Relevant bibliographies by topics / Day care centres – Malawi

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Academic literature on the topic 'Day care centres – Malawi'

Author: Grafiati
Published: 4 June 2021
Last updated: 14 February 2022

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Journal articles on the topic "Day care centres – Malawi"

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Schade, Alexander Thomas, Foster Mbowuwa, Paul Chidothi, Peter MacPherson, Simon Matthew Graham, Claude Martin, William James Harrison, and Linda Chokotho. "Epidemiology of fractures and their treatment in Malawi: Results of a multicentre prospective registry study to guide orthopaedic care planning." PLOS ONE 16, no. 8 (August 4, 2021): e0255052. http://dx.doi.org/10.1371/journal.pone.0255052.

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Importance Injuries cause 30% more deaths than HIV, TB and malaria combined, and a prospective fracture care registry was established to investigate the fracture burden and treatment in Malawi to inform evidence-based improvements. Objective To use the analysis of prospectively-collected fracture data to develop evidence-based strategies to improve fracture care in Malawi and other similar settings. Design Multicentre prospective registry study. Setting Two large referral centres and two district hospitals in Malawi. Participants All patients with a fracture (confirmed by radiographs)—including patients with multiple fractures—were eligible to be included in the registry. Exposure All fractures that presented to two urban central and two rural district hospitals in Malawi over a 3.5-year period (September 2016 to March 2020). Main outcome(s) and measure(s) Demographics, characteristics of injuries, and treatment outcomes were collected on all eligible participants. Results Between September 2016 and March 2020, 23,734 patients were enrolled with a median age of 15 years (interquartile range: 10–35 years); 68.7% were male. The most common injuries were radius/ulna fractures (n = 8,682, 36.8%), tibia/fibula fractures (n = 4,036, 17.0%), humerus fractures (n = 3,527, 14.9%) and femoral fractures (n = 2,355, 9.9%). The majority of fractures (n = 21,729, 91.6%) were treated by orthopaedic clinical officers; 88% (20,885/2,849) of fractures were treated non-operatively, and 62.7% were treated and sent home on the same day. Open fractures (OR:53.19, CI:39.68–72.09), distal femoral fractures (OR:2.59, CI:1.78–3.78), patella (OR:10.31, CI:7.04–15.07), supracondylar humeral fractures (OR:3.10, CI:2.38–4.05), ankle fractures (OR:2.97, CI:2.26–3.92) and tibial plateau fractures (OR:2.08, CI:1.47–2.95) were more likely to be treated operatively compared to distal radius fractures. Conclusions and relevance The current model of fracture care in Malawi is such that trained orthopaedic surgeons manage fractures operatively in urban referral centres whereas orthopaedic clinical officers mainly manage fractures non-operatively in both district and referral centres. We recommend that orthopaedic surgeons should supervise orthopaedic clinical officers to manage non operative injuries in central and district hospitals. There is need for further studies to assess the clinical and patient reported outcomes of these fracture cases, managed both operatively and non-operatively.
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Mulwafu, Wakisa, Hannah Kuper, Asgaut Viste, and Frederik K. Goplen. "Feasibility and acceptability of training community health workers in ear and hearing care in Malawi: a cluster randomised controlled trial." BMJ Open 7, no. 10 (October 2017): e016457. http://dx.doi.org/10.1136/bmjopen-2017-016457.

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ObjectiveTo assess the feasibility and acceptability of training community health workers (CHWs) in ear and hearing care, and their ability to identify patients with ear and hearing disorders.DesignCluster randomised controlled trial (RCT).SettingHealth centres in Thyolo district, Malawi.ParticipantsTen health centres participated, 5 intervention (29 CHWs) and 5 control (28 CHWs).InterventionIntervention CHWs received 3 days of training in primary ear and hearing care, while among control CHWs, training was delayed for 6 months. Both groups were given a pretest that assessed knowledge about ear and hearing care, only the intervention group was given the posttest on the third day of training. The intervention group was given 1 month to identify patients with ear and hearing disorders in their communities, and these people were screened for hearing disorders by ear, nose and throat clinical specialists.Outcome measuresPrimary outcome measure was improvement in knowledge of ear and hearing care among CHWs after the training. Secondary outcome measures were number of patients with ear or hearing disorders identified by CHWs and number recorded at health centres during routine activities, and the perceived feasibility and acceptability of the intervention.ResultsThe average overall correct answers increased from 55% to 68% (95% CI 65 to 71) in the intervention group (p<0.001). A total of 1739 patients with potential ear and hearing disorders were identified by CHWs and 860 patients attended the screening camps, of whom 400 had hearing loss (73 patients determined through bilateral fail on otoacoustic emissions, 327 patients through audiometry). Where cause could be determined, the most common cause of ear and hearing disorders was chronic suppurative otitis media followed by impacted wax. The intervention was perceived as feasible and acceptable to implement.ConclusionsTraining was effective in improving the knowledge of CHW in ear and hearing care in Malawi and allowing them to identify patients with ear and hearing disorders. This intervention could be scaled up to other CHWs in low-income and middle-income countries.Trial registration numberPan African Clinical Trial Registry (201705002285194); Results.
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Nabity, Scott A., Laurence J. Gunde, Diya Surie, Ray W. Shiraishi, Hannah L. Kirking, Alice Maida, Andrew F. Auld, et al. "Early-phase scale-up of isoniazid preventive therapy for people living with HIV in two districts in Malawi (2017)." PLOS ONE 16, no. 4 (April 1, 2021): e0248115. http://dx.doi.org/10.1371/journal.pone.0248115.

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Background Isoniazid preventive therapy (IPT) against tuberculosis (TB) is a life-saving intervention for people living with HIV (PLHIV). In September 2017, Malawi began programmatic scale-up of IPT to eligible PLHIV in five districts with high HIV and TB burden. We measured the frequency and timeliness of early-phase IPT implementation to inform quality-improvement processes. Methods and findings We applied a two-stage cluster design with systematic, probability-proportional-to-size sampling of six U.S. Centers for Disease Control and Prevention (CDC)-affiliated antiretroviral therapy (ART) centers operating in the urban areas of Lilongwe and Blantyre, Malawi (November 2017). ART clinic patient volume determined cluster size. Within each cluster, we sequentially sampled approximately 50 PLHIV newly enrolled in ART care. We described a quality-of-care cascade for intensive TB case finding (ICF) and IPT in PLHIV. PLHIV newly enrolled in ART care were eligibility-screened for hepatitis and peripheral neuropathy, as well as for TB disease using a standardized four-symptom screening tool. Among eligible PLHIV, the overall weighted IPT initiation rate was 70% (95% CI: 46%–86%). Weighted IPT initiation among persons aged <15 years (30% [95% CI: 12%–55%]) was significantly lower than among persons aged ≥15 years (72% [95% CI: 47%–89%]; Rao-Scott chi-square P = 0.03). HIV-positive children aged <5 years had a weighted initiation rate of only 13% (95% CI: 1%–79%). For pregnant women, the weighted initiation rate was 67% (95% CI: 32%–90%), similar to non-pregnant women aged ≥15 years (72% [95% CI: 49%–87%]). Lastly, 95% (95% CI: 92%–97%) of eligible PLHIV started ART within one week of HIV diagnosis, and 92% (95% CI: 73%–98%) of patients receiving IPT began on the same day as ART. Conclusions Early-phase IPT uptake among adults at ART centers in Malawi was high. Child uptake needed improvement. National programs could adapt this framework to evaluate their ICF-IPT care cascades.
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Quinsey, Carolyn, Jessica Eaton, Weston Northam, Matt Gilleskie, Anthony Charles, and Eldad Hadar. "Challenges and opportunities for effective data collection in global neurosurgery: traumatic brain injury surveillance experience in Malawi." Neurosurgical Focus 45, no. 4 (October 2018): E10. http://dx.doi.org/10.3171/2018.7.focus18281.

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Global health research can transform clinical and surgical practice worldwide. Partnerships between US academic centers and hospitals in low- and middle-income counties can improve clinical care at the host institution hospital and give the visiting institution access to a large volume of valuable research data. Recognizing the value of these partnerships, the University of North Carolina (UNC) formed a partnership with Kamuzu Central Hospital (KCH) in Lilongwe, Malawi.The Department of Neurosurgery joined the partnership with KCH and designed a Head Trauma Surveillance Registry. The success of this registry depended on the development of methods to accurately collect head injury data at KCH. Since medical record documentation is often unreliable in this setting, data collection teams were implemented to capture data from head trauma patients on a 24-hours-a-day, 7-days-a-week basis. As data collection improved, pilot groups tested methods to collect new variables and the registry expanded. UNC provided onsite and remote oversight to strengthen the accuracy of the data.Data accuracy still remains a hurdle in global research. Data collection teams, oversight from UNC, pilot group testing, and meaningful collaboration with local physicians improved the accuracy of the head trauma registry. Overall, these methods helped create a more accurate epidemiological and outcomes-centered analysis of brain injury patients at KCH to date.
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Zakaria Ahmed, Ahmed Sayed, Fabiano Santos, Alice Dragomir, Simon Tanguay, Wassim Kassouf, and Armen Aprikian. "Postoperative mortality and complications after radical cystectomy for bladder cancer in Quebec: A population-based analysis during the years 2000-2009." Canadian Urological Association Journal 8, no. 7-8 (August 11, 2014): 259. http://dx.doi.org/10.5489/cuaj.1997.

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Introduction: Radical cystectomy (RC) is a very complex urologic procedure. Despite improvements in practice, technique and process of care, it is still associated with significant complications, including death, with reported postoperative mortality rates ranging from 0.8% to 8%. We examine the quality of surgical care indicators and document the mortality rates at 30, 60 and 90 days after RC across Quebec.Methods: Within the Régie de l’assurance maladie du Québec (RAMQ) administrative database (this database provides prospectively collected universal data on all medical services) and the Institut de la statistique du Québec (ISQ) database (this provides vital status data), we used procedure codes to identify patients who underwent RC for bladder cancer in Quebec over 10 years (between 2000 and 2009), as well as RC outcomes and dates of death. Data obtained were retrospectively analyzed in relation to multiple parameters, including patient characteristics and healthcare providers’ volumes. The outcomes analyzed included postoperative complications and mortality rates at 30, 60 and 90 days.Results: A total of 2778 RC were performed in 48 hospitals by 122 urologists across Quebec. Among them, 851 (30.6%) patients had at least one postoperative complication and 350 (12.6%) patients had more than one complication. The overall mortality rates at 30, 60 and 90 days were 2.8%, 5.3% and 7.5%, respectively, with significantly elevated 90-day mortality rates in some centres. In the multivariate analysis, increased age was associated with increased risk of post-RC complications and mortality. For example, patients over 75 had more chance of having at least one postoperative complication (odds ratio [OR] 1.66, 95% confidence interval [CI]:1.31-2.11) and mortality at 90 days (OR 3.28, 95% CI: 2.05-5.26). Provider volume effect on outcomes was statistically significant, with large hospitals having decreased risk of 30-day mortality (OR 0.29, 95% CI: 0.12-0.70), 60-day mortality (OR 0.41, 95% CI:0.26-0.82) and 90-day mortality (OR 0.52, 95% CI: 0.29-0.93) when compared to smaller hospitals. Surgeon volume showed weak, but not statistically significant, evidence of reduced odds of mortality for the high-volume surgeon. Limitations of our study include reliance on administrative data, which lack some relevant clinical information (such as patient functional status and tumour pathological characteristics) to perform risk adjustment analysis.Conclusion: Our study demonstrates that postoperative outcomes after RC in Quebec varies based on several parameters. In addition, 30-day postoperative mortality after RC in Quebec appears acceptable. However, 90-day postoperative mortality rates remain significantly elevated in some centres, particularly in the elderly. This requires further research.
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Warin, Andrew P. "Dermatology day care treatment centres." Clinical and Experimental Dermatology 26, no. 4 (June 2001): 351–55. http://dx.doi.org/10.1046/j.1365-2230.2001.00833.x.

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Singer, Elly, and Ruth Miltenburg. "Quality in child day care centres: How to promote it? A study of six day‐care centres." Early Child Development and Care 102, no. 1 (January 1994): 1–16. http://dx.doi.org/10.1080/0300443941020101.

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Catty, Jocelyn, and Tom Burns. "Mental health day centres." Psychiatric Bulletin 25, no. 2 (February 2001): 61–66. http://dx.doi.org/10.1192/pb.25.2.61.

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Aims and MethodMental health day centres have been little researched. We carried out a 1-week census at the four day centres run by a London borough.ResultsThe centres catered for a g roup with long-standing mental health problems, mostly under community mental health team care. A surprising number were suffering from physical ill health. They attended the centres primarily for social reasons or to participate in creative groups such as music and art.Very few were concurrently attending day hospitals.Clinical ImplicationsFurther work is essential to understand the distinction between NHS day hospitals and Social Services day centres in terms of utilisation and client group.This client group's needs, particularly for physical health care, require urgent attention.
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Lazero, Camille San. "Abuse of children in day care centres." Child Abuse Review 3, no. 2 (June 1994): 82. http://dx.doi.org/10.1002/car.2380030204.

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Cress, Susan W. "A Focus on Literacy in Home Day Care." Australasian Journal of Early Childhood 25, no. 3 (September 2000): 6–11. http://dx.doi.org/10.1177/183693910002500303.

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A survey was conducted to look at some of the basic activities and materials of the literacy environments in home day care centres in St Joseph County, Indiana, USA. The literacy environments of preschools and centres, as well as the home environments of early readers, were used to provide the initial framework for the discussion. Results of the survey indicate that, although some of the home day care centres do provide a conducive literacy environment, other children do not have access to basic materials and activities. Suggestions are provided for early childhood educators in advocating for supportive literacy environments in home day care centres.
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Dissertations / Theses on the topic "Day care centres – Malawi"

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Jaffer, Khadija. "Child safety in day care centres within the Western Cape." Master's thesis, University of Cape Town, 1998. http://hdl.handle.net/11427/27004.

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The aim of the study is to explore aspects of child safety in registered day care centres situated in a lower socio-economic area of the Cape Town Metropole. This can be achieved by: a) describing the physical environment in day care centres b) assessing the infrastructure of day care centres to deal with potential injurjes c) reviewing injury reporting systems already in place d) highlighting the issue of child safety in the course of conducting the study.
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Cameron, Lori T. "Interagency cooperation between group day care centres and a child welfare agency." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ62702.pdf.

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Day, Sara. "Listening to young children : an investigation of children's day care experience in children's centres." Thesis, University of East London, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.532932.

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The provision of day care in Children's Centres is considered to be one of the key delivery mechanisms to achieve outcomes for children as set out in the Every Child Matters Agenda (DfES, 2003). The outcomes include, being healthy, staying safe, enjoying and achieving, making a positive contribution and economic well-being. The aim is to improve outcomes for all young children and in particular close the gap between the most disadvantaged and others. It is the intention that outcomes for children will be improved by increasing high quality integrated childcare and early learning. Although the need to obtain children's views on services is recognised in government policy and guidance for Children's Centres, research and practice suggests that this has not taken place for day care. Absent in the research has been an investigation of changes and improvements in day care based on listening to the children. This small scale qualitative research investigated how young children were experiencing and enjoying their day care in Children's Centres and how this could be improved through listening to them. The questions that were addressed were; How are children experiencing day care in Children's Centres? What is it about their day care experiences that children enjoy? How can we 'make it better' for children in day care? Six young children receiving full-time day care in two nurseries based in Children's Centres were selected. Tools, including a full day observation, interview, tours, use of cameras and role play were developed to listen to each child. An ethnographic approach to data gathering was employed to gain insights from the children's perspectives and to enable them to take a lead in showing how they were experiencing and enjoying their day care. Findings were obtained through an instrumental case study design employing multiple methods, triangulation and an inductive methodological and analytical approach. The critical realist epistemological approach underpinning the research permitted consideration of how important aspects of day care could be improved and constructed based on a unified voice of the children. Main findings and the contribution of this research were as follows; • Relationships with carers and other children had high importance to these children in day care. • A significant finding was the children's enjoyment and choice of a wide range of play and early learning activities in the nurseries. • There were shortcomings in the day care of older children relating to the availability of key adults and their interactions with adults. • There may be assumptions underlying day care practices that are based on the needs of nurseries not children. • Children may have needs related to attachment with key adults and children in day care settings. Implications of findings for the development of day care practices, research and the contribution of educational psychology are discussed in context of the literature. The contribution of the research to the development of tools, methodologies and inductive approaches to listen to young children is highlighted. The psychological need for children's attachments with adults and children within day care settings is uniquely raised. Implications for extension of attachment theory and the development of relationships in day care contexts are explored.
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Wong, Kin-on Leo. "Evaluation on training programs of day activity centres for mentally handicapped adults." [Hong Kong : University of Hong Kong], 1991. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13064782.

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Wong, Kin-on Leo, and 王健安. "Evaluation on training programs of day activity centres for mentally handicapped adults." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1991. http://hub.hku.hk/bib/B31976785.

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Lum, Yat-sang. "A study of the contribution of the integrated child care centres to the development of social adaptive behaviour of disabled children /." [Hong Kong : University of Hong Kong], 1993. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13744549.

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Van, der Walt Suanne. "Business plan for a start-up business venture : the establishment of on-site day-care centres at major corporates, office parks and government institutions." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/97290.

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Thesis (MBA)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: The Little Office (TLO) is a proposed start-up that will enter the childcare industry as a provider of on-site day-care at office parks. The unique service offering that TLO will propose to the market is on-site day-care which will not only serve the employers in question, but also their employees. TLO offers organisations the opportunity to address employee productivity related to childcare, as well as to attract and retain skills, while being able to outsource the actual day-care function, which is unrelated to their core business. The service offering to the children and their parents will include a focus on educational, social, physical and emotional development. Market trend analysis indicates an increase in demand for day-care. Combined with the fact that companies are ramping up efforts to attract and retain employees, this results in a situation where the market size and market trends indicate significant opportunities for TLO. Competition is present but due to the size of the market and the core differences in the business model presented by TLO the threat of competition is not fierce. The strategy has been developed around the market analysis and by taking into account the opportunities and threats that exist for TLO. TLO’s strategy therefore serves to differentiate it from the rest of the market in terms of location of centres as well as primary target customers. Coupled with the research evidence of positive outcomes on employee performance, this suggests the concept will be welcomed by new economy organisations. The marketing strategy will aim at large businesses, office parks and government institutions. TLO will present custom feasibility studies to identified customers to establish whether the business is feasible in terms of space, number of employees with children in the organisation, requirements by parents etc. TLO’s strategy is to develop not only core service offerings but also distinctive competencies such as a lower child to carer ratio and high quality, cutting edge and innovative childcare. The various branches of TLO will be run by a central administrative hub, where most of the costs will initially be incurred. This centralised office will be run by the owner and would require administrative and qualified social worker staff. Each branch will require qualified educational staff in line with the number of children per branch. Due to the regulatory requirements inherent in the childcare industry, TLO will base their business operations around achieving compliance excellence in their business. In addition, a continuous evaluation of childcare sciences and re-evaluation of TLO’s service offering will ensure that the latest developments in childcare are addressed and thus TLO remains competitive and progressive. The business model is low risk and provides positive operating cash flow from year three. Through partnering with labour brokers and the use of intelligent placement strategies, TLO will ensure that they have the correct staff in the correct place. Combined with continual audits of performance, TLO will turn the human resources risk into a competitive advantage. The main objectives for the first three years of operation are:  To open four branches averaging 20 children per branch within the first year;  To increase the number of clients served by 100% in Year 2 and again in Year 3; and  To develop a sustainable, profitable, start-up business.
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Kwan, Celina Khuan Dai. "The effects of environmental variations in day care centres in the development of young children in Singapore." Thesis, University College London (University of London), 1997. http://discovery.ucl.ac.uk/10006600/.

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The purpose of this study was to investigate the effects of variations in the day care environment on linguistic and social-emotional development of pre-school children in Singapore after home background has been taken into account. This study examined differences in the environment of 16 day care centres. Characteristics of the environment were assessed by the Early Childhood Environment Rating Scale, ECERS (Harms & Clifford, 1980) and the Target Child Method of Observation, TCM (Sylva, Roy & Painter, 1980). The ECERS measured the physical and programmatic features of day care centres and produced a total 'quality' score and seven subscale scores. These consisted of assessments of personal care and routines, furnishing and display, language-reasoning experiences, fine and gross motor activities, creative activities, social development and adult needs provided in day care centres. This rating scale was validated in Singapore and discriminant validity was established. Reliability was also obtained before proceeding with the assessment of the day care environments. The TCM investigated the interactive features of day care centres and consisted of typical activities and social interactions experienced by children. Inter-observer reliability was established and child behaviours were systematically observed and coded for 12,800 thirty-second intervals. Day care effects were investigated by assessing children at two time points. A pre-test,consisting of linguistic and social-emotional assessments, was conducted on 122 pre-school aged children at the beginning of the year and a post-test administered towards the end of the year. Data analysis was conducted by regressing these outcomes on the ECERS measure of the day care environment. T-test analyses were also conducted to investigate differences in typical child behaviours (as nasured by the TCM) between 'high' progress centres and 'low' progress centres. Child characteristics and home background variables were included in the analyses to control for possible confounding of the effects of the day care environment on children's outcomes. This study found that total centre 'quality' and specific subscales on the ECERS were related to some aspects of linguistic and social emotional development of children. Results also suggested that certain child activities and social interaction were associated with higher progress in language development.
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Lymbery, Jennifer Ann Walters. "Giardia and cryptosporidium infection in childcare centres in Western Australia." Murdoch University, 2004. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20070327.94029.

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Giardia and Cryptospovidium are both recognised as important causes of infectious diarrhoea in children worldwide, and childcare centres have been shown to be a major site of infection. The incidence of infectious diarrhoea in children attending childcare centres has been estimated at between two to five times greater than in children cared for at home. Both Giardia and Cryptospovidium have a faecal-oral route of transmission that facilitates their spread in childcare environments, but can also be interrupted through the use of efficient hygiene protocols such as handwashing. Despite their importance as causes of infectious diarrhoea, there are no data on the prevalence or transmission dynamics of these parasites in Australian childcare centres. The present study was designed to determine the prevalence and incidence of both Giardia and Ciyptosporidium in children attending childcare centres in Perth,Western Australia. Data were collected on asymptomatic infection, seasonal trends, the transmission dynamics of the parasites and risk factors for infection. The second part of the study involved the development, implementation and evaluation of a health intervention package designed to interrupt the transmission of causative organisms of infectious diarrhoea in childcare centres. This intervention was based on appropriate and effective handwashing. Over a period of 23 months, 1 172 faecal samples were collected from non-toilet-trained children (n=306) attending 14 childcare centres in Perth, Western Australia. Where possible, family and contacts of infected children were also sampled to determine the dynamics of infection in the community. Information on syrnptomology of infections and risk factors for infection was obtained by the administration of a questionnaire to parents of all the children in the study. Over all the childcare centres in the study, 7.8% of children were positive for Giardia and 10.8% were positive for Cryptosporidiunz. Of these, 37.5% of the Giardia-positive children returned positive samples on two to four occasions, but not always consecutively, suggesting either continuous or repeated infection with the parasite. Only 12% of children who were Cryptosporidiurn-positive were infected for two consecutive months. The major findings of this study included a significant seasonal peak in the prevalence of both Giardia and Cryptosporidium, with 50% of Giardia and 73% of Cryptosporidiurn infections occurring during the autumn months of March, April and May, and a high proportion of asymptomatic Giardia infections (45%), compared with only 13.5% of asymptomatic Cryptosporidiurn infections. There was evidence for the transmission of both Giardia and Cryptosporidium infections to household contacts of infected children. Of the children who were found to be positive, faecal samples were also collected from 28 family members of those children with Giardia and from 14 family members of those with Cryptosporidiunz. Of these, 17.9% family members of the children with Giardia and 28.6% of family members of the Cryptosporidiuin children returned positive faecal samples. The only significant risk factor for Giardia infection was the number of adults living in the household, with infection more likely to occur in children who had a greater number of adults in the household. Significant risk factors for Clyptosporidium infection included the age of the child: the mean age of the positive children (20.6 months) was higher than in the negative children (16.6 months), and the length of time enrolled at the centre. Children who were positive had attended for a longer time than those who were negative (1 1.2 and 7.8 months respectively). These results have important implications for the control of infection with these organisms, both within and beyond childcare centres. Since these parasites can be readily transmitted by an asymptomatic carrier, the high percentage of asymptomatic cases in this study, particularly of Giardia, strengthens the argument for health interventions which are directed at interrupting the trailsmission of the parasite. A health intervention programme was developed that focused on handwashing procedures and was targeted at the carers, the children and the parents of the children in the centres. It was designed to be a low-cost programme both financially, and in the time and effort required to implement the programme within the childcare centre, to enhance compliance with the intervention. The success of the programme in changing the knowledge, attitudes and practices of carers was evaluated through a pre- and posttest questionnaire. This showed that the programme successfully improved the knowledge of the carers in the test centres in several important areas of infection control. These included knowledge about specific organisms causing infectious diarrhoea in childcare centres, transmission of these by asymptomatic individuals and increased knowledge about effective handwashing technique. Because it has been repeatedly shown that increased knowledge does not always translate into improved practices, and that interventions are not always successful in maintaining an improvement in the desired practices, a subjective evaluation was also performed. This was designed to determine how effective the intervention was perceived to be by the carers themselves, and whether they would continue to use the intervention over time. The results showed that the majority of the carers (>88%) found the intervention appropriate and useful in teaching both the carers and the children within the centres, the importance of handwashing. Twelve months after the intervention had first been implemented, 57% of the centres in the study were still using the intervention at least once per month and a further 2996, while using it less than this, still continued to use it occasionally. This is important information, since an intervention can only be useful if it is actually being used.
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Lam, Yu-kiu Rita. "The nature of the supervision in multi-service centres for the elderly." [Hong Kong : University of Hong Kong], 1993. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13745049.

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Books on the topic "Day care centres – Malawi"

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Services, Manitoba Manitoba Community. Day care: Budget guidelines for centres. [Winnipeg]: Manitoba Community Services, 1987.

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Care, Manitoba Child Day. Licensing manual for day care centres, 1986. Winnipeg, Man: Child Day Care, Manitoba Community Services, 1986.

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Barbeau, Carole. Work-related child-care centres in Canada--2001. Hull, Quebec: Human Resources Development Canada, Labour Program, 2001.

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Mullerow, Konstantin. Design brief for children's services centres. Melbourne: Preschool and Child Care Branch, Primary Care Division, Victorian Government Dept. of Health and Community Services, 1993.

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Bjurek, Hans. Efficiency, productivity, and determinants of inefficiency at public day care centres in Sweden. [Göteborg, Sweden]: Gothenburg University School of Economics and Legal Science, 1992.

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Regan, Ellen M. Case studies of selected preprimary centres in Ontario. Toronto, Ont: Ministry of Education, 1986.

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Voyage dans les centres de la petite enfance. [Montréal]: Editions de l'Homme, 2003.

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University of Toronto. Childcare Resource and Research Unit., ed. How should we care for babies and toddlers?: An analysis of practice in out-of-home care for children under three. Toronto: Childcare Resource & Research Unit, University of Toronto, 1999.

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Penn, Helen. How should we care for babies and toddlers?: An analysis of practice in out-of-home care for children under three. Toronto: University of Toronto Childcare Resource & Research Unit, 1999.

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Seema, T. N. Performance of anganwadi centres in Kerala: An evaluation and experiment to develop a model centre with community participation. Thiruvananthapuram: Kerala Research Programme on Local Level Development, Centre for Development Studies, 2001.

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Book chapters on the topic "Day care centres – Malawi"

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Takaoka, Motoko, and Dan Norbäck. "The Indoor Environment in Schools, Kindergartens and Day Care Centres." In Current Topics in Environmental Health and Preventive Medicine, 87–112. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-32-9182-9_5.

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Brougère, Gilles. "Learning by Participating: A Theoretical Configuration Applied to French Cooperative Day Care Centres." In Francophone Perspectives of Learning Through Work, 71–93. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-18669-6_4.

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Ulriksen, L., and A. S. Dederichs. "Evacuation of Day Care Centres for Children 0–6 Years: Simulations Using Simulex." In Pedestrian and Evacuation Dynamics 2012, 959–69. Cham: Springer International Publishing, 2013. http://dx.doi.org/10.1007/978-3-319-02447-9_80.

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Reichenfeld, H. F. "Day Centres, Day Care and Day Hospital in the United States and Canada — Or how to Compare Apples, Oranges, Carrots and Shoelaces." In Child and Adolescent Psychiatry, Mental Retardation, and Geriatric Psychiatry, 467–74. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4615-9367-6_75.

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Alvarez, José A., Dolores M. Hernández Capel, and Luis J. Belmonte. "A Web Based Information System for Managing and Improving Care Services in Day Centres." In Distributed Computing, Artificial Intelligence, Bioinformatics, Soft Computing, and Ambient Assisted Living, 710–17. Berlin, Heidelberg: Springer Berlin Heidelberg, 2009. http://dx.doi.org/10.1007/978-3-642-02481-8_107.

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Ytterhus, Borgunn. "Does One Size Fit All? Physical Placement, Organizational Structure, and Parental Satisfaction in Norwegian Day Care Centres." In Childhood and Disability in the Nordic Countries, 149–66. London: Palgrave Macmillan UK, 2015. http://dx.doi.org/10.1057/9781137032645_10.

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"Day-care centres in Munich." In Building simply two, 159–63. DETAIL, 2012. http://dx.doi.org/10.11129/detail.9783955531737.159.

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Heok, Kua Ee, and Iris Rawtaer. "Singapore." In Dementia Care: International Perspectives, 79–84. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198796046.003.0011.

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The main caregivers of elderly people with dementia in Singapore are the family. In recent years, community services like day care centres, home care, respite care, and nursing homes have expanded. Non-governmental organizations are actively involved in providing a spectrum of services, ranging from medical, nursing, physiotherapy, occupational therapy, and counselling. General hospitals have set up geriatric and psycho-geriatric teams for dementia patients. There is now a focus on dementia prevention, and a successful prevention programme has been extended to three additional community centres. The challenge ahead is not only having sufficient dementia services, but also ensuring there are sufficient trained health professionals to provide the services. Current strengths in dementia care include strong emphasis on family care, increased availability of dementia community services like day care centres, and increased number of health professionals trained in dementia care. Future priorities include integrating hospital care into the community, keeping down the cost of dementia care, and creating dementia-friendly environments.
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Gunter, Michael, George Bruns, Martin Feuling, Sylvia Künstler, Horst Nonnenmann, Olaf Schmidt, and Joachim Staigle. "Psychoanalytic social work in day nurseries (day care centres), early education, and early intervention." In Psychoanalytic Social Work, 79–84. Routledge, 2018. http://dx.doi.org/10.4324/9780429479069-7.

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Marshall, Fiona. "Farm-based care: providing meaningful activities in dementia care as an alternative to ‘standard day care’ in the UK." In Remote and Rural Dementia Care, 185–212. Policy Press, 2020. http://dx.doi.org/10.1332/policypress/9781447344957.003.0009.

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This chapter invites the reader to consider ways in which farm based dementia care may offer alternative ways of engaging in nature among settings such urban day centres. This chapter outlines the importance of sharing innovative practices which may challenge notions of dementia care and aims to provoke debate about diversification in dementia services for all.
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Conference papers on the topic "Day care centres – Malawi"

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Rumchev, K., and D. Bertolatti. "Indoor concentrations of PM2.5in day care centres." In ENVIRONMENTAL HEALTH RISK 2009. Southampton, UK: WIT Press, 2009. http://dx.doi.org/10.2495/ehr090021.

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Raudeliūnaitė, Rita, and Justinas Sadauskas. "SOCIO-EDUCATIONAL ASSISTANCE TO CHILDREN FROM SOCIAL RISK FAMILIES IN DAY CARE CENTRES." In International Technology, Education and Development Conference. IATED, 2016. http://dx.doi.org/10.21125/inted.2016.0821.

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Pirjo, Suvilehto. "“Puppetry and Opera Are Striking.” Students’ Experiences of Collaboration and Curiosity in Puppetry Opera as a Case Study." In 2nd International Conference on Advanced Research in Education. Acavent, 2019. http://dx.doi.org/10.33422/2nd.educationconf.2019.11.794.

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This paper will focus on the possibilities of puppetry and opera in early childhood education studies (ECE), and among children in day care in a class of twenty 4−5-year-olds. The research centres around 200 university students in the middle of a project on opera and puppetry in their ECE programme. Opera is about strong emotions (see Trevarthen 2012, 263), and puppetry is a vehicle to make feelings visible (Lintunen, 2009, Majaron 2012, 11, Scheel, 2012). Puppetry and opera can be used in collaboration, and they are combined in this ECE programme as a part of the university studies in drama and literary arts. A method called Pritney has been created to realize the project. The theoretical background consists of puppetry and literary arts. The paper will present some findings from cases in which puppetry and opera have been used experimentally with ECE students, and subsequently with kindergarten children. There is a need for collaborative encounters during the processes of puppetry and opera. Based on the observations and remarks of university students doing their puppetry and opera project, this paper considers the value of conveying puppetry and opera to a child audience as a stimulation for curiosity and emotions. All this reflection is followed by the examples of practice in ECE studies. Performing opera with puppets is beneficial. In summary, the artistic experiments created by puppetry and opera are valuable in transferring cultural heritage and creating aesthetic and pedagogical moments. There is also a short consideration of a project called “Rinnalla−Hand in Hand” (2018−2020) funded by Finnish ministry of education, in which the Pritney method is further developed (see also Suvilehto 2019).
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Giri, Shveta, Swati Shah, Rupinder Sekhon, and Sudhir Rawal. "Clinical outcomes of cytoreductive surgery and HIPEC in advanced and recurrent epithelial ovarian cancers with peritoneal carcinomatosis." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685311.

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Introduction: The role of surgery for Peritoneal carcinomatosis (PC) has slowly evolved from palliation to potential curative intent. Attempting to remove all visible tumor deposits, “surgical cytoreduction” (CRS) was reported in 1930s for ovarian cancer and eventually became an accepted therapy with proven survival benefit. The new approach of combining CRS and Hyperthermic intraperitoneal chemotherapy (HIPEC) to treat peritoneal metastasis offer hope for long term survival in this group of patients. The risk and benefit of this approach continued to be debated. A prospective study was conducted to understand the perioperative outcomes of CRS & HIPEC. Aim: To evaluate the perioperative outcomes associated with CRS & HIPEC in Advanced and Recurrent Epithelial Ovarian Cancer with PC. Methods: Prospective analysis of patients undergoing CRS & HIPEC from November 2014 to July 2015 was done. Inclusion criteria included localized disease in peritoneal cavity, no distant metastasis and PS <2. Grade 3/4 complications from day of surgery until 30 days postoperatively were recorded. Results: We performed CRS & HIPEC in 20 patients from Nov 2014 to June 2015. HIPEC Plus regimens included Cisplatin (50 mg/m2) and Lipodox (15 mg/m2) intraperitoneally and Ifosphamide (1300 mg/m2) & Mesna (260 mg/m2) Infusion time was 90 minutes with a temperature range of 41-43 °C. Out of 20 patients 6 (30%) underwent primary debulking surgery and 14(70%) underwent secondary debulking surgery. PCI score ranged from 2-26 (mean 13.65). Mean operating time was 6.42 hrs and average blood loss was 1046 ml. Average hospital stay was 8 days and SICU stay was 4.9 days (range 3-14 days). Total 26 adverse events were observed of which grade 1 were 11 (42%), grade 2 were 8 (30%), grade were 3 (11.5%) and grade4 were 2 (8%). Most common complication was hematological (8) followed by respiratory (6), sepsis (4) renal (2), GI (2). 4 patients (5 events) developed grade3 or 4 complications in the form of septicaemia, pulmonary embolism, GI fistula of which 2 patients expited and remaining recovered although required prolonged hospitalization. Increased morbidity were observed in cases with symptomatic relapse, higher PCI score and CA 125 level higher than 250 U/ml. Most of the adverse events were grade 1 and 2 and were managed by observation only or GCSF support, transfusions and other minor interventions. The combined grade 3-4 morbidity was 20% (4out of 20) which consisted of neutropenia, infection and respiratory complications. One patient required relaparotomy and two patients expired attributed to pulmonary embolism and septicaemia respectively. Conclusion: Enthusiasm associated with improvement in survival is often dampened by increased perioperative mortality and morbidity figures and therefore CRS & HIPEC has not yet been considered standard of care by many centres. HIPEC after extensive cytoreductive surgery for ovarian cancer is a procedure whth acceptable morbidity that patients can tolerate. More follow up is needed to determinr the effect of HIPEC on survival. Till such time more data are obtained by way of larger randomised trials, this approach remains investigational.
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5

Giri, Shveta, Swati Shah, Rupinder Sekhon, and Sudhir Rawal. "Clinical outcomes of cytoreductive surgery and HIPEC in advanced and recurrent epithelial ovarian cancers with peritoneal carcinomatosis." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685300.

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Abstract:
Introduction: The role of surgery for peritoneal carcinomatosis (PC) has slowly evolved from palliation to potential curative intent. Attempting to remove all visible tumor deposits, “surgical cytoreduction” (CRS) was reported in 1930s for ovarian cancer and eventually became an accepted therapy with proven survival benefit. The new approach of combining CRS and hyperthermic intraperitoneal chemotherapy (HIPEC) to treat peritoneal metastasis offer hope for long term survival in this group of patients. The risk and benefit of this approach continued to be debated. A prospective study was conducted to understand the perioperative outcomes of CRS and HIPEC. Aim: To evaluate the perioperative outcomes associated with CRS and HIPEC in Advanced and Recurrent Epithelial Ovarian Cancer with PC. Method: Prospective analysis of patients undergoing CRS and HIPEC from November 2014 to July 2015 was done. Inclusion criteria included localized disease in peritoneal cavity, no distant metastasis and PS <2. Grade 3/4 complications from day of surgery until 30 days postoperatively were recorded. Results: We performed CRS and HIPEC in 20 patients from November 2014 to June 2015. HIPEC Plus regimens included Cisplatin (50 mg/m2) and Lipodox (15 mg/m2) intraperitoneally and Ifosphamide (1300 mg/m2) and Mesna (260 mg/m2). Infusion time was 90 minutes with a temperature range of 41-43°C. Out of 20 patients 6 (30%) underwent primary debulking surgery and 14 (70%) underwent secondary debulking surgery. PCI score ranged from 2-26 (mean 13.65). Mean operating time was 6.42 hrs and average blood loss was 1046 ml. Average hospital stay was 8 days and SICU stay was 4.9 days (range 3-14 days). Total 26 adverse events were observed of which grade 1 were 11 (42%), grade 2 were 8 (30%), grade were 3 (11.5%) and grade 4 were 2 (8%). Most common complication was hematological (8) followed by respiratory (6), sepsis (4) renal (2), GI (2). 4 patients (5 events) developed grade 3 or 4 complications in the form of septicaemia, pulmonary embolism, GI fistula of which 2 patients expited and remaining recovered although required prolonged hospitalization. Increased morbidity were observed in cases with symptomatic relapse, higher PCI score and CA 125 level higher than 250 U/ml. Most of the adverse events were grade 1 and 2 and were managed by observation only or GCSF support, transfusions and other minor interventions. The combined grade 3-4 morbidity was 20% (4 out of 20) which consisted of neutropenia, infection and respiratory complications. One patient required relaparotomy and two patients expired attributed to pulmonary embolism and septicaemia respectively. Conclusion: Enthusiasm associated with improvement in survival is often dampened by increased perioperative mortality and morbidity figures and therefore CRS and HIPEC has not yet been considered standard of care by many centres. HIPEC after extensive cytoreductive surgery for ovarian cancer is a procedure whth acceptable morbidity that patients can tolerate. More follow up is needed to determinr the effect of HIPEC on survival. Till such time more data are obtained by way of larger randomised trials, this approach remains investigational.
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