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https://www.readbyqxmd.com/read/29762708/the-impact-of-cash-transfers-on-social-determinants-of-health-and-health-inequalities-in-sub-saharan-africa-a-systematic-review
#1
Ebenezer Owusu-Addo, Andre M N Renzaho, Ben J Smith
Cash transfers (CTs) are now high on the agenda of most governments in low- and middle-income countries. Within the field of health promotion, CTs constitute a healthy public policy initiative as they have the potential to address the social determinants of health (SDoH) and health inequalities. A systematic review was conducted to synthesise the evidence on CTs' impacts on SDoH and health inequalities in sub-Saharan Africa, and to identify the barriers and facilitators of effective CTs. Twenty-one electronic databases and the websites of 14 key organizations were searched in addition to grey literature and hand searching of selected journals for quantitative and qualitative studies on CTs' impacts on SDoH and health outcomes...
June 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29729490/health-literacy-and-health-rethinking-the-strategies-for-universal-health-coverage-in-ghana
#2
Padmore Adusei Amoah, David R Phillips
OBJECTIVES: Health literacy (HL) is generally thought to be associated with positive health behaviour, appropriate health service utilisation and acceptance of interventions to maximise health outcomes. It is, therefore, increasingly suggested that evidence-based research should investigate how HL may operate in the context of universal health coverage (UHC). However, the role of HL in the relationships between elements of UHC such as access to health care and health insurance has not been widely explored...
May 2, 2018: Public Health
https://www.readbyqxmd.com/read/29699475/diabetes-in-south-african-older-adults-prevalence-and-impact-on-quality-of-life-and-functional-disability-as-assessed-using-sage-wave-1-data
#3
Mahmoud Werfalli, Reshma Kassanjee, Sebastiana Kalula, Paul Kowal, Nancy Phaswana-Mafuya, Naomi S Levitt
BACKGROUND: Diabetes is a chronic disease with severe late complications. It is known to impact the quality of life and cause disability, which may affect an individual's capacity to manage and maintain longer-term health and well-being. OBJECTIVES: To examine the prevalence of self-report diabetes, and association between diabetes and each of health-related quality of life and disability amongst South Africa's older adults. To study both the direct relationship between diabetes and these two measures, as well as moderation effects, i...
2018: Global Health Action
https://www.readbyqxmd.com/read/29614761/quality-of-life-and-stigma-in-epilepsy-perspectives-from-selected-regions-of-asia-and-sub-saharan-africa
#4
REVIEW
Warren Boling, Margaret Means, Anita Fletcher
Epilepsy is an important and common worldwide public health problem that affects people of all ages. A significant number of individuals with epilepsy will be intractable to medication. These individuals experience an elevated mortality rate and negative psychosocial consequences of recurrent seizures. Surgery of epilepsy is highly effective to stop seizures in well-selected individuals, and seizure freedom is the most desirable result of epilepsy treatment due to the positive improvements in psychosocial function and the elimination of excess mortality associated with intractable epilepsy...
April 1, 2018: Brain Sciences
https://www.readbyqxmd.com/read/29607474/health-related-quality-of-life-of-the-elderly-in-institutional-care-and-non-institutional-care-in-southwestern-nigeria-a-comparative-study
#5
A O Ogunyemi, K A Odeyemi, O J Kanma-Okafor, T W Ladi-Akinyemi
BACKGROUND: The world population is rapidly ageing and people aged 60 years and above are growing faster than any other age group. In Africa, the most rapid growth of older persons is expected in Western and Northern Africa. STUDY DESIGN: This was a comparative cross-sectional study of a total of 360 respondents. A multi-stage sampling method was used in selecting 240 respondents in the non-institutional group while all the respondents (120) in the institutional group were included in the study...
January 2018: West African Journal of Medicine
https://www.readbyqxmd.com/read/29548302/comparing-dedicated-and-designated-models-of-integrating-mental-health-into-chronic-disease-care-study-protocol-for-a-cluster-randomized-controlled-trial
#6
Bronwyn Myers, Crick Lund, Carl Lombard, John Joska, Naomi Levitt, Christopher Butler, Susan Cleary, Tracey Naledi, Peter Milligan, Dan J Stein, Katherine Sorsdahl
BACKGROUND: In low- and middle-income countries (LMIC), it is uncertain whether a "dedicated" approach to integrating mental health care (wherein a community health worker (CHW) has the sole responsibility of delivering mental health care) or a "designated" approach (wherein a CHW provides this service in addition to usual responsibilities) is most effective and cost-effective. This study aims to compare the effectiveness and cost-effectiveness of these two models of service integration relative to treatment as usual (TAU) for improving mental health and chronic disease outcomes among patients with HIV or diabetes...
March 16, 2018: Trials
https://www.readbyqxmd.com/read/29543818/economic-costs-and-health-related-quality-of-life-outcomes-of-hospitalised-patients-with-high-hiv-prevalence-a-prospective-hospital-cohort-study-in-malawi
#7
Hendramoorthy Maheswaran, Stavros Petrou, Danielle Cohen, Peter MacPherson, Felistas Kumwenda, David G Lalloo, Elizabeth L Corbett, Aileen Clarke
INTRODUCTION: Although HIV infection and its associated co-morbidities remain the commonest reason for hospitalisation in Africa, their impact on economic costs and health-related quality of life (HRQoL) are not well understood. This information is essential for decision-makers to make informed choices about how to best scale-up anti-retroviral treatment (ART) programmes. This study aimed to quantify the impact of HIV infection and ART on economic outcomes in a prospective cohort of hospitalised patients with high HIV prevalence...
2018: PloS One
https://www.readbyqxmd.com/read/29540234/stroke-minimization-through-additive-anti-atherosclerotic-agents-in-routine-treatment-smaart-study-protocol-for-a-randomized-controlled-trial
#8
Fred Stephen Sarfo, Osei Sarfo-Kantanka, Sheila Adamu, Vida Obese, Jennifer Voeks, Raelle Tagge, Vipin Sethi, Bruce Ovbiagele
BACKGROUND: There is an unprecedented rise in the prevalence of stroke in sub-Saharan Africa (SSA). Secondary prevention guidelines recommend that antihypertensive, statin and antiplatelet therapy be initiated promptly after ischemic stroke and adhered to in a persistent fashion to achieve optimal vascular-risk reduction. However, these goals are seldom realized in routine clinical care settings in SSA due to logistical challenges. We seek to assess whether a polypill containing fixed doses of three antihypertensive agents, a statin and antiplatelet therapy taken once daily per os for 12 months among recent stroke survivors would result in carotid intimal thickness regression compared with usual care (UC)...
March 14, 2018: Trials
https://www.readbyqxmd.com/read/29455701/estimating-the-pathways-through-which-maternal-education-affects-stunting-evidence-from-an-urban-cohort-in-south-africa
#9
Daniela Casale, Gabriel Espi, Shane A Norris
OBJECTIVE: To estimate the determinants of stunting using rich data from a birth cohort study from urban South Africa and to examine the various mechanisms, both proximate and distal, through which maternal education affects stunting. DESIGN: Multivariate regression analysis using birth cohort data, where the outcome variable was stunting at age 2 years, and multiple mediator analysis to identify pathways from maternal education to stunting. SETTING: South Africa's largest metropolitan area, Soweto-Johannesburg...
February 19, 2018: Public Health Nutrition
https://www.readbyqxmd.com/read/29423279/physiotherapy-for-people-with-mental-health-problems-in-sub-saharan-african-countries-a-systematic-review
#10
REVIEW
Davy Vancampfort, Brendon Stubbs, Michel Probst, James Mugisha
Background: There is a need for psychosocial interventions to address the escalating mental health burden in Sub-Saharan Africa (SSA). Physiotherapists could have a central role in reducing the burden and facilitating recovery within the multidisciplinary care of people with mental health problems. The aim of this systematic review was to explore the role of physiotherapists within the current mental health policies of SSA countries and to explore the current research evidence for physiotherapy to improve functional outcomes in people with mental health problems in SSA...
2018: Archives of Physiotherapy
https://www.readbyqxmd.com/read/29389542/tranexamic-acid-for-treatment-of-women-with-post-partum-haemorrhage-in-nigeria-and-pakistan-a-cost-effectiveness-analysis-of-data-from-the-woman-trial
#11
Bernadette Li, Alec Miners, Haleema Shakur, Ian Roberts
BACKGROUND: Sub-Saharan Africa and southern Asia account for almost 85% of global maternal deaths from post-partum haemorrhage. Early administration of tranexamic acid, within 3 h of giving birth, was shown to reduce the risk of death due to bleeding in women with post-partum haemorrhage in the World Maternal Antifibrinolytic (WOMAN) trial. We aimed to assess the cost-effectiveness of early administration of tranexamic acid for treatment of post-partum haemorrhage. METHODS: For this economic evaluation we developed a decision model to assess the cost-effectiveness of the addition of tranexamic acid to usual care for treatment of women with post-partum haemorrhage in Nigeria and Pakistan...
February 2018: Lancet Global Health
https://www.readbyqxmd.com/read/29373192/the-cost-effectiveness-of-trivalent-and-quadrivalent-influenza-vaccination-in-communities-in-south-africa-vietnam-and-australia
#12
Pieter T de Boer, Joel K Kelso, Nilimesh Halder, Thi-Phuong-Lan Nguyen, Jocelyn Moyes, Cheryl Cohen, Ian G Barr, Maarten J Postma, George J Milne
BACKGROUND: To inform national healthcare authorities whether quadrivalent influenza vaccines (QIVs) provide better value for money than trivalent influenza vaccines (TIVs), we assessed the cost-effectiveness of TIV and QIV in low-and-middle income communities based in South Africa and Vietnam and contrasted these findings with those from a high-income community in Australia. METHODS: Individual based dynamic simulation models were interfaced with a health economic analysis model to estimate the cost-effectiveness of vaccinating 15% of the population with QIV or TIV in each community over the period 2003-2013...
February 8, 2018: Vaccine
https://www.readbyqxmd.com/read/29347849/joint-pain-within-adult-middle-aged-women-attending-a-community-clinic-in-a-peri-urban-area-in-south-africa-a-cross-sectional-survey
#13
Roline Barnes, Jennifer Jelsma, Romy Parker
BACKGROUND: This study aimed to investigate the prevalence of joint pain in women between the ages of 40 and 64 years who attended a community clinic in the Free State to provide micro-information for health care planners. METHODS: A sample of convenience was utilized in the cross-sectional survey. Health care workers were recruited to conduct the survey. Outcome measures included the Community-Oriented-Programme-For-The-Control-Of-Rheumatic-Disease questionnaire and European Quality of Life - 5 Dimensions health related quality of life measure...
January 19, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29310644/challenges-and-opportunities-for-healthcare-workers-in-a-rural-district-of-chad
#14
Fabienne N Jaeger, Mahamat Bechir, Moumini Harouna, Daugla D Moto, Jürg Utzinger
BACKGROUND: Trained healthcare workers are an essential resource for effective health systems. However, healthcare workers' perspective on healthcare, the challenges they face to provide quality health services, and opportunities to improve motivation and providing adequate care are rarely investigated in resource-constrained settings of sub-Saharan Africa. METHODS: All reachable nurses of Abou Deia, a primarily rural district in the south-eastern part of Chad, were invited to participate...
January 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29258342/gender-differences-in-health-related-quality-of-life-at-the-time-of-a-positive-hiv-test-a-cross-sectional-study-in-a-resource-poor-high-prevalence-setting-in-nairobi-kenya
#15
Mia L van der Kop, Samuel Muhula, Anik Patel, Lehana Thabane, Patricia Awiti, Lennie Kyomuhangi, Bonface Abunah, Patrick I Nagide, Kirsten Smillie, David I Ojakaa, Joshua Kimani, Anna Mia Ekström, Richard T Lester
Few studies have examined gender differences in sub-Saharan Africa, where HIV disproportionately affects women. Objectives of this cross-sectional study were to determine gender differences in HRQoL at the time of a positive HIV test, and whether factors associated with HRQoL differed between men and women. Adults testing HIV-positive were recruited from two clinics located in informal settlements. HRQoL was measured with the SF-12. Multiple linear regression was used to test whether there were gender differences in physical (PCS) and mental composite summary (MCS) scores...
April 2018: AIDS Care
https://www.readbyqxmd.com/read/29228472/the-epidemiology-of-stroke-in-africa-a-systematic-review-of-existing-methods-and-new-approaches
#16
REVIEW
Mayowa Owolabi, Paul Olowoyo, Femi Popoola, Daniel Lackland, Carolyn Jenkins, Oyedunni Arulogun, Rufus Akinyemi, Odunayo Akinyemi, Onoja Akpa, Olanrewaju Olaniyan, Ezinne Uvere, Issa Kehinde, Anbesaw Selassie, Mulugeta Gebregziabher, Raelle Tagge, Bruce Ovbiagele
Accurate epidemiological surveillance of the burden of stroke is direly needed to facilitate the development and evaluation of effective interventions in Africa. The authors therefore conducted a systematic review of the methodology of stroke epidemiological studies conducted in Africa from 1970 to 2017 using gold standard criteria obtained from landmark epidemiological publications. Of 1330 articles extracted, only 50 articles were eligible for review grouped under incidence, prevalence, case-fatality, health-related quality of life, and disability-adjusted life-years studies...
January 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29174259/cardiac-cachexia-in-sub-saharan-africa
#17
REVIEW
Antonio Grimaldi, Annalisa De Concilio, Luca Marsero, Maxwell Odida
Cachexia is a public health challenge around the Globe but data on prevalence rates in developing countries are very scarce. In sub-Saharan Africa wasting syndrome is mainly related to malaria, HIV infections, tuberculosis and end-stage heart disease and always associated with high-mortality and dismal quality of life regardless of age, urban or rural setting. We report two different cases affected by cardiac cachexia related to end-stage heart disease. The large age gap between patients highlights the current impact of medical services in Uganda ranging from low-resource rural settings to urban areas of the capital city under epidemiologic transition...
November 2017: Indian Heart Journal
https://www.readbyqxmd.com/read/29148566/factors-that-influence-the-provision-of-intrapartum-and-postnatal-care-by-skilled-birth-attendants-in-low-and-middle-income-countries-a-qualitative-evidence-synthesis
#18
REVIEW
Susan Munabi-Babigumira, Claire Glenton, Simon Lewin, Atle Fretheim, Harriet Nabudere
BACKGROUND: In many low- and middle-income countries women are encouraged to give birth in clinics and hospitals so that they can receive care from skilled birth attendants. A skilled birth attendant (SBA) is a health worker such as a midwife, doctor, or nurse who is trained to manage normal pregnancy and childbirth. (S)he is also trained to identify, manage, and refer any health problems that arise for mother and baby. The skills, attitudes and behaviour of SBAs, and the extent to which they work in an enabling working environment, impact on the quality of care provided...
November 17, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29020850/household-food-security-and-hiv-status-in-rural-and-urban-communities-in-the-free-state-province-south-africa
#19
Michélle Pienaar, Francois C van Rooyen, Corinna M Walsh
Higher socioeconomic status impacts profoundly on quality of life. Life-event stressors, such as loss of employment, marital separation/divorce, death of a spouse and food insecurity, have been found to accelerate disease progression among people with human immunodeficiency virus (HIV). The objective of this study was to determine significant independent sociodemographic and food security factors associated with HIV status in people from rural and urban communities in the Assuring Health for All study, which was undertaken in rural Trompsburg, Philippolis and Springfontein and urban Mangaung, in the Free State Province of South Africa...
December 2017: SAHARA J: Journal of Social Aspects of HIV/AIDS Research Alliance
https://www.readbyqxmd.com/read/28965191/physical-activity-and-health-related-quality-of-life-among-schoolchildren-from-disadvantaged-neighbourhoods-in-port-elizabeth-south-africa
#20
Marina Salvini, Stefanie Gall, Ivan Müller, Cheryl Walter, Rosa du Randt, Peter Steinmann, Jürg Utzinger, Uwe Pühse, Markus Gerber
PURPOSE: The relationship between health-related quality of life (HRQoL), physical activity (PA), and cardiorespiratory fitness (CRF) among disadvantaged communities in low- and middle-income countries is poorly understood. In South Africa, children from socioeconomically deprived households are at an elevated risk of sedentary lifestyles and poor HRQoL. We examined whether higher self-reported PA and higher CRF levels are associated with better HRQoL in South African schoolchildren from disadvantaged neighbourhoods...
January 2018: Quality of Life Research
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