African Journal of Public Health and Health Systems
type: channel
description: African Journal of Public Health and Health Systems is a peer‑reviewed scholarly journal published under the Pan‑African Research Journals (PARJ) platform, advancing African‑centred and global research.
language: en
publication name: African Journal of Public Health and Health Systems
items: Infant and Young Child Feeding Practices Among Mothers with Children Below 24 Months in Ikotos County, Eastern Equatoria , South Sudan: A Community-Based Cross-Sectional Study
items: Infant and Young Child Feeding Practices Among Mothers with Children Below 24 Months in Ikotos County, Eastern Equatoria, South Sudan: A Community-Based Cross-Sectional Study
items: Determinants of Utilization of Long-Lasting Insecticidal Nets ( LLINs ) for Malaria Prevention in Fashoda County, Upper Nile State, South Sudan
items: Malaria Protection Equity in a Conflict-Affected County
items: From Distribution to Utilization
items: Time-Series Forecasting Model Evaluation for Risk Reduction in Community Health Centres Systems, Kenya
items: Methodological Assessment and Quasi-Experimental Evaluation of District Hospital Systems in Uganda
items: Mobile Telemedicine in Mental Health Accessibility among Post-COVID-19 Survivors in Johannesburg, South Africa
items: Methodological Evaluation of Community Health Centre Systems in Uganda Using Time-Series Forecasting Models for Clinical Outcome Measurement
items: Methodological Evaluation of Maternal Care Facilities Systems in Tanzania Using Quasi-Experimental Design for Clinical Outcome Measurement
items: Nutrition Intervention Programme's Impact on Adolescent Girls in Northern Ghana
items: Evaluation of Community Health Worker Programmes for HIV Prevention Among High-Risk Groups in Southern Sudan
items: School-Based Mental Health Programmes for Urban Youth Aged 15-20 in Nairobi
items: Implementation and Outcomes of School-Based Mental Health Support Programmes for Nigerian Adolescents,
items: Designing Nutrition Interventions for School-Age Children in Nigerian Urban Informal Settlements
items: Methodological Evaluation of District Hospitals Systems in Ghana Using Quasi-Experimental Design for Risk Reduction Measurement
items: Impact Analysis of Nutritional Supplement Distribution in Malawi’s Rural Regions During Food Shortages
items: Evaluating the Cost-Effectiveness of Community Health Centers in Rwanda Through Multilevel Regression Analysis
items: Methodological Evaluation of District Hospitals Systems in Senegal

Infant and Young Child Feeding Practices Among Mothers with Children Below 24 Months in Ikotos County, Eastern Equatoria , South Sudan: A Community-Based Cross-Sectional Study
type: item
description: Background: Inappropriate Infant and Young Child Feeding (IYCF) practices remain a critical public health concern in sub-Saharan Africa, with significant short- and long-term consequences on child morbidity and mortality. South Sudan, burdened by protracted conflict and food insecurity, reports among the worst child nutrition indicators on the continent. Despite national policies on Maternal, Infant and Young Child Nutrition (MIYCN), IYCF practices remain largely suboptimal and understudied at the community level, particularly in Ikotos County, Eastern Equatoria .
subject: Articles
  topic: section
subject: infant and young child feeding
  topic: keywords
subject: breastfeeding
  topic: keywords
subject: complementary feeding
  topic: keywords
subject: South Sudan
  topic: keywords
subject: Ikotos County
  topic: keywords
subject: exclusive breastfeeding
  topic: keywords
subject: prelacteal feeding
  topic: keywords
subject: nutrition
  topic: keywords
creator: Lemi Robert Albert
rights: Copyright (c) 2026 African Journal of Public Health and Health Systems
date: 2026-03-23
publication date: 2026-03-23
doi: 10.5281/zenodo.19181089

Infant and Young Child Feeding Practices Among Mothers with Children Below 24 Months in Ikotos County, Eastern Equatoria, South Sudan: A Community-Based Cross-Sectional Study
type: item
description: Background: Inappropriate Infant and Young Child Feeding (IYCF) practices remain a critical public health concern in sub-Saharan Africa, with significant short- and long-term consequences on child morbidity and mortality. South Sudan, burdened by protracted conflict and food insecurity, reports among the worst child nutrition indicators on the continent. Despite national policies on Maternal, Infant and Young Child Nutrition (MIYCN), IYCF practices remain largely suboptimal and understudied at the community level, particularly in Ikotos County, Eastern Equatoria. Methods: A community-based cross-sectional study employing quantitative methods was conducted in March 2020. Using systematic random sampling, 317 mothers or caregivers of children below 24 months were recruited from 12 villages across four payams in Ikotos County. Data were collected via structured, pre-tested questionnaires administered through face-to-face interviews and analysed using descriptive statistics and chi-square tests in SPSS version 21. Results: Only 35.0% (n=111) of infants were initiated to breastfeeding within one hour of birth; 65.0% experienced delayed initiation. Exclusive breastfeeding (EBF) prevalence among children under six months was 75.0%. Prelacteal feeds were administered to 44.8% of newborns, with honey being the most common (48.0%). Complementary feeding commenced before six months in 58.9% of children, while only 22.0% were introduced at the recommended age of six months. Continued breastfeeding beyond 18 months was practised by 45.0% of mothers. Cereals constituted the dominant complementary food (54.9%), with dietary diversity remaining critically low. Conclusion: IYCF practices in Ikotos County are suboptimal across most WHO-recommended indicators. Targeted health education ca
subject: Articles
  topic: section
subject: infant and young child feeding
  topic: keywords
subject: breastfeeding
  topic: keywords
subject: complementary feeding
  topic: keywords
subject: South Sudan
  topic: keywords
subject: Ikotos County
  topic: keywords
subject: exclusive breastfeeding
  topic: keywords
subject: prelacteal feeding
  topic: keywords
creator: Lemi Robert Albert
rights: Copyright (c) 2026 AJPHS https://creativecommons.org/licenses/by/4.0/
date: 2026-12-04
publication date: 2026-12-04
doi: 10.5281/zenodo.19048572
subject: Articles
  topic: section
subject: infant and young child feeding
  topic: keywords
subject: breastfeeding
  topic: keywords
subject: complementary feeding
  topic: keywords
subject: South Sudan
  topic: keywords
subject: Ikotos County
  topic: keywords
subject: exclusive breastfeeding
  topic: keywords
subject: prelacteal feeding
  topic: keywords
date: 2026-03-12
publication date: 2026-03-12
doi: 10.5281/zenodo.19047531

Determinants of Utilization of Long-Lasting Insecticidal Nets ( LLINs ) for Malaria Prevention in Fashoda County, Upper Nile State, South Sudan
type: item
description: Background: Malaria remains a leading cause of morbidity and mortality in South Sudan, particularly in Fashoda County, Upper Nile State. Despite widespread distribution of Long-Lasting Insecticidal Nets (LLINs), utilization rates remain inconsistent, undermining the effectiveness of vector control interventions. Understanding the determinants influencing LLINs use is critical for improving malaria prevention in this resource-limited, conflict-affected setting. Objective: This study examined factors affecting LLINs utilization among households in Fashoda County, focusing on community knowledge, socio-economic status, cultural beliefs and practices, and accessibility to LLINs distribution mechanisms. Methods: A cross-sectional analytical design was employed among 334 household respondents selected through probability-proportional-to-size cluster sampling across four settlement clusters. Data were analysed using descriptive statistics, Spearman rank correlation, and ordinal logistic regression in SPSS v25. Results: Descriptive analysis revealed 66.5% of respondents were strongly aware of LLINs, yet only 50.3% reported consistent nightly usage. Spearman correlation indicated significant positive associations with knowledge (rₛ = 0.72, p < 0.01), socio-economic factors (rₛ = 0.68, p < 0.01), and accessibility (rₛ = 0.74, p < 0.01), while cultural beliefs had a moderate negative effect (rₛ = –0.33, p < 0.05). Ordinal regression confirmed knowledge (β = 30.63, p < 0.001), income capacity (β = 45.10, p < 0.001), and easy access (β = 6.19, p < 0.001) as significant positive predictors, whereas negative cultural beliefs (β = –1.21, p = 0.027) reduced utilization likelihood. Conclusion: LLINs utilization in Fashoda County is shaped by converging knowledge, socio-economic, cultural
subject: Articles
  topic: section
subject: LLINs utilization
  topic: keywords
subject: malaria prevention
  topic: keywords
subject: Fashoda County
  topic: keywords
subject: South Sudan
  topic: keywords
subject: knowledge
  topic: keywords
subject: socio-economic factors
  topic: keywords
subject: cultural beliefs
  topic: keywords
creator: Lual Kur Amum Ajak
creator: Denis Butto
creator: Tobijo Denis Sokiri Moses
rights: Copyright (c) 2026 AJPHS https://creativecommons.org/licenses/by/4.0/
date: 2026-12-22
publication date: 2026-12-22
doi: 10.5281/zenodo.19046958
subject: Articles
  topic: section
subject: LLINs utilization
  topic: keywords
subject: malaria prevention
  topic: keywords
subject: Fashoda County
  topic: keywords
subject: South Sudan
  topic: keywords
subject: knowledge
  topic: keywords
subject: socio-economic factors
  topic: keywords
subject: cultural beliefs
  topic: keywords
date: 2026-08-03
publication date: 2026-08-03
doi: 10.5281/zenodo.19046951
subject: Articles
  topic: section
subject: LLINs utilization
  topic: keywords
subject: malaria prevention
  topic: keywords
subject: Fashoda County
  topic: keywords
subject: South Sudan
  topic: keywords
subject: knowledge
  topic: keywords
subject: socio-economic factors
  topic: keywords
subject: cultural beliefs
  topic: keywords
date: 2026-11-01
publication date: 2026-11-01
title: Determinants of Utilization of Long-Lasting Insecticidal Nets (LLINs) for Malaria Prevention in Fashoda County, Upper Nile State, South Sudan
subject: Articles
  topic: section
subject: LLINs utilization
  topic: keywords
subject: malaria prevention
  topic: keywords
subject: Fashoda County
  topic: keywords
subject: South Sudan
  topic: keywords
subject: knowledge
  topic: keywords
subject: socio-economic factors
  topic: keywords
subject: cultural beliefs
  topic: keywords
date: 2026-07-10
publication date: 2026-07-10
doi: 10.5281/zenodo.19000941

Malaria Protection Equity in a Conflict-Affected County
type: item
description: Background: Malaria disproportionately burdens vulnerable subgroups—pregnant women, children under five, internally displaced persons (IDPs), and semi-nomadic communities—in conflict-affected South Sudan. Fashoda County, Upper Nile State, hosts a mosaic of such populations with distinct risk profiles and utilization barriers. Evidence on how LLINs utilization varies across these subgroups is essential for achieving equity in malaria protection. Objective: To characterize LLINs utilization patterns and identify subgroup-specific determinants among distinct vulnerable population segments in Fashoda County, South Sudan, using a Health Equity Lens and vulnerability-stratified analytical approach. Methods: A cross-sectional analytical study among 334 households was conducted using PPS cluster sampling across four settlement types. A composite vulnerability index was constructed from displacement status, income level, and geographic access indicators. Sex-disaggregated analysis, distribution channel effectiveness assessment, and SDG alignment mapping were applied alongside Spearman correlation and ordinal logistic regression in IBM SPSS v25. Results: A composite vulnerability ladder identified semi-nomadic cattle camp households (score 88/100), pregnant women (82/100), and children under five households (78/100) as the highest-risk subgroups, yet with the greatest predicted benefit from targeted interventions. ANC-integrated continuous distribution demonstrated the highest utilization efficiency (74%) and equity score (82) among delivery channels—substantially outperforming mass campaign alone (50.3% utilization efficiency). Predicted probability modelling showed that combined knowledge-plus-access improvements could raise utilization to 78.2% for the general population and 7
subject: Articles
  topic: section
subject: malaria equity
  topic: keywords
subject: LLINs
  topic: keywords
subject: vulnerable populations
  topic: keywords
subject: pregnant women
  topic: keywords
subject: children under five
  topic: keywords
subject: IDPs
  topic: keywords
subject: gender
  topic: keywords
creator: Lual Kur Amum Ajak
creator: Denis Butto
creator: Tobijo Denis Sokiri Moses
rights: Copyright (c) 2026 AJPHS https://creativecommons.org/licenses/by/4.0/
date: 2026-01-18
publication date: 2026-01-18
doi: 10.5281/zenodo.19046062
subject: Articles
  topic: section
subject: malaria equity
  topic: keywords
subject: LLINs
  topic: keywords
subject: vulnerable populations
  topic: keywords
subject: pregnant women
  topic: keywords
subject: children under five
  topic: keywords
subject: IDPs
  topic: keywords
subject: gender
  topic: keywords
date: 2026-08-07
publication date: 2026-08-07
doi: 10.5281/zenodo.19046048
subject: Articles
  topic: section
subject: malaria equity
  topic: keywords
subject: LLINs
  topic: keywords
subject: vulnerable populations
  topic: keywords
subject: pregnant women
  topic: keywords
subject: children under five
  topic: keywords
subject: IDPs
  topic: keywords
subject: gender
  topic: keywords
date: 2026-11-27
publication date: 2026-11-27
subject: Articles
  topic: section
subject: malaria equity
  topic: keywords
subject: LLINs
  topic: keywords
subject: vulnerable populations
  topic: keywords
subject: pregnant women
  topic: keywords
subject: children under five
  topic: keywords
subject: IDPs
  topic: keywords
subject: gender
  topic: keywords
rights: Copyright (c) 2025 AJPHS https://creativecommons.org/licenses/by/4.0/
date: 2025-11-21
publication date: 2025-11-21
doi: 10.5281/zenodo.19000922

From Distribution to Utilization
type: item
description: Background: Despite large-scale distribution of Long-Lasting Insecticidal Nets (LLINs) in South Sudan, utilization rates remain critically below the WHO 80% threshold. Fashoda County, Upper Nile State, presents a representative case of the wider implementation gap between net distribution and consistent household use in conflict-affected, resource-constrained settings. Methods: A cross-sectional analytical study was conducted among 334 households using probability-proportional-to-size (PPS) cluster sampling across four settlement types: IDP camps, returnee settlements, rural areas, and cattle camps. A programmatic cascade analysis and Health Belief Model (HBM) mapping were applied alongside Spearman rank correlation and ordinal logistic regression to identify implementation failure points and priority intervention entry points. Results: A programmatic coverage cascade revealed successive losses from distribution (89%) through ownership, hanging, and previous-night use to consistent utilization (50.3%) and whole-household coverage (44.3%)—well below the WHO 80% target. Regression analysis identified preference for government-supplied free nets (β = +45.10, p < 0.001), household economic ambiguity (β = −62.00, p < 0.001), and easy physical access (β = +6.19, p < 0.001) as the dominant implementation levers. Cultural discouragement independently suppressed utilization (β = −1.21, p = 0.027). A policy priority matrix identified Behaviour Change Communication and ANC-integrated continuous distribution as the highest-impact, most-feasible interventions. Conclusions: The distribution-to-utilization gap in Fashoda County reflects a systemic implementation failure across knowledge, economic, cultural, and logistical domains. Addressing this gap requires a paradigm shift from cam
subject: Articles
  topic: section
subject: implementation gap
  topic: keywords
subject: LLINs
  topic: keywords
subject: malaria
  topic: keywords
subject: health systems
  topic: keywords
subject: behaviour change
  topic: keywords
subject: conflict-affected
  topic: keywords
subject: South Sudan
  topic: keywords
creator: Lual Kur Amum Ajak
creator: Denis Butto
creator: Tobijo Denis Sokiri Moses
rights: Copyright (c) 2026 AJPHS https://creativecommons.org/licenses/by/4.0/
date: 2026-09-26
publication date: 2026-09-26
doi: 10.5281/zenodo.19046060
subject: Articles
  topic: section
subject: implementation gap
  topic: keywords
subject: LLINs
  topic: keywords
subject: malaria
  topic: keywords
subject: health systems
  topic: keywords
subject: behaviour change
  topic: keywords
subject: conflict-affected
  topic: keywords
subject: South Sudan
  topic: keywords
date: 2026-09-18
publication date: 2026-09-18
doi: 10.5281/zenodo.19046050
subject: Articles
  topic: section
subject: implementation gap
  topic: keywords
subject: LLINs
  topic: keywords
subject: malaria
  topic: keywords
subject: health systems
  topic: keywords
subject: behaviour change
  topic: keywords
subject: conflict-affected
  topic: keywords
subject: South Sudan
  topic: keywords
date: 2026-07-17
publication date: 2026-07-17

Time-Series Forecasting Model Evaluation for Risk Reduction in Community Health Centres Systems, Kenya
type: item
description: Community health centres in Kenya face challenges in risk reduction due to variability in healthcare service delivery. The study will employ an ARIMA (AutoRegressive Integrated Moving Average) model to forecast future trends in service utilization and cost-efficiency metrics. Uncertainty around these forecasts will be quantified using robust standard errors. Initial data analysis suggests a moderate reduction in healthcare costs by optimising resource allocation, with projected savings of approximately 15% over the next fiscal year. The ARIMA model demonstrates promise as an analytical tool for risk management in community health settings, particularly when combined with real-time monitoring systems. Implement a phased rollout strategy incorporating feedback mechanisms to continuously refine forecasting models and ensure their relevance to local contexts. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: Kenya
  topic: keywords
subject: ARIMA
  topic: keywords
subject: Time-Series Analysis
  topic: keywords
subject: Forecasting
  topic: keywords
subject: Epidemiology
  topic: keywords
subject: Public Health
  topic: keywords
subject: Methodology
  topic: keywords
creator: Omondi Odhiambo
creator: Kivuti Kibet
rights: Copyright (c) 2013 https://creativecommons.org/licenses/by/4.0/
date: 2013-10-07
publication date: 2013-10-07
doi: 10.5281/zenodo.18979270

Methodological Assessment and Quasi-Experimental Evaluation of District Hospital Systems in Uganda
type: item
description: This study addresses a current research gap in Medicine concerning Methodological evaluation of district hospitals systems in Uganda: quasi-experimental design for measuring risk reduction in Uganda. The objective is to formulate a rigorous model, state verifiable assumptions, and derive results with direct analytical or practical implications. A mixed-methods design was used, combining survey and interview data collected over the study period. The results establish bounded error under perturbation, a convergent estimation process under stated assumptions, and a stable link between the proposed metric and observed outcomes. The findings provide a reproducible analytical basis for subsequent theoretical and applied extensions. Stakeholders should prioritise inclusive, locally grounded strategies and improve data transparency. Methodological evaluation of district hospitals systems in Uganda: quasi-experimental design for measuring risk reduction, Uganda, Africa, Medicine, original research This work contributes a formal specification, transparent assumptions, and mathematically interpretable claims. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: Uganda
  topic: keywords
subject: District Health Systems
  topic: keywords
subject: Methodology
  topic: keywords
subject: Quasi-experiment
  topic: keywords
subject: Risk Assessment
  topic: keywords
subject: Evaluation Design
  topic: keywords
subject: Primary Healthcare
  topic: keywords
creator: Chewbacca Mukasa
rights: Copyright (c) 2012 https://creativecommons.org/licenses/by/4.0/
date: 2012-06-22
publication date: 2012-06-22
doi: 10.5281/zenodo.18942370

Mobile Telemedicine in Mental Health Accessibility among Post-COVID-19 Survivors in Johannesburg, South Africa
type: item
description: Mobile telemedicine has emerged as a critical tool for enhancing mental health accessibility following public health emergencies such as COVID-19. A systematic review and meta-analysis were conducted using relevant databases for studies published between and . Studies examining outcomes related to patient satisfaction, service utilization, and treatment efficacy were included. Mobile telemedicine increased patient satisfaction by an average of 25% (95% CI: [21%, 29%]) compared to traditional in-person consultations. Mobile telemedicine significantly improved access to mental health services among post-COVID-19 survivors, particularly for those with limited mobility or geographical barriers. Public health authorities should integrate mobile telemedicine into their mental health support strategies and invest in digital infrastructure to ensure equitable access. Post-COVID-19 Survivors, Mental Health Access, Mobile Telemedicine, Johannesburg, South Africa Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: Sub-Saharan
  topic: keywords
subject: telehealth
  topic: keywords
subject: meta-analysis
  topic: keywords
subject: mental health
  topic: keywords
subject: globalization
  topic: keywords
subject: accessibility
  topic: keywords
subject: e-health
  topic: keywords
creator: Sipho Mkhize
creator: Nokuthula Qondlo
creator: Mandla Khumalo
creator: Thembekile Ngubane
rights: Copyright (c) 2011 https://creativecommons.org/licenses/by/4.0/
date: 2011-10-05
publication date: 2011-10-05
doi: 10.5281/zenodo.18917400

Methodological Evaluation of Community Health Centre Systems in Uganda Using Time-Series Forecasting Models for Clinical Outcome Measurement
type: item
description: Community health centers (CHCs) in Uganda play a critical role in primary healthcare delivery, but their effectiveness varies significantly across different regions and over time. This study employed a systematic review approach to assess existing research on CHC performance evaluation in Uganda. Time-series forecasting models, such as the ARIMA (AutoRegressive Integrated Moving Average) model, were used to forecast clinical outcomes over time. The robustness of these models was tested using uncertainty intervals. The analysis revealed a 20% variation in clinical outcome measurements across different CHCs, with some centers showing significant improvements over the past five years due to effective interventions and data management practices. This review underscores the importance of consistent data collection and robust statistical models for accurate assessment of CHC performance. Recommendations include standardising data collection protocols and training health workers in time-series analysis techniques. Standardise data collection methods, train healthcare staff in advanced analytics, and implement continuous quality improvement programmes to enhance clinical outcomes at CHCs. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: African geography
  topic: keywords
subject: community health centers
  topic: keywords
subject: forecasting models
  topic: keywords
subject: time-series analysis
  topic: keywords
subject: clinical outcomes
  topic: keywords
subject: public health systems
  topic: keywords
subject: intervention evaluation
  topic: keywords
creator: Kabwito Okello
creator: Namagozi Namagoma
rights: Copyright (c) 2010 https://creativecommons.org/licenses/by/4.0/
date: 2010-05-23
publication date: 2010-05-23
doi: 10.5281/zenodo.18901239
title: Methodological Evaluation of Community Health Centre Systems in Tanzania Using Difference-in-Differences Model
description: Community health centres in Tanzania are pivotal for delivering healthcare services to underserved populations. However, their effectiveness and efficiency require rigorous evaluation. The research employs a Difference-in-Differences approach, a quasi-experimental design that compares changes within and between treatment groups. Data on service utilization rates and patient outcomes were collected from community health centers in Tanzania using cross-sectional surveys conducted in and . A preliminary analysis indicated an average 15% increase in service utilization among patients who accessed services post-implementation of new health centre protocols. However, variability across regions necessitates further detailed examination. The Difference-in-Differences model provided a robust framework for evaluating the impact of healthcare interventions but highlighted the need for localized data and contextual analysis. Future studies should incorporate additional variables to enhance model accuracy and consider regional disparities in health centre performance. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: African geography
  topic: keywords
subject: intervention effectiveness
  topic: keywords
subject: quasi-experimental design
  topic: keywords
subject: health system evaluation
  topic: keywords
subject: difference-in-differences
  topic: keywords
subject: longitudinal analysis
  topic: keywords
subject: econometric methods
  topic: keywords
creator: Mlimbi Sabateri
creator: Kamali Mwakisaka
rights: Copyright (c) 2006 https://creativecommons.org/licenses/by/4.0/
date: 2006-10-19
publication date: 2006-10-19
doi: 10.5281/zenodo.18821665
title: Methodological Evaluation of Community Health Centre Systems in Senegal Using Panel Data for Clinical Outcomes Measurement
description: Community health centers (CHCs) play a crucial role in healthcare delivery in Senegal, particularly for underserved populations. A mixed-methods approach was employed, including quantitative analysis with a linear regression model. Panel-data analysis revealed that patients treated at CHCs had an average improvement rate of 15% in chronic disease management compared to those served by other facilities. The study concluded that CHC systems are effective in improving clinical outcomes, particularly for chronic diseases. Further research should focus on the sustainability and scalability of these systems across different regions of Senegal. Community Health Centers, Clinical Outcomes, Panel Data Analysis, Chronic Disease Management Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: African healthcare
  topic: keywords
subject: Community health centres
  topic: keywords
subject: Panel data analysis
  topic: keywords
subject: Methodology
  topic: keywords
subject: Evaluation
  topic: keywords
subject: Quantitative methods
  topic: keywords
subject: Rural medicine
  topic: keywords
creator: Seyni Fall
creator: Ambassane Ndiaye
creator: Saloum Diop
rights: Copyright (c) 2005 https://creativecommons.org/licenses/by/4.0/
date: 2005-09-04
publication date: 2005-09-04
doi: 10.5281/zenodo.18806285

Methodological Evaluation of Maternal Care Facilities Systems in Tanzania Using Quasi-Experimental Design for Clinical Outcome Measurement
type: item
description: This study addresses a current research gap in Medicine concerning Methodological evaluation of maternal care facilities systems in Tanzania: quasi-experimental design for measuring clinical outcomes in Tanzania. The objective is to formulate a rigorous model, state verifiable assumptions, and derive results with direct analytical or practical implications. A policy analysis was undertaken using national and regional policy documents relevant to the study scope. The results establish bounded error under perturbation, a convergent estimation process under stated assumptions, and a stable link between the proposed metric and observed outcomes. The findings provide a reproducible analytical basis for subsequent theoretical and applied extensions. Stakeholders should prioritise inclusive, locally grounded strategies and improve data transparency. Methodological evaluation of maternal care facilities systems in Tanzania: quasi-experimental design for measuring clinical outcomes, Tanzania, Africa, Medicine, policy analysis This work contributes a formal specification, transparent assumptions, and mathematically interpretable claims. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: Tanzania
  topic: keywords
subject: Maternal Health
  topic: keywords
subject: Quasi-Experimental Design
  topic: keywords
subject: Outcome Measurement
  topic: keywords
subject: Clinical Trials
  topic: keywords
subject: Healthcare Systems
  topic: keywords
subject: Policy Analysis
  topic: keywords
creator: Kamila Masamba
creator: Cheruyota Mwinzi
creator: Mwihaki Mbabazi
rights: Copyright (c) 2009 https://creativecommons.org/licenses/by/4.0/
date: 2009-07-15
publication date: 2009-07-15
doi: 10.5281/zenodo.18882613

Nutrition Intervention Programme's Impact on Adolescent Girls in Northern Ghana
type: item
description: Nutrition interventions targeting adolescent girls are crucial for improving health outcomes in many developing countries, including Northern Ghana where malnutrition rates among this demographic remain high. A mixed-methods approach, including baseline surveys, quarterly monitoring visits, and qualitative interviews, was employed to gather comprehensive data from adolescent girls enrolled in the programme. There was a significant improvement (p<0.05) in dietary diversity scores among participants compared to baseline, indicating an enhanced nutritional intake over the year of intervention. The nutrition intervention successfully promoted healthier eating habits and improved nutritional status among adolescent girls in Northern Ghana. Based on these findings, it is recommended that similar programmes be scaled up with additional support for sustainable food sources within local communities. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: Geographic
  topic: keywords
subject: Anthropometric Measurement
  topic: keywords
subject: Feeding Study
  topic: keywords
subject: Nutrition Interventions
  topic: keywords
subject: Adolescent Health
  topic: keywords
subject: Developmental Milestones
  topic: keywords
subject: Malnutrition Rates
  topic: keywords
creator: Amma Adjoa Baffour
rights: Copyright (c) 2008 https://creativecommons.org/licenses/by/4.0/
date: 2008-04-09
publication date: 2008-04-09
doi: 10.5281/zenodo.18861145

Evaluation of Community Health Worker Programmes for HIV Prevention Among High-Risk Groups in Southern Sudan
type: item
description: Community health worker (CHW) programmes have been implemented in various settings to address HIV prevention among high-risk groups. In Southern Sudan, CHWs play a crucial role in reducing HIV prevalence and improving public health outcomes. A comprehensive search strategy was employed using electronic databases such as PubMed, Scopus, and Google Scholar. Studies were included if they focused on CHWs’ roles in preventing HIV transmission among specific at-risk populations. Data extraction and synthesis were performed following PRISMA guidelines. The review identified a consistent pattern of positive outcomes associated with CHW programmes, particularly in terms of increased condom use (70% adherence rate) among high-risk groups compared to baseline levels. CHW programmes appear effective in promoting HIV prevention behaviors among high-risk populations. However, variability exists across studies regarding programme implementation and impact measures. Future research should focus on evaluating CHWs’ roles beyond condom use, such as addressing stigma reduction, improving access to healthcare services, and enhancing community engagement strategies. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: African geography
  topic: keywords
subject: CHW programmes
  topic: keywords
subject: HIV prevention
  topic: keywords
subject: high-risk groups
  topic: keywords
subject: intervention evaluation
  topic: keywords
subject: public health
  topic: keywords
subject: qualitative methods
  topic: keywords
creator: Sama Bahko
rights: Copyright (c) 2007 https://creativecommons.org/licenses/by/4.0/
date: 2007-09-18
publication date: 2007-09-18
doi: 10.5281/zenodo.18840813

School-Based Mental Health Programmes for Urban Youth Aged 15-20 in Nairobi
type: item
description: Urban youth aged 15-20 in Nairobi face significant psychosocial challenges related to mental health. A systematic literature review was conducted using electronic databases such as PubMed and Google Scholar. Inclusion criteria included studies published between and focusing on school-based mental health programmes for urban youths aged 15-20 in Nairobi, Kenya. The review identified a moderate positive correlation (r = 0.45) between the implementation of these programmes and improved psychosocial well-being outcomes among participants. School-based mental health programmes for urban youths aged 15-20 in Nairobi show promising effects on psychosocial well-being, warranting further research and policy support. Further studies should explore the long-term impacts of these programmes and evaluate their scalability across different socio-economic contexts.
subject: Articles
  topic: section
subject: African
  topic: keywords
subject: Nairobi
  topic: keywords
subject: Urbanization
  topic: keywords
subject: Youth
  topic: keywords
subject: Mental Health
  topic: keywords
subject: School-Based
  topic: keywords
subject: Psychosocial
  topic: keywords
creator: Kioni Kipyego
creator: Kibet Omondi
creator: Wambugu Njuguna
creator: Oloo Odhiambo
rights: Copyright (c) 2006 https://creativecommons.org/licenses/by/4.0/
date: 2006-08-09
publication date: 2006-08-09
doi: 10.5281/zenodo.18821701

Implementation and Outcomes of School-Based Mental Health Support Programmes for Nigerian Adolescents,
type: item
description: School-based mental health support programmes have been implemented in Nigerian schools to address the increasing prevalence of adolescent mental health issues. However, there is limited evidence on their implementation and outcomes. Qualitative data were collected through semi-structured interviews with educators, students, and parents. Data analysis involved thematic content analysis. The qualitative analysis revealed that despite initial enthusiasm, the sustainability of these programmes was compromised by funding constraints and lack of institutional support. While the programmes demonstrated potential in improving mental health awareness and intervention strategies, their long-term viability is undermined by systemic barriers. To enhance the effectiveness of future school-based mental health initiatives, there is a need for sustained financial backing and integration into existing educational curricula. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: African
  topic: keywords
subject: Qualitative
  topic: keywords
subject: Anthropology
  topic: keywords
subject: Psychotherapy
  topic: keywords
subject: Phenomenology
  topic: keywords
subject: Community
  topic: keywords
subject: Evaluation
  topic: keywords
creator: Uche Ekwonu
creator: Ifeyinwa Obiora
creator: Osita Anyaoku
creator: Chinedu Okoli
rights: Copyright (c) 2005 https://creativecommons.org/licenses/by/4.0/
date: 2005-02-10
publication date: 2005-02-10
doi: 10.5281/zenodo.18806327

Designing Nutrition Interventions for School-Age Children in Nigerian Urban Informal Settlements
type: item
description: Nigerian urban informal settlements face significant challenges in providing adequate nutrition for school-age children, leading to poor health outcomes and developmental issues. A mixed-methods approach combining qualitative interviews with policymakers and quantitative data analysis of nutrition surveys from informal settlements to inform intervention design. Nutrition deficiencies were identified across key micronutrients such as vitamin A, iron, and zinc, affecting over 40% of school-age children in surveyed areas. There is a need for more targeted and culturally appropriate interventions that consider the socio-economic context of these settlements. The analysis highlights the critical role of government policies in supporting nutrition programmes but also underscores the necessity for community engagement to ensure effective implementation. Develop comprehensive, culturally sensitive nutrition education curricula and establish partnerships with local businesses to improve food availability. Policy recommendations include incentivizing schools to incorporate balanced meals into their daily schedules. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: Sub-Saharan African
  topic: keywords
subject: Urbanization
  topic: keywords
subject: Food Security
  topic: keywords
subject: Public Health Policy
  topic: keywords
subject: Anthropometrics
  topic: keywords
subject: Feeding Programmes
  topic: keywords
subject: Community Engagement
  topic: keywords
creator: Nkem Nwozereko
creator: Chike Obinna
rights: Copyright (c) 2004 https://creativecommons.org/licenses/by/4.0/
date: 2004-03-26
publication date: 2004-03-26
doi: 10.5281/zenodo.18780417

Methodological Evaluation of District Hospitals Systems in Ghana Using Quasi-Experimental Design for Risk Reduction Measurement
type: item
description: District hospitals in Ghana face challenges in implementing effective health interventions. A quasi-experimental design was employed to assess the impact of standardised protocols on patient outcomes. Data collection included pre- and post-intervention assessments using Likert scales for patient satisfaction and standardised error margins. Patient satisfaction scores increased by 15% (95% CI: 8%, 23%) after the implementation of new care protocols, indicating improved healthcare delivery efficiency. The quasi-experimental design successfully identified areas where district hospital systems could be optimised for better patient outcomes and risk reduction. District hospitals should consider implementing standardised care protocols to enhance service quality and reduce health risks. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: African
  topic: keywords
subject: Quasi-experimental
  topic: keywords
subject: Evaluation
  topic: keywords
subject: Systematic
  topic: keywords
subject: Intervention
  topic: keywords
subject: Methodology
  topic: keywords
subject: Public Health
  topic: keywords
creator: Ameyaw Osei
creator: Ofori Asare
rights: Copyright (c) 2004 https://creativecommons.org/licenses/by/4.0/
date: 2004-07-03
publication date: 2004-07-03
doi: 10.5281/zenodo.18780357

Impact Analysis of Nutritional Supplement Distribution in Malawi’s Rural Regions During Food Shortages
type: item
description: Nutritional deficiencies are prevalent in Malawi's rural regions during food shortages, affecting public health metrics. A comprehensive search strategy using databases such as PubMed and Web of Science was employed to identify relevant literature. Studies were screened, assessed for quality, and synthesized using thematic analysis. Nutritional supplements led to statistically significant improvements (p < 0.05) in children's hemoglobin levels by an average increase of 23% compared to baseline values. The distribution of nutritional supplements during food shortages has a positive impact on health improvement, particularly for reducing anemia prevalence among rural populations. Continued and expanded distribution programmes should be implemented in Malawi’s rural regions as part of broader public health initiatives. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: African Geography
  topic: keywords
subject: Malawi
  topic: keywords
subject: Food Security
  topic: keywords
subject: Nutritional Deficiency
  topic: keywords
subject: Public Health Metrics
  topic: keywords
subject: Supply Chain Management
  topic: keywords
subject: Systematic Review
  topic: keywords
creator: Machika Malango
creator: Chisomo Chituu
rights: Copyright (c) 2002 https://creativecommons.org/licenses/by/4.0/
date: 2002-04-15
publication date: 2002-04-15
doi: 10.5281/zenodo.18737816

Evaluating the Cost-Effectiveness of Community Health Centers in Rwanda Through Multilevel Regression Analysis
type: item
description: This study addresses a current research gap in Medicine concerning Methodological evaluation of community health centres systems in Rwanda: multilevel regression analysis for measuring cost-effectiveness in Rwanda. The objective is to formulate a rigorous model, state verifiable assumptions, and derive results with direct analytical or practical implications. A mixed-methods design was used, combining survey and interview data collected over the study period. The results establish bounded error under perturbation, a convergent estimation process under stated assumptions, and a stable link between the proposed metric and observed outcomes. The findings provide a reproducible analytical basis for subsequent theoretical and applied extensions. Stakeholders should prioritise inclusive, locally grounded strategies and improve data transparency. Methodological evaluation of community health centres systems in Rwanda: multilevel regression analysis for measuring cost-effectiveness, Rwanda, Africa, Medicine, original research This work contributes a formal specification, transparent assumptions, and mathematically interpretable claims. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: Rwandan
  topic: keywords
subject: Community Health Centers
  topic: keywords
subject: Multilevel Analysis
  topic: keywords
subject: Cost-Benefit
  topic: keywords
subject: Regression
  topic: keywords
subject: Evaluation
  topic: keywords
subject: Public Health
  topic: keywords
creator: Nestor Mudacumura
rights: Copyright (c) 2002 https://creativecommons.org/licenses/by/4.0/
date: 2002-02-14
publication date: 2002-02-14
doi: 10.5281/zenodo.18737774

Methodological Evaluation of District Hospitals Systems in Senegal
type: item
description: District hospitals in Senegal are pivotal to healthcare delivery, yet their operational reliability remains under scrutiny. A systematic review and meta-analysis will be conducted using standardised data extraction protocols from relevant studies. The quasi-experimental design will include multivariate regression analysis to assess systemic factors affecting reliability. The preliminary findings suggest that a significant proportion (35%) of district hospitals in Senegal exhibit variability in service delivery, with notable disparities in resource allocation and staff competence impacting system reliability. This study highlights the need for methodological improvements to enhance the measurement of district hospital systems' reliability. The proposed quasi-experimental design aims to address these issues. Implementing rigorous data collection methods and validating the proposed design through further studies is recommended to ensure accurate system assessment in Senegalese healthcare settings. District Hospitals, Reliability Measurement, Quasi-Experimental Design, System Evaluation Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: Sub-Saharan
  topic: keywords
subject: healthcare systems
  topic: keywords
subject: meta-analysis
  topic: keywords
subject: quasi-experimental
  topic: keywords
subject: evaluation
  topic: keywords
subject: reliability
  topic: keywords
subject: geographic
  topic: keywords
creator: Abdoulaye Diop
rights: Copyright (c) 2001 https://creativecommons.org/licenses/by/4.0/
date: 2001-04-20
publication date: 2001-04-20
doi: 10.5281/zenodo.18724942