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https://www.readbyqxmd.com/read/28919676/a-3-year-prospective-study-of-the-incidence-of-gastric-ulcers-in-pigs-slaughtered-at-base-abattoir-in-rwanda
#1
Borden Mushonga, Bernard Yabaragiye, Erick Kandiwa, Gervais Habarugira, Alaster Samkange
AIM: Determination of the incidence of gastric ulcers in pigs slaughtered at Base Abattoir in Rwanda. MATERIALS AND METHODS: Stomachs from all 5040 pigs that were slaughtered at Base Abattoir in Rwanda from August 2012 to August 2015 were examined for the presence and location of gastric ulcers. The results of the inspections were recorded and analyzed. Statistical analysis for Chi-square values was performed using the Software Package for Social Sciences version 16...
August 2017: Veterinary World
https://www.readbyqxmd.com/read/28916366/measuring-progress-and-projecting-attainment-on-the-basis-of-past-trends-of-the-health-related-sustainable-development-goals-in-188-countries-an-analysis-from-the-global-burden-of-disease-study-2016
#2
(no author information available yet)
BACKGROUND: The UN's Sustainable Development Goals (SDGs) are grounded in the global ambition of "leaving no one behind". Understanding today's gains and gaps for the health-related SDGs is essential for decision makers as they aim to improve the health of populations. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016), we measured 37 of the 50 health-related SDG indicators over the period 1990-2016 for 188 countries, and then on the basis of these past trends, we projected indicators to 2030...
September 8, 2017: Lancet
https://www.readbyqxmd.com/read/28904696/health-worker-attrition-at-a-rural-district-hospital-in-rwanda-a-need-for-improved-placement-and-retention-strategies
#3
Jackline Odhiambo, Felix Cyamatare Rwabukwisi, Christian Rusangwa, Vincent Rusanganwa, Lisa Ruth Hirschhorn, Evrard Nahimana, Patient Ngamije, Bethany Lynn Hedt-Gauthier
INTRODUCTION: The shortage and maldistribution of health care workers in sub-Saharan Africa is a major concern for rural health facilities. Rural areas have 63% of sub-Saharan Africa population but only 37% of its doctors. Although attrition of health care workers is implicated in the human resources for health crisis in the rural settings, few studies report attrition rates and risk factors for attrition in rural district hospitals in sub-Saharan Africa. METHODS: We assessed attrition of health care workers at a Kirehe District Hospital in rural Rwanda...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28903757/access-to-medicines-and-hepatitis-c-in-africa-can-tiered-pricing-and-voluntary-licencing-assure-universal-access-health-equity-and-fairness
#4
Yibeltal Assefa, Peter S Hill, Anar Ulikpan, Owain D Williams
BACKGROUND: The recent introduction of Direct Acting Antivirals (DAAs) for treating Hepatitis C Virus (HCV) can significantly assist in the world reaching the international target of elimination by 2030. Yet, the challenge facing many individuals and countries today lies with their ability to access these treatments due to their relatively high prices. Gilead Sciences applies differential pricing and licensing strategies arguing that this provides fairer and more equitable access to these life-saving medicines...
September 13, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28893207/hepatitis-b-virus-and-hiv-co-infection-among-pregnant-women-in-rwanda
#5
Mwumvaneza Mutagoma, Helene Balisanga, Samuel S Malamba, Dieudonné Sebuhoro, Eric Remera, David J Riedel, Steve Kanters, Sabin Nsanzimana
BACKGROUND: Hepatitis B virus (HBV) affects people worldwide but the local burden especially in pregnant women and their new born babies is unknown. In Rwanda HIV-infected individuals who are also infected with HBV are supposed to be initiated on ART immediately. HBV is easily transmitted from mother to child during delivery. We sought to estimate the prevalence of chronic HBV infection among pregnant women attending ante-natal clinic (ANC) in Rwanda and to determine factors associated with HBV and HIV co-infection...
September 11, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28884701/palliative-care-in-africa-a-scoping-review-from-2005-16
#6
REVIEW
John Y Rhee, Eduardo Garralda, Carlos Torrado, Santiago Blanco, Ibone Ayala, Eve Namisango, Emmanuel Luyirika, Liliana de Lima, Richard A Powell, Carlos Centeno
Since the last comprehensive review on the development of national palliative care in Africa was undertaken 12 years ago, in 2005, we did a scoping review of peer-reviewed, published articles on palliative care development between 2005-16 for each African country. The scoping review was conducted by assessing the medical literature and including local expert recommendations of suggested articles. We did a basic quality assessment of the articles using the journals' impact factor, journal quartile, and the number of citations as suitable metrics for quality consideration...
September 2017: Lancet Oncology
https://www.readbyqxmd.com/read/28879146/trends-in-leprosy-case-detection-in-rwanda-1995-2011-analysis-of-17-years-of-laboratory-data
#7
Innocent Uwimana, Nestor Bizimungu, Fabrice Ingabire, Elyse Mukamukwiye, Odette Sharangabo, Semuto C Ngabonziza, Elaine Kamanzi
BACKGROUND: Leprosy, or Hansen's disease, is a chronic, infectious disease caused by Mycobacterium leprae. It remains one of the leading causes of deformity and physical disability. OBJECTIVE: We analysed laboratory records to assess trends in prevalence rates and case detection rates (CDRs) in Rwanda. METHODS: A retrospective review of detected leprosy cases from the records of the Rwanda National Reference Laboratory over a 17-year period (1995-2011) was conducted...
2017: African Journal of Laboratory Medicine
https://www.readbyqxmd.com/read/28845466/the-formation-of-the-eastern-africa-rabies-network-a-sub-regional-approach-to-rabies-elimination
#8
Emily G Pieracci, Terence P Scott, Andre Coetzer, Mwatondo Athman, Arithi Mutembei, Abraham Haile Kidane, Meseret Bekele, Girma Ayalew, Samson Ntegeyibizaza, Justine Assenga, Godson Markalio, Peninah Munyua, Louis H Nel, Jesse Blanton
International rabies networks have been formed in many of the canine-rabies endemic regions around the world to create unified and directed regional approaches towards elimination. The aim of the first sub-regional Eastern Africa rabies network meeting, which included Kenya, Ethiopia, Tanzania, Rwanda, and Uganda, was to discuss how individual country strategies could be coordinated to address the unique challenges that are faced within the network. The Stepwise Approach towards Rabies Elimination and the Global Dog Rabies Elimination Pathway tool were used to stimulate discussion and planning to achieve the elimination of canine-mediated human rabies by 2030...
2017: Trop Med Infect Dis
https://www.readbyqxmd.com/read/28841838/maternal-and-perinatal-outcome-after-previous-caesarean-section-in-rural-rwanda
#9
Richard Kalisa, Stephen Rulisa, Jos van Roosmalen, Thomas van den Akker
BACKGROUND: Offering a trial of labor (ToL) after previous caesarean section (CS) is an important strategy to reduce short- and long-term morbidity associated with repeated CS. We compared maternal and perinatal outcomes between ToL and elective repeat caesarean section (ERCS) at a district hospital in rural Rwanda. METHODS: Audit of women's records with one prior CS who delivered at Ruhengeri district hospital in Rwanda between June 2013 and December 2014. RESULTS: Out of 4131 women who came for delivery, 435 (11%) had scarred uteri...
August 25, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28828869/utilisation-of-the-partogram-among-nurses-and-midwives-in-selected-health-facilities-in-the-eastern-province-of-rwanda
#10
Oliva Bazirete, Nomafrench Mbombo, Oluyinka Adejumo
BACKGROUND: Maternal mortality continues to be a global burden, with more than 200 million women becoming pregnant each year and a large number dying as a result of complications of pregnancy or childbirth. The World Health Organisation has recommended use of the partogram to monitor labour and delivery in order to improve healthcare and reduce maternal and foetal mortality rates. OBJECTIVE: This study described factors affecting utilisation of the partogram among nurses and midwives in selected health facilities of Rwanda...
August 3, 2017: Curationis
https://www.readbyqxmd.com/read/28826335/building-nursing-and-midwifery-capacity-through-rwanda-s-human-resources-for-health-program
#11
Glorieuse Uwizeye, Donatilla Mukamana, Michael Relf, William Rosa, Mi Ja Kim, Philomene Uwimana, Helen Ewing, Paul Munyiginya, Renee Pyburn, Nanyombi Lubimbi, Anita Collins, Isabelle Soulé, Kelly Burke, Josette Niyokindi, Patricia Moreland
Global disparities in the quantity, distribution, and skills of health workers worldwide pose a threat to attainment of the Sustainable Development Goals by 2030 and deepens already existing global health inequities. Rwanda and other low-resource countries face a critical shortage of health professionals, particularly nurses and midwives. This article describes the Human Resources for Health (HRH) Program in Rwanda, a collaboration between the Ministry of Health of Rwanda and a U.S. consortium of academic institutions...
May 1, 2017: Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society
https://www.readbyqxmd.com/read/28826251/prevalence-of-iron-deficiency-and-iron-deficiency-anemia-in-the-northern-and-southern-provinces-of-rwanda
#12
Moira Donahue Angel, Peter Berti, Kendra Siekmans, Pierrot Lundimu Tugirimana, Erick Boy
BACKGROUND: Anemia remains a public health problem in Rwanda, affecting 38% of young children and 17% of reproductive-aged women (Demographic and Health Survey [DHS] 2010). The importance of iron deficiency (ID) as a cause of anemia in Rwanda is not known. OBJECTIVE: We aimed to estimate the prevalence of ID and iron deficiency anemia (IDA) among young children and women in 2 provinces of Rwanda. METHODS: We conducted a cluster randomized survey, selecting 408 rural households each in the Northern and Southern Provinces of Rwanda in 2010...
January 1, 2017: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/28823069/current-status-of-cattle-production-system-in-nyagatare-district-rwanda
#13
Eugene Mazimpaka, Francis Mbuza, Tukei Michael, Eugene N Gatari, E M Bukenya, Okwee-Acai James
A study was conducted to characterize the cattle production systems in Nyagatare District, Eastern Province of Rwanda using pre-tested questionnaires, interviews with key informants as well as focus group discussions in a period of 2 months. The respondents were selected by multi-stage sampling at sector and cell levels. Based on the procedure of Krejcie and Morgan (Educational and Psychological Measurement 30:607-610, 1970) to determine the overall sample size, the result indicated that the majority (98.3%) of farms were privately owned by large families of five to seven members, and most farmers (53...
August 19, 2017: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/28820718/water-sanitation-and-hygiene-in-rural-health-care-facilities-a-cross-sectional-study-in-ethiopia-kenya-mozambique-rwanda-uganda-and-zambia
#14
Amy Guo, J Michael Bowling, Jamie Bartram, Georgia Kayser
Safe and sufficient water, sanitation, and hygiene (WaSH) prevent the spread of disease in health-care facilities (HCFs). Little research has been conducted on WaSH in HCF in sub-Saharan Africa. We carried out a cross-sectional study of WaSH in 1,318 randomly selected rural HCF (hospitals, health centers, health posts, and clinics) in regions throughout Ethiopia, Kenya, Mozambique, Rwanda, Uganda, and Zambia. Methods included questionnaires with head doctors and nurses to document WaSH access, continuity, quality, quantity and reliability, and analysis of drinking water samples for Escherichia coli...
July 31, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28812841/university-of-global-health-equity-s-contribution-to-the-reduction-of-education-and-health-services-rationing
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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