Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
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Showing 1 to 20 of 876 for “"Public Health and Family Medicine"”.
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Universal antiretroviral therapy (ART) for infants and young children living with HIV: assessing the effect of guideline changes on ART initiation characteristics and treatment outcomes in resource-limited settings
… or immunologic status initially for infants, and subsequently for progressively older, and ultimately all children. Given the scale-up of early infant diagnosis (EID) and early initiation of ART for infants and young children who are especially vulnerable to rapid progression of HIV and …
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Assessing the effectiveness of integrated non-communicable disease and antiretroviral adherence clubs in Cape Town, South Africa
The growing burden of HIV and non- communicable disease (NCD) syndemic in Sub Saharan Africa, has necessitated introduction of integrated models of care in order to leverage existing HIV care infrastructure for NCDs. However, there is paucity of literature on long term treatment outcomes for …
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Exploring the contribution of a leadership development program on the implementation of improvement projects at a South African central hospital
Background It is recognized that healthcare leaders of today would need to not only be responsive to the rapid changes around them, but also plan for the future of healthcare by creating a climate that is sensitive to the context of the organization while responding to the service needs. In the …
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Awareness of cervical cancer risk factors and symptoms and lay beliefs amongst women recently diagnosed with cervical cancer in South Africa and Zimbabwe
Background: Despite South Africa (SA) and Zimbabwe having nationwide cervical cancer screening and human papillomavirus (HPV) vaccination programs, the incidence and mortality rates of cervical cancer remain high in these countries. We explored awareness of cervical cancer symptoms and risk factors …
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Psychosocial predictors of HIV treatment outcomes among young pregnant and postpartum women living with HIV
Introduction: Young pregnant and postpartum women's suboptimum antiretroviral therapy (ART) adherence and engagement in HIV care remains a global concern despite improvements in prevention of mother-to-child transmission (PMTCT) and general ART services. Various psychosocial risk factors have been …
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A systematic review of interventions to improve adherence to anti-diabetic medications in patients with type 2 diabetes in sub-Saharan Africa
Background: Diabetes Mellitus is a worldwide public health issue that affects millions of people. It is among the ten-leading causes of death worldwide. In 2019, the International Diabetes Federation projected that 463 million adults had diabetes and 4.2 million died from the disease and its …
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Complex interventions in complex health systems: Hepatitis B birth-dose vaccination programs in the African region
… worldwide, the majority are found in the African and Western Pacific regions. Neonates who acquire the infection from their mothers (mother-to-child transmission or MTCT) carry a 90% risk of chronicity. To prevent serious liver complications such as liver cancer, cirrhosis, and premature death, …
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Medical negligence litigation as a mechanism for understanding gaps in health system responsiveness in the South African public health system
… this rise in cases has particularly been felt by public health systems, who are having to dedicate considerable resources to defending the claims made against their workers and facilities, as well as make the pay-outs for damages awarded against them. The increase in medical negligence cases has …
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An umbrella review of the available evidence syntheses to inform vaccination practices and policies for the COVID-19 pandemic in Africa
… in Africa should be guided by context-specific and up to date evidence. We conducted an umbrella review to identify, analyze and characterize the evidence syntheses that is available and has the potential to inform COVID-19 vaccination practices and policies in Africa. Methods: A systematic …
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Workplace based learning in district health leadership and management strengthening: A qualitative evidence synthesis
Effective leadership and management has been identified as a critical foundation to enable health systems to respond adequately to their population needs. The changing nature of low-and middleincome countries' health systems in the midst of resource scarcity and a high disease burden, has placed …
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The role of social capital and networks in the integration and implementation of health and human rights programmes amongst civil society organizations in Cape Town South Africa
… as being key stakeholders for the promotion of health and human rights in society. They are well positioned to engage with communities to address growing inequalities such access to health care, increasing violation of health and human rights, poverty and unemployment in communities. In order to …
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Modification by sex and atopy of the effect of chemical air pollutions and biological air pollutants including pollen and fungal spores on children respiratory health in the Western Cape, Cape South Africa
… continues to be a leading cause of morbidity and mortality among children in SubSaharan Africa. Ongoing under-diagnosis and treatment in low-and middle-income countries, together exposure to airborne pollutants and allergens contribute to this disease burden. A cross-sectional study that …
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The effectiveness and determinants of effectiveness of antiretroviral therapy for adults in the Western Cape Province of South Africa
… therapy (ART) first became available in the public sector in the Western Cape Province in Khayelitsha in 2001. This thesis describes the effectiveness of ART in Khayelitsha and the Province, following adult patients for up to five years on ART, and examining temporal trends over seven years …
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The prognostic value of HIV viral load in predicting viraemic outcomes of post-partum women on antiretroviral therapy: a secondary analysis of two randomised controlled trials from Gugulethu, Cape Town
… of HIV continues to be a significant health concern for HIV-infected women in pregnancy and postpartum, especially in Southern Africa, despite decreasing rates of infection. While better access to effective and acceptable antiretroviral therapy (ART) regimens has helped to improve …
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Multi-state models for the analysis of Wheeze in a birth cohort of Western Cape children
… may be associated with reduced lung function and increased risk of asthma in later life. Determining the epidemiology of wheeze is complex given that the risk factors vary based on the age of the child and the phenotype of wheeze. Little is known regarding the recurrent nature of childhood …
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Youth perceptions (18-24) on the role of youth clubs in delivering family planning information and services in Blantyre district, Malawi
Background: Unmet need for family planning is a significant health problem for youth in Malawi. In order to promote family planning uptake, youth clubs were established to provide a safe and friendly environment for the youth to access sexual and reproductive health information and services. …
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The Prevalence And Determinants Of Burnout In Medical Doctors At Public Hospitals In Gqeberha During The Covid-19 Pandemic: A Cross-Sectional Study
… stress” which has been unsuccessfully managed and has previously been documented in doctors. The COVID-19 pandemic has increased the occupational challenges faced by doctors in hospitals, potentially increasing their risk for burnout. Aim: This study aimed to determine the prevalence and …
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Noma in northwest Nigeria: a neglected disease in neglected populations
… through distinct stages defined by the World Health Organisation (WHO); Stage 0: simple gingivitis; Stage 1: acute necrotizing gingivitis; Stage 2: oedema; Stage 3: gangrene; Stage 4: scarring. Stage 5: sequelae. It is unclear how many patients with the early stages of noma will progress to …
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The factors affecting a data harmonisation innovation in the Western Cape, South Africa
Lack of coordination and integration between routine electronic databases can limit effective data production and utilisation to support health management decision-making. There is currently a need to strengthen data support structures through the harmonisation of multiple databases across …
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An exploratory qualitative study of menstrual hygiene management among adult women of reproductive ages from an under-resourced community in Cape Town, South Africa
… Poor menstrual hygiene management can result in health concerns for women, particularly in low-and-middle-income countries. The evidence for the lived menstruation experiences of adult women of reproductive ages is limited. This study sought to understand the menstrual hygiene management …
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