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https://www.readbyqxmd.com/read/28539190/water-sanitation-and-hygiene-in-schools-status-and-implications-of-low-coverage-in-ethiopia-kenya-mozambique-rwanda-uganda-and-zambia
#1
Camille Morgan, Michael Bowling, Jamie Bartram, Georgia Lyn Kayser
Adequate access to water, sanitation, and hygiene (WaSH) in schools impacts health, educational outcomes, and gender disparities. Little multi-country research has been published on WaSH in rural schools in Sub-Saharan Africa. In this multi-national cross-sectional WaSH study, we document WaSH access, continuity, quality, quantity, and reliability in 2270 schools that were randomly sampled in rural regions of six Sub-Saharan African countries: Ethiopia, Kenya, Mozambique, Rwanda, Uganda, and Zambia. Data collection included: school WaSH surveys containing internationally established WaSH indicators, direct observation, and field- and laboratory-based microbiological water quality testing...
April 19, 2017: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/28526987/assessment-of-antibiotic-use-in-farm-animals-in-rwanda
#2
Rosine Manishimwe, Kizito Nishimwe, Lonzy Ojok
The irrational use of antibiotics in humans and animals is highly related to the emergence and increase of antibiotic-resistant bacteria worldwide. A cross-sectional survey aimed at evaluating the current level of practices regarding antibiotic use in farm animals in Rwanda was carried out countrywide. Interviews were conducted on 229 farmers rearing different types of animals. The study has revealed that almost all respondent farmers could name at least one antibiotic used in farm animals and peni-streptomycin was named by most of them (95...
May 19, 2017: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/28521718/voluntary-medical-male-circumcision-among-rwanda-defense-force-members
#3
Michael P Grillo, Djeneba Audrey Djibo, Caroline A Macera, Charles Murego, Eugene Zimulinda, Marcellin Sebagabo, Valentin Gatsinzi
INTRODUCTION: Strong scientific evidence supports voluntary medical male circumcision as part of an overall HIV prevention strategy, but self-report information on circumcision status may be inaccurate. The study objectives were to obtain estimates of male circumcision within the Rwanda Defense Force (RDF), to assess the ability of soldiers to correctly report their own circumcision status, and to document the uptake of voluntary medical male circumcision (VMMC) in the RDF. METHODS: Data were collected from members of the Rwandan military during their annual physical examination...
May 16, 2017: Current HIV Research
https://www.readbyqxmd.com/read/28515181/measuring-ability-to-assess-claims-about-treatment-effects-the-development-of-the-claim-evaluation-tools
#4
Astrid Austvoll-Dahlgren, Daniel Semakula, Allen Nsangi, Andrew David Oxman, Iain Chalmers, Sarah Rosenbaum, Øystein Guttersrud
OBJECTIVES: To describe the development of the Claim Evaluation Tools, a set of flexible items to measure people's ability to assess claims about treatment effects. SETTING: Methodologists and members of the community (including children) in Uganda, Rwanda, Kenya, Norway, the UK and Australia. PARTICIPANTS: In the iterative development of the items, we used purposeful sampling of people with training in research methodology, such as teachers of evidence-based medicine, as well as patients and members of the public from low-income and high-income countries...
May 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28506265/determinants-of-poor-utilization-of-antenatal-care-services-among-recently-delivered-women-in-rwanda-a-population-based-study
#5
Akashi Andrew Rurangirwa, Ingrid Mogren, Laetitia Nyirazinyoye, Joseph Ntaganira, Gunilla Krantz
BACKGROUND: In Rwanda, a majority of pregnant women visit antenatal care (ANC) services, however not to the extent that is recommended. Association between socio-demographic or psychosocial factors and poor utilization of antenatal care services (≤2 visits during the course of pregnancy irrespective of the timing) among recently pregnant women in Rwanda were investigated. METHODS: This population-based, cross sectional study included 921 women who gave birth within the past 13 months...
May 15, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28504307/family-based-promotion-of-mental-health-in-children-affected-by-hiv-a-pilot-randomized-controlled-trial
#6
Theresa S Betancourt, Lauren C Ng, Catherine M Kirk, Robert T Brennan, William R Beardslee, Sara Stulac, Christine Mushashi, Estella Nduwimana, Sylvere Mukunzi, Beatha Nyirandagijimana, Godfrey Kalisa, Cyamatare F Rwabukwisi, Vincent Sezibera
BACKGROUND: Children affected by HIV are at risk for poor mental health. We conducted a pilot randomized controlled trial (RCT) of the Family Strengthening Intervention (FSI-HIV), a family home-visiting intervention to promote mental health and improve parent-child relationships in families with caregivers living with HIV, hypothesizing that child and family outcomes would be superior to usual care social work services. METHODS: Eighty two families (N = 170 children, 48...
May 15, 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/28498334/pastoralism-versus-agriculturalism-how-do-altered-land-use-forms-affect-the-spread-of-invasive-plants-in-the-degraded-mutara-rangelands-of-north-eastern-rwanda
#7
Torsten Wronski, Jean Damascene Bariyanga, Ping Sun, Martin Plath, Ann Apio
Lantana camara L. (Verbenaceae) originates from tropical Central and South America and has become invasive in about 50 countries. It causes problems when invading rangelands due to its toxicity to livestock and its tendency to form dense, monotonous thickets. Its invasiveness can partly be explained by the high tannin content largely protecting the species from being browsed, its tolerance to a wide range of environmental conditions, as well as its general preference for anthropogenically disturbed habitats...
May 12, 2017: Plants (Basel, Switzerland)
https://www.readbyqxmd.com/read/28493445/informed-consent-community-engagement-and-study-participation-at-a-research-site-in-kigali-rwanda
#8
Jennifer Ilo van Nuil, Evelyne Kestelyn, Grace Umutoni, Lambert Mwambarangwe, Marie M Umulisa, Janneke van de Wijgert, Raffaella Ravinetto
People enroll in medical research for many reasons ranging from decisions regarding their own or family members' health situation to broader considerations including access to health and financial resources. In socially vulnerable communities the choice to participate is often based on a risk-benefit assessment that goes beyond the medical aspects of the research, and considers the benefits received. In this qualitative study, we examined the motivations of Rwandan women to participate in a non-commercial collaborative research study examining the safety, acceptability, and adherence of a contraceptive vaginal ring in Rwanda juxtaposed with the perceptions of the research within the community...
May 11, 2017: Developing World Bioethics
https://www.readbyqxmd.com/read/28481996/drivers-of-health-system-strengthening-learning-from-implementation-of-maternal-and-child-health-programmes-in-mozambique-nepal-and-rwanda
#9
Fiona Samuels, Ana B Amaya, Dina Balabanova
There is a growing understanding that strong health systems are crucial to sustain progress. Health systems, however, are complex and much of their success depends on factors operating at different levels and outside the health system, including broader governance and political commitment to health and social development priorities. Recognizing these complexities, this article offers a pragmatic approach to exploring the drivers of progress in maternal and child health in Mozambique, Nepal and Rwanda. To do this, the article builds on a semi-systematic literature review and case study findings, designed and analysed using a multi-level framework...
May 7, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28470633/-anxiety-depression-and-posttraumatic-stress-disorder-in-refugees-a-systematic-review
#10
Jutta Lindert, Ondine S von Ehrenstein, Annette Wehrwein, Elmar Brähler, Ingo Schäfer
Anxiety, depression and posttraumatic stress disorder are the main psychopathological symptoms shown by refugees. We conducted a systematic review. First, we identified key-words for a systematic search in PUBMED. We included original articles since 2009 with 1) a non-clinical sample of refugees, 2) refugees living at maximum 5 years in the host country, 4) with the outcomes anxiety, depression, and PTSD and 5) a sample with >100 participants. Then we read titles, abstracts and fulltexts. We identified 1 877 studies...
May 3, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28468654/current-and-future-availability-of-and-need-for-human-resources-for-sexual-reproductive-maternal-and-newborn-health-in-41-countries-in-sub-saharan-africa
#11
Maria Guerra Arias, Andrea Nove, Michaela Michel-Schuldt, Luc de Bernis
BACKGROUND: The WHO African region, covering the majority of Sub-Saharan Africa, faces the highest rates of maternal and neonatal mortality in the world. This study uses data from the State of the World's Midwifery 2014 survey to cast a spotlight on the WHO African region, highlight the specific characteristics of its sexual, reproductive, maternal and newborn health (SRMNH) workforce and describe and compare countries' different trajectories in terms of meeting the population need for services...
May 3, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28464899/prevalence-of-hepatitis-b-and-c-infection-in-persons-living-with-hiv-enrolled-in-care-in-rwanda
#12
Justine Umutesi, Bryony Simmons, Jean D Makuza, Donatha Dushimiyimana, Aimable Mbituyumuremyi, Jean Marie Uwimana, Nathan Ford, Edward J Mills, Sabin Nsanzimana
BACKGROUND: Hepatitis B (HBV) and C (HCV) are important causes of morbidity and mortality in people living with human immunodeficiency virus (HIV). The burden of these co-infections in sub-Saharan Africa is still unclear. We estimated the prevalence of the hepatitis B surface antigen (HBsAg) and hepatitis C antibody (HCVAb) among HIV-infected individuals in Rwanda and identified factors associated with infection. METHODS: Between January 2016 and June 2016, we performed systematic screening for HBsAg and HCVAb among HIV-positive individuals enrolled at public and private HIV facilities across Rwanda...
May 2, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28464240/body-growth-and-life-history-in-wild-mountain-gorillas-gorilla-beringei-beringei-from-volcanoes-national-park-rwanda
#13
Jordi Galbany, Didier Abavandimwe, Meagan Vakiener, Winnie Eckardt, Antoine Mudakikwa, Felix Ndagijimana, Tara S Stoinski, Shannon C McFarlin
OBJECTIVES: Great apes show considerable diversity in socioecology and life history, but knowledge of their physical growth in natural settings is scarce. We characterized linear body size growth in wild mountain gorillas from Volcanoes National Park, Rwanda, a population distinguished by its extreme folivory and accelerated life histories. METHODS: In 131 individuals (0.09-35.26 years), we used non-invasive parallel laser photogrammetry to measure body length, back width, arm length and two head dimensions...
May 2, 2017: American Journal of Physical Anthropology
https://www.readbyqxmd.com/read/28460156/genetic-and-phylogenic-characterisation-of-hepatitis-b-virus-in-the-eastern-part-of-the-democratic-republic-of-congo
#14
Tony Akilimali Shindano, Yves Horsmans, Benoit Mukadi Kabamba
Hepatitis B virus (HBV) genotypes show a distinctive geographical distribution worldwide and genotypes A, D and E are the most frequently found in Africa. There are only limited studies on HBV genotype distribution in Democratic Republic of Congo (DRC), all done in the western part showing a vast majority of genotype E. In our study, HBV strains from South Kivu, an eastern province of the DRC, were analysed. Sequencing of 41 serum samples from HBV infected patients revealed strains of genotype A in 40/41 (97...
April 29, 2017: Journal of Medical Virology
https://www.readbyqxmd.com/read/28458487/management-of-co-morbidity-of-depression-and-chronic-non-communicable-diseases-in-rwanda
#15
Madeleine Mukeshimana, Gugu Mchunu
BACKGROUND: Chronic non-communicable diseases (NCDs) are a major global health problem of the 21 stcentury. They are now the world's leading cause of disease burden and high mortality. An even more alarming health problem is when depression coexists with chronic NCDs, as is frequently the case. Management of this co-morbidity with collaborative care has become a global topic of interest, with the World Health Organization (WHO) recommending implementation of collaborative care for this purpose...
January 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28441458/evidence-that-promotion-of-male-circumcision-did-not-lead-to-sexual-risk-compensation-in-prioritized-sub-saharan-countries
#16
Chyun-Fung Shi, Michael Li, Jonathan Dushoff
BACKGROUND: WHO and UNAIDS prioritized 14 eastern and southern African countries with high HIV and low male circumcision prevalence for a voluntary medical male circumcision (VMMC) scale-up in 2007. Because circumcision provides only partial protection against HIV infection to men, the issue of possible risk compensation in response to VMMC campaigns is of particular concern. In this study, we looked at population-level survey data from the countries prioritized by WHO for a VMMC scale-up...
2017: PloS One
https://www.readbyqxmd.com/read/28420542/improving-prehospital-trauma-care-in-rwanda-through-continuous-quality-improvement-an-interrupted-time-series-analysis
#17
John W Scott, Jeanne D'Arc Nyinawankusi, Samuel Enumah, Rebecca Maine, Eric Uwitonze, Yihan Hu, Ignace Kabagema, Jean Claude Byiringiro, Robert Riviello, Sudha Jayaraman
INTRODUCTION: Injury is a major cause of premature death and disability in East Africa, and high-quality pre-hospital care is essential for optimal trauma outcomes. The Rwandan pre-hospital emergency care service (SAMU) uses an electronic database to evaluate and optimize pre-hospital care through a continuous quality improvement programme (CQIP), beginning March 2014. MATERIALS AND METHODS: The SAMU database was used to assess pre-hospital quality metrics including supplementary oxygen for hypoxia (O2), intravenous fluids for hypotension (IVF), cervical collar placement for head injuries (c-collar), and either splinting (splint) or administration of pain medications (pain) for long bone fractures...
April 5, 2017: Injury
https://www.readbyqxmd.com/read/28419352/dermatophytes-and-dermatophytosis-in-the-eastern-and-southern-parts-of-africa
#18
E I Nweze, I E Eke
Dermatophytosis is currently a disease of global importance and a public health burden. It is caused by dermatophytes, which attack and grow on dead animal keratin. Dermatophytes belong to three genera, namely, Epidermophyton, Microsporum, and Trichophyton. The predominant clinical forms and causative agents vary from one region of the world to another. Poor socioeconomic status, high population densities, and poor sanitary conditions are some of the factors responsible for the high prevalence of dermatophytosis in many developing countries, which include countries in southern and eastern Africa, the focus of this review...
April 17, 2017: Medical Mycology: Official Publication of the International Society for Human and Animal Mycology
https://www.readbyqxmd.com/read/28415996/travel-and-the-emergence-of-high-level-drug-resistance-in-plasmodium-falciparum-in-southwest-uganda-results-from-a-population-based-study
#19
Caroline A Lynch, Richard Pearce, Hirva Pota, Connie Egwang, Thomas Egwang, Amit Bhasin, Jonathan Cox, Tarekegn A Abeku, Cally Roper
BACKGROUND: The I164L mutation on the dhfr gene confers high level resistance to sulfadoxine-pyrimethamine (SP) but it is rare in Africa except in a cluster of reports where prevalence >10% in highland areas of southwest Uganda and eastern Rwanda. The occurrence of the dhfr I164L mutation was investigated in community surveys in this area and examined the relationship to migration. METHODS: A cross-sectional prevalence survey was undertaken in among villages within the catchment areas of two health facilities in a highland site (Kabale) and a highland fringe site (Rukungiri) in 2007...
April 17, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28408856/writing-skills-enhancement-for-public-health-professionals-in-rwanda
#20
Raywat Deonandan, Nodine Sangwa, Steve Kanters, Sabin Nsanzimana
In 2013, Canadian scholars delivered a 1-week workshop to 30 junior public health professionals in Rwanda. The goal was to improve the Rwandans' skills and confidence with respect to writing scientific papers for submission to international peer-reviewed global health journals. As a result of the workshop, there was a statistically significant improvement in participants' reported confidence in many aspects of navigating the publishing process, but no improvement in confidence regarding statistically analyzing their data...
2017: Advances in Medical Education and Practice
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