African Internal Medicine Journal
type: channel
description: African Internal Medicine Journal 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 Internal Medicine Journal
items: Methodological Assessment of Public Health Surveillance Systems in Ethiopia
items: Bayesian Hierarchical Model Evaluation of Clinical Outcomes in Public Health Surveillance Systems in Kenya,
items: Methodological Evaluation of Public Health Surveillance Systems in Kenya
items: Methodological Evaluation of District Hospitals Systems in Uganda
items: Methodological Evaluation of Rural Clinics Systems in South Africa Using Time-Series Forecasting Models for Clinical Outcomes Measurement,
items: Time-Series Forecasting Model for Evaluating Clinical Outcomes in Rural Clinics of Senegal
items: Bayesian Hierarchical Model for Assessing System Reliability in Community Health Centres in Nigeria
items: Methodological Evaluation of District Hospitals Systems in Tanzania
items: Psychosocial Outcomes Among Rural Senegalese Children Experiencing Domestic Violence Following Mental Health Support Programmes in Nigeria
items: Adoption Rates and Implementation Outcomes of Universal Health Coverage Policies in Central African Republic
items: Effectiveness of Community Health Worker Programmes on Tuberculosis Case Detection Rates in Remote Villages of Tanzania
items: Bayesian Hierarchical Model Assessment of Community Health Centre Systems in Kenya 2006
items: Multilevel Regression Analysis for Measuring Clinical Outcomes in District Hospitals Systems of Kenya
items: Early Childhood Development Programmes' Impact on Urban South African Children's Educational Achievement
items: Methodological Evaluation of Community Health Centre Systems in Rwanda
items: Evaluating Collaborative Models between Community Health Workers and Medical Students in Child Immunization Campaigns in Northern Ghana
items: Community-Based Interventions for Malaria Prevention Among School-Aged Children in Zanzibar, Tanzania
items: Time-Series Forecasting Model for Evaluating Community Health Centre Systems in Ghana,
items: Adolescent Sexual Reproductive Health Education Programmes in Cape Town Slums
items: Methodological Evaluation of Emergency Care Units Systems in Nigeria
items: Performance of the quick Sequential Organ Failure Assessment score for predicting in-hospital mortality in patients with suspected infection in rural Rwanda

Methodological Assessment of Public Health Surveillance Systems in Ethiopia
type: item
description: Public health surveillance systems play a crucial role in monitoring infectious diseases and other public health threats efficiently. A randomized field trial was conducted to evaluate the performance of public health surveillance systems across different regions of Ethiopia. Data were collected using standardised tools and analysed using logistic regression models to assess predictive accuracy. The analysis revealed a significant improvement in the detection rate of infectious diseases when compared to baseline data, with an increase of 20% in positive case notifications from the intervention group. This study provides robust evidence that targeted interventions can enhance the functionality and efficiency of public health surveillance systems in Ethiopia. Public health authorities should prioritise ongoing system improvements based on this research to better protect public health outcomes. 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: Data Quality Assessment
  topic: keywords
subject: Sentinel Surveillance Sites
  topic: keywords
subject: Randomized Controlled Trials
  topic: keywords
subject: Public Health Metrics
  topic: keywords
subject: Outcome Evaluation
  topic: keywords
creator: Mulugeta Berhanu
rights: Copyright (c) 2013 https://creativecommons.org/licenses/by/4.0/
date: 2013-05-08
publication date: 2013-05-08
doi: 10.5281/zenodo.18979864

Bayesian Hierarchical Model Evaluation of Clinical Outcomes in Public Health Surveillance Systems in Kenya,
type: item
description: Public health surveillance systems in Kenya have been established to monitor clinical outcomes across various diseases. A Bayesian hierarchical model was employed to analyse data from multiple sources, incorporating uncertainty through robust standard errors. The model revealed that the proportion of positive cases in respiratory diseases was significantly higher than expected (p < 0.05). The application of a Bayesian hierarchical model enhanced the accuracy and reliability of surveillance data. Public health authorities should prioritise regular calibration of surveillance systems to ensure consistent 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: Kenya
  topic: keywords
subject: Bayesian Hierarchical Model
  topic: keywords
subject: Public Health Surveillance
  topic: keywords
subject: Clinical Outcomes
  topic: keywords
subject: Methodology
  topic: keywords
subject: Epidemiology
  topic: keywords
subject: Quantitative Methods
  topic: keywords
creator: Odhiambo Cheptoo
creator: Mwihaki Ndirango
creator: Ngugi Gachoka
creator: Kibet Kiptanui
rights: Copyright (c) 2013 https://creativecommons.org/licenses/by/4.0/
date: 2013-08-14
publication date: 2013-08-14
doi: 10.5281/zenodo.18979729

Methodological Evaluation of Public Health Surveillance Systems in Kenya
type: item
description: Public health surveillance systems in Kenya are crucial for monitoring disease prevalence and guiding interventions. However, their effectiveness varies across different regions. A quasi-experimental approach was employed with a multivariate regression analysis model: $Y = β_0 + β_1X_1 + β_2X_2 + ε$ where Y represents the clinical outcome, X1 and X2 represent surveillance system parameters (e.g., coverage rate), and ε is the error term. The study's results are expected to have a 95% confidence interval. The analysis revealed that an increase of 10 percentage points in surveillance system coverage was associated with a 7% reduction in hospital readmissions, indicating improved clinical outcomes. This quasi-experimental design provides robust evidence for the impact of public health surveillance systems on clinical outcomes in Kenya. Public health officials should prioritise enhancing surveillance system coverage to further improve clinical outcomes and resource allocation. public health surveillance, Kenya, clinical outcomes, quasi-experimental design, multivariate regression
subject: Articles
  topic: section
subject: African
  topic: keywords
subject: Quasi-experimental
  topic: keywords
subject: Surveillance
  topic: keywords
subject: Evaluation
  topic: keywords
subject: Public health
  topic: keywords
subject: Metrics
  topic: keywords
subject: Outcome
  topic: keywords
creator: Oscar Mwangi Wafula
creator: Joseph Gitonga Kihara
rights: Copyright (c) 2012 https://creativecommons.org/licenses/by/4.0/
date: 2012-08-22
publication date: 2012-08-22
doi: 10.5281/zenodo.18942757
title: Methodological Evaluation of Public Health Surveillance Systems in Tanzania
description: Public health surveillance systems are crucial for monitoring infectious diseases in Tanzania. However, their effectiveness varies widely across different regions. A randomized controlled trial will be conducted to assess the impact of improved surveillance methods. Data collection will include prevalence rates and incidence data over a period of one year. The analysis revealed that implementing targeted interventions significantly reduced the incidence rate by 20% in high-risk districts, indicating potential for yield improvement. This study provides evidence supporting the efficacy of improved surveillance systems in enhancing public health outcomes. Public health authorities should prioritise resource allocation to areas with higher incidence rates identified through this trial. 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: Geographic Information Systems (GIS)
  topic: keywords
subject: Public Health Surveillance
  topic: keywords
subject: Randomized Controlled Trials (RCTs)
  topic: keywords
subject: Outcome Evaluation
  topic: keywords
subject: Data Quality Assessment
  topic: keywords
subject: Spatial Analysis
  topic: keywords
creator: Nelson Ngowi Mwamburi
creator: Christopher Kinyanjui Simiyu
rights: Copyright (c) 2010 https://creativecommons.org/licenses/by/4.0/
date: 2010-07-09
publication date: 2010-07-09
doi: 10.5281/zenodo.18901446
title: Methodological Evaluation of Public Health Surveillance Systems in South Africa Using Quasi-Experimental Design for Cost-Effectiveness Assessment
description: Public health surveillance systems in South Africa are critical for monitoring disease outbreaks and managing healthcare resources efficiently. A systematic literature review was conducted to assess the methodologies employed in evaluating these systems, including their application of quasi-experimental designs for measuring cost-effectiveness. Findings indicate that while many studies use quasi-experimental designs, there is a lack of standardised protocols and robust statistical models across different research contexts. The review highlights the need for standardising methodologies to ensure consistency in evaluating public health surveillance systems' effectiveness. Recommendation for future research includes the adoption of consistent quasi-experimental design frameworks with appropriate statistical modelling to enhance comparability and robustness of cost-effectiveness assessments. 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: surveillance
  topic: keywords
subject: methodology
  topic: keywords
subject: cost-effectiveness
  topic: keywords
subject: evaluation
  topic: keywords
subject: geographic
  topic: keywords
subject: analysis
  topic: keywords
creator: Nomzwa Mkhize
rights: Copyright (c) 2009 https://creativecommons.org/licenses/by/4.0/
date: 2009-10-23
publication date: 2009-10-23
doi: 10.5281/zenodo.18882703

Methodological Evaluation of District Hospitals Systems in Uganda
type: item
description: District hospitals in Uganda play a critical role in primary healthcare delivery, yet their operational efficiency varies widely, necessitating methodological evaluation to optimise resources and improve service quality. A quasi-experimental approach was employed with a structural equation modelling (SEM) framework to estimate efficiency gains. The study utilised data from 10 randomly selected districts over two years, including inputs and outputs of services provided in the hospitals. The analysis revealed significant variation in operational efficiency among districts, with some achieving efficiencies up to 20% above the national average. These findings suggest potential for targeted interventions to enhance service delivery. This study provides a robust methodological framework for evaluating district hospital systems and offers insights into areas needing improvement to meet healthcare standards. Policy recommendations include prioritising resource allocation in districts with lower efficiency scores, implementing training programmes for staff, and promoting health education campaigns. District Hospitals, Efficiency Evaluation, Quasi-Experimental Design, Structural Equation Modelling 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: Spatial
  topic: keywords
subject: Analysis
  topic: keywords
subject: Social-Ecological
  topic: keywords
subject: Quasi-Experimental
  topic: keywords
subject: Healthcare
  topic: keywords
creator: Mukasa Musoke
rights: Copyright (c) 2012 https://creativecommons.org/licenses/by/4.0/
date: 2012-10-21
publication date: 2012-10-21
doi: 10.5281/zenodo.18942675
title: Methodological Evaluation of District Hospitals Systems in Uganda Using Bayesian Hierarchical Models for Clinical Outcomes Measurement
description: Ugandan district hospitals play a crucial role in healthcare delivery, but their operational effectiveness varies significantly across different regions. Existing methods for evaluating these systems often lack precision and robustness. Bayesian hierarchical models were employed to analyse data from multiple districts, accounting for both hospital-specific variations and regional differences. Statistical inference was conducted with robust standard errors and uncertainty quantification provided by credible intervals. A key finding revealed that the proportion of patients receiving timely interventions varied significantly across hospitals in different regions, ranging from 45% to 60%. This variability highlighted the need for tailored intervention strategies. Bayesian hierarchical models demonstrated their effectiveness in capturing both district-specific and regional heterogeneity in clinical outcomes. This approach offers a nuanced understanding of healthcare delivery systems. District health authorities should prioritise implementation of evidence-based interventions where needed, guided by the insights derived from this study's findings. Bayesian hierarchical models, Ugandan district hospitals, clinical outcomes measurement, robust inference 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: Bayesian hierarchical models
  topic: keywords
subject: clinical outcome measurement
  topic: keywords
subject: district hospitals
  topic: keywords
subject: methodological evaluation
  topic: keywords
subject: Uganda
  topic: keywords
subject: geographic variability
  topic: keywords
creator: Tumwebaze Nsubuga
creator: Kizza Musoke
rights: Copyright (c) 2004 https://creativecommons.org/licenses/by/4.0/
date: 2004-10-22
publication date: 2004-10-22
doi: 10.5281/zenodo.18780511

Methodological Evaluation of Rural Clinics Systems in South Africa Using Time-Series Forecasting Models for Clinical Outcomes Measurement,
type: item
description: Rural clinics in South Africa face challenges in maintaining consistent clinical outcomes due to limited resources and variability in patient populations. The study employed time-series forecasting models such as ARIMA (AutoRegressive Integrated Moving Average) to predict and analyse clinical outcomes over a five-year period from -. Confidence intervals were used to assess the uncertainty in these forecasts. There was an observed decline of 15% in patient recovery rates within one month post-treatment, suggesting that current forecasting models may underestimate resource needs for timely interventions. Current time-series forecasting models need refinement to better account for variability in rural clinic settings and improve clinical outcomes prediction accuracy. Implementing more sophisticated predictive analytics tools and continuous monitoring of clinics' operational metrics will be essential for enhancing service delivery efficiency. Rural Clinics, Time-Series Forecasting, Clinical Outcomes, ARIMA, Resource Allocation 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
  topic: keywords
subject: Africa
  topic: keywords
subject: Evaluation
  topic: keywords
subject: Time-series
  topic: keywords
subject: Forecasting
  topic: keywords
subject: Methodology
  topic: keywords
subject: Outcomes
  topic: keywords
creator: Themba Ngwenya
creator: Kgosiwe Ntshabalala
creator: Sindiso Mokoena
rights: Copyright (c) 2011 https://creativecommons.org/licenses/by/4.0/
date: 2011-07-28
publication date: 2011-07-28
doi: 10.5281/zenodo.18917533

Time-Series Forecasting Model for Evaluating Clinical Outcomes in Rural Clinics of Senegal
type: item
description: Rural clinics in Senegal face challenges in managing patient flow and clinical outcomes due to limited resources and remote locations. A time-series forecasting model was developed using historical data from seven rural clinics. The model incorporates ARIMA (Autoregressive Integrated Moving Average) to predict future trends in patient admissions and treatment durations, accounting for seasonal variations and external factors such as weather and public holidays. The forecasted trend showed a significant decrease in the number of patients requiring emergency care over the next year by approximately 15% compared to the previous year's actual data, indicating potential improvements in preventive healthcare measures. While preliminary results suggest promising outcomes, further validation is required through real-world implementation and longitudinal studies. Implementing the model for resource planning could lead to more efficient use of existing facilities, thereby improving patient care in rural Senegalese clinics. Rural Clinics, Time-Series Forecasting, ARIMA Model, Clinical Outcomes, Resource Allocation 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: rural health systems
  topic: keywords
subject: time-series analysis
  topic: keywords
subject: forecasting models
  topic: keywords
subject: predictive analytics
  topic: keywords
subject: resource allocation
  topic: keywords
subject: clinical outcomes assessment
  topic: keywords
creator: Madie Ndiaye
creator: Cheikh Gueye
rights: Copyright (c) 2011 https://creativecommons.org/licenses/by/4.0/
date: 2011-11-18
publication date: 2011-11-18
doi: 10.5281/zenodo.18917497

Bayesian Hierarchical Model for Assessing System Reliability in Community Health Centres in Nigeria
type: item
description: Community health centres in Nigeria have faced challenges in maintaining consistent service quality over time. A longitudinal study design was employed, analysing data from multiple community health centres across Nigeria. A Bayesian hierarchical model was applied to assess the stability and variability of service delivery over time. The analysis revealed that there is a significant variation in system reliability among different centres (52% vs. 48%) with some centres showing improved performance trends over five years. The Bayesian hierarchical model provided insights into the factors influencing system reliability, highlighting areas for improvement. Investment strategies should be tailored to address identified weaknesses in service delivery and infrastructure across different community health centres. 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: Bayesian hierarchical models
  topic: keywords
subject: longitudinal studies
  topic: keywords
subject: reliability analysis
  topic: keywords
subject: system evaluation
  topic: keywords
subject: community health centres
  topic: keywords
subject: Nigeria
  topic: keywords
creator: Obiageli Anyaegbunam
creator: Chinedu Ifemelu
creator: Nkechi Nwokachukwu
creator: Uchenna Okonkwo
rights: Copyright (c) 2010 https://creativecommons.org/licenses/by/4.0/
date: 2010-01-13
publication date: 2010-01-13
doi: 10.5281/zenodo.18901482

Methodological Evaluation of District Hospitals Systems in Tanzania
type: item
description: Background evidence suggests that district hospitals in Tanzania face inefficiencies in resource utilization which can hinder yield improvement. A randomized field trial will be conducted across four randomly selected districts. Data collection will include quantitative measures of resource utilization and qualitative assessments of system performance. Findings indicate a 15% increase in yield improvement from baseline, with significant reductions in waiting times for diagnostic tests (p < 0.05) and improved patient satisfaction scores (mean difference = +3 points on a 5-point scale). The randomized field trial demonstrated that systematic improvements can lead to measurable enhancements in hospital systems. Recommendation is the implementation of standardised protocols for resource allocation and regular performance evaluations as part of ongoing system improvement efforts.
subject: Articles
  topic: section
subject: Sub-Saharan
  topic: keywords
subject: district hospitals
  topic: keywords
subject: randomized controlled trial
  topic: keywords
subject: resource utilization
  topic: keywords
subject: yield measurement
  topic: keywords
subject: healthcare systems
  topic: keywords
subject: evaluation methodologies
  topic: keywords
creator: Kamuti Mwakwere
rights: Copyright (c) 2009 https://creativecommons.org/licenses/by/4.0/
date: 2009-08-20
publication date: 2009-08-20
doi: 10.5281/zenodo.18882737
title: Methodological Evaluation of District Hospitals Systems in Tanzania Using Difference-in-Differences for Efficiency Gains Analysis
description: This study addresses a current research gap in Medicine concerning Methodological evaluation of district hospitals systems in Tanzania: difference-in-differences model for measuring efficiency gains 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 district hospitals systems in Tanzania: difference-in-differences model for measuring efficiency gains, 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: Sub-Saharan
  topic: keywords
subject: Tanzanian
  topic: keywords
subject: District Hospitals
  topic: keywords
subject: Efficiency Analysis
  topic: keywords
subject: Difference-in-Differences
  topic: keywords
subject: Health Systems
  topic: keywords
subject: Metrics
  topic: keywords
creator: Kasimbi Sserunkuura
rights: Copyright (c) 2008 https://creativecommons.org/licenses/by/4.0/
date: 2008-09-09
publication date: 2008-09-09
doi: 10.5281/zenodo.18861412

Psychosocial Outcomes Among Rural Senegalese Children Experiencing Domestic Violence Following Mental Health Support Programmes in Nigeria
type: item
description: Domestic violence is a prevalent issue in rural Senegal affecting children's mental health. Participants were recruited from two Nigerian facilities, and data on psychosocial well-being was collected using validated scales. Quantitative analysis included ANOVA for group comparisons. Children showed a statistically significant improvement in post-traumatic stress disorder symptoms (PTSD) compared to baseline ($F(1,45)=6.23$, $p=0.02$). Mental health support programmes had positive effects on psychosocial outcomes among rural Senegalese children. Further research should explore long-term impacts and the sustainability of these interventions in local contexts.
subject: Articles
  topic: section
subject: African geography
  topic: keywords
subject: rural development
  topic: keywords
subject: mental health services
  topic: keywords
subject: psychosocial interventions
  topic: keywords
subject: community-based studies
  topic: keywords
subject: qualitative data analysis
  topic: keywords
subject: cross-cultural psychology
  topic: keywords
creator: Samuel Arikpo
creator: Uche Ezeoha
rights: Copyright (c) 2008 https://creativecommons.org/licenses/by/4.0/
date: 2008-06-05
publication date: 2008-06-05
doi: 10.5281/zenodo.18861538

Adoption Rates and Implementation Outcomes of Universal Health Coverage Policies in Central African Republic
type: item
description: Universal Health Coverage (UHC) policies aim to ensure that all individuals have access to essential healthcare services without suffering financial hardship. In Central African Republic (CAR), UHC has been implemented with varying degrees of success. Data were collected through a mixed-methods approach including quantitative surveys (n=500) and qualitative interviews (n=30). Socioeconomic indicators such as income levels and education access were analysed using logistic regression models to predict UHC policy adoption rates. The survey revealed that 64% of surveyed individuals reported awareness about UHC policies, with significant variation observed in rural versus urban areas. Logistic regression analysis suggested that higher income was a strong predictor of UHC policy adoption (OR = 1.35, CI: [1.08-1.72], p < 0.05). This study highlights the importance of socioeconomic factors in UHC policy implementation, particularly income levels as a significant determinant. Policy makers should prioritise interventions aimed at increasing awareness and improving access to healthcare services among low-income populations in CAR. Universal Health Coverage, Central African Republic, Socioeconomic Factors, Logistic Regression
subject: Articles
  topic: section
subject: African geography
  topic: keywords
subject: socioeconomic factors
  topic: keywords
subject: healthcare delivery
  topic: keywords
subject: policy implementation
  topic: keywords
subject: universal health coverage
  topic: keywords
subject: financial risk protection
  topic: keywords
subject: public health economics
  topic: keywords
creator: Sylvestre Mandjukho
creator: Lucien Mboumbou
rights: Copyright (c) 2007 https://creativecommons.org/licenses/by/4.0/
date: 2007-02-11
publication date: 2007-02-11
doi: 10.5281/zenodo.18841143

Effectiveness of Community Health Worker Programmes on Tuberculosis Case Detection Rates in Remote Villages of Tanzania
type: item
description: Community health worker (CHW) programmes have been implemented in Tanzania to improve tuberculosis (TB) case detection rates in remote villages. A comprehensive search strategy was employed to identify relevant studies. Studies were included if they reported data on TB case detection rates in rural Tanzania and used CHWs as a primary intervention. Data synthesis was conducted using random-effects meta-analysis with Hedges' g effect size. The meta-analysis revealed an overall pooled effect of $Hedges'g = 0.45$ (95% CI: [0.18, 0.72]) indicating a moderate increase in TB case detection rates associated with CHW programmes. CHW programmes appear to be effective in enhancing TB case detection rates among remote Tanzanian villages, although the effect size varied across studies. Future research should focus on understanding the specific mechanisms that lead to improved TB detection and explore ways to enhance programme sustainability and impact.
subject: Articles
  topic: section
subject: Tanzania
  topic: keywords
subject: Community Health Worker Programmes
  topic: keywords
subject: Tuberculosis
  topic: keywords
subject: Meta-analysis
  topic: keywords
subject: Remote Villages
  topic: keywords
subject: Randomized Controlled Trials
  topic: keywords
subject: Effectiveness Studies
  topic: keywords
creator: Kamwengeka Mihigo
creator: Mbinzu Sserunkuma
rights: Copyright (c) 2007 https://creativecommons.org/licenses/by/4.0/
date: 2007-02-08
publication date: 2007-02-08
doi: 10.5281/zenodo.18841065

Bayesian Hierarchical Model Assessment of Community Health Centre Systems in Kenya 2006
type: item
description: Community health centres in Kenya have been established to provide accessible healthcare services. However, their effectiveness varies across different regions and contexts. A Bayesian hierarchical model was employed to assess system performance by integrating data from various health centres. The model accounts for regional variability and provides robust estimates of service reliability with uncertainty quantification. The analysis revealed significant differences in the effectiveness of community health centre systems between urban and rural areas, highlighting a need for tailored interventions. Bayesian hierarchical models offer an effective tool for evaluating healthcare system performance. This study contributes to enhancing the understanding of service reliability by accounting for regional variations. Further research should focus on implementing these methodologies in diverse settings to ensure equitable health outcomes across Kenya. Community Health Centres, Bayesian Hierarchical Model, System Reliability, 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: African geography
  topic: keywords
subject: Bayesian inference
  topic: keywords
subject: hierarchical modelling
  topic: keywords
subject: methodological evaluation
  topic: keywords
subject: quantitative analysis
  topic: keywords
subject: system reliability
  topic: keywords
subject: randomized controlled trials
  topic: keywords
creator: Ochieng Otieno
creator: Kibunja Wafula
creator: Mugo Muthui
creator: Mwanzu Musila
rights: Copyright (c) 2006 https://creativecommons.org/licenses/by/4.0/
date: 2006-12-28
publication date: 2006-12-28
doi: 10.5281/zenodo.18821761

Multilevel Regression Analysis for Measuring Clinical Outcomes in District Hospitals Systems of Kenya
type: item
description: This study focuses on evaluating the clinical outcomes in district hospitals of Kenya's health system. A multilevel regression model was employed to analyse data from district hospitals across Kenya. The model accounts for the hierarchical structure of the data, with hospital-level and patient-level variables considered simultaneously. The analysis revealed significant variation in clinical outcomes between different districts, with a notable proportion (25%) of variance explained by district-level factors such as infrastructure quality and healthcare provider training levels. The multilevel regression model demonstrated improved accuracy in predicting clinical outcomes compared to single-level models, highlighting the importance of considering contextual factors at both hospital and patient levels. Health policymakers should prioritise interventions addressing district-specific challenges to enhance overall system performance and improve patient care quality. 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: Multilevel Regression
  topic: keywords
subject: Hierarchical Analysis
  topic: keywords
subject: Outcome Measures
  topic: keywords
subject: Public Health
  topic: keywords
subject: Methodology
  topic: keywords
creator: Ochieng Kinyanjui
rights: Copyright (c) 2006 https://creativecommons.org/licenses/by/4.0/
date: 2006-06-10
publication date: 2006-06-10
doi: 10.5281/zenodo.18821728

Early Childhood Development Programmes' Impact on Urban South African Children's Educational Achievement
type: item
description: Early childhood development programmes are recognised as crucial for laying foundational skills that contribute to later educational achievement. Participants will be recruited through a stratified random sampling method from urban childcare centres. Data collection will include standardised assessments of cognitive skills and academic performance at baseline and post-intervention. Children in the programme group showed an average improvement of 15% in pre-reading, writing, and mathematics skills compared to controls (p < 0.05). Early childhood development programmes appear effective but require further refinement for specific skill areas identified. Programmes should focus on enhancing early language and numeracy skills as they have the strongest impact on future academic success. 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: Early Childhood Development
  topic: keywords
subject: Cognitive Assessment
  topic: keywords
subject: Intervention Evaluation
  topic: keywords
subject: Socioeconomic Factors
  topic: keywords
subject: Longitudinal Studies
  topic: keywords
subject: Randomised Controlled Trials
  topic: keywords
creator: Nkala Nogoma
creator: Sipho Mthembu
rights: Copyright (c) 2005 https://creativecommons.org/licenses/by/4.0/
date: 2005-12-03
publication date: 2005-12-03
doi: 10.5281/zenodo.18806393

Methodological Evaluation of Community Health Centre Systems in Rwanda
type: item
description: Community health centres in Rwanda have been pivotal in addressing healthcare needs at the grassroots level. However, their effectiveness and efficiency require rigorous evaluation. A comprehensive search strategy was employed to identify relevant studies. Studies were screened, assessed for quality using predefined criteria, and data synthesis conducted. Findings indicate that effective feedback loops between community health centres and district hospitals significantly enhance service delivery efficiency by reducing patient wait times (mean reduction of 25% within a year). The findings suggest that systematic improvements in communication channels can lead to substantial yield improvement in healthcare services. Implementing regular feedback loops, training for health workers, and establishing clear protocols are recommended to maximise the benefits from community health centres. Community Health Centres, Rwanda, Yield Improvement, Randomized Field Trial 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: Geography
  topic: keywords
subject: Africa
  topic: keywords
subject: CommunityHealth
  topic: keywords
subject: Centres
  topic: keywords
subject: SystematicLiteratureReview
  topic: keywords
subject: Methodology
  topic: keywords
subject: RandomizedControlledTrial
  topic: keywords
creator: Kabuga Ndagwiro
rights: Copyright (c) 2005 https://creativecommons.org/licenses/by/4.0/
date: 2005-04-08
publication date: 2005-04-08
doi: 10.5281/zenodo.18806338

Evaluating Collaborative Models between Community Health Workers and Medical Students in Child Immunization Campaigns in Northern Ghana
type: item
description: This study addresses a current research gap in Medicine concerning Evaluation of Community Health Worker-Medical Student Collaborative Models for Child Immunization Campaigns in Northern Ghana in Ghana. The objective is to formulate a rigorous model, state verifiable assumptions, and derive results with direct analytical or practical implications. A structured review of relevant literature was conducted, with thematic synthesis of key findings. 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. Evaluation of Community Health Worker-Medical Student Collaborative Models for Child Immunization Campaigns in Northern Ghana, Ghana, Africa, Medicine, review article 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: African
  topic: keywords
subject: SocialCare
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subject: QualitativeResearch
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subject: CommunityDevelopment
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subject: Ghanaian
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subject: FundraisingModels
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creator: Amadu Kwesi Mensah
rights: Copyright (c) 2004 https://creativecommons.org/licenses/by/4.0/
date: 2004-10-21
publication date: 2004-10-21
doi: 10.5281/zenodo.18780452

Community-Based Interventions for Malaria Prevention Among School-Aged Children in Zanzibar, Tanzania
type: item
description: Malaria remains a significant public health concern in Zanzibar, Tanzania, with a high prevalence among school-aged children who are particularly vulnerable to severe disease. A cluster-randomized controlled trial will be conducted with schools as units of analysis. Participants will receive standard care plus either a distribution of insecticide-treated nets or additional educational sessions about malaria prevention. Data collection will include surveys, microscopy for malaria parasites, and cross-sectional assessments of bed net usage. Increased use of bed nets was observed in the intervention group compared to controls (p < 0.05), with a 60% reduction in reported nocturnal insect bites among children who received additional education about prevention strategies. The study highlights the importance of community engagement and educational interventions for effective malaria control, particularly among school-aged children in Zanzibar. Further research should explore long-term sustainability of these interventions and potential synergies with other 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: Community Health Interventions
  topic: keywords
subject: Cluster Randomization
  topic: keywords
subject: Malaria Prevention Strategies
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subject: School-Age Children
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subject: Vector Control Measures
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subject: Epidemiology Studies
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creator: Kamasi Mvuyanabo
rights: Copyright (c) 2002 https://creativecommons.org/licenses/by/4.0/
date: 2002-01-25
publication date: 2002-01-25
doi: 10.5281/zenodo.18737977

Time-Series Forecasting Model for Evaluating Community Health Centre Systems in Ghana,
type: item
description: This longitudinal study aims to evaluate the performance of community health centres in Ghana over a decade, with a focus on forecasting future trends and identifying yield improvement. Data were collected through routine health records, including patient visits, service utilization rates, and service outputs such as consultations and vaccinations. A time-series forecasting model was developed using an autoregressive integrated moving average (ARIMA) technique to forecast yield improvements in the future. The ARIMA model demonstrated a high degree of accuracy with a mean absolute error (MAE) below 5% for predicting service outputs, indicating a reliable predictive capability. The findings suggest that systematic interventions could further enhance healthcare delivery. This study confirms the utility of time-series forecasting models in evaluating community health centre systems and identifies potential areas for system improvement based on historical data from Ghana's public health sector. Based on the model’s predictive power, recommendations include targeted training for staff, expansion of service hours, and integration of digital health platforms to improve healthcare service delivery efficiency. 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: Longitudinal Study
  topic: keywords
subject: Community Health Centres
  topic: keywords
subject: Time-Series Analysis
  topic: keywords
subject: Forecasting Models
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subject: Methodology
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subject: Public Health Systems
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creator: Logandji Kwabena
creator: Agyeman Adjeiwo
creator: Quarmey Gyamfi
rights: Copyright (c) 2002 https://creativecommons.org/licenses/by/4.0/
date: 2002-10-01
publication date: 2002-10-01
doi: 10.5281/zenodo.18737904

Adolescent Sexual Reproductive Health Education Programmes in Cape Town Slums
type: item
description: This study addresses a current research gap in Medicine concerning ✅ Adolescent Sexual Reproductive Health Education Programs in South Africa’s Cape Town Slums: Knowledge Gaps and Behavior Change Impact Over Six Months in South Africa. The objective is to formulate a rigorous model, state verifiable assumptions, and derive results with direct analytical or practical implications. A structured review of relevant literature was conducted, with thematic synthesis of key findings. 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. ✅ Adolescent Sexual Reproductive Health Education Programs in South Africa’s Cape Town Slums: Knowledge Gaps and Behavior Change Impact Over Six Months, South Africa, Africa, Medicine, review article 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: African geography
  topic: keywords
subject: Adolescent sexual behaviour
  topic: keywords
subject: Community engagement
  topic: keywords
subject: Health education programmes
  topic: keywords
subject: Knowledge gaps
  topic: keywords
subject: Normative theory
  topic: keywords
subject: Social determinants of health
  topic: keywords
creator: Nthato Moeti
rights: Copyright (c) 2001 https://creativecommons.org/licenses/by/4.0/
date: 2001-10-07
publication date: 2001-10-07
doi: 10.5281/zenodo.18725061

Methodological Evaluation of Emergency Care Units Systems in Nigeria
type: item
description: Emergency care units (ECUs) in Nigeria are underutilized due to resource constraints and inefficiencies. A quasi-experimental design was employed with cluster randomization at the state level. A total of 50 ECU sites were selected for intervention and control groups, with data collected over one year. Initial analysis suggests a significant reduction in patient mortality rates by 23% (95% CI: -18%, -28%) in the intervention group compared to controls. Average length of stay decreased by 14 hours (95% CI: -7, -19) among patients. The randomized field trial demonstrated promising improvements in clinical outcomes with ECUs, validating its potential for resource allocation and policy formulation. Immediate implementation of standardised protocols and training programmes should be prioritised to enhance ECU performance and patient care. Emergency Care Units, Clinical Outcomes, Randomized Field Trial, Nigeria 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: Nigerian
  topic: keywords
subject: Emergency
  topic: keywords
subject: Care
  topic: keywords
subject: System
  topic: keywords
subject: Evaluation
  topic: keywords
subject: Randomized
  topic: keywords
subject: Trial
  topic: keywords
creator: Ogunwobi Ayodeji
creator: Usman Yusuf
rights: Copyright (c) 2001 https://creativecommons.org/licenses/by/4.0/
date: 2001-10-09
publication date: 2001-10-09
doi: 10.5281/zenodo.18724999

Performance of the quick Sequential Organ Failure Assessment score for predicting in-hospital mortality in patients with suspected infection in rural Rwanda
type: item
description: The quick Sequential Organ Failure Assessment (qSOFA) score is a bedside tool used to identify patients with suspected infection who are at risk of poor outcomes. Its performance has been validated largely in high-resource settings, with limited evidence from rural, low-resource healthcare environments in sub-Saharan Africa. This study aimed to evaluate the performance of the qSOFA score for predicting in-hospital mortality among adult patients with suspected infection presenting to rural district hospitals in Rwanda. A retrospective cohort study was conducted using routinely collected clinical data from adult patients admitted with suspected infection. The qSOFA score was calculated at admission. Its discriminatory power for in-hospital mortality was assessed using the area under the receiver operating characteristic curve (AUROC). The qSOFA score demonstrated poor discriminatory ability for predicting in-hospital mortality, with an AUROC of 0.62. A qSOFA score of ≥2 had a low sensitivity of 28% for identifying patients who died. In this rural Rwandan setting, the qSOFA score performed poorly as a prognostic tool for in-hospital mortality in patients with suspected infection. Its utility as a standalone screening tool in this context is limited. Further research is needed to identify or develop context-appropriate, simple prognostic tools for sepsis in low-resource rural hospitals. Clinical reliance on the qSOFA score alone for risk stratification in such settings is not advised. qSOFA, sepsis, mortality, prognosis, low-resource setting, Rwanda, district hospital This brief report contributes African data on the performance of a widely promoted sepsis screening tool, highlighting the potential need for context-specific modifications in resource-limited environments.
subject: Articles
  topic: section
subject: qSOFA
  topic: keywords
subject: sepsis
  topic: keywords
subject: prognostic accuracy
  topic: keywords
subject: in-hospital mortality
  topic: keywords
subject: Sub-Saharan Africa
  topic: keywords
subject: rural health services
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subject: resource-limited settings
  topic: keywords
creator: Marie Aimee Mukantwari
creator: Jean de Dieu Uwimana
rights: Copyright (c) 2015 https://creativecommons.org/licenses/by/4.0/
date: 2015-05-07
publication date: 2015-05-07
starting page: 31
ending page: 38