ABSTRACT Background: Direct Health Facility Financing (DHFF) is meant to improve quality of health services and brings more autonomy while promoting accountability at Public Primary Health Facilities (PPHFs). This study aimed at establishing the influence of DHFF on perceived status of health service satisfaction and health system responsiveness among clients at PPHFs. Also it established perceived internal and external accountability among Health Care Workers (HCWs) and members of HFGCs resp...
ABSTRACT Background: Severe preeclampsia disorder is more dominance in low and middle income countries. In Sub-Saharan Africa severe preeclampsia remains a major public health problem which contributes to 500/100,000 of maternal mortality. There is no published study conducted in Zanzibar on severe preeclampsia and fetal outcome This study, entitled to determine the risk factors of severe preeclampsia and its influences on fetal outcome among post delivery women in Zanzibar. Methods: A hospit...
ABSTRACT Background: Hazardous health care wastes cause unhealthy effects on people and the environment. However, no published study evidence about the training and competencies of hospital cleaners on health care waste management in Tanzania. Hence, the study aimed to assess the effectiveness of health care waste management training on improving competencies of hospital cleaners at Dodoma Regional Referral Hospital and Benjamin Mkapa Hospital in Dodoma Region. Methods: The study recruited 85...
ABSTRACT Background: Good nutrition governance has great influence on the improvement of health and nutrition status of people. The government of Tanzania has taken significant measures to strengthen nutrition governance as part of national efforts to improve nutrition. However, little is known on the current status of nutrition governance in Tanzania. Objective: This study determined the barriers and potential facilitators for effective Nutrition governance at Regional and administrative lev...
ABSTRACT The aim of this study is to assess the mental health, investigate the challenges and coping strategies of teenage mothers in the two Kavango regions, namely Kavango East and Kavango West. The main focus of the study is to investigate, whether young schooling mothers show symptoms of depression, anxiety and stress. Furthermore, the study seeks to explore the extent of these symptoms and any other psychological or social challenges. Finally, the study seeks to explore methods us...
ABSTRACT Gender-Based Violence (GBV) is a major public health and human rights problem involving all ages and sexes throughout the world. However, the manifestations of GBV among men often go undetected and a large number of men continue living through repeated abuse and assault without any recognition of their ordeal or adequate provision for care or support. The purpose of this study was to explore and describe the perceptions of GBV by men in the Oshana Region, Namibia. The study adopted a...
Abstract Background: Xanthogranulomatous pyelonephritis (XGP) is a rare renal tumor that arises as a complication of chronic obstructive pyelonephritis of uncertain etiology. It is primarily an adult tumor seen occasionally in children associated with urinary tract obstruction due to congenital urological anomalies, nephrolithiasis, and recurrent urinary tract infections. Radiologically, it may show neoplastic features such as those seen in common pediatric renal malignancies like wilms’ tu...
ABSTRACT Background: Diabetes and hypertension are among the most common diseases in developed countries, and the frequency of both diseases tends to rise with age. According to JNC 8 criteria, the target Blood pressure control among diabetes patients is below 140/90 mmHg. Methods: A hospital based cross-sectional study was carried out of 498 type 2 diabetic hypertensive patients who were attending hypertensive diabetic type 2 patients clinic at DRRH. The structured questionnaire was used to ...
ABSTRACT In dentistry HIV/AIDS patients with oral lesions are encountered regularly, hence early diagnosis and appropriate treatment are important so as to prolong the patient’s life. The researcher had noticed over time, what appeared to be a significant number of patients with oral lesions who were eligible for highly active antiretroviral therapy treatment, but who were not initiated. Applicable guidelines were available on how to manage patients with oral lesions as well as recommendat...
ABSTRACT Since the identification of the first human immunodeficiency virus (HIV) case, developments have been underway to find treatment for the virus. Antiretroviral agents, especially when used in highly active antiretroviral therapy (HAART) regimens, have produced dramatic decreases in morbidity and mortality of HIV infected people and has made HIV a potentially treatable chronic disease. The success of HAART depends on the correct combination of drugs and on adherence to the treatment r...
ABSTRACT A secondary stroke occurs in approximately one-third of stroke survivors within five years thus it is a major public health concern. Secondary stroke occurrences largely represent failed secondary prevention. There is a paucity of study evidence on stroke survivor knowledge and practices regarding secondary stroke prevention in Namibia. The purpose of this study was to determine the knowledge and practices of stroke survivors with regard to secondary stroke prevention in the Khomas R...
ABSTRACT Maternal death is a major health problem in Namibia, and in particular, at Intermediate Hospital Oshakati (IHO), Oshana region. Despite the introduction of several interventions by the Ministry of Health and Social Services to prevent the maternal deaths, IHO had reported the highest percentage (32%) of maternal deaths between January 2008 and May 2010 (MoHSS, 2011). It was against this background that this study was conducted to determine the factors associated with maternal death...
Abstract Background Necrotizing pneumonia and hyperleukocytosis, to the extent of that seen in leukaemia, is a rarely reported presentation. The commonest trigger of such a presentation is an inflammatory process caused by an overwhelming infection which leads to bone marrow irritation. However, the misdiagnosis of this clinical entity as leukaemia should be avoided at all costs so as to avoid the anxiety associated with a diagnosis of cancer, both to the patients and their families. Case pre...
ABSTRACT Since its implementation in 1985, the nursing process in Namibia has been utilised with difficulty. The reasons for this were, however, unknown. Worldwide nurses agree that the nursing process is desirable but too lengthy and too time-consuming. In Namibia, patient records and the Nursing Board of Namibia disciplinary hearings bear witness to this. Patient safety has been put at risk and, as a result, registered nurses have faced legal action. The purpose of this study was to develo...
ABSTRACT Injuries, whether intentional or unintentional is a major public health problem, killing million of people of all ages and sexes all over the world and leaving many more million disabled. Unintentional injuries occur as a result of human error, for example, road traffic accidents/road crashes, burns and drowning especially of children while intentional injuries are injuries sustained due to violent behaviours towards oneself, for instance, committing suicide or against other people ...