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What health system strategies have low and middle income countries used to improve their maternal outcomes; A Rapid Response Brief
ACRES
2011
brief
Health Research

Background: Maternal morbidity and mortality worldwide is a major public health problem with unacceptable effects on families and nations. The maternal mortality ratio for sub-Saharan Africa is estimated at almost …

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What is involved in an efficient relationship between the Ministry of Health and teaching hospitals in order for both institutions to effectively meet their objectives; A Rapid Response Brief
ACRES
2011
brief
Health Research

Background: Teaching hospitals play a critical role in health care, medical education, and research. They are important to the Ministry of Health, which is responsible for providing quality healthcare to …

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What is the cost of diagnosing a new sputum smear positive TB case in children in low income settings; A Rapid Response Brief
ACRES
2011
brief
Health Research

Background: Diagnosing tuberculosis (TB) in children, particularly sputum smear-positive TB, presents challenges in low-income countries. The process involves a series of steps, including clinical examinations, tuberculin skin testing, and bacteriological …

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What is the effect of counseling in unwanted pregnancy; A Rapid Response Brief
ACRES
2011
brief
Health Research

Background: Unintended pregnancies affect a significant proportion of women worldwide, with a substantial number leading to induced abortions. In Uganda, a high prevalence of unintended pregnancies and a growing desire …

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What is the evidence for the effectiveness, safety and acceptability of âReady-To-Use Feedsâ; A Rapid Response Brief
ACRES
2011
brief
Health Research

Background: Malnutrition rates in Uganda are high, with a significant proportion of children under 5 suffering from chronic and acute malnutrition. Ready-to-Use Therapeutic Foods (RUTF), known as RUTAFA in Uganda, …

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What is the role of stem cell therapy in the management of noncommunicable diseases? How does it work and what are its implications on the health system; A Rapid Response Brief
ACRES
2011
brief
Health Research

Background: The World Health Organization (WHO) has reported a global shift from infectious to non-communicable diseases (NCDs), which are now the leading causes of death worldwide. Cell-based therapy, or regenerative …

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What role can the regional tier play in facilitating health services delivery; A Rapid Response Brief
ACRES
2011
brief
Health Research

Background: Many countries are adopting reforms such as decentralization to improve public systems and service delivery by transferring authority and resources closer to the end-users. The regional tier approach, involving …

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What would be the appropriate Health Financing Strategy for Uganda; A Rapid Response Brief
ACRES
2011
brief
Health Research

Background: In Uganda, nearly 5% of households face catastrophic health expenditures, and 2.3% are impoverished due to medical bills. This situation prompted the World Health Organization (WHO) to urge member …

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Management of (expensive) medical equipment; lessons from other countries; A Rapid Response Brief
ACRES
2012
brief
Health Research

Background: Effective health technology management (HTM) is essential for delivering safe, equitable, and quality health care. However, the rising costs of healthcare, driven in part by advancing medical technology, pose …

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What are the arrangement options for the accreditation of health service providers in low and middle-income countries (LMICs); A Rapid Response Brief
ACRES
2012
brief
Health Research

Background:National accreditation systems aim to provide accreditation services to healthcare facilities. Accreditation can be used at the national level for external assessment of health services and as a tool for …

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References (4020)

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Is antiretroviral therapy associated with symptom prevalence and burden
Harding Richard, Molloy Tim, Easterbrook Philippa, Frame Karen, Higginson Irene J.
2006
Journal, Article
Health Research

Although distressing pain and other symptoms have been reported at all stages of HIV disease, studies have not taken account of the relative contribution of treatment side-effects and underlying disease. …

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Multi-centred mixed-methods PEPFAR HIV care & support public health evaluation: study protocol
Namisango E, Harding R, Downing J, Simms V, Penfold S, McCrone P, Moreland S, Powell RA, Mwangi-Powell F, Fayers P and others...
2010
Journal, Article
Health Research

Background: A public health response is essential to meet the multidimensional needs of patients and families affected by HIV disease in sub-Saharan Africa. In order to appraise curret provision of …

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Multi-centred mixed-methods PEPFAR HIV care & support public health evaluation: Study protocol
Namisango E., Harding R., Simms V., Penfold S., McCrone P., Moreland S., Downing J., Powell R.A., Mwangi-Powell F., Fayers P. and others...
2010
Journal, Article
Health Research
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Provision of pain- and symptom-relieving drugs for HIV/AIDS in sub-Saharan Africa
Harding R, Downing J, Kiyange F, Mwangi-Powell F, Powell R A
2010
Journal, Article
Health Research

AbstractContext. Although pain and burdensome symptoms among HIV-infectedpersons can be effectively managed, the availability of opioids and other symptomcontrolling drugs is a particular challenge in sub-Saharan Africa.Objectives. This study aimed …

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The prevalence and burden of symptoms amongst cancer patients attending palliative care in two African countries
Harding R, Downing J, Higginson IJ, Selman L, Agupio G, Dinat N, Gwyther L, Mashao T, Mmoledi K, Sebuyira LM and others...
2011
Journal, Article
Health Research

Background: The majority of cancer presentations in Africa are advanced and incurable, with incidence of malignancies projected to increase significantly. Despite the African cancer burden, almost nothing is known about …

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Intensity and correlates of multidimensional problems in HIV patients receiving integrated palliative care in sub-Saharan Africa
Harding R, Downing J, Higginson IJ, Selman L, Agupio G, Dinat N, Gwyther L, Mashao T, Mmoledi K, Sebuyira LM and others...
2012
Journal, Article
Health Research

Background Despite global clinical guidance that HIV patients should have multidimensional care integrated into their management, there has been very limited data to guide practice since the advent of treatment. …

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Prevalence, burden, and correlates of physical and psychological symptoms among HIV palliative care patients in sub-Saharan Africa: An international multicenter study
Harding Richard, Higginson Irene J., Selman Lucy, Agupio Godfrey, Dinat Natalya, Downing Julia, Gwyther Liz, Mashao Thandi, Mmoledi Keletso, Moll Tony and others...
2012
Journal, Article
Health Research

Context: Despite HIV remaining life limiting and incurable, very little clinical research focus has been given to the prevalence and related burden of physical and psychological symptoms for those accessing …

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How to analyze palliative care outcome data for patients in sub-Saharan Africa: An international, multicenter, factor analytic examination of the apca African pos
Namisango E, Harding R, Downing J, Penfold S, Mwangi-Powell F, Powell R A, Selman L, Agupio G, Dinat N, Gwyther L and others...
2013
Journal, Article
Health Research

ContextThe incidence of life-limiting progressive disease in sub-Saharan Africa presents a significant clinical and public health challenge. The ability to easily measure patient outcomes is essential to improving care.ObjectivesThe present …

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Availability of essential drugs for managing HIV-related pain and symptoms within 120 PEPFAR-funded health facilities in East Africa: A cross-sectional survey with onsite verification
Namisango E, Harding R, Downing J, Atieno M, Simms V, Penfold S, Moreland S, Powell RA, Mwangi-Powell F, Higginson IJ and others...
2014
Journal, Article
Health Research

Background: World Health Organization's essential drugs list can control the highly prevalent HIV-related pain and symptoms. Availability of essential medicines directly influences clinicians' ability to effectively manage distressing manifestations of …

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Palliative care-related self-report problems among cancer patients in East Africa: a two-country study
Namisango E, Harding R, Powell RA, Higginson IJ, Gikaara N, Merriman A, Ali Z
2014
Journal, Article
Health Research

Palliative care-related problems have not been measured in Africa in line with the WHO definition. This study aimed to measure the three-day period intensity of multidimensional problems (physical, psychological, social, …

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