The Experts below are selected from a list of 76227 Experts worldwide ranked by ideXlab platform
Mark J D Jordans - One of the best experts on this subject based on the ideXlab platform.
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development and pilot testing of a mental healthcare plan in nepal
British Journal of Psychiatry, 2016Co-Authors: Mark J D Jordans, Nagendra P Luitel, P Pokhrel, Vinesh PatelAbstract:BACKGROUND: Mental health service delivery models that are grounded in the local context are needed to address the substantial treatment gap in low- and middle-income countries. AIMS: To present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility. METHOD: A mixed methods Formative Study was conducted. Routine monitoring and evaluation data, including client flow and reports of satisfaction, were obtained from patients (n = 135) during the pilot-testing phase in two health facilities. RESULTS: The resulting MHCP consists of 12 packages, divided over community, health facility and organisation platforms. Service implementation data support the real-life applicability of the MHCP, with reasonable treatment uptake. Key barriers were identified and addressed, namely dissatisfaction with privacy, perceived burden among health workers and high drop-out rates. CONCLUSIONS: The MHCP follows a collaborative care model encompassing community and primary healthcare interventions.
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development and pilot testing of a mental healthcare plan in nepal
British Journal of Psychiatry, 2016Co-Authors: Mark J D Jordans, Nagendra P Luitel, P Pokhrel, Vinesh PatelAbstract:Background Mental health service delivery models that are grounded in the local context are needed to address the substantial treatment gap in low- and middle-income countries. Aims To present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility. Method A mixed methods Formative Study was conducted. Routine monitoring and evaluation data, including client flow and reports of satisfaction, were obtained from patients ( n = 135) during the pilot-testing phase in two health facilities. Results The resulting MHCP consists of 12 packages, divided over community, health facility and organisation platforms. Service implementation data support the real-life applicability of the MHCP, with reasonable treatment uptake. Key barriers were identified and addressed, namely dissatisfaction with privacy, perceived burden among health workers and high drop-out rates. Conclusions The MHCP follows a collaborative care model encompassing community and primary healthcare interventions.
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demand and access to mental health services a qualitative Formative Study in nepal
BMC International Health and Human Rights, 2014Co-Authors: Natassia F Brenman, Nagendra P Luitel, Sumaya Mall, Mark J D JordansAbstract:Nepal is experiencing a significant ‘treatment gap’ in mental health care. People with mental disorders do not always receive appropriate treatment due to a range of structural and individual issues, including stigma and poverty. The PRIME (Programme for Improving Mental Health Care) programme has developed a mental health care plan to address this issue in Nepal and four other low and middle income countries. This Study aims to inform the development of this comprehensive care plan by investigating the perceptions of stakeholders at different levels of the care system in the district of Chitwan in southern Nepal: health professionals, lay workers and community members. It focuses specifically on issues of demand and access to care, and aims to identify barriers and potential solutions for reaching people with priority mental disorders. This qualitative Study consisted of key informant interviews (33) and focus group discussions (83 participants in 9 groups) at community and health facility levels. Data were analysed using a framework analysis approach. As well as pragmatic barriers at the health facility level, mental health stigma and certain cultural norms were found to reduce access and demand for services. Respondents perceived the lack of awareness about mental health problems to be a major problem underlying this, even among those with high levels of education or status. They proposed strategies to improve awareness, such as channelling education through trusted and respected community figures, and responding to the need for openness or privacy in educational programmes, depending on the issue at hand. Adapting to local perceptions of stigmatised treatments emerged as another key strategy to improve demand. This Study identifies barriers to accessing care in Nepal that reach beyond the health facility and into the social fabric of the community. Stakeholders in PRIME’s integrated care plan advocate strategic awareness raising initiatives to improve the reach of integrated services in this low-income setting.
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setting priorities for mental health care in nepal a Formative Study
BMC Psychiatry, 2013Co-Authors: Mark J D Jordans, Nagendra P Luitel, Mark Tomlinson, Ivan H KomproeAbstract:There is an urgent need to address the massive treatment gap for mental health problems, especially in low income settings. Packages of care integrated in routine primary health care are posited as a strategy to scale-up mental health care, yet more needs to be known about the most feasible and effective way to go about this. The Study follows a combined methods design that includes engaging an expert panel in a priority setting exercise, running workshops to develop a Theory of Change and conducting in-depth qualitative interviews and focus group discussions with key stakeholders. The results of each research step were taken forward to inform the subsequent one. There was strong endorsement for a system of care that encompasses both the perspectives of health facility and the community. Issues related to increasing access and demand, guaranteeing a sustainable supply of psychotropic medicine, adequate human resourcing, and ensuring positive family involvement came up as priority areas of attention. The Study underlines many of the known barriers in developing mental health services. At the same time it provides a distinct pathway and concrete recommendations for overcoming these challenges in Nepal.
Jeffrey Heer - One of the best experts on this subject based on the ideXlab platform.
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gemini a grammar and recommender system for animated transitions in statistical graphics
IEEE Transactions on Visualization and Computer Graphics, 2021Co-Authors: Younghoon Kim, Jeffrey HeerAbstract:Animated transitions help viewers follow changes between related visualizations. Specifying effective animations demands significant effort: authors must select the elements and properties to animate, provide transition parameters, and coordinate the timing of stages. To facilitate this process, we present Gemini, a declarative grammar and recommendation system for animated transitions between single-view statistical graphics. Gemini specifications define transition “steps” in terms of high-level visual components (marks, axes, legends) and composition rules to synchronize and concatenate steps. With this grammar, Gemini can recommend animation designs to augment and accelerate designers' work. Gemini enumerates staged animation designs for given start and end states, and ranks those designs using a cost function informed by prior perceptual studies. To evaluate Gemini, we conduct both a Formative Study on Mechanical Turk to assess and tune our ranking function, and a summative Study in which 8 experienced visualization developers implement animations in D3 that we then compare to Gemini's suggestions. We find that most designs (9/11) are exactly replicable in Gemini, with many (8/11) achievable via edits to suggestions, and that Gemini suggestions avoid multiple participant errors.
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gemini a grammar and recommender system for animatedtransitions in statistical graphics
arXiv: Human-Computer Interaction, 2020Co-Authors: Younghoon Kim, Jeffrey HeerAbstract:Animated transitions help viewers follow changes between related visualizations. Specifying effective animations demands significant effort: authors must select the elements and properties to animate, provide transition parameters, and coordinate the timing of stages. To facilitate this process, we present Gemini, a declarative grammar and recommendation system for animated transitions between single-view statistical graphics. Gemini specifications define transition "steps" in terms of high-level visual components (marks, axes, legends) and composition rules to synchronize and concatenate steps. With this grammar, Gemini can recommend animation designs to augment and accelerate designers' work. Gemini enumerates staged animation designs for given start and end states, and ranks those designs using a cost function informed by prior perceptual studies. To evaluate Gemini, we conduct both a Formative Study on Mechanical Turk to assess and tune our ranking function, and a summative Study in which 8 experienced visualization developers implement animations in D3 that we then compare to Gemini's suggestions. We find that most designs (9/11) are exactly replicable in Gemini, with many (8/11) achievable via edits to suggestions, and that Gemini suggestions avoid multiple participant errors.
Nagendra P Luitel - One of the best experts on this subject based on the ideXlab platform.
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development and pilot testing of a mental healthcare plan in nepal
British Journal of Psychiatry, 2016Co-Authors: Mark J D Jordans, Nagendra P Luitel, P Pokhrel, Vinesh PatelAbstract:BACKGROUND: Mental health service delivery models that are grounded in the local context are needed to address the substantial treatment gap in low- and middle-income countries. AIMS: To present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility. METHOD: A mixed methods Formative Study was conducted. Routine monitoring and evaluation data, including client flow and reports of satisfaction, were obtained from patients (n = 135) during the pilot-testing phase in two health facilities. RESULTS: The resulting MHCP consists of 12 packages, divided over community, health facility and organisation platforms. Service implementation data support the real-life applicability of the MHCP, with reasonable treatment uptake. Key barriers were identified and addressed, namely dissatisfaction with privacy, perceived burden among health workers and high drop-out rates. CONCLUSIONS: The MHCP follows a collaborative care model encompassing community and primary healthcare interventions.
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development and pilot testing of a mental healthcare plan in nepal
British Journal of Psychiatry, 2016Co-Authors: Mark J D Jordans, Nagendra P Luitel, P Pokhrel, Vinesh PatelAbstract:Background Mental health service delivery models that are grounded in the local context are needed to address the substantial treatment gap in low- and middle-income countries. Aims To present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility. Method A mixed methods Formative Study was conducted. Routine monitoring and evaluation data, including client flow and reports of satisfaction, were obtained from patients ( n = 135) during the pilot-testing phase in two health facilities. Results The resulting MHCP consists of 12 packages, divided over community, health facility and organisation platforms. Service implementation data support the real-life applicability of the MHCP, with reasonable treatment uptake. Key barriers were identified and addressed, namely dissatisfaction with privacy, perceived burden among health workers and high drop-out rates. Conclusions The MHCP follows a collaborative care model encompassing community and primary healthcare interventions.
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demand and access to mental health services a qualitative Formative Study in nepal
BMC International Health and Human Rights, 2014Co-Authors: Natassia F Brenman, Nagendra P Luitel, Sumaya Mall, Mark J D JordansAbstract:Nepal is experiencing a significant ‘treatment gap’ in mental health care. People with mental disorders do not always receive appropriate treatment due to a range of structural and individual issues, including stigma and poverty. The PRIME (Programme for Improving Mental Health Care) programme has developed a mental health care plan to address this issue in Nepal and four other low and middle income countries. This Study aims to inform the development of this comprehensive care plan by investigating the perceptions of stakeholders at different levels of the care system in the district of Chitwan in southern Nepal: health professionals, lay workers and community members. It focuses specifically on issues of demand and access to care, and aims to identify barriers and potential solutions for reaching people with priority mental disorders. This qualitative Study consisted of key informant interviews (33) and focus group discussions (83 participants in 9 groups) at community and health facility levels. Data were analysed using a framework analysis approach. As well as pragmatic barriers at the health facility level, mental health stigma and certain cultural norms were found to reduce access and demand for services. Respondents perceived the lack of awareness about mental health problems to be a major problem underlying this, even among those with high levels of education or status. They proposed strategies to improve awareness, such as channelling education through trusted and respected community figures, and responding to the need for openness or privacy in educational programmes, depending on the issue at hand. Adapting to local perceptions of stigmatised treatments emerged as another key strategy to improve demand. This Study identifies barriers to accessing care in Nepal that reach beyond the health facility and into the social fabric of the community. Stakeholders in PRIME’s integrated care plan advocate strategic awareness raising initiatives to improve the reach of integrated services in this low-income setting.
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setting priorities for mental health care in nepal a Formative Study
BMC Psychiatry, 2013Co-Authors: Mark J D Jordans, Nagendra P Luitel, Mark Tomlinson, Ivan H KomproeAbstract:There is an urgent need to address the massive treatment gap for mental health problems, especially in low income settings. Packages of care integrated in routine primary health care are posited as a strategy to scale-up mental health care, yet more needs to be known about the most feasible and effective way to go about this. The Study follows a combined methods design that includes engaging an expert panel in a priority setting exercise, running workshops to develop a Theory of Change and conducting in-depth qualitative interviews and focus group discussions with key stakeholders. The results of each research step were taken forward to inform the subsequent one. There was strong endorsement for a system of care that encompasses both the perspectives of health facility and the community. Issues related to increasing access and demand, guaranteeing a sustainable supply of psychotropic medicine, adequate human resourcing, and ensuring positive family involvement came up as priority areas of attention. The Study underlines many of the known barriers in developing mental health services. At the same time it provides a distinct pathway and concrete recommendations for overcoming these challenges in Nepal.
Anjali Rameshbabu - One of the best experts on this subject based on the ideXlab platform.
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integrating cervical cancer prevention initiatives with hiv care in resource constrained settings a Formative Study in durban south africa
Global Public Health, 2015Co-Authors: Katie A Ports, Firoza Haffejee, Maghboeba Mosavel, Anjali RameshbabuAbstract:Cervical cancer screening rates remain suboptimal among women in South Africa (SA), where cervical cancer prevalence is high. The rollout of HIV-related services across SA may provide a means to deliver cervical cancer screening to populations with limited access to health care systems. In this mixed methods Study, psychosocial factors influencing cervical cancer prevention and perceptions of the provision of Pap smears in HIV care settings were examined. Structured interviews were conducted with women (n = 67) from a municipal housing estate in Durban, SA. Key informants (n = 12) also participated in semi-structured interviews. Findings revealed that participants had low cervical cancer knowledge, but desired more information. Relevant themes included the normalisation of HIV and beliefs that cervical cancer might be worse than HIV. A comprehensive community clinic was desired by most, even if HIV-positive patients were treated there. This Study provides important insight into integrating cervical cancer screening with HIV clinics, which may increase cancer screening among South African women.
Nokuthula Mofammere - One of the best experts on this subject based on the ideXlab platform.
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a qualitative analysis of south african women s knowledge attitudes and beliefs about hpv and cervical cancer prevention vaccine awareness and acceptance and maternal child communication about sexual health
Vaccine, 2011Co-Authors: Shelley A Francis, Michele Battlefisher, Joan Liverpool, Lauren Hipple, Maghboehba Mosavel, Soji Soogun, Nokuthula MofammereAbstract:In South Africa, cervical cancer is the second leading cause of death among women. Black South Africa women are disproportionately affected by cervical cancer and have one of the highest mortality rates from this disease. Although the body of literature that examines HPV and cervical cancer prevention is growing in the developing world; there is still a need for a better understanding of women's knowledge and beliefs around HPV and cervical cancer prevention. Therefore, this Formative Study sought to examine women's attitudes, beliefs and knowledge of HPV and cervical cancer, HPV vaccine acceptance, maternal-child communication about sexuality, and healthcare decision-making and gender roles within an urban community in South Africa. Women ages 18-44 were recruited from an antenatal clinic in a Black township outside of Johannesburg during the fall of 2008. Twenty-four women participated in three focus groups. Findings indicated that the women talked to their children about a variety of sexual health issues; had limited knowledge about HPV, cervical cancer, and the HPV vaccine. Women were interested in learning more about the vaccine although they had reservations about the long-term affect; they reinforced that grandmothers played a key role in a mother's decisions' about her child's health, and supported the idea that government should provide the HPV vaccine as part of the country's immunization program. Our findings indicate the need to develop primary prevention strategies and materials that will provide women with basic cervical cancer prevention messages, including information about HPV, cervical cancer, the HPV vaccine, screening, and how to talk to their children about these topics. Prevention strategies should also consider the cultural context and the role that grandmothers play in the family unit.