Pub Date : 2023-01-01DOI: 10.11604/pamj.2023.46.81.38588
Audrey Rachlin, Oluwasegun Joel Adegoke, Ester Sikare, Olorunsogo Bidemi Adeoye, Edward Dagoe, Asekun Adeyelu, Herman Tolentino, Jan MacGregor, Samuel Obasi, Gabriel Adah, Abdullahi Bulama Garba, Angela Ukpojo Abah, Josiah Friday, Ferdinand Oyiri, Angela Montesanti Porter, Lois Olajide, Idongesit Wilson, Ramatu Usman, Nnamdi Usifoh, Olasoji Fasogbon, Richard Franka, Margherita Ghiselli, Patrick Nguku, Ndadilnasiya Waziri, Eugene K Lam, Omotayo Bolu
Introduction: the Growing Expertise in E-health Knowledge and Skills (GEEKS) program is an applied apprenticeship program that aims to improve informatics capacity at various levels of the national health system and create a sustainable informatics workforce. Nigeria adapted the GEEKS model in 2019 as a mechanism to strengthen data quality and use of routine immunization (RI) and vaccine-preventable disease (VPD) surveillance data among EPI staff. Since the start of the GEEKS-EPI program, there has not been a formal assessment conducted to measure the extent to which GEEKS-EPI has been able to build local informatics workforce capacity and strengthen RI and VPD surveillance (VPDS) data quality and use in Nigeria.
{"title":"Lessons Learned from Early Implementation of the Growing Expertise in E-health Knowledge and Skills (GEEKS) Program in Nigeria, 2019 - 2021","authors":"Audrey Rachlin, Oluwasegun Joel Adegoke, Ester Sikare, Olorunsogo Bidemi Adeoye, Edward Dagoe, Asekun Adeyelu, Herman Tolentino, Jan MacGregor, Samuel Obasi, Gabriel Adah, Abdullahi Bulama Garba, Angela Ukpojo Abah, Josiah Friday, Ferdinand Oyiri, Angela Montesanti Porter, Lois Olajide, Idongesit Wilson, Ramatu Usman, Nnamdi Usifoh, Olasoji Fasogbon, Richard Franka, Margherita Ghiselli, Patrick Nguku, Ndadilnasiya Waziri, Eugene K Lam, Omotayo Bolu","doi":"10.11604/pamj.2023.46.81.38588","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.81.38588","url":null,"abstract":"Introduction: the Growing Expertise in E-health Knowledge and Skills (GEEKS) program is an applied apprenticeship program that aims to improve informatics capacity at various levels of the national health system and create a sustainable informatics workforce. Nigeria adapted the GEEKS model in 2019 as a mechanism to strengthen data quality and use of routine immunization (RI) and vaccine-preventable disease (VPD) surveillance data among EPI staff. Since the start of the GEEKS-EPI program, there has not been a formal assessment conducted to measure the extent to which GEEKS-EPI has been able to build local informatics workforce capacity and strengthen RI and VPD surveillance (VPDS) data quality and use in Nigeria.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"27 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":"135562073","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: point prevalence surveys have been used as a standardized tool to monitor antibiotic consumption to inform antimicrobial stewardship interventions in many countries. The 2021 WHO model list of Essential Medicines has classified antibiotics into three groups: access, watch and reserve. The aim of this paper is to describe the antibiotics used within a space of three years between 2018 and 2021 at the University of Uyo teaching hospital based on WHO AWaRe classification.
{"title":"AWaRe classification of Antibiotics prescribed within 2018-2021 for hospitalised medical and surgical patients in Uyo, Nigeria","authors":"Agantem Ekuma, Asukwo Onukak, Sylvanus Udoette, Ann Versporten, Ines Pauwels, Oyinlola Oduyebo","doi":"10.11604/pamj.2023.46.80.33027","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.80.33027","url":null,"abstract":"Introduction: point prevalence surveys have been used as a standardized tool to monitor antibiotic consumption to inform antimicrobial stewardship interventions in many countries. The 2021 WHO model list of Essential Medicines has classified antibiotics into three groups: access, watch and reserve. The aim of this paper is to describe the antibiotics used within a space of three years between 2018 and 2021 at the University of Uyo teaching hospital based on WHO AWaRe classification.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"13 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":"135562325","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.2023.46.29.40536
Khulood Abdul-Majeed Mohammed Jafeer, Saba Fadhil Ali Malaa, Zainab Abed Mohsen Al-Aboobia, Naiel Abbass Kadhiem Alkhafaji
{"title":"Evaluation of intestinal parasites as a causative agent of diarrhea in children and some treatments used in Babylon Province","authors":"Khulood Abdul-Majeed Mohammed Jafeer, Saba Fadhil Ali Malaa, Zainab Abed Mohsen Al-Aboobia, Naiel Abbass Kadhiem Alkhafaji","doi":"10.11604/pamj.2023.46.29.40536","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.29.40536","url":null,"abstract":"","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":"135594213","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.2023.46.85.38836
Wingston Felix Ng'ambi, Takondwa Mwase, Cosmas Zyambo, Farai Chigaru, Agnes Jack Banda, Joseph Mfutso-Bengo
Introduction: although countries in sub-Sahara Africa (SSA) show progress in implementing various forms of health insurance, there is a dearth of information regarding health insurance in settings like Malawi. Therefore, we conducted this study to determine the uptake of health insurance and describe some of the factors associated with the prevailing uptake of health insurance in Malawi using the 2019-2020 Multiple Indicator Cluster Survey (MICS).
{"title":"Uptake of health insurance in Malawi in 2019-2020: evidence from the multiple indicator cluster survey","authors":"Wingston Felix Ng'ambi, Takondwa Mwase, Cosmas Zyambo, Farai Chigaru, Agnes Jack Banda, Joseph Mfutso-Bengo","doi":"10.11604/pamj.2023.46.85.38836","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.85.38836","url":null,"abstract":"Introduction: although countries in sub-Sahara Africa (SSA) show progress in implementing various forms of health insurance, there is a dearth of information regarding health insurance in settings like Malawi. Therefore, we conducted this study to determine the uptake of health insurance and describe some of the factors associated with the prevailing uptake of health insurance in Malawi using the 2019-2020 Multiple Indicator Cluster Survey (MICS).","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"44 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":"135704831","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}
Broad ligament ectopic pregnancy is a relatively rare condition described in the literature. We did not find enough data concerning this subject in Cameroon. It is therefore important to know about its existence because late management can lead to increased maternal mortality. This paper reports the case of a 22-year-old lady at 18 weeks gestation who had generalized abdominal pain for two months. Prior to her arrival at our service, an abdominal and pelvic ultrasound done revealed a viable singleton 18-weeks intra-abdominal pregnancy with a moderate amount of abdominal fluid collection. The diagnosis of haemorrhagic shock complicating an abdominal pregnancy at 18 weeks of gestation was retained. An emergency laparotomy was done, and a right total salpingectomy and oophorectomy with resection of the right broad ligament were carried out. After surgery, dissection of the mass revealed a non-viable male foetus weighing 218 grams. In conclusion, there´s a very high morbidity and mortality rate associated with broad ligament pregnancies. Due to the fact that there is late access to antenatal care, the prognosis of pathologic pregnancies is endangered.
{"title":"Broad ligament ectopic pregnancy at 18 weeks: diagnosis and management in a resource-limited setting: a case report","authors":"Madye Ange Ngo Dingom, Jovanny Fouogue Tsuala, Junie Annick Metogo Ntsama, Wilfried Loïc Meukem Tatsipie, Diane Estelle Kamdem, Jean Marie Alima, Félix Essiben","doi":"10.11604/pamj.2023.46.40.39598","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.40.39598","url":null,"abstract":"Broad ligament ectopic pregnancy is a relatively rare condition described in the literature. We did not find enough data concerning this subject in Cameroon. It is therefore important to know about its existence because late management can lead to increased maternal mortality. This paper reports the case of a 22-year-old lady at 18 weeks gestation who had generalized abdominal pain for two months. Prior to her arrival at our service, an abdominal and pelvic ultrasound done revealed a viable singleton 18-weeks intra-abdominal pregnancy with a moderate amount of abdominal fluid collection. The diagnosis of haemorrhagic shock complicating an abdominal pregnancy at 18 weeks of gestation was retained. An emergency laparotomy was done, and a right total salpingectomy and oophorectomy with resection of the right broad ligament were carried out. After surgery, dissection of the mass revealed a non-viable male foetus weighing 218 grams. In conclusion, there´s a very high morbidity and mortality rate associated with broad ligament pregnancies. Due to the fact that there is late access to antenatal care, the prognosis of pathologic pregnancies is endangered.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"34 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":"135839203","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.2023.46.48.37578
Ishaya Ibrahim Abok, Lucius Chidiebere Imoh, Fidelia Bode-Thomas, Stephen Oguche, Ayuba Zoakah, Atiene Sagay
Introduction: there is growing interest in the link between maternal and infant vitamin D (VD) levels. Breast milk transmission and the fact that the mother and her child may share risk factors for VD, such as exposure to sunlight, diet, and sociocultural influences may impact VD status, the magnitude of which is largely unknown in our topical low-middle income setting. We assessed the connection between maternal and infant VD status including their correlates.
{"title":"Relationship between maternal and infant serum vitamin D levels in Jos, Plateau State, Nigeria: a cross-sectional study","authors":"Ishaya Ibrahim Abok, Lucius Chidiebere Imoh, Fidelia Bode-Thomas, Stephen Oguche, Ayuba Zoakah, Atiene Sagay","doi":"10.11604/pamj.2023.46.48.37578","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.48.37578","url":null,"abstract":"Introduction: there is growing interest in the link between maternal and infant vitamin D (VD) levels. Breast milk transmission and the fact that the mother and her child may share risk factors for VD, such as exposure to sunlight, diet, and sociocultural influences may impact VD status, the magnitude of which is largely unknown in our topical low-middle income setting. We assessed the connection between maternal and infant VD status including their correlates.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"44 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":"135909468","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.2023.46.54.41283
Ashwin Karnan
{"title":"A rare neuroendocrine tumor of the lung","authors":"Ashwin Karnan","doi":"10.11604/pamj.2023.46.54.41283","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.54.41283","url":null,"abstract":"","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"48 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":"136307721","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.2023.46.60.39549
Joy Mwende Ndunda, James Sitati, Mary Inziani, Rebecca Loraine Achieng, Janepher Achieng, Laurie Kennedy, Cynthia Kademba, Agnes Wanjiru, Videlis Nduba, Carolyne Ndila, Matilu Mwau
Introduction: accreditation is the most effective approach to ensure the quality of services. Laboratory performance can be evaluated using the World Health Organization (WHO)-SLIPTA checklist, which checks a laboratory´s compliance with ISO 15189 on a five-star score scale and improved using the SLMTA approach. Compliance is assessed by an external body and can result in accreditation. In this paper, we describe the steps taken by the Kenya Medical Research Institute (KEMRI) HIV Laboratory, Alupe, a resource-limited public entity, towards accreditation, and discuss the lessons learned.
{"title":"Accreditation of a molecular HIV diagnostic laboratory following the Strengthening Laboratory Management Towards Accreditation (SLMTA)-Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) approach in Kenya: an implementation science study","authors":"Joy Mwende Ndunda, James Sitati, Mary Inziani, Rebecca Loraine Achieng, Janepher Achieng, Laurie Kennedy, Cynthia Kademba, Agnes Wanjiru, Videlis Nduba, Carolyne Ndila, Matilu Mwau","doi":"10.11604/pamj.2023.46.60.39549","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.60.39549","url":null,"abstract":"Introduction: accreditation is the most effective approach to ensure the quality of services. Laboratory performance can be evaluated using the World Health Organization (WHO)-SLIPTA checklist, which checks a laboratory´s compliance with ISO 15189 on a five-star score scale and improved using the SLMTA approach. Compliance is assessed by an external body and can result in accreditation. In this paper, we describe the steps taken by the Kenya Medical Research Institute (KEMRI) HIV Laboratory, Alupe, a resource-limited public entity, towards accreditation, and discuss the lessons learned.","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":"136374156","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.2023.46.67.39778
Devis Mhagama, Manase Kilonzi, Peter Kunambi, Deus Buma, Fredrick Kalokola, Paschal Ruggajo, Ritah Francis Mutagonda
{"title":"Pharmacological management of hypertension and outcome among patients on hemodialysis at Muhimbili National Hospital, Tanzania: a cross-sectional study","authors":"Devis Mhagama, Manase Kilonzi, Peter Kunambi, Deus Buma, Fredrick Kalokola, Paschal Ruggajo, Ritah Francis Mutagonda","doi":"10.11604/pamj.2023.46.67.39778","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.67.39778","url":null,"abstract":"","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"46 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":"134981298","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: human immunodeficiency virus (HIV) and tuberculosis (TB) remain global health problems and impose a substantial reduction in people´s quality of life (QoL). This study aimed to assess and comparing the QoL in HIV and TB patients and factors associated with QoL between those groups.
{"title":"Determinants of quality of life among people with HIV and tuberculosis in an underserved area in Indonesia: a cross-sectional study","authors":"Elfride Irawati Sianturi, Zamrotul Izzah, Khoirul Huda, Evelyn Magrid Sada, Dyah Aryani Perwitasari, Steven Yohanes Yulianus Mantiri, Elsye Gunawan","doi":"10.11604/pamj.2023.46.61.41521","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.61.41521","url":null,"abstract":"Introduction: human immunodeficiency virus (HIV) and tuberculosis (TB) remain global health problems and impose a substantial reduction in people´s quality of life (QoL). This study aimed to assess and comparing the QoL in HIV and TB patients and factors associated with QoL between those groups.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"23 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":"135007956","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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