Physician Knowledge and Practices of Urethral Catheterization in Jos, Nigeria

Agaba, Emmanuel I; Daniyam, CA; Agaba, PA; Ocheke, AN; Uhunmwangho, CU; Akanbi, MO; Okeke, EN

doi:10.4314/jmt.v13i2.70710

Cited by 2 publications

(2 citation statements)

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“…have a tremendous impact on data availability. This global push toward digital health records has already occurred in other parts of sub-Saharan Africa and not only helps bridge care geographically but allows clinicians to review analyzed data and bring to the fore potential underlying conditions [46][47][48]. Critical challenges to integrating NCD care at HIV care sites including limited clinic space, over-crowding, and availability of clinical staff to conduct screening and referral might be addressed through the continued uptake and expansion of differentiated HIV service delivery.…”

Section: Plos Global Public Healthmentioning

confidence: 99%

Evaluation of kidney function among people living with HIV initiating antiretroviral therapy in Zambia

Pry

Vinikoor

Bolton‐Moore

et al. 2022

PLOS Glob Public Health

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As the response to the HIV epidemic in sub-Saharan Africa continues to mature, a growing number of people living with HIV (PLHIV) are aging and risk for non-communicable diseases increases. Routine laboratory tests of serum creatinine have been conducted to assess HIV treatment (ART) suitability. Here we utilize those measures to assess kidney function impairment among those initiating ART. Identification of non-communicable disease (NCD) risks among those in HIV care creates opportunity to improve public health through care referral and/or NCD/HIV care integration. We estimated glomerular filtration rates (eGFR) using routinely collected serum creatinine measures among a cohort of PLHIV with an HIV care visit at one of 113 Centre for Infectious Disease Research Zambia (CIDRZ) supported sites between January 1, 2011 and December 31, 2017, across seven of the ten provinces in Zambia. We used mixed-effect Poisson regression to assess predictors of eGFR <60ml/min/1.73m2 allowing random effects at the individual and facility level. Additionally, we assessed agreement between four eGFR formulae with unadjusted CKD-EPI as a standard using Scott/Fleiss method across five categories of kidney function. A total of 72,933 observations among 68,534 individuals met the inclusion criteria for analysis. Of the 68,534, the majority were female 41,042 (59.8%), the median age was 34 (interquartile range [IQR]: 28–40), and median CD4 cell count was 292 (IQR: 162–435). The proportion of individuals with an eGFR <60ml/min/1.73m2 was 6.9% (95% CI: 6.7–7.1%) according to the unadjusted CKD-EPI equation. There was variation in agreement across eGFR formulas considered compared to unadjusted CKD-EPI (χ2 p-value <0.001). Estimated GFR less than 60ml/min/1.73m2, per the unadjusted CKD-EPI equation, was significantly associated with age, sex, body mass index, and blood pressure. Using routine serum creatinine measures, we identified a significant proportion of individuals with eGFR indicating moderate or great kidney function impairment among PLHIV initiating ART in Zambia. It is possible that differentiated service delivery models could be developed to address this subset of those in HIV care with increased risk of chronic kidney disease.

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Section: Plos Global Public Healthmentioning

confidence: 99%

Evaluation of kidney function among people living with HIV initiating antiretroviral therapy in Zambia

Pry

Vinikoor

Bolton‐Moore

et al. 2022

PLOS Glob Public Health

View full text Add to dashboard Cite

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“…These developments present an exciting opportunity to improve upon EHR data capture. Within such a resource-constrained environment even minimal expansion of system coverage could be implemented for targeted disease areas, as has been the case with HIV/AIDS [ 305 ]. Uptake of innovative tools such as the new Global Birth Defects app specifically designed to facilitate diagnosis of CAs for surveillance programs operating in low resource settings such as SSA [ 306 ], should be maximized.…”

Section: Discussionmentioning

confidence: 99%

The burden, prevention and care of infants and children with congenital anomalies in sub-Saharan Africa: A scoping review

Leke,

Malherbe,

Kalk

et al. 2023

PLOS Glob Public Health

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The aim of this scoping review was to determine the scope, objectives and methodology of contemporary published research on congenital anomalies (CAs) in sub-Saharan Africa (SSA), to inform activities of the newly established sub-Saharan African Congenital Anomaly Network (sSCAN). MEDLINE was searched for CA-related articles published between January 2016 and June 2021. Articles were classified into four main areas (public health burden, surveillance, prevention, care) and their objectives and methodologies summarized. Of the 532 articles identified, 255 were included. The articles originated from 22 of the 49 SSA countries, with four countries contributing 60% of the articles: Nigeria (22.0%), Ethiopia (14.1%), Uganda (11.7%) and South Africa (11.7%). Only 5.5% of studies involved multiple countries within the region. Most articles included CA as their primary focus (85%), investigated a single CA (88%), focused on CA burden (56.9%) and care (54.1%), with less coverage of surveillance (3.5%) and prevention (13.3%). The most common study designs were case studies/case series (26.6%), followed by cross-sectional surveys (17.6%), retrospective record reviews (17.3%), and cohort studies (17.2%). Studies were mainly derived from single hospitals (60.4%), with only 9% being population-based studies. Most data were obtained from retrospective review of clinical records (56.1%) or via caregiver interviews (34.9%). Few papers included stillbirths (7.5%), prenatally diagnosed CAs (3.5%) or terminations of pregnancy for CA (2.4%).This first-of-a-kind-scoping review on CA in SSA demonstrated an increasing level of awareness and recognition among researchers in SSA of the contribution of CAs to under-5 mortality and morbidity in the region. The review also highlighted the need to address diagnosis, prevention, surveillance and care to meet Sustainable Development Goals 3.2 and 3.8. The SSA sub-region faces unique challenges, including fragmentation of efforts that we hope to surmount through sSCAN via a multidisciplinary and multi-stakeholder approach.

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Physician Knowledge and Practices of Urethral Catheterization in Jos, Nigeria

Cited by 2 publications

References 0 publications

Evaluation of kidney function among people living with HIV initiating antiretroviral therapy in Zambia

Evaluation of kidney function among people living with HIV initiating antiretroviral therapy in Zambia

The burden, prevention and care of infants and children with congenital anomalies in sub-Saharan Africa: A scoping review

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