1 Centre for Vaccinology and Tropical Medicine, University of Oxford, Churchill Hospital, Oxford, United Kingdom, 2 KEMRI-Wellcome Trust Research Programme, Kilifi District Hospital, Kilifi, Kenya, 3 Mahidol Oxford Research Unit, Bangkok, Thailand, 4 Hospital for Tropical Diseases, District 5, Ho Chi Minh City, Vietnam, 5 Oxford University Clinical Research Unit, District 5, Ho Chi Minh City, V...

Background Studies in adults suggest that early initiation of anti-retroviral therapy (ART), during treatment of those presenting with opportunistic infections, results in better outcomes than deferred treatment. However, data on the effects of early treatment of children are sparse. Kilifi district hospital (KDH) serves a population of over 250,000. It provides HIV services and ART. All childr...

OBJECTIVE To assess the cost effectiveness of post-acute care for older people in a locality based community hospital compared with a department for care of elderly people in a district general hospital, which admits patients aged over 76 years with acute medical conditions. DESIGN Cost effectiveness analysis within a randomised controlled trial. SETTING Community hospital and district gene...

Respiratory diseases are the commonest cause ofhospital attendance and also death in many parts of the Third World. They resulted in 22% of adult admissions to one hospital in Uganda,' 23-5% of paediatric admissions in Zambia,2 and up to 25% of all hospital cases in Papua New Guinea.3 Respiratory infections, particularly pneumonia and tuberculosis, are the most common conditions, but asthma and...

The purpose of this study was to assess the efficiency of hospital pharmacy services and to determine the environmental factors affecting pharmacy service efficiency. The technical efficiency of a hospital pharmacy was assessed to evaluate the hospital's ability to use pharmacy manpower in order to produce the maximum output of the pharmacy service. Data Envelopment Analysis (DEA) was used as a...

Surgical disease is an important cause of preventable mortality and morbidity, but it is not clear how best to deliver surgical services to under-served rural populations in poorer countries. South Africa's policy is to restructure heath services, with district hospitals and health centres becoming the primary delivery vehicle for quality health care to all South Africans. Among other things th...

OBJECTIVE To study the profile of leprosy cases at Nkhotakota District Hospital in Central Region of Malawi. DESIGN Retrospective cross-sectional study of all registered cases of leprosy from records over a nine year period (January 1992 to April 2001) SETTING Nkhotakota District Hospital-Central Region of Malawi. RESULTS In total 526 cases of leprosy were identified from the records. The...

Hospital Assistant D. C. Sen, to the medical charge of the dispensary at Fenchuganj, Sylhet. Hospital Assistant G. C. Dhar, to the medical charge of the coolie depGt at Fenchuganj, Sylhet. Hospital Assistant H. K. Gupta to the medical charge of the Darrangiri Dispensary, Goalpara District. Hospital Assistant N. K. Bhattacharya, to the Kamrup District as a supernumerary for duty under the orders...

HOSPITAL PLANNING as the subject of a presidential address is presently not such an exotic topic as it might have been prior to the publication in 1962 of the Government's ten-year plan for hospital expansion. To-day, consequent on the appearance of the Ministry's voluminous notes on hospital building and equipment, much of the sense of adventure is missing. No longer should plans be shaped by ...