. This mindset is critical for a number of reasons. I’ll explain. We strongly believe that projects should start when clinics ‘pull’ them to a site, as opposed to having projects ‘pushed’ onto healthcare providers. Ken Banks included the (very important) push/pull differentiation in his “Development best practices for beginners” series. Clinics are not just convenient places to pilot technology innovations. Healthcare providers should demand programs they need, and we should be ready to respond. Local staff should determine how the tech will be used, and we should be flexible and helpful in working through use cases and functionality.
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    The FrontlineSMS in action
Brian G. Dowling

PLoS Medicine - Which Single Intervention Would Do the Most to Improve the Health of Th... - 0 views

  • Over 200 scientific and medical journals are taking part. For our theme issue, we asked a wide variety of commentators worldwide—including clinicians, medical researchers, health reporters, policy makers, health activists, and development experts—to name the single intervention that they think would improve the health of those living in poverty.
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    Over 200 scientific and medical journals are taking part. For our theme issue, we asked a wide variety of commentators worldwide-including clinicians, medical researchers, health reporters, policy makers, health activists, and development experts
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    The dollar-a-day perspective is an important one is all aspects of life but especially in regards to health care. Healthcare providers trying to achieve the Millennium Development goals not only have to overcome the poverty of the individual but the poverty of national infrastructure.
Brian G. Dowling

FrontlineSMS:Medic | Text Messages Save Lives - 0 views

  • How powerful is a light-weight tool in the right hands? During a six month pilot in Malawi, our partner doubled the number of people being treated for Tuberculosis.
  • Driven by local ownership and appropriate technology. In the developing world, lack of infrastructure prevents health workers from delivering efficient healthcare to rural areas. As health workers travel from clinics to reach isolated patients, they are often as disconnected from central clinics as the patients they are trying to serve. The mission of FrontlineSMS:Medic is to advance healthcare networks in the developing world by building and distributing innovative, appropriate mobile technologies. The centerpiece of our system is FrontlineSMS, a free, open-source software platform that enables large-scale, two-way text messaging using only a laptop, a GSM modem, and cell phones. We are also developing several applications for the FrontlineSMS platform that will enable better patient management, electronic medical records via the cell phone, cheap mobile diagnostics, and mapping of health services.
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    Implementing the Millennium Development Goals health objectives in the developing world will require new technologies arising from disruptive innovation. Finding new uses for technologies we take for granted.
Brian G. Dowling

WHO | What are the key health dangers for children? - 0 views

  • From one month to five years of age, the main causes of death are pneumonia, diarrhoea, malaria, measles and HIV. Malnutrition contributes to more than half of deaths. Pneumonia is the prime cause of death in children under five years of age. Nearly three-quarters of all cases occur in just 15 countries. Addressing the major risk factors – including malnutrition and air pollution – is essential to preventing pneumonia, as is vaccination. Antibiotics and oxygen are vital tools for effectively managing the illness. Diarrhoeal diseases are a leading cause of sickness and death among children in developing countries. Treatment with Oral Rehydration Salts (ORS) combined with zinc supplements is safe, cost-effective, and saves lives. One African child dies every 30 seconds from malaria. Insecticide-treated nets prevent transmission and increase child survival. Over 90% of children with HIV are infected through mother-to-child transmission, which can be prevented with antiretrovirals, as well as safer delivery and feeding practices. About 20 million children under five worldwide are severely malnourished, which leaves them more vulnerable to illness and early death. About two-thirds of child deaths are preventable through practical, low-cost interventions. WHO is improving child health by helping countries to deliver integrated, effective care in a continuum - starting with a healthy pregnancy for the mother, through birth and care up to five years of age. Investing in strong health systems is key to delivering this preventive care.
    • Brian G. Dowling
       
      Global Health Equity From MIT World contains a video showing some of the positive work being done in this area.
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    Connects directly with the Millennium Development Goals Child Health
Brian G. Dowling

About GAVI Alliance - 0 views

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    Their mission To save children's lives and protect people's health by increasing access to immunisation in poor countries. Addresses the MDG goal of global health.
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