African health sciences
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African health sciences · Apr 2004
Multicenter StudyHealth providers' counselling of caregivers in the Integrated Management of Childhood Illness (IMCI) programme in Uganda.
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. ⋯ The performance of health providers was good in 9 out of 20 IMCI counselling items, and cadre of health provider, IMCI experience, number of supervisory visits and praise of health provider were associated with IMCI counselling. Improvements in IMCI counselling could be achieved through emphasis on use of IMCI job aids; strengthening support supervision and providing positive feedback to health providers. The issue of availability of pre-referral drugs should be addressed by ensuring that these drugs are part of the essential drug kit. Finally, health providers should be trained and encouraged to address the health of the caregivers as well.
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African health sciences · Apr 2004
Comparative StudyTemperament characteristics of street and non-street children in Eldoret, Kenya.
To examine the interaction of temperament and environment and how these impact on the psychological function of street children and non-street children in Eldoret Kenya. ⋯ These results support earlier research on street children. Counter to public opinion and hostility, the children are resilient, adaptable and flexibile in the face of adversity and remaining well adjusted as individuals.
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African health sciences · Apr 2004
Manifestations, quality of emergency care and outcome of severe malaria in Mulago Hospital, Uganda.
About 100,000 children die annually from severe malaria in Uganda and more than 75% of health unit based deaths occur within 24 hours of admission. Most of these deaths are associated with poor resuscitation systems, delays within the units by health workers and lack of essential drugs and supplies. ⋯ The unit should set targets for quality improvement to include increased staffing and supplies, a time limit within which children should be seen and measures of decongestion. Determination of blood sugar in patients with severe malaria should be made a basic requirement.
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The incidence of salivary gland tumors is claimed to be influenced by geographical and racial factors. The pathological classification and nomenclature of salivary gland tumors as defined by WHO classification (1991), is accepted world-wide but little is available in the literature regarding the spectrum of salivary gland tumors in Africa in the basis of this classification. Such efforts would allow comparison and justify any differences between the black African population and the rest of the world. ⋯ The pattern of distribution of salivary gland tumors in black African population seems to differ from that of Western series in that; i) females are more affected than males, ii) there is a low proportion of tumors from the parotid gland and high proportion of tumors from the submandibular and minor salivary glands, iii) the parotid and minor salivary gland tumors have more probability of being malignant than those tumors from the submandibular gland iv) the newly categorized pathological entities are common and v) Whartin's tumor is extremely rare in black African population.
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African health sciences · Apr 2004
Maternal and fetal outcome of gestational diabetes mellitus in Mulago Hospital, Uganda.
To determine the maternal and foetal outcomes in mothers with gestational diabetes mellitus attending antenatal clinics in Mulago Hospital Kampala Uganda. ⋯ Gestational diabetes mellitus exists in Uganda and is associated with adverse maternal and foetal outcomes. There is need to routinely screen mothers for gestational diabetes in this environment.