The Pan African Medical Journal最新文献_第5页

Implementation of direct health facility financing in the Rural District of Kigoma in Western Tanzania 在坦桑尼亚西部基戈马农村地区实施卫生设施直接融资

The Pan African Medical Journal Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.19.41052

Flora Joram, Jairos Hiliza, Sirili Nathanael, Amani Anaeli

{"title":"Implementation of direct health facility financing in the Rural District of Kigoma in Western Tanzania","authors":"Flora Joram, Jairos Hiliza, Sirili Nathanael, Amani Anaeli","doi":"10.11604/pamj.2023.46.19.41052","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.19.41052","url":null,"abstract":"The adoption of decentralization by devolution in Tanzania has enabled the implementation of a Direct Health Facility Financing (DHFF) program in the facilities. While copious gains have been reported under DHFF, there are also notable failures to improve health service provision. This study aims to explore the experience of implementing the DHFF program in the rural areas of the Kigoma District Council. An exploratory qualitative study was conducted in Primary Health Care (PHC) facilities of the Kigoma District Council. A purposive sampling technique was used to draw 21 Key Informants including leaders of health facilities and members of the Health Facility Governing Committees (HFGC). Key Informant Interviews (KII) were used to solicit information from the study participants. Content analysis technique was used to analyze data collected from study participants. Our findings present enablers and barriers in the implementation of DHFF. Successful implementation of DHFF was enabled by the availability of formal training and supportive supervision, adherence to DHFF guidelines, availability of planning guidelines at the health facility, functionality of the HFGC, and adherence to the procurement process. A low sense of ownership of the program, delays and insufficient fund disbursement, shortage of health workers, and inadequate knowledge of DHFF program implementation emerged as the barriers that impeded successful program implementation. Evaluating the implementation experience of the DHFF program requires policymakers at the national level to devise a mechanism for the timely disbursement of funds, reinforcing capacity building to increase the autonomy of health facilities in their daily operations. Furthermore, structural and operational barriers warrant further operational and implementation research.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135444870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pharmacological management of hypertension and outcome among patients on hemodialysis at Muhimbili National Hospital, Tanzania: a cross-sectional study 坦桑尼亚Muhimbili国家医院血液透析患者高血压的药理学管理和结果:一项横断面研究

The Pan African Medical Journal Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.67.39778

Devis Mhagama, Manase Kilonzi, Peter Kunambi, Deus Buma, Fredrick Kalokola, Paschal Ruggajo, Ritah Francis Mutagonda

引用次数: 0

Determinants of quality of life among people with HIV and tuberculosis in an underserved area in Indonesia: a cross-sectional study 印度尼西亚服务不足地区艾滋病毒和结核病患者生活质量的决定因素:一项横断面研究

The Pan African Medical Journal Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.61.41521

Elfride Irawati Sianturi, Zamrotul Izzah, Khoirul Huda, Evelyn Magrid Sada, Dyah Aryani Perwitasari, Steven Yohanes Yulianus Mantiri, Elsye Gunawan

引用次数: 0

Relationship between measures of adiposity and hypertension amongst secondary school adolescents in an urban setting in Cameroon 喀麦隆城市中学青少年肥胖和高血压测量之间的关系

The Pan African Medical Journal Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.57.41547

Loveline Lum Niba, Lifoter Kenneth Navti, Ahmadou Jingi Musa

引用次数: 0

Bilateral symmetric dry gangrene of the feet in a newborn 新生儿双侧对称脚干性坏疽

The Pan African Medical Journal Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.26.34933

Renu Bharat Rathi, Arun Naphe Khatri

引用次数: 0

Left atrial myxoma presenting with acute pulmonary edema and syncope in a middle-aged black African woman: a case report 左心房黏液瘤表现为急性肺水肿和晕厥在一个中年黑人非洲妇女:一个病例报告

The Pan African Medical Journal Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.31.41414

Kasiemobi Eberechukwu Uchime, Oladipo Ayoola Olanipekun, Olamide Nelson Ogidan, Stephen Olawale Oguntola, Okechukwu Obumneme Ezekpo, Olaniyi Abiodun Oluwafemi Olatunde, Akinola Akinmade

{"title":"Left atrial myxoma presenting with acute pulmonary edema and syncope in a middle-aged black African woman: a case report","authors":"Kasiemobi Eberechukwu Uchime, Oladipo Ayoola Olanipekun, Olamide Nelson Ogidan, Stephen Olawale Oguntola, Okechukwu Obumneme Ezekpo, Olaniyi Abiodun Oluwafemi Olatunde, Akinola Akinmade","doi":"10.11604/pamj.2023.46.31.41414","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.31.41414","url":null,"abstract":"Cardiac myxoma is a very rare benign cardiac neoplasm. Its annual incidence globally is between 0.5 to 1 case per one million individuals. It has a 0.03% prevalence rate in the general population. It commonly occurs in the left atrium, but can also be located in the other heart chambers. Its clinical presentations are variable, non-specific, and can mimic various cardiovascular and systemic diseases, posing a diagnostic dilemma. Thus, a high index of suspicion with appropriate use of radiologic and laboratory diagnostic tools is essential for its accurate diagnosis and management. The diagnosis and management of a rare case of left atrial myxoma in a middle-aged African woman who presented with heart failure-like symptoms, features of acute pulmonary edema, and syncope is presented in this literature. The diagnosis was suspected following echocardiography. The tumor was surgically excised, and the diagnosis was confirmed histopathologically. The patient´s post-operative condition has been excellent.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135650160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hematoma of cavum septum pellucidum by ruptured aneurysm 动脉瘤破裂致透明隔腔血肿

The Pan African Medical Journal Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.39.37692

Fresnel Lutèce Ontsi Obame, Abad Chérif El Asri

引用次数: 0

Bladder hernia 膀胱疝气

The Pan African Medical Journal Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.47.38892

Abdessamad El Bahri, Ahmed Ameur

引用次数: 0

Antiretroviral therapy programme outcomes at Senkatana Anti-Retroviral Therapy (ART) Clinic, Lesotho: a four-year retrospective cohort study 莱索托Senkatana抗逆转录病毒治疗(ART)诊所的抗逆转录病毒治疗方案结果:一项为期四年的回顾性队列研究

The Pan African Medical Journal Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.74.40122

Mwamba Kabuya, Alfred Musekiwa, Simbarashe Takuva, Lehana Thabane, Lawrence Mbuagbaw

引用次数: 0

Hashimoto’s thyroiditis presenting with cardiac tamponade: a case report 桥本甲状腺炎表现为心脏填塞1例

The Pan African Medical Journal Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.62.41687

Muhammadnur Rachim Enoch, Muhammad Irfan, Rachmad Budianto, Achmad Hardin

引用次数: 0