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Christian Journal for Global Health
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2167-2415
Published by Center for Health in Mission Homepage  [1 journal]
  • Vaccines, the Faith Community, and the Common Good

    • Authors: H Elliott Larson
      Pages: 1 - 1
      Abstract: editorial
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.675
      Issue No: Vol. 9, No. 1 (2022)
       
  • Effects of Local Faith-Actor Engagement in the Uptake and Coverage of
           Immunization in Low- and Middle-Income Countries: A Literature Review

    • Authors: Sara Melillo, Rebecca Strachan, Carolyn J O'Brien, Chizoba Wonodi, Mona Bormet, Doug Fountain
      Pages: 2 - 32
      Abstract: Introduction: Religious leaders are universally recognized as having an influence on immunization uptake and coverage in low- and middle-income countries (LMICs). Despite this, there is limited understanding of three questions: 1) how do religious leaders impact the uptake and coverage of immunization in LMICs' 2) what successful strategies exist for working with local faith actors to improve immunization acceptance' and 3) what evidence gaps exist in relation to faith engagement and immunization' Methods: In January 2021, we searched PubMed and Google Scholar databases covering the period from January 1, 2011, to January 15, 2021, with key search terms related to faith engagement and immunization in peer-reviewed literature and conducted a gray literature review to answer these three questions. We excluded articles covering faith engagement and immunization in high-income countries, news articles, online blogs, social media postings, and articles in languages outside of English. Data were coded to guide thematic analysis. Results: We found extensive evidence supporting the value of religious engagement for immunization promotion and acceptance in LMICs across faiths. However, there was limited rigorous evidence and examples of specific approaches for engaging local faith actors to strengthen immunization uptake in LMICs. As a result, there is a lack of widely shared knowledge of what works (or doesn’t) and successful models for engaging local faith actors.  Additional current evidence gaps include: few rigorous study designs; a lack of vaccine hesitancy studies outside of Nigeria and Pakistan; and limited exploration of faith engagement and immunization in religions other than Islam and Christianity. Conclusions: Our review findings reinforce the powerful role local faith actors play in diverse communities within LMICs in both promoting and inhibiting immunization uptake. The literature review comes at a critical time, given the urgent need to expand access to COVID-19 vaccination in LMICs. Findings from this review will advance understanding on how to more effectively engage local faith actors in promoting immunization campaigns and addressing vaccine hesitancy, which is more complex than expected. Further study is needed to understand how to most effectively counter vaccine hesitancy in different geographic, linguistic, and socio-cultural contexts.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.587
      Issue No: Vol. 9, No. 1 (2022)
       
  • Associations of Multisite Pain with Mental Ill Health Among Women in North
           India.

    • Authors: Nathan John Grills, Prerana Singh, Pamela Anderson
      Pages: 33 - 42
      Abstract: Physical triggers of multisite pain (MSP) have typically been the focus if treatment regimens for MSP in low and middle income countries (LMICS). We explored the non-physical dimension of MSP, particularly the presence of mental ill health and other possible risk factors. We conducted a case-control study among 140 female participants in North India in early 2019. We used structured interviews to assess pain, and validated mental health questionnaires to determine presence of depression and neurotic disorders. Statistical analyses of multisite pain, mental health and demographic data found strong associations between multisite pain and depression and neurotic disorder. Marital status (women who had been widowed, separated or unmarried) was the only demographic factor found to have a significant association with the experience multisite pain. We conclude that non-physical factors such as mental health need to be considered by treating practitioners, and included within national treatment guidelines in LMICs such as India.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.559
      Issue No: Vol. 9, No. 1 (2022)
       
  • An Analysis of the Relationship between Resilience and Clinical Competence
           in Nurses : Descriptive-analytical Study

    • Authors: Parvin Aziznejadroshan, Soghra Goliroshan , Mojtaba Qanbari Qalehsari , Seyed Javad Hosseini , Zahra Geraili , Fatemeh Shaker Zavardehi
      Pages: 43 - 52
      Abstract:   Objective: Resilience and clinical competence are two important components of providing nursing care to patients. The goal was to determine the correlation between clinical competence and resilience in the nurses at Babol University of Medical Sciences. Methods: This descriptive and correlational study was conducted in 2019-20. A total of 424 nurses working in the intensive care units and general wards of six hospitals affiliated with Babol University of Medical Sciences were selected using the stratified sampling technique. Liou’s Nursing Clinical Competence Questionnaire was used to assess the clinical competence of the nurses, and Connor-Davidson Resilience Scale was used to assess the nurses’ resilience. The descriptive statistics, Pearson’s correlation coefficient, t student, and one-way ANOVA methods were used in data analysis. Results: The mean score on the seven dimensions of clinical competence was high (174.8624.19). The nurses had the highest mean scores on “clinical care” and “management and leadership” dimensions (4.7731.50, 4.728.61) in the order mentioned. They also had the lowest mean scores on the “mentoring and teaching” and “professional progress” dimensions in the order mentioned (3.5319.10, 3.4119.14). The meanstandard deviation of the nurses’ resilience score was 73.3612.66. The results of Pearson’s correlation test indicated a positive significant relationship between all clinical competence dimensions and nurses’ resilience (p<0.001, r=0.493). Conclusion: Given the strong relationship between resilience and clinical competence, nursing managers are recommended to carry out proper planning to improve the clinical competence and resilience of nurses.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.547
      Issue No: Vol. 9, No. 1 (2022)
       
  • A Descriptive Study of Community Health Evangelism as a Model for Integral
           Mission

    • Authors: Jason Paltzer, Keyanna Taylor, Janak Patel
      Pages: 53 - 67
      Abstract: Background: Integral mission health models are often employed by faith-based organizations to address social, physical, and spiritual wellbeing. Given the use of these models like Community Health Evangelism (CHE), the evidence regarding their effectiveness in practice is limited. The purpose of this descriptive study was to identify variation in the initiation, development, implementation, and impacts of Community Health Evangelism as reported by organization members of the Global CHE Network. Methods: A digital survey in English, Spanish, and French was sent via email to Global CHE network members resulting in 27 complete organizational responses for analysis. Survey questions ranged from qualitative open-ended questions to categorial and ranking type questions. Descriptive statistics and inductive thematic analytical methods were used to describe the data. Data were summarized according to organizational size to better understand this influence on the practice of CHE. Responses represent organizations in Africa, Asia, North/Central America, and Europe. Results: The community selection process, committee and CHE volunteer selection criteria, the function of the community champion, time to CHE volunteer home visitation, and achievement of key impacts were some of the areas that showed variation. Measured mpacts included understanding of integral mission, use of LePSA(S) as a teaching strategy, multiplication, and community ownership. Discussion: The study aimed to understand the implementation of CHE in the field and identify areas of variation and adaptation that could lead to opportunities or barriers in achieving the desired impacts of CHE. The results show variation in each of the four phases and provide a starting point to further study CHE as an integral mission model. The paper suggests additional opportunities for future research to identify core components that could strengthen and improve the effectiveness and practice of integral mission models.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.643
      Issue No: Vol. 9, No. 1 (2022)
       
  • Research As Mission: Experiences and Expectations of Missions Agency
           Leadership Regarding the Ministry Role of Clinical and Public Health
           Research

    • Authors: Carlan Wendler, Doug Lindberg, Greg Sund
      Pages: 68 - 76
      Abstract: Introduction: Research as a focus of healthcare missions is an important component of the evolving role of healthcare missionaries and sending organizations in LMICs.  There is a lack of data and understanding on what appetite exists to expand and invest in such research initiatives.  Methods: This study surveyed leaders of North American mission sending agencies engaged in healthcare, seeking to ascertain their current and anticipated future involvement in research, education, and healthcare delivery.  Results: Forty-seven leaders responded (of 211 contacted) to our survey of whom 37 completed all survey questions.  Eighty-two percent of respondents agreed that they had a responsibility as an organization to study how to improve clinical care and public health.  Sixty-four percent of respondents anticipated reduced healthcare delivery in the next 10 years.  During that same 10-year, time frame, 61% anticipate an increase in health research mentoring, and 79% expect an increased role of student education.  However, this emerging shift towards research and education is not yet reflected with a similar degree of perceived enthusiasm among missionaries in doing research or donors in supporting it. Discussion: Across the spectrum of middle- and upper-level leadership in a variety of missions sending organizations, there is recognition of an important and increasing role for healthcare research activities in ministry.  About half of the agencies represented in our sample are already involved in research and will need to share best practices with others as healthcare missionaries devote more time and attention to research mentorship.  Done well, this can provide additional avenues for disciple-making in both home and host cultures as well as improve the care for populations in those remote and rural areas often most served by healthcare missionaries. Conclusion: Research as mission has, heretofore, been a neglected methodology, but institutional leaders in healthcare missions anticipate an increasingly important ministry role for it.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.647
      Issue No: Vol. 9, No. 1 (2022)
       
  • Effect of Epidural Ketamine on Pain after Total Knee Arthroplasty: A
           Randomized Double- Blind Placebo Controlled Clinical Trial

    • Authors: Litha Mary Mathew, Leejia Mathew, Verghese Cherian, Alice David
      Pages: 77 - 86
      Abstract: Background and Aims: Managing the intense pain after a Total Knee Arthroplasty (TKA) is essential for early mobilization and physiotherapy which plays a crucial role for better clinical outcomes. Epidural infusion of local anesthetic and opioids provides good pain relief but can lead to side effects such as hypotension, motor weakness and respiratory depression. The objective of this study was to evaluate if epidurally administered ketamine could provide postoperative analgesia and therefore reduce the dose of the epidural infusion.  Methods: Thirty patients undergoing TKA under epidural anesthesia were randomized to receive 0.5% bupivacaine (Group I) or 0.5% bupivacaine + ketamine (0.5mg/kg) (Group II) as their primary anesthetic. At the end of the surgery, an infusion of 0.1% bupivacaine + fentanyl (1μg/ml) was started through the epidural catheter at 5ml/h. The rate was adjusted every 2 hours, depending on the pain experienced by the patient. If despite rate adjustment, the patient graded the pain as 5 or more, morphine 5mg intramuscularly could be administered as the rescue analgesic. Results: The demographic characteristics of the two groups were comparable. The dose of epidural infusion in the postoperative period was also comparable. Rescue analgesia was needed in 5 (35%) Group I and 8 (53%) Group II patients, which was not statistically significant. However, an analysis of the subset of patients who needed rescue analgesia using the Kaplan-Meier curves, showed that most of the patients from Group I needed the rescue dose at the 6th hour and although few of the Group II patients also needed rescue analgesia at the 6th hour, their rate of needing rescue analgesic was gradual, lasting up to 18 hours. Conclusion: Although, this study failed to show that the addition of a single dose of ketamine (0.5mg/kg) improved postoperative analgesia after TKA, it may have some benefit in a select subset of patients. It would need a larger sample size to identify those patients.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.641
      Issue No: Vol. 9, No. 1 (2022)
       
  • Finding Common Ground for the Common Good: An Appeal for Innovative
           Collaboration between Faith- and Non-faith Based Organizations

    • Authors: Danielle Ellis, Tamara Fitzgerald
      Pages: 87 - 93
      Abstract: Both faith-based organizations (FBOs) and non-faith-based organizations (NFBOs) make significant contributions to healthcare in low- and middle-income countries, particularly for patients with fewer economic resources.  The perception that FBO and NFBO are dissimilar may contribute to there being insufficient interactions between them.  But in fact, faith and humanitarianism are intimately and historically connected.  As a byproduct, FBO and NFBO share both accomplishments and criticisms, including echoes of imperialism and lack of neutrality.  A mutual interest approach could cultivate partnerships between FBO and NFBO, allowing them to pursue the common good of a healthier world without risking assimilation, isolation, or inauthenticity.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.585
      Issue No: Vol. 9, No. 1 (2022)
       
  • Using the Bio-Psycho-Social-Spiritual Framework in Holistic Health and
           

    • Authors: Morgan Braganza, Jacob Oliveira
      Pages: 94 - 104
      Abstract: As in other parts of the world, Canada’s citizens are confronted with biological, mental, and social crises. Despite the fact that these issues can be interrelated, they are regularly studied and addressed separately. The bio-psycho-social (BPS) framework was offered as an alternative approach for care because of its assumption that in order to produce a variety of interconnected outcomes relative to health and well-being, biological, mental, and social issues must all be considered. Some authors have argued, however, that without a spiritual component, the BPS framework is not holistic. As such, recent scholarship has explored the inclusion of a spiritual component in the framework, and social service professionals have been encouraged to consider designing interventions informed by the bio-psycho-social-spiritual (BPS-S) framework. Good examples of how to apply the framework in practice are limited. This case example describes how the BPS-S framework was applied to design a community-, sports-, and faith-based martial arts program in Ontario, Canada. The program draws upon a combination of sports-, community-, and Christian faith-based considerations to serve its participants, including vulnerable populations such as those with constrained access to social services due to mental health challenges, language barriers, or low levels of income. This article details some of the ways in which the operations of this program (e.g., activities, target audience, leadership) were informed by the BPS-S framework. This includes some of the advantages of drawing upon this framework to foster more nuanced and holistic well-being among participants. The article concludes with some limitations of the BPS-S framework, and implications for applying it to other social service interventions.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.593
      Issue No: Vol. 9, No. 1 (2022)
       
  • Acute Suppurative Thyroiditis in Post Arteriovenous Shunt Infection
           Patient

    • Authors: Ferdy Royland Marpaung, Aryati, Sidarti Soehita
      Pages: 105 - 110
      Abstract: Acute suppurative thyroiditis (AST) is a rare clinical entity that must be treated immediately because of its morbidity, especially swelling in the thyroid area accompanied by fever. AST is often preceded by infection at another site; therefore, it is important to identify the source. A 40-year-old woman came to the Dr. Soetomo General Hospital complaining of pain and swelling in the neck, difficulty swallowing, and fever. The patient suffered from chronic kidney disease. One week before, she had an infected arteriovenous hemodialysis shunt. Laboratory results showed an increased fT4 (3.5 ug/dL) and a decreased TSH (0.015 uIU/mL), leukocytosis, and a raised C reactive protein (CRP). Thyroid ultrasound showed an abscess involving the entire left thyroid. Thyroid fine needle biopsy showed AST. Culture of the pus grew Staphylococcus aureus. The thyroid tests supported the diagnosis of AST with hyperthyroidism; immediate treatment was indicated. Three weeks after treatment, the patient was euthyroid and still had drainage of the wound. The AST was considered to be secondary to the hemodialysis AV shunt infection. Leukocytosis and increased CRP levels supported the presence of inflammation and culture grew Staphylococcus aureus. The patient improved with Clindamycin therapy. To our knowledge, this is the first AST case preceded by hemodialysis AV shunt infection.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.583
      Issue No: Vol. 9, No. 1 (2022)
       
  • Christian Healthcare in Medically Underserved North Philadelphia

    • Authors: Amanda Martinez
      Pages: 111 - 116
      Abstract: With an unfortunate number of underserved communities throughout the world, it would be remiss to overlook the prevalence of ones located right in the backyards of America. Most residents of these communities suffer disproportionately from health disparities. They are often lower income, non-white residents of dense, and diverse urban neighborhoods, like ones located in North Philadlphia.1 Most of the residents of North Philadelphia lack basic health care services, live in households with incomes at or below 200% of the poverty level, and nearly one in five people lack health insurance, resulting in communities that are designated as a Federal Medically Underserved Areas.2 Since 1989, a health center, Esperanza, has been dedicated to serving the members of the North Philadelphia community through an intentional and faith-based approach. Today, its director, Susan Post, has continued to carry out the mission of Esperanza through efforts that highlight purposeful proximity.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.633
      Issue No: Vol. 9, No. 1 (2022)
       
  • Why are MedSend Grant Recipients Leaving the Mission Field' An
           Internal Review

    • Authors: James V Ritchie, Patricia Woods
      Pages: 117 - 121
      Abstract: This field report derives major and minor themes from exit interviews for cross-cultural healthcare workers who are leaving their work earlier than anticipated.  Recommendations are suggested to address this problem of attrition.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.603
      Issue No: Vol. 9, No. 1 (2022)
       
  • Scripture Matters for Whole Person Nursing

    • Authors: Diane McCroskey
      Pages: 122 - 124
      Abstract: Nursing is truly an ever-evolving profession. It is one of the most versatile occupations within the health care arena. It is not the same profession today as it was years ago. Nurses need direction to create order out of chaos in today’s complex multifaceted healthcare environment. My survival plan entails a personal relationship with Christ which is strengthened by consistent time spent in the Holy Scriptures. Reading the Bible daily and studying scripture is a necessity. Scripture passages can inspire nurses particularly in going forward, in endlessly caring for other individuals and in sharing our passion to serve others as we venture forth.
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.665
      Issue No: Vol. 9, No. 1 (2022)
       
  • The Conqueror’s Creed: A Declaration and Prayer of Christian
           Scripture for Those in Pain

    • Authors: Emily H. Garmon
      Pages: 125 - 125
      PubDate: 2022-06-20
      DOI: 10.15566/cjgh.v9i1.655
      Issue No: Vol. 9, No. 1 (2022)
       
 
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