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How Should Home-Based Maternal and Child Health Records Be Implemented? A Global Framework Analysis

ABSTRACTBackground:A home-based record (HBR) is a health document kept by the patient or their caregivers, rather than by the health care facility. HBRs are used in 163 countries, but they have not been implemented universally or consistently. Effective implementation maximizes both health impacts and cost-effectiveness. We sought to examine this research-to-practice gap and delineate the facilitators and barriers to the effective implementation and use of maternal and child health HBRs especially in low- and middle-income countries (LMICs).Methods:Using a framework analysis approach, we created a framework of implementation categories in advance using subject expert inputs. We collected information through 2 streams. First, we screened 69 gray literature documents, of which 18 were included for analysis. Second, we conducted semi-structured interviews with 12 key informants, each of whom had extensive experience with HBR implementation. We abstracted the relevant data from the documents and interviews into an analytic matrix. The matrix was based on the initial framework and adjusted according to emergent categories from the data.Results:We identified 8 contributors to successful HBR implementation. These include establishing high-level support from the government and ensuring clear communication between all ministries and nongovernmental organizations involved. Choice of appropriate contents within the record was noted as important for alignment with the health system and for end user acceptance, as were the design, its physical durability, and timely redesigns. Logistical considerations, such as covering costs sustainably and arranging printing and distribution, could be potential bottlenecks. Finally, end users' engagement with HBRs depended on how the record was initially introduced to them and how its importance was reinforced over time by those in leadership positions.Conclusions:This framework analysis is the first study to take a more comprehensive and broad approach to the HBR implementation process in LMICs. The findings provide guidance for policy makers, donors, and health care practitioners regarding best implementation practice and effective HBR use, as well as where further research is required.




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SHOULD INVEST IN ONE VERANDAH DISTRICT 2?

Condo for sale in One Verandah, Thanh My Loi, Ho Chi Minh 4 REASONS FOR INVESTING IN ONE VERANDAH PROJECT, DISTRICT 2 (MAPLETREE)1. One Verandah owns a beautiful and permanent view of downtown Ho Chi Minh CityIn Thanh My Loi, One Verandah is the second project that can compete wi...




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US millionaire advises millennials should buy home, not rent

Self-made millionaire David Bach says not buying a home is the single biggest mistake millennials (who were born between 1980 and 2000) are making.




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Millennials should not spend all their money on buying home

Nguyen Tran Nam, former Deputy Minister of Construction, also President of the Vietnam Real Estate Association (VNREA) says in comparison to buying, renting a home is a better solution for young Vietnamese.




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Deposit for project land: Should or shouldn’t

Due to the lack of regulation and sanctions, home buyers has to bear higher risk from property deposits, especially for land with land with high value.




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8 things home buyers should consider before buying a condo

Condo is currently the top trend among single-family home buyers as it is a good way to own a home without breaking budget, in addition to various utilities a condo could bring to its owner. For a first-time home buyer, here are 8 things to consider before purchasing a condo if you don't want to regret it later.




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Should we buy home in Ghost month?

The 7th Lunar month, known as the Ghost month in traditional beliefs, may not be the best time to purchase a new home. However, with the change of home buyer’s perspective on the matter in recent years and various incentives programs offered, more and more people are buying homes at this time of the year.y home in Ghost Month?




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Why you should hire a real estate agent?

Buying a home always need time and effort. Many home buyers can not manage a series of buying steps themselves, so hiring real estate agents to finish the deal quickly and more effectively is a smart decision. If you are still considering whether you should hire an agent or not, the following infographic will show you the benefits of buying a home with an agent:




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5 things people with kids should consider before home purchase

Buying a new home is not always easy, especially when you have kids to consider. Here are 5 tips to choose the most suitable home for your kids.




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7 Things You Should Know Before Signing a Lease

Sure, you're just renting the place for a year, or even just a month. But before you sign on the dotted line, make sure you know what you're signing up for.




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How much of income should you spend on housing?

To ensure that you can afford for your living expenditures, you should not spend more than 30-40% of income on housing.




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Should You Sell House or Rent it out?

Normally, you have to sell the current property if you need the money to buy a new one. But there are occasions when it makes practical or financial sense to keep the old home.




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Should you sell home before buying a new one?

Lots of people sell their current home at the same time as buying a new one, forming a property chain. Selling before you buy has risks, but it can also have great advantages.




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9 negative impacts of land fever investors should know

The upsurge of land price leads to a real estate bubble, pushing up production costs, creating a virtual tendency and gradually increasing bad debt.




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With VND 800 million, should I invest in real estate?

With capital of VND 800 million, instead of gold or securities, real estate is considered an appropriate and feasible investment choice.




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Justin Trudeau should lift Canada's economic sanctions now

Ken Stone

On March 23, UN Secretary-General António Guterres appealed to G20 leaders: "I am encouraging the waiving of (economic) sanctions imposed on countries to ensure access to food, essential health supplies, and COVID-19 medical support. This is the time for solidarity not exclusion ... Let us remember that we are only as strong as the weakest health system in our interconnected world." At the same time, AP News reported, ambassadors of eight countries currently affected by economic sanctions -- namely, Cuba, Iran, Venezuela, Syria, Nicaragua, China, Russia and North Korea -- petitioned the secretary-general for "the immediate and complete lifting of those measures to enable nations to respond to the coronavirus pandemic." 

Regrettably, so far the wealthy and powerful countries of the world haven't heeded the secretary-general's call to loosen the screws on the weaker and poorer ones. They also ignored a similar appeal by Pope Francis in his Easter address. On the contrary, President Trump actually weaponized the pandemic by instituting further sanctions on both Iran and Venezuela, countries already targeted for regime change. 

In Canada, however, two peace groups, the Hamilton Coalition to Stop the War and le Mouvement Québécois pour la paix, sent an open letter signed by 100 prominent Canadians to Trudeau asking him to lift all of Canada's economic sanctions now. 

Unknown to most Canadians, Trudeau's government maintains economic sanctions regimes against 20 countries of the world, including nine African countries. In fact, under the Harper government in Ottawa in June 2013, Canada co-ordinated economic sanctions for the U.S.-led coalition of countries participating in the regime change operation against Syria. Similarly, under the Trudeau government, Canada helped lead the Lima Group in organizing multilateral sanctions against Venezuela. 

Canada typically applies five types of sanctions: arms embargoes, asset freezes, import-export restrictions, financial prohibitions and technical assistance prohibitions. Not all sanctioned countries feel the full weight of all five. However, some countries do: Iran, Syria, North Korea and Libya. 

The effect on the targeted country is crippling. The first result is usually a drastic decline in its currency's value, which translates into ordinary people being unable to put food on the table for their children. Then follow other crises for working people: unemployment due to closing markets for the country's exports and the inability to get spare parts; inability to receive payments from relatives abroad because the international banking system excludes the targeted country; the closing down of whole industries, such as tourism, because access to credit cards or even air access to national airports, as in the case of Syria, is turned off by the sanctioners.

Supporters will point out that sanction regimes generally exclude food and medical supplies. However, international trade requires financing through banks which are subject to penalties in the U.S., for example for trading with Iran, even though the participating bank may be domiciled in a country that has lifted its sanctions on Iran. This practice by the U.S. is called extraterritoriality.

Some have likened economic sanctions to acts of war and compared them to sieges of medieval towns in which the besiegers hope to make life so difficult for the besieged that they rise up against their feudal lords and open the gates. The comparison isn't far off since the brunt of sanctions aren't felt so much by the targeted countries' ruling elites but rather their civilian populations. A monstrous example was the decade of UN sanctions against Iraq between the First and Second Gulf Wars. Between 1992 and 2000, 500,000 Iraqi children perished from lack of food and medicines. But Madeleine Albright, former U.S. secretary of state in the Clinton administration, famously quipped that it was "worth it."  It was worth it to Albright because sanctions were part of U.S. foreign policy to soften up Iraq in preparation for the Anglo-American invasion and occupation of 2003 which continues today.

Notably, coercive economic measures are not levelled against U.S. client states, no matter the enormity of their crimes. Israel, which turned Gaza into the world’s largest open air prison and is annexing the West Bank, and Saudi Arabia, which wages a bloody war on Yemen and murdered journalist Jamal Khashoggi, don't worry about sanctions.

Under international law, economic sanctions are acts of war. That's why the UN charter restricts the power to level sanctions exclusively to the UN Security Council. That also explains why Canada's unilateral sanctions against 19 countries are illegal. Only in the case of North Korea are Canada's regime of a full spectrum of coercive measures explicable under international law.

While Trudeau tries to play the competent caring leader in his daily COVID-19 press conferences, he cannot ignore the damage he is doing to the efforts to fight the novel coronavirus in 20 of the world's poorest countries, and indeed to the global effort.

Ken Stone is a longtime peace, social justice, labour, anti-racist and environmental activist-resident in Hamilton, Ontario. He is treasurer of the Hamilton Coalition To Stop The War and executive member of the Syria Solidarity Movement.

Image: CanadianPM/Video Screenshot/Twitter




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After the COVID-19 pandemic, older generations should reflect on the need for climate action

The COVID-19 pandemic has prompted a cornucopia of reflections about what is to be learned from it. One of the issues around which this has been the case is climate change.

There are a few ways in which climate change is linked to reflections on the pandemic. One of these links is seeing the pandemic and where there has been relative success in dealing with it as a good case study in the value of scientific advice over politics. The wish is that as a result science might regain a more secure foothold in the debate around climate change. This is generally coupled with a reflection on the extent to which the pandemic might have been even better prepared for and dealt with had early generic warnings about the likelihood of a pandemic been heeded, and also if warnings about the actual pandemic had been acted on earlier than they were at the beginning of 2020. The hope is that this lesson in the consequences of not heeding warnings will rub off on the climate change debate, if not on the most committed climate change deniers.

Another link between the pandemic and climate change is one less reflected on, although I did see at least one article on it, and that is the whole issue of inter-generational ethics that arises. The lock downs associated with COVID-19 tended to be justified on two grounds: One was containing the spread in such a way as to prevent health-care systems from being overwhelmed, and the other had to do with containing the spread of the virus for the sake of the those who were most likely to die from it, namely the elderly, an argument certainly borne out by the statistics even if it is the case that some younger people seem, for reasons yet to be determined, very vulnerable.

And so it was that multitudes of young people have had to put their lives and dreams on hold in order to safeguard the lives of many who are much older than them.  Young people have mostly willingly and without complaint acceded to the moral imperative and practical wisdom of sacrificing things like their personal, educational, athletic, travel, financial and/or employment hopes for the greater good, specifically for the older generation in their society. 

Other groups, like frontline health-care workers, and those newly classified as working in essential jobs, like grocery store workers, have also been asked to make a disproportionate sacrifice. But that is for another article on how their real value has been revealed -- and how that value should be recognized in the post-pandemic world (better wages for one thing). 

Unfortunately, the link between the demands on the young in the pandemic containment strategy and the debate on climate change manifests itself in observing, so far, the unwillingness of populations, and their governments, to demand a reverse moral imperative from older citizens when it comes to sacrifices they might make for the sake of younger and future generations. What are older citizens prepared to sacrifice to safeguard the quality of the lives younger citizens will lead in the coming decades, by substantially reducing our carbon footprint, and seriously dealing with other environmental challenges?

One could argue that, in the case of Canadians, the population has done its part by electing a majority of MPs committed to action on climate change, only to be let down by a government that wants to have its cake and eat it too on climate change by imposing a carbon tax and buying a pipeline. Nevertheless, as we emerge on the other side of the pandemic, hopefully sooner rather than later, it seems to me that there will be a new opportunity for moral reflection on what the generations owe each other. Of course right-wing politicians are always claiming to be worried about passing on fiscal debt to the next generation. But passing on an environmental deficit is a much more real and  serious issue. Part of the moral logic of pandemic containment has been asking one generation to sacrifice for another. It seems only fair then that the political debate about climate change should at some point soon become much more focused on what the older generation can do for the younger generation. Demanding real action from their political leaders, even if it means locking down or at the very least winding down lifestyles that have become ingrained would be a good start. And for those who can afford it, showing a willingness to pay higher taxes to build the infrastructure of a sustainable and livable future would also be in order.     

Bill Blaikie, former MP and MLA, writes on Canadian politics, political parties and Parliament.

Image: John Englart/Flickr

May 8, 2020




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13 Aussie Podcasts You Should Be Listening To

I'm a huge podcast tragic. From true crime to weird radio plays, I like shoving as much of them into my ear holes as possible. But despite my efforts, I realised that I don't listen to as many Australian podcasts as I'd like. Sure, I have a few favourites, but I could be doing more to support local creators. So I asked around the office to find out what the best Aussie podcasts are, and why I (and you) should be listening to them. More »
    




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It Shouldn’t Be This Hard to Responsibly Fly a Drone

The FAA’s app—which tells you where you can and can’t fly your drone—ignores both local and national regulations




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RPG Cast – Episode 527: “Chris Should Play Nier Automata”

It's Alice's first appearance of the decade! Ther crew is rounded out by Alex, Anna Marie, Chris, Kelley and Peter who are back to discuss your treasured memories of the last decade, as well as the news, reviews, and releases from the last few weeks. Wasn't there supposed to be a break from releases...?



  • News
  • Podcasts
  • RPG Cast
  • Atelier Ryza
  • Dragon Quest Monsters
  • Everreach: Project Eden
  • Final Fantasy II
  • Final Fantasy II PSP
  • Final Fantasy IV
  • Final Fantasy IV Advance
  • Final Fantasy IV DS
  • Final Fantasy IV: The After Years
  • Final Fantasy IV: The Complete Collection
  • Path of Exile
  • Persona 3 Portable
  • Pokémon Mystery Dungeon
  • Ring Fit Adventure
  • Zwei

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Meghan Marvel: which superhero should the duchess play?

A princess seeking revenge after her royal privileges are revoked? A drifter trying to get away from her awful father? Or maybe a guardian of Captain Britain?

Now that Meghan Markle has had her royal purse strings cut, the time has come for her to prove that she is capable of making a living on her own merits. And, ever the everywoman, it has been reported that Markle’s first step is exactly the same one that we’d all make upon finding ourselves suddenly short of money – she has instructed her agent to find her a role in a superhero film.

At this point it’s best to assume that she’s looking for something more substantial than her pre-royal movie career offered; she won’t want a made-for-TV superhero movie, or to appear in a single scene of a larger film as a nameless woman whose only purpose in the universe is to give the middle-aged leading man something to absent-mindedly flirt at. So, who should she play? Luckily, as crowded as the superhero genre currently is, there is still plenty of untapped potential for her. Here are my suggestions.

Continue reading...




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U.S. watchdog agency says coronavirus whistleblower should be reinstated

A U.S. government watchdog agency has recommended the temporary reinstatement of a whistleblower who says he was removed as director of a government research office because he raised concerns about coronavirus preparedness, his lawyers said on Friday.




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Air India Crew Involved in Repatriation Flights Should Stay Back in Delhi, Says Noida Police Commissioner

Noida Police Commissioner has written to national carrier Air India, requesting the airline to ensure that pilots and crew involved in repatriation flights should stay back in Delhi.





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Fever can help the immune system, so what should we do if we have one?

Fever is a pain, quite literally, but new evidence hints at its purpose. Here’s what you need to know




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Do face masks work against the coronavirus and should you wear one?

The advice on widespread face mask use to protect against covid-19 varies wildly, but there is some evidence that they stop sick people spreading the virus




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Deciding how to end lockdown will be hard, but we should do it soon

An end to lockdown is many weeks away for some nations, but decisions on how to do it need to be made now so we can make preparations and communicate it clearly




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Why countries should start weekly covid-19 testing for key workers

Many countries are focusing coronavirus testing on people who have covid-19 symptoms. But regularly testing all essential workers would have more of an impact




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In video interview, Biden's accuser says he should drop out of White House race

The woman who alleges presumptive Democratic presidential nominee Joe Biden sexually assaulted her in 1993 said in a video interview on Thursday that he should withdraw from the White House race.




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U.S. watchdog agency says coronavirus whistleblower should be reinstated

A U.S. government watchdog agency has recommended the temporary reinstatement of a whistleblower who says he was removed as director of a government research office because he raised concerns about coronavirus preparedness, his lawyers said on Friday.




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Insect Experts Say People Should Calm Down About the Threat of ‘Murder Hornets’

They say the hornet “hype" reminds them of the “killer bees” scare of the 1970s




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Coronavirus POLL: Should Boris have enforced quarantine for travellers to UK sooner? VOTE



BORIS JOHNSON is set to announce a 14-day quarantine for travellers into the UK to avoid a second coronavirus peak - but should the Prime Minister have brought in the measure before now?




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Trump says Biden "should respond" to sexual assault allegation

President Trump Thursday said he thinks former Vice President Joe Biden should respond to a claim from a former staffer that he assaulted her in 1993 even as he cast doubt on the veracity of the allegation.




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Which COVID-19 models should we use to make policy decisions?

A new process to harness multiple disease models for outbreak management has been developed by an international team of researchers. The team will immediately implement the process to help inform policy decisions for the COVID-19 outbreak.




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Your morning briefing: What you should know for Tuesday, April 14

The Foreign Secretary showed some cautious optimism as he revealed the latest data suggested the UK was "starting to win this struggle," three weeks after restrictions were imposed.




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Your morning briefing: What you should know for Wednesday, April 15

Donald Trump has instructed his administration to temporarily halt funding to the World Health Organisation over its handling of the coronavirus pandemic.




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Your morning briefing: What you should know for Thursday, April 16

The Government is today set to extend the coronavirus lockdown until at least May 7 amid fresh warnings it is too soon to start easing the restrictions.




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Your morning briefing: What you should know for Friday, April 17




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Britons should not book summer holidays amid 'no certainty' on when lockdown will lift, Downing Street suggests

Brits should not book summer holidays because there is no end in sight to the lockdown, the Government has suggested.




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Your morning briefing: What you should know for Tuesday, April 21




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Your morning briefing: What you should know for Wednesday, April 22




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Your morning briefing: What you should know for Thursday, April 23

The top stories you're waking up to Listen to your Morning Bulletin on Google Assistant and Amazon Alexa smart speakers from 7am every weekday




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Your morning briefing: What you should know for Friday, April 24




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Your morning briefing: What you should know for Monday, April 27

The top stories you're waking up to Listen to your Morning Bulletin on Google Assistant and Amazon Alexa smart speakers from 7am every weekday




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Your morning briefing: What you should know for Tuesday, April 28




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Smartphone app to help ease coronavirus lockdown 'should be ready in three weeks'

A smartphone app designed to help curb the spread of coronavirus when the lockdown is eased should be ready "two to three weeks", MPs have been told.




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Nightingale should become coronavirus centre to enable other London hospitals to become 'Covid-free', chief executive suggests

The Nightingale field hospital should take coronavirus patients from other London hospitals to enable them to become "Covid-free" and restart normal treatment, its chief executive has suggested.




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NHS staff coronavirus inquests should not look at PPE shortages, chief coroner says

Inquests into the deaths of NHS staff amid the coronavirus crisis should not address the shortage of personal protective equipment (PPE) among health workers, the chief coroner has said.




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Your morning briefing: What you should know for Thursday, April 30

The top stories you're waking up to Listen to your Morning Bulletin on Google Assistant and Amazon Alexa smart speakers from 7am every weekday




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Airlines should be able to issue vouchers instead of cash refunds for cancelled flights, EU members say

Airlines should be able to issue vouchers instead of cash refunds for cancelled flights, according to 12 EU member states who have requested a change in the rules to help carriers.




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Your morning briefing: What you should know for Friday, May 1

The top stories you're waking up to Listen to your Morning Bulletin on Google Assistant and Amazon Alexa smart speakers from 7am every weekday