Apnea of prematurity (AOP) is a common complication among preterm infants (<37 weeks gestation), globally. However, access to caffeine citrate (CC) that is a proven safe and effective treatment in high income countries is largely unavailable in low-and-middle income countries, where most preterm infants are born. Therefore, the overall aim of this study was to describe the demand, policies, and supply factors affecting the availability and clinical use of CC in LMICs. A mixed methods approach was used to collect data from diverse settings in LMICs including Ethiopia, Kenya, Nigeria, South Africa, and India. Qualitative semi-structured interviews and focus group discussions were conducted with different health care providers, policymakers, and stakeholders from industry. Additional data was collected using standard questionnaires. A thematic framework approach was used to analyze the qualitative data and descriptive statistics were used to summarize the quantitative data. The findings..., Study design, setting, population, sampling We conducted a landscape evaluation involving stakeholders in Africa (Ethiopia, Kenya, Nigeria, South Africa) and South Asia (India – five states of Delhi; Bihar, Uttar Pradesh, Telangana and Madhya Pradesh) on CC availability and use from 1 July 2022 to 31 December 2022. We used a mixed methods study design to understand the complexity of CC availability and use across these LMICs. We selected a geographically and culturally diverse countries with high annual preterm births (~200,000). The selection of stakeholders within each focus country was by convenience and/or purposive sampling. We selected health facilities providing care for preterm infants and were able to provide the data required to achieve the study’s objectives. Proximity and ease of data collection was also factored into selection by research teams. Data collection Qualitative The research teams conducted key informant interviews and focus group discussions (FGD’s) with stakeho..., , # Caffeine Citrate data across five low- and middle-income countries

https://doi.org/10.5061/dryad.ksn02v7c4

This dataset is responses from stakeholders and providers describing the demand, policies, and supply factors affecting the availability and clinical use of Caffeine Citrate (CC) across Nigeria, Ethiopia, South Africa, Kenya and five States in India (where permission was given to share with the public). The dataset covers responses on the presence or absence of caffeine citrate in the Essential Medicines List (EML) and treatment guidelines, apnea of prematurity treatment protocols and practices, different brands of drugs registered in countries, procurement information and barriers limiting access. The data gives insights into status of caffeine, the treatment practices and barriers to access in each country. Apnea of prematurity (AOP) is a common complication among preterm infants (< 37 weeks' gestation), globally. However, access ...

The 2012 GHI report focuses particularly on the issue of how to ensure sustainable food security under conditions of water, land, and energy stress. Demographic changes, rising incomes and associated consumption patterns, and climate change, alongside persistent poverty and inadequate policies and institutions, are all placing serious pressure on natural resources. In this report, IFPRI describes the evidence on land, water, and energy scarcity in developing countries and offers two visions of a future global food system—an unsustainable scenario in which current trends in resource use continue, and a sustainable scenario in which access to food, modern energy, and clean water improves significantly and ecosystem degradation is halted or reversed. Concern Worldwide and Welthungerhilfe provide on-the-ground perspectives on the issues of land tenure and title as well as the impacts of scarce land, water, and energy on poor people in Sierra Leone and Tanzania and describe the work of their organizations in helping to alleviate these impacts. See other formats of data here: Linked Open Data (LOD) -- [OWL Version] and [RDF Version] See visual data at: Data Visualization

BackgroundPulse oximeters are not routinely available in outpatient clinics in low- and middle-income countries. We derived clinical scores to identify hypoxemic child pneumonia.MethodsThis was a retrospective pooled analysis of two outpatient datasets of 3–35 month olds with World Health Organization (WHO)-defined pneumonia in Bangladesh and Malawi. We constructed, internally validated, and compared fit & discrimination of four models predicting SpO2