BACKGROUND Globally, more than one-third of mortalities in children under five years of age are attributable to malnutrition. The prevalence of malnourished children in Pakistan is inclining. A knowledge gap exists due to availability of limited literature about the nutritional status of children in rural Baluchistan. Therefore, this study assessed the magnitude and factors associated with nutr...

OBJECTIVE To describe health workers' perceptions of a quality improvement (QI) intervention that focused on improving institutional childbirth services in primary health facilities in Southern Tanzania. DESIGN A qualitative design was applied using in-depth interviews with health workers. SETTING This study involved the Ruangwa District Reproductive and Child Health Department, 11 dispensa...

OBJECTIVE there is little evidence about disabled women׳s access to maternal and newborn health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and care seeking. Our study explores disabled women׳s experiences of maternal and newborn care in rural Nepal. DESIGN we used a qualitative methodology, using semi-structured in...

BACKGROUND Among many Kenyan rural communities, access to in-patient healthcare services is seriously constrained. It is important to understand who has ready access to the facilities and services offered and what factors prevent those who do not from doing so. AIM To identify factors affecting time of access of in-patient healthcare services at a rural district hospital in Kenya. SETTING W...

BACKGROUND Immunisation is the cornerstone of primary healthcare. Apart from the provision of safe water, immunisation remains the most cost-effective public health intervention currently available. Immunisation prevents infectious conditions that are debilitating, fatal and have the potential to cause huge public health burdens, both financially and socially, in South Africa. AIM To determin...

BACKGROUND Since reliable health information is essential for the planning and management of health services, we investigated the functioning of the District Health Information System (DHIS) in 10 rural clinics. DESIGN AND SUBJECTS Semi-structured key informant interviews were conducted with clinic managers, supervisors and district information staff. Data collected over a 12-month period for...

The study examines spatial patterns of effects of high temperature extremes on cardiovascular mortality in the Czech Republic at a district level during 1994-2009. Daily baseline mortality for each district was determined using a single location-stratified generalized additive model. Mean relative deviations of mortality from the baseline were calculated on days exceeding the 90th percentile of...

PROBLEM Despite seven years of investment from the President's Emergency Plan For AIDS Relief (PEPFAR), the expansion of human immunodeficiency virus (HIV)-related services continues to challenge Mozambique's health-care infrastructure, especially in the country's rural regions. APPROACH In 2012, as part of a national acceleration plan for HIV care and treatment, Namacurra district employed a...

Mouth cancer is a foremost health problem in many parts of the world, and significant geographical variations with an increase or decrease in incidence rate were reported in the Indian subcontinent and parts of Asia. Mouth cancer is the sixth most common cancer in the world and third most in India.In this review article we are focusing on epidemiology of Mouth cancer in males. Reports and data ...

OBJECTIVE To examine adoption of telehealth in a rural public health district and to explain how the innovation became sustainable. STUDY SETTING Longitudinal, qualitative study (1988-2008) of the largest public health district in Georgia. STUDY DESIGN Case study design provided deep insights into the innovation's social dynamics. Punctuated equilibrium theory helped present and make sense ...