Propagation characteristics (propagation regions and cutoffs) of parallel propagating modes (Langmuir, right- and left-handed circularly polarized waves) are studied for relativistic, weakly relativistic and non-relativistic magnetized electron plasma using the kinetic model. The dispersion relation for parallel propagating modes in relativistic electron plasma is investigated by employing the Maxwell–Boltzmann–J üttner distribution function and the final dispersion relation obtained is more general since no approximation is used. As the integrals in the relativistic dispersion relation cannot be done analytically so these integrals have been solved with the numerical quadrature approach. For
$\eta \leq 1$
(ratio of rest mass energy to thermal energy), the increase in the effective mass of electrons will result in a change in the mass-dependent quantities (plasma frequency, electron cyclotron frequency, electron sound velocity, etc.) which in turn significantly affect the propagation characteristics of parallel propagating modes. It is observed that the propagation region for these parallel propagating modes decreases and cutoff points are shifted to lower values when we consider a relativistic plasma environment. Moreover, a low-density and high-temperature plasma is more transparent as compared with a high-density and low-temperature plasma for these modes.
Background
Achievement of successful health outcomes depends on evidence-based programming and implementation of effective health interventions. Routine Health Management Information System is one of the most valuable data sets to support evidence-based programming, however, evidence on systemic use of routine monitoring data for problem-solving and improving health outcomes remain negligible. We attempt to understand the effects of systematic evidence-based review mechanism on improving health outcomes in Uttar Pradesh, India.
Methods
Data comes from decision-tracking system and routine health management information system for period Nov-2017 to Mar-2019 covering 6963 health facilities across 25 high-priority districts of the state. Decision-tracking data captured pattern of decisions taken, actions planned and completed, while the latter one provided information on service coverage outcomes over time. Three service coverage indicators, namely, pregnant women receiving 4 or more times ANC and haemoglobin testing during pregnancy, delivered at the health facility, and receive post-partum care within 48 h of delivery were used as outcomes. Univariate and bivariate analyses were conducted.
Results
Total 412 decisions were taken during the study reference period and a majority were related to ante-natal care services (31%) followed by delivery (16%) and post-natal services (16%). About 21% decisions-taken were focused on improving data quality. By 1 year, 67% of actions planned based on these decisions were completed, 26% were in progress, and the remaining 7% were not completed. We found that, over a year, districts witnessing > 20 percentage-point increase in outcomes were also the districts with significantly higher action completion rates (> 80%) compared to the districts with < 10 percentage-point increase in outcomes having completion of action plans around 50–70%.
Conclusions
Findings revealed a significantly higher improvement in coverage outcomes among the districts which used routine health management data to conduct monthly review meetings and had high actions completion rates. A data-based review-mechanisms could specifically identify programmatic gaps in service delivery leading to strategic decision making by district authorities to bridge the programmatic gaps. Going forward, establishing systematic evidence-based review platforms can be an important strategy to improve health outcomes and promote the use of routine health monitoring system data in any setting.
System (UP-HMIS) has allowed managers across all levels of the health system to access routinely collected data through an online portal.nThe UP-HMIS built on the national HMIS by capturing appropriate data elements; furthermore, it integrated the collection of inputs and processes indicators that had been collected via 80 paper-based forms that ran in parallel with the national HMIS. n To strengthen UP-HMIS implementation and create a culture of high-quality data use, trainings on improving data quality (e.g., through the implementation of regular audits and supportive supervision) and data use (e.g., through monthly review meetings) were implemented across all levels of the health system.
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