Paediatrics and Child Health
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Browsing Paediatrics and Child Health by Subject "Africa"
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Item Correspondence:strengthening capacity, collaboration and quality of clinical research in Africa: EDCTP Networks of Excellence(Tanzania journal of health research, 2009) Mgone, Charles S.Developing countries bear 90% of the global disease burden, but only access about 10% of globally available health research funding. Weak south–south networking hampers effective use of limited resources, production of critical mass of quality scientists, career opportunities and incentives to retain the few available scientists. The south must urgently act strategically to accelerate generation of talented scientists, create enabling environment and incentives to retain scientists and attract back those in diaspora. The creation of strong networks of excellence for clinical research among southern academic and research institutions is a novel strategic approach championed by European and Developing Countries Clinical Trials Partnership to achieve the aforementioned goals and mitigate the high disease burden. It will promote strong collaboration, resource sharing and cross-mentorship allowing each partner to grow with complementary capacities that support each other rather than compete negatively. It will enable the south and Africa in particular to participate actively and own the means for solving its own health problems and raise the professional quality and capacity of southern institutions to forge better and equal partnership with northern institutions.Item Influence of gender norms in relation to child's quality of care: follow-up of families of children with SCD identified through NBS in Tanzania.(Journal of Community Genetics, 2021) Malasa, Leonard J.Introducing newborn screening (NBS) services for sickle cell disease (SCD) in Africa has been proven to be one of the most cost-effective approach to reducing morbidity and mortality associated with this condition. In view of this evidence, efforts have been made by countries in Africa where SCD prevalence is high to pilot NBS programmes and to strengthen comprehensive care services for SCD. While it is important to reap the benefits of NBS for SCD in Africa in terms of overall quantitative measures, it is also important to understand how certain social and cultural conditions may disproportionately influence the outcomes of screening for some groups. The aim of this study was to analyse the role of gender norms before and after NBS for SCD in Tanzania, and to assess how they influence the quality of care of diagnosed children. Using qualitative methods, we did in-depth interviews with families of children with SCD identified through the NBS services and focus group sessions with nurses working in neonatal and postnatal sections of regional referral hospitals in Dar es Salaam. By analysing the experiences of both the families and nurses, we were able to provide evidence on, firstly, the gendered relations that undergird childcare and, secondly, how those relations influence the quality of care the child may potentially receive. The results emphasize the importance of studying the social implications of SCD in Africa, especially with regard to improving the quality of care for patients with SCD in the region. We propose simple interventions, including gender-conscious health education and genetic counselling, which can help to improve the community understanding of genetic diseases while also reducing gender-related inequalities related to SCD care in Africa.Item Ketotifen in African children(International journal of clinical pharmacology research, 1983) Mgone, Charles S.Twenty-six asthmatic children, 16 boys and 10 girls with a mean age of 4.9 years, were given ketotifen, an oral prophylactic drug against asthma. Both the number of acute asthmatic attacks and their severity were reduced over a period of three months. Also reduced was the concomitant use of bronchodilators in these children. Only minimal side effects were noted. It is concluded that ketotifen has beneficial effects in childhood asthma.Item Linking research and development to strengthen health systems in Africa(Tropical Medicine & International Health, 2010) Mgone, Charles S.