Abstract:
BACKGROUND:Health aid to Nigeria increased tremendously in the last decade and a significant portion of the funds were earmarked for HIV-associated programs. Studies on the impact of HIV-specific aid on the delivery of non-HIV health services in sub-Saharan Africa have yielded mixed results. This study assessed if there is a spillover effect of HIV-specific aid on childhood vaccinations in Nigeria. METHODS:Multivariate logistic regression models were used to estimate the effect of aid disbursements in a previous year on the receipt of vaccines at the individual level in a given year. Estimations were done for approximately 11 700 children using data from demographic and health surveys conducted in Nigeria in 2003 and 2008. RESULTS:US$1 increase in HIV aid per capita was associated with a decrease in the probability of receipt of vaccines by 8-31%: polio first dose decreased by 8%; polio final dose by 9%; diphtheria-pertussis-tetanus (DPT) first dose by 11%; DPT final dose by 19%; measles by 31%; final doses of polio and DPT plus measles vaccine by 8%. CONCLUSIONS:HIV-specific aid had a negative spillover effect on immunization services in Nigeria over the study period. Donors may need to rethink their funding strategies in favour of more horizontal approaches.
journal_name
Int Healthjournal_title
International healthauthors
Chima CC,Franzini Ldoi
10.1093/inthealth/ihv036subject
Has Abstractpub_date
2016-03-01 00:00:00pages
108-15issue
2eissn
1876-3413issn
1876-3405pii
ihv036journal_volume
8pub_type
杂志文章abstract:BACKGROUND:Among university students, large numbers are involved with smoking and suffer from many chronic diseases. This study examined tobacco smoking prevalence and potential predictors among university students in Sylhet Division, Bangladesh. METHODS:A total of 416 students were selected for face-to-face interview...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihy091
更新日期:2019-07-01 00:00:00
abstract::After 30 years of treatment with Mectizan (ivermectin), cutaneous and ocular complications of Onchocerca volvulus infection are now scarce in endemic communities. Indeed, transmission has been interrupted and the O. volvulus- associated disease has disappeared in some African foci. Despite this success, onchocerciasis...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihx051
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Metabolic syndrome (MetS) is a cluster of cardiometabolic risk factors that includes central obesity, insulin resistance, dyslipidaemia and hypertension. The aim of this study was to establish the prevalence of MetS and its associated risk factors among adult Palestinians using the International Diabetes Fed...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihz093
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Declines in late-life cognitive functioning differ greatly between socio-economic status (SES) groups, but little is known about whether these effects are related to child and adult SES versus SES effects that accumulate over the individual's life course. METHODS:An 18-year longitudinal national sample of o...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihu046
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:There are conflicting reports of sex differences in HIV treatment outcomes in Africa. We investigated sex disparities in treatment outcomes for adults on first line antiretroviral treatment (ART) in Nigeria. METHODS:We compared clinical and immunologic responses to ART between HIV-infected men (n=205) and w...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihw050
更新日期:2017-01-01 00:00:00
abstract::Policy-makers require information on the potential benefits of and economic case for pneumococcal conjugate vaccination in middle-income countries. We built decision analysis models to evaluate a three-dose infant series of the 7-, 10- or 13-valent pneumococcal conjugate vaccines in 77 middle-income countries compared...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2011.08.004
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Providing compensation for participants in clinical research is well established and while international guidelines exist, defining a context-specific and fair compensation for participants in low-resource settings is challenging due to ethical concerns and the lack of practical, national compensation and re...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihaa066
更新日期:2020-11-09 00:00:00
abstract:BACKGROUND:Malaysia is an upper-middle income country with a tax-based health financing system. Health care is relatively affordable, and safety nets are provided for the needy. The objectives of this study were to determine the out-of-pocket health spending, proportion of catastrophic health spending (out-of-pocket sp...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihw054
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Community health workers (CHWs) are an essential cadre in the health systems of many low- and middle-income countries. These workers provide a wide variety of services and are key to ongoing processes of task shifting within human immunodeficiency virus programmes in particular. Ward-based outreach teams (WB...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihz082
更新日期:2020-07-01 00:00:00
abstract:Background:This study aims to determine the indicators for assessing the functionality of clubfoot clinics in a low-resource setting. Methods:The Delphi method was employed with experienced clubfoot practitioners in Africa to rate the importance of indicators of a good clubfoot clinic. The consistency among the partic...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihy033
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:School surveys provide a convenient platform to obtain large child cohorts from multiple communities and are widely used as a proxy to determine community prevalence of neglected tropical diseases. The purpose of this study was to compare trachoma prevalence between preschool- and school-aged children and ch...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/iht027
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Ensuring the quality and effectiveness of counselling is imperative for enabling people living with HIV to cope with treatment adherence. Countrywide assessment of antiretroviral therapy (ART) centres was undertaken to assess the quality and effectiveness of counselling. The insights gained from the assessme...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihy100
更新日期:2019-11-13 00:00:00
abstract:Background:Diarrhoea is a major cause of child mortality. Although oral rehydration solution (ORS) is an efficacious intervention for correcting dehydration, inadequate monitoring may limit its effectiveness in routine settings. We evaluated the effect of using a caregiver-administered chart to monitor oral fluid thera...
journal_title:International health
pub_type: 杂志文章,随机对照试验
doi:10.1093/inthealth/ihy040
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Strategies are urgently needed to mitigate the risk of zoonotic disease emergence in southern China, where pathogens with zoonotic potential are known to circulate in wild animal populations. However, the risk factors leading to emergence are poorly understood, which presents a challenge in developing approp...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihaa001
更新日期:2020-02-12 00:00:00
abstract:BACKGROUND:This study examines the factors associated with skilled birth attendants at delivery among married adolescent girls in Nigeria. METHODS:The study was a secondary data analysis of the fifth round of the Multiple Indicator Cluster Survey conducted between September 2016 and January 2017. Married adolescent gi...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihz017
更新日期:2019-11-13 00:00:00
abstract:Background:The objective of this study was to evaluate the comparative effects of three breastfeeding promotion interventions on the duration of exclusive breastfeeding (EBF) and any breastfeeding (BF) among human immunodeficiency virus (HIV)-infected women in Uganda. Methods:Between February 2012 and February 2013, 2...
journal_title:International health
pub_type: 杂志文章,随机对照试验
doi:10.1093/inthealth/ihy041
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:On 26 December 2004, 280 000 people lost their lives in the Asia-Pacific region. A massive earthquake struck Indonesia, triggering a tsunami that affected several countries, including Thailand. This tsunami had important implications for the health status of Thai citizens and health planning, and thus there ...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/iht004
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:A secondary analysis was conducted of two separate datasets to observe the association between maternal age and interpregnancy interval (IPI). METHODS:The IPI in a middle-income country (Guatemala) was compared with that of a very-high-income country (USA) among women with two pregnancies. RESULTS:A regres...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihaa085
更新日期:2020-11-04 00:00:00
abstract:BACKGROUND:High rates of early initiation and exclusive breastfeeding have been reported in Malawi, yet the underlying factors are unknown. Our objective is to examine the determinants of breastfeeding practices for mothers of infants less than 24 months old in Malawi. METHODS:A cross-sectional study was conducted usi...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihz034
更新日期:2020-02-12 00:00:00
abstract:BACKGROUND:Access to prompt and effective treatment of malaria is a fundamental right of all populations at risk; many countries have not met the target of 60% of children treated with effective antimalarial drugs within 24 h of fever onset. While community case management of malaria is effective for increasing coverag...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/iht017
更新日期:2013-09-01 00:00:00
abstract:Background:Knowledge, attitudes and practices of health care professionals towards pharmacovigilance are strongly associated with reporting adverse drug reactions, as proven by a number of studies. This study aims to evaluate the levels of knowledge, attitudes and practices towards pharmacovigilance among physicians wo...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihy029
更新日期:2018-09-01 00:00:00
abstract:Background:The State of Meghalaya, India, has some of the worst newborn health outcomes in the country. State health authorities commissioned an assessment of newborn service delivery to improve services. This study proposes bottleneck analysis (BNA) and quality improvement (QI) methods as a combined method to improve ...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihy062
更新日期:2019-01-01 00:00:00
abstract::Despite growing interest at national and international levels to use community-directed interventions (CDI) for delivery of health interventions in Africa, inadequate information on its acceptability and effectiveness remains. This study aimed to examine community perceptions on CDI strategy and its effectiveness for ...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2010.07.009
更新日期:2010-09-01 00:00:00
abstract:Background:Our objective was to demonstrate the feasibility of integrated care for TB, HIV and diabetes mellitus (DM) in a pilot project in Ethiopia. Methods:Healthcare workers in four hospitals screened patients with TB for HIV and DM; patients with HIV for DM and TB; and patients with DM for TB. Fasting and random p...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihx002
更新日期:2017-03-01 00:00:00
abstract::Mycobacterium ulcerans infection results in significant disfiguring morbidity, and treatment is expensive. To estimate the cost of treatment in the antibiotic era, a retrospective study of 71 patients diagnosed and treated for M. ulcerans in the Bellarine Peninsula (Victoria, Australia) between 1998 and 2006 was perfo...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2011.12.005
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Oxygen is an essential medical therapy that is poorly available globally. We evaluated the quality of oxygen therapy in 12 secondary-level Nigerian hospitals, including access to oxygen equipment, equipment functionality, healthcare worker knowledge and appropriateness of use. METHODS:We conducted a three-p...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihz009
更新日期:2020-01-01 00:00:00
abstract::Snakebite is an important cause of mortality among rural dwellers in the savannah region of West Africa. We conducted a retrospective review of snakebite patients managed by experienced medical staff at Kaltungo in north-eastern Nigeria to determine the cause of death. During a 36 month period there were 94 deaths amo...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2010.08.001
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Several strategies are used in the care of pregnant women accessing antenatal care in primary health centres in Nigeria, with the aim of reducing the burden of malaria and anaemia. The objective of the study was to appraise the prevalence of malaria parasitaemia and anaemia in pregnant women attending antena...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihu009
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND:India has been implementing smoke-free legislation since 2008 prohibiting smoking in public places. This study aimed to assess the level of compliance with smoke-free legislation (defined as the presence of no-smoking signage and the absence of active smoking, smoking aids, cigarette butts/bidi ends and smok...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihu028
更新日期:2014-09-01 00:00:00
abstract::Community sensitisation, as a component of community engagement, plays an important role in strengthening the ethics of community-based trials in developing countries and is fundamental to trial success. However, few researchers have shared their community sensitisation strategies and experiences. We report on our per...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2011.10.003
更新日期:2012-03-01 00:00:00