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Relevant bibliographies by topics / Medical care – Zimbabwe

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Journal articles

Academic literature on the topic 'Medical care – Zimbabwe'

Author: Grafiati

Published: 4 June 2021

Last updated: 16 February 2022

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Journal articles on the topic "Medical care – Zimbabwe"

1

Choguya, Naume Zorodzai. "Traditional and Skilled Birth Attendants in Zimbabwe: A Situational Analysis and Some Policy Considerations." Journal of Anthropology 2015 (May 18, 2015): 1–11. http://dx.doi.org/10.1155/2015/215909.

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The paper focuses on the situational analysis of traditional birth attendants (TBAs) and skilled birth attendants (SBAs) in Zimbabwe. Against a background of a frail health care system, characterised by a shortage in skilled professionals, increased cost of medical care, and geographic and economic inaccessibility of health care centres among others, TBAs have remained a life-line for especially many rural women in maternal health care provision. Moreover, TBAs have also found their way into the urban areas of Zimbabwe. The shift in international policy and health funding toward skilled birth attendants (i.e., an accredited health professional) has materialized into concerted government efforts to increase numbers of both midwifery training institutions and midwives themselves. The call for SBAs, though a worthy ideal, is out of touch with the lived realities of pregnant women in low resource settings such as Zimbabwe. The study is concerned with situational analysis of TBAs and SBAs in maternal health care service provision in Zimbabwe analysing and evaluating policy considerations.

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2

Cowan, Frances M., Calum B. Davey, Elizabeth Fearon, et al. "The HIV Care Cascade Among Female Sex Workers in Zimbabwe." JAIDS Journal of Acquired Immune Deficiency Syndromes 74, no. 4 (2017): 375–82. http://dx.doi.org/10.1097/qai.0000000000001255.

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3

Napierala, Sue, Sungai Tafadzwa Chabata, Elizabeth Fearon, et al. "Engagement in HIV Care Among Young Female Sex Workers in Zimbabwe." JAIDS Journal of Acquired Immune Deficiency Syndromes 79, no. 3 (2018): 358–66. http://dx.doi.org/10.1097/qai.0000000000001815.

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Munongo, E., G. Mungwadzi, R. Vohra, C. Herrforth, and K. M. Lunney. "Needs Assessment of Emergency Medical Care in Zimbabwe: Preliminary Results from a Survey of Primary Care Physicians." African Journal of Emergency Medicine 3, no. 2 (2013): 83. http://dx.doi.org/10.1016/j.afjem.2012.09.007.

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5

Patel, Vikram, Charles Todd, Mark Winston, et al. "Common mental disorders in primary care in Harare, Zimbabwe: Associations and risk factors." British Journal of Psychiatry 171, no. 1 (1997): 60–64. http://dx.doi.org/10.1192/bjp.171.1.60.

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BackgroundThis study aimed to investigate the associations for common mental disorders (CMD) among primary care attenders in Harare.MethodThis was an unmatched case-control study of attenders at primary health clinics, general practitioner surgeries and traditional medical practitioner clinics; 199 cases with CMD as identified by an indigenously developed case-finding questionnaire, and 197 controls (non-cases), were interviewed using measures of sociodemographic data, disability, care-giver diagnoses and treatment, explanatory models, life events and alcohol use.ResultsCMD was associated with female gender (.=0.04) and older age (.=0.02). After adjustment for age, gender and site of recruitment, CMD was significantly associated with chronicity of illness; number of presenting complaints; beliefs in “thinking too much” and witchcraft as a causal model; economic impoverishment; infertility; recent unemployment; an unhappy childhood for females; disability; and consultations with traditional medical practitioners and religious priests.ConclusionsMental disorders are associated with female gender, disability, economic deprivation, and indigenous labels of distress states.

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6

Williams, H., and A. P. Reeler. "Teaching Zimbabwean Medical Students an Awareness of Hidden Psychological Disorder in an Urban Outpatient Setting." Tropical Doctor 19, no. 2 (1989): 52–54. http://dx.doi.org/10.1177/004947558901900203.

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A one-week attachment to an urban primary health care clinic was introduced into the eight-week psychiatric teaching block for fourth (penultimate) year medical students at the University of Zimbabwe. Its objective was to alert students to underlying psychological disorder in patients presenting, at primary health care level, with physical symptomatology. Students were required to screen patients using a 20-item questionnaire, take a psychosocial history of all high-scoring patients, and make one home visit. The attachment proved both popular and valuable, and it is anticipated that this will now become an integral part of the psychiatric teaching block.

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7

TODD, C., V. PATEL, E. SIMUNYU, et al. "The onset of common mental disorders in primary care attenders in Harare, Zimbabwe." Psychological Medicine 29, no. 1 (1999): 97–104. http://dx.doi.org/10.1017/s0033291798007661.

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Background. This study aimed to investigate the onset and predictors of common mental disorders (CMD) in primary-care attenders in Harare, Zimbabwe.Method. Two (T1) and 12-month (T2) follow-up of a cohort of primary-care attenders without a common mental disorder (N=197) as defined by the Shona Symposium Questionnaire (SSQ), recruited from primary health care clinics, traditional medical practitioner clinics and general practitioner surgeries. Outcome measure was caseness as determined by scores on the SSQ at follow-up.Results. Follow-up rate was 86% at 2 months and 75% at 12 months. Onset of CMD was recorded in 16% at T1 and T2. Higher psychological morbidity scores at recruitment, death of a first-degree relative and disability predicted the presence of a CMD at both follow-up points. While female gender and economic difficulties predicted onset only in the short-term, belief in supernatural causation was strongly predictive of CMD at T2. Caseness at both follow-up points was associated with economic problems and disability at those follow-up points.Conclusions. Policy initiatives to reduce economic deprivation and targeting interventions to primary-care attenders who are subclinical cases and those who have been bereaved or who are disabled may reduce the onset of new cases of CMD. Closer collaboration between biomedical and traditional medical practitioners may provide avenues for developing methods of intervention for persons with supernatural illness models.

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8

Mudhovozi, Pilot, Simba Mugadza, and Levison Maunganidze. "Medical Health Care Practitioners’ Views on Collaboration with Psychologists in the City of Harare (Zimbabwe)." Journal of Social Sciences 44, no. 1 (2015): 91–94. http://dx.doi.org/10.1080/09718923.2015.11893465.

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9

Patel, Vikram, Charles Todd, Mark Winston, et al. "Outcome of common mental disorders in Harare, Zimbabwe." British Journal of Psychiatry 172, no. 1 (1998): 53–57. http://dx.doi.org/10.1192/bjp.172.1.53.

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BackgroundLittle is known about the outcome of common mental disorders (CMD) in primary care attenders in low income countries.MethodTwo and 12 month (T1 and T2) follow-up of a cohort of cases of CMD (n=199) recruited from primary health, traditional medical practitioner, and general practitioner clinics in Harare, Zimbabwe. The Shona Symptom Questionnaire (SSQ) was the measure of caseness.ResultsThe persistence of case level morbidity was recorded in 41% of subjects at 12 months. Of the 134 subjects interviewed at both follow-up points, 49% had recovered by T1 and remained well at T2 while 28% were persistent cases at both T1 and T2. Higher SSQ scores, a psychological illness model, bereavement and disability predicted a poor outcome at both times. Poorer outcome at T1 only was associated with a causal model of witch-craft and an unhappy childhood. Caseness at follow-up was associated with disability and economic deprivation.ConclusionsA quarter of cases of CMD were likely to be ill throughout the 12 month follow-up period. Targeting risk groups for poor outcome for interventions and policy interventions to reduce the impact of economic deprivation may provide a way of tackling CMD in primary care in low income countries.

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10

Mutowo, Mutsa P., Paula K. Lorgelly, Michael Laxy, Andre M. N. Renzaho, John C. Mangwiro, and Alice J. Owen. "The Hospitalization Costs of Diabetes and Hypertension Complications in Zimbabwe: Estimations and Correlations." Journal of Diabetes Research 2016 (2016): 1–9. http://dx.doi.org/10.1155/2016/9754230.

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Objective. Treating complications associated with diabetes and hypertension imposes significant costs on health care systems. This study estimated the hospitalization costs for inpatients in a public hospital in Zimbabwe.Methods. The study was retrospective and utilized secondary data from medical records. Total hospitalization costs were estimated using generalized linear models.Results. The median cost and interquartile range (IQR) for patients with diabetes, $994 (385–1553) mean $1319 (95% CI: 981–1657), was higher than patients with hypertension, $759 (494–1147) mean $914 (95% CI: 825–1003). Female patients aged below 65 years with diabetes had the highest estimated mean costs ($1467 (95% CI: 1177–1828)). Wound care had the highest estimated mean cost of all procedures, $2884 (95% CI: 2004–4149) for patients with diabetes and $2239 (95% CI: 1589–3156) for patients with hypertension. Age below 65 years, medical procedures (amputation, wound care, dialysis, and physiotherapy), the presence of two or more comorbidities, and being prescribed two or more drugs were associated with significantly higher hospitalization costs.Conclusion. Our estimated costs could be used to evaluate and improve current inpatient treatment and management of patients with diabetes and hypertension and determine the most cost-effective interventions to prevent complications and comorbidities.

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