Publications by authors named "Patrick Banda"

Background: The World Health Organisation (WHO) estimates that about 3.2 billion people which is nearly half of the world's population are at risk of malaria. Annually about 216 million cases and 445,000 deaths of malaria occur globally.

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Non-communicable diseases (NCDs) are a leading health and development challenge worldwide. Since 2015, WHO and the United Nations Development Programme have provided support to governments to develop national NCD investment cases to describe the socioeconomic dimensions of NCDs. To assess the impact of the investment cases, semistructured interviews and a structured process for gathering written feedback were conducted between July and October 2022 with key informants in 13 countries who had developed a national NCD investment case between 2015 and 2020.

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Article Synopsis
  • Antifungal resistance (AFR) is a significant global health issue, and a study was conducted in Zambia to evaluate the knowledge, attitudes, and practices of pharmacy students regarding AFR and antifungal stewardship (AFS).
  • The study, involving 412 pharmacy students, found that while most had good knowledge (85.9%) and positive attitudes (86.7%), their practices were lacking, with only 65.8% demonstrating good practices—30.2% accessed antifungals without a prescription.
  • The results indicate a need for improved educational interventions and strategies to promote better practices and reduce inappropriate antifungal use, especially among certain demographics like urban students and advanced-year pharmacy students.
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Article Synopsis
  • Chronic kidney disease (CKD) is a significant health issue in Zambia, with a notable increase in its burden, as measured by disability-adjusted life years (DALYs), from 39.42 million in 1990 to 76.03 million in 2019.
  • Major contributing factors to CKD include hypertension (18.7%), diabetes (22.7%), and glomerulonephritis (33%), primarily affecting adolescents and young adults.
  • The findings stress the urgent need for an effective action plan to raise public awareness and improve prevention and treatment strategies for kidney disease in Zambia.
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Background: Zambia has one of the highest incidence and mortality rates of cervical cancer at 65.5 and 43.4 per 100 000 respectively.

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Background: Type 2 diabetes is a major health concern worldwide and requires urgent attention from health care providers and policy makers. Due to shortage of health care workers in low-income countries, peer support programs have been viewed as a viable option in management of diabetes and have shown to be effective in sub-Saharan Africa.

Objective: The aim of this study is to assess and evaluate the Kamuzu Central Hospital (KCH) diabetic peer support program's (DPSP) impact 4 years after its establishment by assessing knowledge, self-efficacy and behaviours of DPSP members compared to non-members.

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Objective: The aim is to determine the total annual cost per patient treated and total cost per patient retained on antiretroviral therapy in Zambia in conventional care in facilities and across community-based differentiated service delivery (DSD) models.

Design: Economic evaluation was conducted using retrospective electronic record review.Twenty healthcare facilities (13 with DSD models and 7 as comparison sites) in six of Zambia's 10 provinces were considered.

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Background: Malaria case management is one of the key strategies to control malaria. Various studies have demonstrated the feasibility of home management of malaria (HMM). However, data on the costs and effectiveness of artemisinin-based combination therapy (ACT) and rapid diagnostic tests via HMM is limited.

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Background: Malaria remains a leading cause of morbidity, mortality and non-fatal disability in Zambia, especially among children, pregnant women and the poor. Data gathered by the National Malaria Control Centre has shown that recently observed widespread treatment failure of SP and chloroquine precipitated a surge in malaria-related morbidity and mortality. As a result, the Government has recently replaced chloroquine and SP with combination therapy as first-line treatment for malaria.

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