OBJECTIVE To audit the outcome of pregnancies booked for confinement in a general practitioner maternity unit in a district general hospital. DESIGN Retrospective review of case records. SETTING General practitioner maternity unit in a district general hospital. PATIENTS 685 Women referred to a general practitioner unit in 1987. RESULTS 315 Nulliparous women and 330 multiparous women we...

THERE HAS been a great increase in postgraduate educational activity in this country, as well as in America, over the past few years. In this country postgraduate educational programmes are being organised in a number of hospitals, and the district hospitals often lead university hospitals in this field. This paper seeks to outline and discuss the programme of one district hospital, with specia...

Opinions conflict on whether there is a place in the Health Service for general practitioner (community) hospitals in which the patients' treatment is mainly the responsibility of their family doctors. The authors therefore analysed a sample of the patients admitted in the course of a year to a group of two general district hospitals with a comparable sample of the patients admitted to a genera...

The present investigation was carried out to assess the livelihood status of the fish farmers in Hamirkutsha and Kamarbari Unions of Bagmara upazilla under Rajshahi district during June to December 2006. Data were collected through the use of well structured questionnaire. Fifty farmers were included in this study who were directly involved in fish farming. Average pond size was 0.13 ha with si...

This work aimed to analyze the rate of disclosure to relatives and friends over time and to identify factors affecting disclosure among seropositive adults initiating antiretroviral therapy (ART) in rural district hospitals in the context of decentralized, integrated HIV care and task-shifting to nurses in Cameroon. Stratall was a 24-month, randomized, open-label trial comparing the effectivene...

Approximately 25-30% of the Nepalese population live below poverty line. Majority of them reside in a geographically inaccessible place while most of the health centers are focused in the urbanized cities of Nepal. Hence, they are deprived of quality health care at that level and need urgent attention by the concerned authorities. The government has not increased its human resource for health i...

BACKGROUND The Department of Health in KwaZulu-Natal (KZN) has run a surgical outreach programme for over a decade.Objective. To quantify the impact of the outreach programme by analysing its effect on the operative capacity of a single rural health district. METHODS During 2012, investigators visited each district hospital in Sisonke Health District (SHD), KZN to quantify surgery undertaken ...

Zithulele Hospital is a deeply rural district hospital in the Eastern Cape province. Beset by staffing, procurement and infrastructure problems, the maternity service in 2005 was poorly organised and offered an inadequate standard of care. By our estimates, nearly 50% of women were still delivering at home. Three years of effort focused on regular auditing to identify problems and improve our s...

The fundamental principle of the Malaysian healthcare system is that accessibility to health care should not be related to one's ability to pay, especially when involving sickness [1]. This is based on the Government's recognition that health represents human capital, which forms the central thrust to sustainable economic growth and development of the country. The Malaysian healthcare system ha...

To the Editor: The South African public health sector follows a hierarchical referral system. District hospitals play a central role between the primary health care (PHC) clinics, community health centres (CHCs), regional and tertiary hospitals. They provide level one (generalist) services to in-and outpatients referred from PHC clinics and CHCs. District hospitals should ensure that patients a...