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University of New South Wales
1.
Pandey, Pushpa Lata.
Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal.
Degree: Public Health & Community Medicine, 2019, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/63285 
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:60121/SOURCE02?view=true
► Adolescent-friendly health services (AFHS) are considered key to addressing the sexual and reproductive health (SRH) of adolescents. Since 2009 Nepal has been integrating AFHS into…
(more)
▼ Adolescent-friendly
health services (AFHS) are considered key to addressing the sexual and reproductive
health (SRH) of adolescents. Since 2009 Nepal has been integrating AFHS into its
public health facilities. Despite much attention, and attempts to scale up AFHS, utilisation remains suboptimal. This thesis, therefore, aims to understand the factors contributing to adolescents’ utilisation of AFHS in Nepal.Based on an interpretive research framework, a qualitative case study methodology was employed to understand the utilisation of AFHS.
Health service utilisation was assessed through record review and via observations of
health facilities, which results were compared with national standards criteria. A social constructionist lens and principles of grounded theory guided my understanding of adolescents’ experience and the factors associated with their accessing SRH services from AFHS; the meaning of AFHS for adolescents;
health care providers’ attitudes towards adolescents seeking SRH services; and
community perceptions and readiness to accept AFHS. A total of 16 interviews and six focus group discussions with adolescents (n=49), nine interviews with
health care providers, and 13 interviews with key informants were conducted. Thematic analysis was applied in the data analysis.The findings showed that both socio-cultural and
health facility factors influence utilisation of SRH services. Many of these factors stem from the moral framework encapsulated in socio-cultural norms and values related to the sexual
health of adolescents, and
health care providers’ poor value clarification. For example,
health care providers had taken on a policing role in prescribing adolescents’ conformity. In describing their ideal AFHS setting, adolescents spoke about maintaining privacy and confidentiality, and dignified SRH services. In stark comparison, the overriding
community perception was to ascribe abstinence-only education from these
health facilities. This study provides an empirical understanding of the reasons and factors associated with SRH service utilisation, which goes much deeper than program provision of AFHS in Nepal. The recommendations offered can potentially strengthen policy, program and services to improve AFHS, together with creating an enabling and supportive environment for adolescents to access SRH services.
Advisors/Committee Members: Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW, Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW.
Subjects/Keywords: Sexual and reproductive health; Adolescents; Adolescent friendly health services; Nepal
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APA (6th Edition):
Pandey, P. L. (2019). Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/63285 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:60121/SOURCE02?view=true
Chicago Manual of Style (16th Edition):
Pandey, Pushpa Lata. “Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal.” 2019. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021.
http://handle.unsw.edu.au/1959.4/63285 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:60121/SOURCE02?view=true.
MLA Handbook (7th Edition):
Pandey, Pushpa Lata. “Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal.” 2019. Web. 18 Jan 2021.
Vancouver:
Pandey PL. Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal. [Internet] [Doctoral dissertation]. University of New South Wales; 2019. [cited 2021 Jan 18].
Available from: http://handle.unsw.edu.au/1959.4/63285 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:60121/SOURCE02?view=true.
Council of Science Editors:
Pandey PL. Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal. [Doctoral Dissertation]. University of New South Wales; 2019. Available from: http://handle.unsw.edu.au/1959.4/63285 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:60121/SOURCE02?view=true
University of New South Wales
2.
Sharpe, Albie.
Pathways of change: a human security evaluation of a non-communicable disease prevention project in Sri Lanka.
Degree: Community Medicine, 2018, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/60212
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51084/SOURCE02?view=true
► This research examines the potential for a human security evaluation (HS) method. Based on a review of HS and health promotion (HP) literature, I argued…
(more)
▼ This research examines the potential for a human security evaluation (HS) method. Based on a review of HS and
health promotion (HP) literature, I argued that both fields share common components and discourses of participation, empowerment and peace. In addressing the multiple causes of insecurity and poor
health, both HP and HS could benefit from deeper collaboration and sharing of approaches. I developed a multi-dimensional framework for evaluating projects with a human security aspect: it should be multi-disciplinary, participatory, interlinked, multi-stakeholder and ethical. I then applied this to a non-communicable diseases prevention project in Sri Lanka, seeking to identify and explore interlinkages between
health and broader knock-on ‘social’ outcomes. The research is embedded in constructivist understandings of social relationships, in which meanings and truths are socially constructed through shared interactions between people and their environments. I developed modified versions of the Most Significant Change (MSC) technique and the
Health and Peacebuilding Filter to evaluate the project. Stakeholders (both implementers and
community participants) were interviewed and 188 MSC stories were collected from 10 HP settings in three districts. I also employed project ethnography, using an ethnographic journal to document socio-political contexts, project discourses, processes and outcomes, as well as participatory observations and reflections on the evaluation process itself. I coded the transcripts structurally and thematically to explore complex linkages and recursive loops between project components and outcomes. Results showed interlinkages between project activities and direct outcomes, with broader complex and recursive impacts on outcomes such as education, livelihoods,
community relationships, decision-making, social cohesion, conflict management, and leadership. Participants were able to identify many such interlinkages. Project weaknesses such as local human resource limitations and poor understanding of HP undermined many of the gains. This sometimes led to conflicts over resources and strategies, and problems in reaching more vulnerable communities. The tools identified socially significant linkages between various outcomes, demonstrating the utility of examining outcomes across traditionally unaligned sectors, such as HS and HP, and the potential for the further development of a HS evaluation approach. A number of limitations in the approach were identified that could be addressed through further research.
Advisors/Committee Members: Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW, Zwi, Anthony, Social Sciences, Faculty of Arts & Social Sciences, UNSW.
Subjects/Keywords: Sri Lanka; Human security; Health promotion; Non-communicable disease; Evaluation; Most Significant Change; Health and Peacebuilding Filter
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APA (6th Edition):
Sharpe, A. (2018). Pathways of change: a human security evaluation of a non-communicable disease prevention project in Sri Lanka. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/60212 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51084/SOURCE02?view=true
Chicago Manual of Style (16th Edition):
Sharpe, Albie. “Pathways of change: a human security evaluation of a non-communicable disease prevention project in Sri Lanka.” 2018. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021.
http://handle.unsw.edu.au/1959.4/60212 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51084/SOURCE02?view=true.
MLA Handbook (7th Edition):
Sharpe, Albie. “Pathways of change: a human security evaluation of a non-communicable disease prevention project in Sri Lanka.” 2018. Web. 18 Jan 2021.
Vancouver:
Sharpe A. Pathways of change: a human security evaluation of a non-communicable disease prevention project in Sri Lanka. [Internet] [Doctoral dissertation]. University of New South Wales; 2018. [cited 2021 Jan 18].
Available from: http://handle.unsw.edu.au/1959.4/60212 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51084/SOURCE02?view=true.
Council of Science Editors:
Sharpe A. Pathways of change: a human security evaluation of a non-communicable disease prevention project in Sri Lanka. [Doctoral Dissertation]. University of New South Wales; 2018. Available from: http://handle.unsw.edu.au/1959.4/60212 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51084/SOURCE02?view=true
University of New South Wales
3.
Watkins, Paula Grace.
"Everybody suffers": Karen refugee women's experiences and conceptualisations of wellbeing and distress.
Degree: Public Health & Community Medicine, 2012, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/52081
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10751/SOURCE01?view=true
► Studies of refugee mental health have largely focused on epidemiological assessments of posttraumatic stress disorder and other diagnoses using Western-derived assessment measures. However, research has…
(more)
▼ Studies of refugee mental
health have largely focused on epidemiological assessments of posttraumatic stress disorder and other diagnoses using Western-derived assessment measures. However, research has increasingly highlighted the role of culture in shaping refugee mental wellbeing and suggests that local idioms of distress may be more salient to refugee populations than Western-derived constructs of psychopathology. The central aim of the study was to explore experiences and perceptions of suffering and distress amongst Karen refugee women in Sydney, Australia. The Karen, an ethnic group from Burma, have been gravely affected by decades of conflict and human rights abuses in their homeland yet there is a dearth of information concerning their psychosocial needs. Informed by a critical realist theoretical paradigm, the research was guided by ethnographic, feminist and grounded theory methodological traditions. Data was drawn from over 200 hours of ethnographic observations and 67 interviews with Karen women and key informants between 2009 and 2011. Data analysis was based on principles of grounded theory. The findings revealed important relationships between pre-migration cultural context, persecutory experiences (including but not limited to trauma), post-migration psychosocial stressors and current experiences of emotional distress. Womens daily social and material stressors, such as interacting with service providers, were central to their distress. They conceptualised their experiences of suffering and trauma within cultural frameworks and idioms of distress, which often differed from the Western psychiatric models. Karen women primarily coped through traditional
community and religious networks. Language was a key barrier to seeking support from Australian service providers. Womens timidity and communication patterns, stemming from the interplay of cultural, gendered and pre-migration experiences, were further barriers. The study contributes to an empirical understanding of Karen refugee womens experiences and conceptualisations of mental wellbeing. It enhances existing knowledge and developments in cross-cultural mental
health and adds a
new dimension by demonstrating how pre-migration culture, refugee-specific migration experiences, post-migration difficulties and wellbeing were linked through the interconnected issues of power(lessness), use(fulness) and identity. The findings have implications for service provision and suggest that Western mental
health practitioners should reflexively explore prevailing discourses concerning traumatic suffering and healing.
Advisors/Committee Members: Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW, Richters, Juliet, Public Health & Community Medicine, Faculty of Medicine, UNSW.
Subjects/Keywords: Psychology; Refugee; Mental health; Burma
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APA (6th Edition):
Watkins, P. G. (2012). "Everybody suffers": Karen refugee women's experiences and conceptualisations of wellbeing and distress. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/52081 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10751/SOURCE01?view=true
Chicago Manual of Style (16th Edition):
Watkins, Paula Grace. “"Everybody suffers": Karen refugee women's experiences and conceptualisations of wellbeing and distress.” 2012. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021.
http://handle.unsw.edu.au/1959.4/52081 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10751/SOURCE01?view=true.
MLA Handbook (7th Edition):
Watkins, Paula Grace. “"Everybody suffers": Karen refugee women's experiences and conceptualisations of wellbeing and distress.” 2012. Web. 18 Jan 2021.
Vancouver:
Watkins PG. "Everybody suffers": Karen refugee women's experiences and conceptualisations of wellbeing and distress. [Internet] [Doctoral dissertation]. University of New South Wales; 2012. [cited 2021 Jan 18].
Available from: http://handle.unsw.edu.au/1959.4/52081 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10751/SOURCE01?view=true.
Council of Science Editors:
Watkins PG. "Everybody suffers": Karen refugee women's experiences and conceptualisations of wellbeing and distress. [Doctoral Dissertation]. University of New South Wales; 2012. Available from: http://handle.unsw.edu.au/1959.4/52081 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10751/SOURCE01?view=true
University of New South Wales
4.
Shahid, Farhana.
Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan.
Degree: Community Medicine, 2012, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/52619
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11292/SOURCE01?view=true
► Lifestyle interventions are proven to be effective in preventing or delaying type 2 diabetes mellitus (T2DM) in high risk individuals, such as women with a…
(more)
▼ Lifestyle interventions are proven to be effective in preventing or delaying type 2 diabetes mellitus (T2DM) in high risk individuals, such as women with a history of gestational diabetes mellitus (GDM) referred to henceforth as GDM women. This thesis was designed to address the lack of understanding of factors that affect lifestyle of GDM women in Pakistan and identify suitable approaches for intervention. A series of studies were conducted to develop valid and reliable measures for constructs in the trans-theoretical model (TTM), family support and diet and to test a model for lifestyle change. The study participants were recruited from a tertiary care hospital in Karachi, Pakistan. The qualitative study used in-depth interviews (n=24) and group discussions (n=17) and was analysed thematically. Measures were developed and tested in a cross sectional survey of post-natal women (n=331). Exploratory factor analysis was used to examine the construct validity of measures and Partial least Square (PLS) to predict diet and physical activity of GDM women in Pakistan. The qualitative findings revealed lack of knowledge, social support, cultural expectations and gender role as influencing lifestyle of GDM women. Variables that included TTM constructs (pros and cons, self efficacy and stages of change), family support and selected demographic factors predicted 44 percent of variance in dietary fat intake and 38 percent of physical activity of GDM women. These models explained much less of the variance in non-GDM women. Self-efficacy, cons for change and positive family support were the most significant predicators of dietary behaviour. Self-efficacy and cons for change were significant predictors of physical activity. This study makes an original contribution to the gap in knowledge of factors that affect lifestyle behaviours of GDM women in a
South Asian context, and specifically Pakistan. The findings indicate that interventions for GDM women using strategies to improve self efficacy, addressing perceived cons, and using family support would be effective. Culturally specific messages, delivered by a
health care provider targeting weight management would be acceptable for GDM women in Pakistan. The findings inform the design of a lifestyle intervention for this target group.
Advisors/Committee Members: Jayasuriya, Rohan, Public Health & Community Medicine, Faculty of Medicine, UNSW, Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW, Iqbal, Romaina, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.
Subjects/Keywords: Prevention of Type 2 diabetes mellitus; Gestational Diabetes Mellitus; Pakistan; Lifestyle; Psycho-social factors
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APA ·
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APA (6th Edition):
Shahid, F. (2012). Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/52619 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11292/SOURCE01?view=true
Chicago Manual of Style (16th Edition):
Shahid, Farhana. “Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan.” 2012. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021.
http://handle.unsw.edu.au/1959.4/52619 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11292/SOURCE01?view=true.
MLA Handbook (7th Edition):
Shahid, Farhana. “Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan.” 2012. Web. 18 Jan 2021.
Vancouver:
Shahid F. Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan. [Internet] [Doctoral dissertation]. University of New South Wales; 2012. [cited 2021 Jan 18].
Available from: http://handle.unsw.edu.au/1959.4/52619 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11292/SOURCE01?view=true.
Council of Science Editors:
Shahid F. Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan. [Doctoral Dissertation]. University of New South Wales; 2012. Available from: http://handle.unsw.edu.au/1959.4/52619 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11292/SOURCE01?view=true
University of New South Wales
5.
Hariri, Nahla.
Measuring and Understanding Various Aspects of Postpartum Distress in Makkah, Saudi Arabia.
Degree: Community Medicine, 2015, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/55339
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37309/SOURCE02?view=true
► Postpartum Distress is a significant public health problem, in Saudi Arabia, with no documented studies for Makkah. This study comprised of two phases. First, the…
(more)
▼ Postpartum Distress is a significant
public health problem, in Saudi Arabia, with no documented studies for Makkah. This study comprised of two phases. First, the quantitative study which aimed to assess 1) the prevalence of Postpartum Distress in women using a combination of measures, an approach previously not used with Arabic women, 2) valid cut-off scores for the Edinburgh Postnatal Depression Scale (EDPS) and Being a Mother-13 Scale (BaM-13), 3) transient and enduring distress. Second, the qualitative study to explore the conceptualisation of Postpartum Depression (PPD) and accessibility to primary mental
health services.A questionnaire was administered to 354 women attending primary
health care centres. Participants completed four measures: EPDS, Faces Scales, Matthey Generic Mood Question (MGMQ) and BaM-13). Two weeks later, the measures were repeated with 185 women through telephone interviews. They also responded to the Mini-International Neuropsychiatric Interview and attributional probing. 11 women and 9 primary
health care providers were interviewed in-depth to understand conceptualisation of PPD and accessibility to services. The prevalence of Depression was 19.5% using usual DSM criteria in which 16.2% had Major Depression and 3.2% had Minor Depression. Using attributional probing, the Major Depression rate dropped from 16.2% to 8.1%. The impact of Anxiety appears to be less than Depression (24.9% to 15.1%). Prevalence based on self-reported measures was also examined. Based on the validated cut-off score of EPDS in this study (7 or more), approximately 29% of women scoring high on Time 1 no longer scored high two weeks later. Comparison of four self-report measures to screen performance was also tested.Women identified symptoms of PPD; most did not acknowledge it as an illness. Social and supernatural causes were considered as major contributors to PPD. Stigma and transport were significant barriers for accessibility. The prevalence rate of PPD was high especially among Saudi women, yet they did not recognise PPD as an illness. EPDS and BaM-13 showed good psychometric properties. However MGMQ performed well in detecting Postpartum Distress on the other measures. Culture and religion underpin how PPD is conceptualised and have an influence on accessibility. Early screening integrated with maternal and child
health services Postpartum Distress is recommended.
Advisors/Committee Members: Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW, Matthey, Stephen, Liverpool Hospital, Mental Health Centre.
Subjects/Keywords: Accessibility; Postpartum Distress; Conceptualisation; Makkah; Saudi Arabia
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APA (6th Edition):
Hariri, N. (2015). Measuring and Understanding Various Aspects of Postpartum Distress in Makkah, Saudi Arabia. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/55339 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37309/SOURCE02?view=true
Chicago Manual of Style (16th Edition):
Hariri, Nahla. “Measuring and Understanding Various Aspects of Postpartum Distress in Makkah, Saudi Arabia.” 2015. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021.
http://handle.unsw.edu.au/1959.4/55339 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37309/SOURCE02?view=true.
MLA Handbook (7th Edition):
Hariri, Nahla. “Measuring and Understanding Various Aspects of Postpartum Distress in Makkah, Saudi Arabia.” 2015. Web. 18 Jan 2021.
Vancouver:
Hariri N. Measuring and Understanding Various Aspects of Postpartum Distress in Makkah, Saudi Arabia. [Internet] [Doctoral dissertation]. University of New South Wales; 2015. [cited 2021 Jan 18].
Available from: http://handle.unsw.edu.au/1959.4/55339 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37309/SOURCE02?view=true.
Council of Science Editors:
Hariri N. Measuring and Understanding Various Aspects of Postpartum Distress in Makkah, Saudi Arabia. [Doctoral Dissertation]. University of New South Wales; 2015. Available from: http://handle.unsw.edu.au/1959.4/55339 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37309/SOURCE02?view=true
University of New South Wales
6.
Raman, Shanti.
Learning from mother-infant dyads in urban India: Identifying sociocultural factors influencing perinatal and early childhood outcomes.
Degree: Community Medicine, 2016, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/56170
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:40168/SOURCE02?view=true
► The burden of maternal and child mortality and morbidity occurs largely in resource-poor settings, with India a primary source of this burden. The perinatal period…
(more)
▼ The burden of maternal and child mortality and morbidity occurs largely in resource-poor settings, with India a primary source of this burden. The perinatal period has been identified as a critical time to intervene to improve
health outcomes since large upstream determinants, such as maternal education, poverty and the poor status of women are known contributors. Less understood is the complex interplay of social, cultural and family factors operating in the urban milieu influencing perinatal
health and wellbeing. To address this problem, an ethnographically-informed study was conducted in Bangalore,
South India, employing in-depth, qualitative, formal encounters with 36 participants from a nested cohort, plus observations and informal encounters with participants, their families and
health care providers. Analysing and triangulating the data provided unique insights into the sociocultural milieu of mother-infant dyads in urban India. The following were key findings: 1. Women utilised varied sources of support throughout the perinatal period – predominantly their mothers and female kin, but urbanisation had led to some dyads being more vulnerable due to limited support. 2. A rich repertoire of cultural practices persisted throughout the perinatal continuum, but change was evident. Traditional food patterns were stronger than
health messages; however, breastfeeding was the cultural norm. There was little expectation of individual choice in major life events of marriage, pregnancy or childbirth. 3. Women displayed considerable confusion over their right to
health care; there was mistrust of government
health services, and a socially-restrictive framework resulting in
health care choices that seemed arbitrary, irrational and self-defeating. 4. Critical domains involved in women’s agency and autonomy were women’s participation in employment, in group-action, and mobility freedom. Household decision making was considered a joint rather than individual responsibility.The qualitative research in Bangalore was complemented by a systematic review and synthesis of qualitative research conducted in low resource settings, exploring traditional and cultural practices and beliefs influencing the perinatal continuum.Given the currency of diverse cultural beliefs and practices, as revealed here,
public health policymakers and practitioners should respond to findings from recent qualitative research and tailor contextually specific perinatal policies and practices to optimise maternal, newborn and child
health.
Advisors/Committee Members: Ritchie, Jan, Public Health & Community Medicine, Faculty of Medicine, UNSW, Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW.
Subjects/Keywords: Cultural practices; India; Maternal and child health; Qualitative research; Social support; Perinatal health; Access to reproductive healthcare; Female autonomy; Low and middle-income countries
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APA (6th Edition):
Raman, S. (2016). Learning from mother-infant dyads in urban India: Identifying sociocultural factors influencing perinatal and early childhood outcomes. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/56170 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:40168/SOURCE02?view=true
Chicago Manual of Style (16th Edition):
Raman, Shanti. “Learning from mother-infant dyads in urban India: Identifying sociocultural factors influencing perinatal and early childhood outcomes.” 2016. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021.
http://handle.unsw.edu.au/1959.4/56170 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:40168/SOURCE02?view=true.
MLA Handbook (7th Edition):
Raman, Shanti. “Learning from mother-infant dyads in urban India: Identifying sociocultural factors influencing perinatal and early childhood outcomes.” 2016. Web. 18 Jan 2021.
Vancouver:
Raman S. Learning from mother-infant dyads in urban India: Identifying sociocultural factors influencing perinatal and early childhood outcomes. [Internet] [Doctoral dissertation]. University of New South Wales; 2016. [cited 2021 Jan 18].
Available from: http://handle.unsw.edu.au/1959.4/56170 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:40168/SOURCE02?view=true.
Council of Science Editors:
Raman S. Learning from mother-infant dyads in urban India: Identifying sociocultural factors influencing perinatal and early childhood outcomes. [Doctoral Dissertation]. University of New South Wales; 2016. Available from: http://handle.unsw.edu.au/1959.4/56170 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:40168/SOURCE02?view=true
University of New South Wales
7.
Kaur, Rajneesh.
Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches.
Degree: Public Health & Community Medicine, 2018, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/59810
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:49871/SOURCE02?view=true
► Despite hand hygiene (HH) being considered the most cost-effective measure to control healthcare associated infections, healthcare workers (HCWs) are known to have poor HH compliance,…
(more)
▼ Despite hand hygiene (HH) being considered the most cost-effective measure to control healthcare associated infections, healthcare workers (HCWs) are known to have poor HH compliance, especially doctors. One of the primary contributing factors is a failure of doctors to learn this behaviour as medical students. Previous studies have reported improvements in HCWs’ HH as a result of improvements in knowledge through increased education. However, there have been few studies that have focused on HH education of medical students, and even fewer that have reported long term retention of knowledge. We aimed to address this gap by developing and evaluating a teaching module for medical students. This thesis therefore aimed to explore the barriers and facilitators impacting on the teaching of HH to medical students. It also aimed to use that knowledge to develop a
new teaching module to improve knowledge and attitudes of undergraduate medical students around HH. This thesis is the first of its kind to have evaluated a teaching module for undergraduate medical students and tested the retention of impact of the tool on knowledge and attitude over a period of time. Four studies were conducted which employed both qualitative and quantitative approaches. In the first study, an Australian wide survey of Deans of Medical Education was undertaken to explore the different HH teaching approaches currently being utilised. The second study involved qualitative in-depth interviews of medical students and medical education and infection control experts and explored the barriers and facilitators around teaching HH to medical students. These studies found that scenario based learning activities were considered to be the best mode of teaching HH at the
university level and that repetition of the teaching materials throughout the students medical training was considered very important. Based on these recommendations and a review of the literature and other available resources, a
new teaching module was developed. Feedback on the developed module was sought in the third study using group interviews of medical students. The module was revised as per their feedback and the final study was then conducted to evaluate the impact of this module on student’s knowledge and attitudes as well as the retention over time. The results showed an overall and sustained improvement in HH knowledge of medical students and their attitudes towards HH. These studies provide
new knowledge around the factors that are currently impacting on the delivery of education around HH to undergraduate medical students. The four published studies presented in this thesis fill a gap in the around HH teaching for medical students in Australian literature.
Advisors/Committee Members: Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW, Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW.
Subjects/Keywords: Learning and teaching approaches; Hand Hygiene; Medical students; Infection Prevention; Medical Education; Health Promotion
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APA (6th Edition):
Kaur, R. (2018). Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/59810 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:49871/SOURCE02?view=true
Chicago Manual of Style (16th Edition):
Kaur, Rajneesh. “Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches.” 2018. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021.
http://handle.unsw.edu.au/1959.4/59810 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:49871/SOURCE02?view=true.
MLA Handbook (7th Edition):
Kaur, Rajneesh. “Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches.” 2018. Web. 18 Jan 2021.
Vancouver:
Kaur R. Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches. [Internet] [Doctoral dissertation]. University of New South Wales; 2018. [cited 2021 Jan 18].
Available from: http://handle.unsw.edu.au/1959.4/59810 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:49871/SOURCE02?view=true.
Council of Science Editors:
Kaur R. Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches. [Doctoral Dissertation]. University of New South Wales; 2018. Available from: http://handle.unsw.edu.au/1959.4/59810 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:49871/SOURCE02?view=true
University of New South Wales
8.
Nguyen, Tuan Anh.
Medicine prices and pricing policies in Vietnam.
Degree: Public Health & Community Medicine, 2011, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/51324
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10005/SOURCE02?view=true
► Availability of affordable medicines is one precondition to realizing the fundamental human right of access to essential healthcare. Although Vietnam is progressing well with several…
(more)
▼ Availability of affordable medicines is one precondition to realizing the fundamental human right of access to essential healthcare. Although Vietnam is progressing well with several
health-related targets of the Millennium Development Goals being achieved ahead of time, attaining equitable access to affordable medicines remains problematic. In this thesis, a mixed-method approach was adopted in the analysis of
medicine prices and polices. The literature was reviewed, followed by an analysis of Vietnam’s pharmaceutical market and legislation. A quantitative study of
medicine prices, and a qualitative study on how and why high, unaffordable prices occurred, were conducted. The findings were synthesized to form policy recommendations. The studies demonstrated that
medicine prices in Vietnam were unreasonably high. Adjusted for Purchasing Power Parity in 2005, prices in the
public sector were 46.58 times the international reference price for innovator-brand medicines and 11.41 times for the lowest-priced generic equivalents. Monopoly of supply was an important cause of high innovator-brand prices. More complex, intrinsic features of Vietnam’s healthcare system were also reported by key stakeholders as driving up prices. Economic survival pressures, in an imperfectly competitive market, were said to force both pharmaceutical companies and prescribers to be inextricably linked financially. Ethics and personal values however did influence prescribers’ behaviour and their response to corrupt procedures. Overall, intractable, systemic features contributing to high prices included unrealistic low salaries for prescribers, poor economies of scale in domestic production, inefficiencies in the local distribution network, malfunctioning pricing policies and a general lack of transparency and accountability in administrative procedures. A range of policy measures and changes are required to improve access to medicines in Vietnam. Short-term recommendations include amendments to pharmaceutical policies, with better enforcement of current regulations. Medium-term measures include the
public health insurance system taking an active role in price setting, pooling procurement through a national tendering procurement system and reform of the domestic market through rationalization with appropriate capital and technological investment to achieve improved efficiencies and economies of scale. Longer-term goals include
health system improvements to address poor governance, low remuneration of prescribers, with additional measures to limit the scope for corrupt practices.
Advisors/Committee Members: Knight, Rosemary, Public Health & Community Medicine, Faculty of Medicine, UNSW, Mant, Andrea, Public Health & Community Medicine, Faculty of Medicine, UNSW, Cao, Quang Minh, Ministry of Health of Vietnam, Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW.
Subjects/Keywords: Vietnam; Medicine prices; Medicine pricing policies
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APA ·
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APA (6th Edition):
Nguyen, T. A. (2011). Medicine prices and pricing policies in Vietnam. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/51324 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10005/SOURCE02?view=true
Chicago Manual of Style (16th Edition):
Nguyen, Tuan Anh. “Medicine prices and pricing policies in Vietnam.” 2011. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021.
http://handle.unsw.edu.au/1959.4/51324 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10005/SOURCE02?view=true.
MLA Handbook (7th Edition):
Nguyen, Tuan Anh. “Medicine prices and pricing policies in Vietnam.” 2011. Web. 18 Jan 2021.
Vancouver:
Nguyen TA. Medicine prices and pricing policies in Vietnam. [Internet] [Doctoral dissertation]. University of New South Wales; 2011. [cited 2021 Jan 18].
Available from: http://handle.unsw.edu.au/1959.4/51324 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10005/SOURCE02?view=true.
Council of Science Editors:
Nguyen TA. Medicine prices and pricing policies in Vietnam. [Doctoral Dissertation]. University of New South Wales; 2011. Available from: http://handle.unsw.edu.au/1959.4/51324 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10005/SOURCE02?view=true
University of New South Wales
9.
Nahidi, Shizar.
Mental Health and Psychological Help-Seeking of Iranian International Students at UNSW Australia.
Degree: Community Medicine, 2014, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/54468
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:35021/SOURCE02?view=true
► This research aimed to determine the level of psychological distress and attitudes towards seeking professional psychological help in Iranian international students at UNSW Australia, and…
(more)
▼ This research aimed to determine the level of psychological distress and attitudes towards seeking professional psychological help in Iranian international students at
UNSW Australia, and to compare these with results reported in other
university student samples. The study also explored the factors associated with increased levels of psychological distress and positive attitudes towards seeking professional psychological help in this sample.A preliminary qualitative exploration provided information about major stressors and coping strategies among Iranian international students at
UNSW. The main study involved a cross-sectional e-mail survey of 180 Iranian international students pursuing academic degrees during 2012/2013 at this
university. The self-administered questionnaire included demographic and personal items, and five standardised scales: World
Health Organisation Quality of Life Scale (WHOQOL—BREF), Kessler Psychological Distress Scale, Attitudes towards Seeking Professional Psychological Help Scale—Short Form, Multidimensional Scale for Perceived Social Support, and Duke Religion Index. Logistic and linear regression analyses were used to analyse the predictors of psychological distress and attitudes towards seeking professional psychological help, respectively.Compared to a sample of
university students in Australia, a significantly smaller proportion of Iranian international students experienced moderate or severe psychological distress. However, their distress levels were unexceptional when located within a range of similar studies of
university students. Iranian international students did not differ from a sample of Australian
university students in their attitudes towards seeking professional psychological help. Their attitudes were unexceptional when located among other studies of
university students. When different psycho-social and socio-demographic factors were considered together, experiencing high to very high levels of psychological distress was associated with being female (OR=3.92, p=0.004), worse physical
health (OR=0.50, p<0.001), negative attitudes towards seeking professional psychological help (OR=0.91, p=0.022), lower levels of perceived social support (OR=0.96, p=0.016), and lower levels of religious involvement and spirituality (OR=0.91, p=0.006). Positive attitudes towards seeking professional psychological help were associated with higher scores on the environment domain of WHOQOL—BREF (B=0.62, p=0.001) and having previous experience with psychological counselling (B=4.22, p<0.001). Findings from this growing group of international
university students can be used to support more culturally competent mental
health promotion and service provision.
Advisors/Committee Members: Blignault, Ilse, Public Health & Community Medicine, Faculty of Medicine, UNSW, Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW, Hayen, Andrew, Public Health & Community Medicine, Faculty of Medicine, UNSW.
Subjects/Keywords: Iran; Mental Health; Psychological Distress; Australia; Tertiary Education; International Students; Psychological Help-Seeking
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APA ·
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MLA ·
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CSE |
Export
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Manager
APA (6th Edition):
Nahidi, S. (2014). Mental Health and Psychological Help-Seeking of Iranian International Students at UNSW Australia. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/54468 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:35021/SOURCE02?view=true
Chicago Manual of Style (16th Edition):
Nahidi, Shizar. “Mental Health and Psychological Help-Seeking of Iranian International Students at UNSW Australia.” 2014. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021.
http://handle.unsw.edu.au/1959.4/54468 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:35021/SOURCE02?view=true.
MLA Handbook (7th Edition):
Nahidi, Shizar. “Mental Health and Psychological Help-Seeking of Iranian International Students at UNSW Australia.” 2014. Web. 18 Jan 2021.
Vancouver:
Nahidi S. Mental Health and Psychological Help-Seeking of Iranian International Students at UNSW Australia. [Internet] [Doctoral dissertation]. University of New South Wales; 2014. [cited 2021 Jan 18].
Available from: http://handle.unsw.edu.au/1959.4/54468 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:35021/SOURCE02?view=true.
Council of Science Editors:
Nahidi S. Mental Health and Psychological Help-Seeking of Iranian International Students at UNSW Australia. [Doctoral Dissertation]. University of New South Wales; 2014. Available from: http://handle.unsw.edu.au/1959.4/54468 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:35021/SOURCE02?view=true
. 
Open Access Theses and Dissertations