Ministry of Healthhttps://library.adhl.africa/handle/123456789/115372024-03-29T01:46:51Z2024-03-29T01:46:51ZBasic Isotope thyroid Parameters in ZambiaMikolajkow, A.T., Creatorhttps://library.adhl.africa/handle/123456789/115892019-10-04T00:41:14Z1978-12-01T00:00:00ZBasic Isotope thyroid Parameters in Zambia
Mikolajkow, A.T., Creator
The paper analyses basic isotope thyroid parameters in 20 normal Zambians. The results of tests (excluding uptake studies) do not differ t.rom those established elsewhere but the range of thyroid radioiodinc uptakes is wide. It may be explained by the mixed nature of the sample of patients with regard to iodine intake.
The paper analyses basic isotope thyroid parameters in 20 normal Zambians.
1978-12-01T00:00:00ZInformation & Communication Technology Standards and GuidelinesMinistry of Healthhttps://library.adhl.africa/handle/123456789/115802019-10-04T00:41:11Z2014-02-01T00:00:00ZInformation & Communication Technology Standards and Guidelines
Ministry of Health
This document establishes the Information & Communications Technology Standards and Guidelines for the Ministry of Health. The Ministry of Health is responsible for health in this country and it has embraced ICTs as an integral tool in its quest to deliver quality health services as close to the family as possible. These guidelines do not only prescribe the standards for hardware and software to be used in the Ministry of Health and its institutions, but also outlines the information communications technologies available in the 21st Century.
The guidelines also provide a framework to leverage the application and exploitation of cutting edge ICT technologies in the health care delivery system.
The Information and Communications Technology Standards and Guidelines are therefore intended to give guidance on the procurement, usage, maintenance and safe disposal of all ICT hardware and software in order to ensure appropriate standards and guidelines are followed and adhered to.
Users of these guidelines are encouraged to send feedback to the ICT Unit on their utilitisation and content to assist in their future development. This shall help the Unit to ensure that standards and guidelines evolve to meet emerging requirements.
The Information & Communications Technology Standards and Guidelines for the Ministry of Health were developed out of a need to standardise the operations and use of the ICTs in the Ministry. The ICT Standards and Guidelines have been developed in accordance with the National Information and Communication Technology Policy of 2010.
2014-02-01T00:00:00ZFactors contributing to physical gender based violence reported at Ndola Central Hospital, Ndola,Zambia: A case control studyNgonga, Z.https://library.adhl.africa/handle/123456789/115682019-10-04T00:41:07Z2016-01-01T00:00:00ZFactors contributing to physical gender based violence reported at Ndola Central Hospital, Ndola,Zambia: A case control study
Ngonga, Z.
To determine socio-demographic factors associated with gender-based violence (GBV). A case control study was conducted at Ndola Central Hospital Casualty Department. The study was conducted from December 2015 to July 2016. A sample size of 85 cases and 85 controls was calculated after a pilot study of 30 cases and 30 controls was conducted. Out of the pilot study 60% of people who drink alcohol reported that they experienced GBV- physical assault while 27.6% of people who drink alcohol reported that they did not experience GBV- physical assault. Based on these outcomes the sample size was calculated using Stat. Calc in Epi-Info version 7 with the power at 80%. From the adjusted odds ratio alcohol drinking increases the likelihood of GBV- physical assault by 2.25 times. Those living in high density areas are 2.23 times more at risk of GBV physical assault.
Females are 2.27 times at risk of GBV physical assault unlike males. Measures: The dependant (outcome) variable is GBV physical assault. The independent (predictor) variables are; alcohol abuse, income level, area of residence and gender. These were chosen because these are some of the risk factors of GBV-physical according to literature.
Results: Out of the 179 patients who participated in the study, 93(52%) reported to have experienced GBVphysical assault regardless of age. Morefemales 67(68.4%) experienced GBV physical assault than males 26(32.1%). More than 2/3 of those who reported alcohol drinking 51(69.9%) experienced GBV-physical assault and only 40(40.0%) among those who did not report the outcome. Those from high density 82(56.9%) reported having experienced more GBV physical assault compared to 5(23.8%) of those from low density areas. Conclusion: There is need for healthy life styles to be encouraged such as control of alcohol consumption in order to reduce GBV – physical assault due to alcohol intake. Sensitization campaigns and educational programmes ought to be intensified in order to address factors that make females more prone to GBV-physical assault than males. Living in a high density area is a risk factor of GBV- physical assault as compared to living in a low density area. Therefore more sensitization programmes should be put in place at a societal level to reduce GBV – physical assault in such communities
Socio-demographic factors associated with gender-based violence (GBV).
2016-01-01T00:00:00ZExtraction and demonstration of uterotonic activity from the root of steganotaenia araliacea hochstGoma, F. M.Lengwe, C.Lengwe, C.Prashar, L.Chuba, D.Nyirenda, J.Ezeala, C.https://library.adhl.africa/handle/123456789/115822019-10-04T00:41:12Z2017-01-01T00:00:00ZExtraction and demonstration of uterotonic activity from the root of steganotaenia araliacea hochst
Goma, F. M.; Lengwe, C.; Lengwe, C.; Prashar, L.; Chuba, D.; Nyirenda, J.; Ezeala, C.
The root of Steganotaenia araliacea is used for assisting labour in folk medicine. Recent reports indicate that the root could possess uterotonic substances. The study aimed to evaluate three methods for the extraction of uterotonic principles from the root of S. araliacea growing in Zambia. Roots of the plant were collected from Chongwe District of Zambia. The air-dried roots were size-reduced, and the powdered material extracted with hot ethanol, hot distilled water, and cold distilled water. The solvent extracts were 0concentrated and dried at 110 C. Solutions of the hot aqueous and cold aqueous extracts were prepared in distilled water and used for organ bath experiments to demonstrate uterotonic activities using strips of pregnant rat uterus. The frequencies and amplitude of contractile forces were recorded. The amplitudes were plotted against log concentration of extract with GraphPad Prism software, and the EC50 values determined. The results showed that percentage yields were 31.3 % for the hot aqueous extract, 8.15 % for the ethanolic extract, and 3.27 % for the cold aqueous extract. The cold aqueous extract showed higher potency (EC50 of 0.54 mg/ml) compared to the hot aqueous extract (EC50 of 2.09 mg/ml). The conclusion were that root extracts of S. araliacea possess demonstrable uterotonic effects. Extraction of the roots for this purpose could benefit from preliminary defatting with organic solvents, followed by successive extraction with hot and cold water.
Steganotaenia araliacea used for assisting labour in folk medicine.
2017-01-01T00:00:00ZIntroduction of partographic records in a District hospital in Zambia and development of nomograms of cervical dilatationSteward, P.https://library.adhl.africa/handle/123456789/116012019-10-04T00:41:18Z1977-08-01T00:00:00ZIntroduction of partographic records in a District hospital in Zambia and development of nomograms of cervical dilatation
Steward, P.
Partographic records of labour have been successfully introduced in a district hospital in Zambia. Nomograms of cervical dilatation show no significant difference compared to those obtained by other workers in other parts of the world. There was no difference in the duration of the active phase of the lst stage of labour between multiparous patients (para 1 4) and grand multiparous patients (para greater than 4).
Partographic records of labour have been successfully introduced in a district hospital in Zambia.
1977-08-01T00:00:00ZSingleton breach presentation planned for vaginal deliveryDavis, V. E. Creatorhttps://library.adhl.africa/handle/123456789/115952019-10-04T00:41:16Z1976-12-01T00:00:00ZSingleton breach presentation planned for vaginal delivery
Davis, V. E. Creator
A retrospective study of 156 consecutive cases of singleton breach presentation planned for vaginal delivery is presented. The incidence of caesarean section was not increased when compared with that for all Hospital and clinic confinements. The perinatal mortality and prematurity rates were high. The incidence of cord prolapse was increased especially with the footling breech. The need for an experienced Obstetrician and Anaesthetist to conduct all deliveries was demonstrated. Factors influencing the assessment of feto-pelvic proportion and the occurrence of trauma and asphyxia in the management of breech labour and delivery are discussed. The continued place of external cephalic version is justified by the perinatal mortality rate.
A retrospective study of 156 consecutive cases of singleton breach presentation planned for vaginal delivery.
1976-12-01T00:00:00ZDetermination of 1g antibodies produced by the kinetoplast fraction antigens trypanosoma rhodesiense T.Vivax and T. brucei by enzyme linked immunosorbent assayPowell, C. NMohini, A.https://library.adhl.africa/handle/123456789/115492019-10-04T00:41:01Z1977-04-01T00:00:00ZDetermination of 1g antibodies produced by the kinetoplast fraction antigens trypanosoma rhodesiense T.Vivax and T. brucei by enzyme linked immunosorbent assay
Powell, C. N; Mohini, A.
Antibodies to trypanosome homegenate and subcellular particles of different trypanosome species, with emphasis on the kinetoplast fraction, were measured by the ELISA method. The antibodies formed to these homogenates and subcellular particles could be titrated ; the kinetoplast fraction, particularly, not only gave titration against a heterologous strain, but also showed activity against this strain after two to three antigenic variations.
Antibodies to trypanosome homegenate and subcellular particles of different trypanosome species, with emphasis on the kinetoplast fraction.
1977-04-01T00:00:00ZAssessment of transvenous right atriography in the diagnosis of pericardial effusionUmerah, B. C., CreatorYikona, I.Y.E, Creatorhttps://library.adhl.africa/handle/123456789/115422019-10-04T00:40:59Z1976-08-01T00:00:00ZAssessment of transvenous right atriography in the diagnosis of pericardial effusion
Umerah, B. C., Creator; Yikona, I.Y.E, Creator
From the results, it was felt that transvenous right atriography is a reliable confirmatory investigation of pericardial effusion. The procedure is simple and can be carried out in any hospital.Spurious positive results may arise from faulty technique or due to marked pericardial thickening whilst false negatives may be encountered with viscid, inspissated or loculated pericardial effusion.
This article assesses the diagnosis of transvenous Right atriography of Pericardial Effusion
1976-08-01T00:00:00ZHuman resources for health planning & development strategy frameworkMinistry of Health, Creatorhttps://library.adhl.africa/handle/123456789/115502019-10-04T00:41:02Z2017-07-07T00:00:00ZHuman resources for health planning & development strategy framework
Ministry of Health, Creator
Zambia has about 1.2 physicians, nurses, and midwives per 1000 population while the minimum acceptable density threshold is 2.3 per 1000 population. The estimated shortage of doctors, nurses and midwives in Zambia is about 14,960. However, with the projected population growth the deficit more than doubles disproportionately to, 25,849 in 2020, and 46,549 in 2035, at the current rate of HRH production. Worryingly, the human resources for health crisis has persisted for over 20 years. The efforts before and leading up to the development and implementation of the 2013 – 2016 National Training Operational Plan (NTOP) and the National Human Resources for Health Strategic Plan (2011 – 2016) yielded certain achievements, however, the HRH numbers and skill-mix gap remained disturbingly enormous.
The Ministry of Health (MoH) recognizes that the health workforce (human resources for health) are a critical component to achieving the health system objectives. Importantly, Zambia has embarked on an unwavering health systems strengthening agenda that has led to unprecedented investment in health infrastructure, among many other interventions, aimed at enhancing universal health coverage based on a primary health care approach. However, Zambia’s efforts to ensure adequate HRH appeared to be impeded by delicate HRH leadership and governance, inadequate institutional capacity for HR management to carry out HRHPD, ineffective HRH strategies, underinvestment and low levels in HRH production, weak regulator capacity to promote and assure educational and training quality, slow progress in educational reforms, skewed distribution of health workers, low implementation of existing plans, lack of incentives, uncoordinated partnerships, and weak policy dialogue. Furthermore, slow economic growth, causing inability to pay, threatened unemployment of HRH even if the outputs were to increase.
Given the aforementioned, the MoH has embarked on efforts aimed at exploring effective ways of redressing the persistent and prevailing Human Resources for Health (HRH) crisis. The highest policy-makers of the Ministry and many of its development partners resolved that a comprehensive strategy framework (SF) was needed that would define the model of interventions, identify priority areas and guide on focal strategy areas. It was anticipated that the strategy framework would inform resulting strategies, operational plans and programmatic interventions. The main focus for the planned interventions is to accelerate HRH production and improve the quality of trained HRH. The primary target audiences of this SF are government leaders, health policy makers at all levels, cooperating partners, training institutions, civil society, as well as the stakeholders and partners who support our health systems strengthening efforts.
I implore all stakeholders to support the interventions prioritized in the strategic areas outlined in this strategy framework. The MoH in consultation and collaboration with various stakeholders will develop detailed and specific road maps and operational plans to ensure successful implementation.
The HRHPD Strategic Frame Work assesses the human resources planning and development (HRHPD) within the Ministry of Health by exploring effective ways of redressing the persistent and prevailing Human Resources for Health (HRH) crisis.
2017-07-07T00:00:00ZFactors associated with infertility among women attending the gynaecology clinic at University Teaching Hospital, Lusaka, ZambiaKalima-Munalula, N. M.Ahmed, Y.Vwalika, B.https://library.adhl.africa/handle/123456789/116322019-10-04T00:41:28Z2017-01-01T00:00:00ZFactors associated with infertility among women attending the gynaecology clinic at University Teaching Hospital, Lusaka, Zambia
Kalima-Munalula, N. M.; Ahmed, Y.; Vwalika, B.
The objective of this study was to investigate and determine the factors associated with infertility in women attending the gynaecology clinic at the University Teaching Hospital (UTH) in Lusaka, Zambia. Using an unmatched case-control study design, women attending the gynaecology clinic for infertility were enrolled. Controls were randomly selected from women in the labour ward. An investigatoradministered questionnaire was used to collect data. Bivariable analysis was used to determine association between infertility and demographic and previous gynaecological history. Odds ratios were used to determine statistical significance. Associations with a p<0.05 were further analysed by multivariable logistic regression. Results: One hundred and thirty women were selected as cases and 260 were selected as controls. Overall, primary infertility was found to be affecting 50/130 (38.4 percent) of the women while secondary infertility was found in 80/130 (61.5 percent). In bivariate analyses, the following variables were statistically significant at the 95% CI level: age group (20-29y OR 2.39; 30-39y OR 8.42); marital status (married OR 1.16; single OR 0.017); partner's consumption of alcohol (OR 2.80); frequency of menses (irregular OR 2.27; regular 3.81); whether they'd ever been pregnant (never been OR 151) having had an manual vacuum aspiration (MVA) (OR 0.24); having had a pelvic infection or operation (OR 0.18). In
multivariable logistic regression analysis, five factors were independent and statistically significant correlates of infertility: age at menarche, frequency of menses, having a pelvic procedure done, and having an MVA done. Conclusion: The problem of primary infertility at UTH was similar to that reported in other sub-Saharan countries. Secondary infertility was more prevalent than primary infertility. Infertility was found to be most prevalent among women aged 30-39 years. Of the factors studied, having had a pelvic procedure or an MVA was significantly related to being infertile. The most commonly ordered investigations were hormonal, HSG, USS and semenalysis.
The objective of this study was to investigate and determine the factors associated with infertility in women attending the gynaecology clinic at the University Teaching Hospital (UTH) in Lusaka, Zambia.
2017-01-01T00:00:00Z