Master's theses

Tools for Implementing an Evidence-Based Approach in Public Health Practice

Increasing disease rates, limited funding, and the ever-growing scientific basis for intervention demand the use of proven strategies to improve population health. Public health practitioners must be ready to implement an evidencebased approach in their work to meet health goals and sustain necessary resources. We researched easily accessible and time-efficient tools for implementing an evidence-based public health (EBPH) approach to improve population health.

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Social determinants of health in Canada: Are healthy living initiatives there yet? A policy analysis

Preventative strategies that focus on addressing the social determinants of health to improve healthy eating and physical activity have become an important strategy in British Columbia and Ontario for combating chronic diseases. What has not yet been examined is the extent to which healthy living initiatives implemented under these new policy frameworks successfully engage with and change the social determinants of health.

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Strengthening monitoring systems and inter-departmental convergence to drive program improvements

Under the National Rural Health Mission, an initiative has been taken to provide 15 integrated maternal, child health, and nutrition services through outreach sessions like the Village Health and Nutrition Days (VHND). Such sessions are organized in the village at a fixed day, place and time through convergent actions by the departments of health and the department of women and child development. Due to inadequate dissemination of guideline for conducting outreach sessions, health workers often lacked clarity in understanding their role. Services are often limited to immunization.

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Du Programme élargi de vaccination (PEV) aux Programmes nationaux de vaccination (PNV) : intérêt des groupes techniques consultatifs pour la vaccination (GTCV)

Face à l’absence de publications scientifiques sur les GTCV, l’Initiative SIVAC et l’OMS ont développé un supplément du journal Vaccine (The role of National Advisory Committees in Supporting Evidence-Based Decision Making for National Immunization Programs. Vaccine 2010;28 (S1):1–110), dans le but de fournir à la fois des exemples réels de GTCVopérationnels, un aperçu de leur mode de fonctionnement et des recommandations pour leur mise en place. C’est ainsi que ce supplément en anglais comprend 15 articles décrivant 15 GTCV et cinq articles généraux.

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Support for children identified with acute flaccid paralysis under the global polio eradication programme in Uttar Pradesh, India: a qualitative study

Background: Cases of polio in India declined after the implementation of the polio eradication programme especially in these recent years. The programme includes surveillance of acute flaccid paralysis (AFP) to detect and diagnose cases of polio at early stage. Under this surveillance, over 40,000 cases of AFP are reported annually since 2007 regardless of the number of actual polio cases. Yet, not much is known about these children. We conducted a qualitative research to explore care and support for children with AFP after their diagnosis.

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Pulmonary vaccine delivery: A realistic approach?

Pulmonary vaccine delivery has gained increasing attention during the last decade because this vaccination method combines potential advantages such as the fact that it omits the use of needles and may elicit immunity at the port of entry for many pathogens. In this review the current status of pulmonary vaccination, the potential advantages of pulmonary vaccine delivery, the hurdles to overcome in the future, and the overall perspectives of this vaccination strategy are described.

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