Abstract:
BACKGROUND:Currently, there is renewed interest in the role community participation can play in Primary Health Care (PHC) programmes such as the delivery of effective anti-TB treatment to patients in high-burden settings. OBJECTIVES:To explore the feasibility of community participation in a high-burden Tuberculosis Control Programme and to establish how supervision of treatment by lay volunteers compares with other methods of tuberculosis treatment delivery in the Northern Cape province of South Africa. METHODS:Prospective study involving 769 patients with confirmed pulmonary TB who were followed-up over a one-year period. Questionnaire interviews were also carried out with 135 lay volunteers participating in the TB programme. RESULTS:One-third of the TB patients in the study received their treatment from lay volunteers in the community. Treatment outcomes for new patients supervised from the community were found to be equivalent to those who received treatment through other modes of treatment delivery (RR=1.04[0.94-1.16], p=0.435). For the re-treatment patients, community-based treatment was found to be superior (RR=5.89[2.30-15.09], p<0.001), to self-administered therapy. CONCLUSIONS:Health care planners should consider community participation as a viable way of ensuring accessibility and effectiveness in PHC programmes. There is need for more research into ways of achieving sustainability in resource-limited but high disease burden settings.
journal_name
Afr Health Scijournal_title
African health sciencesauthors
Kironde S,Kahirimbanyi Msubject
Has Abstractpub_date
2002-04-01 00:00:00pages
16-23issue
1eissn
1680-6905issn
1729-0503journal_volume
2pub_type
杂志文章abstract:BACKGROUND:There are limited reports on HIV-1 RNA load, CD4+ T-lymphocytes and antibody responses in relation to disease progression in HIV-1 infected untreated children in Africa. METHODS:To describe the relationships between these parameters, we conducted a longitudinal cohort study involving 51 perinatally HIV-1 in...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.5555/afhs.2006.6.1.3
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:Carbohydrate antigen (CA)19-9 that is the most widely used biomarker for pancreatic cancer has certain limitations in diagnosis, which results in a tough job to distinguish pancreatic cancer from benign tumors with normal CA19-9. The aim of this study was to investigate the diagnostic utility of clinical par...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v15i1.17
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Recent publications show that smoking and alcohol use among adolescents with unplanned pregnancy is increasing and the causes need to be further studied. OBJECTIVE:To determine the association between living in a non-intact family household and the presence of smokers and consumers of alcoholic beverages in...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v16i1.4
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:To determine the incidence of eclampsia and examine the maternal and fetal outcome. METHODS:A hundred and twenty consecutive admissions with eclampsia managed in Aminu Kano Teaching Hospital, Kano, Nigeria, were prospectively collated and analysed. Maternal and fetal morbidity and mortality were recorded. R...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v12i2.11
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Caffeine one of the readily available stimulants consumed daily by more than 80% of the world's population, making it the most widely consumed drug in history. The objective of this study was to determine the effects of different doses (5, 10 &15 mg.kg(-1)) of caffeine per kilogram body weight on maximal aer...
journal_title:African health sciences
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Disparities in use of healthcare services between rural and urban areas have been empirically attributed to several factors. This study explores the existence of this disparity and its implication for planning and managing healthcare delivery systems. OBJECTIVES:The objectives determine the relative importa...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v14i2.6
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND:Pyogenic osteomyelitis is still frequently seen in the developing world and the treatment of chronic osteomyelitis presents a considerable challenge despite advances in microbiological techniques, antibiotics and surgical techniques. Acute haematogenous osteomyelitis is commoner in children. RESULTS:In the ...
journal_title:African health sciences
pub_type: 杂志文章
doi:
更新日期:2010-03-01 00:00:00
abstract:Background:Human Parvovirus (B19V) is a small, single-stranded, non-enveloped DNA virus which is pathogenic to humans causing a wide array of clinical complications which include erythema infectiosum, aplastic crisis and hydrops foetalis. It is generally harmless in healthy individuals but may be life threatening in im...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v18i3.5
更新日期:2018-09-01 00:00:00
abstract:Background:Oral contraceptives pills (OCPs) are common and a convenient form of contraception. The use of hormonal contraceptives by women has been considered to influence gingival and periodontal disease progression. Aim:This study was conducted to assess the effect of oral contraceptive pills on the periodontal heal...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v19i1.56
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:IMCI was launched in Uganda in June 1995 and has so far been implemented in most districts. However, reports indicate that counselling is poorly performed and that health providers find IMCI counselling the most difficult component to implement. OBJECTIVES:The study was carried out to assess IMCI-trained he...
journal_title:African health sciences
pub_type: 杂志文章,多中心研究
doi:
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND:The clinical prospects of hydroxyurea therapy in the management of sickle cell disease (SCD) require evaluation in the Nigerian setting to develop indigenous guidelines. This survey examines the pattern of hydroxyurea therapy, its clinico-haematologic benefits and safety profile in Nigerian SCD subjects. ME...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v17i1.31
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Patients with stroke experience a number of environmental barriers, limiting their re-integration. Information regarding the barriers experienced by patients with stroke in a specific setting such as the Musanze district in Rwanda would assist with the development of rehabilitation programmes that would take...
journal_title:African health sciences
pub_type: 杂志文章
doi:
更新日期:2011-09-01 00:00:00
abstract:Objectives:Fungus Cordyceps militaris has been used as a herbal tonic in traditional Chinese medicine, which could be surface liquid-cultured for mycelia production. To evaluate the potential of polysaccharides obtained from mycelia of Cordyceps militaris (PS-MCM) for attenuation of side-effects of chemotherapy. Metho...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v19i2.40
更新日期:2019-06-01 00:00:00
abstract:Background and objectives:A lot of research has been directed towards medicinal plants which are considered as a source of multiple phytotherapic substances endowed with hypoglycemic activities that could be used to treat diabetes and its complications. Our study was carried out in Wistar rats to investigate the hypogl...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v19i4.6
更新日期:2019-12-01 00:00:00
abstract::A case is presented of a 43-year-old female patient who presented with severe dizziness, neck pain and headache. Clinical examination revealed diplopia with a horizontal gaze. Plain skull radiographs showed an enlarged sella turcica with no abnormal intracraial calcifications. Pre and post contrast axial and post cont...
journal_title:African health sciences
pub_type: 杂志文章
doi:
更新日期:2001-08-01 00:00:00
abstract:Background:The hypercoagulability of pregnancy is exaggerated in pre-eclamptic state because of endothelial activation with resultant production of some endothelial derived proteins that are said to be inhibitors of fibrinolysis. This study compares these proteins like tPA, PAI-1 and D-dimers in normal pregnant women a...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v18i3.15
更新日期:2018-09-01 00:00:00
abstract:INTRODUCTION:The burden of both community and hospital acquired adverse drug reactions (ADRs) are some of the important issues in pharmacotherapy. At the time of this study there was very scanty literature in this area from Africa. OBJECTIVE:This study was done to determine the frequency and characteristics of ADRs in...
journal_title:African health sciences
pub_type: 杂志文章
doi:
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Upper gastrointestinal bleeding (UGIB) is a common emergency medical condition that may require hospitalization and resuscitation, and results in high patient morbidity. Upper gastrointestinal endoscopy is the preferred investigative procedure for UGIB because of its accuracy, low rate of complication, and i...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v12i4.19
更新日期:2012-12-01 00:00:00
abstract:Background:The risk of death from complications related to cancer of the cervix is a main health problem over the course of a woman's life in low income countries. It commonly affects women infected with HIV. Therefore, screening women infected with HIV should start in low income countries, including Ethiopia. Methods...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v19i1.46
更新日期:2019-03-01 00:00:00
abstract:Introduction:Although compliance with surveillance guidelines is crucial to epidemic diseases control, determinants of use of these guidelines in Nigeria are poorly documented. We assess health workers compliance and factors associated with the surveillance and response guidelines for epidemic-prone diseases in South-W...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v18i2.28
更新日期:2018-06-01 00:00:00
abstract:Background:Parvovirus B19 (B19) has tropism for cells of the erythroid lineage, which may lead to transient inhibition of erythropoiesis. Several studies and case reports suggested that B19 infection may contribute significantly to severe chronic anemia in HIV infected persons. Objective:To detect parvovirus B19 DNA i...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v20i1.27
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Macronutrient deficiency has continued to attract significant research interest, where as the import of micronutrients like zinc has only recently become the focus of interest. Thus against the background of a dearth of data on zinc levels in Nigerian children with Acute Lower Respiratory Infection (ALRI), t...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v14i1.21
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:This study is the first documented prevalence of IgG antibody against HSV-1&-2 in Port Harcourt, Nigeria and thus provides baseline data for future in-depth studies on HSV infection in South-South, Nigeria. OBJECTIVE:This study determined the seropositivity and determinants of serum IgG antibody against HSV...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v15i3.6
更新日期:2015-09-01 00:00:00
abstract:Background:Rape remains a controversial issue with a few victims reporting experience because of the myriad of societal perception, prolonged steps in pursuing a case to logical conclusion of securing conviction, as well as psychological and physical residuals of the experience. Data in Nigeria is therefore hard to com...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v20i2.17
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:The impact and management of HIV/AIDS in Lesotho in the context of disaster management was investigated. OBJECTIVES:Lesotho health care workers' perception on HIV/AIDS progression, whether HIV/AIDS was managed as a disaster, and the impact on the demographic profile was investigated. METHODS:The empirical ...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v13i4.36
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Pain, swelling and trismus are common complications associated with third molar surgery. These complications have been reported to have an adverse effect on the quality of life of patients undergoing third molar surgery. OBJECTIVE:To review the different modalities of minimizing inflammatory complications i...
journal_title:African health sciences
pub_type: 杂志文章,评审
doi:
更新日期:2011-09-01 00:00:00
abstract:Introduction:Autosomal Dominant Polycystic Kidney Disease (ADPKD) is presumably rare in Africa. Knowledge about the disease in Nigeria is limited as demonstrated by scanty articles on the subject. Objectives:To determine the pattern of clinical presentation and outcome of ADPKD among ADPKD patients. Method:ADPKD subj...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v18i3.25
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:The extract of the leaves of Viscum album (mistletoe) has been used for centuries in traditional medicine in many parts of the world. However, like many medicinal plants, the belief that things of natural origin are safe may not be entirely true. The blood is a good indicator of health and pathological mirro...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v15i2.38
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVE:The study was performed to investigate the association of interleukin 17 (IL 17) or angiotensin II (Ang II) with refractory hypertension risk in hemodialysis patients. METHODS:Ninety hemodialysis patients were enrolled into this study, and those with hypertension were divided into two groups. The Easy-to-Con...
journal_title:African health sciences
pub_type: 杂志文章
doi:10.4314/ahs.v16i3.17
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:The plant, Parquetina nigrescens is used in folklore medicine to treat diabetes mellitus and its complications in several parts of West Africa. OBJECTIVE:To determine the effect of Parquetina nigrescens extract on fasting blood glucose in alloxan-induced diabetic rats. METHODS:The blood glucose levels, com...
journal_title:African health sciences
pub_type: 杂志文章
doi:
更新日期:2010-09-01 00:00:00