Pub Date : 2023-01-01DOI: 10.11604/pamj.2023.46.30.25504
Hillary Miller, Niclas Rudolfson, Theoneste Nkurunziza, Teena Cherian, Daniella Kayitesi, Christian Mazimpaka, Fredrick Kateera, Robert Riviello, Bethany Hedt-Gauthier
Introduction: timely access to safe cesarean section (c-section) delivery can save the lives of mothers and neonates. This paper explores how distance affects c-section access in rural sub-Saharan Africa, where women in labor present to health centers before being referred to district hospitals for surgical care.
{"title":"Long travel times from health center to hospital reduce caesarean section access: a study from Kirehe District, Rwanda","authors":"Hillary Miller, Niclas Rudolfson, Theoneste Nkurunziza, Teena Cherian, Daniella Kayitesi, Christian Mazimpaka, Fredrick Kateera, Robert Riviello, Bethany Hedt-Gauthier","doi":"10.11604/pamj.2023.46.30.25504","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.30.25504","url":null,"abstract":"Introduction: timely access to safe cesarean section (c-section) delivery can save the lives of mothers and neonates. This paper explores how distance affects c-section access in rural sub-Saharan Africa, where women in labor present to health centers before being referred to district hospitals for surgical care.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"300 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135594768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.11604/pamj.2023.46.43.41281
Ashwin Karnan, Ulhas Jadhav
{"title":"A case of unilateral lung collapse","authors":"Ashwin Karnan, Ulhas Jadhav","doi":"10.11604/pamj.2023.46.43.41281","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.43.41281","url":null,"abstract":"","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135840783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.11604/pamj.2023.46.21.39483
Marceline Adhiambo Oloo, Shehu Shagari Awandu, Benson Onyango, Richard Odongo Magwanga, Alfred Ochieng Oluoch, Shirley Lidechi, Erick Mbata Muok, Stephen Munga, Benson Estambale
Introduction: as a public health policy, the ongoing global coronavirus disease 2019 vaccination drives require continuous tracking, tracing, and testing of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Diagnostic testing is important in virus detection and understanding its spread for timely intervention. This is especially important for low-income settings where the majority of the population remains untested. This is well supported by the fact that of about 9% of the Kenyan population had been tested for the virus.
{"title":"Comparative analysis of SARS-CoV-2 detection methods using stool, blood, and nasopharyngeal swab samples","authors":"Marceline Adhiambo Oloo, Shehu Shagari Awandu, Benson Onyango, Richard Odongo Magwanga, Alfred Ochieng Oluoch, Shirley Lidechi, Erick Mbata Muok, Stephen Munga, Benson Estambale","doi":"10.11604/pamj.2023.46.21.39483","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.21.39483","url":null,"abstract":"Introduction: as a public health policy, the ongoing global coronavirus disease 2019 vaccination drives require continuous tracking, tracing, and testing of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Diagnostic testing is important in virus detection and understanding its spread for timely intervention. This is especially important for low-income settings where the majority of the population remains untested. This is well supported by the fact that of about 9% of the Kenyan population had been tested for the virus.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135445112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.11604/pamj.2023.46.64.37248
Joshua Odunayo Akinyemi, Mobolaji Modinat Salawu, Rotimi Felix Afolabi, Ayo Stephen Adebowale
Introduction: the decision of men is pertinent to contraceptive uptake in a patriarchal society like Nigeria. Earlier studies on contraception in Nigeria have focused majorly on women. In this paper, we identified factors influencing contraceptive use, and non-users perceptions about family planning among Nigeria men.
{"title":"Nigerian men and modern contraceptives: who are the non-users and what are their perceptions about family planning?","authors":"Joshua Odunayo Akinyemi, Mobolaji Modinat Salawu, Rotimi Felix Afolabi, Ayo Stephen Adebowale","doi":"10.11604/pamj.2023.46.64.37248","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.64.37248","url":null,"abstract":"Introduction: the decision of men is pertinent to contraceptive uptake in a patriarchal society like Nigeria. Earlier studies on contraception in Nigeria have focused majorly on women. In this paper, we identified factors influencing contraceptive use, and non-users perceptions about family planning among Nigeria men.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135051532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.11604/pamj.2023.46.50.38355
Irene Kahimakazi, Yarine Fajardo Tornes, Leevan Tibaijuka, Hamson Kanyesigye, Joshua Kiptoo, Musa Kayondo, Joseph Ngonzi, Kwame Adu-Bonsaffoh, Lenard Abesiga, Henry Mark Lugobe
Introduction: gestational diabetes mellitus is one of the major causes of morbidity and mortality among pregnant women worldwide. We aimed to determine the prevalence and factors associated with gestational diabetes mellitus among women attending the antenatal care clinic at a tertiary care hospital in South-Western Uganda.
{"title":"Prevalence of gestational diabetes mellitus and associated factors among women receiving antenatal care at a tertiary hospital in South-Western Uganda","authors":"Irene Kahimakazi, Yarine Fajardo Tornes, Leevan Tibaijuka, Hamson Kanyesigye, Joshua Kiptoo, Musa Kayondo, Joseph Ngonzi, Kwame Adu-Bonsaffoh, Lenard Abesiga, Henry Mark Lugobe","doi":"10.11604/pamj.2023.46.50.38355","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.50.38355","url":null,"abstract":"Introduction: gestational diabetes mellitus is one of the major causes of morbidity and mortality among pregnant women worldwide. We aimed to determine the prevalence and factors associated with gestational diabetes mellitus among women attending the antenatal care clinic at a tertiary care hospital in South-Western Uganda.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135952870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.11604/pamj.2023.46.11.40984
Brenda Mbouamba Yankam, Oluwafemi Adeagbo, Hubert Amu, Robert Kokou Dowou, Beryl Gillian Mbouamba Nyamen, Samuel Chinonso Ubechu, Pascal Georges Félix, Ngwayu Claude Nkfusai, Oluwaseun Badru, Luchuo Engelbert Bain
This review explores task shifting and task sharing in sub-Saharan African healthcare to address workforce shortages and cost-effectiveness. Task shifting allocates tasks logically, while task sharing involves more workers taking on specific duties. Challenges include supply chain issues, pay inadequacy, and weak supervision. Guidelines and success measures are lacking. Initiating these practices requires evaluating factors and ensuring sustainability. Task shifting saves costs but needs training and support. Task sharing boosts efficiency, enabling skilled clinicians to contribute effectively. To advance task shifting and sharing in the region, further research is needed to scale up effective initiatives. Clear success indicators, monitoring, evaluation, and learning plans, along with exploration of sustainability and appropriateness dimensions, are crucial elements to consider.
{"title":"Task shifting and task sharing in the health sector in sub-Saharan Africa: evidence, success indicators, challenges, and opportunities","authors":"Brenda Mbouamba Yankam, Oluwafemi Adeagbo, Hubert Amu, Robert Kokou Dowou, Beryl Gillian Mbouamba Nyamen, Samuel Chinonso Ubechu, Pascal Georges Félix, Ngwayu Claude Nkfusai, Oluwaseun Badru, Luchuo Engelbert Bain","doi":"10.11604/pamj.2023.46.11.40984","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.11.40984","url":null,"abstract":"This review explores task shifting and task sharing in sub-Saharan African healthcare to address workforce shortages and cost-effectiveness. Task shifting allocates tasks logically, while task sharing involves more workers taking on specific duties. Challenges include supply chain issues, pay inadequacy, and weak supervision. Guidelines and success measures are lacking. Initiating these practices requires evaluating factors and ensuring sustainability. Task shifting saves costs but needs training and support. Task sharing boosts efficiency, enabling skilled clinicians to contribute effectively. To advance task shifting and sharing in the region, further research is needed to scale up effective initiatives. Clear success indicators, monitoring, evaluation, and learning plans, along with exploration of sustainability and appropriateness dimensions, are crucial elements to consider.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135361348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: preventing COVID-19 infection among health workers maintains the health system capacity and reduces secondary transmission. Of 506 health workers tested for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in Harare City between December 2020 and February 2021 (second wave), 128 (25%) tested positive, affecting service delivery. We investigated factors associated with COVID-19 infection and described breakthrough infections among health workers.
{"title":"Predictors of COVID-19 infection among health care workers in Harare City, Zimbabwe, 2021","authors":"Talent Bvochora, Hilda Bara, Addmore Chadambuka, Tsitsi Juru, Mujinga Karakadzai, Prosper Chonzi, Notion Gombe, Mufuta Tshimanga","doi":"10.11604/pamj.2023.46.76.34014","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.76.34014","url":null,"abstract":"Introduction: preventing COVID-19 infection among health workers maintains the health system capacity and reduces secondary transmission. Of 506 health workers tested for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in Harare City between December 2020 and February 2021 (second wave), 128 (25%) tested positive, affecting service delivery. We investigated factors associated with COVID-19 infection and described breakthrough infections among health workers.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135562020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: in South Africa, COVID-19 cases are notifiable and hospitalized cases are reported on a dedicated platform. It is crucial to estimate the duration of SARS-CoV-2 shedding to inform public health interventions. We aimed to estimate viral shedding time among laboratory-confirmed COVID-19 cases in South Africa.
{"title":"Estimation of shedding time in laboratory-confirmed COVID-19 cases in South Africa: a population-based record linkage study, March-December 2020","authors":"Carroll Tshabane, Lazarus Kuonza, Hetani Mdose, Alfred Musekiwa, Nkengafac Villyen Motaze","doi":"10.11604/pamj.2023.46.24.41047","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.24.41047","url":null,"abstract":"Introduction: in South Africa, COVID-19 cases are notifiable and hospitalized cases are reported on a dedicated platform. It is crucial to estimate the duration of SARS-CoV-2 shedding to inform public health interventions. We aimed to estimate viral shedding time among laboratory-confirmed COVID-19 cases in South Africa.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135495293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.11604/pamj.2023.46.58.40438
Salihou Fall, Sameh Ben Farhat, Ahmed Chelly, Hella Kaddour, Saeb Ben Saad, Ahmed Mohamed El Hedi, Mehdi Slim, Houssem Thabet, Sami Ouannes, Rym Gribaa, Aymen Elhraiech, Neffati Elyes
Early diagnosis of the spiked helmet sign is challenging. This ST-elevation myocardial infarction mimic was first described in 2011 by Littmann and colleagues and was linked to severe non-coronary pathologies, with a high risk of mortality. We present a case of a 60-year-old female patient who developed severe erysipelas with sepsis associated with severe hypokalemia. She had a spiked helmet sign on her routine electrocardiogram at hospital admission. We performed a coronary angiogram that showed no culprit artery. She developed afterward an ischemic stroke. Through intensive management of the patients sepsis and electrolyte disturbance, she had a favorable outcome.
{"title":"The spiked helmet sign in a patient with erysipelas: an alarming electrocardiogram sign: a case report","authors":"Salihou Fall, Sameh Ben Farhat, Ahmed Chelly, Hella Kaddour, Saeb Ben Saad, Ahmed Mohamed El Hedi, Mehdi Slim, Houssem Thabet, Sami Ouannes, Rym Gribaa, Aymen Elhraiech, Neffati Elyes","doi":"10.11604/pamj.2023.46.58.40438","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.58.40438","url":null,"abstract":"Early diagnosis of the spiked helmet sign is challenging. This ST-elevation myocardial infarction mimic was first described in 2011 by Littmann and colleagues and was linked to severe non-coronary pathologies, with a high risk of mortality. We present a case of a 60-year-old female patient who developed severe erysipelas with sepsis associated with severe hypokalemia. She had a spiked helmet sign on her routine electrocardiogram at hospital admission. We performed a coronary angiogram that showed no culprit artery. She developed afterward an ischemic stroke. Through intensive management of the patients sepsis and electrolyte disturbance, she had a favorable outcome.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136372889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.11604/pamj.2023.46.72.39140
Akaninyene Eseme, Christabel Mweene Mbiiza
{"title":"Open access publishing of scientific research in Africa: a dalliance between poverty and paywalls","authors":"Akaninyene Eseme, Christabel Mweene Mbiiza","doi":"10.11604/pamj.2023.46.72.39140","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.72.39140","url":null,"abstract":"","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135214774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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