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https://www.readbyqxmd.com/read/28812841/university-of-global-health-equity-s-contribution-to-the-reduction-of-education-and-health-services-rationing
#1
EDITORIAL
Agnes Binagwaho
The inadequate supply of health workers and demand-side barriers due to clinical practice that heeds too little attention to cultural context are serious obstacles to achieving universal health coverage and the fulfillment of the human rights to health, especially for the poor and vulnerable living in remote rural areas. A number of strategies have been deployed to increase both the supply of healthcare workers and the demand for healthcare services. However, more can be done to improve service delivery as well as mitigate the geographic inequalities that exist in this field...
May 29, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28803734/erratum-to-mortality-associated-characteristics-of-patients-with-traumatic-brain-injury-at-the-university-teaching-hospital-of-kigali-rwanda-world-neurosurgery-102-2017-571-582
#2
Elizabeth Krebs, Charles J Gerardo, Lawrence P Park, Joao Ricardo Nickenig Vissoci, Jean Claude Byiringiro, Fidele Byiringiro, Stephen Rulisa, Nathan M Thielman, Catherine A Staton
No abstract text is available yet for this article.
August 10, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28803090/palliative-care-in-rwanda-aiming-for-universal-access
#3
Eric L Krakauer, Marie-Aimee Muhimpundu, Diane Mukasahaha, Jean-Claude Tayari, Christian Ntizimira, Blaise Uhagaze, Théodosie Mugwaneza, Aimable Ruzima, Egide Mpanumusingo, Magnus Gasana, Vincent Karamuka, Jean-Luc Nkurikiyimfura, Paul Park, Peter Barebwanuwe, Neo Tapela, Shekinah N Elmore, Gene Bukhman, Mhoira Leng, Liz Grant, Agnes Binagwaho, Richard Sezibera
In 2011, Rwanda's Ministry of Health (MoH) set a goal of universal access to palliative care by 2020. Toward this audacious egalitarian and humanitarian goal, the MoH worked with partners to develop palliative care policies and a strategic plan, secure adequate supplies of opioid for the country, initiate palliative care training programs, and begin studying a model for integrating coordinated palliative care into the public healthcare system at all levels. It also initiated training of a new cadre of home-based care practitioners (HBCPs) to provide palliative care in the home...
August 9, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28801191/household-survey-of-hiv-incidence-in-rwanda-a-national-observational-cohort-study
#4
Sabin Nsanzimana, Eric Remera, Steve Kanters, Augustin Mulindabigwi, Amitabh B Suthar, Jean Paul Uwizihiwe, Mutagoma Mwumvaneza, Edward J Mills, Heiner C Bucher
BACKGROUND: In Rwanda, HIV prevalence among adults aged 15-49 years has been stable at 3% since 2005. The aim of this study was to characterise HIV incidence across Rwanda. METHODS: We did a nationally representative, prospective HIV incidence survey for the period of 2013-14, which used two-stage sampling. We randomly selected 492 villages in the first sampling stage and 14 households per village in the second stage. Participants completed a questionnaire and 14 140 people were tested for HIV...
August 8, 2017: Lancet HIV
https://www.readbyqxmd.com/read/28798952/prevalence-of-subclinical-mastitis-and-distribution-of-pathogens-in-dairy-farms-of-rubavu-and-nyabihu-districts-rwanda
#5
J P Mpatswenumugabo, L C Bebora, G C Gitao, V A Mobegi, B Iraguha, O Kamana, B Shumbusho
A cross-sectional study was conducted from May 2016 to January 2017 in Rubavu and Nyabihu districts, Western Rwanda, aiming at estimating the prevalence of subclinical mastitis (SCM) and identifying its causative bacteria. Management practices and milking procedures were recorded through a questionnaire. 123 crossbreed milking cows from 13 dairy farms were randomly selected and screened for SCM using California Mastitis Test (CMT). Composite CMT positive milk samples were processed for bacterial isolation and identification...
2017: Journal of veterinary medicine
https://www.readbyqxmd.com/read/28798892/a-novel-combined-mother-infant-clinic-to-optimize-post-partum-maternal-retention-service-utilization-and-linkage-to-services-in-hiv-care-in-rural-rwanda
#6
Neza Guillaine, Wilberforce Mwizerwa, Jackline Odhiambo, Bethany L Hedt-Gauthier, Lisa R Hirschhorn, Placidie Mugwaneza, Jean Paul Umugisha, Felix Rwabukwisi Cyamatare, Christine Mutaganzwa, Neil Gupta
BACKGROUND AND OBJECTIVES: Despite recent improvements in accessibility of services to prevent mother-to-child transmission of HIV, maternal retention in HIV care remains a challenge in the post-partum period. This study assessed service utilization, program retention, and linkage to routine services, as well as clinical outcomes for mothers and infants, following implementation of an integrated mother-infant clinic in rural Rwanda. METHODS: We conducted a retrospective cohort study of all HIV-positive mothers and their infants enrolled in the integrated clinics in two rural districts between July 1, 2012, and June 30, 2013...
2017: International Journal of MCH and AIDS
https://www.readbyqxmd.com/read/28796793/characterizing-the-gut-gallus-gallus-microbiota-following-the-consumption-of-an-iron-biofortified-rwandan-cream-seeded-carioca-phaseolus-vulgaris-l-bean-based-diet
#7
Spenser Reed, Hadar Neuman, Raymond P Glahn, Omry Koren, Elad Tako
Biofortification is a plant breeding method that introduces increased concentrations of minerals in staple food crops (e.g., legumes, cereal grains), and has shown success in alleviating insufficient Fe intake in various human populations. Unlike other strategies utilized to alleviate Fe deficiency, studies of the gut microbiota in the context of Fe biofortification have not yet been reported, although the consumption of Fe biofortified staple food crops has increased significantly over time. Hence, in this study, we performed a 6-week feeding trial in Gallus gallus (n = 14), aimed to investigate the alterations in the gut microbiome following administration of an Fe biofortified bean-based diet (biofortified, BFe) versus a bean based diet with poorly-bioavailable Fe (standard, SFe)...
2017: PloS One
https://www.readbyqxmd.com/read/28770591/phased-implementation-of-spaced-clinic-visits-for-stable-hiv-positive-patients-in-rwanda-to-support-treat-all
#8
REVIEW
Sabin Nsanzimana, Eric Remera, Muhayimpundu Ribakare, Tracy Burns, Sibongile Dludlu, Edward J Mills, Jeanine Condo, Heiner C Bucher, Nathan Ford
INTRODUCTION: In 2016, Rwanda implemented "Treat All," requiring the national HIV programme to increase antiretroviral (ART) treatment coverage to all people living with HIV. Approximately half of the 164,262 patients on ART have been on treatment for more than five years, and long-term retention of patients in care is an increasing concern. To address these challenges, the Ministry of Health has introduced a differentiated service delivery approach to reduce the frequency of clinical visits and medication dispensing for eligible patients...
July 21, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28768518/water-sanitation-and-hygiene-infrastructure-and-quality-in-rural-healthcare-facilities-in-rwanda
#9
Alexandra Huttinger, Robert Dreibelbis, Felix Kayigamba, Fidel Ngabo, Leodomir Mfura, Brittney Merryweather, Amelie Cardon, Christine Moe
BACKGROUND: WHO and UNICEF have proposed an action plan to achieve universal water, sanitation and hygiene (WASH) coverage in healthcare facilities (HCFs) by 2030. The WASH targets and indicators for HCFs include: an improved water source on the premises accessible to all users, basic sanitation facilities, a hand washing facility with soap and water at all sanitation facilities and patient care areas. To establish viable targets for WASH in HCFs, investigation beyond 'access' is needed to address the state of WASH infrastructure and service provision...
August 3, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28766486/treating-persistent-asthma-in-rural-rwanda-characteristics-management-and-24-month-outcomes
#10
H Habineza, C Mutumbira, B L Hedt-Gauthier, R Borg, N Gupta, N Tapela, S Dusabeyezu, G Ngoga, E Harerimana, E Mpanumusingo, E Ngabireyimana, E Rusingiza, G Bukhman
<h2>SETTING:</h2>In 2007, the Rwandan Ministry of Health, with support from Partners In Health, introduced a district-level non-communicable disease programme that included asthma care.<h2>OBJECTIVE:</h2>To describe the demographics, management and 24-month outcomes of asthma patients treated at three rural district hospitals in Rwanda.<h2>DESIGN:</h2>We retrospectively reviewed electronic medical records of asthma patients enrolled from January 2007 to December 2012, and extracted information on demographics, clinical variables and 24-month outcomes...
August 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/28764602/improved-maternity-care-if-midwives-learn-to-perform-ultrasound-a-qualitative-study-of-rwandan-midwives-experiences-and-views-of-obstetric-ultrasound
#11
Sophia Holmlund, Joseph Ntaganira, Kristina Edvardsson, Pham Thi Lan, Jean Paul Semasaka Sengoma, Annika Åhman, Rhonda Small, Ingrid Mogren
BACKGROUND: Obstetric ultrasound has become an indispensable part of antenatal care worldwide. Although the use of ultrasound has shown benefits in the reduction of maternal and foetal morbidity and mortality, it has also raised many ethical challenges. Because of insufficient numbers of midwives in Rwanda, uncomplicated pregnancy care is usually provided by nurses in local health centres. Obstetric ultrasound is generally performed by physicians at higher levels of healthcare, where midwives are also more likely to be employed...
2017: Global Health Action
https://www.readbyqxmd.com/read/28763505/impact-of-a-district-wide-health-center-strengthening-intervention-on-healthcare-utilization-in-rural-rwanda-use-of-interrupted-time-series-analysis
#12
Hari S Iyer, Lisa R Hirschhorn, Marie Paul Nisingizwe, Emmanuel Kamanzi, Peter C Drobac, Felix C Rwabukwisi, Michael R Law, Andrew Muhire, Vincent Rusanganwa, Paulin Basinga
BACKGROUND: Evaluations of health systems strengthening (HSS) interventions using observational data are rarely used for causal inference due to limited data availability. Routinely collected national data allow use of quasi-experimental designs such as interrupted time series (ITS). Rwanda has invested in a robust electronic health management information system (HMIS) that captures monthly healthcare utilization data. We used ITS to evaluate impact of an HSS intervention to improve primary health care facility readiness on health service utilization in two rural districts of Rwanda...
2017: PloS One
https://www.readbyqxmd.com/read/28754104/syphilis-and-hiv-prevalence-and-associated-factors-to-their-co-infection-hepatitis-b-and-hepatitis-c-viruses-prevalence-among-female-sex-workers-in-rwanda
#13
Mwumvaneza Mutagoma, Laetitia Nyirazinyoye, Dieudonné Sebuhoro, David J Riedel, Joseph Ntaganira
BACKGROUND: Human Immunodeficiency Virus (HIV), syphilis, Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) are sexually transmitted infections (STIs) and share modes of transmission. These infections are generally more prevalent among female sex workers (FSWs). METHODS: This is a cross-sectional study conducted among female sex workers (FSWs) in Rwanda in 2015. Venue-Day-Time (VDT) sampling method was used in recruiting participants. HIV, syphilis, HBV, and HCV testing were performed...
July 28, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28754026/iron-bioavailability-studies-of-the-first-generation-of-iron-biofortified-beans-released-in-rwanda
#14
Raymond Glahn, Elad Tako, Jonathan Hart, Jere Haas, Mercy Lung'aho, Steve Beebe
This paper represents a series of in vitro iron (Fe) bioavailability experiments, Fe content analysis and polyphenolic profile of the first generation of Fe biofortified beans (Phaseolus vulgaris) selected for human trials in Rwanda and released to farmers of that region. The objective of the present study was to demonstrate how the Caco-2 cell bioassay for Fe bioavailability can be utilized to assess the nutritional quality of Fe in such varieties and how they may interact with diets and meal plans of experimental studies...
July 21, 2017: Nutrients
https://www.readbyqxmd.com/read/28749771/seroprevalence-of-brucellosis-among-patients-attending-a-district-hospital-in-rwanda
#15
James Gafirita, George Kiiza, Angelique Murekatete, Leonard L Ndahayo, John Tuyisenge, Vedaste Mashengesho, Rudoviko Ruhirwa, Theogene Nyandwi, Brenda Asiimwe-Kateera, Vedaste Ndahindwa, Kato J Njunwa
Studies on human brucellosis in Rwanda are scarce, and the incidence is likely to be higher than official estimates. In a recent study using Rose Bengal Test (RBT) on women who had aborted or had still births in Huye district, 25% were Brucella seroprevalent. Thus, purpose of the present study was to investigate the Brucella seroprevalence in patients presenting with the key signs and symptoms of brucellosis. Cross-sectional study was done in Nyagatare District in the Eastern Province of Rwanda. A total of 198 patients were recruited from Nyagatare District Hospital, blood samples were collected, and sera analyzed with RBT...
July 24, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28749764/use-of-serologic-responses-against-enteropathogens-to-assess-the-impact-of-a-point-of-use-water-filter-a-randomized-controlled-trial-in-western-province-rwanda
#16
Laura Divens Zambrano, Jeffrey W Priest, Emil Ivan, John Rusine, Corey Nagel, Miles Kirby, Ghislaine Rosa, Thomas F Clasen
Diarrhea is a leading contributor to childhood morbidity and mortality in sub-Saharan Africa. Given the challenge of blinding most water, sanitation, and hygiene (WASH) interventions, diarrheal disease outcome measures in WASH intervention trials are subject to potential bias and misclassification. Using the platform of a cluster-randomized controlled trial of a household-based drinking water filter in western province, Rwanda, we assessed the impact of the drinking water filter on enteric seroconversion in young children as a health outcome and examined the association between serological responses and caregiver-reported diarrhea...
July 24, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28749595/morbidity-and-mortality-in-infant-mountain-gorillas-gorilla-beringei-beringei-a-46-year-retrospective-review
#17
James M Hassell, Dawn Zimmerman, Michael R Cranfield, Kirsten Gilardi, Antoine Mudakikwa, Jan Ramer, Elisabeth Nyirakaragire, Linda J Lowenstine
Long-term studies of morbidity and mortality in free-ranging primates are scarce, but may have important implications for the conservation of extant populations. Infants comprise a particularly important age group, as variation in survival rates may have a strong influence on population dynamics. Since 1968, the Mountain Gorilla Veterinary Project (MGVP, Inc.) and government partners have conducted a comprehensive health monitoring and disease investigation program on mountain gorillas (Gorilla beringei beringei) in Rwanda, Uganda, and the Democratic Republic of the Congo...
July 27, 2017: American Journal of Primatology
https://www.readbyqxmd.com/read/28743257/longer-travel-time-to-district-hospital-worsens-neonatal-outcomes-a-retrospective-cross-sectional-study-of-the-effect-of-delays-in-receiving-emergency-cesarean-section-in-rwanda
#18
Joseph Niyitegeka, Georges Nshimirimana, Allison Silverstein, Jackline Odhiambo, Yihan Lin, Theoneste Nkurunziza, Robert Riviello, Stephen Rulisa, Paulin Banguti, Hema Magge, Martin Macharia, Regis Habimana, Bethany Hedt-Gauthier
BACKGROUND: In low-resource settings, access to emergency cesarean section is associated with various delays leading to poor neonatal outcomes. In this study, we described the delays a mother faces when needing emergency cesarean delivery and assessed the effect of these delays on neonatal outcomes in Rwanda. METHODS: This retrospective study included 441 neonates and their mothers who underwent emergency cesarean section in 2015 at three district hospitals in Rwanda...
July 25, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28741073/the-network-survival-method-for-estimating-adult-mortality-evidence-from-a-survey-experiment-in-rwanda
#19
Dennis M Feehan, Mary Mahy, Matthew J Salganik
Adult death rates are a critical indicator of population health and well-being. Wealthy countries have high-quality vital registration systems, but poor countries lack this infrastructure and must rely on estimates that are often problematic. In this article, we introduce the network survival method, a new approach for estimating adult death rates. We derive the precise conditions under which it produces consistent and unbiased estimates. Further, we develop an analytical framework for sensitivity analysis...
July 24, 2017: Demography
https://www.readbyqxmd.com/read/28724433/gridsample-an-r-package-to-generate-household-survey-primary-sampling-units-psus-from-gridded-population-data
#20
Dana R Thomson, Forrest R Stevens, Nick W Ruktanonchai, Andrew J Tatem, Marcia C Castro
BACKGROUND: Household survey data are collected by governments, international organizations, and companies to prioritize policies and allocate billions of dollars. Surveys are typically selected from recent census data; however, census data are often outdated or inaccurate. This paper describes how gridded population data might instead be used as a sample frame, and introduces the R GridSample algorithm for selecting primary sampling units (PSU) for complex household surveys with gridded population data...
July 19, 2017: International Journal of Health Geographics
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