The role of clinic culture in implementation of primary care interventions: the case of Reach Out and Read.

Objective: Reach Out and Read (ROR) is a primary care-based intervention supported by considerable evidence regarding its efficacy. Implementation of ROR, however, varies across participating sites. The objective of this study was to identify practice attributes associated with variability in ROR implementation.

A new challenge to child and adolescent survival in urban Africa: an increasing burden of road traffic injuries.

Objectives: To develop an epidemiological profile and present the burden of urban road-traffic injuries (RTI) in children and adolescents in urban Sub-Saharan Africa.

Method: A systematic review of published and gray literature of children and adolescents < or =19 years old involved in RTI in urban regions in Sub-Saharan Africa from January 1980-December 2003.

Results: The mean annual incidence for urban road-traffic injuries was 109.