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https://www.readbyqxmd.com/read/28730929/development-of-a-screening-tool-to-predict-malnutrition-among-children-under-two-years-old-in-zambia
#1
Junko Hasegawa, Yoichi M Ito, Taro Yamauchi
BACKGROUND: Maternal and child undernutrition is an important issue, particularly in low- and middle-income countries. Children at high risk of malnutrition should be prioritized to receive necessary interventions to minimize such risk. Several risk factors have been proposed; however, until now, there has been no appropriate evaluation method to identify these children. In sub-Saharan Africa, children commonly receive regular check-ups from community health workers. A simple and easy nutrition assessment method is therefore needed for use by semi-professional health workers...
2017: Global Health Action
https://www.readbyqxmd.com/read/28729911/vaginal-progesterone-to-reduce-preterm-birth-among-hiv-infected-pregnant-women-in-zambia-a-feasibility-study-protocol
#2
Joan T Price, Katie R Mollan, Nurain M Fuseini, Bethany L Freeman, Helen B Mulenga, Amanda H Corbett, Bellington Vwalika, Jeffrey S A Stringer
BACKGROUND: Women infected with HIV have a risk of preterm birth (PTB) that is twice that among uninfected women, and treatment with antiretroviral therapy (ART) may further increase this risk. Progesterone supplementation reduces the risk of preterm delivery in women who have a shortened cervix in the midtrimester. We propose to study the feasibility of a trial of vaginal progesterone (VP) to prevent PTB among HIV-infected women receiving ART in pregnancy. Given low adherence among women self-administering vaginal study product in recent microbicide trials, we plan to investigate whether adequate adherence to VP can be achieved prior to launching a full-scale efficacy trial...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/28725640/risk-factors-for-impaired-fasting-glucose-or-diabetes-among-hiv-infected-patients-on-art-in-the-copperbelt-province-of-zambia
#3
Perfect Shankalala, Choolwe Jacobs, Samuel Bosomprah, Michael Vinikoor, Patrick Katayamoyo, Charles Michelo
BACKGROUND: Africa has a high prevalence of both Human Immunodeficiency Virus and Non Communicable Diseases (NCDs) but in Zambia there are few data on co-morbid NCDs like Diabetes Mellitus (DM) among HIV-infected individuals. We aimed to identify risk factors for impaired fasting glucose or diabetes among HIV-infected Zambians on long-term Combined Antiretroviral Treatment (cART). METHODS: This was a cross sectional study of adult HIV patients in five health facilities of Copperbelt Province in Zambia...
2017: Journal of Diabetes and Metabolic Disorders
https://www.readbyqxmd.com/read/28722614/identification-of-risk-factors-associated-with-transmission-of-plague-disease-in-eastern-zambia
#4
Stanley S Nyirenda, Bernard M Hang'ombe, Robert Machangu, Jackson Mwanza, Bukheti S Kilonzo
Plague is a fatal, primarily rodent-flea-borne zoonotic disease caused by Yersinia pestis. The identification of risk factors of plague was investigated through questionnaire interview and conducting focus group discussion (FGD) in Sinda and Nyimba of eastern Zambia. A total of 104 questionnaires were administered to individual respondents and 20 groups consisting of 181 discussants, which comprised FGD team in this study. The study revealed that trapping, transportation, and preparation of rodents for food exposed the community to rodent and their fleas suggesting that plague may have occurred primarily by either flea bites or contact with infected wild rodents...
June 12, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28718783/metallothionein-from-wild-populations-of-the-african-catfish-clarias-gariepinus-from-sequence-protein-expression-and-metal-binding-properties-to-transcriptional-biomarker-of-metal-pollution
#5
Ethel M'kandawire, Agnieszka Mierek-Adamska, Stephen R Stürzenbaum, Kennedy Choongo, John Yabe, Maxwell Mwase, Ngonda Saasa, Claudia A Blindauer
Anthropogenic pollution with heavy metals is an on-going concern throughout the world, and methods to monitor release and impact of heavy metals are of high importance. With a view to probe its suitability as molecular biomarker of metal pollution, this study has determined a coding sequence for metallothionein of the African sharptooth catfish Clarias gariepinus. The gene product was recombinantly expressed in Escherichia coli in presence of Zn(II), Cd(II), or Cu, and characterised by Electrospray Ionisation Mass Spectrometry and elemental analysis...
July 18, 2017: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/28711643/contraceptive-use-and-unplanned-pregnancy-among-female-sex-workers-in-zambia
#6
Michael M Chanda, Katrina F Ortblad, Magdalene Mwale, Steven Chongo, Catherine Kanchele, Nyambe Kamungoma, Leah G Barresi, Guy Harling, Till Bärnighausen, Catherine E Oldenburg
OBJECTIVES: Access to reproductive healthcare, including contraceptive services, is an essential component of comprehensive healthcare for female sex workers (FSW). Here, we evaluated the prevalence of and factors associated with contraceptive use, unplanned pregnancy, and pregnancy termination among FSW in three transit towns in Zambia. STUDY DESIGN: Data arose from the baseline quantitative survey from a randomized controlled trial of HIV self-testing among FSW...
July 12, 2017: Contraception
https://www.readbyqxmd.com/read/28705215/feasibility-of-district-wide-screening-of-health-care-workers-for-tuberculosis-in-zambia
#7
Suzanne Verver, Nathan Kapata, Mathildah Kakungu Simpungwe, Seraphine Kaminsa, Mavis Mwale, Chitambeya Mukwangole, Bernard Sichinga, Sevim Ahmedov, Max Meis
BACKGROUND: Many health care workers (HCWs) are at increased risk for tuberculosis (TB). The World Health Organization (WHO) recommends screening HCWs for TB in high burden settings but this is often not implemented in countries with a high TB incidence. We assessed the feasibility of TB screening among HCWs, including participation rate and yield, as part of a project introducing facility specific TB interventions. METHODS: This study had a cross-sectional design...
July 14, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28704089/malaria-diagnosis-treatment-and-management-of-a-critically-ill-patient
#8
Chris Carter, Priscar Sakala Mukonka
Malaria is a significant cause of mortality in many countries and remains the most prevalent parasitic tropical infection. The World Health Organization estimates that 50% of the world's population is at risk of malaria, with most deaths occurring in sub-Saharan Africa. This case study explores the management of a malaria patient admitted to a critical care unit in Zambia, a lower-middle-income country in sub-Saharan Africa. While malaria is prevalent in Zambia and other countries, in the UK all malaria is imported and less frequently seen by health professionals...
July 13, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28701387/high-iron-stores-in-the-low-malaria-season-increase-malaria-risk-in-the-high-transmission-season-in-a-prospective-cohort-of-rural-zambian-children
#9
Maxwell A Barffour, Kerry J Schulze, Christian L Coles, Justin Chileshe, Ng'andwe Kalungwana, Margia Arguello, Ward Siamusantu, William J Moss, Keith P West, Amanda C Palmer
Background: Higher iron stores, defined by serum ferritin (SF) concentration, may increase malaria risk.Objective: We evaluated the association between SF assessed during low malaria season and the risk of malaria during high malaria season, controlling for inflammation.Methods: Data for this prospective study were collected from children aged 4-8 y (n = 745) participating in a biofortified maize efficacy trial in rural Zambia. All malaria cases were treated at baseline (September 2012). We used baseline SF and malaria status indicated by positive microscopy at endline (March 2013) to define exposure and outcome, respectively...
July 12, 2017: Journal of Nutrition
https://www.readbyqxmd.com/read/28699385/intravaginal-practices-among-young-hiv-infected-women-in-lusaka-zambia
#10
Maureen Chisembele, Violeta J Rodriguez, Megan R Brown, Deborah L Jones, Maria L Alcaide
Intravaginal practices (IVP) are linked to bacterial vaginosis (BV), obstetric/gynecological complications, and HIV. Late adolescent and young adult (LAYA) women in Zambia have high rates of HIV. Adult and mature (AM) HIV-infected women in Zambia engage in IVP for hygiene, health, and sexuality reasons; however, to our knowledge, IVP use among LAYA women has not been examined. This study compares IVP use between LAYA and AM women to identify age-specific factors to target when developing IVP reduction interventions for LAYA women...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28695162/management-of-retinoblastoma-in-zambia
#11
EDITORIAL
Biemba K Maliti
No abstract text is available yet for this article.
July 2017: Asia-Pacific Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28693621/increasing-utilisation-of-skilled-facility-based-maternal-healthcare-services-in-rural-zambia-the-role-of-safe-motherhood-action-groups
#12
Cephas Sialubanje, Karlijn Massar, Larah Horstkotte, Davidson H Hamer, Robert A C Ruiter
BACKGROUND: Community-centred health interventions, such as Safe Motherhood Action groups (SMAGs), have potential to lead to desired health behavioural change and favourable health outcomes. SMAGs are community-based volunteer groups that aim to reduce critical delays that occur at household level with regard to decision-making about seeking life-saving maternal care at health facilities. The aim of this study was to explore perspectives, roles, achievements and challenges of the SMAG programme in Kalomo, Zambia...
July 10, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28691331/scaling-up-proven-innovative-cervical-cancer-screening-strategies-challenges-and-opportunities-in-implementation-at-the-population-level-in-low-and-lower-middle-income-countries
#13
Francesca Holme, Sharon Kapambwe, Ashrafun Nessa, Partha Basu, Raul Murillo, Jose Jeronimo
The problem of cervical cancer in low- and lower-middle-income countries (LLMICs) is both urgent and important, and calls for governments to move beyond pilot testing to population-based screening approaches as quickly as possible. Experiences from Zambia, Bangladesh, Guatemala, Honduras, and Nicaragua, where scale-up of evidence-based screening strategies is taking place, may help other countries plan for large-scale implementation. These countries selected screening modalities recommended by the WHO that are within budgetary constraints, improve access for women, and reduce health system bottlenecks...
July 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28685037/integrating-palliative-care-into-national-health-systems-in-africa-a-multi-country-intervention-study
#14
Liz Grant, Julia Downing, Emmanuel Luyirika, Mairead Murphy, Liz Namukwaya, Fatia Kiyange, Mackuline Atieno, Emilly Kemigisha-Ssali, Jenny Hunt, Kaly Snell, Scott A Murray, Mhoira Leng
BACKGROUND: The WHO is calling for the integration of palliative care in all health care settings globally. METHODS: A 3.5-year program was implemented in 12 government hospitals, three each in Kenya, Rwanda, Uganda and Zambia. A four-pillared approach of advocacy, staff training, service delivery strengthening and international and regional partnership working was utilized. A baseline assessment was undertaken to ascertain needs, and 27 indicators were agreed to guide and evaluate the intervention...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28683722/epidemiology-of-pharyngitis-as-reported-by-zambian-school-children-and-their-families-implications-for-demand-side-interventions-to-prevent-rheumatic-heart-disease
#15
John Musuku, Joyce C Lungu, Elizabeth Machila, Catherine Jones, Laurence Colin, Sherri Schwaninger, Patrick Musonda, Brigitta Tadmor, Jonathan M Spector, Mark E Engel, Liesl J Zühlke
BACKGROUND: Prompt and appropriate treatment of streptococcal pharyngitis decreases the risk of acute rheumatic fever and rheumatic heart disease (RHD). Understanding public perceptions and behaviors related to sore throat is fundamental to inform health programs aimed at eliminating new cases of RHD in endemic regions. We sought to describe the epidemiology of pediatric pharyngitis and its treatment, as reported by children and their parents or guardians in Lusaka, Zambia. METHODS: This was a cross-sectional investigation using interviews and written surveys, nested in a school-based RHD prevalence study...
July 6, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28682949/an-analysis-of-substandard-propofol-detected-in-use-in-zambian-anesthesia
#16
Hazel Mumphansha, Jason W Nickerson, Amir Attaran, Sean Overton, Sharon Curtis, Paul Mayer, M Dylan Bould
BACKGROUND: In early 2015, clinicians throughout Zambia noted a range of unpredictable adverse events after the administration of propofol, including urticaria, bronchospasm, profound hypotension, and most predictably an inadequate depth of anesthesia. Suspecting that the propofol itself may have been substandard, samples were procured and sent for testing. METHODS: Three vials from 2 different batches were analyzed using gas chromatography-mass spectrometry methods at the John L...
August 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28678680/management-of-noma-practice-competence-and-knowledge-among-healthcare-workers-in-a-rural-district-of-zambia
#17
Mathilda Ahlgren, Tjede Funk, Clemence Marimo, Charlotte Ndiaye, Tobias Alfvén
BACKGROUND: Noma is an infectious but opportunistic disease that often results in severe facial disfigurements and mortality if untreated. As noma progresses quickly, early detection and treatment are important to prevent its development. OBJECTIVES: The objective of this study was to investigate primary healthcare workers' knowledge and management of noma in a rural part of Zambia. METHODS: A cross-sectional self-completed survey was conducted among 35 healthcare workers from two district hospitals and 15 rural health centres in Serenje District, Zambia...
2017: Global Health Action
https://www.readbyqxmd.com/read/28676120/the-dream-team-for-sexual-reproductive-maternal-newborn-and-adolescent-health-an-adjusted-service-target-model-to-estimate-the-ideal-mix-of-health-care-professionals-to-cover-population-need
#18
Petra Ten Hoope-Bender, Andrea Nove, Laura Sochas, Zoë Matthews, Caroline S E Homer, Francisco Pozo-Martin
BACKGROUND: A competent, enabled and efficiently deployed health workforce is crucial to the achievement of the health-related sustainable development goals (SDGs). Methods for workforce planning have tended to focus on 'one size fits all' benchmarks, but because populations vary in terms of their demography (e.g. fertility rates) and epidemiology (e.g. HIV prevalence), the level of need for sexual, reproductive, maternal, newborn and adolescent health (SRMNAH) workers also varies, as does the ideal composition of the workforce...
July 4, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28673329/experience-and-lessons-from-health-impact-assessment-guiding-prevention-and-control-of-hiv-aids-in-a-copper-mine-project-northwestern-zambia
#19
Astrid M Knoblauch, Mark J Divall, Milka Owuor, Kennedy Nduna, Harrison Ng'uni, Gertrude Musunka, Anna Pascall, Jürg Utzinger, Mirko S Winkler
BACKGROUND: To avoid or mitigate potential project-related adverse health effects, the Trident copper project in Kalumbila, northwestern Zambia, commissioned a health impact assessment. HIV was identified a priority health issue based on the local vulnerability to HIV transmission and experience from other mining projects in Africa. Hence, an HIV/AIDS management plan was developed, including community and workplace interventions, with HIV testing and counselling (HTC) being one of the key components...
July 4, 2017: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/28665880/community-intervention-improves-knowledge-of-hiv-status-of-adolescents-in-zambia-findings-from-hptn-071-popart-for-youth-study
#20
Kwame Shanaube, Ab Schaap, Mwate Joseph Chaila, Sian Floyd, Constance Mackworth-Young, Graeme Hoddinott, Richard Hayes, Sarah Fidler, Helen Ayles
OBJECTIVE: To determine the uptake of home-based HIV counselling and testing (HCT) in four communities of the HPTN 071 (PopART) trial in Zambia among adolescents aged 15-19 years and explore factors associated with HCT uptake. DESIGN: The PopART for youth study is a three-arm community-randomized trial in 12 communities in Zambia and nine communities in South Africa which aims to evaluate the acceptability and uptake of a HIV prevention package, including universal HIV testing and treatment, among young people...
July 1, 2017: AIDS
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