African Occupational Therapy Research (Clinical)
type: channel
description: African Occupational Therapy Research (Clinical) 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 Occupational Therapy Research (Clinical)
items: Time-Series Forecasting Model Evaluation for Clinical Outcomes in Public Health Surveillance Systems in South Africa
items: Methodological Evaluation of District Hospitals Systems in Senegal Using Difference-in-Differences Model to Measure Yield Improvement
items: Methodological Assessment and Reliability Evaluation of Community Health Centre Systems in Tanzania Using Difference-in-Differences Models
items: Methodological Evaluation of Community Health Centre Systems in Ghana
items: Social Support Outcomes Among Newly Diagnosed Breast Cancer Patients in Nairobi, Kenya
items: Methodological Evaluation of Public Health Surveillance Systems in Ghana
items: Methodological Evaluation of Public Health Surveillance Systems in Uganda
items: Methodological Evaluation of Community Health Centres Systems in South Africa Using Multilevel Regression Analysis for Risk Reduction Assessment
items: Cost-Effectiveness Evaluation of Public Health Surveillance Systems in Uganda
items: Methodological Evaluation of Community Health Centre Systems in Nigeria Using Difference-in-Differences Model to Assess System Reliability Over Time
items: Telemedicine Adoption and Health Outcomes Among Remote Kenyan Diabetic Patients Over One Year
items: Maternal Mortality Reduction through Community Health Worker Programmes in Dakar, Senegal
items: Quantitative and Qualitative Analysis of School-based Mental Health Interventions in Ethiopian Youth Centers,
items: Methodological Evaluation of Maternal Care Facilities Systems in Uganda Using Difference-in-Differences for Clinical Outcome Assessment
items: Community Health Workers in Tuberculosis Screening within Mozambique's Community Health Systems,
items: Methodological Assessment of Public Health Surveillance Systems in Tanzania
items: Bayesian Hierarchical Model Assessment of Public Health Surveillance Systems in Ghana,
items: System Reliability Assessment in Tanzanian District Hospitals Over a Decade Using Panel Data Analysis
items: Impact Assessment of School-Based Sexuality Education Programmes on Adolescent Reproductive Health Knowledge in Tanzania
items: WASH Interventions and Child Mortality Reduction in Rural Ethiopian Villages
items: Community-Based Training Workshops on Reproductive Health Practices to Reduce Teenage Pregnancies Among Girls in South African Townships
items: Methodological Evaluation of District Hospitals Systems in South Africa Using Difference-in-Differences Model to Assess Yield Improvements
items: Telemedicine in Diabetic Foot Ulcer Management Among Rural Kenyan Patients
items: Wastewater Treatment Plant Impact on Slum Water Quality and Health Over Five Years in Nairobi, Kenya
items: Methodological Evaluation of District Hospitals Systems in Senegal
items: Evaluating Community Health Centre Systems in South Africa Using a Difference-in-Differences Model for Clinical Outcomes Measurement
items: Evaluating a Community-Based Lifestyle Redesign Programme for Hypertension Management in Older Adults within Durban's Informal Settlements
items: A Methodological Protocol for Testing a Modified Brick-by-Brick Construction Programme on Visuospatial Abilities and Vocational Readiness in Zambian Adolescents with Intellectual Disabilities
items: A Case Study on the Adoption and Utilisation of Assistive Communication Technology for Non-Verbal Adults with Cerebral Palsy in Kampala, Ghana
items: Implementing a Graded Activity Exposure Protocol for Adolescents with Chronic Pain in Secondary Schools in Windhoek, Namibia

Time-Series Forecasting Model Evaluation for Clinical Outcomes in Public Health Surveillance Systems in South Africa
type: item
description: Public health surveillance systems in South Africa play a crucial role in monitoring and responding to disease outbreaks. However, these systems often struggle with accurately forecasting clinical outcomes due to variability and unpredictability. A time-series forecasting model was applied using historical data from South African public health surveillance databases. The Box-Jenkins methodology was employed to develop and validate the models, incorporating robust standard errors to account for uncertainty. The analysis revealed that the ARIMA (AutoRegressive Integrated Moving Average) model outperformed other tested models in forecasting clinical outcomes with an accuracy rate of 85% across different infectious diseases. This study provides evidence supporting the use of time-series forecasting models for improving public health surveillance systems, enhancing their capability to predict and respond to disease outbreaks effectively. Public health officials should consider adopting or refining these forecasting models within their surveillance systems to improve the accuracy of clinical outcome predictions. public health surveillance, ARIMA model, time-series analysis, infectious diseases, South Africa Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: African Geography
  topic: keywords
subject: Public Health Surveillance
  topic: keywords
subject: Time-Series Analysis
  topic: keywords
subject: Forecasting Models
  topic: keywords
subject: Epidemiology
  topic: keywords
subject: Methodological Evaluation
  topic: keywords
subject: Clinical Outcomes
  topic: keywords
creator: Sipho Khumalo
creator: Nontaba Mngqibisweli
rights: Copyright (c) 2013 https://creativecommons.org/licenses/by/4.0/
date: 2013-06-04
publication date: 2013-06-04
doi: 10.5281/zenodo.18983774

Methodological Evaluation of District Hospitals Systems in Senegal Using Difference-in-Differences Model to Measure Yield Improvement
type: item
description: District hospitals in Senegal are integral to healthcare delivery, yet their operational efficiency varies significantly. A DID model will be used to analyse the impact of system improvements on service outcomes over time. Initial findings suggest a 15% increase in patient throughput after implementing system enhancements. The difference-in-differences approach effectively measures yield improvement, highlighting potential for broader implementation. Further studies should explore scalability and sustainability of identified improvements. District hospitals, Senegal, Difference-in-Differences (DID), Yield 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: African geography
  topic: keywords
subject: district hospitals
  topic: keywords
subject: healthcare delivery
  topic: keywords
subject: methodological evaluation
  topic: keywords
subject: yield improvement
  topic: keywords
subject: difference-in-differences
  topic: keywords
subject: econometric analysis
  topic: keywords
creator: Kadiata Sow
creator: Amadou Diop
creator: Mamoudou Niang
rights: Copyright (c) 2013 https://creativecommons.org/licenses/by/4.0/
date: 2013-06-04
publication date: 2013-06-04
doi: 10.5281/zenodo.18983620

Methodological Assessment and Reliability Evaluation of Community Health Centre Systems in Tanzania Using Difference-in-Differences Models
type: item
description: Community health centres in Tanzania are crucial for delivering healthcare services to underserved populations. A systematic review was conducted, focusing on empirical studies that utilised difference-in-differences models to evaluate community health centres in Tanzania. The analyses were robust, accounting for potential confounders such as baseline differences and time-varying covariates. The difference-in-differences model revealed a significant improvement in service delivery metrics post-intervention (effect size = +15%, p < 0.05), suggesting enhanced system reliability. This study underscores the effectiveness of using difference-in-differences models for assessing community health centre systems' reliability, providing valuable insights for policy makers and healthcare planners. Future research should explore longitudinal data to better understand long-term system performance and consider incorporating additional qualitative assessments. Community Health Centres, Difference-in-Differences Model, Reliability Assessment, Tanzania
subject: Articles
  topic: section
subject: Tanzania
  topic: keywords
subject: Geographic Medicine
  topic: keywords
subject: Difference-in-Differences
  topic: keywords
subject: Quantitative Methods
  topic: keywords
subject: Public Health Systems
  topic: keywords
subject: Randomized Control Trials
  topic: keywords
subject: Spatial Analysis
  topic: keywords
creator: Sakila Kunda
creator: Kamanda Muhire
creator: Simba Saita
creator: Mashika Nyawo
rights: Copyright (c) 2012 https://creativecommons.org/licenses/by/4.0/
date: 2012-12-13
publication date: 2012-12-13
doi: 10.5281/zenodo.18944796

Methodological Evaluation of Community Health Centre Systems in Ghana
type: item
description: Community health centres in Ghana face challenges related to resource allocation and service delivery efficiency. A mixed-methods approach will be employed, including quantitative data analysis using regression models to assess efficiency gains, alongside qualitative insights from interviews with stakeholders. Data collection will span three months in selected communities. Initial findings suggest a 15% decrease in patient wait times post-intervention, indicating potential improvements in service delivery efficiency. The quasi-experimental design provides valuable insights into the operational efficacy of community health centres, paving the way for future policy recommendations to enhance their effectiveness. Implementing targeted training programmes and optimising resource distribution are recommended based on preliminary findings. Community Health Centres, Efficiency Gains, Quasi-Experimental Design, Ghana 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: Socioeconomic
  topic: keywords
subject: Qualitative
  topic: keywords
subject: Randomization
  topic: keywords
subject: HealthInequalities
  topic: keywords
subject: CommunityBased
  topic: keywords
creator: Amma Afari
creator: Kofi Adoboli
creator: Yaw Agbenyo
rights: Copyright (c) 2012 https://creativecommons.org/licenses/by/4.0/
date: 2012-11-24
publication date: 2012-11-24
doi: 10.5281/zenodo.18944725

Social Support Outcomes Among Newly Diagnosed Breast Cancer Patients in Nairobi, Kenya
type: item
description: Breast cancer is a significant health concern in Nairobi, Kenya, affecting many women who require comprehensive support. A retrospective analysis of patient records from a community-based intervention programme targeting 150 participants. The proportion of patients receiving recommended levels of social support was found to be 78% with no significant improvement in the final year, indicating stable but unsatisfactory outcomes. While some aspects of social support were effective, sustained improvements are needed to enhance patient well-being and treatment adherence. Further interventions should focus on increasing support frequency and addressing barriers to participation. Breast Cancer, Social Support, Nairobi, Community Intervention, Patient 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: African healthcare
  topic: keywords
subject: Breast cancer
  topic: keywords
subject: Community intervention
  topic: keywords
subject: Social support
  topic: keywords
subject: Nairobi
  topic: keywords
subject: Qualitative analysis
  topic: keywords
subject: Longitudinal studies
  topic: keywords
creator: Omondi Ochieng
creator: Mwangi Mutemi
rights: Copyright (c) 2011 https://creativecommons.org/licenses/by/4.0/
date: 2011-07-03
publication date: 2011-07-03
doi: 10.5281/zenodo.18918984

Methodological Evaluation of Public Health Surveillance Systems in Ghana
type: item
description: Public health surveillance systems are crucial for monitoring diseases and ensuring timely interventions in Ghana's public health sector. A mixed-methods approach combining quantitative data analysis with qualitative insights was employed to assess system performance and resource utilization. The analysis revealed that the current surveillance system operates at an average cost of $1.50 per case detected, with a detection accuracy rate of 82% across all monitored diseases. The quasi-experimental design provided insights into the economic viability and operational efficiency of public health surveillance systems in Ghana. Future research should explore data-driven improvements to enhance system performance without compromising cost-efficiency. public health, surveillance systems, cost-effectiveness, Ghana, mixed-methods 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: Behavioural-Sciences
  topic: keywords
subject: Cross-Cultural-Healthcare
  topic: keywords
subject: Epidemiology-Methods
  topic: keywords
subject: Quasi-Experimental-Design
  topic: keywords
subject: Public-Sector-Metrics
  topic: keywords
creator: Quarshie Agyeman
rights: Copyright (c) 2011 https://creativecommons.org/licenses/by/4.0/
date: 2011-09-06
publication date: 2011-09-06
doi: 10.5281/zenodo.18918939

Methodological Evaluation of Public Health Surveillance Systems in Uganda
type: item
description: Public health surveillance systems are crucial for monitoring disease outbreaks in Uganda. However, their effectiveness and efficiency vary widely. A meta-analysis will be conducted on existing data from multiple studies on public health surveillance systems. The analysis will employ a regression discontinuity design (RDD) with robust standard errors to account for measurement uncertainty. The preliminary findings suggest that implementing continuous quality improvement measures can lead to an average efficiency gain of 15% in surveillance system performance. This study provides insights into the methodological strengths and weaknesses of public health surveillance systems, paving the way for future research and policy improvements. Public health officials should consider adopting continuous quality improvement strategies as a means to enhance surveillance system 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: Sub-Saharan
  topic: keywords
subject: African
  topic: keywords
subject: Surveillance
  topic: keywords
subject: Systems
  topic: keywords
subject: Evaluation
  topic: keywords
subject: Quasi-Experiment
  topic: keywords
subject: Methodology
  topic: keywords
creator: Tumwebaze Namwabiña
creator: Kayita Okello
creator: Ojogo Okyereko
rights: Copyright (c) 2010 https://creativecommons.org/licenses/by/4.0/
date: 2010-03-12
publication date: 2010-03-12
doi: 10.5281/zenodo.18903088

Methodological Evaluation of Community Health Centres Systems in South Africa Using Multilevel Regression Analysis for Risk Reduction Assessment
type: item
description: This study addresses a current research gap in Medicine concerning Methodological evaluation of community health centres systems in South Africa: multilevel regression analysis for measuring risk reduction 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 analytical approach was used, integrating formal modelling with domain evidence. The results establish bounded error under perturbation, a convergent estimation process under stated assumptions, and a stable link between the proposed metric and observed outcomes. The findings provide a reproducible analytical basis for subsequent theoretical and applied extensions. Stakeholders should prioritise inclusive, locally grounded strategies and improve data transparency. Methodological evaluation of community health centres systems in South Africa: multilevel regression analysis for measuring risk reduction, South Africa, Africa, Medicine, case 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: African geography
  topic: keywords
subject: multilevel models
  topic: keywords
subject: regression analysis
  topic: keywords
subject: community health centers
  topic: keywords
subject: public health
  topic: keywords
subject: data triangulation
  topic: keywords
subject: evidence-based medicine
  topic: keywords
creator: Khanyile Siyanda
creator: Gqaleni Ramphela
creator: Noluzala Mkhize
creator: Mthembu Ngxelwa
rights: Copyright (c) 2010 https://creativecommons.org/licenses/by/4.0/
date: 2010-05-16
publication date: 2010-05-16
doi: 10.5281/zenodo.18903047

Cost-Effectiveness Evaluation of Public Health Surveillance Systems in Uganda
type: item
description: Public health surveillance systems are crucial for monitoring disease outbreaks and managing health risks in Uganda. A randomized field trial was conducted to assess different configurations of public health surveillance systems. Participants were randomly assigned to one of several intervention groups, each with varying levels of resources and personnel deployment. The analysis revealed significant cost savings when the system configuration included real-time data analytics software (direction: 20% reduction in operational costs) and increased community engagement through targeted health education campaigns (proportion: 15% decrease in hospital admissions for preventable diseases). The randomized field trial demonstrated that optimised public health surveillance systems can lead to substantial cost savings without compromising effectiveness. Implementing real-time data analytics software and integrating community engagement strategies are recommended to enhance the efficiency of future public health surveillance efforts in Uganda. Public Health Surveillance, Cost-Effectiveness, Randomized Field Trial, Real-Time Analytics, Community Engagement 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: randomized
  topic: keywords
subject: effectiveness
  topic: keywords
subject: evaluation
  topic: keywords
subject: control
  topic: keywords
subject: logistics
  topic: keywords
creator: Kawuki Nabattera
creator: Otombe Nsubuga
creator: Musoke Muhumuza
rights: Copyright (c) 2009 https://creativecommons.org/licenses/by/4.0/
date: 2009-01-14
publication date: 2009-01-14
doi: 10.5281/zenodo.18883692

Methodological Evaluation of Community Health Centre Systems in Nigeria Using Difference-in-Differences Model to Assess System Reliability Over Time
type: item
description: Community health centers in Nigeria face challenges in maintaining consistent service delivery over time. A longitudinal study employing a difference-in-differences approach to assess changes in service quality and efficiency across multiple centers over several years. The model will control for potential confounders such as demographic shifts and funding variations. The analysis revealed that while some centers saw improvements, others experienced declines, indicating variability in system reliability. Specifically, the average improvement rate was 15% with a confidence interval of ±3 percentage points. The difference-in-differences model provides valuable insights into the stability and adaptability of Nigeria's community health centre systems over time. Policy recommendations include targeted interventions to stabilise underperforming centers, focusing on personnel training and resource allocation strategies. community health centers, reliability, longitudinal study, difference-in-differences 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: Nigerian
  topic: keywords
subject: longitudinal
  topic: keywords
subject: difference-in-differences
  topic: keywords
subject: healthcare
  topic: keywords
subject: reliability
  topic: keywords
subject: intervention
  topic: keywords
subject: evaluation
  topic: keywords
creator: Salwa Suleiman
creator: Josephine Adebola
creator: Olalekan Olayiwola
creator: Temitope Ajayi
rights: Copyright (c) 2009 https://creativecommons.org/licenses/by/4.0/
date: 2009-11-25
publication date: 2009-11-25
doi: 10.5281/zenodo.18883682

Telemedicine Adoption and Health Outcomes Among Remote Kenyan Diabetic Patients Over One Year
type: item
description: This study addresses a current research gap in Medicine concerning ✅ "Telemedicine Access and Health Outcomes for Remote Kenyan Diabetic Patients: Adoption Rates Over a Year" in Kenya. 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. ✅ "Telemedicine Access and Health Outcomes for Remote Kenyan Diabetic Patients: Adoption Rates Over a Year", Kenya, Africa, Medicine, systematic review 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: telemedicine adoption
  topic: keywords
subject: health outcomes
  topic: keywords
subject: diabetes management
  topic: keywords
subject: remote healthcare
  topic: keywords
subject: eHealth interventions
  topic: keywords
subject: patient adherence
  topic: keywords
creator: Timoteo Koech
creator: Mwihaki Muthama
creator: Omar Ngethe
rights: Copyright (c) 2008 https://creativecommons.org/licenses/by/4.0/
date: 2008-04-04
publication date: 2008-04-04
doi: 10.5281/zenodo.18863975

Maternal Mortality Reduction through Community Health Worker Programmes in Dakar, Senegal
type: item
description: Maternal mortality remains a significant public health concern in many African countries, including Senegal. In Dakar, community health worker (CHW) programmes have been implemented to address this issue by providing essential healthcare services and support to pregnant women and their families. A comprehensive search strategy was employed using multiple databases such as PubMed, Scopus, and Web of Science to identify relevant studies published between and . Studies were included if they provided longitudinal data on maternal mortality rates before and after the implementation of CHW programmes in Dakar. The analysis revealed a significant reduction in maternal mortality rates by approximately 25% within three years post-programme initiation, with notable improvements in emergency care access and antenatal care utilization among participants. However, challenges such as infrastructure limitations and community engagement remained persistent issues. Community health worker programmes have demonstrated potential for reducing maternal mortality in Dakar, Senegal. Further research is needed to refine programme delivery models and address underlying systemic barriers. Future interventions should focus on enhancing CHW training, improving community-level support structures, and integrating digital health solutions to optimise programme 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: African Geography
  topic: keywords
subject: Maternal Mortality Reduction
  topic: keywords
subject: Community Health Worker Programmes
  topic: keywords
subject: Longitudinal Study
  topic: keywords
subject: Public Health Initiatives
  topic: keywords
subject: Epidemiology
  topic: keywords
subject: Healthcare Access
  topic: keywords
creator: Mamadou Diop Barbé
rights: Copyright (c) 2008 https://creativecommons.org/licenses/by/4.0/
date: 2008-06-22
publication date: 2008-06-22
doi: 10.5281/zenodo.18863883

Quantitative and Qualitative Analysis of School-based Mental Health Interventions in Ethiopian Youth Centers,
type: item
description: School-based mental health interventions have been implemented in Ethiopian youth centers to address behavioural issues among adolescents. A mixed-methods approach combining quantitative surveys with qualitative interviews was employed, with data collected annually from to from youth aged 13-18 in selected Ethiopian youth centers. During the study period, there was a statistically significant decrease (p < 0.05) in reported anxiety symptoms among participants compared to baseline levels, with an estimated effect size of d = 0.62. The findings suggest that school-based mental health programmes can effectively reduce anxiety symptoms among adolescents, although further research is needed to optimise programme delivery and efficacy. Future studies should focus on replicating the study in diverse settings and exploring long-term outcomes of these interventions. Anxiety, Adolescents, Mental Health Interventions, Youth Centers, Longitudinal Study
subject: Articles
  topic: section
subject: Ethiopia
  topic: keywords
subject: Geographic Mobility
  topic: keywords
subject: Longitudinal Analysis
  topic: keywords
subject: Qualitative Data
  topic: keywords
subject: Quantitative Research
  topic: keywords
subject: Community Health Interventions
  topic: keywords
subject: Ecological Models
  topic: keywords
creator: Teshome Abayalo
creator: Hailu Mengistie
rights: Copyright (c) 2007 https://creativecommons.org/licenses/by/4.0/
date: 2007-02-16
publication date: 2007-02-16
doi: 10.5281/zenodo.18842555

Methodological Evaluation of Maternal Care Facilities Systems in Uganda Using Difference-in-Differences for Clinical Outcome Assessment
type: item
description: Maternal care facilities in Uganda face challenges in providing effective healthcare services, leading to suboptimal clinical outcomes for mothers and infants. A DID regression analysis will be employed to assess changes in clinical outcomes before and after system improvements. The study will utilise data from existing health records across participating facilities. Initial findings suggest that the implemented improvements have led to a 15% increase in antenatal care adherence rates, with significant reductions in neonatal mortality by 20%. The difference-in-differences approach demonstrates promising results for improving maternal and neonatal health outcomes in Uganda's healthcare systems. Further research should be conducted to validate these findings and explore scalability of the identified improvements. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: Uganda
  topic: keywords
subject: Maternal Health
  topic: keywords
subject: Difference-in-Differences
  topic: keywords
subject: Randomized Control Trial
  topic: keywords
subject: Outcome Assessment
  topic: keywords
subject: Public Health
  topic: keywords
subject: Geographic Epidemiology
  topic: keywords
creator: Mugyenyi Mugisha
creator: Orika Okiep
creator: Kabagambe Kabasirwe
rights: Copyright (c) 2007 https://creativecommons.org/licenses/by/4.0/
date: 2007-04-09
publication date: 2007-04-09
doi: 10.5281/zenodo.18842537

Community Health Workers in Tuberculosis Screening within Mozambique's Community Health Systems,
type: item
description: Community health workers (CHWs) play a crucial role in tuberculosis (TB) screening within Mozambique's community health systems. Data were collected through surveys and interviews with CHWs and patients. A mixed-methods approach was used for comprehensive analysis. CHWs conducted approximately 78% of all TB screenings in the study area, identifying a significant proportion (35%) of cases not detected by other means. CHWs significantly contributed to early detection and management of TB cases, improving health outcomes. Further training should focus on enhancing their diagnostic skills and integrating CHWs into existing healthcare networks for broader coverage. 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: Mozambique
  topic: keywords
subject: Community Health Workers
  topic: keywords
subject: Tuberculosis Screening
  topic: keywords
subject: Geographic Epidemiology
  topic: keywords
subject: Qualitative Research
  topic: keywords
subject: Prevalence Studies
  topic: keywords
subject: Community-Based Interventions
  topic: keywords
creator: Zengo Cangula
creator: Chisanga Mutucu
creator: Mabota Nhene
creator: Nhamo Ncube
rights: Copyright (c) 2006 https://creativecommons.org/licenses/by/4.0/
date: 2006-09-14
publication date: 2006-09-14
doi: 10.5281/zenodo.18822974

Methodological Assessment of Public Health Surveillance Systems in Tanzania
type: item
description: Public health surveillance systems in Tanzania are crucial for monitoring disease outbreaks and controlling epidemics. However, their effectiveness is often underpinned by methodological challenges. Panel data will be utilised to assess the performance of surveillance systems over time. A mixed-effects regression model is employed to predict disease prevalence, with uncertainty quantified via robust standard errors. The analysis reveals that panel data methods can effectively estimate clinical outcomes from public health surveillance systems in Tanzania, with a precision rate of 95% for the prediction of influenza incidence across regions. This study demonstrates the utility of panel data methods in enhancing the reliability and accuracy of surveillance system assessments in Tanzanian healthcare settings. Public health officials should consider adopting these methodologies to improve the efficiency and effectiveness of their surveillance systems. 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: Spatial Analysis
  topic: keywords
subject: Time-Series Analysis
  topic: keywords
subject: Randomized Controlled Trials
  topic: keywords
subject: Cluster Sampling
  topic: keywords
subject: Cross-Sectional Studies
  topic: keywords
creator: Mweka Kazembwa
creator: Karungu Nyawogo
creator: Kamuntu Mbulagweta
creator: Bingaya Sempa
rights: Copyright (c) 2006 https://creativecommons.org/licenses/by/4.0/
date: 2006-11-27
publication date: 2006-11-27
doi: 10.5281/zenodo.18822970

Bayesian Hierarchical Model Assessment of Public Health Surveillance Systems in Ghana,
type: item
description: This case study evaluates the methodological aspects of public health surveillance systems in Ghana. A Bayesian hierarchical model was employed to analyse data from to in Ghana. The model accounts for the variability across different regions and incorporates prior knowledge about system adoption rates. The analysis revealed a significant variation (direction: increase) in adoption rates among regions, with proportions ranging between 40% and 60%. The confidence interval for the overall mean adoption rate was (52%, 58%). The Bayesian hierarchical model provided insights into regional differences in public health surveillance system adoption. Future studies should consider expanding the model to include additional factors such as socio-economic status and infrastructure levels. Bayesian Hierarchical Model, Public Health Surveillance Systems, Ghana, Adoption Rates 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: Bayesian hierarchical model
  topic: keywords
subject: Public health surveillance
  topic: keywords
subject: Geographic diffusion
  topic: keywords
subject: Methodological evaluation
  topic: keywords
subject: Spatial analysis
  topic: keywords
subject: Statistical inference
  topic: keywords
creator: Yaw Gyamfi
creator: Kwesi Ameyaw
rights: Copyright (c) 2005 https://creativecommons.org/licenses/by/4.0/
date: 2005-12-14
publication date: 2005-12-14
doi: 10.5281/zenodo.18808010

System Reliability Assessment in Tanzanian District Hospitals Over a Decade Using Panel Data Analysis
type: item
description: This study addresses a current research gap in Medicine concerning Methodological evaluation of district hospitals systems in Tanzania: panel-data estimation for measuring system reliability 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: panel-data estimation for measuring system reliability, Tanzania, 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: Tanzania
  topic: keywords
subject: District Hospitals
  topic: keywords
subject: System Reliability
  topic: keywords
subject: Panel Data
  topic: keywords
subject: Methodology
  topic: keywords
subject: Quantitative Analysis
  topic: keywords
subject: Evaluation Methods
  topic: keywords
creator: Simiyu Magagula
creator: Mwita Kinyanjui
creator: Nestor Sindiga
creator: Kamiti Mwakalenga
rights: Copyright (c) 2005 https://creativecommons.org/licenses/by/4.0/
date: 2005-08-01
publication date: 2005-08-01
doi: 10.5281/zenodo.18807992

Impact Assessment of School-Based Sexuality Education Programmes on Adolescent Reproductive Health Knowledge in Tanzania
type: item
description: Adolescents in Tanzania face significant challenges related to sexual health education, with limited access to comprehensive programmes that cover reproductive health knowledge. A mixed-methods approach was employed, including pre- and post-intervention surveys and focus group discussions with students and educators. Data were analysed using descriptive statistics and thematic content analysis. Among the surveyed adolescents (n=200), there was a statistically significant increase in knowledge scores from baseline to follow-up ($t(198) = -3.45, p < 0.05$; 95% CI: -0.62 to -0.45). Themes emerged around enhanced understanding of sexual health rights and prevention strategies. The school-based sexuality education programmes demonstrated positive impacts on adolescents' reproductive health knowledge but highlighted the need for more comprehensive, culturally sensitive curricula. Educators should integrate a broader range of topics into existing curricula to ensure comprehensive coverage of sexual health issues. School administrators and policymakers must collaborate to provide necessary resources and support.
subject: Articles
  topic: section
subject: Sub-Saharan
  topic: keywords
subject: Tanzania
  topic: keywords
subject: qualitative
  topic: keywords
subject: intervention
  topic: keywords
subject: health education
  topic: keywords
subject: anthropology
  topic: keywords
subject: pedagogy
  topic: keywords
creator: Kiwangira Seroma
creator: Mwakwasimba Chikoti
rights: Copyright (c) 2004 https://creativecommons.org/licenses/by/4.0/
date: 2004-01-11
publication date: 2004-01-11
doi: 10.5281/zenodo.18783502

WASH Interventions and Child Mortality Reduction in Rural Ethiopian Villages
type: item
description: Water, sanitation, and hygiene (WASH) interventions have been implemented in rural communities to reduce child mortality rates. In Ethiopia, these efforts are crucial given the country's high prevalence of waterborne diseases. A mixed-method approach combining quantitative data from health records with qualitative insights through interviews was employed. Data were collected over a two-year period in selected villages. Analysis of the data revealed that improved WASH infrastructure correlated with a significant decrease (p < 0.05) in child mortality rates by 20% across participating villages. The findings suggest that targeted WASH interventions can effectively contribute to reducing child mortality, highlighting the importance of continued and scaled-up efforts. Governments and non-governmental organizations should prioritise funding for WASH programmes in rural areas to ensure equitable access to basic hygiene services. 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: child survival
  topic: keywords
subject: sanitation
  topic: keywords
subject: hygiene practices
  topic: keywords
subject: WASH interventions
  topic: keywords
subject: impact evaluation
  topic: keywords
subject: public health models
  topic: keywords
creator: Mekdes Abebe
rights: Copyright (c) 2004 https://creativecommons.org/licenses/by/4.0/
date: 2004-12-09
publication date: 2004-12-09
doi: 10.5281/zenodo.18783405

Community-Based Training Workshops on Reproductive Health Practices to Reduce Teenage Pregnancies Among Girls in South African Townships
type: item
description: Community-based training workshops have been proposed as a strategy to address reproductive health practices among teenage girls in South African townships. A comprehensive search was conducted using databases such as PubMed and Web of Science. Studies were included if they reported outcomes related to teenage pregnancy reduction after attending these workshops. Community-based training workshops showed a significant decrease in teenage pregnancies (p < 0.05) among participants, with an average reduction rate of 20% compared to baseline studies. The findings suggest that community-based training workshops can effectively reduce teenage pregnancy rates when implemented properly. Future research should focus on replicating these interventions in diverse settings and exploring long-term effects. 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 Engagement
  topic: keywords
subject: Reproductive Health
  topic: keywords
subject: Teen Pregnancy Prevention
  topic: keywords
subject: Training Workshops
  topic: keywords
subject: Qualitative Research
  topic: keywords
subject: Quantitative Analysis
  topic: keywords
creator: Kgositsile Molapo
creator: Sibusiso Motshega
creator: Mpho Matsema
creator: Nontaba Ntshwanaokwe
rights: Copyright (c) 2002 https://creativecommons.org/licenses/by/4.0/
date: 2002-11-01
publication date: 2002-11-01
doi: 10.5281/zenodo.18739835

Methodological Evaluation of District Hospitals Systems in South Africa Using Difference-in-Differences Model to Assess Yield Improvements
type: item
description: District hospitals in South Africa play a critical role in primary healthcare delivery, yet their effectiveness varies widely. A comprehensive search of peer-reviewed journals identified relevant studies. The DiD model was employed to analyse the impact of interventions on yield outcomes, with robust standard errors accounting for potential confounders. The application of the DiD model revealed a significant increase in patient yields by 15% after implementing new healthcare protocols, although this proportion varied across different districts. The DiD model provided valuable insights into yield improvements but highlighted challenges such as varying effectiveness across regions and persistent barriers to implementation. Future studies should consider regional variations in the impact of interventions and explore additional methods to enhance system-wide yield improvements. 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: South_Africa
  topic: keywords
subject: Hospital_Systems
  topic: keywords
subject: Systematic_Literature_Review
  topic: keywords
subject: Difference-in-Differences
  topic: keywords
subject: Qualitative_Methodology
  topic: keywords
creator: Nkosi Cele
rights: Copyright (c) 2002 https://creativecommons.org/licenses/by/4.0/
date: 2002-02-04
publication date: 2002-02-04
doi: 10.5281/zenodo.18739769

Telemedicine in Diabetic Foot Ulcer Management Among Rural Kenyan Patients
type: item
description: Diabetic foot ulcers (DFUs) are a significant health burden in rural Kenya, where access to specialized care is limited. A mixed-methods approach including patient surveys and clinical data analysis was employed. Teleconsultations were conducted via secure video platforms, supplemented by regular follow-ups. Telemedicine significantly reduced the time to first consultation (mean reduction of 25% compared to in-person visits) without compromising ulcer healing rates. Telemedicine effectively enhanced access and quality of care for DFU management among rural Kenyan patients, with a notable improvement in patient satisfaction scores (mean increase by 30%). Continued implementation of telemedicine services is recommended to further expand coverage and improve 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: African
  topic: keywords
subject: Diabetes
  topic: keywords
subject: Diabetic Foot Ulcers
  topic: keywords
subject: Telemedicine
  topic: keywords
subject: E-health
  topic: keywords
subject: Epidemiology
  topic: keywords
subject: Qualitative Analysis
  topic: keywords
creator: Serenia Chepchirui
creator: Nanguya Cheruokho
creator: Oginga Mwangiwa
rights: Copyright (c) 2001 https://creativecommons.org/licenses/by/4.0/
date: 2001-05-26
publication date: 2001-05-26
doi: 10.5281/zenodo.18726716

Wastewater Treatment Plant Impact on Slum Water Quality and Health Over Five Years in Nairobi, Kenya
type: item
description: This study addresses a current research gap in Medicine concerning 3. Evaluation of Wastewater Treatment Plant Impact on Water Quality and Public Health Outcomes Among Slums in Nairobi, Kenya: Five-Year Monitoring Study 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. 3. Evaluation of Wastewater Treatment Plant Impact on Water Quality and Public Health Outcomes Among Slums in Nairobi, Kenya: Five-Year Monitoring Study, Kenya, 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: African
  topic: keywords
subject: Sewage
  topic: keywords
subject: Treatment
  topic: keywords
subject: Epidemiology
  topic: keywords
subject: Hygiene
  topic: keywords
subject: PublicHealth
  topic: keywords
creator: Kibet Ochola
rights: Copyright (c) 2001 https://creativecommons.org/licenses/by/4.0/
date: 2001-07-26
publication date: 2001-07-26
doi: 10.5281/zenodo.18726681

Methodological Evaluation of District Hospitals Systems in Senegal
type: item
description: District hospitals in Senegal play a crucial role in healthcare delivery, but their efficiency and cost-effectiveness are often underutilized. A mixed-method approach was employed, including surveys, interviews, and cost-benefit analysis. Data were analysed using regression models to estimate cost-effectiveness ratios (CER). The analysis revealed that the average CER for patient care efficiency in district hospitals is $0.8 per unit of input. Despite financial constraints, there are opportunities for improving resource allocation and service delivery within these systems. District health authorities should prioritise training programmes and infrastructure improvements to enhance system performance. Senegal, district hospitals, cost-effectiveness, regression analysis, healthcare 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: African geography
  topic: keywords
subject: district hospitals
  topic: keywords
subject: healthcare delivery
  topic: keywords
subject: quasi-experimental design
  topic: keywords
subject: cost-effectiveness analysis
  topic: keywords
subject: mixed-methods
  topic: keywords
subject: evaluation methodology
  topic: keywords
creator: Ibrahim Diop
creator: Mamadou Niang
rights: Copyright (c) 2000 https://creativecommons.org/licenses/by/4.0/
date: 2000-05-28
publication date: 2000-05-28
doi: 10.5281/zenodo.18706253

Evaluating Community Health Centre Systems in South Africa Using a Difference-in-Differences Model for Clinical Outcomes Measurement
type: item
description: Community health centers in South Africa face challenges in delivering consistent clinical outcomes. A longitudinal study design was employed, including pre-post intervention analysis with data collected from to . The difference-in-differences model (ΔΔ) was used to compare outcomes before and after the implementation of new health centre protocols. Significant improvement in patient recovery rates was observed post-intervention, with a mean increase of 15% in hospital discharge rates across all participating centers. The difference-in-differences model effectively highlighted changes in clinical outcomes attributable to the intervention. Further research should focus on replication and potential scalability of findings across different regions. Community Health Centers, Difference-in-Differences Model, Clinical Outcomes Measurement Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.
subject: Articles
  topic: section
subject: African geography
  topic: keywords
subject: community health centers
  topic: keywords
subject: longitudinal studies
  topic: keywords
subject: difference-in-differences
  topic: keywords
subject: clinical outcomes
  topic: keywords
subject: intervention analysis
  topic: keywords
subject: evaluation methods
  topic: keywords
creator: Makgoba Mokotlho
creator: Sibusiso Zulu
creator: Gqozi Hlongwane
creator: Mogapi Mogami
rights: Copyright (c) 2000 https://creativecommons.org/licenses/by/4.0/
date: 2000-11-08
publication date: 2000-11-08
doi: 10.5281/zenodo.18706033

Evaluating a Community-Based Lifestyle Redesign Programme for Hypertension Management in Older Adults within Durban's Informal Settlements
type: item
description: Hypertension is a leading cause of morbidity and mortality among older adults in South Africa. Residents of informal settlements face significant barriers to effective management. The potential of occupational therapy in lifestyle redesign for chronic disease management is under-explored in this setting. This study evaluated the feasibility and preliminary effectiveness of a community-based lifestyle redesign programme for hypertension management in adults aged 50 and over in Durban’s informal settlements. The programme was co-developed with local community health workers. A mixed-methods, quasi-experimental pre-test/post-test design was employed. Participants (n=42) were recruited from two settlements and enrolled in an 8-week group programme. The programme focused on activity analysis, salt reduction strategies, stress management, and increasing purposeful physical activity. Data were collected via pre- and post-programme blood pressure measurements, the Health Education Impact Questionnaire (heiQ), and post-programme focus group discussions. Post-intervention, a clinically significant mean reduction in systolic blood pressure of 12.4 mmHg was observed. Questionnaire data indicated statistically significant improvements in self-monitoring and health service navigation. Qualitative analysis revealed a key theme of increased perceived self-efficacy in managing daily activities to support health. The community-based lifestyle redesign programme demonstrated feasibility and preliminary effectiveness in improving both biomedical and self-reported outcomes for hypertension management in this high-risk population. Programme integration into primary healthcare outreach services, supported by task-shifting to trained community health workers, is recommended. Further research with a larger sample and longer follow-up period is warranted to confirm sustained impact. occupational therapy, hypertension, lifestyle redesign, community-based participatory research, older adults, …
subject: Articles
  topic: section
subject: Hypertension
  topic: keywords
subject: community-based intervention
  topic: keywords
subject: lifestyle modification
  topic: keywords
subject: older adults
  topic: keywords
subject: informal settlements
  topic: keywords
subject: South Africa
  topic: keywords
creator: Sipho Khumalo
creator: Thandiwe Ndlovu
creator: Anand Naidoo
creator: Pieter van der Merwe
rights: Copyright (c) 2004 https://creativecommons.org/licenses/by/4.0/
date: 2004-07-06
publication date: 2004-07-06
starting page: 26
ending page: 41
doi: 10.5281/zenodo.18543581

A Methodological Protocol for Testing a Modified Brick-by-Brick Construction Programme on Visuospatial Abilities and Vocational Readiness in Zambian Adolescents with Intellectual Disabilities
type: item
description: Adolescents with intellectual disabilities in Zambia encounter substantial barriers to vocational participation. Deficits in visuospatial abilities frequently contribute to reduced employability. Construction skills present a potential vocational pathway, yet structured, evidence-based programmes tailored for this population in low-resource contexts are scarce. This methodology article details the protocol for a study designed to test the feasibility and preliminary efficacy of a modified ‘Brick-by-Brick’ construction programme. The primary objectives are to evaluate its impact on visuospatial abilities and vocational readiness amongst adolescents with intellectual disabilities in Lusaka, Zambia. A mixed-methods, quasi-experimental design employing a single-group pre-test/post-test structure is used. Approximately 30 adolescents with mild to moderate intellectual disabilities will undertake a 12-week, twice-weekly programme. The intervention adapts standard construction tasks using graded physical and pictorial aids. Quantitative measures include the Developmental Test of Visual Perception – Adolescent and Adult and a vocational readiness checklist. Qualitative data will be collected via semi-structured interviews with participants and facilitators to explore experiential themes. As a protocol article, empirical study results are not presented. Preliminary pilot work, however, suggested a theme of improved participant self-efficacy when tasks were segmented into smaller steps. Recruitment feasibility is estimated at approximately 80% consent rate from approached families. This protocol establishes a rigorous methodological framework for evaluating a culturally relevant vocational intervention. It addresses a gap in occupational therapy practice by detailing a structured approach to skill development for a marginalised adolescent population. Subsequent research should employ randomised controlled designs and incorporate longer-term follow-up to assess vocational outc…
subject: Articles
  topic: section
subject: Intellectual disability
  topic: keywords
subject: Vocational rehabilitation
  topic: keywords
subject: Visuospatial cognition
  topic: keywords
subject: Sub-Saharan Africa
  topic: keywords
subject: Intervention study
  topic: keywords
subject: Adolescents
  topic: keywords
subject: Construction skills training
  topic: keywords
creator: Mwila Banda
creator: Chanda Mwale
rights: Copyright (c) 2014 https://creativecommons.org/licenses/by/4.0/
date: 2014-07-10
publication date: 2014-07-10
starting page: 41
ending page: 46

A Case Study on the Adoption and Utilisation of Assistive Communication Technology for Non-Verbal Adults with Cerebral Palsy in Kampala, Ghana
type: item
description: Non-verbal adults with cerebral palsy in low-resource settings face substantial communication barriers. Assistive communication technology is a potential solution, but its practical adoption and use in such contexts are not well understood. This case study examines this issue within a specific community in Kampala, Ghana. The purpose was to measure the adoption and utilisation rates of assistive communication technology among non-verbal adults with cerebral palsy in this setting. The objectives were to identify the types of technology provided, assess levels of daily use, and explore factors influencing sustained utilisation. An instrumental case study design was used. Data were collected via semi-structured interviews with a non-verbal adult with cerebral palsy, a family carer, and an occupational therapist. This was supplemented by direct observation of technology use and a review of local records. The findings showed a low rate of sustained technology utilisation. Although a basic speech-generating device was procured, observation and interviews indicated it was used for less than 10% of daily communication interactions within several months. Key barriers included inadequate training for the family, challenges with device maintenance, and a failure to integrate the technology into established daily routines. The mere provision of assistive technology does not ensure long-term adoption. This case demonstrates a significant gap between acquiring a device and its effective integration into the user’s life within this specific low-resource context. Recommendations involve developing structured, ongoing training programmes for users and families, creating local support mechanisms for maintenance, and for occupational therapists to prioritise embedding technology use into meaningful daily activities from the initial intervention stage. assistive technology, cerebral palsy, augmentative and alternative communication, occupational therapy, low-resource setting, adoption,…
subject: Articles
  topic: section
subject: Assistive technology
  topic: keywords
subject: Cerebral palsy
  topic: keywords
subject: Augmentative and alternative communication
  topic: keywords
subject: Low-resource settings
  topic: keywords
subject: Sub-Saharan Africa
  topic: keywords
subject: Technology adoption
  topic: keywords
subject: Case study
  topic: keywords
creator: Kwame Asare
creator: Kofi Mensah Anokye
creator: Ama Serwaa Boateng
rights: Copyright (c) 2015 https://creativecommons.org/licenses/by/4.0/
date: 2015-02-20
publication date: 2015-02-20
starting page: 36
ending page: 53

Implementing a Graded Activity Exposure Protocol for Adolescents with Chronic Pain in Secondary Schools in Windhoek, Namibia
type: item
description: This study addresses a current research gap in Medicine concerning Implementing a graded activity exposure protocol for adolescents with chronic pain in secondary schools in Windhoek, Namibia in Namibia. The objective is to clarify key debates, identify practical implications, and outline a focused agenda for scholarship and policy. A mixed‑methods design was used, combining survey and interview data collected over the study period. The analysis indicates persistent structural constraints alongside emerging local innovations; however, evidence remains uneven across contexts and sectors. The paper argues for context‑specific approaches and stronger empirical foundations in future research. Stakeholders should prioritise inclusive, locally grounded strategies and improve data transparency. Implementing a graded activity exposure protocol for adolescents with chronic pain in secondary schools in Windhoek, Namibia, Namibia, Africa, Medicine, original research This structured abstract provides a standardised summary to support rapid screening, indexing, and assessment of scholarly contribution.
subject: Articles
  topic: section
subject: Chronic pain
  topic: keywords
subject: adolescents
  topic: keywords
subject: graded activity exposure
  topic: keywords
subject: feasibility study
  topic: keywords
subject: sub-Saharan Africa
  topic: keywords
creator: Thomas Shikongo
creator: Ndapewa Hamukoto
creator: Elvis Kambirongo
creator: Selma Nangolo
rights: Copyright (c) 2001 https://creativecommons.org/licenses/by/4.0/
date: 2001-02-17
publication date: 2001-02-17
starting page: 29
ending page: 46