Objective: This review will identify, explore, and map the literature on the characteristics and implementation modalities of needle and syringe programs for reducing blood-borne diseases among people who inject drugs in sub-Saharan Africa compared with the recommended standards by the World Health Organization and AIDS Projects Management Group.
Introduction: Sub-Saharan Africa bears a disproportionate burden of infectious diseases and HIV/AIDS. Needle and syringe programs have been shown to be effective in preventing transmission of infections among those who inject drugs by providing them with sterile injection equipment.
Objective: The objective of this review was to determine the prevalence rates for burnout among nurses working in countries within the sub-Saharan Africa region.
Introduction: Burnout is a response to chronic work-related stress. While there is ample information on its prevalence and risk factors in well-resourced settings in high-income countries, it remains poorly studied in the low- and middle-income countries of sub-Saharan Africa, which bear the larger share of the global burden of disease.
Background: Astrocytomas are primary central nervous system tumors arising from astrocytes and accounting for up to 37.8% of all brain tumors seen in hospital-based studies from Africa. Despite being common, their patterns and short-term outcomes remain poorly studied in Kenya.
View Article and Find Full Text PDFReview Question/objective: The objective of this review was to determine the best available evidence on the most effective treatment of Madura foot.
Introduction: Madura foot or mycetoma is a chronic granulomatous soft-tissue infection that is endemic to several regions of Africa and Asia. It may be of fungal (eumycetoma) or bacterial (actinomycetoma) origin, warranting therapy with either antifungal or antibacterial medication as well as surgery.
JBI Database System Rev Implement Rep
March 2018
The objective of this review is to determine the best available evidence on the burden of brain tumors in low- and middle-income countries (LAMICs). More specifically, the objective is to determine the incidence and prevalence rates for brain tumors in LAMICs.
View Article and Find Full Text PDFJBI Database System Rev Implement Rep
November 2016
The objective of this review is to determine the best available evidence on the effective treatment of Madura foot. More specifically, the objectives are to identify.
View Article and Find Full Text PDFBackground: Traumatic brain injury (TBI) is a major cause of death and disability worldwide and is mostly attributed to road traffic accidents in resource-poor areas. However, access to neurosurgical care is poor in these settings and patients in need of neurosurgical procedures are often managed by general practitioners or surgeons.
Materials And Methods: A retrospective clinical audit of the initial management of patients with TBI in Thika Level 5 Hospital (TL5H), a Tertiary Hospital in Central Kenya.
Background: Stroke is the second leading cause of death globally. Computerized tomography is used to distinguish between ischemic and hemorrhagic subtypes, but it is expensive and unavailable in low and middle income countries. Clinical stroke scores are proposed to differentiate between stroke subtypes but their reliability is unknown.
View Article and Find Full Text PDFBackground: Appropriate management of hypertension reduces the risk of death from stroke and cardiac disease and includes routine assessment for target organ damage and estimation of cardiovascular risk. However, implementation of evidence-based hypertension management guidelines is unsatisfactory. We explore the use of audit and feedback as a quality improvement (QI) strategy for reducing the knowledge practice gap in hypertension care in a resource poor setting.
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