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https://www.readbyqxmd.com/read/29350329/detection-of-human-papillomavirus-dna-in-tumors-from-rwandese-breast-cancer-patients
#1
REVIEW
Thierry Habyarimana, Mohammed Attaleb, Jean Baptiste Mazarati, Youssef Bakri, Mohammed El Mzibri
BACKGROUND: During the last decades, a great interest was given to viral etiology of breast cancer. Indeed, due to recent technical improvements and some encouraging new results, it has been a resurgence of interest in the possibility that a substantial proportion of human breast cancers may be caused by viral infections. High-risk genotypes of human papillomavirus (HPV) have been found in breast cancer cases. In the present study, we aimed to assess the presence of HPV DNA in breast cancer cases from Rwanda and to evaluate the association between HPV infection and clinico-pathological features...
January 19, 2018: Breast Cancer: the Journal of the Japanese Breast Cancer Society
https://www.readbyqxmd.com/read/29344933/unexpected-terrestrial-hand-posture-diversity-in-wild-mountain-gorillas
#2
Nathan E Thompson, Kelly R Ostrofsky, Shannon C McFarlin, Martha M Robbins, Tara S Stoinski, Sergio Almécija
OBJECTIVES: Gorillas, along with chimpanzees and bonobos, are ubiquitously described as 'knuckle-walkers.' Consequently, knuckle-walking (KW) has been featured pre-eminently in hypotheses of the pre-bipedal locomotor behavior of hominins and in the evolution of locomotor behavior in apes. However, anecdotal and behavioral accounts suggest that mountain gorillas may utilize a more complex repertoire of hand postures, which could alter current interpretations of African ape locomotion and its role in the emergence of human bipedalism...
January 18, 2018: American Journal of Physical Anthropology
https://www.readbyqxmd.com/read/29320556/care-seeking-patterns-among-families-that-experienced-under-five-child-mortality-in-rural-rwanda
#3
Daniel M Kagabo, Catherine M Kirk, Benjamin Bakundukize, Bethany L Hedt-Gauthier, Neil Gupta, Lisa R Hirschhorn, Willy C Ingabire, Dominique Rouleau, Fulgence Nkikabahizi, Catherine Mugeni, Felix Sayinzoga, Cheryl L Amoroso
BACKGROUND: Over half of under-five deaths occur in sub-Saharan Africa and appropriate, timely, quality care is critical for saving children's lives. This study describes the context surrounding children's deaths from the time the illness was first noticed, through the care-seeking patterns leading up to the child's death, and identifies factors associated with care-seeking for these children in rural Rwanda. METHODS: Secondary analysis of a verbal and social autopsy study of caregivers who reported the death of a child between March 2013 to February 2014 that occurred after discharge from the child's birth facility in southern Kayonza and Kirehe districts in Rwanda...
2018: PloS One
https://www.readbyqxmd.com/read/29317094/open-heart-surgery-in-rwanda-a-legacy-of-surgeon-leadership-and-vision
#4
EDITORIAL
Timothy J Gardner
No abstract text is available yet for this article.
December 21, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29316825/on-surmounting-the-barriers-to-hpv-vaccination-we-can-do-better
#5
Aria C Attia, Judith Wolf, Ana Nuñez
The major impediment to increased HPV vaccination coverage in young males and females is lack of health care provider recommendation. Despite its efficacy in preventing cervical cancer, HPV vaccination in females (49.5%) and males (37.5%) ages 13 through 17 falls well below the Centers for Disease Control and Prevention's (CDC) Healthy People 2020 target of 80% coverage. Parents' willingness to vaccinate their child has been shown to be much higher when physicians share personal vaccination decisions for their own children as well as what other parents have done at that particular clinic...
January 10, 2018: Annals of Medicine
https://www.readbyqxmd.com/read/29300737/an-evaluation-of-hemoglobin-measurement-tools-and-their-accuracy-and-reliability-when-screening-for-child-anemia-in-rwanda-a-randomized-study
#6
Megan Parker, Zhen Han, Elizabeth Abu-Haydar, Eric Matsiko, Damien Iyakaremye, Lisine Tuyisenge, Amalia Magaret, Alexandre Lyambabaje
Blood hemoglobin (Hb) is a common indicator for diagnosing anemia and is often determined through laboratory analysis of venous samples. One alternative to laboratory-based methods is the handheld HemoCue® Hb 201+ device, which requires a finger prick and wicking of blood into a pretreated cuvette for analysis. An alternative HemoCue® gravity method is being investigated for improved accuracy. Further, recent developments in noninvasive technologies could provide an accurate, rapid, safe, point-of-care option for hemoglobin estimation while addressing some limitations of current tools, but device performance must be assessed in low-resource settings...
2018: PloS One
https://www.readbyqxmd.com/read/29297405/research-capacity-building-integrated-into-phit-projects-leveraging-research-and-research-funding-to-build-national-capacity
#7
Bethany L Hedt-Gauthier, Roma Chilengi, Elizabeth Jackson, Cathy Michel, Manuel Napua, Jackline Odhiambo, Ayaga Bawah
BACKGROUND: Inadequate research capacity impedes the development of evidence-based health programming in sub-Saharan Africa. However, funding for research capacity building (RCB) is often insufficient and restricted, limiting institutions' ability to address current RCB needs. The Doris Duke Charitable Foundation's African Health Initiative (AHI) funded Population Health Implementation and Training (PHIT) partnership projects in five African countries (Ghana, Mozambique, Rwanda, Tanzania and Zambia) to implement health systems strengthening initiatives inclusive of RCB...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29297401/improving-data-quality-across-3-sub-saharan-african-countries-using-the-consolidated-framework-for-implementation-research-cfir-results-from-the-african-health-initiative
#8
Sarah Gimbel, Moses Mwanza, Marie Paul Nisingizwe, Cathy Michel, Lisa Hirschhorn
BACKGROUND: High-quality data are critical to inform, monitor and manage health programs. Over the seven-year African Health Initiative of the Doris Duke Charitable Foundation, three of the five Population Health Implementation and Training (PHIT) partnership projects in Mozambique, Rwanda, and Zambia introduced strategies to improve the quality and evaluation of routinely-collected data at the primary health care level, and stimulate its use in evidence-based decision-making. Using the Consolidated Framework for Implementation Research (CFIR) as a guide, this paper: 1) describes and categorizes data quality assessment and improvement activities of the projects, and 2) identifies core intervention components and implementation strategy adaptations introduced to improve data quality in each setting...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29297352/tackling-the-hard-problems-implementation-experience-and-lessons-learned-in-newborn-health-from-the-african-health-initiative
#9
Hema Magge, Roma Chilengi, Elizabeth F Jackson, Bradley H Wagenaar, Almamy Malick Kante
BACKGROUND: The Doris Duke Charitable Foundation's African Health Initiative supported the implementation of Population Health Implementation and Training (PHIT) Partnership health system strengthening interventions in designated areas of five countries: Ghana, Mozambique, Rwanda, Tanzania, and Zambia. All PHIT programs included health system strengthening interventions with child health outcomes from the outset, but all increasingly recognized the need to increase focus to improve health and outcomes in the first month of life...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29297341/measuring-health-systems-strength-and-its-impact-experiences-from-the-african-health-initiative
#10
Kenneth Sherr, Quinhas Fernandes, Almamy M Kanté, Ayaga Bawah, Jeanine Condo, Wilbroad Mutale
BACKGROUND: Health systems are essential platforms for accessible, quality health services, and population health improvements. Global health initiatives have dramatically increased health resources; however, funding to strengthen health systems has not increased commensurately, partially due to concerns about health system complexity and evidence gaps demonstrating health outcome improvements. In 2009, the African Health Initiative of the Doris Duke Charitable Foundation began supporting Population Health Implementation and Training Partnership projects in five sub-Saharan African countries (Ghana, Mozambique, Rwanda, Tanzania, and Zambia) to catalyze significant advances in strengthening health systems...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29297333/health-system-strengthening-a-qualitative-evaluation-of-implementation-experience-and-lessons-learned-across-five-african-countries
#11
Felix Cyamatare Rwabukwisi, Ayaga A Bawah, Sarah Gimbel, James F Phillips, Wilbroad Mutale, Peter Drobac
BACKGROUND: Achieving the United Nations Sustainable Development Goals in sub-Saharan Africa will require substantial improvements in the coverage and performance of primary health care delivery systems. Projects supported by the Doris Duke Charitable Foundation's (DDCF) African Health Initiative (AHI) created public-private-academic and community partnerships in five African countries to implement and evaluate district-level health system strengthening interventions. In this study, we captured common implementation experiences and lessons learned to understand core elements of successful health systems interventions...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29297323/mentorship-and-coaching-to-support-strengthening-healthcare-systems-lessons-learned-across-the-five-population-health-implementation-and-training-partnership-projects-in-sub-saharan-africa
#12
Anatole Manzi, Lisa R Hirschhorn, Kenneth Sherr, Cindy Chirwa, Colin Baynes, John Koku Awoonor-Williams
BACKGROUND: Despite global efforts to increase health workforce capacity through training and guidelines, challenges remain in bridging the gap between knowledge and quality clinical practice and addressing health system deficiencies preventing health workers from providing high quality care. In many developing countries, supervision activities focus on data collection, auditing and report completion rather than catalyzing learning and supporting system quality improvement. To address this gap, mentorship and coaching interventions were implemented in projects in five African countries (Ghana, Mozambique, Rwanda, Tanzania, and Zambia) as components of health systems strengthening (HSS) strategies funded through the Doris Duke Charitable Foundation's African Health Initiative...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29297319/data-driven-quality-improvement-in-low-and-middle-income-country-health-systems-lessons-from-seven-years-of-implementation-experience-across-mozambique-rwanda-and-zambia
#13
Bradley H Wagenaar, Lisa R Hirschhorn, Catherine Henley, Artur Gremu, Ntazana Sindano, Roma Chilengi
BACKGROUND: Well-functioning health systems need to utilize data at all levels, from the provider, to local and national-level decision makers, in order to make evidence-based and needed adjustments to improve the quality of care provided. Over the last 7 years, the Doris Duke Charitable Foundation's African Health Initiative funded health systems strengthening projects at the facility, district, and/or provincial level to improve population health. Increasing data-driven decision making was a common strategy in Mozambique, Rwanda and Zambia...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29294752/the-intergenerational-legacy-of-genocidal-rape-the-realities-and-perspectives-of-children-born-of-the-rwandan-genocide
#14
Myriam Denov, Leah Woolner, Jules Pacifique Bahati, Paulin Nsuki, Obed Shyaka
Brutal acts of sexual violence were documented on a mass scale during the 1994 Rwandan genocide. While existing scholarship on sexual violence has significantly increased our understanding of the challenges confronting survivors, gaps in knowledge remain regarding the lived experiences of children born of genocidal rape. This study sought to explore the realities and perspectives of children born of genocidal rape, and the existing opportunities and challenges they experienced in postgenocide Rwanda. Interviews and focus groups were conducted with 60 participants born of genocidal rape in Rwanda...
May 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29289870/readiness-for-essential-care-of-the-small-baby-practice-in-rwanda-an-exploratory-study
#15
Geralyn Sue Prullage, Victoria L Baker
No abstract text is available yet for this article.
December 16, 2017: Midwifery
https://www.readbyqxmd.com/read/29284704/corrigendum-igras-et-al-systems-approach-to-monitoring-and-evaluation-guides-scale-up-of-the-standard-days-method-of-family-planning-in-rwanda
#16
Susan Igras, Irit Sinai, Marie Mukabatsinda, Fidele Ngabo, Victoria Jennings, Rebecka Lundgren
No abstract text is available yet for this article.
December 28, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29283277/understanding-hiv-transmission-and-illness-stigma-a-relationship-revisited-in-rural-rwanda
#17
Ezer Kang, Darcie A P Delzell, Christophe Mbonyingabo
Integrating an understanding of HIV transmission with structural-behavioral prevention approaches remains a priority in low prevalence rural regions in Africa. Many national indicators use categorical survey responses which do not capture the cultural nuances of HIV transmission knowledge that potentially reify stigmatizing treatment of persons living with HIV (PL-HIV). We examined the relationship between quantitative and qualitative measures of HIV knowledge and four forms of stigma (individual attitudes, felt normative, social distance, and stigma perceived by PLHIV) among 200 rural residents in Rwanda...
December 2017: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/29261505/the-role-of-public-sector-family-planning-programs-in-meeting-the-demand-for-contraception-in-sub-saharan-africa
#18
John Bongaarts, Karen Hardee
CONTEXT: Commonly used indicators of contraceptive behavior in a population-modern contraceptive prevalence (mCPR), unmet need for contraception, demand for contraception and demand satisfied-are not well-suited for evaluating the progress made by government family planning programs in helping women and men achieve their reproductive goals. METHODS: Trends in these measures in 26 Sub-Saharan African countries between 1990 and 2014 were examined. Trends in a proposed new indicator, the public-sector family planning program impact score (PFPI), and its relationship to mCPR and the family planning effort score were also assessed...
June 1, 2017: International Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/29260490/growth-traits-of-crossbreds-of-ankole-with-brown-swiss-holstein-friesian-jersey-and-sahiwal-cattle-in-rwanda
#19
Maximillian Manzi, Lotta Rydhmer, Martin Ntawubizi, Callixte Karege, Erling Strandberg
The objective of the study was to compare body weights and growth from birth to 18 months of age of various groups of crossbred cattle born from 1999 to 2007, being crossbreds of Ankole (A) with Brown Swiss (B), Holstein Friesian (F), Jersey (J), and Sahiwal (S). Average weights were 26.5 kg at birth, 161 kg at weaning, and 226 kg at 18 months. Both season and sex significantly affected birth weight (BW), weight at 8 and 18 months (W8 and W18), and average daily gain from weaning to 18 months (ADG18) and, unlike season, sex significantly affected average daily gain to 8 months and weaning age...
December 19, 2017: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/29258167/small-water-enterprise-in-rural-rwanda-business-development-and-year-one-performance-evaluation-of-nine-water-kiosks-at-health-care-facilities
#20
Alexandra Huttinger, Laura Brunson, Christine L Moe, Kristin Roha, Providence Ngirimpuhwe, Leodomir Mfura, Felix Kayigamba, Philbert Ciza, Robert Dreibelbis
Small water enterprises (SWEs) have lower capital expenditures than centralized systems, offering decentralized solutions for rural markets. This study evaluated SWEs in rural Rwanda, where nine health care facilities (HCF) owned and operated water kiosks supplying water from onsite water treatment systems (WTS). SWEs were monitored for 12 months. Spearman's Rank Correlation Coefficient (rs) was used to evaluate correlations between demand for kiosk water and community characteristics, and between kiosk profit and factors influencing the cost model...
December 16, 2017: International Journal of Environmental Research and Public Health
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