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BACKGROUND: Peace Corps is a US government volunteer service agency which provides trained Volunteers to assist host countries in addressing critical development challenges at the community level. The US President's Malaria Initiative provides technical expertise and financial resources to reduce malaria morbidity and mortality in focus countries in sub-Saharan Africa. OBJECTIVE: We aim to describe the nature of the collaboration between Peace Corps and President's Malaria Initiative (PMI) and highlight examples of the partnership in select countries. METHODS: We conducted an analysis of retrospective data obtained from Peace Corps and PMI for the years 2014-2019. RESULTS: Volunteers were able to learn about and work on malaria prevention and control with PMI in three key ways: a malaria-specific training program for staff and Volunteers; malaria-focused small grants; and extension of Volunteer assignments for a third year to support malaria projects. Successful Peace Corps projects supported by PMI, at the community level, were highlighted, with a focus on Rwanda, Benin, Zambia, Madagascar, and Senegal. In Fiscal Year 2019, 1408 Volunteers contributed to malaria prevention activities in 18 Peace Corps programs across Africa, of which 15 were PMI focus countries. While the majority of documented work by Volunteers has involved social and behavior change, there were many other ways to partner with PMI staff. CONCLUSION: Each of the proven interventions that PMI supports for malaria prevention and control may have a role for Volunteer involvement. Combined with the technical expertise and the relationships that PMI staff have with national-level counterparts in PMI focus countries, the continued collaboration between Peace Corps and PMI can accelerate the fight against malaria.
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El contacto con objetos y personas en el entorno hospitalario favorece la propagación de gérmenes que amenazan a los pacientes; el lavado de manos es una estrategia clave para prevenir infecciones. En este estudio, transversal y cuantitativo, se midió la adherencia al lavado de manos en personal ambulatorio y de urgencias de Assbasalud ESE, según los cinco Momentos de la Higiene de las Manos de la OMS, y se evaluó el impacto después de impartir capacitación. Lo anterior se realizó en tres fases: precapacitación, capacitación y poscapacitación, las cuales contaron con el aval del Comité de Calidad de la IPS. En la formación se tuvieron en cuenta las etapas de la higiene de manos, el uso de esmaltes y joyas y la pertinencia de las sustancias empleadas para la asepsia. La adherencia obtenida al lavado de manos en la primera fase fue del 61,8% y en la segunda, del 78,3%. Estos resultados son positivos con relación a estudios internacionales. Se concluye que el lavado de manos, valorado en 78,3% durante el cuarto trimestre de 2013, es una excelente estrategia para prevenir infecciones hospitalarias.
Contact with objects and people in the hospital environment promotes the spread of germs that threaten patients; hand washing is a key strategy to prevent infections. Adherence to hand washing of health care officials was measured according to the Five Moments of Hand Hygiene of the WHO (World Health Organization). This transversal and quantitative study evaluated the adherence to hand washing in outpatient and emergency personnel of Assbasalud ESE, as well as the impact after receiving training. It was conducted in three phases: pre-training, training and post-training. The final sample was 128 employees in nine bank suite's (30%). The adhesion measurement was approved by the Executive Quality Committee of Assbasalud ESE. The factors that were evaluated were: hand hygiene, use of nail polish and use of jewels, as well as the relevance of the substances used for aseptic. The overall adherence of hand washing in phase one was of 61.8% and for the second phase, of 78.3%. These are positive results with reference to national and international studies. It was concluded that hand washing, valued at 67.1% during the third quarter of 2013, is an excellent strategy to reinforce patient safety and to prevent hospital infections.
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Desinfección de las Manos , Organización Mundial de la SaludRESUMEN
PURPOSE: The aim of this study was to determine (1) the patient-preferred timing characteristics of a system for online patient access to radiologic reports and (2) patient resource needs and preferences after exposure to reports. METHODS: Adult outpatients from a single imaging center completed researcher-administered electronic questionnaires. Participants were exposed to 3 simulated clinical scenarios and asked to answer questions on the basis of what they thought they would do in each. Scenarios included symptomatology and written radiology reports that were nearly normal, seriously abnormal, and indeterminate, with reports containing typical medical terminology. Participants were asked about preferred timing for online access to reports, communication methods, educational resources, and alternative formats. McNemar's test correlated proportions and generalized estimating equations were used to evaluate responses. RESULTS: Participants (n = 53) most often preferred immediate access to reports: 32 (60.2%) for the nearly normal scenario, 25 (47.2%) for the seriously abnormal scenario, and 24 (45.3%) for the indeterminate scenario. Three-day delayed access was next most commonly preferred: 15 (28.3%), 19 (35.8%), and 19 (35.8%), respectively. Forty-two participants (79.2%) preferred the portal method of notification over ways they have historically gotten results, with an increased proportion being satisfied with it overall (P < .04). Most would use a variety of educational resources and found alternative lay language conclusions and hyperlinks helpful. CONCLUSIONS: Some outpatients want immediate online access to complete, written radiologic reports and would use multiple resources to understand report contents. Effects of immediate access on provider workflow and on anxiety and autonomy among a diverse population of patients still need to be studied.
