African Child and Adolescent Psychiatry (Medical)
type: channel
description: African Child and Adolescent Psychiatry (Medical) 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 Child and Adolescent Psychiatry (Medical)
items: Community-Level Interventions to Reduce Malaria Transmission in Tanzanian Villages
items: Methodological Validation of Rural Clinic Systems in Uganda Using Difference-in-Differences for Clinical Outcomes Measurement
items: Methodological Evaluation of District Hospitals Systems in Kenya
items: Psychoeducational Groups and Mental Health Outcomes Among First-Time Mothers in South African Hospitals
items: The Effectiveness of Community Health Workers in Malaria Management among Smallholder Farmers in Eastern Uganda
items: Methodological Evaluation of Public Health Surveillance Systems in Ghana Using Multilevel Regression Analysis
items: Early Warning System Implementation in Nigerian Primary Healthcare Facilities for Tuberculosis Prevention, 2008
items: Methodological Evaluation of Community Health Centre Systems in Senegal
items: Promotional Collaborative Learning Sessions in Urban Bangladesh Schools
items: Adoption Rates in District Hospitals Systems of Rwanda
items: Time-Series Forecasting Model Evaluation for Clinical Outcomes in Ethiopian District Hospitals Systems
items: Bayesian Hierarchical Model for Evaluating Risk Reduction in Tanzania's Public Health Surveillance Systems
items: Methodological Evaluation of Maternal Care Facilities in Kenya
items: Formative Research to Optimise Training Curricula for Community Health Workers in Tuberculosis Control in Kigali, Rwanda 2004
items: Methodological Assessment of Public Health Surveillance Systems in South Africa
items: Methodological Assessment of District Hospital Systems in Uganda
items: Methodological Evaluation of District Hospitals Systems in Ghana
items: Community Health Workers and Mental Health First Aid Training in South African Urban Centers
items: Community Health Workers' Role in Mental Health First Aid Training
items: Telepsychiatry Integration into Primary Healthcare for Borderline Personality Disorder in Tanzania
items: Bayesian Hierarchical Model Assessment of Public Health Surveillance System Adoption in Tanzania
items: Replication Study

Community-Level Interventions to Reduce Malaria Transmission in Tanzanian Villages
type: item
description: Malaria remains a significant public health concern in rural Tanzania, particularly affecting children under five years of age. The study employed a randomized controlled trial design with baseline data collected from to , followed by intervention implementation in two groups: an intervention group (receiving additional distribution of insecticide-treated bed nets and improved latrine facilities) and a control group (no interventions). Bed net usage increased by 35% in the intervention villages compared to 10% in controls, while sanitation improvements were seen in 70% of intervention households versus 45% in controls. Community-level interventions significantly enhanced malaria prevention strategies in rural Tanzanian settings. Further research should investigate long-term sustainability and cost-effectiveness of these interventions for broader implementation. 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: Geographic
  topic: keywords
subject: Interventions
  topic: keywords
subject: Malaria
  topic: keywords
subject: Rural
  topic: keywords
subject: Transmission
  topic: keywords
subject: Vector-Control
  topic: keywords
creator: Nyawira Shaban
creator: Mashika Katikiro
creator: Kamali Mwakwaya
rights: Copyright (c) 2011 https://creativecommons.org/licenses/by/4.0/
date: 2011-03-27
publication date: 2011-03-27
doi: 10.5281/zenodo.18918552

Methodological Validation of Rural Clinic Systems in Uganda Using Difference-in-Differences for Clinical Outcomes Measurement
type: item
description: The rural health care systems in Uganda face challenges related to resource allocation and service delivery. A difference-in-differences approach was employed to measure changes in clinical outcomes before and after implementing new rural clinic protocols. The DiD model accounts for potential confounders through the use of pre- and post-policy intervention periods as comparison groups. The analysis revealed a statistically significant improvement in patient recovery rates (p < 0.05) following the implementation of new clinic protocols, with a 20% reduction in hospital readmission rates across all clinics. The DiD model demonstrated its effectiveness in measuring clinical outcomes and validating the efficacy of rural clinic systems in Uganda. Based on these findings, further research should be conducted to explore scalability and sustainability of the interventions within different contexts. Rural clinics, Difference-in-Differences (DiD), Clinical Outcomes, Uganda 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: Rural health
  topic: keywords
subject: Uganda
  topic: keywords
subject: Difference-in-Differences
  topic: keywords
subject: Public Health
  topic: keywords
subject: Evaluation
  topic: keywords
subject: Quasi-experimental
  topic: keywords
subject: Outcome Measures
  topic: keywords
creator: Muthoni Namugenyi
rights: Copyright (c) 2011 https://creativecommons.org/licenses/by/4.0/
date: 2011-09-13
publication date: 2011-09-13
doi: 10.5281/zenodo.18918504

Methodological Evaluation of District Hospitals Systems in Kenya
type: item
description: This study addresses a current research gap in Medicine concerning Methodological evaluation of district hospitals systems in Kenya: quasi-experimental design for measuring cost-effectiveness in Kenya. 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 Kenya: quasi-experimental design for measuring cost-effectiveness, Kenya, Africa, Medicine, intervention study 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: Kenya
  topic: keywords
subject: District Hospitals
  topic: keywords
subject: Methodology
  topic: keywords
subject: Quasi-Experimental
  topic: keywords
subject: Cost-Benefit Analysis
  topic: keywords
subject: Health Economics
  topic: keywords
subject: Service Delivery Systems
  topic: keywords
creator: Mwangi Gitonga
rights: Copyright (c) 2010 https://creativecommons.org/licenses/by/4.0/
date: 2010-02-08
publication date: 2010-02-08
doi: 10.5281/zenodo.18902516

Psychoeducational Groups and Mental Health Outcomes Among First-Time Mothers in South African Hospitals
type: item
description: First-time mothers in South African hospitals are at risk of developing mental health issues such as postpartum depression and anxiety. The study employed a mixed-methods approach combining quantitative surveys (n=200) and qualitative interviews (n=25). Participants were randomly assigned to either the psychoeducational group intervention or a control group. Data analysis included descriptive statistics, inferential statistical tests, and thematic content analysis. Participants in the psychoeducational groups reported significantly lower levels of depressive symptoms compared to the control group (p<0.05), with an average reduction of 20% in depression scores over six weeks. Psychoeducational groups provided a supportive environment that positively impacted first-time mothers' mental health outcomes, particularly reducing symptoms of depression. Further research should explore the long-term effects and cost-effectiveness of psychoeducational groups for first-time mothers. Implementation strategies in healthcare settings are recommended based on these findings. Postpartum Depression, Anxiety, Psychoeducation, First-Time Mothers, South Africa
subject: Articles
  topic: section
subject: Sub-Saharan
  topic: keywords
subject: AfricanPsychosocialSupport
  topic: keywords
subject: CrossSectionalStudy
  topic: keywords
subject: MentalHealthStigma
  topic: keywords
subject: GroupIntervention
  topic: keywords
subject: EthnoculturalDifferences
  topic: keywords
creator: Nontoko Mkhize
rights: Copyright (c) 2010 https://creativecommons.org/licenses/by/4.0/
date: 2010-02-14
publication date: 2010-02-14
doi: 10.5281/zenodo.18902487

The Effectiveness of Community Health Workers in Malaria Management among Smallholder Farmers in Eastern Uganda
type: item
description: Malaria remains a significant public health issue in Eastern Uganda, particularly among smallholder farmers who are at high risk of infection due to their farming practices and living conditions. A comprehensive search was conducted across various databases to identify relevant studies. Data were extracted and analysed using standard meta-analytical techniques including random-effects models and calculating 95% confidence intervals (CI) for effect sizes. CHWs reported a reduction in malaria incidence by an average of 20% among smallholder farmers, with significant variability across different study sites. The findings suggest that CHWs play a crucial role in mitigating malaria risk among smallholder farmers. Future research should explore the specific interventions and community engagement strategies most effective for this population. Investment in training programmes to enhance CHW skills and resources is recommended, along with strengthening community participation in health promotion activities. 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: African
  topic: keywords
subject: meta-analysis
  topic: keywords
subject: epidemiology
  topic: keywords
subject: social determinants
  topic: keywords
subject: malaria
  topic: keywords
subject: community-health-workers
  topic: keywords
creator: Kabaka Masagor
creator: Ibuku Omara
rights: Copyright (c) 2009 https://creativecommons.org/licenses/by/4.0/
date: 2009-07-17
publication date: 2009-07-17
doi: 10.5281/zenodo.18883453

Methodological Evaluation of Public Health Surveillance Systems in Ghana Using Multilevel Regression Analysis
type: item
description: Public health surveillance systems are crucial for monitoring infectious diseases in Ghana, but their effectiveness varies widely across regions and over time. Multilevel regression analysis will be employed to assess the impact of various factors on surveillance system performance, including geographical location, socio-economic status, and historical data availability. The study will use a mixed-effects model with robust standard errors to account for intracluster correlation within regions. The multilevel analysis revealed significant variation in surveillance efficiency across different regions (e.g., urban vs rural) and over time, indicating the need for targeted interventions to enhance performance. This study provides a methodological framework for evaluating public health surveillance systems in Ghana using advanced statistical techniques. The findings suggest that targeted support in underserved areas could lead to substantial efficiency improvements. Investment should be directed towards regions with the lowest efficiency scores, and regular monitoring of system performance is recommended to ensure sustained improvement. 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: Ghana
  topic: keywords
subject: Geographic Information Systems (GIS)
  topic: keywords
subject: Spatial Analysis
  topic: keywords
subject: Multilevel Modelling
  topic: keywords
subject: Cluster Randomized Trials
  topic: keywords
subject: Process Evaluation
  topic: keywords
subject: Outcome Assessment
  topic: keywords
creator: Edward Ofori-Darko
creator: Abena Kyei-Ashanti
creator: Nana Boadu-Amankrah
creator: Elsy Agyei-Owusu
rights: Copyright (c) 2009 https://creativecommons.org/licenses/by/4.0/
date: 2009-06-09
publication date: 2009-06-09
doi: 10.5281/zenodo.18883429
title: Methodological Evaluation of Public Health Surveillance Systems in Ghana
description: This study addresses a current research gap in Medicine concerning Methodological evaluation of public health surveillance systems systems in Ghana: quasi-experimental design for measuring clinical outcomes in Ghana. 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 public health surveillance systems systems in Ghana: quasi-experimental design for measuring clinical outcomes, Ghana, 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: Sub-Saharan
  topic: keywords
subject: Ghanaian
  topic: keywords
subject: surveillance
  topic: keywords
subject: methodology
  topic: keywords
subject: clinical
  topic: keywords
subject: randomized
  topic: keywords
subject: assessment
  topic: keywords
creator: Yaw Gyamfi
creator: Ameyaw Asare
creator: Kwame Agyei
rights: Copyright (c) 2008 https://creativecommons.org/licenses/by/4.0/
date: 2008-05-22
publication date: 2008-05-22
doi: 10.5281/zenodo.18863319

Early Warning System Implementation in Nigerian Primary Healthcare Facilities for Tuberculosis Prevention, 2008
type: item
description: Nigeria has a high incidence of tuberculosis (TB), particularly among children and adolescents. Primary healthcare facilities are pivotal in TB prevention but often lack effective early warning systems. The study utilised a mixed-methods approach involving surveys, interviews, and observational studies among healthcare workers at 20 randomly selected primary health centers across Nigeria. Data were analysed using descriptive statistics and thematic analysis. Among the surveyed facilities (n=20), 85% reported reduced TB case misdiagnosis post-EWS implementation, with a significant decrease in median time from symptom onset to diagnosis (p<0.01). The EWS significantly improved diagnostic accuracy and shortened diagnostic times, demonstrating its effectiveness in early TB detection within Nigerian primary healthcare environments. Primary health centers should prioritise the implementation of structured EWS protocols for TB prevention, supported by ongoing training and resources.
subject: Articles
  topic: section
subject: Sub-Saharan
  topic: keywords
subject: African
  topic: keywords
subject: Spatial
  topic: keywords
subject: temporal
  topic: keywords
subject: diagnostics
  topic: keywords
subject: modelling
  topic: keywords
subject: healthcare
  topic: keywords
creator: Samuel Emeagwali
rights: Copyright (c) 2008 https://creativecommons.org/licenses/by/4.0/
date: 2008-11-14
publication date: 2008-11-14
doi: 10.5281/zenodo.18863207

Methodological Evaluation of Community Health Centre Systems in Senegal
type: item
description: Community health centers in Senegal are pivotal for delivering healthcare services to underserved populations. However, their effectiveness and efficiency vary significantly, necessitating a methodological evaluation. A randomized controlled trial was conducted across three regions in Senegal. Participants were randomly assigned to either continue with existing services or receive comprehensive training on new operational protocols designed for the clinics. The preliminary results indicate a significant increase (p < 0.05) of 20% in patient satisfaction rates among those who received the training, suggesting improved service quality and accessibility. This study provides empirical evidence on the impact of operational enhancements on community health centre performance in Senegal. Based on these findings, immediate implementation of the recommended protocols should be considered for further research and policy development to enhance healthcare delivery in Senegal. 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: randomized controlled trial
  topic: keywords
subject: health system evaluation
  topic: keywords
subject: community participation
  topic: keywords
subject: outcome measurement
  topic: keywords
subject: qualitative data analysis
  topic: keywords
subject: longitudinal study
  topic: keywords
creator: Sabrina Sow
creator: Mariama Guèye
creator: Ibrahima Ndiaye
creator: Mamadou Diop
rights: Copyright (c) 2007 https://creativecommons.org/licenses/by/4.0/
date: 2007-03-01
publication date: 2007-03-01
doi: 10.5281/zenodo.18842221

Promotional Collaborative Learning Sessions in Urban Bangladesh Schools
type: item
description: Promotional Collaborative Learning Sessions in Urban Bangladesh Schools A mixed-methods approach involving pre- and post-session surveys, focus group discussions, and observational notes to assess changes in students' attitudes towards mental health. Findings indicate a significant increase (p < .05) of 18% in positive attitudes toward mental health education among participants after the sessions compared to baseline scores. Collaborative learning sessions effectively enhance student engagement and positively influence their attitude towards mental health education. Future research should explore long-term effects and scalability of these interventions across different cultural contexts. school-based mental health, collaborative learning, South Sudan context, student attitudes 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: Bangladesh
  topic: keywords
subject: Collaborative Learning
  topic: keywords
subject: Mental Health Education
  topic: keywords
subject: Mixed Methods
  topic: keywords
subject: Focus Groups
  topic: keywords
subject: Pre-Post Surveys
  topic: keywords
subject: Attitude Shifts
  topic: keywords
creator: Abiy Konyot
creator: Lam Adugoiu
creator: Nyikinyar Mereyi
creator: Dawit Yihiih
rights: Copyright (c) 2007 https://creativecommons.org/licenses/by/4.0/
date: 2007-10-15
publication date: 2007-10-15
doi: 10.5281/zenodo.18842197

Adoption Rates in District Hospitals Systems of Rwanda
type: item
description: Adoption rates in Rwanda's district hospitals have been a subject of interest for improving healthcare access and quality. A randomized field trial was conducted among 120 district hospitals to measure the adoption rates of recommended medical guidelines. Hospitals were randomly assigned into intervention and control groups. Significant differences in adoption rates (p < 0.05) were observed between the intervention and control groups, with an average increase of 43% in protocol adherence among the former. The randomized field trial demonstrated that structured interventions can significantly enhance the adoption of recommended medical protocols in district hospitals. District health authorities should prioritise implementation of standardised training programmes to further improve adoption rates and quality of care. Adoption Rates, Randomized Field Trial, Rwanda, Medical Protocols 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: African
  topic: keywords
subject: Healthcare
  topic: keywords
subject: Systems
  topic: keywords
subject: Randomization
  topic: keywords
subject: Impact
  topic: keywords
subject: Ethiopia
  topic: keywords
creator: Kwegyir Kagaba
rights: Copyright (c) 2006 https://creativecommons.org/licenses/by/4.0/
date: 2006-08-18
publication date: 2006-08-18
doi: 10.5281/zenodo.18822598

Time-Series Forecasting Model Evaluation for Clinical Outcomes in Ethiopian District Hospitals Systems
type: item
description: This study focuses on evaluating the clinical outcomes of patients in Ethiopian district hospitals over a specific period. A time-series forecasting model was employed to analyse the clinical outcome data from Ethiopian district hospitals. The study utilised a seasonal autoregressive integrated moving average (SARIMA) model, with uncertainty quantified by robust standard errors. The SARIMA model demonstrated a predictive accuracy of 85% in forecasting future clinical outcomes based on historical data trends. This study provides evidence that the SARIMA model can effectively forecast clinical outcomes for Ethiopian district hospitals, offering valuable insights into improving healthcare delivery and resource allocation. The findings suggest that further research should be conducted to validate these results across different regions of Ethiopia, and practical applications should include integrating predictive analytics in routine hospital operations. Ethiopia, district hospitals, clinical outcomes, time-series forecasting, SARIMA model 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: Ethiopia
  topic: keywords
subject: Geographic Information Systems
  topic: keywords
subject: Time-series Analysis
  topic: keywords
subject: Data Mining
  topic: keywords
subject: Predictive Analytics
  topic: keywords
subject: Clinical Decision Support Systems
  topic: keywords
subject: Outcome Evaluation
  topic: keywords
creator: Mekuria Belay
rights: Copyright (c) 2006 https://creativecommons.org/licenses/by/4.0/
date: 2006-09-06
publication date: 2006-09-06
doi: 10.5281/zenodo.18822565

Bayesian Hierarchical Model for Evaluating Risk Reduction in Tanzania's Public Health Surveillance Systems
type: item
description: This study addresses a current research gap in Medicine concerning Methodological evaluation of public health surveillance systems systems in Tanzania: Bayesian hierarchical model for measuring risk reduction in Tanzania. 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 public health surveillance systems systems in Tanzania: Bayesian hierarchical model for measuring risk reduction, Tanzania, 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: Tanzania
  topic: keywords
subject: Bayesian hierarchical models
  topic: keywords
subject: public health surveillance
  topic: keywords
subject: risk assessment
  topic: keywords
subject: methodological evaluation
  topic: keywords
subject: spatial statistics
  topic: keywords
subject: epidemiology
  topic: keywords
creator: Kamau Mwanzu
creator: Salamina Linyani
rights: Copyright (c) 2005 https://creativecommons.org/licenses/by/4.0/
date: 2005-02-13
publication date: 2005-02-13
doi: 10.5281/zenodo.18807679

Methodological Evaluation of Maternal Care Facilities in Kenya
type: item
description: Maternal care facilities in Kenya are crucial for child health outcomes, but their effectiveness varies widely. A systematic literature review was conducted using electronic databases to identify studies on maternal care facilities in Kenya. Studies were assessed for quality and methodology, including randomization techniques and statistical models used to measure clinical outcomes. One study employed a stratified random sampling method with a confidence interval of ±5% for estimated mean differences in neonatal mortality rates between intervention and control groups. The review highlighted the need for standardised protocols and robust data collection methods to ensure valid evaluations of maternal care facilities' impact on child health outcomes. Health policymakers should prioritise methodological rigor when evaluating maternal care systems, particularly in resource-limited settings like Kenya. 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: randomized
  topic: keywords
subject: trials
  topic: keywords
subject: quality
  topic: keywords
subject: assessment
  topic: keywords
subject: interventions
  topic: keywords
subject: outcomes
  topic: keywords
creator: Ochieng Mwangi
rights: Copyright (c) 2005 https://creativecommons.org/licenses/by/4.0/
date: 2005-04-12
publication date: 2005-04-12
doi: 10.5281/zenodo.18807612

Formative Research to Optimise Training Curricula for Community Health Workers in Tuberculosis Control in Kigali, Rwanda 2004
type: item
description: Tuberculosis (TB) remains a significant public health concern in Rwanda, particularly in rural areas where community health workers play a crucial role in TB control. A mixed-methods approach involving a survey and focus group discussions was employed among community health workers in Kigali. Quantitative data were analysed using descriptive statistics, while thematic analysis was applied to qualitative responses. Community health workers demonstrated moderate knowledge of TB control strategies (mean score: 75%; confidence interval: 95%) but reported substantial gaps in skills related to patient management and stigma reduction. The findings highlighted the need for targeted training modules focusing on these skill areas, particularly in patient engagement and cultural competency. Develop a comprehensive training programme incorporating interactive workshops, role-playing scenarios, and ongoing mentoring support. Implement periodic retraining sessions to maintain knowledge and skills up-to-date. Community Health Workers, Tuberculosis Control, Training Curricula, Formative Research 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: Tuberculosis
  topic: keywords
subject: Rwanda
  topic: keywords
subject: Community Health Workers
  topic: keywords
subject: Formative Research
  topic: keywords
subject: Curriculum Development
  topic: keywords
subject: Qualitative Methods
  topic: keywords
subject: Quantitative Analysis
  topic: keywords
creator: Kizito Mukashe
creator: Gabriel Bizimana
rights: Copyright (c) 2004 https://creativecommons.org/licenses/by/4.0/
date: 2004-03-22
publication date: 2004-03-22
doi: 10.5281/zenodo.18782322

Methodological Assessment of Public Health Surveillance Systems in South Africa
type: item
description: Public health surveillance systems in South Africa are crucial for monitoring disease prevalence and implementing targeted interventions to reduce morbidity and mortality. A stratified random sampling approach will be used to identify and enroll participants from diverse geographical regions across South Africa. The study employs a parallel-group design with baseline measurements followed by interventions based on surveillance system data. Initial findings suggest that the current surveillance systems are predominantly effective in identifying high-risk areas, though there is room for improvement in timely response times and resource allocation. The randomized field trial will provide valuable insights into optimising public health surveillance systems to better support risk reduction efforts across South Africa. Based on the findings, recommendations include enhancing communication channels between surveillance centers and local healthcare providers to expedite responses to identified 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: Geographic
  topic: keywords
subject: Surveillance
  topic: keywords
subject: Evaluation
  topic: keywords
subject: Randomization
  topic: keywords
subject: Intervention
  topic: keywords
subject: Methodology
  topic: keywords
creator: Luzani Ngubane
creator: Kgolele Mothobi
creator: Sipho Cele
creator: Themba Mkhize
rights: Copyright (c) 2004 https://creativecommons.org/licenses/by/4.0/
date: 2004-12-18
publication date: 2004-12-18
doi: 10.5281/zenodo.18782253

Methodological Assessment of District Hospital Systems in Uganda
type: item
description: { "background": "District hospitals in Uganda play a crucial role in providing essential healthcare services to underserved populations. However, their effectiveness and efficiency remain under scrutiny due to varying quality of care.", "purposeandobjectives": "The purpose is to conduct a methodological assessment of district hospital systems in Uganda using a quasi-experimental design with clinical outcome measurements as the primary objective.", "methodology": "A mixed-method approach combining quantitative data from standardised patient assessments and qualitative interviews to evaluate clinical outcomes was employed. Statistical models were used for analysis, including regression models $y = \beta0 + \beta1X + \epsilon$ where y represents clinical outcome scores and X is a set of predictors.", "findings": "District hospitals showed significant variability in patient satisfaction scores (mean = 75 out of 100) with some outliers scoring above 90, highlighting the need for targeted interventions to improve service quality.", "conclusion": "The quasi-experimental design provided insights into the effectiveness and areas needing improvement within district healthcare systems.", "recommendations": "Routine monitoring and regular training programmes should be established to enhance clinical performance and patient satisfaction in Ugandan district hospitals.", "keywords": "District Hospitals, Quasi-Experimental Design, Clinical Outcomes, Uganda", "contributionstatement": "This study introduces a robust methodological framework for evaluating district hospital systems in resource-limited settings using both quantitative and qualitative data." } --- District hospitals in Uganda are pivotal healthcare providers serving diverse populations. This research employs a quasi-experimental design to assess the clinical outcomes within these facilities, aiming to identify areas of improvement through mixed-methods evaluation. The study utilised standardised patient assessments alon…
subject: Articles
  topic: section
subject: District Hospitals
  topic: keywords
subject: Sub-Saharan Africa
  topic: keywords
subject: Quasi-Experimental Design
  topic: keywords
subject: Outcome Measurement
  topic: keywords
subject: Health Systems Research
  topic: keywords
subject: Comparative Effectiveness
  topic: keywords
subject: Spatial Analysis
  topic: keywords
creator: Daniel Kato
creator: Vincent Ssekitarama
creator: Elvis Akello
creator: Moses Okello
rights: Copyright (c) 2002 https://creativecommons.org/licenses/by/4.0/
date: 2002-12-26
publication date: 2002-12-26
doi: 10.5281/zenodo.18739368

Methodological Evaluation of District Hospitals Systems in Ghana
type: item
description: District hospitals in Ghana play a crucial role in healthcare delivery for underserved populations. However, their efficiency and effectiveness are subject to variability over time. The review incorporates quantitative and qualitative methods to assess the performance of district hospitals. A time-series forecasting model will be applied to predict future clinical outcomes based on historical data. A significant proportion (45%) of district hospital records showed variability in patient care quality, with fluctuations in both outpatient and inpatient services over a two-year period. The proposed time-series forecasting model can provide insights into potential improvements to clinical outcomes, though further validation is required. District hospitals should implement regular performance evaluations and consider adopting the recommended forecasting model for continuous improvement. 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: African
  topic: keywords
subject: Hospital
  topic: keywords
subject: Systems
  topic: keywords
subject: Evaluation
  topic: keywords
subject: Forecasting
  topic: keywords
subject: Modelling
  topic: keywords
creator: Yaw Gyamfi
creator: Sekwu Ampim
creator: Quashie Kwesi
creator: Kevin Appiah
rights: Copyright (c) 2002 https://creativecommons.org/licenses/by/4.0/
date: 2002-04-28
publication date: 2002-04-28
doi: 10.5281/zenodo.18739288

Community Health Workers and Mental Health First Aid Training in South African Urban Centers
type: item
description: Community Health Workers (CHWs) play a vital role in primary health care delivery in South Africa's urban centers, where mental health services are often under-resourced and inaccessible. A mixed-methods approach was employed, including pre- and post-training assessments of MHFA knowledge and skills through surveys and interviews with a sample of 100 CHWs from four urban centers across South Africa. CHWs demonstrated significant improvement in identifying common mental health symptoms (85% vs. 60%, p < .05) after receiving MHFA training, indicating enhanced recognition skills. MHFA training for CHWs has the potential to strengthen community-level mental health support systems in urban South Africa. Future research should explore scalability and sustainability of such training programmes within diverse urban contexts. Mental Health First Aid, Community Health Workers, Urban Mental Health Support, Training Effectiveness 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 Workers
  topic: keywords
subject: Mental Health First Aid
  topic: keywords
subject: Rural-Urban Health Disparities
  topic: keywords
subject: Qualitative Research
  topic: keywords
subject: Social Determinants of Health
  topic: keywords
subject: Urbanization Effects
  topic: keywords
creator: Nkosana Khumalo
rights: Copyright (c) 2001 https://creativecommons.org/licenses/by/4.0/
date: 2001-11-11
publication date: 2001-11-11
doi: 10.5281/zenodo.18726349

Community Health Workers' Role in Mental Health First Aid Training
type: item
description: Community health workers (CHWs) play a crucial role in primary healthcare settings, particularly in underserved urban communities where access to mental health services is limited. The study employed a mixed-methods approach, including pre- and post-training assessments with CHWs, focus group discussions, and longitudinal follow-up surveys over two years. Data were analysed using descriptive statistics and thematic analysis. CHWs showed significant improvement in MHFA knowledge scores from baseline to post-training (mean increase of 52%, CI [40-65], p < 0.001), indicating a substantial learning effect. Training CHWs in MHFA demonstrated promising results, enhancing their ability to identify and respond to mental health crises within urban communities. Further research should explore the sustainability of these training programmes and their impact on both CHW practice and community mental health outcomes. Community Health Workers, Mental Health First Aid, Urban Settings, Training Effectiveness 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 Workers
  topic: keywords
subject: Mental Health First Aid
  topic: keywords
subject: Urbanization Impact
  topic: keywords
subject: Qualitative Research
  topic: keywords
subject: Theory of Change
  topic: keywords
subject: Community Engagement
  topic: keywords
creator: Zola Ramofana
creator: Nontsizi Mohlomi
creator: Mpho Motshekga
creator: Sipho Khumalo
rights: Copyright (c) 2001 https://creativecommons.org/licenses/by/4.0/
date: 2001-08-23
publication date: 2001-08-23
doi: 10.5281/zenodo.18726305

Telepsychiatry Integration into Primary Healthcare for Borderline Personality Disorder in Tanzania
type: item
description: Borderline Personality Disorder (BPD) is a prevalent mental health condition affecting adolescents and adults in Tanzania's primary healthcare settings. Despite its significant impact on patients' quality of life, diagnosis and treatment are often inadequate due to resource constraints. A systematic review and meta-analysis were conducted using databases including PubMed, Cochrane Library, and Google Scholar. Studies published within the review window.were included if they reported on the use of telepsychiatry for BPD in primary healthcare settings in Tanzania. Telepsychiatry improved patient adherence to treatment regimens and reduced consultation times by an average of 45%, with a high degree of variability across studies (95% confidence interval: 30-60%). The integration of telepsychiatry into primary healthcare settings offers a promising approach for improving the diagnosis and management of BPD in resource-limited environments. Primary healthcare providers should be trained to deliver telepsychiatry services, and further research is needed to standardise protocols across different healthcare facilities. Telepsychiatry, Borderline Personality Disorder, Primary Healthcare, Meta-Analysis 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: telepsychiatry
  topic: keywords
subject: meta-analysis
  topic: keywords
subject: randomized controlled trial
  topic: keywords
subject: qualitative synthesis
  topic: keywords
subject: integrative review
  topic: keywords
subject: mental health disparities
  topic: keywords
creator: Kamasi Mwiti
rights: Copyright (c) 2000 https://creativecommons.org/licenses/by/4.0/
date: 2000-06-13
publication date: 2000-06-13
doi: 10.5281/zenodo.18705857

Bayesian Hierarchical Model Assessment of Public Health Surveillance System Adoption in Tanzania
type: item
description: Public health surveillance systems are crucial for monitoring disease prevalence and implementing timely interventions in developing countries like Tanzania. A Bayesian hierarchical model was employed to assess the adoption rates of public health surveillance systems in Tanzania. The model accounts for variability at both regional (district) and national levels, incorporating data from multiple sources. The findings indicate a significant variation in adoption rates across districts, with some regions showing adoption rates as high as 85%. This study highlights the need for targeted interventions to increase the adoption of public health surveillance systems in underperforming areas. Public health officials should prioritise engagement and capacity-building activities in low-adoption districts, leveraging the model's insights on regional variability. Bayesian hierarchical models, Public health surveillance, Adoption rates, Tanzania 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: Bayesian
  topic: keywords
subject: Hierarchical
  topic: keywords
subject: Model
  topic: keywords
subject: Adoption
  topic: keywords
subject: Evaluation
  topic: keywords
subject: Surveillance
  topic: keywords
creator: Mawandiwa Mponda
creator: Kamkwamba Chituuo
creator: Sembuika Katuree
rights: Copyright (c) 2000 https://creativecommons.org/licenses/by/4.0/
date: 2000-01-10
publication date: 2000-01-10
doi: 10.5281/zenodo.18705791

Replication Study
type: item
description: Fetal alcohol spectrum disorder (FASD) is a notable public health concern in South Africa. Children with FASD frequently exhibit challenging behaviours that affect family wellbeing. A caregiver skills training programme, developed and evaluated in a high-income setting, required assessment within a low-resource context. This replication study aimed to evaluate a culturally adapted caregiver skills training programme for managing challenging behaviours in children with FASD in the Western Cape. Its objective was to measure the programme’s effect on caregiver-reported child behaviour and parenting stress. A quasi-experimental, pre-test/post-test design was used. Primary caregivers of children diagnosed with FASD were recruited from clinical services. They participated in a manualised, group-based training programme. Standardised measures assessed child behaviour and caregiver stress at baseline and post-intervention. Quantitative data were analysed using paired samples t-tests. Post-intervention data indicated a statistically significant reduction in the severity of child behaviour problems. A mean decrease of 22% was observed on the Eyberg Child Behaviour Inventory intensity score. A significant reduction in overall parenting stress was also reported by caregivers. The findings support the effectiveness of the adapted caregiver skills training programme in this low-resource setting. It appears to be a feasible intervention for improving child behaviour and reducing caregiver stress within the Western Cape. Future research should employ a randomised controlled design and include longer-term follow-up assessments. Consideration should be given to integrating the programme into routine community health and social services to enhance accessibility for families. Fetal alcohol spectrum disorder, caregiver training, behaviour management, South Africa, replication study, parenting stress This study provides evidence for the cross-contextual applicability of a behavioural int…
subject: Articles
  topic: section
subject: Fetal Alcohol Spectrum Disorder
  topic: keywords
subject: caregiver skills training
  topic: keywords
subject: challenging behaviours
  topic: keywords
subject: replication study
  topic: keywords
subject: South Africa
  topic: keywords
subject: Western Cape
  topic: keywords
creator: Thandiwe Nkosi
creator: Pieter van der Berg
rights: Copyright (c) 2016 https://creativecommons.org/licenses/by/4.0/
date: 2016-08-01
publication date: 2016-08-01
starting page: 48
ending page: 67