BACKGROUND The cornerstone of the health system in Zimbabwe, the district health system has been under the responsibility of the district health executive since 1984. Preliminary information obtained from some provincial health managers in Midlands Province suggested a poor performance by most district health executives. We therefore investigated the reasons for this poor performance. METHODS...

Fleur Lowe, RGN, DipHE, BSc, Senior Nurse, Patient At-Risk Team, Salisbury District Hospital, UK (✉) Paul Fulbrook, MSc, BSc(Hons), PGDE, RGN, DPSN, Clinical Reader in Critical Care, Bournemouth University, and Directorate of Nursing, Salisbury District Hospital, UK Helen Aldridge, RGN, DipHE, Senior Staff Nurse, ICU, Radnor ICU/HDU, Salisbury District Hospital, UK Sharon Fox, RGN, DipHE, Senio...

The growth of the Chinese district heating sector has been very rapid during recent years. No other country in the world can show the same rapid growth of district heating systems during the last decades. Heated building area increased six times between 1995 and 2008 according to the Chinese district heating statistics. China has also enjoyed strong growth of scientific articles and papers publ...

Peripartum cardiomyopathy (PPCM) is relatively common in the Hospital Albert Schweitzer (HAS) district of Haiti. This investigation was carried out to expand epidemiologic data aiming at identifying risk factors for PPCM in this population. The HAS District PPCM Registry with 74 PPCM patients, enrolled from 1 February 2000 to 1 September 2002, served to identify the PPCM patients involved in th...

in recent decades, urban planning has tended to humanist urbanism. in this regard foot travels and bicycle use are the two strategies that urban planners and transportation engineers are using them as adequate alternatives for making cities more people friendly. using bicycle is known as a strategy that has a great role in decreasing traffic among developing countries in recent decades. these c...

al. Multicentre survey of incidence and public health impact of leptospirosis in the western Pacifi c. comparative accuracy of 8 commercial rapid immunochromatographic assays for the diagnosis of acute dengue virus infection. To the Editor: African swine fever (ASF) is a highly contagious and deadly hemorrhagic disease of domestic pigs caused by African swine fever virus (ASFV), a double-strand...

BACKGROUND Health workers are the key to realising the potential of improved quality of care for mothers and newborns in the weak health systems of Sub Saharan Africa. Their perspectives are fundamental to understand the effectiveness of existing improvement programs and to identify ways to strengthen future initiatives. The objective of this study was therefore to examine health worker perspec...

Of the hospitals that participated in the study, 22 (81.5%) were district level, 3 (11.1%) regional and 2 (7.4%) central hospitals. All 27 hospitals had a defibrillator present in the EC, the number varying from 1 (16 hospitals, 59.3%) to more than 3 (1 hospital, 3.7%). Defibrillator specification varied between facilities: 67% had biphasic, 15% monophasic and 18% both monoand biphasic defibril...