BACKGROUND Achieving high rates of adherence to antiretroviral therapy (ART) in resource-poor settings comprises serious, but different, challenges in both the first months of treatment and during the life-long maintenance phase. We measured the impact of a health system-oriented, facility-based intervention to improve clinic attendance and patient adherence. METHODS This was a quasi-experime...

Two hundred consecutive male cases of myocardial infarction have been treated along lines designed to provide a minimal time spent in bed, and in hospital, with early return to work. The method of treatment and the results are described. Rapid rehabilitation enabled 40 per cent to be discharged within a fortnight and 87 per cent within a month. Twenty-three per cent returned to work within 4 we...

Introduction It is often said that the majority of surgery in Africa occurs in cities because the surgeons prefer to live in the cities. This is certainly true in Malawi where all the country’s practising surgeons live in the four main towns. We have recently reported (1) on the low level of surgical activity in district hospitals despite several new district hospitals being built with multiple...

AIMS To evaluate the characteristics of manual haemoglobin methods in use in Malawi and provide evidence for the Ministry of Health in Malawi to enable them to choose a suitable method for district hospitals. METHODS Criteria on accuracy, clinical usefulness, user friendliness, speed, training time, and economic costs were determined by local health professionals and used to compare six diffe...

BACKGROUND The Ethiopian epidemic is currently on the wane. However, the situation for infected children is in some ways lagging behind due to low treatment coverage and deficient prevention of mother-to-child transmission. Too few studies have examined HIV infected children presenting to care in low-income countries in general. Considering the presence of local variations in the nature of the ...

BACKGROUND: For a health district to function referral from health centres to district hospitals is critical. In many developing countries referral systems perform well below expectations. Niger is not an exception in this matter. Beyond obvious problems of cost and access this study shows to what extent the behaviour of the health worker in its interaction with the patient can be a barrier of ...

OBJECTIVE The objective of the present study was to find out the appropriate BMI cut-off point in relation to type 2 diabetes mellitus (DM) in the population of Kavre district of Nepal. MATERIALS AND METHODS Thirty-five "known type 2 diabetic" and Thirty-five "self-reported non-diabetic" subjects above thirty years of age were included in the present study. Height and weight were recorded for...

*Corresponding Author Email: [email protected] Tel.: +98 21 4402 2067 Fax: +98 21 4402 2067 Note: Discussion period for this manuscript open until June 1, 2017 on GJESM website at the “Show Article”. ABSTRACT: Sustainable urban development is a new concept of fundamental environmental metropolitan management that not only creates the demand for changing the concepts of economic development, but ...

The present study was conducted to find out the prevalence of malaria in human population of selected four villages of district Okara, province Punjab, Pakistan. Malaria is endemic from the last few years in this area. Blood samples were collected by passive case detection method from four private clinics and a major Basic Health Unit (BHU). Prevalence was determined using slide positivity rate...