Publications by authors named "Winston Mulanda"

Article Synopsis
  • A study evaluated the effectiveness of the Xpert MTB/RIF Ultra assay in detecting tuberculosis (TB) in fresh stool samples from children under 15 years old in Dushanbe, Tajikistan, enrolling 688 participants from April 2019 to October 2021.
  • The assay showed a sensitivity of 68.8% and a high specificity of 98.7%, indicating it can effectively identify TB in this population, despite challenges like staffing shortages and outdated protocols due to COVID-19.
  • This report, being one of the first from Central Asia and a low-middle-income country, supports the WHO's recommendation to use fresh stool as an acceptable sample for TB testing in young children, who struggle to provide sputum samples.
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Objectives: Chad reports the second highest maternal mortality worldwide. We conducted a survey in Sila region in southeast Chad to estimate the use of maternal health services (MHS) and to identify barriers to access MHS.

Design: Retrospective cross-sectional, population-based survey using two-stage cluster sampling methodology.

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