Journal of Preventive Medicine

Description

The MIDWIZE Conceptual Framework was developed by a project team as part of a midwife-led care project with the goal of determining how to achieve the SDG 2030 in maternal and child health. The goal of the MIDWIZE Conceptual Framework is to spread the comprehensive midwifery-managed care that is provided to women in Sweden to other countries, regions, and units where it is not fully implemented. Using the Delphi study method, a tool was made to figure out what resources would be needed to improve midwife-led care. Members of a project team traveled to Ethiopia and Uganda using the Delphi method and made on-site visits to two Sub-Saharan African nations. There, they met with African leaders to develop a tool that could be used to find out what resources are needed and how well it worked. Conclusion: If a single nation, region, or unit in the future wants to use the tool for the purpose of improving the quality of midwife-led care, the tool might help in the first step of figuring out what resources might be needed and what changes might be recommended in terms of policy at the clinical or educational institution level that are a part of the health care structures that are already in place. More than half of people living with the Human Immunodeficiency Virus (HIV) in the United States are now 50 years old or older because Antiretroviral Therapy (ART) improved their quality of life and prevented premature death. Chronic, comorbid diseases have significantly increased as PLWH's longevity has increased. However, there is a lack of implementation of guideline-based interventions for the HIV population to prevent, treat, and manage such age-related, chronic conditions. Implementation research on proven-effective interventions for co-occurring heart, lung, blood, and sleep conditions among PLWH is facilitated by the Preclude consortium, which is supported by the Center for Translational and Implementation Science at the National Heart, Lung, and Blood Institute.

Mental Health

Innovative implementation frameworks for HIV, mental health, cardiovascular, and pulmonary care are used in these collaborative research studies to advance comprehensive HIV and chronic disease healthcare in a variety of settings and among diverse populations. Due to the recognition of its magnitude and its effects on a wide range of human, social, and economic outcomes, malnutrition in all its forms has risen on global and national agendas in recent years. Although the World Health Organization (WHO), national governments, and other organizations have agreed on goals and identified appropriate policies, programs, and interventions, achieving the scale and quality of implementation necessary to have an impact on the population remains a major obstacle. Implementation science in nutrition (ISN) is presented in this paper as a method that addresses critical gaps in linking knowledge to effective action and builds on ideas developed in other policy domains. An interdisciplinary body of theory, knowledge, frameworks, tools, and approaches whose goal is to improve implementation quality and impact is referred to as ISN in this context. It covers a wide range of strategies for locating and removing implementation roadblocks; means to find, evaluate, and scale up innovations in implementation; and methods to make better use of the knowledge, tools, and frameworks that are already in use, all based on the changing science of implementation. The ISN framework recognizes that alignment across five domains is necessary for quality implementation: the policy, innovation, or intervention being implemented; the group(s) responsible for implementation; the policies and stakeholders that create an enabling environment; the families, communities, and individuals of interest; and the strategies and decision-making procedures utilized at various implementation stages. Program implementers must cultivate a culture of inquiry, evaluation, learning, and response if implementation research is to be successful in aligning these domains; a goal for the partners in the research that is based on action; funding for implementation research that remains constant; and resolving the inherent conflicts that exist between program execution and research. The Society for Implementation Science in Nutrition is a new membership organization with the mission of advancing the science and practice of nutrition implementation at various scales and contexts. The global health agenda has emphasized the necessity of developing holistic public health approaches that address the social determinants of health in addition to treating the biological causes of illness. However, there are significant knowledge gaps regarding the application of IPC in neonatal care. In addition, there is a lack of understanding regarding the factors that either encourage or hinder the implementation of IPC programs in neonatal units. These issues will be addressed by incorporating implementation science approaches into IPC programs for neonatal care.

Preventative Measures

Globally, social prescribing, in which healthcare professionals connect patients to community resources that address social needs, is gaining traction. Social prescribing was implemented by SingHealth Community Hospitals in Singapore in July 2019 to address the intricate social and health requirements of the aging population. Implementers had to contextualize the theory of social prescribing to the needs of patients and the practice setting because there was a lack of evidence regarding the effectiveness of social prescribing. To address implementation challenges, the implementation team used an iterative approach to constantly review and adapt practices, work processes, and outcome measurement tools based on data and stakeholder feedback. Agile implementation and ongoing evaluation of programs to build an evidence pool will assist in guiding best practices as social prescribing continues to expand in Singapore and the Western Pacific. From the exploratory phase to the full implementation of a social prescribing program, this paper aims to examine the process and draw lessons learned. In chronic kidney disease, an estimated 14,000 randomized trials have been published. Biochemical endpoints, as opposed to clinical and patient-reported outcomes like cardiovascular disease, mortality, and quality of life, are the outcomes that are reported the most frequently. Although many trials have focused on improving kidney health, their impact on policy and practice may be limited by the heterogeneity and uncertain relevance of trial outcomes. The goal of the international Standardized Outcomes in Nephrology (SONG) Initiative was to identify core outcomes that should be reported consistently across trials and are crucial for both patients and healthcare professionals. To talk about putting the core outcomes into action, we held a SONG Implementation Workshop. Eighty-two health care professionals and patients/caregivers participated in both the plenary and breakout discussions. The workshop's findings are summarized in this report in two main themes: promoting the idea of core outcomes to the public and demonstrating their viability and usability In order to increase the acceptance and reporting of core outcomes in trials and to encourage their use by end-users like guideline producers and policymakers to assist in improving patient-important outcomes, we outline implementation strategies and pathways to be established through partnership with stakeholders. Healthcare-associated infections account for the majority of infections encountered in neonatal care. Evidence-based Infection Prevention and Control (IPC) practices are thought to be able to prevent the majority of infections that are associated with healthcare.