Multi Electrical System (Suriname)

Antenatal and postnatal Group Care, based on the Centering Healthcare model, relies on three core components: health assessment, interactive learning and community building.The health assessment consists of self-assessments conducted by the participants and one-to-one medical check-ups conducted by the healthcare provider. Research shows that this component can be challenging within existing health care systems.This study aimed to investigate the modifications and corresponding strategies applied to adopt the health assessment during Group Care implementation. A qualitative descriptive study explored modifications to the health assessment and the corresponding strategies in 24 Group Care implementation sites in seven countries. A structured qualitative survey was conducted based on the Expanded Framework for Adaptations and Modifications to Evidence-Based Interventions including views of different stakeholders (site-level and project-level implementers). This provided data on the 'who', 'what', and 'where' of modifications and corresponding strategies. Reflexive thematic analysis provided both structured and in-depth insights into the adaptation process. Three cross-country strategies were identified: (1) creative solutions to find appropriate spaces for Group Care to accommodate the health assessment, (2) providing assistance with self-assessment, (3) and extending the duration of one-to-one medical check-ups. These strategies were primarily the result of joint decisions made by the implementation team, influenced by multiple context-related factors. Different perspectives emerged regarding for whom these strategies were applied, with some stating it as being for the benefit of the participants, while others aimed to align with facilitators' preferences and familiarity with providing routine care. The role of differing perspectives in the adaptation process when implementing Group Care and the challenge for facilitators to align their attitudes, beliefs and skills toward the Group Care model within an individually focused healthcare system, emerged as underlying factors to fully adopt the health assessment. Furthermore, our study demonstrates that, despite the locally context-driven nature of modifications in implementation, it remains valuable to examine them within a cross-country design to identify transferable insights that inform future implementation efforts and implementation science.

Abstract Limosa fedoa, the Marbled Godwit, is a large shorebird that breeds in the grasslands of the northern United States and southern Canada, and winters along the coast of the United States, Mexico, and Central America, occasionally reaching the Pacific and Atlantic coasts of South America. During fieldwork along the coasts of Suriname, French Guiana, and Guyana in 2023–2025, small numbers of the species were observed, representing the first records for the three Guianas. These records expand geographical knowledge of the distribution of the species on the north coast of South America. Keywords French Guiana, Guyana, Limosa fedoa, Marbled Godwit, Suriname, Western Hemisphere Shorebird Reserve Network Resumen Primeras observaciones de Limosa fedoa (Aguja Canela) en Surinam, Guayana Francesa y Guyana • Limosa fedoa, conocida como Aguja Canela, es una ave playera de gran tamaño que se reproduce en los praderas del norte de los Estados Unidos y el sur de Canadá e inverna a lo largo de la costa de los Estados Unidos, México y América Central; alcanzando ocasionalmente las costas del Pacífico y del Atlántico de América del Sur. Durante trabajos de campo a lo largo de la costa de Surinam, Guayana Francesa y Guyana en 2023–2025, se observaron pequeños grupos de esta especie, lo que representa los primeros registros para las tres Guayanas. Estos registros amplían el conocimiento geográfico de la distribución de la especie en la costa norte de América del Sur. Palabras clave Avoceta Parda, Guyana, Guyana Francesa, Limosa fedoa, Res Hemisférica de Reservas para Aves Playeras, Suriname Résumé Premières observations de Limosa fedoa (Barge marbrée) au Suriname, en Guyane française et au Guyana • Limosa fedoa, la Barge marbrée, est un grand limicole qui se reproduit dans les prairies du nord des États-Unis d’Amérique et du sud du Canada, et qui hiverne le long des côtes des États-Unis, du Mexique et de l’Amérique centrale, atteignant parfois les côtes du Pacifique et de l’Atlantique de l’Amérique du Sud. Lors de travaux de terrain le long des côtes du Suriname, de la Guyane française et du Guyana en 2023–2025, l’espèce a été observée en petits nombres, ce qui représente les premières mentions pour les trois Guyanes. Ces signalements élargissent la connaissance géographique de la répartition de l’espèce sur les côtes nord de l’Amérique du Sud. Mots clés Barge marbrée, Guyana, Guyane française, Limosa fedoa, Réseau de réserves d'oiseaux de rivage de l'hémisphère occidental, Suriname

BackgroundGlobally, alarmingly high rates of maternal and infant mortality and morbidity persist. A constellation of health system and social factors contribute to this, including poor quality and barriers to accessing health care, including preventive services. As such, there have been calls for a redesign of maternal and child health (MCH) services. Although group care has primarily been tested in antenatal settings, it offers a promising redesign that optimizes maternal and child health care, survival, and well-being. The purpose of this study was to produce a blueprint of an adapted group care model that integrates postnatal maternal care, well-child care, and family engagement to be adapted to realities of different settings.MethodsUsing a human-centered design approach and the Framework for Reporting Adaptations and Modifications to Evidence-based interventions (FRAME), we employed qualitative methods to adapt CenteringParenting® (retaining its three core pillars of health assessment, interactive learning, and community building), and co-create the blueprint for group care beyond birth that can be used across settings. We initiated the process through face-to-face workshops during a global meeting on group care, followed by six online incubator sessions with key stakeholders from 13 countries during which we used qualitative methods of free listing, pile sorting, and ranking. We conducted a rapid qualitative analysis to produce a blueprint.ResultsParticipants collaboratively modified the content, format, and evaluation of CenteringParenting® with the goal of creating a blueprint that integrates postnatal and pediatric care into group care that can be further adapted and implemented across diverse settings and contexts. The blueprint consists of suggested timing of visits over two years after birth, suggested visit content, and evaluation metrics for research and practice.ConclusionsThe resulting group care beyond birth blueprint offers a strategy to redesign maternal and infant/child health services that can positively transform postnatal care and provide essential services to postpartum people. Adaptation of the blueprint to local realities is expected. Future research is recommended to test the model’s acceptability, feasibility, and effectiveness across settings. Using this blueprint, we can build the evidence base to support this model aiming to improve maternal and infant/child health outcomes.

Introduction: Mobile migrants are subject to restricted healthcare access, which may result in the spread of certain infectious diseases. The aim of this study is to evaluate the burden of a subset of priority infectious diseases in mobile migrants in remote gold mining areas in the forested interior of Suriname.Methods: This cross-sectional study enrolled mobile migrants in 13 study sites between January and June 2022. Participants underwent a structured interview, physical examination, and additional diagnostic procedures if applicable. Frequency tables were used to calculate the burden of disease.Results: Among the 370 participants, weight loss (21%), coughing (21%), and fever (16%) were the most common symptoms. Six HIV infections, two cases of leprosy, and 15 cases of cutaneous leishmaniasis (CL) were detected. The prevalence of CL was 4.1%, of HIV (in age group 15 - 49 yrs) was 1.5%, and of leprosy was 0.5%. No cases of active pulmonary tuberculosis (pTB) were identified.Conclusion: Our study revealed significant numbers of the infectious diseases examined, except for pTB. This emphasizes the urge to improve healthcare access in remote and underserved populations to prevent poor outcomes if individuals remain undiagnosed and untreated and to prevent the further spread of contagious infectious diseases among the general population.

The carambola fruit fly, Bactrocera carambolae Drew & Hancock, is native to Southeast Asia, infests about 150 plant species, and is considered a quarantine pest insect in several regions of the world. Bactrocera carambolae has invaded Suriname, French Guyana, and northern Brazil. In Brazil, it was first recorded in 1996 and has been restricted to the states of Amapá and Roraima due to official control efforts of the Ministry of Agriculture and Food Supply (Ministério da Agricultura e Pecuária-MAPA). This is the first study to estimate the genetic structure and diversity of South American populations of B. carambolae. A total of 116 individuals from 11 localities in Brazil and 7 localities in Suriname were analyzed. Additional sequences available at GenBank from Indonesia (Lampung) and Thailand (San Pa Tong and Muang District) were also used in the analysis. We sequenced a fragment of the mitochondrial gene cytochrome oxidase subunit I. A total of 35 haplotypes were found. Haplotypes from Indonesia were closest to the haplotypes from South America, separated only by a few mutational steps. This suggests that Indonesia is the likely source for the introduction of B. carambolae into South America. The Southeast Asian populations appeared as the most ancestral group in the phylogenetic trees. The high similarity and sharing of several haplotypes among populations within South America indicate a lack of genetic structure. The mismatch distribution and neutrality tests suggest that South American populations have undergone a rapid growth and expansion following a single founder event. The low genetic diversity and the population expansion evidenced by the neutrality tests lend support to the hypothesis of a recent introduction of a single lineage of the carambola fruit fly into South America.

Abstract Background International comparisons provide essential benchmarks for evaluating perinatal health policies, but these rely on the availability of routine national birth data. This study aimed to describe population birth data sources in Europe by their ability to provide core perinatal health indicators. Methods The Euro-Peristat Network collected routine national data on a recommended set of core indicators from 2015 to 2021 using a federated protocol based on a common data model with 17 data items. Data providers filled in an on-line questionnaire to describe the sources used in each country. We classified countries by the number of data items they provided (all 16, 15-14, <14). Results 28 out of the 31 countries that provided data responded to the survey. Routine data sources included birth certificates (14 countries), electronic medical records (EMR) from delivery hospitalizations (14 countries), direct entry by health providers (9 countries), EMR from other care providers (6 countries) and Hospital Discharge Summaries (7 countries). Completeness of population coverage was at least 98%, with 15 countries reporting 100%. These databases most often included mothers giving birth on the national territory, regardless of nationality or place of residence (19 countries). In 20 countries, routine sources were linked, including linkage between birth and death certificates (15 countries). Countries providing all 16 items (N = 8) were more likely to use EMRs from delivery hospitalizations, 88%, compared to 50% and 13% in countries with 15-14 items (N = 13) and <14 items (N = 8). Linkage was also more common in these countries, 100%, versus 75% and 50% respectively. Other data source characteristics did not differ by the ability to provide data for the common data model. Conclusions There is high diversity in the data sources used to construct perinatal health indicators in Europe. Countries using EMR with linkage to other sources had the best data availability. Key messages • There is high diversity in the data sources used to construct perinatal health indicators in Europe. • Countries using Electronic Medical Records with linkage to other sources had the best data availability.

ABSTRACTMales of the neotropical orchid bees collect environmental volatiles to concoct complex species-specific perfumes that are later used in sexual communication. While perfumes are typically seen as being derived from floral sources, these bees also collect scents from non-floral resources such as decaying wood or tree wounds, even though reports of these sources remain scarce. Here we report observations of male orchid bees collecting scent at 21 different non-floral sources in Central and South America. MaleEufriesea coruscathat were marked at one of them, a woundedProtium raveniisecreting odoriferous sap/resin, returned repeatedly over periods of up to 19 days. Chemical analyses of hind-leg contents suggest that this single non-floral source accounted for a substantial fraction (>50%) of the species-specific perfume. This and other findings strengthen the view that non-floral scent sources play a central role in orchid bee perfume biology. Moreover, at the sameProtiumwe also observed femaleEuglossaspp. harvesting resin for nest construction. The collection of substances by both euglossine male and female bees at the same source strengthens the notion that the evolution of male perfume signaling was promoted by a sensory bias for resinous nest construction materials in females.

While the administration of convalescent plasma is a promising therapy for coronavirus disease 2019 (COVID-19), upfront costs and technological barriers of conventional plasmapheresis have limited the collection and processing of COVID-19 convalescent plasma (CCP) in Low- and Middle-Income Countries (LMICs). We previously reported that bedside plasma separation using gravity-driven microfiltration has made CCP therapy accessible as a treatment option in Suriname. However, the question remains whether the gravity-driven microfiltration method yields similar amounts of immunoglobulins as compared to conventional plasmapheresis. Here, we compared the gravity-driven microfiltration method with conventional plasma centrifugation for the total and COVID-19-specific immunoglobulin content of the obtained CCP. Blood donations from 10 donors recovered from PCR-confirmed COVID-19 were processed using both methods. Samples were collected pre- and post-processing for analysis to allow direct comparison of both methods. There were no differences in COVID-19-specific IgG levels between convalescent plasma obtained by microfiltration and centrifugation for 4 of the 5 assays used. Anti-RBD-Omicron IgG levels were slightly higher in the plasma obtained after filtration (median 274, range 69 to 1258) than after centrifugation (median 249, range 67 to 1175), Wilcoxon P = 0.0488. No significant differences were detected between the two methods for levels of total albumin, total cholesterol, total IgA, IgM and IgG levels. These results indicate that gravity-driven microfiltration and conventional centrifugation yield CCP with equivalent amounts of total and COVID-19-specific antibodies. This makes the gravity-driven microfiltration method a viable option for the collection and treatment with CCP in the LMICs setting.