Bulletin of the World Health Organization
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Bull. World Health Organ. · Oct 2011
Excess child mortality after discharge from hospital in Kilifi, Kenya: a retrospective cohort analysis.
To explore excess paediatric mortality after discharge from Kilifi District Hospital, Kenya, and its duration and risk factors. ⋯ Hospital admission selects vulnerable children with a sustained increased risk of dying. The risk factors identified provide an empiric basis for effective outpatient follow-up.
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Bull. World Health Organ. · Sep 2011
Imprisonment and women's health: concerns about gender sensitivity, human rights and public health.
The health of prisoners is among the poorest of any population group and the apparent inequalities pose both a challenge and an opportunity for country health systems. The high rates of imprisonment in many countries, the resulting overcrowding, characteristics of prison populations and the disproportionate prevalence of health problems in prison should make prison health a matter of public health importance. Women prisoners constitute a minority within all prison systems and their special health needs are frequently neglected. ⋯ Additional needs stem from their frequent status as a mother and usually the primary carer for her children. National governments, policy-makers and prison management need to address gender insensitivity and social injustice in prisons. There are immediate steps which could be taken to deal with public health neglect, abuses of human rights and failures in gender sensitivity.
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Bull. World Health Organ. · Aug 2011
Emergency, anaesthetic and essential surgical capacity in the Gambia.
To assess the resources for essential and emergency surgical care in the Gambia. ⋯ The present survey of health-care facilities in the Gambia suggests that major gaps exist in the physical and human resources needed to carry out basic life-saving surgical interventions.
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Bull. World Health Organ. · Aug 2011
Lives saved by tuberculosis control and prospects for achieving the 2015 global target for reducing tuberculosis mortality.
To assess whether the global target of halving tuberculosis (TB) mortality between 1990 and 2015 can be achieved and to conduct the first global assessment of the lives saved by the DOTS/Stop TB Strategy of the World Health Organization (WHO). ⋯ Improvements in TB care and control since 1995 have greatly reduced TB mortality, saved millions of lives and brought within reach the global target of halving TB deaths by 2015 relative to 1990. Intensified efforts to reduce deaths among HIV+ TB cases are needed, especially in sub-Saharan Africa.