Quality of perinatal depression care in primary care setting in Nigeria

Treating depression and anxiety in the primary care setting.

Enablers and barriers for implementing high-quality hypertension care in a rural primary care setting in Nigeria: perspectives of primary care staff and health insurance managers

BACKGROUND Hypertension is a highly prevalent risk factor for cardiovascular diseases in sub-Saharan Africa (SSA) that can be modified through timely and long-term treatment in primary care. OBJECTIVE We explored perspectives of primary care staff and health insurance managers on enablers and barriers for implementing high-quality hypertension care, in the context of a community-based health ...

Depression in Primary Care

Richard L. Elliott, MD, PhD Depression is common in primary care settings, affecting at least 10% of primary care patients. It carries medical and psychiatric comorbidity, increasing the risk of cardiovascular disease, diabetes, hypertension, stroke, medically unexplained (functional) symptoms, chronic pain, anxiety disorders, and substance abuse. Diagnosis and treatment are straightforward for...

Improving Quality of Care in Primary Health-Care Facilities in Rural Nigeria

BACKGROUND Nigeria has a high population density but a weak health-care system. To improve the quality of care, 3 organizations carried out a quality improvement pilot intervention at the primary health-care level in selected rural areas. OBJECTIVE To assess the change in quality of care in primary health-care facilities in rural Nigeria following the provision of technical governance support...

Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial.

CONTEXT Few depressed older adults receive effective treatment in primary care settings. OBJECTIVE To determine the effectiveness of the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) collaborative care management program for late-life depression. DESIGN Randomized controlled trial with recruitment from July 1999 to August 2001. SETTING Eighteen primary care clinics f...