...THE CHARACTERISTICS OF PREGNANT WOMEN ATTENDING THE PREVENTION OF MOTHER TO CHILD TRANSMISSION OF HIV (PMTCT) PROGRAMME AT BULAWAYO CITY CLINICS, ZIMBABWE. by MGCINI SIBANDA Submitted in part fulfilment of the requirements for the degree of MASTERS OF ARTS in the subject SOCIAL BEHAVIOR STUDIES IN HIV/AIDS at the UNIVERSITY OF SOUTH AFRICA SUPERVISOR: DR GE DU PLESSIS JOINT SUPERVISOR: MR L ROETS SEPTEMBER 2008 DEDICATION This is dedicated to all women living with HIV, in the sincerest hope that this study will make a small contribution to programme development and implementation. I also wish to dedicate this to my family: Patience, Babongile and Bongiwe, with love. i ACKNOWLEDGEMENTS This study would not have been possible without the support, commitment and encouragement of a large number of people in a wide range of capacities. Unfortunately, it is not possible to acknowledge by name all the people who contributed in some way to the study. Above all l appreciate the contribution of all the pregnant women who participated in the study, who volunteered their time and valuable information. Particular thanks are due to my supervisor Gretchen du Plessis for her untiring effort and thorough guidance throughout the study. A special word of thanks goes to the Bulawayo Medical Director’s office and the staff at the city clinics for allowing me to carry out the study. I am also grateful to the research assistants who assisted in collecting...
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...i GOVERNMENT OF UGANDA Ministry of Health HEALTH SECTOR STRATEGIC PLAN III 2010/11-2014/15 ii TABLE OF CONTENTS FOREWORD BY MINISTER OF HEALTH .......................................................................................... IV ACKNOWLEDGEMENTS ......................................................................................................................... V LIST OF ACRONYMS .............................................................................................................................. VI EXECUTIVE SUMMARY ........................................................................................................................ IX 1. INTRODUCTION .................................................................................................................................. 1 1.1 CONTEXT AND RATIONALE FOR DEVELOPMENT OF THE HSSP III ..................................................................... 1 1.2 DEVELOPMENT PROCESS FOR THE HSSP III ............................................................................................................ 1 2. BACKGROUND ..................................................................................................................................... 2 2.1 SECTOR ORGANISATION, FUNCTION AND MANAGEMENT ..................................................................................... 2 2.1.1 The Ministry of Health and national level institutions .........................................................
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...Where There Is No Doctor 2010 Where There Is No Doctor 2010 Library of Congress Cataloging-in-Publication Data The Library of Congress has already cataloged the 10-digit ISBN as follows: Werner, David, 1934Where there is no doctor: a village health care handbook / by David Werner; with Carol Thuman and Jane Maxwell-Rev. ed. Includes Index. ISBN 0-942364-15-5 1. Medicine, Popular. 2. Rural health. I. Thuman, Carol, 1959-. II. Maxwell, Jane, 1941-. III Title. [DNLM: 1. Community Health Aides-handbooks. 2. Medicine-popular works. 3. Rural Health-handbooks. WA 39 W492W] RC81.W4813 1992 610-dc20 DNLM/DLC for Library of Congress 92-1539 CIP Published by: Hesperian 1919 Addison St., #304 Berkeley, California 94704 • USA hesperian@hesperian.org • www.hesperian.org Copyright © 1977, 1992, 2010 by the Hesperian Foundation First English edition: October 1977 Revised English edition: May 1992 Eleventh printing: July 2010 ISBN: 978-0-942364-15-6 The original English version of this book was produced in 1977 as a revised translation of the Spanish edition, Donde no hay doctor. Hesperian encourages others to copy, reproduce, or adapt to meet local needs, any or all parts of this book, including the illustrations, provided the parts reproduced are distributed free or at cost—not for profit. Any organization or person who wishes to copy, reproduce, or adapt any or all parts of this book for commercial purposes, must first obtain permission to do so from Hesperian. Please contact Hesperian before...
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...Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO Ministry of Health & Family Welfare Government of India Assessment and Management of HIV-Infected Person No Is HIV infection confirmed? Send to ICTC for confirmation of HIV status Yes Perform history taking and physical examination (see p 9 ) Evaluate for signs and symptoms of HIV infection or OIs and WHO clinical staging (see p 10) Provide appropriate investigations/treatment of OIs (see p 13 ) If pregnant, refer to PPTCT Screen for TB Screen for STI Identify need for: CTX prophylaxis (see p 16 ) ART (see p 18 ) No Pre ART care (see p 15 ) Yes Give patient education on treatment and adherence (see p 54 ) Arrange psychosocial, nutrition and community support (see p 56) Start ART, (see p 19 ) Arrange follow-up + monitoring (see p 25 ) Assess adherence every visit Provide positive prevention advice and condoms Provide patient information sheet on the ART regimen prescribed (see annex 7, 8) Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO National AIDS Control organisation Ministry of Health and Family Welfare Government of India with support from CDC . Clinton Foundation . WHO TAble of T A b l e o f Acronyms and Abbreviations Introduction....... ..........................................................................................
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...U.N. Commission on Life Saving Commodities for Women and Children: Country Case Studies May 2012 This is a working document. It has been prepared to facilitate the exchange of knowledge and to stimulate discussion. The findings, interpretations, and conclusions expressed in this paper are those of the authors and do not necessarily reflect the policies or views of the United Nations Commission on Life-Saving Commodities for Women and Children or the United Nations. The text has not been edited to official publication standards, and the Commission accepts no responsibility for errors. The designations in this publication do not imply an opinion on legal status of any country or territory, or of its authorities, or the delimitation of frontiers. Contributors and Acknowledgements Sarah Blake,1 Aubrey Cody,1 Anjali Kaur,1 Nejla Liias, 1 Christopher Lindahl,2 Emily Bell,1 Julie Kragh,1 Jessica Mack,1 and Kristin Cox Mehling1 served as researchers and authors of this working paper. The authors would like to thank the following individuals for their contributions to the development and conceptualization of these case studies: Oliver Sabot Hans Hogerzeil Patricia Mechael Catherine Taylor Kanika Bahl Julia White Kabir Ahmed Mark Young Renee van de Weerdt Deborah Armbruster Jennifer Lockwood-Bergeson Michael Mbizvo Clinton Health Access Initiative Groningen University mHealth Alliance PATH Results for Development Institute UN Secretariat UNFPA UNICEF UNICEF USAID USAID WHO ...
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...youth with information,” one of the goals of the Reproductive Health Bill. In line with one of the two targets of Goal 5 - Improving Maternal Health - of the eight Millennium Development Goals which is achieving universal access to reproductive health by 2015. To achieve its goals, the bill provides for mandatory reproductive health education and that it be taught in "an age-appropriate manner... by adequately trained teachers starting from Grade 5 up to Fourth Year High School." As Iloilo Representative Janette Garin, author of the Reproductive Health Care Act says, “It’s very difficult to live in a society where we will be hypocritical and pretend that nothing is happening. But as early as grade 4 and 3, children, especially those in public schools, already have girlfriends and boyfriends.” Defined by United Nations (UN) on ICPD 1994, 'Reproductive health' is “a state of complete physical, mental and social well-being and...not merely the absence of disease or infirmity, in all matters relating to the reproductive system and its functions and processes.” Considering the fact that we are a Christian nation, some people and religious groups find this topic very sensitive to be discussed among youngsters. In this regard, Filipino mothers have the “you-will-learn-when-you-are-old-enough” attitude. As with this, the researchers have come up to a study that would determine the knowledge regarding reproductive health of the high school freshmen’s considering the school that they...
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...COMPREHENSIVE FAMILY HIV CARE AND TREATMENT PROGRAM (S2S) South Africa has the largest HIV burden of any country in the world, with an estimated 5.7 million people living with the virus. Women and children remain at the centre of the pandemic in terms of transmission, vulnerability and potential for impact. To continue to build on the existing successes of South Africa’s antiretroviral (ARV) program, the capacity for HIV disease management must be enhanced. It is essential that HIV disease management transition from an individual case management to a family-centred and chronic-care approach targeting and prioritising pregnant women and children. Enrolling pregnant women and children into HIV care and treatment early and regularly can prevent new HIV infections and reduce morbidity and mortality, effectively sustaining the quality of life of mothers, their children, and their families. The scale up of effective prevention of mother-to-child transmission (PMTCT) and paediatric ARV care and treatment programs are crucial in the fight against HIV but are challenged by many factors including perceived complexity of treating pregnant women and children, inadequate paediatric and PMTCT knowledge and clinical skills, lack of psychosocial and adherence support, delays in integrating PMTCT services with antenatal and child health management systems, and gaps in referral systems. The South to South Partnership for Comprehensive Family HIV Care and Treatment Program (S2S), a collaboration between...
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...programme in Gegharkunik, Armenia Results The assessment confirmed the population's poor health status and limited knowledge and application of recommended child care practices. The campaign reached its target: at follow-up, 67% had seen media messages within the past month, 82% had received the IMCI informational booklet, and 30% had seen other materials. Evidence of the success of the programme included the following: exclusive breastfeeding increased 31.4%, maternal knowledge of child illness signs increased 30%, knowledge of HIV increased 28.5%, and physician attended deliveries increased 15%. Conclusions This evaluation documented the significant and substantial impact of the community IMCI programme on both knowledge and practice in rural areas of Armenia. Consideration should be given to continuing and expanding this project as a complement to health sector development activities in this region. Impact of a community-based integrated management of childhood illnesses (IMCI) programme in Gegharkunik, Armenia 1. Michael E Thompson1,* and 2. Tsovinar L Harutyunyan2 +Author Affiliations 1. 1 Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA. 2. 2 Center for Health Services Research and Development, American University of Armenia, Yerevan, Armenia. 1. * Corresponding author. Department of Public Health Sciences, University of North Carolina at Charlotte, 9201 University City Boulevard, Charlotte...
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...gives an overview of common and emerging communicable disease threats among displaced populations because of natural and human-made disasters. General and disease-specific strategies for monitoring, preventing and controlling disease outbreaks are discussed. Learning objectives To review communicable diseases of public health importance; To discuss the basic principles for communicable disease control in emergency and post-conflict situations; To plan a communicable disease control programme for emergency settings; To discuss simple but effective ways of preventing outbreaks of communicable diseases; To describe how to manage specific disease outbreaks in emergency settings; To review re-emerging and other diseases that may affect displaced populations; To discuss how to monitor and evaluate communicable disease control programmes. Key competencies Identify communicable diseases of public health importance; Discuss the basic principles for communicable disease control in emergency and post-conflict situations; Discuss how to design and evaluate disease control programmes; Describe common disease control strategies including prevention, surveillance and outbreak investigation; Describe methods for promoting community-based and community-led communicable disease control approaches; Decide when to scale up and scale down disease control efforts; Discuss the causes, risk factors, clinical features and management of common diseases; Identify...
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...Adviser: Karlos Jerome N. Llorin, MDC The 4Ps is a human development program and the poverty reduction strategy of the national government that provides CCT grants to extremely poor families in order to improve their health, nutrition and education especially the children aged 0- 14. The said program has two objectives: 1) Social Assistance, which aims to grant cash assistance to the poor to address their immediate need; and 2) Social Development, which aims to break the intergenerational poverty cycle through investments in human capital. One of the conditions under the said program before the beneficiaries will receive their CCT is the Family Development Session (FDS). It aims to widen the knowledge and boost the skills of parents and help them to understand and meet the health and education conditions of the program. The FDS is being done by the 4P’s workers through home visits, the use of modules on modular sessions guide for parents, family drug prevention program, parent effectiveness service and empowerment and viii reaffirmation of paternal abilities. The role of the parents in helping their children attain their health and educational growth is very important, the mothers or the heads of households are required to attend the FDS at least once a month. The study used the qualitative method wherein the researchers utilized the interview method and observation method. In order to gather the data needed, the researchers utilized an interview guide which was divided into three...
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...underlying causes of child mortality in developing countries, particularly during the first 5 years of life; the major causes for this are poverty, world conflicts, lack of education, natural disasters and poor access to health care. Nearly one-third of children in the developing world are malnourished. The effects of changing environmental conditions in increasing malnutrition are multifactorial. Poor environmental conditions may increase insect and protozoal infections and also contribute to environmental deficiencies in micronutrients. Overpopulation, more commonly seen in developing countries, can reduce food production, leading to inadequate food intake or intake of foods of poor nutritional quality. Conversely, the effects of malnutrition on individuals can create and maintain poverty, which can further hamper economic and social development. Bangladesh being the eighth most populous country in the world, and one of the poorest a significant progress has been made in recent years in reducing the incidence of poverty and malnutrition, the fact remains that roughly half of its 15.5 million citizens live in deprivation, while roughly half of all children under 6 years show some evidence of chronic malnutrition. Poverty and malnutrition in Bangladesh are characterized by regional variation. Factors such as proneness to natural disasters, distribution and quality of land, access to education and health facilities, level of infrastructure development, employment opportunities...
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...LEGAL Network Q A Publication of the AIDS Legal Network • September/November 2008 Patrick Eba One size punishes all… A critical appraisal of the criminalisation of HIV transmission Lauded by lawmakers as an expression of their strong will to ‘fight AIDS’, HIV-specific laws have become a ubiquitous feature of the legal response to HIV in sub-Saharan Africa1 As of 1st December 2008, twenty countries in ECOWAS Parliament, the West African Health Organisation sub-Saharan Africa had adopted HIV-specific laws.2 (WAHO), the Center for Studies and Research on HIV-specific laws or ‘omnibus HIV laws’, as they are Population for Development (CERPOD), the Network of sometimes ironically referred to, are legislative provisions Parliamentarians in Chad for Population and Development that regulate, in a single document, several aspects of HIV and the USAID West African Regional Programme.3 and The stated objective of these HIV-specific laws, as communication; HIV testing, prevention treatment, care provided under several of their preambulary provisions, and support; HIV-related research; and the protection of is to and AIDS, including HIV-related education people living with HIV. The emergence of HIV-specific …ensure that every person living with HIV or laws in sub-Saharan Africa can be traced to the adoption presumed to be living with HIV enjoys the full of the Model Law on STI/HIV/AIDS for West and Central ...
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...Development Bank Social Protection and Health Division (SCL/SPH) TECHNICAL NOTE Quality Improvement of Health Care in Belize: Focusing on Results Ian Mac Arthur Jennifer Nelson Martha Woodye No. IDB-TN-661 May 2014 Quality Improvement of Health Care in Belize: Focusing on Results Ian Mac Arthur Jennifer Nelson Martha Woodye Inter-American Development Bank 2014 Cataloging-in-Publication data provided by the Inter-American Development Bank Felipe Herrera Library Mac Arthur, Ian. Quality improvement of health care in Belize: focusing on results / Ian Mac Arthur, Jennifer Nelson, Martha Woodye. p. cm. — (IDB Technical Note ; 661) Includes bibliographic references. 1. Health services administration—Belize. 2. Public health administration—Belize. I. Nelson, Jennifer. II. Woodye, Martha. III. Inter-American Development Bank. Social Protection and Health Division. IV. Title. V. Series. IDB-TN-661 http://www.iadb.org The opinions expressed in this publication are those of the authors and do not necessarily reflect the views of the Inter-American Development Bank, its Board of Directors, or the countries they represent. The unauthorized commercial use of Bank documents is prohibited and may be punishable under the Bank's policies and/or applicable laws. Copyright © 2014 Inter-American Development Bank. All rights reserved; may be freely reproduced for any non-commercial purpose. Ian Mac Arthur, ianm@iadb.org Quality Improvement of Health Care in Belize: Focusing on Results...
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...II IN SPECIALTY AREA COURSE CODE: NUR 822S and NUR 829S PATIENT / FAMILY CASE STUDY (A NURSING PROCESS APPROACH) ON A CLIENT WITH GESTATIONAL TROPHOBLASTIC NEOPLASM BY: CHARLOTTE LAMPTEY SN/ADN/15/0030 AUGUST, 2016 CONTENTS * PREFACE * ACKNOWLEDGEMENT * INTRODUCTION CHAPTER ONE: OVERVIEW OF CLIENT SITUATION I. Literature review of gestational trophoblastic neoplasm CHAPTER TWO: COMPREHENSIVE HOLISTIC ASSESSMENT OF PATIENT/FAMILY I. Patient’s medical and personal history including review of the systems II.Physical examination III.Diagnostic evaluation IV.Nutritional assessment V. Psychosocial history VI. Patient developmental assessment VII.Spiritual assessment VIII.Quality of life assessment IX.Admission of patient CHAPTER THREE: ANALYSIS OF DATA CHAPTER FOUR: COLLABORATIVE PLAN OF CARE I. Presumptive medical diagnosis II.Nursing diagnosis III.Evidence-based interventions IV.Additional diagnostic procedures warranted but not done Medication to be ordered CHAPTER FIVE: DISCHARGE PLAN I. Community service and resource needed II.Client education plan III.Plans for follow-up of care CHAPTER SIX: EVALUATION PLAN Termination of care * SUMMARY * CONCLUSION * REFERENCE PREFACE The patient / family care study is an essential and relevant study undertaken on the patient and the family by a final year nursing student as part of the required curriculum...
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...FOREWORD In a span of only five years, the population of the Philippines grew by 7.7 million – from 68.8 million in 1995 to 76.5 million in 2000. During this period, the population growth rate (PGR) was 2.36 percent per year, which means the population doubling time will be within 29 years if the rate does not decline (NSO, 2001). Side by side with rapid population growth is poverty, which still grips about a third of the country's 15.3 million households (NSO, 2001a). This Country Report is timely in that it revisits the link between population/development and poverty, environment, and resources. The Report has two purposes. First, it intends to review the Philippine population/development situation, including issues of reproductive health and gender equity, from the perspective of goals affirmed in the Bali Declaration, the ICPD Program of Action and other related documents. The report's second purpose is to highlight priority population issues in the context of alleviating poverty and improving the quality of life of Filipinos. To reduce poverty significantly within the coming decade, the Philippines must face the challenge of building the capacities of its vast human capital. Only in this way can Filipino families, especially the poor, meaningfully, responsibly, and productively participate in the development process. CONTENTS |FOREWORD ...
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