the aid library

Disease diagnosis in primary care in Uganda

Martin Kayitale Mbonye, Sarah M Burnett, Robert Colebunders, et al. (2014) CC

BMC Family Practice201415:165, DOI: 10.1186/1471-2296-15-165 Open Access

Rwanda’s evolving community health worker system: a qualitative assessment of client and provider perspectives

Condo J, et al. Human Resources for Health (2014) CC

This study highlights the challenges and areas in need of improvement as perceived by CHWs and beneficiaries, in regards to a nationwide scale-up of CHW interventions in a resource-challenged country. Identifying and understanding these barriers, and addressing them accordingly, particularly within ... more

Persons with disabilities as experts-by experience: using personal narratives to affect community attitudes in Kilifi, Kenya

Joseph K. Gona, Newton C.R., Hartley, Sally, et al. (2018) C1

International Health and Human Rights (2018) 18:18 Disability awareness, Community, Attitudes, Experts-by-experience

The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study

Panday, S., P. Bissell , E.van Teijlingen, et al. (2017) CC

BMC Health Services Research (2017) 17:623 DOI 10.1186/s12913-017-2567-7

Breast and cervical cancer screening services in Malawi: a systematic review

Pittalis, C.; Panteli, E.; Schouten, E. et al. BMC (2020) CC2

To identify and to assess factors enhancing or hindering the delivery of breast and cervical cancer screening services in Malawi with regard to accessibility, uptake, acceptability and effectiveness. Systematic review of published scientific evidence. A search of six bibliographic databases and gre ... more

Screening for cardiovascular disease risk and subsequent management in low and middle income countries: challenges and opportunities

Bovet, P.; Chiolero, A.; Paccaud, F. et al. Public Health Reviews (2015) CC

Background: Cardiovascular disease (CVD), mainly heart attack and stroke, is the leading cause of premature mortality in low and middle income countries (LMICs). Identifying and managing individuals at high risk of CVD is an important strategy to prevent and control CVD, in addition to multisector ... al population-based interventions to reduce CVD risk factors in the entire population. Methods: We describe key public health considerations in identifying and managing individuals at high risk of CVD in LMICs. Results: A main objective of any strategy to identify individuals at high CVD risk is to maximize the number of CVD events averted while minimizing the numbers of individuals needing treatment. Scores estimating the total risk of CVD (e.g. ten-year risk of fatal and non-fatal CVD) are available for LMICs, and are based on the main CVD risk factors (history of CVD, age, sex, tobacco use, blood pressure, blood cholesterol and diabetes status). Opportunistic screening of CVD risk factors enables identification of persons with high CVD risk, but this strategy can be widely applied in low resource settings only if cost effective interventions are used (e.g. the WHO Package of Essential NCD interventions for primary health care in low resource settings package) and if treatment (generally for years) can be sustained, including continued availability ofaffordable medications and funding mechanisms that allow people to purchase medications without impoverishing them (e.g. universal access to health care). Thisalso emphasises the need to re-orient health systems in LMICs towards chronic diseases management. Conclusion: The large burden of CVD in LMICs and the fact that persons with high CVD can be identified and managed along cost-effective interventions mean that health systems need to be structured in a way that encourages patient registration, opportunistic screening of CVD risk factors, efficient procedures for the management of chronic conditions (e.g. task sharing) and provision of affordable treatment for those with high CVD risk. The focus needs to be in primary care because that is where most of the population can access health care and because CVD programmes can be run effectively at this level. more

Health systems context(s) for integrating mental health into primary health care in six Emerald countries: a situation analysis

Mugisha J.; Abdulmalik, J.; Hanlon C; et al. International Journal of Mental Health Systems; BioMed Central (2017) C1

Mugisha et al. Int J Ment Health Syst (2017) 11:7 DOI 10.1186/s13033-016-0114-2

Workplace violence and gender discrimination in Rwanda’s health workforce: Increasing safety and gender equality

Newman, C.J., de Vries, D.H., Kanakuze, J., et al. Human Resources for Health (2011) CC

This article reexamines a set of study findings that directly relate to the influence of gender on workplace violence, synthesizes these findings with other research from Rwanda, and examines the subsequent impact of the study on Rwanda’s policy environment.

Integrating mental health into primary carein Nigeria: report of a demonstration project using the mental health gap actionprogramme intervention guide

Gureje, O.; Jibril , A.; Kola, L.; et al. BioMed Central (2015) CC

Gurejeet al. BMC Health Services Research (2015) 15:242 DOI 10.1186/s12913-015-0911-3

Prevalence and factors associated with prediabetes and diabetes mellitus in Kenya: results from a national survey

Mohamed, S.F.; Mwangi M., Mutua1 M.K., et al. BMC Public Health (2018) C1

Mohamed et al. BMC Public Health 2018, 18(Suppl 3):1215 https://doi.org/10.1186/s12889-018-6053-xpre-

Mortality changes after grants from the Global Fund to Fight AIDS, tuberculosis and malaria: an econometric analysis from 1995 to 2010

Yan I.; Korenromp E.; Bendavid E. et al. BMC Public Health (2015) C2

Between 2012 and 2016, development assistance for HIV/AIDS decreased by 20·0%; domestic financing is therefore critical to sustaining the response to HIV/AIDS. To understand whether domestic resources could fill the financing gaps created by declines in development assistance, we aimed to track spe ... more

Factors associated with depression among HIV/AIDS children in China

E. Zhou; Z. Qiao; Y. Cheng; et al. International Journal of Mental Health Systems; BioMed Central (2019) CC

Zhou et al. Int J Ment Health Syst (2019) 13:10 https://doi.org/10.1186/s13033-019-0263-1

Selection of essential medicines for the prevention and treatment of cardiovascular diseases in low and middle income countries

Bazargani, Y.T.; Ugurlu, M.; Leufkens, H.G.M. et al. BMC Cardiovascular Disorders (2018) CC

The incidence and mortality of cardiovascular diseases (CVDs) in low and middle income countries (LMICs) have been increasing, while access to CVDs medicines is suboptimal. We assessed selection of essential medicines for the prevention and treatment of CVDs on national essential medicines lists (NE ... more

Three models of community mental health services In low-income countries

A. Cohen, J. Eaton, B. Radtke, et al. (2011) CC

International Journal of Mental Health Systems December 2011, 5:3 Community mental health programs in low-income countries face a number of challenges. Using a case study methodology developed for this purpose, it is possible to compare programs and begin to assess the effectiveness of diverse serv ... more

Lineamientos para la prevención COVID-19 e Inocuidad de los Alimentos

Insuasti et al. OPS (2020) C_WHO

Versión 1.2 13-07-2020 . La finalidad de los siguientes lineamientos del protocolo, es presentar las medidas adicionales que se pueden adoptar para preservar la integridad de la cadena alimentaria y garantizar el acceso de los consumidores a alimentos que satisfagan susnecesidades, sin poner en ri ... more

Qualitative assessment of community health workers’ perspective on their motivation in community-based primary health care in rural Malawi

Ndambo, M.K.; Munyaneza, F.; Aron, M.B. et al. BMC Health Services Research (2022) CC

Background: Community Health Workers (CHWs) have a positive impact on the provision of community-based primary health care through screening, treatment, referral, psychosocial support, and accompaniment. With a broad scope of work, CHW programs must balance the breadth and depth of tasks to mainta ... in CHW motivation for high-quality care delivery. Few studies have described the CHW perspective on intrinsic and extrinsic motivation to enhance their programmatic activities. Methods: We utilized an exploratory qualitative study design with CHWs employed in the household model in Neno District, Malawi, to explore their perspectives on intrinsic and extrinsic motivators and dissatisfiers in their work. Data was collected in 8 focus group discussions with 90 CHWs in October 2018 and March–April 2019 in seven purposively selected catchment areas. All interviews were audiotaped, transcribed verbatim, coded, and analyzed using Dedoose. Results: Themes of complex intrinsic and extrinsic factors were generated from the perspectives of the CHWs in the focus group discussions. Study results indicate that enabling factors are primarily intrinsic factors such as positive patient outcomes, community respect, and recognition by the formal health care system but can lead to the chal- lenge of increased scope and workload. Extrinsic factors can provide challenges, including an increased scope and workload from original expectations, lack of resources to utilize in their work, and rugged geography. However, a posi- tive work environment through supportive relationships between CHWs and supervisors enables the CHWs. Conclusion: This study demonstrated enabling factors and challenges for CHW performance from their perspec- tive within the dual-factor theory. We can mitigate challenges through focused efforts to limit geographical distance, manage workload, and strengthen CHW support to reinforce their recognition and trust. Such programmatic empha- sis can focus on enhancing motivational factors found in this study to improve the CHWs’ experience in their role. The engagement of CHWs, the communities, and the formal health care system is critical to improving the care provided to the patients and communities, along with building supportive systems to recognize the work done by CHWs for the primary health care systems. more

Lessons from case studies of integrating mentalhealth into primary health care in South Africa and Uganda

Petersen, I.; et al. (2011) CC

Petersenet al.International Journal of Mental Health Systems2011,5:8http://www.ijmhs.com/content/5/1/8

Bridging the Gap: IEC 4 LGBTI

Mary Leakey et al. COC Netherlands and Columbia University – ICAP (South Africa) (2015) CC

A Handbook to Support Strengthening of Organisational Capacity in Developing Information, Education and Communication (IEC) Materials for Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) People in Southern Africa Accessed 7 July 2015

Control and elimination of Schistosoma mansoni infection in adult individuals on Ukerewe island, northwestern Tanzania: baseline results before implementation of intervention measures

Mazigo, H.D.; Chiombola, C.E., S. Mugassa, et al. (2024) CC

BMC Infectious Diseases (2024) 24:1102 Communities living along the shoreline and on the islands of Lake Victoria in northwestern Tanzania remain endemic for schistosomiasis and suffer from the life-threatening morbidities associated with the disease.