Productivity of key informants for identifying blind children: evidence from a pilot study in Malawi.

OBJECTIVES: To determine the productivity of village-based 'key informants' (KIs) in identifying blind children. MATERIALS AND METHODS: Ngabu subdistrict (population 101,000) of Chikwawa district was divided into KI catchment areas. KIs, selected by local village leaders, were trained to register children reported to be blind or with severe visual impairment. These children were clinically assessed at designated centres. RESULTS: In total, 44 KIs were selected and trained to cover 196 villages in Ngabu. They identified and referred 151 children, 37 of whom were blind (presenting vision <3/60 best eye). Overall, village leaders tended to choose female KIs (80%) compared to male KIs (20%); however, male KIs tended to be more productive, identifying 4.22 children each (compared to 3.23 for female KIs). Male KIs were 2.7 times more likely to identify blind children compared to female KIs. Only 25% of all identified blind children of school going age were in school. CONCLUSIONS: KIs may be effective in identifying blind children in the community; however, additional work is needed to determine who will be the most effective KI in a community and whether gender roles will limit interpretation of findings from KIs activities

Inertial Weldment of Rhenium and Inconel 718

Inertia welding has been found to be a successful method for joining pure rhenium to Inconel 718, and with additional experimentation, this process may have great potential for rocket nozzle applications. Refractory metals are ideally suited to this application, where high temperatures and oxidizing environment survivability is required, but not all of the thruster must be made of these materials, only the areas that require them. A bolted joint between the two metals is not ideal, especially for small thrusters where the mess of a bolted join will come at a steep price. A welded joint would be preferred for flight thrusters

Monitoring interval-training responses for swimming using the 3-min all-out exercise test.

International Journal of Exercise Science 9(5): 545-553, 2016. The purpose of this study was to determine whether the 3-min all-out exercise test (3MT) could be applied to create an off-season high intensity, interval training (HIIT) program to improve performance, specifically critical velocity (CV), in the sport of swimming. We tested a group of competitive female swimmers (age = 19 ± 1 yrs, height = 169 ± 7 cm, body mass = 69 ± 9 kg) to determine their swimming CV and finite energy capacity \u3eCV (D’), and created a four week (2 d∙wk-1) personalized interval training program. Participants were divided in to two groups, a 150yd interval group (n =11) and a 250yd interval group (n =6). Each group completed a series of intervals designed to deplete a given percentage of D’ at velocities exceeding CV. A 3MT following the training period was administered to assess for any changes in CV, D’, average velocity during the first 150s of the test (V150s) and total distance traveled (D). Both groups improved their CV (+0.04 m∙s-1), V150s (+0.03 m∙s-1) and D (+8.64 m) (p \u3c 0.05), however, significant interactions for D’ between groups was not observed (p \u3e 0.05). We conclude that HIIT prescriptions based on a 3MT can improve swim performance over a four-week period. Future research on the fidelity of measuring CV and D’ using a swimming 3MT is needed to help aid practitioners in interpreting true training adaptations

Some factors associated with non-acceptance of measles immunization in Chikwawa District: A population with high measles immunization coverage

Data from a child health survey in Chikwawa District was used to investigate characteristics of non-acceptance of measles immunization. 9.3% of the children with vaccination cards had not been vaccinated. Distance to a static health centre and failure to attend a growth monitoring clinic were predictors of lack of immunizaiion. There were fewer missed opportunities during mobile clinics compared to static clinics. The high cost of mobile clinics does not make expansion of this method attractive. Strengthening educational efforts at the community level regarding measles immunization may be a more reasonable method for improving measles coverage

Attitudes and practices regarding child spacing in Chikwawa district

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Village health volunteers: key issues facing agencies in Malawi

In March 1991 the International Eye Foundation and Adventist Development Be Relief Agency conducted a workshop on village health volunteers, bringing together representatives from Malawibased non-governmental organizations, the Ministry of Health, and USAID. The participants discussed recruitment, training, rewards, retention, and roles of village health volunteers. This paper presents background data on village health volunteers in Malawi and elsewhere and reviews the key issues facing health care providers in working with village health volunteers. A copy of the workshop report can be obtained from IEF or ADRA