Biography:

Freida Toler completed her Masters in Nursing from West Texas A & M University in Canyon Texas. She is an AANP Certified Family Nurse Practitioner. She is currently employed by Dr. Biggs, MD as a Nurse Practitioner at Amarillo Medical Specialists. She works full time in Endocrinology. She is an officer in the local Panhandle Nurse Practitioner Association and has recently been voted as Nurse Practitioner of the year. She has published an article in JAANP. She has been a guest speaker for Panhandle Nurse Practitioner Association in the area of womens health.

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Biography:

Tendai Nzirawa completed Undergraduate Diploma in Nursing studies (Adult) in 2005 (City University, London). Completed Bachelor of Science with Honours in Nursing Studies (Neonatal Care) in 2012 (City University, London). Currently, studying a Master of Science in Nursing Studies (Neonatal Care) London Southbank University, London. Since 2010, have been involved in setting up and running a Neonatal Parent Support group with other health professionals. Also in June 2015 set up a Down Syndrome Parent Support Group, run it with the assistance of two mothers who have children with Down Syndrome. In 2012, participated at the European academy of Pediatric Societies, Turkey (Poster Presentation) – The experiences of parents of infants on Home Oxygen.

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Every year our neonatal unit discharges at least 6 infants on nasogastric tube feeding, in order to reduce length of stay and promote parent-infant bonding in a relaxed environment. Although, in 2015 one infant proved that the input of a community neonatal service can reduce length of stay, and also reduce readmission to the children’s ward. (According to The Code-Nursing and Midwifery Council, 2015 the infant name has been changed and will be referred as Summer). Summer was born in a level 3 hospital at full term and at examination was diagnosed with Laryngomalacia and severe hypotonic, Summer was transferred to a local level 2 hospital for continuity of care, however after a total of 2 weeks in hospital, a discharge planning meeting was done to discuss Summer’s discharge including parental teaching for nasogastric tube feeding. Throughout, the 12 months’ period that Summer received support from the community neonatal nursing team, Summer never attended A&E and also never was readmitted in the children ward. Summer’s case study has proved that by having a Community Neonatal Service would reduce length of stay and reduce hospital readmission. In conclusion, it is important to recognize that this can only be achievable when there are other health professionals to ensure that the focus of the care is based on the infant’s needs and unlimited parental support.       

Biography:

Joe Tabor is an Assistant Professor and Nicholas Jennings is a doctoral candidate. Both authors have appointments in Community, Environment and Policy Department at the University of Arizona’s College of Public Health in Tucson.

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Results from a community-level analysis of health providers show high spatial variability of the workforce data, greater susceptibility to data errors, and bias due to incorrect assumptions about the data.

Arizona has growing needs for primary care providers but information about the role and distribution is lacking.  Primary care physicians, PAs, and NPs compared at zip code and county levels showed geographical maldistribution of professions that could influence the selection of preceptorship and residency training locations. County level comparisons between physician licensing board data and Health Professional Shortage Areas (HPSAs) data show a differential bias in magnitude and direction. State level comparisons underscore how a state such as Alaska can improve primary healthcare rankings by including physician assistants, nurse practitioners and certified nurse midwives. Spatial analysis of healthcare workforce and points of services will better inform policy development by federal and state governments, educational and professional organizations, and the private sector.

Biography:

Luciana Merley Belmiro de Assis Borborema- Nurse , effective teacher of the nursing course of the Federal University of Tocantins . It operates in lines of research in child health , Emergency Department and Public Health

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Biography:

Dr. Mbuyiselo Douglas was awarded an AusAID, Nelson Mandela Scholarship to study Master of Public Health degree at Curtin University in Western Australia which he obtained in 2004. He graduated PhD in Health Sciences at Walter Sisulu University. He has been a senior lecturer and an acting head of department. He has published 5 papers in accredited journals and was also coordinating Ubuntu Bethu Circumcision Project at Nyandeni in the Eastern Cape Province funded by AIDS Foundation South Africa (AFSA). He is now on a three year contract for post-doctoral research fellowship at Human Sciences Research Council in South Africa. 

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Every year there are reported deaths of AmaXhosa male circumcision initiates, especially in the region of Pondoland in the Eastern Cape, a province in South Africa. These deaths are in particular due to complications such as dehydration, sepsis and gangrene. The primary purpose of the study was to explore the perceptions and knowledge of boys about the underlying determinants related to circumcision deaths and complications. A qualitative approach with exploratory and interpretive components was followed. A simple random sampling was used to select 3 focus group discussions with 36 circumcised boys. A purposive sampling was used to select 10 key informants for semi-structured interviews. One question was asked from the participants: Why boys are dying in the circumcision initiation schools?  The Tesch’s eight steps data analysis method was used. The data was organised and prepared for analysis by first transcribing the interviews verbatim and then translating the transcriptions. Four overall themes were developed during data analysis:

(1) Unskilful and inexperienced traditional practitioners; (2) Assaults and torture in the initiation schools; (3) Restriction of fluids and food; (4) Action that should be taken to prevent the problem.  The inexperienced and unskilful traditional practitioners were identified to be the main cause of the problem. The preventive action was recommended to empower the target groups and thereby protect the children.

Biography:

Innocent Emmanuel KONGO has completed his graduation at the age of 27 years from University Libre of Kinshasa and is International Master Studies from Sao Paolo Institute of Public Health. He was the director of Medical staff service of CARITAS organization. He has published more than 15 papers in reputed journals and has been serving as an editorial board member of repute. The Libyan Board of Medical Specialties and Jamaharya Medical Revue, DRC Epidemiological Revue, He is actually CEO of CAMPUS of HEALTH DRC NGO working in partnership with the Ministry of Health, The Ministry of Gender, Family & Child and The Christian Church in DRC.

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General situation of hospitals and health care

Access to health care is a universally human rights established and recognized internationally, regionally and nationally by several legal instruments including the Universal Declaration of Human Rights, the International Covenant on Economic Social and Cultural Rights, the African Charter on Human Rights and peoples and the Constitution of 18 February 2006 in the Democratic Republic of Congo.

The best quality of health care depends on several parameters: political, cultural, demographic, security, socio - economic. In order to improve the health sector, the Congolese Government had, in the legislature from 2006 to 2011, placed health in five priorities project of the Democratic Republic of Congo. [ 1 In the context of reaching the completion Point, the Democratic Republic of Congo received from the international financial institutions to reduce its debt by 12.3 billion US dollars.] The CAMPUS of HEALTH -NGO and its allies were compelled to launch the investigation in difference’s hospitals. To do this, We’ve sending investigators to collect lots of data relevant to the preparation of this report with patients, doctors, nurses and the public.

Biography:

Asma Javed, MD has completed her Medical School degree in Pakistan at Aga Khan University. She then completed Residency in Pediatrics at Mayo Clinic, Rochester MN followed by Pediatric Endocrinology Fellowship training at Mayo Clinic, Rochester MN. She is currently on staff at Mayo Clinic and speaks frequently at regional and national meetings on topics related to Women’s Health.

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Biography:

David K. Jones is an Assistant Professor in the Department of Health Law, Policy and Management at Boston University’s School of Public Health. His research examines the political and policy issues surrounding the ACA’s implementation. He is working on a book about how states made decisions about what type of health insurance exchange to establish. His work has appeared in the New England Journal of Medicine, The Journal of the American Medical Association, The Journal of Health Politics, Policy and Law, and The American Journal of Public Health among other places. He has been cited in media outlets such as the New York Times, the Washington Post, and the Wall Street Journal. He is a part of multiple organizations focused on developing and disseminating research on the ACA. Dr. Jones is the winner of Academy Health’s Outstanding Dissertation Award for his doctoral thesis completed at the University of Michigan.

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2016 is an important transition year for the debate over health reform in America. By the time a new president takes office in January 2017, it will have been nearly seven years since the enactment of the Affordable Care Act (ACA). What comes next—whether we build on the law or dismantle it—will largely depend on the results of this November’s elections. I will discuss what is at stake with this election, including what the leading candidates from the two parties say they will do if elected. I will address how these changes are likely to affect primary care providers. I will also present results from a study examining how state leaders have made decisions about whether or not to extend the ACA’s temporary increase in Medicaid reimbursement levels for primary care providers. 

Biography:

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Biography:

Rosamar Torres completed her PhD in Nursing from The University of Texas at Austin. She competed her Post-doctoral training at University of California, San Francisco, School of Nursing. She is currently an Assistant Professor at University of California, Los Angeles, School of Nursing. Her clinical background is in Pediatric and Neonatal ICU nursing.

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In an effort to understand latinas’ inadequate use of prenatal care (PNC) services, research has centered on exploring perceived barriers to access/utilization and has focused on latinas overall without accounting for age or birth country. Therefore, little is known about the perceived benefits of PNC utilization in late adolescent latinas. This retrospective study included 54 latinas that were recruited from online blogs, discussion forums, and groups geared towards pregnant teens and/or latinas. Eligibility criteria were: Born in the U.S.; between 18-21 years; ≤12 months postpartum and; uncomplicated pregnancy and delivery. Perceived PNC benefits were measured by the Better Babies Survey (BBS). A majority (95%) of participants perceived timely (1^st trimester) and adequate (≥12 visits) PNC as important. However, only 56% of the sample entered PNC in the 1^st trimester, and over 90% of the sample obtained inadequate PNC. There were no statistically significant differences in BBS scores between participants with timely or late PNC or with adequate or inadequate PNC. A logistic regression determined that BBS scores predicted timely entry into PNC, χ²(3)=13.38, p=.004. A multinomial regression determined that BBS scores did not predicted adequate, intermediate or inadequate PNC utilization (p=.51). This study reveals that late adolescent latinas have positive opinions of PNC and they believe that it is important for healthy pregnancy/delivery outcomes, and are aware of the appropriate timing and utilization of care. However, this population likely faces multiple access and utilization barriers beyond their control.

Biography:

Joni K Roberts completed her Doctorate from Loma Linda University and is currently a Clinical and Community-Based HIV/AIDS Research Training (CCRT) Fellow for 2016-2018 at Brown University. She is an assistant professor at the University of Mississippi Medical Center, where she serves as the Health Education Curriculum Coordinator. Roberts is a certified health education specialist, with research interests in maternal and child health, sexual health, adolescent health and global health issues concerning accessibility and barriers to health care. She brings a passion for community engagement, and as a result, frequently volunteers for professional organizations both locally and internationally. 

Abstract:

According to healthy people 2020, approximately 25% of Americans do not have primary care physician or a health center for regular services, this same number of people also lack health insurance. The debate of access to health care has long surrounded around health insurance coverage, costs associated with care and transportation. However, access to health care is much more perplexed than insurance coverage, fees and transportation. A recent study accessing barriers to care among pregnant urban women in Malawi, identified contributors to the access to health care problem beyond insurance, costs and transportation. Malawi is considered the poorest country in the world and has universal health care for all residents at all government health facilities. In spite of full coverage of care, Malawi continues to see an underutilization of services among its citizen’s especially pregnant mothers. Roberts, J., et al., identified three main barriers to accessing care among pregnant women: 1) culture, 2) patient-provider relationship and 3) facility systemic operations. This paper discusses these barriers and identifies ways to use this knowledge to improve health care access for all. 

Biography:

Joyceline Ntoh Yuh is a Feminist and Ph.D candidate in the University of Oldenburg, Germany. She holds an MA in Women & Gender Studies from the ISS Erasmus University Netherlands. Her research interest includes HIV/AIDS related stigma, gender issues, Sexual and Reproductive health. Since 2006 she took keen interest in the field of HIV/AIDS were she researched on the impact of HIV on Agriculture affecting mostly women with the UN FAO Gender unit,mainstreaming HIV policies in UNFFE Uganda,HIV stigma & child bearing in Cameroon and currently facilitates workshops with MA students in the area of Gender, Migration & HIV/AIDS(Health).

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Biography:

Dinkar Sahal’s laboratory epitomizes a vibrant atmosphere for both design and discovery of novel antibiotic peptides and antimalarial drugs. The foundations for understanding the mechanisms of action and discovery of the origins of potency, synergy among antibiotics and broad spectrum of action of antibiotic peptides has been laid in his laboratory. Likewise discovery of novel drugs against drug resistant malaria is a major passion of his laboratory. He has published more than 75 papers in reputed journals and has been serving as a Reviewer and an Editorial Board Member of different journals.

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The parasite that causes malaria has been tormenting mankind for a long time and the image of a child dying of malaria every minute continues to haunt us even today. Our handling of malaria for the last hundred years has taught us that the malaria parasite which relishes riding on the invertebrate mosquito vector to fly from one vertebrate victim to another vertebrate host is not easy to control. Its ancient heritage appears to have taught the parasite to emerge with heightened vengeance whenever we have challenged it with either ill equipped vaccines or misused drugs. Today’s malaria parasite is well equipped to conquer almost all antimalarial drugs through resistance and we have miles to go before we have credible vaccines against malaria. While it is true that our best drugs against several diseases including Malaria have been gifts of Nature, it is equally true that synthetic medicinal chemistry has played a commendable role in chiselling and tweaking Nature’s pharmacophores to enhance potency, decrease toxicity and making drugs affordable for the poorest of the poor. My talk will illustrate the ethos of my laboratory which is to study marine organisms, medicinal plants, Cyanobacteria and endophytic fungi for new drugs against Malaria. Towards this mission, we are using high through put fluorescence based microtiter plate assays to culture the malaria parasite in human red blood cells and to examine the effects of potential drugs on the growth of the parasite. On finding hits, we subject natural extracts to activity guided high resolution chromatographic separation to isolate highly purified compounds against Malaria. Working in close association with “chemical collaborators” we then determine the chemical structures of Nature’s pharmacophores and validate the same through chemical synthesis. While the pursuit of discovering novel antimalarials is continuing, we are currently engaged in fine tuning of a natural antimalarial for optimum medicinal properties and drugability.

Biography:

Dr Solmaz Fakhari is an assistant Professor of anesthesiology, and is an academic member of department of anesthesiology at the Tabriz University of Medical Sciences (TUMS), IRAN, since 2011. She qualified in general medicine (1993-2000) and specialty in anesthesiology (2005-2009) at the TUMS, with getting the second score in iranian board certification in anesthesiology in 2009. She qualified in palliative care medicine in 2011 after participating in 18 month long period fellowship program at TUMS. She experienced the working in ophthalmic, gynecologic and orthopedic anesthesia and pain medicine fields, and collaborated in many research, nine of them were published in medial journals.

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