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Academic literature on the topic 'Windhoek State Hospital (Namibia)'

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Published: 4 June 2021

Last updated: 1 February 2022

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Journal articles on the topic "Windhoek State Hospital (Namibia)"

Lukolo, Tangi Tupavali, Linda N. Lukolo, and Lukanga Charles Kimera. "The Effects of Workload on Nurses’ Mental Health in Katutura State Hospital in Windhoek, Namibia." International Journal of Medical Science and Health Research 05, no. 03 (2021): 68–79. http://dx.doi.org/10.51505/ijmshr.2021.5307.

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Marwa, Thelma, Kabwebwe Honore Mitonga, and Kathe Hofnie-//Hoebes. "Customers’ satisfaction of the occupational therapy services in Namibia." International Journal Of Community Medicine And Public Health 4, no. 10 (September 22, 2017): 3542. http://dx.doi.org/10.18203/2394-6040.ijcmph20174217.

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Background: Patients’ satisfaction is important in healthcare services. It can be an indicator of quality of services in a hospital. The study aims to determine the customers’ satisfaction of the Occupational Therapy Services at Katutura State Hospital in Windhoek. Methods: The research design was a mixed approach - quantitative and qualitative. Questionnaires and interviews were used to collect data. The statistical package for the social sciences software version 23 was used to analyse data. Results: Results of the study showed that occupational therapy patients at Katutura State Hospital are satisfied with the quality of service. However, the service was not superior. Perceived quality mean of the service was 5.51 while the desired quality of service was 9.45. Out of the three dimensions; quality of care, physical environment and occupational therapy services, patients were mostly satisfied with quality of care with the adequacy mean of 1.02 and least satisfied with the physical environment which had an adequacy mean of 0.31. Patients were not satisfied with the cleanliness, ventilation, privacy, lighting, waiting time, consent before treatment and follow up of patients. Conclusions: The study shows that the occupational therapy patients at Katutura State Hospital are slightly satisfied with the services although there are some other factors they are dissatisfied with. The occupational therapy department is recommended to develop consent forms, improve on waiting time and keeping appointments. The physical environment also needs to be improved in order to increase the patients` satisfaction rate.

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Manetti, Benjamin Klaas Sebulon, Hans Justus Amukugo, and Anna Panduleni Kauko Shilunga. "Emergency Trolley’s Contents and Records: Audit Study at Maternity Sections, State Hospitals, Windhoek, Namibia." Open Journal of Nursing 08, no. 07 (2018): 448–72. http://dx.doi.org/10.4236/ojn.2018.87035.

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Kerthu, Hatupopi Saara, and Nghitanwa Emma Maano. "Perception of parents on nursing support rendered to parents with neonates admitted to neonatal intensive care unit in a state hospital in Windhoek, Namibia." Clinical Nursing Studies 7, no. 4 (September 5, 2019): 22. http://dx.doi.org/10.5430/cns.v7n4p22.

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Neonatal Intensive Care Units (NICU) plays a major role in providing care for premature neonates, sick neonates or neonates require surgery very soon following delivery. The experience of being a parent of a baby in NICU is more stressful especially if there is a little support or no support rendered from the nursing staff. Parents need support from the nursing staff to gain knowledge and understanding about the neonate’s illness, treatment measures and hospital rules. However, no studies about this issue have been conducted in Namibia. The aim of this study was to investigate the perception of parents related to the nursing support rendered by nurses to parents whose neonates were admitted to NICU at a state hospital in Windhoek, Namibia. A quantitative, cross sectional survey was used to identify and describe parents’ perceptions related to the nursing support rendered by nurses to parents whose neonates were admitted to NICU. The study results indicated that the majority of the participants perceived that they got the good support from the nurses. However, not all parents received needed support from nurses which could increases their stress level. The findings of this study could be used to improve the parents support to reduce stress among parents and neonates and to promote positive coping with regard to the stressful situation of newborns hospitalization.

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Karodia, Anis Mahomed, Nadeem Cassim, and Frieda M. Akweenda. "Investigating Work Related Stress and Its Impact on the Performances of Registered Nurses Employed at Katutura State Hospital in Windhoek , Namibia." Kuwait Chapter of Arabian Journal of Business and Management Review 5, no. 10 (2016): 50–78. http://dx.doi.org/10.12816/0027367.

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Endjala, Tuwilika, Hans Justus Amukugo, and Emma Maano Ngitanwa. "Post-Traumatic Stress Disorder among midwives after exposure to maternal death and stillbirth in Khomas Region of Namibia." International Journal of Healthcare 7, no. 2 (August 17, 2021): 7. http://dx.doi.org/10.5430/ijh.v7n2p7.

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Objective: Despite global efforts to decrease maternal death and stillbirths worldwide, maternal mortality rate and stillbirth remain high in the global south countries. These deaths often have immediate and long-lasting effects on midwives who care for these women.Methods: This paper explores the effects of maternal death and stillbirth on midwives in Namibia. A qualitative approach was adopted using a descriptive, exploratory and contextual design. The objective of this study was to explore the Post-Traumatic Stress Disorder (PTSD) related feelings among midwives after exposure to maternal death and stillbirth. Data was collected using Focus Group Discussions (FGD) and individual interviews. Four FGDs and four individual interviews were conducted with midwives from two state hospitals in Windhoek. Midwives were purposively selected, and a total of 29 midwives participated in the study. Individual interviews and FGDs were audiotaped and transcribed verbatim. Data were analysed using content analysis and coded using Tech’s steps of open-coding.Results: The researcher identified one central theme with six sub-themes. The study showed that the midwives experienced PTSD related feelings such as insomnia and nightmares, recollection of the event (flashbacks), sense of self-blame, guilt, anger, shame, and being haunted/tormented.Conclusions: It is concluded that maternal death and fresh stillbirth can lead to PTSD effects on midwives, hence addressing these challenges. Therefore, the researchers recommend that hospitals in the Khomas Region develop and implement the wellness programmes in the workplace, such as the Employee Assistance Programme, to support midwives who experienced these traumatic events to prevent and manage these effects in the future. Equally, further research is needed to evaluate the impact of the wellness programme on midwives who experienced MDs and FSBs in Namibia.

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Maseke, Bernardus Franco, and Bongani Nyathi. "Quality Improvement Training Framework Adoption at Katutura Hospital in Windhoek Namibia." OALib 08, no. 01 (2021): 1–7. http://dx.doi.org/10.4236/oalib.1106945.

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Shiweda, Ndahafa Annashitasia, and Hans Justus Amukugo. "The Experiences of Mothers during the Hospitalisation of Their Low Birth Weight Babies in Neonatal Unit at Windhoek Central Hospital Windhoek Khomas Region Namibia." OALib 05, no. 03 (2018): 1–11. http://dx.doi.org/10.4236/oalib.1104402.

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Libuku, E., and L. F. Small. "Exposure to domestic violence during pregnancy: Perceptions and coping mechanisms of a vulnerable group." Health SA Gesondheid 13, no. 2 (November 18, 2008): 3–13. http://dx.doi.org/10.4102/hsag.v13i2.275.

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The purpose of this study was to explore and describe the perceptions of maternity clients’ relating to domestic violence. A quantitative, exploratory and descriptive design was utilised. The population consisted of maternity patients admitted to a referral hospital in Windhoek, Namibia. The findings indicate that some perceptions reflect biographical differences such as education, age and economic status. In some instances, perceptions of maternity clients were in line with findings published in existing literature that reported socio-economic circumstances and familial obligations which forced women to endure abuse. It was recommended that these differences in perceptions be taken into account during the counselling of maternity clients or while health education is being given. Opsomming Die doel van hierdie studie was om swanger vroue se persepsies in verband met gesinsgeweld verkennend te beskryf. ’n Kwantitatiewe, verkennende en beskrywende ontwerp is gebruik. Die studie was ook kontekstueel in ontwerp. Die populasie het uit swanger vroue bestaan wat in ’n verwysingshospitaal in Windhoek, Namibië, opgeneem is. Daar is bevind dat sommige persepsies deur biografiese veranderlikes bepaal word soos geletterdheidsvlak, ouderdom en ekonomiese status. In sekere gevalle is gevind dat die persepsies van swanger vroue ooreenstem met bevindinge in bestaande literatuur deurdat sosio-ekonomiese omstandighede en familieverpligtinge hulle dwing om gesinsgeweld te verduur. Daar word aanbeveel dat hierdie verskillende persepsies gedurende beradingsessies met swanger vroue of tydens gesondheidsopvoeding in ag geneem word.

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Hatupopi, Saara Kerthu, Mirjam Nghamukamo, Emma Maano Nghitanwa, and Olivia Ningeninawa Tuhadeleni. "Indications for Caesarean Sections in Rundu State Hospital in Kavango East Region, Namibia." Global Journal of Health Science 11, no. 11 (September 17, 2019): 120. http://dx.doi.org/10.5539/gjhs.v11n11p120.

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BACKGROUND: A caesarean section is a life saving procedure for both the mother and the baby. However, the fact that caesarean section rates are increasing worldwide, in both the developed and developing countries is becoming an issue of increasing concern, which raised a concern. The purpose of this study was to evaluate the indications for a caesarean section in the Rundu State Hospital. METHODS: A cross sectional retrospective study was conducted.The study population comprised the records of women who had undergone caesarean section between 1 January 2017 to 31 March 2017. After conducting a sample size calculation the delivery, records of 149 women who had undergone a caesarean section during the study period were reviewed. The required data was collected using individual data collection sheets and then analysed using SPSS version 24. RESULTS: The age of participants ranged between 20 and 50 years. The mean age for the study group was 25.1 years. The overall leading indications for a caesarean section included foetal distress (25.6%), previous uterine scar (18.1%) and Cephalopelvic disproportion (16.1%) while other major contributing indications were eclampsia (16.1%), mal-presentation (8.1%), prolonged labour (6.7%, ante partum haemorrhage (3.4%), failed vaginal birth after caesarean section (2.0%), cord prolapse (1.3%) and severe vaginal warts (0.6%). In addition, the study found that a primary caesarean section was more common at 81.9% as compared to previous uterine scar at 18.1 % while maternal indications contributed to 61% of caesarean sections while foetal indications constituted 39%. CONCLUSION: Overall, the study found that the leading indications for caesarean section were foetal distress and previous uterine scar. It was recommended that foetal distress, as the main indicator for a primary caesarean section, should be further confirmed with a printed cardiotocograph. Training health workers on the interpretation of cardiotocograph and the importance of the use of other methods, such as the fetoscope and doptone, may help to reduce the incidence of unnecessary primary caesarean section due to foetal distress. In addition, previous uterine scar cases should be embark on labour before a decision is made.

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Dissertations / Theses on the topic "Windhoek State Hospital (Namibia)"

Samatanga, Fortune. "Factors influencing HIV positive individuals attending anti-retroviral therapy (ARV) clinic at Katutura Hospital (Windhoek, Namibia) to disclose or not to disclose their HIV status to their sexual partners." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86241.

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Thesis (MPhil)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: There have been new infections of HIV despite campaigns aimed at arresting the further spread of the epidemic particularly the new infections. This study sought to investigate whether HIV positive individuals disclose their status to their sexual partners. The study looked at both longtime partners and casual partners. The overall aim was to find the factors that contribute to non-disclosure or to disclosure to sexual partners by HIV positive individuals. The specific objectives were to identify prevailing levels of HIV sero-status disclosure among people living with HIV who were attending the ARV clinic; to identify people living with HIV’s attitude towards HIV status disclosure; to establish factors contributing to disclosure or non-disclosure among people living with HIV; to establish if there is a difference between disclosure rates between ‘long time’ sex partners and casual/’once-off’ sex partners and to provide guidelines to counsellors on how to educate HIV positive people on disclosure. The objectives were achieved by using a quantitative research design through the use of questionnaires targeting 50 HIV positive individuals attending the ARV clinic at Katutura Hospital in Windhoek Namibia. The questionnaire was self-administered and consisted of close-ended questions and one open-ended question which helped collect the quantitative data. The quantitative data was then analyzed using statistical tools (graphs, tables and charts). Results showed that HIV positive individuals are aware of the importance of disclosure. The results showed that majority of the participants did not disclose for fear of abandonment. Some did not disclose because they thought that their partner was also already infected. As for casual sex partners, some did not disclose because they wanted ‘to infect someone since they were also infected by someone’. Some said that they were drunk and hence did not disclose. Participants disclosed because they wanted moral support, they did not want to infect their partners and that they wanted their partners to get tested as well. One of the recommendations was that there is a need to encourage couple counselling in cases of married couples or ‘live-in’ couples to reduce the need for disclosure. It was also recommended that HIV/AIDS health workers need special training to enhance their skills on how to educate HIV positive individuals about disclosure. The link between risky sexual behavior and alcohol abuse was highlighted and it was recommended that there is a need to educate people, particular teenagers, the link between the two.
AFRIKAANSE OPSOMMING: Die doel van hierdie studie was die bepaling van die mate waartoe persone wat MIV-positief is en klinieke bywoon hulle MIV-status bekendmaak. Die studie is by die Katutura hospitaal in Windhoek, Namibië gedoen en 50 MIV-positiewe pasiënte is as steekproef gebruik. ‘n Vraelys wat die pasiënte self ingevul het is in die studie gebruik en data is op ‘n beskrywende wyse ontleed. Resultate het aangetoon dat MIV-positiewe pasiënte wel bewus is van die belangrikheid om hulle MIV-status bekend te maak. Laasgenoemde pasiënte doen dit egter nie, hoofsaaklik uit vrees vir stigma, diskriminasie en verwerping. Sommige pasiënte maak ook nie hulle status bekend nie omdat hulle bloot aanvaar dat die persoon met wie hulle saambly ook MIV-positief is en die bekendmaking van status dus onbelangrik is. Een van die belangrikste aanbevelings wat in die studie gemaak word is dat getroude paartjies aangemoedig moet word om MIV-voorligting by te woon, hulle te laat toets en hulle status bekend te maak. Dit word ook verder aanbeveel dat MIV/Vigs-gesondheidswerkers spesiale opleiding moet kry in hoe om persone wat MIV-positief is te oorreed om hulle MIV-status bekend te maak. Die studie sluit af deur te wys op die belangrike verwantskap tussen seksuele risikogedrag en die misbruik van alkohol. Daar word sterk gepleit dat die gemeenskap, en veral tienderjariges, bewus gemaak moet word van hierdie gevaar.

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Dipura, Rufaro. "Challenges in Multidisciplinary team work in the mental health unit at Windhoek Central Hospital in Namibia." Diss., University of Pretoria, 2019. http://hdl.handle.net/2263/76608.

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Namibia has only one mental health unit with a full Multidisciplinary team which caters for the whole country. The unit is regarded as a ward or department as it is attached to the main referral hospital of Namibia, Windhoek Central Hospital in the capital city of Namibia. Namibia has a total of fourteen regions with different tribes (more than eleven).It is also a multilingual country with more than sixteen different languages. The goal of the study was to explore and describe the challenges of the multi-disciplinary team in the mental health unit service delivery at Windhoek Central Hospital. The study adopted a qualitative research approach. It was exploratory and applied. It utilized a case study design. Purposive sampling was used to obtain the study’s sample size. A sample size of twelve (12) multi-disciplinary team members was selected. Each discipline namely, social workers, psychologists, occupational therapists, nurses, doctors and psychologists was represented by two members of the chosen sample. The findings show the gravity of the work that needs to be done at the mental health unit. The challenges faced have existed for years and the Management of the mental health unit has not addressed them. The multidisciplinary team is facing lots of challenges. The Act that is currently in use, Act No. 18 of 1973, is very old. . The Ministry of Health and Social Services (2005: 3) in Namibia states that government must ensure good and adequate service delivery reforms for the health of the nation. However, the government is not doing much for the mental health unit. The study concludes that the mental health multidisciplinary team needs to be heard and their challenges addressed for the team to deliver quality service to patients. The challenges included a heavy workload and a critical shortage of mental health trained staff. Even the ones not trained are not enough. There is always a shortage of medicine and the equipment is inadequate. The infrastructure itself is not conducive for the whole country and office space is not enough. The unit does not have its own budget hence many programs cannot be conducted because of lack of funds. Recommendations include; development of policies and guidelines on the multidisciplinary team, decentralization of mental health services, training the mental health staff, a separate budget from the main hospital one and improving the infrastructure.
Mini Dissertation (MSW)--University of Pretoria, 2019.
Social Work and Criminology
MSW Healthcare
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Gaeseb, Johannes. "Extent and reasons for substituting and switching Highly Active Antiretroviral Therapy at the Katutura Intermediate Hospital in Windhoek, Namibia." Thesis, University of the Western Cape, 2008. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_1735_1266883603.

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Thobias, Anna. "Exploration of factors associated with poor adherence among patients receiving antiretroviral therapy at Katutura State Hospital Communicable Disease Clinic in Khomas region, Namibia /." Online access, 2008. http://etd.uwc.ac.za/usrfiles/modules/etd/docs/etd_gen8Srv25Nme4_2455_1273775841.pdf.

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Thobias, Anna. "Exploration of Factors Associated with Poor Adherence amongst Patients Receiving Antiretroviral Therapy at Katutura State Hospital Communicable Disease Clinic in Khomas Region in Namibia." Thesis, University of the Western Cape, 2008. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7058_1273775927.

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Background: HIV/AIDS affects the health of millions of people world wide. According to the Joint United Nations Program on HIV/AIDS [UNAIDS], the number of people living with HIV globally has risen from 26 million in 2001 to 33.2 million in 2007. It is estimated that 2.5 million people were newly infected with HIV in 2007. The introduction of anti-retroviral therapy [ART] has brought hope to millions of people living with HIV and AIDS. More recently, the increased availability of treatment in many countries including Namibia has dramatically improved survival rates and lowered the incidence of opportunistic infections among HIV patients. Adherence to antiretroviral therapy (ART) is a fundamental attribute of excellent clinical HIV care and a key aspect in determining the effectiveness of treatment. Strict adherence to ART is vital to maintain low viral load and to prevent the development of drug resistant virus. Poor adherence is one of the key obstacles to successful ART for HIV positive patients. Literature has shown that there are various factors that hinder adherence to ART such as patient, service, community, family, socio-economic and work-related factors. Aim: This study aimed to describe the experiences of patients in the ART programme at Katutura State Hospital, Communicable Disease Clinic (CDC), in the Khomas region of Namibia and to explore factors that contribute to poor adherence.

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Ugburo, Emmanuel Oritseweyinmi. "Effects of telephonic SMS reminders influence on adherence to scheduled medication pick up appointments among adults on antiretrovirals at the Swakopmund State Hospital ART clinic Namibia." University of the Western Cape, 2015. http://hdl.handle.net/11394/4735.

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Magister Public Health - MPH
Background: Adherence of patients on antiretroviral therapy to lifelong treatment is a major challenge within the public health system in Namibia. Missed appointments have been shown to contribute to poor clinical outcomes and treatment failure, which may necessitate switching to more expensive antiretroviral regimens. In resource limited settings monitoring of appointments for antiretroviral medication pick up is a documented and feasible method for assessing minimum levels of adherence to antiretroviral medication. Aim: This study was aimed at evaluating the effects of telephonic short message service reminders influence on adherence to scheduled antiretroviral medication pick up appointments. It was also aimed at evaluating how socio-demographic parameters might moderate the effectiveness of short message service reminders. Study design: A randomized double blind controlled study design was employed. Methodology: Stable patients attending the ART clinic were recruited and randomly assigned to either an intervention or control group, until the sample size of 398 was reached in the two arms of the study. The study populations were adult patients’ ≥ 18 years who have been enrolled on treatment for ≥ 3months. The intervention group received an unasked for single short message service reminder, sent 48 hours before their scheduled appointments and continued with standard care, while the control group received standard care without any reminder. The study participants were blinded to their study group. Also, research assistants involved in collecting baseline and outcome data were blinded to study participants study group. Baseline data was collected through a structured questionnaire. Study participants were followed up for four consecutive scheduled ARV pick up appointments. The following outcome data were collected at each follow up visit; number of days late after scheduled appointment, adherence measured by pill count and 3 days self-report recall of adherence. Main results: The pre-intervention survey revealed that only 60% of the study participants were willing to be reminded of their medication pick up appointment. Overall, the SMS reminder improved adherence to medication pick up appointments by 1.6 times as compared to no reminder and also reduced the risk of missing medication pick appointments by 22% as compared to no SMS reminder. Study participants that received a reminder were also two times more likely to achieve optimal adherence to their medication, compared to those who received no reminder. The SMS reminder improved adherence to antiretroviral medication by 11% in this study, while the mean difference in the number of days late to collect antiretroviral medication was significantly reduced by about 4 days by the intervention. Participants that are employed were more likely to adhere to antiretroviral medications as compared to the unemployed. Ironically participants that were on ART for less than one year and those that had treatment supporters reminding them of their medication appointments were significantly less likely to honour their medication pick up appointments. Conclusion: Being employed was significantly associated with attaining optimal adherence to antiretroviral medication. There were no other significant associations between the patients socio- economic and demographic characteristics and adherence to scheduled medication pick up appointments, or to adherence to medication. Recommendations: The Ministry of Health and Social Services should consider rolling out SMS reminders to ART sites with similar settings as Swakopmund State Hospital ART Clinic. Patients that are willing to receive the reminder should be targeted in the scaling up of the roll out. Late and missed medication pick up appointments could be used as an easy proxy measurement for assessing adherence to ART.

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Robert, Kopano. "Factors that contributed to contraction of tuberculosis among the newly diagnosed tuberculosis patients in Katutura Tuberculosis State Hospital." Diss., 2016. http://hdl.handle.net/10500/22762.

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The purpose of this study was to explore the factors that contributed to the contraction of Tuberculosis (TB) amongst the patients who were newly diagnosed with TB at Katutura TB state hospital Windhoek, Namibia. Quantitative, descriptive research was conducted to explore the factors that contributed to contraction of TB among the newly diagnosed patients. Data was collected using questionnaires from 8th June 2016 to the 8th September 2016. The respondents were the newly diagnosed TB patients (n=40) admitted at Katutura TB state hospital. The findings revealed that there is a change in gender infection rate, men are now on the forefront, comprising 57.5% (n=23) of the sample surveyed. Furthermore, some other factors emerged on the study like TB stigma, poor nutrition, and lack of education. However, some factors are very controversial such as accommodation and sanitation as they need to be explored more to see their influence on TB infection rate
Health Studies
M.A. (Nursing Science)

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Mugweni, Rabecca. "Factors associated with noncompliance to hand hygiene standards among nurses at one hospital in Windhoek, Namibia." Diss., 2017. http://hdl.handle.net/10500/23207.

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The purpose of this study was to describe factors associated with noncompliance to hand hygiene standards among nurses in one public hospital in Windhoek, Namibia. A quantitative, descriptive, cross-sectional research design was employed using a stratified sample comprising three categories of nurses (registered, enrolled and auxiliary nurses). Data collection was done using a structured questionnaire. Based on the results, there were more institutional than individual factors associated with noncompliance to hand hygiene. Compliance to hand hygiene was found to be lowest when nurses provide care for patients in non-isolation rooms, when the perceived risk of acquiring infection from patients was low and following brief encounters with patients. Dryness of the skin caused by hand hygiene agents and lack of active participation in hand hygiene promotion at individual level contributed to noncompliance to hand hygiene among nurses. In addition, the results showed that, institutionally there were no rewards/encouragement for hand hygiene, no sanctions for non-compliers and no workshops, seminars and continuing educational courses on hand hygiene. The study produced interesting insights into the vital role that good leadership plays in the implementation of hand hygiene policy guidelines. The key recommendations for this study included development of good leadership, characterized by dedication for hygiene standards to encourage staff to maintain hygiene practice and to ensure that there are adequate resources for the implementation of hand hygiene policy as well as rewards/incentives for compliers and sanctions for noncompliers
Health Studies
M.A. (Nursing Science)

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Tjipura, Dinah Jorokee. "Correlation between CD4 counts and adherence to antiretrovirals in treatment patience at Katutura intermediate hospital, Windhoek, Namibia." Diss., 2006. http://hdl.handle.net/10500/3217.

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The study analysed and compared data from patients' medical and pharmacy refill records to identify correlations between CD4 cell counts and adherence to antiretroviral drugs at Katutura Intermediate Hospital (KIH) in Windhoek, Namibia. The study investigated whether the pharmacy refill adherence measurement methodology could predict immunological recovery through increased CD4 cell counts. There was a positive but weak relationship between adherence and CD4 cell counts. Although the pharmacy refill records could predict immunological response it was not sensitive enough and should be used in combination with other adherence measurement tools.
Public Health
M.A. (Public Health)

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Nwagboso, Goodluck. "The prevalence and sererity of motor dysfunction amongst HIV- infected children aged 6 to 12 years in Katutura Hospital Windhoek, Namibia." Thesis, 2017. https://hdl.handle.net/10539/24657.

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Context: Human Immunodeficiency Virus (HIV) has both direct and indirect effect on the growing immature brain that could lead to impaired neurodevelopmental outcome in children. The extent of the motor dysfunctions becomes a matter of concern as the children grow up to school age. Objective: Our objective was to determine the extent and severity of motor dysfunctions in HIV infected school-age children at a referral centre in Namibia. Methodology: A cross sectional prospective study of 60 HIV-infected children aged 6-12 years attending the paediatric HIV clinic in Windhoek was conducted. Severity of motor dysfunction was assessed using the Gross Motor Functional Classification System (GMFCS) and the Manual Ability Classification System (MACS), and clinical data were collected from medical records and from a care-taker questionnaire. Result: Of the 60 children enrolled in the study, 28(46.67%) were males. The mean age of the children was 9.73 years (S.D = 2.024). The median age at the time of diagnosis was 12 months, with a range of 1 to 73 and a SD of 16.11months. The median age at the time of commencement of treatment was 20.5 months (males) and 35 months (female) with a P-value of 0.0039. Over five percent (5.1%) of HIV-infected school age children had motor dysfunction scored at Level II of the GMFCS while 7% had a score of Level II on the MACS. A positive correlation existed between time of start of intervention with antiretroviral therapy (ART) and motor function outcomes (p<0.0001), the serum viral RNA load and the presence of seizures in the children (correlation coefficient = 0.31; P = 0.00327); serum viral load and developmental delays among the children (correlation coefficient= 0.4; p-value = 0.00159). The CD4 cell count and motor dysfunctions were correlated (correlation coefficient: 0.37; p-value <0.0001).The CD4 cell count at diagnosis had a significant inverse correlation to the outcome of behavioural problems in the children as well (coefficient = - 0.22; P-value = 0.004912). Conclusion: A significant proportion of school-age HIV-infected children have neurodevelopmental challenges and gross motor dysfunction in particular. A study with standardized tools to ascertain the extent of impairment in the other domains of development is needed for a more comprehensive understanding of the effects of HIV infection on school-age children.
GR2018

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Books on the topic "Windhoek State Hospital (Namibia)"

Hospital, Catholic Church Archdiocese of Windhoek (Namibia) Roman Catholic. R.C. Hospital: 1907-2007. Windhoek, Namibia: Roman Catholic Church, 2007.

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SADC Education Policy Capacity Building Forum (2nd 2002 Windhoek, Namibia). SADC Education Policy Capacity Building Forum: Quality education for all : Windhoek, Namibia, 18th-20th November 2002. [Mbabane?]: SADC, 2002.

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Namibia) SADC Summit (2000 Windhoek. Revitalising S & T focus in Africa: Contributions on the occasion of the SADC Summit, held in Windhoek, Namibia, on August 1-7, 2000. Edited by Mshigeni Keto E, Kiangi Geoff E, Bisanda Elifas, University of Namibia, United Nations Development Programme, and United Nations. Office for Project Services. Windhoek]: University of Namibia, 2000.

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That South West Africa may become a self-sufficient and independent state: Conference on the occasion of the 25th anniversary of the Open Letter of the Lutheran Churches in Namibia to John Vorster, prime minister of South Africa, Windhoek, 24 and 25 August 1996. Windhoek, Namibia: United Lutheran Theological Seminary--Paulinum and Ecumenical Institute for Namibia, 1997.

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