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Children Learning About Second-hand Smoke (CLASS II): a pilot cluster randomised controlled trial

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Children exposed to secondhand smoke (SHS) are at increased risk of respiratory illnesses. We piloted a Smoke Free Intervention (SFI) and trial methods before investigating its effectiveness and cost-effectiveness in primary school children. To read the article, choose one of the following buttons below. PDF Version  | HTML Version 
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  • Published in Journal Article, Resources
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Embedded health service development and research: why and how to do it (a ten-stage guide)

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In a world of changing disease burdens, poor quality care and constrained health budgets, finding effective approaches to developing and implementing evidence-based health services is crucial. Much has been published on developing service tools and protocols, operational research and getting policy into practice but these are often undertaken in isolation from one another. This paper,
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Muslim Communities Learning About Second-hand Smoke in Bangladesh (MCLASS II) study protocol for a cluster randomised controlled trial of a community based smoke-free homes intervention, with or without Indoor Air Quality feedback

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Second-hand smoke (SHS) is a serious health hazard costing 890,000 lives a year globally. Women and children in many economically developing countries are worst affected as smoke-free laws are only partially implemented and homes remain a major source of SHS exposure. There is limited evidence on interventions designed to reduce SHS exposure in homes, especially
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Behaviour change interventions to reduce second-hand smoke exposure at home in pregnant women – a systematic review and intervention appraisal

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Second-hand smoke (SHS) exposure during pregnancy is associated with poor pregnancy and foetal outcomes. Theory-based behaviour change interventions (BCI) have been used successfully to change smoking related behaviours and offer the potential to reduce exposure of SHS in pregnant women. Systematic reviews conducted so far do not evaluate the generalisability and scalability of interventions. The
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Protocol for a mixed-methods realist evaluation of a health service user feedback system in Bangladesh

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Responsiveness to service users’ views is a widely recognised objective of health systems. A key component of responsive health systems is effective interaction between users and service providers. Despite a growing literature on patient feedback from high-income settings, less is known about effectiveness of such systems in low-income and middle-income countries. PDF Version  | HTML Version 
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Integrating a diabetes and hypertension case management package within primary health care: a mixed methods feasibility study in Bangladesh

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Almost three quarters of non-communicable disease (NCD) deaths, and 82% of premature NCD deaths, occur in low- and middle-income countries. Bangladesh has an estimated 7 million hypertensives and 10 million diabetics, and primary care is struggling to respond. Our aim was to develop and support implementation of a diabetes and hypertension case management package, and
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Interventions for preventing type 2 diabetes in adults with mental disorders in low‐ and middle‐income countries

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We searched the medical literature to review the evidence on the effects of pharmacological (drug), behavioural (behaviour change) and organisational (delivery of health care) interventions for the prevention of type 2 diabetes among people with mental disorders in low‐ and middle‐income countries (LMICs). Type 2 diabetes is a serious health condition that may develop when
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  • Published in Report, Resources
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Antibiotic practices among household members and their domestic animals within rural communities in Cumilla district, Bangladesh: a cross-sectional survey

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Antibiotic resistance is a global threat to human health, and inappropriate use of antibiotics in humans and animals is widely considered to be a key driver of antibiotic resistant infections. Antibiotic use in humans and animals is growing rapidly in low- and, particularly, middle-income countries. However, there is little detailed understanding about practices related to
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Policy priorities for strengthening smokeless tobacco control in Bangladesh: A mixed-methods analysis

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Smokeless tobacco (ST) remains poorly regulated in Bangladesh. This study describes the prevalence and trends of ST use in Bangladesh, presents ST-related disease burden, identifies relevant policy gaps, and highlights key implications for future policy and practice for effective ST control in Bangladesh. PDF Version  | HTML Version 
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Smoke-free homes: The final frontier

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Over 1.2 billion tobacco users worldwide and almost 8 million tobacco-related deaths make tobacco control a public health high priority1 . While the number of smokers has fallen in high-income countries (HICs) in recent years, the number of tobacco users in many low- and middle-income countries (LMICs) has steadily increased2 . In addition to active
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ARK Foundation is a non-government, non-political and not-for-profit organization dedicated to the socio-economic development of Bangladesh. Through evidence-based research, training and communications it provides sustainable solutions for health, education and social development.

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