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Journal articles on the topic 'Primary health care – Zimbabwe'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

WATERSTON, T., and D. SANDERS. "Teaching primary health care: some lessons from Zimbabwe." Medical Education 21, no. 1 (1987): 4–9. http://dx.doi.org/10.1111/j.1365-2923.1987.tb00506.x.

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Woelk, Godfrey B. "Primary health care in Zimbabwe: Can it survive?" Social Science & Medicine 39, no. 8 (1994): 1027–35. http://dx.doi.org/10.1016/0277-9536(94)90374-3.

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Abas, Melanie, O. Lovemore Mbengeranwa, Iris V. Simmons Chagwedera, Patricia Maramba, and Jeremy Broadhead. "Primary Care Services for Depression in Harare, Zimbabwe." Harvard Review of Psychiatry 11, no. 3 (2003): 157–65. http://dx.doi.org/10.1080/10673220303952.

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Broadhead, Jeremy, and Melanie Abas. "Depressive Illness — Zimbabwe." Tropical Doctor 24, no. 1 (1994): 27–30. http://dx.doi.org/10.1177/004947559402400113.

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Depression is common in the developing world and accounts for 10–20% of attendances at primary care clinics. It is a condition associated with considerable morbidity. This paper considers the characteristics of depressive illness in Zimbabwe and discusses ways to improve detection and management.

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Ferrand, Rashida A., Lucia Munaiwa, John Matsekete, et al. "Undiagnosed HIV Infection among Adolescents Seeking Primary Health Care in Zimbabwe." Clinical Infectious Diseases 51, no. 7 (2010): 844–51. http://dx.doi.org/10.1086/656361.

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Chilunjika, Alouis, and Sharon R. T. Muzvidziwa-Chilunjika. "Dynamics surrounding the Implementation of the Primary Health Care Approach in Zimbabwe’s Rural Areas: The Case of Mt Darwin District." International Journal of Clinical Inventions and Medical Science 3, no. 1 (2021): 1–17. http://dx.doi.org/10.36079/lamintang.ijcims-0301.162.

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This research studied the implementation of the Primary Health Care approach to health service delivery in Zimbabwe’s rural areas from 2009 to 2012. The approach was launched in response to the Alma-Alta Declaration in 1978 which sought to end the inequalities in health care provision around the globe and was first adopted and implemented in 1982 in Zimbabwe. The approach almost collapsed due to the economic meltdown in the past decade but the period 2009 to 2013 marked a new economic paradigm in Zimbabwe which saw the economy being dollarized which subsequently led to the revival and the resu

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Chibanda, D. "Reducing the treatment gap for mental, neurological and substance use disorders in Africa: lessons from the Friendship Bench in Zimbabwe." Epidemiology and Psychiatric Sciences 26, no. 4 (2017): 342–47. http://dx.doi.org/10.1017/s2045796016001128.

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Mental, neurological and substance use disorders (MNS) are a leading cause of disability in Africa. In response to the large treatment gap for MNS, a growing body of evidence-based treatments (EBTs) is emerging from Africa; however, there is a dearth of knowledge on how to scale up EBT. The Friendship Bench intervention is a brief psychological treatment delivered through the primary health care system in Zimbabwe by trained lay health workers. It has contributed significantly towards narrowing the treatment gap for common mental disorders in Zimbabwe where it has been scaled up to over 70 pri

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Patel, V., E. Simunyu, and F. Gwanzura. "The pathways to primary mental health care in high-density suburbs in Harare, Zimbabwe." Social Psychiatry and Psychiatric Epidemiology 32, no. 2 (1997): 97–103. http://dx.doi.org/10.1007/bf00788927.

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Nyazema, Norman Z. "The Zimbabwe Crisis and the Provision of Social Services." Journal of Developing Societies 26, no. 2 (2010): 233–61. http://dx.doi.org/10.1177/0169796x1002600204.

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Historically, health care in Zimbabwe was provided primarily to cater to colonial administrators and the expatriate, with separate care or second-provision made for Africans. There was no need for legislation to guarantee its provision to the settler community. To address the inequities in health that had existed prior to 1980, at independence, Zimbabwe adopted the concept of Equity in Health and Primary Health Care. Initially, this resulted in the narrowing of the gap between health provision in rural areas and urban areas. Over the years, however, there have been clear indications of growing

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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

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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

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12

Chirundu, Daniel. "Adherence to Antiretroviral therapy among Clients Utilizing a Primary Health Care Facility Kadoma Zimbabwe (2016)." TEXILA INTERNATIONAL JOURNAL OF NURSING 4, no. 1 (2018): 10–22. http://dx.doi.org/10.21522/tijnr.2015.04.01.art002.

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13

Adamolekun, B., J. Mielke, D. Ball, and T. Mundanda. "An evaluation of the management of epilepsy by primary health care nurses in Chitungwiza, Zimbabwe." Epilepsy Research 39, no. 3 (2000): 177–81. http://dx.doi.org/10.1016/s0920-1211(99)00115-1.

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Adamolekun, Bola, Jens Mielke, Douglas Ball, and Tendai Mundanda. "An evaluation of the management of epilepsy by primary health care nurses in Chitungwiza, Zimbabwe." Journal of Epilepsy 10, no. 6 (1997): 294–97. http://dx.doi.org/10.1016/s0896-6974(97)00069-8.

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15

Munyati, S. S., T. Dhoba, E. D. Makanza, et al. "Chronic Cough in Primary Health Care Attendees, Harare, Zimbabwe: Diagnosis and Impact of HIV Infection." Clinical Infectious Diseases 40, no. 12 (2005): 1818–27. http://dx.doi.org/10.1086/429912.

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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

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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

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Mharakurwa, S., B. Manyame, and C. J. Shiff. "Trial of the ParaSight-F test for malaria diagnosis in the primary health care system, Zimbabwe." Tropical Medicine & International Health 2, no. 6 (1997): 544–50. http://dx.doi.org/10.1046/j.1365-3156.1997.d01-318.x.

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McHugh, G., A. Brunskill, E. Dauya, et al. "A comparison of HIV outpatient care in primary and secondary healthcare-level settings in Zimbabwe." Public Health Action 10, no. 3 (2020): 92–96. http://dx.doi.org/10.5588/pha.20.0006.

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Setting: Decentralisation of HIV care to nurse-led primary care services is being implemented across low- and middle-income countries in sub-Saharan Africa.Objective: To compare services offered to clients attending for HIV care at a physician-led and a nurse-led service in Harare, Zimbabwe.Design: A cross-sectional study was performed at Harare Central Hospital (HCH) and Budiriro Primary Care Clinic (PCC) from June to August 2018. An interviewer-administered questionnaire was used to collect sociodemographics, HIV treatment and clinical history from clients attending for routine HIV care. The

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Patel, Vikram. "A view from the road: experiences in four continents." Psychiatric Bulletin 18, no. 8 (1994): 500–502. http://dx.doi.org/10.1192/pb.18.8.500.

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Since graduating from medical school eight years ago, I have had the chance of experiencing clinical psychiatry in four countries on four continents; Bombay and Goa, India, my home, where I trained in medicine and began my psychiatric training; Oxford and London, United Kingdom, where I acquired a taste for academic psychiatry and completed my clinical training; Sydney, Australia, where I worked in a liaison unit in a large general hospital and a community mental health centre; and now, Harare, Zimbabwe, where I am conducting a two year study on traditional concepts of mental illness and the r

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Olaru, Ioana Diana, Rashida A. Ferrand, Shunmay Yeung, et al. "Knowledge, attitudes and practices relating to antibiotic use and resistance among prescribers from public primary healthcare facilities in Harare, Zimbabwe." Wellcome Open Research 6 (March 30, 2021): 72. http://dx.doi.org/10.12688/wellcomeopenres.16657.1.

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Background Overuse of antibiotics is one of the main drivers for antimicrobial resistance (AMR). Globally, most antibiotics are prescribed in the outpatient setting. This survey aimed to explore attitudes and practices with regards to microbiology tests, AMR and antibiotic prescribing among healthcare providers at public primary health clinics in Harare, Zimbabwe. Methods This cross-sectional survey was conducted in nine primary health clinics located in low-income suburbs of Harare between October and December 2020. In Zimbabwe, primary health clinics provide nurse-led outpatient care for acu

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Nyagadza, B., N. Kudya, E. Mbofana, et al. "Scaling up HIV viral load monitoring in Manicaland, Zimbabwe: challenges and opportunities from the field." Public Health Action 9, no. 4 (2019): 177–81. http://dx.doi.org/10.5588/pha.19.0024.

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Background: Demand for viral load (VL) monitoring is expected to increase; however, implementation of the multifaceted VL testing poses numerous challenges. We report experiences from Médecins Sans Frontiéres (MSF) and partners in the scale-up of HIV VL in collaboration with the Ministry of Health and Child Care (MoHCC) of Zimbabwe.Methods: A retrospective data review of routine reports from MSF-supported health facilities in Manicaland Province (Zimbabwe) was conducted. These secondary aggregate data were triangulated, and emerging themes of lessons learnt from VL monitoring were shared.Resul

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23

Madziyire, Mugove Gerald, Chelsea B. Polis, Taylor Riley, Elizabeth A. Sully, Onikepe Owolabi, and Tsungai Chipato. "Severity and management of postabortion complications among women in Zimbabwe, 2016: a cross-sectional study." BMJ Open 8, no. 2 (2018): e019658. http://dx.doi.org/10.1136/bmjopen-2017-019658.

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ObjectivesAbortion complications cause significant morbidity and mortality. We aimed to assess the severity and factors associated with abortion complications (induced or spontaneous), and the management of postabortion care (PAC) in Zimbabwe.DesignProspective, facility-based 28 day survey among women seeking PAC and their providers.Setting127 facilities in Zimbabwe with the capacity to provide PAC, including all central and provincial hospitals, and a sample of primary health centres (30%), district/general/mission hospitals (52%), private (77%) and non-governmental organisation (NGO) (68%) f

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Munjoma, Marshall W., Munyaradzi P. Mapingure, and Babill Stray-Pedersen. "Risk factors for herpes simplex virus type 2 and its association with HIV among pregnant teenagers in Zimbabwe." Sexual Health 7, no. 1 (2010): 87. http://dx.doi.org/10.1071/sh09106.

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Herpes simplex virus type 2 (HSV-2) causes a chronic infection that is recognised as the leading cause of genital ulcer disease worldwide and is known to increase the risk of HIV infection. In a cross-sectional study we examined risk factors for HSV-2 among 176 pregnant teenagers recruited from three primary health care clinics in Zimbabwe. The prevalence of HSV-2 and HIV were 41.6% and 29.2% respectively. HIV-infected teenagers were more likely to be HSV-2 seropositive compared with the HIV uninfected teenagers, odds ratio (OR) 7.9 (95% confidence interval (CI) 3.7–16.9). In multivariate anal

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Riley, Taylor, Mugove G. Madziyire, Tsungai Chipato, and Elizabeth A. Sully. "Estimating abortion incidence and unintended pregnancy among adolescents in Zimbabwe, 2016: a cross-sectional study." BMJ Open 10, no. 4 (2020): e034736. http://dx.doi.org/10.1136/bmjopen-2019-034736.

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ObjectiveTo estimate age-specific abortion incidence and unintended pregnancy in Zimbabwe, and to examine differences among adolescents by marital status and residence.DesignWe used a variant of the Abortion Incidence Complications Methodology, an indirect estimation approach, to estimate age-specific abortion incidence. We used three surveys: the Health Facility Survey, a census of 227 facilities that provide postabortion care (PAC); the Health Professional Survey, a purposive sample of key informants knowledgeable about abortion (n=118) and the Prospective Morbidity Survey of PAC patients (n

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Burnette, Denise. "FEASIBILITY OF AN EVIDENCE-BASED MENTAL HEALTH INTERVENTION WITH OLDER ADULTS IN POST-HURRICANE MARIA PUERTO RICO." Innovation in Aging 3, Supplement_1 (2019): S542. http://dx.doi.org/10.1093/geroni/igz038.1993.

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Abstract Owing to out-migration, decreased fertility and longer lifespans, 18.5% of Puerto Rico’s population is aged 60+ -- 36% live alone and 40% are below poverty. Out-migration after Hurricane Maria may well raise the proportion of older adults to 30%. Mental health problems are among the most widespread and enduring effects of disasters. Common Mental Disorders (CMD) (anxiety, depression, traumatic stress) are most common. Before Maria, CDC data showed 38 % of persons age 65+ reported fair or poor health and 20% had been told they had a depressive disorder. In the months after Maria, the o

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Magwali, Thulani Leslie, Abaden Svisva, Tarryn Bowers, et al. "Applying the RE-AIM framework in a process evaluation of the introduction of the Non-Pneumatic Anti-Shock Garment in a rural district of Zimbabwe." PLOS ONE 16, no. 5 (2021): e0251908. http://dx.doi.org/10.1371/journal.pone.0251908.

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The Non-Pneumatic Anti-Shock Garment (NASG) is a first aid tool that can halt and reverse hypovolemic shock secondary to obstetric hemorrhage. The World Health Organization recommended the NASG for use as a temporizing measure in 2012, but uptake of the recommendation has been slow, partially because operational experience is limited. The study is a process evaluation of the introduction of NASG in a public sector health facility network in rural Zimbabwe utilizing an adapted RE-AIM, categorizing observations into the domains of: reach, effectiveness, adoption, implementation and maintenance.

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Meagher, R. C., and T. Tingberg. "(A165) Red Cross Health Erus, a Modular Approach to the Challenge of Evolving Emergencies." Prehospital and Disaster Medicine 26, S1 (2011): s47—s48. http://dx.doi.org/10.1017/s1049023x11001634.

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Emergency Response Units (ERUs) were pioneered over a decade ago by the International Federation of Red Cross and Red Crescent Societies (IFRC), with the intention of providing a standardized, rapid global tool for response in disasters. Health ERUs are one example of several types of ERUs on stand-by in various countries around the world. Their tented infrastructure, basic medical equipment, and pre-trained personnel allow for the provision of surge medical capacity where it is needed. Commonly used set-ups include a Basic Health Care Unit and a Referral Hospital. The recently-introduced Rapi

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Chidarikire, Sherphard, Merylin Cross, Isabelle Skinner, and Michelle Cleary. "Navigating Nuances of Language and Meaning: Challenges of Cross-Language Ethnography Involving Shona Speakers Living With Schizophrenia." Qualitative Health Research 28, no. 6 (2018): 927–38. http://dx.doi.org/10.1177/1049732318758645.

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For people living with schizophrenia, their experience is personal and culturally bound. Focused ethnography enables researchers to understand people’s experiences in-context, a prerequisite to providing person-centered care. Data are gathered through observational fieldwork and in-depth interviews with cultural informants. Regardless of the culture, ethnographic research involves resolving issues of language, communication, and meaning. This article discusses the challenges faced by a bilingual, primary mental health nurse researcher when investigating the experiences of people living with sc

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Mbizvo, E. M., E. Msuya Sia, B. Stray-Pedersen, M. Z. Chirenje, M. Munjoma, and A. Hussain. "Association of herpes simplex virus type 2 with the human immunodeficiency virus among urban women in Zimbabwe." International Journal of STD & AIDS 13, no. 5 (2002): 343–48. http://dx.doi.org/10.1258/0956462021925171.

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A cross-sectional study at two urban primary health care clinics in Zimbabwe was conducted among 393 consecutive women. The purpose was to determine the seroprevalence of herpes simplex virus type 2 (HSV-2), to identify coinfections and to determine the association between HSV-2, HIV and other sexually transmitted infections (STIs). Sera were tested for HSV-2, HIV and syphilis. Genital specimens were tested for the other STIs. The seroprevalence of ulcerative STIs tested was 42.2% for HSV-2 and 3.9% for syphilis. HSV-2 seropositive women had twice the risk of being HIV infected compared to HSV

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Janca, A., JD Burke, M. Isaac, et al. "The World Health Organization somatoform disorders schedule. A preliminary report on design and reliability." European Psychiatry 10, no. 8 (1995): 373–78. http://dx.doi.org/10.1016/0924-9338(96)80340-3.

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SummaryThe World Health Organization (WHO) Somatoform Disorders Schedule (SDS) is a highly standardized instrument for the assessment of somatoform disorders according to the tenth revision of the International Classification of Diseases (ICD-10) and the fourth edition of the Diagnostic and Statistical Manual (DSM-IV). The SDS was produced in the framework of the WHO International Study of Somatoform Disorders and tested for its reliability in Brazil, India, Italy, the USA and Zimbabwe. A sample of 180 patients from general psychiatry, primary care and general medical settings were interviewed

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Patel, V., T. Musara, T. Butau, P. Maramba, and S. Fuyane. "Concepts of mental illness and medical pluralism in Harare." Psychological Medicine 25, no. 3 (1995): 485–93. http://dx.doi.org/10.1017/s0033291700033407.

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SYNOPSISThe Focus Group Discussions (FGD) described in this paper are the first step of a study aiming to develop an ‘emic’ case-finding instrument. In keeping with the realities of primary care in Zimbabwe, nine FGD were held with 76 care providers including 30 village community workers, 22 traditional and faith healers (collectively referred to as traditional healers in this paper), 15 relatives of patients and 9 community psychiatric nurses. In addition to the general facets of concepts of mental illness, three ‘etic’ case vignettes were also presented.A change in behaviour or ability to ca

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Ouansafi, Ilhame, Dixon Chibanda, Epiphania Munetsi, and Victoria Simms. "Impact of Friendship Bench problem-solving therapy on adherence to ART in young people living with HIV in Zimbabwe: A qualitative study." PLOS ONE 16, no. 4 (2021): e0250074. http://dx.doi.org/10.1371/journal.pone.0250074.

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Background Adolescents and young people globally are highly vulnerable to poor mental health especially depression, and they account for 36% of new HIV infections in Eastern and Southern Africa. HIV services remain inadequate for this population and their adherence to ART is low. The Friendship Bench (FB), an evidence-based model developed in Zimbabwe to bridge the mental health gap, is a brief psychological intervention delivered on benches in primary care facilities by lay health workers (“grandmothers”) trained in problem-solving therapy. This study explored the experience of young people l

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Olaru, Ioana D., Mutsawashe Chisenga, Shunmay Yeung, et al. "Sexually transmitted infections and prior antibiotic use as important causes for negative urine cultures among adults presenting with urinary tract infection symptoms to primary care clinics in Zimbabwe: a cross-sectional study." BMJ Open 11, no. 8 (2021): e050407. http://dx.doi.org/10.1136/bmjopen-2021-050407.

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ObjectiveUrinary tract infections (UTIs) are common in primary care. The yield of urine cultures in patients with UTI symptoms can be considerably different between high-income and low-income settings. This study aimed to explore possible causes of negative urine cultures in patients presenting with symptoms of UTI to primary health clinics in Harare.DesignCross-sectional study.SettingNine primary health clinics in Harare, Zimbabwe.ParticipantsAdults presenting with symptoms of UTIs between March and July 2020.Primary outcome measuresUrine samples underwent dipstick testing, microscopy, cultur

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Dziva Chikwari, Chido, Victoria Simms, Stefanie Dringus, et al. "Evaluating the effectiveness and cost-effectiveness of health facility-based and community-based index-linked HIV testing strategies for children: protocol for the B-GAP study in Zimbabwe." BMJ Open 9, no. 7 (2019): e029428. http://dx.doi.org/10.1136/bmjopen-2019-029428.

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IntroductionThe number of new paediatric infections per year has declined in sub-Saharan Africa due to prevention-of-mother-to-child HIV transmission programmes; many children and adolescents living with HIV remain undiagnosed. In this protocol paper, we describe the methodology for evaluating an index-linked HIV testing approach for children aged 2–18 years in health facility and community settings in Zimbabwe.Methods and analysisIndividuals attending for HIV care at selected primary healthcare clinics (PHCs) will be asked if they have any children aged 2–18 years in their households who have

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Matsena Zingoni, Zvifadzo, Tobias Chirwa, Jim Todd, and Eustasius Musenge. "Competing risk of mortality on loss to follow-up outcome among patients with HIV on ART: a retrospective cohort study from the Zimbabwe national ART programme." BMJ Open 10, no. 10 (2020): e036136. http://dx.doi.org/10.1136/bmjopen-2019-036136.

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ObjectiveTo determine the loss to follow-up (LTFU) rates at different healthcare levels after antiretroviral therapy (ART) services decentralisation among ART patients who initiated ART between 2004 and 2017 using the competing risk model in addition to the Kaplan-Meier and Cox regressions analysis.DesignA retrospective cohort study.SettingThe study was done in Zimbabwe using a nationwide routinely collected HIV patient-level data from various health levels of care facilities compiled through the electronic patient management system (ePMS).ParticipantsWe analysed 390 771 participants aged 15 y

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Wogrin, Carol, Nicola Willis, Abigail Mutsinze, et al. "It helps to talk: A guiding framework (TRUST) for peer support in delivering mental health care for adolescents living with HIV." PLOS ONE 16, no. 3 (2021): e0248018. http://dx.doi.org/10.1371/journal.pone.0248018.

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Introduction Adolescents living with HIV have poor treatment outcomes, including lower rates of viral suppression, than other age groups. Emerging evidence suggests a connection between improved mental health and increased adherence. Strengthening the focus on mental health could support increased rates of viral suppression. In sub-Saharan Africa clinical services for mental health care are extremely limited. Additional mechanisms are required to address the unmet mental health needs of this group. We consider the role that community-based peer supporters, a cadre operating at scale with adole

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Mebrahtu, Helen, Victoria Simms, Zivai Mupambireyi, et al. "Effects of parenting classes and economic strengthening for caregivers on the cognition of HIV-exposed infants: a pragmatic cluster randomised controlled trial in rural Zimbabwe." BMJ Global Health 4, no. 5 (2019): e001651. http://dx.doi.org/10.1136/bmjgh-2019-001651.

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IntroductionHIV-exposed children show signs of developmental delay. We assessed the impact of a pragmatic multicomponent intervention for caregivers of HIV-exposed children aged 0–2 years in Zimbabwe.MethodsWe conducted a cluster-randomised trial from 2016 to 2018. Clusters were catchments surrounding clinics, allocated (1:1) to either National HIV guidelines standard of care or standard care plus an 18-session group intervention comprising i) early childhood stimulation (ECS) and parenting training with home visits to reinforce skills and retention in HIV care; ii) economic strengthening. Pri

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Tessema, Zemenu Tadesse, and Amare Minyihun. "Utilization and Determinants of Antenatal Care Visits in East African Countries: A Multicountry Analysis of Demographic and Health Surveys." Advances in Public Health 2021 (January 13, 2021): 1–9. http://dx.doi.org/10.1155/2021/6623009.

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Background. The health care a woman receives during pregnancy is important for her survival and baby, both at the time of delivery and shortly after that. In the context of high maternal morbidity and mortality in sub-Saharan Africa, fewer than 80% of pregnant women receive antenatal care visit services. Receiving antenatal care visits at least four times increases the likelihood of receiving effective maternal health interventions through the antenatal period. This study aimed to identify the utilization and determinants of attending at least four visits in 12 East African countries. Methods.

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Lund, C., A. Alem, M. Schneider, et al. "Generating evidence to narrow the treatment gap for mental disorders in sub-Saharan Africa: rationale, overview and methods of AFFIRM." Epidemiology and Psychiatric Sciences 24, no. 3 (2015): 233–40. http://dx.doi.org/10.1017/s2045796015000281.

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There is limited evidence on the acceptability, feasibility and cost-effectiveness of task-sharing interventions to narrow the treatment gap for mental disorders in sub-Saharan Africa. The purpose of this article is to describe the rationale, aims and methods of the Africa Focus on Intervention Research for Mental health (AFFIRM) collaborative research hub. AFFIRM is investigating strategies for narrowing the treatment gap for mental disorders in sub-Saharan Africa in four areas. First, it is assessing the feasibility, acceptability and cost-effectiveness of task-sharing interventions by condu

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Chifamba, Ephraim. "Mainstreaming Gender in Pursuit of Millennium Development Goals in Water Resource Governance in Buhera, Zimbabwe." International Journal of Social Sciences and Management 1, no. 1 (2014): 10–21. http://dx.doi.org/10.3126/ijssm.v1i1.8946.

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Women have the primary role for the management of household water supply, sanitation and health. Water is necessary for drinking, but also for food production and preparation, personal hygiene, care of the sick, cleaning, washing and waste disposal. Because of their dependence on water resources, women have accumulated considerable knowledge about water resources, including location, quality and storage methods. However, efforts geared towards improving the management of the finite water resources and extending access to safe drinking water and adequate sanitation, have often overlooked the ce

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Mosler, Gioia, Victoria Oyenuga, Emmanuel Addo-Yobo, et al. "Achieving Control of Asthma in Children in Africa (ACACIA): protocol of an observational study of children’s lung health in six sub-Saharan African countries." BMJ Open 10, no. 3 (2020): e035885. http://dx.doi.org/10.1136/bmjopen-2019-035885.

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IntroductionLittle is known about asthma control in the rising number of African children who suffer from this condition. The Achieving Control of Asthma in Children in Africa (ACACIA) study is an observational study collecting evidence about paediatric asthma in urban areas of Ghana, Malawi, Nigeria, South Africa, Uganda and Zimbabwe. The primary objectives are: (1) to identify 3000 children aged between 12 years and 14 years with asthma symptoms; and (2) to assess their asthma control, current treatment, knowledge of and attitudes to asthma and barriers to achieving good control. Secondary o

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Abi-Dargham, Anissa, Christer Allgulander, O. Gureje, et al. "CINP 2005 Regional Meeting, 20-22 April 2005." South African Journal of Psychiatry 11, no. 1 (2005): 10. http://dx.doi.org/10.4102/sajpsychiatry.v11i1.92.

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List of abstract titles and authors:1. Antipsychotics across the spectrum: An overview of their mechanisms of actionAnissa Abi-Dargham2. Recent advances in the treatment of common anxiety disordersChrister Allgulander3. Psychiatry in Africa: The myths, the realities and the exoticO Gureje4. Mental Health policy developmet in Kenya and Tanznia - A DFID funded projectRachel Jenkins, David Kima, Joseph Mbatia, Frank Njenga5. Vascular factors in Alzheimer's diseaseR N Kalaria6. Depression as an immunologically based Neurodegenerative disorderBrian Leonard7. Eight years of progress in Arican Psychi

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Wilkin, David. "Primary Health Care." Ageing and Society 6, no. 3 (1986): 359–61. http://dx.doi.org/10.1017/s0144686x00006024.

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Plant, Paul. "Primary Health Care." Ageing and Society 10, no. 1 (1990): 109–12. http://dx.doi.org/10.1017/s0144686x0000790x.

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Wilkin, David. "Primary Health Care." Ageing and Society 5, no. 4 (1985): 470–73. http://dx.doi.org/10.1017/s0144686x00012046.

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MCELMURRY, BEVERLY J. "Primary Health Care." Annual Review of Nursing Research 17, no. 1 (1999): 241–68. http://dx.doi.org/10.1891/0739-6686.17.1.241.

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Primary Health Care (PHC) has been promulgated for over two decades as a global strategy for ensuring basic health care for all people. PHC is characterized by equity, accessibility, availability of resources, social participation, intersectoral community action, and cultural sensitivity. While PHC can be discussed as philosophy or a process, it is critical that PHC be understood as a community focus in health care that differs from a primary care focus on individuals. Capturing PHC components in community-based interventions in order to advance the development of a rigorous research base requ

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Kar, S. B. "Primary health care." Academic Medicine 65, no. 5 (1990): 301–6. http://dx.doi.org/10.1097/00001888-199005000-00006.

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Davidson, Patricia, Judith MacIntosh, Dianne McCormack, and Evelyn Morrison. "Primary Health Care." Holistic Nursing Practice 16, no. 4 (2002): 65–74. http://dx.doi.org/10.1097/00004650-200207000-00010.

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Fleetwood, Tony, Vi Wagner, Ben Brazellc, and Bernie Callan. "Primary health care." Nursing Standard 4, no. 23 (1990): 41. http://dx.doi.org/10.7748/ns.4.23.41.s47.

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