Tropical medicine & international health : TM & IH
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Trop. Med. Int. Health · Sep 2017
ReviewTreatment strategies for chronic osteomyelitis in low- and middle-income countries: systematic review.
To identify a standard treatment regime or highly successful procedure for chronic osteomyelitis in low- and middle-income countries. ⋯ The evidence is not sufficiently robust to identify the most effective treatment, or to even allow a recommendation of the best suitable treatment of chronic osteomyelitis in low-income countries.
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Trop. Med. Int. Health · Aug 2017
ReviewBarriers to obstetric fistula treatment in low-income countries: a systematic review.
To identify the barriers faced by women living with obstetric fistula in low-income countries that prevent them from seeking care, reaching medical centres and receiving appropriate care. ⋯ Results from the review indicate that there are many barriers to fistula treatment, which operate at the individual, community and national levels. The successful treatment of obstetric fistula may thus require targeting several barriers, including depression, stigma and shame, lack of community-based referral mechanisms, financial cost of the procedure, transportation difficulties, gender power imbalances, the availability of facilities that offer fistula repair, community reintegration and the competing priorities of political leadership.
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Trop. Med. Int. Health · Jul 2017
ReviewPerioperative nutrition management as an important component of surgical capacity in low- and middle-income countries.
Needs for surgical care are growing in low- and middle-income countries. Existing surgical care capacity indicators, focusing on the availability of equipment, personnel, and operation and anaesthetic skills, are not intended to evaluate perioperative nutrition management, which influences surgical outcomes. In this narrative review, we describe the prevalence of malnutrition and its clinical consequences among surgical patients in low- and middle-income countries, suggest potential measures to improve nutrition management and discuss the necessity of considering nutrition management as a component of surgical care capacity.
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Trop. Med. Int. Health · Jan 2017
Human papillomavirus (HPV) awareness and vaccine receptivity among Senegalese adolescents.
To examine HPV vaccine awareness and receptivity among adolescents and young adults in Senegal. ⋯ Healthcare providers and parents are important stakeholders in disseminating HPV vaccine information. Given the overall low levels of awareness, there is a great opportunity for public health communication efforts to craft health messaging and information in a way to maximise receptivity, outlining benefits and providing information on the minimal risks associated with the vaccine.