Routine Supportive Supervision and Management of Medicines and Other Health Products and Technologies in Vihiga County, Kenya

Health Products and Technologies (HPTs) are pivotal for an efficient health system. Availability and accessibility to affordable health products are critical indicators towards achieving universal health coverage. Routine supportive supervision, performance monitoring, recognition of efforts and client feedback are vital activities toward health supply chain system strengthening. This is a descriptive paper that describes a model of integrated commodity supportive supervision, and mentorship and its impact on various outcomes of health commodity management. Data were abstracted from the standardized scored checklists used during integrated commodity supportive supervision and supply chain audit in public health facilities in Vihiga County. Scores for the period 2020 to 2022 were analyzed on the eight key areas of interest. The analysis was done using Statistical Package for Social Sciences (SPSS version 26). Results are interpreted at 95% Confidence interval. This paper also shares findings from both quantitative and qualitative data from client exit and facility managers’ interviews. Six complete rounds of supervisions, three clients and service providers’ interviews, and three annual award events have been conducted. We observed trends across six data collections points and compared the results at first point or baseline (January-June 2020) to the results at the last point or end line (April-June 2022). Findings show significant improvements on the eight parameters in terms of mean scores as follows: resolution of issues from previous visits by 35.06% (46.75% - 81.81%);storage of HPTs by 17.41% (68.72% - 86.13%);inventory management by 28.16% (42.67% - 70.83%);availability and use of commodity data management information systems (MIS) tools by 22.39% (74.40% - 96.79%);verification of commodity data by 25.61% (65.56% - 91.17%);availability of guidelines and job aids for commodity management by 46.28% (36.65% - 82.93%). There was an improvement on the mean score on accountability by 20.22% (58.58% - 83.51%). The composite (final) score improved by 28.33% (56.19% - 84.52%). There was progressive narrowing of the standard deviations on all the indicators across the study period. This demonstrates that there is standardization of practices and positive competition among all the public health facilities. There were significant improvements on all the eight indicators. Routine integrated commodity supportive supervision has proven to be an effective high impact intervention in improving management of health products and technologies in Vihiga County, Kenya.

Health Products

Health products come in many forms. The broad term covers potions and treatments that can to some extent regulate body functions, prevent disease and enhance health and have no side-effects. In general, they fall into three groups: 1. Healthcare medicines. These are medicinal products with tonic and treatment functions such as traditional Chinese medicinal and health beverages and other functional drinks.

China Medicines & Health Products Import-Export Corporation

The China Medicines & Health Products Import-Export Corporation ((MEHECO) is a supplier to the world’s health products industry. MEHECO is located in Beijing’s Asian Games Village. The corporation is a special state foreign trade company under the the Ministry of Foreign Trade and Economic Cooperation. Since founding in January 1984, it

Beijing Medicines & Health Products I/E Corp.

The Beijing Medicines & Health Products I/E Corporation deals in the import and export of the municipality’s medicines and health products. Since its founding in 1986, its import and export value has totalled US $ 240 million. To meet the needs of the economic and trade reform and make itself more competitive on the world market, the company has gradually readjusted its management structure to make itself a modern enterprise in the socialist market economy. The company has consistently adhered to the principles of honouring contracts, keeping commercial faith

MEHECO Traditional Medicines and Health Products I/E Corp

The MEHECO Traditional Medicines and Health Products I/E Corporation is a subsidiary of the China National Medicines and Health Products Import and Export Corporation. It is situated at the Asian Games village in Beijing and started business operation in 1993.

Infrared Ceramic Powder Health Products and Their Inventor

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Analysis of development trend of Chinese medicine health products based on history of western health products development

Because of the rapidly rhythm of modern society,fast food and take-out become the main dining methods for most of young people,while the outside foods always have few types of foods and nutrition is not complete.Nutrient imbalances may cause many diseases such as gastrointestinal diseases,cardiovascular diseases,diabetes,obesity,and cancer.In this environment,health products have emerged.At present,there are a wide variety of health care products at home and abroad,which are broadly divided into three categories:traditional vitamins,emerging nutrient products,and extracts of natural plant active ingredients.In the early 1970 s,the sales of health products in the United States had reached 170 million dollars.At present,it has nearly 100 billion dollars,which is almost 1/3 of the total food sales,people's demand for health products is increasing rapidly.In recent years,Chinese medicine health products become more popular in western,in fact,Chinese medicine health products have a long history of application in China and have a good reputation in the folk.Obviously,Chinese medicine health products have great potential for development.So this article mainly compared the de.velopment and state of health products between China and west countries.Based on the development of health products in western countries,this article analyzes the development trend and prospects for the development of Chinese medicine health products.It is roughly divided into three parts.The first part introduces the development reasons and history of western health products development.The sec.ond part introduces the history of Chinese health products and the current situation of Chinese medi.cine health products.The third part guesses the development trend of Chinese medicine health prod.ucts and provides some development ideas.The purpose of this airticle is to provide reference and ideas for the future research and development of traditional Chinese medicine health products.

Curcumin,from health product to medicine

Curcumin is the principal curcuminoid of the rhizomes of Curcuma longa(turmeric,Jiang Huang),which has more than 6000 years of application history in India and other Asian countries.At present,curcumin is sold as an herbal supplement,cosmetics ingredient,food flavoring,and food coloring.In China curcumin is mainly used in food,while in western countries it has been regarded as a health care product and is contained in the British Pharmacopoeia(2017),United States Pharmacopeia(40)and European Pharmacopoeia(8.7th ed.).Curcumin has been proved to have multiple pharmacology effects including anti-fibrosis,anti-tumor,anti-inflammation effects and so on.As its broad biological activities,it is applicated in a lot of diseases such as hyperlipidemia,infection and cancer.Among them,the anti-cancer effect of curcumin is the most attractive.In the treatment of cancer and related diseases,curcumin has been tested in phase I and II clinical trials in several research centers across the world and has been approved by the U.S.FDA into the phase III clinical trial.It has been listed as the third generation of cancer chemoprevention agent by the U.S.National Cancer Institute.Curcumin has been proved to inhibit the proliferation of a variety of tumor cells through regulating a variety of tran.scription factors(NF-κB,AP-1,etc),mitogen-activated protein kinase(MAPK),growth factor receptor ki.nase(PDGFR,VEGFR,etc) and cyclooxygenase.It plays an important role in the cell cycle and further to inhibit proliferation.Curcumin can also inhibit the migration of tumor cells by activating caspase and in.ducing tumor cell apoptosis.However,curcumin still needs researches to confirm its effects and mecha.nisms and find its exact indications.There is still a long way to go to make curcumin better applied in clinical practice in the further.

Cytotoxicity Tests for Evaluating Medical Devices: An Alert for the Development of Biotechnology Health Products

The risks and damages related to the use of products, technologies and services of sanitary interest can be due to defects or manufacturing failures. Certain products already contain a certain degree of risk, which requires strict quality control in their production, distribution and use, as well as in the disposal of their waste in the environment. With continuous development in science and technology, medical devices must undergo intradermal irritation and testing for sensitization, cytotoxicity, and acute systemic toxicity. In health care, biotechnology aims to provide technology-based products or processes related to energy, food, and health, which are capable of stimulating new businesses, expanding exports, integrating the value chain and stimulating new demands for innovative products and processes, taking into account health policies. The present article was prepared by a bibliographical survey of the electronic databases PubMed, Lilacs, and Bireme. Cell culture testing can be successfully employed, as it is reproducible, rapid, sensitive, and financially accessible for performing in vitro toxicity testing. Thus, it has been possible to optimize the development phase of new products by decreasing animal use or even replacing them in certain tests. Some in vitro assays validated by the Organization for Economic Cooperation and Development in the area of health products have already replaced animal testing.

Demand for and Accessibility to Reproductive Health Service of Urban Floating Population

Summary： The demand for knowledge of productive health and the current status of productive health services provided by relevant governmental institutions were qualitatively and quantitatively studied. The study identified the key factors that influenced the demand for the productive health services and results of the services. It also discussed the effective approaches to control, planning and sustainable development of the reproductive health services for the floating populations.

Occupational Heat Stress in the Floriculture Industry of Ethiopia: Health Risks and Productivity Losses

Background: The Ethiopian flower industry is growing fast with successful diversification of export products under greenhouse structures. Higher temperatures in the greenhouses pose a serious threat to the health of workers and add to the risk of occupational heat stress. Excessive heat in workplace settings also reduces work capacity and labour productivity. This study aims to investigate the level of heat exposure, and workers’ and managers’ perceptions and behavioural responses towards extreme heat exposure in a warming climate. Methods: We used the Wet Bulb Globe Temperature (WBGT) measured in representative greenhouses to capture the heat exposure during hotter and cooler seasons following ISO 7243 (generally risk of heat stress occurs when WBGT exceeds 26°C). A comparative cross-sectional study design with a stratified sampling method was used to assess occupational heat stress and workers’ perceptions of the impact of heat on their health and productivity in six different floriculture greenhouses in Ethiopia representing three different agro-ecologies and products. A questionnaire survey was conducted (30 managers/supervisors and 305 workers;76.1% female) to capture perceptions on heat exposures, symptoms of potential health impacts, productivity losses and coping mechanisms. Results: Heat exposure varied across different agroecologies, product types and greenhouse materials with a median WBGT Index of 25.5°C and a range from 18.1°C to 31.5°C. The impact of heat stress also varied across different employment sectors and geographical regions. Overall, workers in cut-flower greenhouses are exposed to higher than recommended WBGT Index (26°C) for 3 - 6 working hours daily. 65% of the managers reported that heat stress has a significant impact on the workers’ labour productivity, but do not have guidance about working in hot conditions. Workers reported more heat-related health issues and reduced productivity, especially in the mid-altitude greenhouses. About 50% of the workers reported that heat exposure decreased work productivity during hot hours. Sweating, exhaustion, heat-rashes, dehydration, crumps, nausea and headache were self-reported health issues. Labour productivity losses ranged from no loss to 19.5% in the mid- and low-altitudes. Conclusions and Recommendations: Excessive workplace heat in the greenhouses is both an occupational health hazard and detrimental to productivity in the floriculture industry. However, the level of understanding and actions on the ground regarding occupational heat stress are low. The code of conduct in place now does not consider the occupational heat stress issues. Multiple actions (engineering, management, training and policy-related recommendations) have to be implemented by Ethiopian Horticultural Producers and Exporters Association (EHPEA) and farm owners to mitigate heat stress and loss of productivity. Designing and implementing these heat prevention strategies and incorporating them into the code of conduct is in the interests of both employers and employees.

Jinhehuan Health and Skin Care Product

Jinhehuan (sponge tree) is a kind of rare plant growing on the Tianshan mountain in the Xinjiang region of China, the red pigment of which is good for cooling and activating the blood, having antipyretic, detoxified, antibacterial and antiphlogistic functions. Experts at the Research Institute of Phytology under the Academia Sinica have found that this kind of pigment has a strong

The Application of Honeybee Products in the Health Sector

The chemical composition of each of the eight total products of beekeeping, which are honey, bee venom, propolis, royal jelly, drone brood, bee pollen, bee bread and beeswax, is analyzed. Each beekeeping product has its own chemical composition which varies from producer to producer. Some of these bee products have been used for centuries in traditional medicine, but to date research has demonstrated many other medicinal properties of these products that were not known. Therapeutic properties of bee products have been discovered even against various types of cancer and scientists are continuing their research to discover other secrets behind the therapeutic properties of bee products. In addition, therapeutic effects of bee products have also been discovered against COVID-19 disease which has significantly affected global health. Finally, it is concluded that bee products are proven to be one of the most valuable medicines that nature can offer showing the great value of the science of beekeeping.

Tinhehuan Health and Skin Care Product

Jinhehuan(sponge tree)is a kind ofrare plant growing on the Tianshanmountain in the Xinjiang region of China,the red pigment of which is good forcooling and activating the blood, havingantipyretic, detoxified, antibacterial andantiphlogistic functions. Experts at theResearch Institute of Phytology under theAcademia Sinica have found that thiskind of pigment has a strong

Analysis on the Development of Lushan （Xingzi） Hot Spring Health Tourism Products from the Perspective of Product Integrated Marketing

Through the development of more than 60 years, the hot spring tourism industry in China will confront with a situation of ＂innovative competition, standard development, and secondary upgrade＂. In this paper, from the perspective of product integrated marketing theory, by taking Lushan （Xingzi） hot spring as an example, the authors carry out an analysis on some problems in the development of Xingzi hot spring tourism products, propose the framework and model of the integrated development of hot spring health tourism products, and also provide some suggestions for the design of Xingzi hot spring health tourism routes.

Didactic Sequences as an Educational Product to Facilitate Teaching-Learning Processes in Lato Sensu Graduate Courses in the Area of Health Management in Primary Care

Teaching strategies can be considered as techniques that are constructed to be used with the objective of promoting teaching and learning in the classroom, so that the teacher is considered a mentor, as he is the one who selects, analyzes, studies, organizes, builds and proposes the most classic tools to facilitate the learning process [1]. This study is an experience report related to the construction of an educational product that consists of the elaboration of pedagogical strategies, characterized by five didactic sequences in the perspective of collaborating with teaching-learning processes in lato sensu graduate courses. The themes that are part of the didactic sequences were built based on the results obtained in scientific research carried out during the development of the strict sensu postgraduate course in Teaching in Health and Technology, which involved: the work of coordinators who work in the field of health management in Primary Care, situations that challenge the management of Primary Care and the potentialities of work in the management of Primary Care. The didactic sequences have fun teaching strategies that provide meaningful learning for a future qualified professional performance. These sequences involve the use of active methodologies and the use of digital tools. The educational product developed seeks to promote benefits that can collaborate with the improvement of Primary Care Management and teaching-learning processes in the training of health professionals. Therefore, the pedagogical strategies, as well as its entire construction process, were developed through the collaboration of professors of the Health and Society discipline at the State University of Health Sciences of Alagoas (UNCISAL), seeking to make it qualify for effective construction of knowledge and that promote its wide use in the academic environment.

Leveraging on Flock Dynamics and Farmers’ Production Constraints in Designing Flock Health Program for Accelerated Goat Production

Compliance with appropriate flock health program is vital for preventing introduction and minimizing impact of diseases in goat farms. Unfortunately, most goat farms in Uganda, especially in the Albertine Graben Zone lack flock health program. The associated frequent outbreaks slow down effort aimed at commercializing goat production. In this study, we documented flock dynamics, identified and prioritized pressing challenges experienced by goat farms during the year 2022 and generated appropriate flock health program and packaged it for dissemination to farmers. Materials and Methods: Using a cross-sectional design, semi-structured questionnaire, data were collected and analyzed with MS Excel 2013. The data included: location and socio-demographics of household, farming system, flock dynamics, housing, feeding system, health management, challenges encountered by goat farm and suggested solutions. Results: Beginning January 2022 to December 2022, the number of goats reared in all the 45 sample farms increased from 2128 to 2220 goats. Results showed that 884 kids were produced and 88 breeding goats were introduced into the farms. Three hundred ninety-nine goats died due to mainly diseases and 435 goats got withdrawn through nondeath. The average farm level and overall mortality rate were 21 goats per 1000 goatmonths and 15 goats per 1000 goatmonths respectively. The most pressing challenges encountered by sample farms were death of goats especially due to diseases, poor access to veterinary extension services, high cost of inputs and feed scarcity. Solutions suggested by sample farms were improved access to veterinary services, improved housing, enhanced vaccination of goats against diseases, and enhanced grazing land management and feed conservation, all of which were incorporated into the flock health program. Conclusion and Recommendations: An appropriate flock health program was generated based on flock dynamics and production constraints which reveal high mortality and limited access to veterinary services respectively. Actors are recommended to promote adoption and adherence to the flock health program so as to increase goat production and access to wider market.

An Updated Review on Chicken Eggs: Production, Consumption, Management Aspects and Nutritional Benefits to Human Health

Ancestors of the modern chicken were domesticated from members of the Gallus genus probably 7 to 8 thousand years ago in southeastern Asia. Subsequently, they spread globally for meat and egg production. In the chicken egg, there is a balance of numerous, high-quality nutrients, many of which are highly bioavailable. The egg confers a multitude of health benefits to consumers emphasizing its classification as a functional food. Current global per capita egg consumption estimates approach 9 kg annually but vary greatly on a regional basis. This review deals with global production, consumption, and management aspects such as hygiene, feeding, and housing. Management aspects play key roles in the composition, quality, food safety, and visual (consumer) appeal of the egg. Also the manipulation of egg nutrients and value for human health is discussed.

Dietary exposure estimates of trace elements in selected agricultural products grown in greenhouse and associated health risks in Korean population

This study focuses on the dietary exposure of trace elements (TEs) through the intake of various agricultural products grown in greenhouse, and its corresponding health risks at different age categories in Korean population. It was observed that the mean contents of TEs found in selected agricultural products were well below their guidelines. Mean and 95th percentile intake estimates of TEs were ranged from 0.02 to that considerable attention should be paid to the potential health risks of TEs through intake of various foodstuffs and other exposure pathways.