Publications by authors named "T D Lekhela"
An electronic dashboard for oxygen monitoring and stockout prevention was implemented during the COVID-19 pandemic in 2022 by Jhpiego through the United States Agency for International Development Reaching Impact, Saturation, and Epidemic Control program and Government of Lesotho across 12 hospitals in Lesotho. Nurses documented patient blood oxygen levels, oxygen usage, and facility-level stocks on a daily checklist, which populated a dashboard that estimated oxygen demand usage and visualized facility-level oxygen stocks and impending stockouts. During 359 facility days evaluated, dashboard data reported 82/1,796 patients (4.
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- Participatory surveillance in Lesotho, called "LeCellPHIA," involved at-risk populations reporting influenza-like illness (ILI) symptoms via phone calls from interviewers during the COVID-19 pandemic.
- The study analyzed ILI trends and demographic factors from July 2020 to July 2021, revealing a 75% response rate with 122,985 reports, indicating higher ILI risk in older age groups, particularly those 60 and above.
- Findings were shared in real-time with health authorities to help monitor ILI trends and inform public health policies aimed at reducing COVID-19 transmission.
Background The United States Agency for International Development (USAID) Reaching Impact, Saturation, and Epidemic Control (RISE) program funded Jhpiego to support the Government of Lesotho's COVID-19 response, including two national COVID-19 treatment centers. To evaluate the status of post-pandemic pediatric respiratory care in Lesotho, we analyzed pediatric treatment center data and healthcare worker (HCW) performance on pediatric COVID-19 training offered to HCWs at COVID-19 treatment centers. Methods We conducted a retrospective cohort study of patients 15 years of age or less hospitalized at two COVID-19 treatment centers in Lesotho from May 1, 2020, to April 30, 2022.
View Article and Find Full Text PDFThe PREVENT study to evaluate the effectiveness and acceptability of a community-based intervention to prevent childhood tuberculosis in Lesotho: study protocol for a cluster randomized controlled trial.
Trials
November 2017
Background: Effective, evidence-based interventions to prevent childhood tuberculosis (TB) in high TB/HIV-burden, resource-limited settings are urgently needed. There is limited implementation of evidence-based contact management strategies, including isoniazid preventive therapy (IPT), for child contacts of TB cases in Lesotho.
Methods/design: This mixed-methods implementation science study utilizes a two-arm cluster-randomized trial design with randomization at the health facility level.