जनरल प्रैक्टिस जर्नल

Recent improvements in immunisation coverage and the provision of primary healthcare services have stalled. The coverage gaps that still exist reflect a variety of underlying issues that could be resolved by a better health system design. For better service delivery and a stronger Universal Health Coverage, vaccination programmes and other primary healthcare services can complement one another. Addressing dynamic and multifaceted risks and impediments is necessary for improvements. They include the availability of a skilled labour force, the deployment of high-quality data systems, as well as innovative, adaptable, data-driven leadership and management that is sensitive to regional demands. In order to support community engagement and vaccination, it will also be necessary to make improvements to the procurement, supply chain, logistics, and delivery systems, as well as to the integrated monitoring of vaccination coverage and epidemiological disease surveillance with laboratory systems. Last but not least, it takes political will, on-going resource commitment, and opens accountability systems.

Sleep is an essential aspect of overall health, and it is particularly important for children. Adequate sleep is necessary for physical growth, cognitive development, and emotional regulation. Unfortunately, many children struggle with sleep problems, which can have a negative impact on their mental health. In this article, we will discuss the relationship between sleep and mental health in children and explore strategies for promoting healthy sleep habits.

Patients who were hospitalised and referred to the ED with an infection diagnosis were included in a retrospective analysis. Day-0 (the initial prescription from the ED) and Day-2 (the reevaluation) antibiotic treatments were graded as optimal (if fully adhering to the guidelines in terms of molecule, dose, and route of administration), adapted (if the prescribed molecule was microbiologically active but not advised as first-line treatment, or in case of a wrong dose), or inadequat) (other situations). The primary outcome was the beginning of a negative event (death, transfer to intensive care unit, or re-hospitalization). Multivariate analysis was used to evaluate the prognostic factors linked to survival without a negative event.