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https://www.readbyqxmd.com/read/28453711/improving-access-to-child-health-services-at-the-community-level-in-zambia-a-country-case-study-on-progress-in-child-survival-2000-2013
#1
Aaron M Kipp, Margaret Maimbolwa, Marie A Brault, Penelope Kalesha-Masumbu, Mary Katepa-Bwalya, Phanuel Habimana, Sten H Vermund, Kasonde Mwinga, Connie A Haley
Reductions in under-five mortality in Africa have not been sufficient to meet the Millennium Development Goal #4 (MDG#4) of reducing under-five mortality by two-thirds by 2015. Nevertheless, 12 African countries have met MDG#4. We undertook a four country study to examine barriers and facilitators of child survival prior to 2015, seeking to better understand variability in success across countries. The current analysis presents indicator, national document, and qualitative data from key informants and community women describing the factors that have enabled Zambia to successfully reduce under-five mortality over the last 15 years and achieve MDG#4...
June 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28446081/college-scheme-aids-nursing-in-zambia
#2
Susan Williams
For the past six years, the Department for International Development has been funding projects between health organisations in the UK and those in resource-poor settings as part of its Health Partnership Scheme.
April 27, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/28441458/evidence-that-promotion-of-male-circumcision-did-not-lead-to-sexual-risk-compensation-in-prioritized-sub-saharan-countries
#3
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/28438177/responding-to-non-communicable-diseases-in-zambia-a-policy-analysis
#4
Mulenga M Mukanu, Joseph Mumba Zulu, Chrispin Mweemba, Wilbroad Mutale
BACKGROUND: Non-communicable diseases (NCDs) are an emerging global health concern. Reports have shown that, in Zambia, NCDs are also an emerging problem and the government has begun initiating a policy response. The present study explores the policy response to NCDs by the Ministry of Health in Zambia using the policy triangle framework of Walt and Gilson. METHODS: A qualitative approach was used for the study. Data collected through key informant interviews with stakeholders who were involved in the NCD health policy development process as well as review of key planning and policy documents were analysed using thematic analysis...
April 24, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28434538/thinking-locally-environmental-reconstruction-of-middle-and-later-stone-age-archaeological-sites-in-ethiopia-kenya-and-zambia-based-on-ungulate-stable-isotopes
#5
Joshua R Robinson
Our knowledge of the Pleistocene environments of Africa consists primarily of data at a scale too coarse to capture the full habitat variation important to hominins 'on the ground.' These environments are complex, highly variable, and poorly understood. As such, data from individual sites are a needed addition to our current paleoenvironmental reconstructions. This study offers a site-based approach focusing on stable isotope analyses of fossil faunal tooth enamel from three archaeological sites in tropical Africa...
May 2017: Journal of Human Evolution
https://www.readbyqxmd.com/read/28434067/sediment-metal-contamination-in-the-kafue-river-of-zambia-and-ecological-risk-assessment
#6
Ethel M'kandawire, Kennedy Choongo, John Yabe, Maxwell Mwase, Ngonda Saasa, Shouta M M Nakayama, Nesta Bortey-Sam, Claudia A Blindauer
Zambia's Kafue River receives wastes from various sources, resulting in metal pollution. This study determined the degree of contamination of 13 metals (Al, Cr, Mn, Fe, Co, Ni, Cu, Zn, As, Se, Cd, Hg and Pb) in Kafue River sediment and the associated ecological risks at six sites in three different seasons. The level of contamination for most metals showed significant site and seasonal differences. The contamination factor and pollution load index indicated that concentrations of most metals particularly copper (Cu), cobalt (Co), manganese (Mn) and arsenic (As) were very high at sites within the Copperbelt mining area...
April 22, 2017: Bulletin of Environmental Contamination and Toxicology
https://www.readbyqxmd.com/read/28428187/zambian-peer-educators-for-hiv-self-testing-zest-study-rationale-and-design-of-a-cluster-randomised-trial-of-hiv-self-testing-among-female-sex-workers-in-zambia
#7
Catherine E Oldenburg, Katrina F Ortblad, Michael M Chanda, Kalasa Mwanda, Wendy Nicodemus, Rebecca Sikaundi, Andrew Fullem, Leah G Barresi, Guy Harling, Till Bärnighausen
BACKGROUND: HIV testing and knowledge of status are starting points for HIV treatment and prevention interventions. Among female sex workers (FSWs), HIV testing and status knowledge remain far from universal. HIV self-testing (HIVST) is an alternative to existing testing services for FSWs, but little evidence exists how it can be effectively and safely implemented. Here, we describe the rationale and design of a cluster randomised trial designed to inform implementation and scale-up of HIVST programmes for FSWs in Zambia...
April 20, 2017: BMJ Open
https://www.readbyqxmd.com/read/28425035/a-new-ascaridid-nematode-mammalakis-zambiensis-n-sp-heterakoidea-kiwinematidae-from-the-mole-rat-fukomys-anselli-burda-zima-scharff-machol%C3%A3-n-kawalika-rodentia-bathyergidae-in-zambia
#8
Kerstin Junker, Heike Lutermann, Yasen Mutafchiev
Mammalakis zambiensis n. sp. is described from the large intestine and caecum of Fukomys anselli (Burda, Zima, Scharff, Macholán & Kawalika), a bathyergid rodent endemic to Zambia. Morphological data for comparison with its three congeners, M. macrospiculum (Ortlepp, 1939), M. spalacis (Marcu, 1930) and M. spalaxi (Kozlov & Jangolenko, 1962) are provided. Based on studies of the type-material, observations of hitherto undescribed morphological characters of M. macrospiculum, a parasite of Bathyergus suillus (Schreber) (Hystricomorpha: Bathyergidae) in South Africa, are presented...
April 19, 2017: Systematic Parasitology
https://www.readbyqxmd.com/read/28424462/dietary-behaviour-of-man-eating-lions-as-revealed-by-dental-microwear-textures
#9
Larisa R G DeSantis, Bruce D Patterson
Lions (Panthera leo) feed on diverse prey species, a range that is broadened by their cooperative hunting. Although humans are not typical prey, habitual man-eating by lions is well documented. Fathoming the motivations of the Tsavo and Mfuwe man-eaters (killed in 1898 in Kenya and 1991 in Zambia, respectively) may be elusive, but we can clarify aspects of their behaviour using dental microwear texture analysis. Specifically, we analysed the surface textures of lion teeth to assess whether these notorious man-eating lions scavenged carcasses during their depredations...
April 19, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28420399/distinct-parasite-populations-infect-individuals-identified-through-passive-and-active-case-detection-in-a-region-of-declining-malaria-transmission-in-southern-zambia
#10
Kelly M Searle, Ben Katowa, Tamaki Kobayashi, Mwiche N S Siame, Sungano Mharakurwa, Giovanna Carpi, Douglas E Norris, Jennifer C Stevenson, Philip E Thuma, William J Moss
BACKGROUND: Substantial reductions in the burden of malaria have been documented in parts of sub-Saharan Africa, with elimination strategies and goals being formulated in some regions. Within this context, understanding the epidemiology of low-level malaria transmission is crucial to achieving and sustaining elimination. A 24 single-nucleotide-polymorphism Plasmodium falciparum molecular barcode was used to characterize parasite populations from infected individuals identified through passive and active case detection in an area approaching malaria elimination in southern Zambia...
April 19, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28419708/willingness-to-pay-for-a-maternity-waiting-home-stay-in-zambia
#11
Taryn Vian, Emily E White, Godfrey Biemba, Kaluba Mataka, Nancy Scott
INTRODUCTION: Complications of pregnancy and childbirth can pose serious risks to the health of women, especially in resource-poor settings. Zambia has been implementing a program to improve access to emergency obstetric and neonatal care, including expansion of maternity waiting homes-residential facilities located near a qualified medical facility where a pregnant woman can wait to give birth. Yet it is unclear how much support communities and women would be willing to provide to help fund the homes and increase sustainability...
March 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28419352/dermatophytes-and-dermatophytosis-in-the-eastern-and-southern-parts-of-africa
#12
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/28419106/quality-improvement-intervention-to-increase-adherence-to-art-prescription-policy-at-hiv-treatment-clinics-in-lusaka-zambia-a-cluster-randomized-trial
#13
Elizabeth A McCarthy, Hamsa L Subramaniam, Margaret L Prust, Marta R Prescott, Felton Mpasela, Albert Mwango, Leah Namonje, Crispin Moyo, Benjamin Chibuye, Jan Willem van den Broek, Lindsey Hehman, Sarah Moberley
INTRODUCTION: In urban areas, crowded HIV treatment facilities with long patient wait times can deter patients from attending their clinical appointments and picking up their medications, ultimately disrupting patient care and compromising patient retention and adherence. METHODS: Formative research at eight facilities in Lusaka revealed that only 46% of stable HIV treatment patients were receiving a three-month refill supply of antiretroviral drugs, despite it being national policy for stable adult patients...
2017: PloS One
https://www.readbyqxmd.com/read/28418728/prevalence-and-predictors-of-food-insecurity-among-people-living-with-hiv-enrolled-in-antiretroviral-therapy-and-livelihood-programs-in-two-rural-zambian-hospitals
#14
Rainier Masa, Gina Chowa, Victor Nyirenda
The objective of this study was to examine the prevalence and predictors of food insecurity among people living with HIV (PLHIV) in two rural communities in Zambia. A cross-sectional sample of 101 PLHIV was surveyed using the Household Food Insecurity Access Scale. In multivariable linear regression models, income, household possessions, and perceived coping strategies were significantly associated with decreased food insecurity. Debt and perceived mental distress were significantly associated with increased food insecurity...
April 18, 2017: Ecology of Food and Nutrition
https://www.readbyqxmd.com/read/28416009/use-of-lot-quality-assurance-sampling-surveys-to-evaluate-community-health-worker-performance-in-rural-zambia-a-case-of-luangwa-district
#15
Moses Mwanza, Japhet Zulu, Stephanie M Topp, Patrick Musonda, Wilbroad Mutale, Roma Chilengi
BACKGROUND: The Better Health Outcomes through Mentoring and Assessment (BHOMA) project is a cluster randomized controlled trial aimed at reducing age-standardized mortality rates in three rural districts through involvement of Community Health Workers (CHWs), Traditional Birth Attendants (TBAs), and Neighborhood Health Committees (NHCs). CHWs conduct quarterly surveys on all households using a questionnaire that captures key health events occurring within their catchment population. In order to validate contact with households, we utilize the Lot Quality Assurance Sampling (LQAS) methodology...
April 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28413361/cost-effectiveness-analysis-of-the-national-decentralization-policy-of-antiretroviral-treatment-programme-in-zambia
#16
Shinsuke Miyano, Gardner Syakantu, Kenichi Komada, Hiroyoshi Endo, Tomohiko Sugishita
BACKGROUND: In resource-limited settings with a high prevalence of human immunodeficiency virus (HIV) infection such as Zambia, decentralization of HIV/acquired immunodeficiency syndrome (HIV/AIDS) treatment and care with effective use of resources is a cornerstone of universal treatment and care. OBJECTIVES: This research aims to analyse the cost effectiveness of the National Mobile Antiretroviral Therapy (ART) Services Programme in Zambia as a means of decentralizing ART services...
2017: Cost Effectiveness and Resource Allocation: C/E
https://www.readbyqxmd.com/read/28399281/potential-roles-of-pigs-small-ruminants-rodents-and-their-flea-vectors-in-plague-epidemiology-in-sinda-district-eastern-zambia
#17
Stanley S Nyirenda, Bernard M Hang'ombe, Bukheti S Kilonzo, Henry L Kangwa, Evans Mulenga, Ladslav Moonga
A cross-sectional study was conducted in the Eastern part of Zambia that previously reported a plague outbreak. The aim of the study was to evaluate the potential role of pigs, goats, and sheep as sero-surveillance hosts for monitoring plague, and to investigate the flea vectors and potential reservoir hosts to establish the current status of plague endemicity in the district. Serum samples were collected from 96 rodents, 10 shrews, 245 domestic pigs, 232 goats, and 31 sheep, whereas 106 organs were eviscerated from rodents and shrews...
February 4, 2017: Journal of Medical Entomology
https://www.readbyqxmd.com/read/28378295/genetic-characterization-of-orf-virus-associated-with-an-outbreak-of-severe-orf-in-goats-at-a-farm-in-lusaka-zambia-2015
#18
Edgar Simulundu, Nandi Mtine, Thoko F Kapalamula, Masahiro Kajihara, Yongjin Qiu, James Ngoma, Victor Zulu, Geoffrey Kwenda, Chrispin Chisanga, Isaac K Phiri, Ayato Takada, Aaron S Mweene
Orf or contagious ecthyma is a neglected and economically important zoonotic disease caused by a dermatotropic parapoxvirus that commonly affects domestic small ruminants. Although orf is globally distributed, there is a paucity of information on the disease in many African countries. Here, a suspected severe outbreak of orf in goats at a farm in Lusaka was investigated. Orf virus (ORFV) infection was confirmed by PCR amplification of viral DNA (RNA polymerase, B2L and virus interferon-resistance genes) in clinical samples...
April 4, 2017: Archives of Virology
https://www.readbyqxmd.com/read/28376854/situational-analysis-of-communication-of-hiv-and-aids-information-to-persons-with-visual-impairment-a-case-of-kang-onga-production-centre-in-ndola-zambia
#19
Grace Nsangwe Chintende, Doreen Sitali, Charles Michelo, Oliver Mweemba
BACKGROUND: Despite the increases in health promotion and educational programs on HIV and AIDS, lack of information and communication on HIV and AIDS for the visually impaired persons continues. The underlying factors that create the information and communication gaps have not been fully explored in Zambia. It is therefore important that, this situational analysis on HIV and AIDS information dissemination to persons with visual impairments at Kang'onga Production Centre in Ndola was conducted...
April 4, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28374945/human-and-natural-controls-of-the-variation-in-aboveground-tree-biomass-in-african-dry-tropical-forests
#20
Johanne Pelletier, Abel Siampale, Pierre Legendre, Patrick Jantz, Nadine T Laporte, Scott J Goetz
Understanding the anthropogenic and natural controls that affect the patterns, distribution and dynamics of terrestrial carbon is crucial to meeting climate change mitigation objectives. We assessed the human and natural controls over aboveground tree biomass density in African dry tropical forests, using Zambia's first nation-wide forest inventory. We identified predictors that best explain the variation in biomass density, contrasted anthropogenic and natural sites at different spatial scales and compared sites with different stand structure characteristics and species composition...
April 4, 2017: Ecological Applications: a Publication of the Ecological Society of America
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