South Eastern European Journal of Public Health (SEEJPH) <p>The South Eastern European Journal of Public Health (SEEJPH) is an open-access international peer-reviewed journal involving all areas of health sciences and public health. Devoted to the global health SEEJPH welcomes submissions of scientists, researchers, and practitioners from all over the world, but particularly pertinent to southern and eastern countries in transition.</p> en-US <p class="hide_copyright_frontend">Authors retain copyright and grant the journal right of first publication in print and online. The work is distributed under the terms of the Creative Commons Attribution License CC-BY (<a class="moz-txt-link-freetext" href=""></a>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p> (Prof. Genc Burazeri PhD) (OJS-Team of Bielefeld University Library) Mon, 06 May 2019 00:00:00 +0000 OJS 60 Russia: A key partner in the Northern Dimension Partnership Valery Chernyavskiy, Julia Mikhailova Copyright (c) 2019 Valery Chernyavskiy, Julia Mikhailova Fri, 10 May 2019 00:00:00 +0000 Overweight and obesity among women living in peri-urban areas in West Africa <p align="center"> </p><p><strong>Aim: </strong>This study assessed selected correlates of overweight and obesity among women in a sub-urban population of Abidjan, Côte d’Ivoire.</p><p><strong>Methods: </strong>A cross-sectional study was conducted during April-May, 2014 in Abobo-Anonkoi 3, a peri-urban city of Abidjan in Côte d’Ivoire. Women of 18 years and older healthy in appearance were randomly recruited from households. Overweight and obesity were measured by BMI respectively greater or equal to 25 and 30 kg/m<sup>2</sup>. Abdominal obesity was defined by waist to hip ratio greater or equal to 0.80. The level of physical activity was evaluated by the IPAQ questionnaire and the blood pressure according to the criteria of the JNC7 report. A regression analysis of the associated factors with overweight and obesity (age, marital status, level of study, level of physical activity, blood pressure, and socioeconomic status) was carried out.</p><p><strong>Results: </strong>We visited 486 households in which 398 women were approached and 327 agreed to participate in the survey. The average age was 35.25 ± 12.4 years. The prevalence of overweight was 27.2% and that of obesity was 19.6%; 72.2%of women had abdominal obesity. The prevalence of abdominal obesity was 90.6% among obese people. Age (p=0.006), marital status (p=0.002) and blood pressure (p=0.004) were significantly associated with obesity. With regard to abdominal obesity, there was a significant association of educational level in addition to the above factors.</p><p><strong>Conclusion: </strong>Overweight and obesity are a reality in this population of Côte d’Ivoire and about one in five people are affected by the scourge of obesity.</p> Koussoh Simone Malik, Anicet Adoubi, Kouamé Kouadio, Jérôme Kouamé, Annita Hounsa, Julie Sackou Copyright (c) 2019 Koussoh Simone Malik, Anicet Adoubi, Kouamé Kouadio, Jérôme Kouamé, Annita Hounsa, Julie Sackou Mon, 09 Sep 2019 00:00:00 +0000 Screening for viral Hepatitis B in the Roma community in Tirana, Albania <p><strong>Aim</strong><strong>:</strong> According to the previous studies conducted in Albania involving Roma communities and in general populations, the prevalence of HBV was 13% and 7%-9%, respectively. Due to this high prevalence of HBV and difficulties accessing adequate healthcare, a screening was performed in some areas where Roma populations live. The aim of this study was to assess the prevalence of HBV in the Roma population in Albania in order to make evidence-based recommendations for increasing the awareness of the population about this disease and increase the access to the vaccination.</p> <p><strong>Conclusion: </strong>A higher prevalence of HBV was found among Roma population in Tirana district compared to the general population. The age-group 25-44 years, males, and people residing in Tufina area showed a higher HBsAg positivity rate. Improvement of the sentinel surveillance, increase of the awareness about the disease, promotion of vaccination and healthy behaviour, are the recommended actions that should target the Roma population.</p> Elona Kureta, Mimoza Basho, Ermelinda Murati, Eugena Tomini, Enver Roshi, Silvia Bino Copyright (c) 2019 Elona Kureta, Mimoza Basho, Ermelinda Murati, Eugena Tomini, Enver Roshi, Silvia Bino Thu, 03 Oct 2019 00:00:00 +0000 Predictive factors for patient satisfaction in public and private hospitals in Kosovo <p><strong>Aim:</strong> The objective of this study was to assess predictive factors for patient satisfaction with healthcare services as a measure of the quality of hospital care in public and private hospitals in Kosovo.</p> <p><strong>Methods:</strong> A cross-sectional study was conducted in Kosovo during 2015-2016 including a representative sample of 2585 patients older than 18 years [1010 (48.6%) males and 1069 (51.4%) females from public hospitals; and 240 (47.4%) males and 266 (52.6%) females from private hospitals]. Patient satisfaction dimensions such as satisfaction with medical care, nursing care, organization, and overall impression were the main variables measured. A risk-adjusted multivariate analysis was applied.</p> <p><strong>Results: </strong>Multiple linear regression analysis revealed as independent significant predictors of the total satisfaction of patients from public hospitals the following factors: age, length of stay in hospital in days, education, payment for additional analyzes during hospitalization and buying medications for hospital treatment. These five independent significant predictors accounted for 7.3% of the change in the total patients’ satisfaction (stepwise method - R<sup>2</sup> = 0.073). Conversely, there were only four predictors of the total satisfaction of patients from private hospitals: length of stay in hospital in days, number of hospitalizations in the last 12 months, paying for hospitalization, and cost of hospitalization exceeds received services. Only the variables “length of hospital stay” together with “cost of hospitalization exceeds received services” as independent predictors, explained 5.3% of the variability of total satisfaction.</p> <p><strong>Conclusion:</strong> Structural and qualitative characteristics of hospitals have a significant impact on patients’ satisfaction. Age, length of stay, education, payment for additional analyzes during hospitalization and the cost of hospitalization in public hospitals and length of stay, paying for hospitalization, and cost of hospitalization in private hospitals are useful predictors for total satisfaction of patients in Kosovo.</p> Rina Hoxha, Elena Kosevska, Merita Berisha, Naser Ramadani, Naim Jerliu, Valbona Zhjeqi, Sanije Gashi Copyright (c) 2019 Rina Hoxha, Elena Kosevska, Merita Berisha, Naser Ramadani, Naim Jerliu, Valbona Zhjeqi, Sanije Gashi Tue, 08 Oct 2019 00:00:00 +0000 Introduction of digital technologies in education - Concepts and experiences <p><strong>Abstract</strong></p><p align="center"><strong> </strong></p><p>During the last decades technologies of information and communication technologies made a lot of progress, which increased the quantity and quality of distance education programs and the upcoming blended learning models. However, some basic difficulties in defining meaningful terms instead of buzzwords, often used in the present debate, will be discussed to raise consciousness of the rather vague terminology. The progress of digital technologies offered also a chance for better inclusion of disadvantaged parts of the population. The focus lies on the young generation of school attendants and how technology-oriented programs can provide better inclusion. We put a regional focus on development in Latin America. To highlight some of the issues discussed before, we will present a detailed case study about the Argentinean project “ConectarIgualdad”. We have also added a brief comparison with some other Latin American Initiatives. Summarizing we list considerations for a successful inclusive application of digital technologies in education.</p><p> </p><p><strong>Conflicts of interest:</strong> None.</p> Wolfram Laaser, Cecilia Exeni Copyright (c) 2019 Wolfram Laaser, Cecilia Exeni Thu, 06 Jun 2019 00:00:00 +0000 Maternal and new-born health policy indicators for low-resourced countries: The example of Liberia <p align="center"><strong>Abstract</strong></p><p align="center"><strong> </strong></p><p><strong>Aim:</strong> Over the past two decades, two catastrophic events caused a steep decline in health services in Liberia: the long-lasting civil war (1989-2003) and the weak response of the health system to the Ebola Viral Disease (EVD) outbreak (2013-2015). In early 2015 The Liberian Government reacted and developed a strategic health policy framework. This paper reviews that framework with a focus on maternal and newborn health.</p><p><strong>Methods: </strong>The study is designed as a narrative review executed during the second half of 2017 in Monrovia. It takes advantage of triangulation, derived from recent international and national documents, relevant literature, and available information from primary and secondary sources and databases.</p><p><strong>Results:</strong> In 2015 the severely compromised health system infrastructure included lack of functional refrigerators, low availability of vaccines and child immunization guidelines, high stock-out rates, and an absence of the cold chain minimum requirements in 46% of health facilities. The public health workforce on payroll during 2014/15 included only 117 physicians. Skilled birth attendance as an indicator of maternal health services performance was 61%. Presently, approximately 4.5 women die each day in Liberia due to complications of pregnancy, delivery, and during the post-partum period, equalling about 1,100 women per 100,000 live births. Of particular note is the adolescent birth rate of 147 per 1000 women aged 15-19 years, three times higher than the world average of 44. Additionally, with a neonatal mortality rate of 19.2 neonatal deaths per 1,000 live births, Liberia stands higher than the world average as well. The high mortality rates are caused by multiple factors, including a delay in recognition of complications and the need for medical care, the time it takes to reach a health facility due to a lack of suitable roads and transportation, and a delay in receiving competent care in the health facilities.</p><p><strong>Conclusions: </strong>The fact that performance is above average for some indicators and far below for other points to unexplained discrepancies and a mismatch of international and national definitions or validity of data. Therefore, it is recommended to concentrate on the core of tracer indicators adopted at the global level for Universal Health Coverage and the Sustainable Development Goals to enable a permanent update of relevant information for policymaking and adjustment. At present all health policy documents miss a thorough application of the SMART objectives (Specific, Measurable, Attainable, Relevant and Timely), notably missing in most documents are realistic and detailed budgeting and obligatory timelines for set targets.</p> Vesna Bjegovic-Mikanovic, Raphael Broniatowski, Stephen Byepu, Ulrich Laaser Copyright (c) 2019 Vesna Bjegovic-Mikanovic, Raphael Broniatowski, Stephen Byepu, Ulrich Laaser Mon, 19 Aug 2019 00:00:00 +0000 Anti-tobacco text warnings in Italy: Geography, language and South Tyrol <p><strong>Conflicts of interest:</strong> None.</p> Frank Houghton, Diane O’Doherty, Derek McInerney, Bruce Duncan Copyright (c) 2019 Frank Houghton, Diane O’Doherty, Derek McInerney, Bruce Duncan Tue, 21 May 2019 00:00:00 +0000 Integrated corporate social responsibility and human resources management for stakeholders health promotion <p>In the past decade, there has been an argument for the inclusion of corporate social responsibility (CSR) in models and business strategies. However, the conversion of CSR strategy into actual managerial practices and outcome values remains an issue of ongoing debate as well an important challenge for business organizations. Furthermore, still is very little discussion on how business will influence stakeholder’s health promotion and surrounding environment as means to help address society’s most pressing challenges.</p> <p>This paper discusses the potential of public health literacy in advancing stakeholders’ health promotion beyond the workplace. The discussion argues that integrating corporate social responsibility (CSR) and human resources management (HRM) is an effective strategy to achieve social sustainability in organizations in which stakeholders’ health and well-being are important components.</p> <p>This short report describes an integrated CSR-HRM and describes how it can facilitate public health literacy. In the era of sustainable development, there is a need to discuss how business organizations can strategize to enhance internal and external stakeholders’ health and well-being.</p> Gloria Macassa Copyright (c) 2019 Gloria Macassa Mon, 14 Oct 2019 00:00:00 +0000