Browsing Faculty of Health Sciences by Title
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Miles, K.; Clutterbuck, D.J.; Seitio, O.; Sebego, M.; Riley, A. (Bulletin of the World Health Organization. http://www.scielosp.org/scielo.php?script=sci_serial&pid=0042-9686, NaN, 2007)[more][less]
Abstract: Problem As programmes to deliver antiretroviral therapy (ART) are implemented in resource-constrained settings, the problem becomes not how these programmes are going to be financed but who will be responsible for delivering and sustaining them. Approach Physician-led models of HIV treatment and care that have evolved in industrialized countries are not replicable in settings with a high prevalence of HIV infection and limited access to medical staff. Therefore, models of care need to make better use of available human resources. Local setting Using Botswana as an example, we discuss how nurses are underutilized in long-term clinical management of patients requiring ART. Relevant changes We argue that for ART-delivery programmes to be sustainable, nurses will need to provide a level of clinical care for patients receiving this therapy, including prescribing ART and managing common adverse effects. Lessons learned Practicalities involved in scaling up nurse-led models of ART delivery include overcoming political and professional barriers, identifying educational requirements, agreeing on the limitations of nursing practice, developing clear referral pathways between medical and nursing personnel, and developing mechanisms to monitor and supervise practice. Operational research is required to demonstrate that such models are safe, effective and sustainable. URI: http://hdl.handle.net/10311/559 Files in this item: 1
Antiretroviral treatment roll out.pdf (1.402Mb) -
Vento, S.; Tanko, M.N. (The Lancet. http://www.thelancet.com/journals/lanonc/issue/current, NaN, 2009)[more][less]
Abstract: Biopsy specimens were taken from intact areas of antral mucosa in 100 consenting consecutive patients presenting for gastroscopy at the Royal Perth Hospital, Perth, Australia. Spiral or curved bacilli were found in biopsy specimens from 58 patients. The bacteria were usually found in close contact with the mucosa, often in grooves between cells, within acinus-like infoldings of the epithelium, or within the mucosal pits. Gram-negative, flagellate, microaerophilic bacilli cultured from 11 biopsy specimens seemed to be a new species related to the genus campylobacter. The bacteria were sensitive to tetracycline, erythromycin, kanamycin, gentamicin, and penicillin,and were resistant to nalidixic acid. The bacteria were present in almost all patients with active chronic gastritis, duodenal ulcer, or gastric ulcer. Therefore, they might be an important causal factor in these diseases URI: http://hdl.handle.net/10311/348 Files in this item: 1
Bacterium that could cause cancer.pdf (660.5Kb) -
McFarland, D.M. (International Council of Nurses. http://www.ovid.com/site/catalog/Journal/968.jsp, December NaN, 2009)[more][less]
Abstract: Background: Cervical cancer is the most common cause of cancer mortality and morbidity for women in Botswana. Yet, little is known about what women believe to be the causes of the disease. Aim: This paper presents data on factors women in Botswana believe are responsible for the high incidence of cervical cancer in their country. Data were part of a larger study that explored knowledge and perceptions about cervical cancer and Pap smear screening from the perspectives of the clients and the healthcare providers. Methods: The study that generated the data included 30 women of all socio-economic levels, recruited by network sampling. The women’s ages ranged from 31 to 54 years. Demographic data were analysed descriptively. Individualized interview data were content-analysed. Findings: The identified causes of cervical cancer were classified as cervical irritants and non-irritants. The most commonly cited cervical irritants were vaginally inserted chemical agents and traditional medicine. Discussions: Participants identified vaginally inserted chemical substances and traditional medicines as possible explanations for the high incidence of cervical cancer in Botswana. They reported that women used these substances for sexual and hygienic purposes. Although these factors are believed to be the causes of cervical cancer and have not yet been medically acknowledged, verbal reports suggest that their use is problematic. Conclusion: There is a need for health education and for further research to affirm women’s beliefs about the harmful effects of intravaginal agents. URI: http://hdl.handle.net/10311/1141 Files in this item: 1
Beliefs about the causes.pdf (1.382Mb) -
Rankokwane, B.; Gwebu, T.D. (Springer, www.springerlink.com/index/52P6472307264K5M.pdf, NaN, 2006)[more][less]
Abstract: In Gaborone, as in other large cities in the developing world, individuals try to make a living by engaging in novel occupations such as landfill scavenging. This paper reports on a research conducted in the Gaborone landfill, the largest in Botswana. The study content-analyzed available literature from other countries. It also relied mainly on direct field observations. The discussions on and answers to closed and interview schedules by stakeholders, affected- and- interested – persons, provided the information on the threats and opportunities related to the landfill site and its informal management activities. This on-going case study lends credence to the potential of scavenging in sustaining livelihoods among those who cannot secure employment in the formal urban market. Scavenging tends to be useful although it may hazardous to the informal entrepreneurs. Taking all the threats into consideration, the decommissioning and closure of the landfill seems inevitable, in spite of the apparent short-term livelihood opportunities it provides to the informal sector. URI: http://hdl.handle.net/10311/362 Files in this item: 1
Rankokwane_GJ_2006.pdf (1.200Mb) -
Mogobe, K.D.; Bruce, J.C.; Meyer, S. (University of South Africa (Unisa Press)http://www.unisa.ac.za/, NaN, 2009)[more][less]
Abstract: Higher education in developing countries face a particular challenge; half of the world’s higher education students are found in developing countries, placing great strain on an already under funded system. Whilst the New Partnership for Africa’s Development (NEPAD) health strategy urges countries to embark on massive capacity building, the truth is that the higher education sector in Africa does not have the resources to do so. The NEPAD higher education document (2001) proposes the idea of multi-country partnerships to address the sector’s problem and at the same time, address the capacity building needs for improved health care delivery. This paper reports on pertinent aspects of collaboration between universities on the African continent for the purpose of capacity building in nursing and midwifery. The paper outlines the rationale and context of the Collaboration in Higher Education for Nursing and Midwifery in Africa (CHENMA) project. The discussion focuses on the conditions in Africa that hamper the development of nursing and midwifery. It describes the efforts of the Tau Lambda at-Large Chapter to improve nursing and midwifery, initially in East Africa and later in Francophone Africa through the CHENMA project. The paper articulates the values and underpinning principles, outcomes of and lessons learnt from the project. URI: http://hdl.handle.net/10311/685 Files in this item: 1
Collaboration in higher education.pdf (1.194Mb) -
Seloilwe, E.S.; Thupayagale-Tshweneagae, G. (International Council of Nurses. http://www.wiley.com/bw/journal.asp?ref=0020-8132, January 1, 2007)[more][less]
Abstract: Aim: The purpose of this article is to provide an insight into the developmental trends in community mental health care in Botswana. Different approaches are discussed and the opportunities that have emanated from them. Background: Care of the mentally ill in Botswana is provided at different levels of coverage and sophistication. There is a single mental hospital in the country. Attached to the district hospitals are psychiatric outpatient clinics run by psychiatric nurses and a psychiatrist who visits them on monthly basis. Mental health care in Botswana has gone through a paradigm shift, from the prepenal years, penal years and institutional to community based care, which reflects a philosophy of citizen involvement and collaboration. Conclusion: Several approaches have been utilized in the development of community mental health care. However, difficulties and challenges still exist in the provision of community mental health care. URI: http://hdl.handle.net/10311/816 Files in this item: 1
Seloilwe_INR_2007.pdf (1.345Mb) -
Thupayagale-Tshweneagae, G.; Seloilwe, E.S. (Informa Healthcare, http://informahealthcare.com/journal/mhn, NaN, 2010)[more][less]
Abstract: A Heideggerian hermeneutic phenomenological approach was used to investigate the lived experience of women in Botswana who had experienced emotional abuse in intimate relationships. Hermeneutic phenomenologyis concerned with the human experience as it is lived. Ten educated Botswana women who had formal employment and have been in intimate relationships for longer than ten years, narrated their life experiences with abusive men. Extensive interviews took place over a six month period. Sociocultural practices in Botswana emerged as salient factors that contribute to emotional abuse and predispose womento mental illness. Entwined in these cultural practices are issues of age, ethnicity, payment of lobola (bride price), financial standing, change of name, and relocation to the man's residence. Education and employment seem to worsen the abuse. Depression and anxiety are common results of abuse. Understanding how the sociocultural factors perpetuate abuse can assist nurses in the way they provide health care services to women. URI: http://hdl.handle.net/10311/982 Files in this item: 1
Thupayagale-Tshweneagae_IMHN_2010.pdf (1.091Mb) -
Akinsola, H.A. (Arnold. http://nej.sagepub.com/, NaN, 2001)[more][less]
Abstract: The concern for ethical principles and values is not limited to health professionals alone. However, ethical principles in nursing act as safety valves for social control to prevent professional misconduct and abuse of the rights of clients. As a result of colonial experience, developing countries like Botswana usually follow the European lead, especially examples from the UK. This article examines the ethical problems and dilemmas associated with rural nursing practice in Botswana, a developing country in sub-Saharan Africa. The major ethical problems identified are related to the distribution of and access to health resources in rural communities. It is proposed that nurses must assume responsibility in the field of access and allocation by working collaboratively with governments and other professional bodies, and that nurses as a global community must work together as a team to support each other. URI: http://hdl.handle.net/10311/724 Files in this item: 1
Ethical issues in rural nursing.pdf (1.463Mb) -
Shaibu, S. (Cambridge University Press. http://journals.cambridge.org/action/displayJournal?jid=PHC, January 1, 2006)[more][less]
Abstract: This paper presents developments in evidence-based nursing practice in Botswana, Africa. Issues pertaining to evidence-based practice in community health such as the role of research, the digital divide between African countries and developing countries, and evidenced-based nursing curricula are discussed. The role of globalization in capacity building in evidence-based practice is emphasized. Recommendations for addressing challenges faced by some African countries, including Botswana in implementing evidence-based nursing practice are made. URI: http://hdl.handle.net/10311/509 Files in this item: 1
Evidence based nursing.pdf (1.017Mb) -
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Abstract: F2MAhq <a href="http://keegmrbweadz.com/">keegmrbweadz</a>, [url=http://fslfksxqquvc.com/]fslfksxqquvc[/url], [link=http://yytrmlnrqtgx.com/]yytrmlnrqtgx[/link], http://pgduhnhyhsmu.com/ URI: F2MAhq <a href="http://keegmrbweadz.com/">keegmrbweadz</a>, [url=http://fslfksxqquvc.com/]fslfksxqquvc[/url], [link=http://yytrmlnrqtgx.com/]yytrmlnrqtgx[/link], http://pgduhnhyhsmu.com/ Files in this item: 1
ihzzqjwb (1.810Mb) -
Seloilwe, E.S. (Association of Nurses in AIDS Care. http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/description#description, NaN, 2005)[more][less]
Abstract: The results discussed in this report are part of a larger study conducted among the students of the University of Botswana regarding their knowledge, attitudes, and behaviors related to HIV/AIDS. The study triangulated survey methods and focus group discussions. Five main areas were investigated: knowledge and personal experiences of HIV/AIDS, sexual behavior and practices, perceptions about risky sexual behavior on campus, and factors that influence the spread of HIV. This article reports high levels of risky behaviors such as alcohol and drug abuse; unprotected sex; frequent change of sexual partners; sex for financial gain, for prestige, for good grades, to relieve stress, and because of peer pressure; and casual sex as part of socializing. URI: http://hdl.handle.net/10311/578 Files in this item: 1
Factors that influence.pdf (1.399Mb) -
Weiser, S.D.; Leiter, K.; Bangsberg, D.R.; Butler, L.M.; Percy-de Korte, F.; Hlanze, Z.; Phaladze, N.; Iacopino, V.; Heisler, M. (Plos Medicine. www.plosmedicine.org, NaN, 2007)[more][less]
Abstract: Background: Both food insufficiency and HIV infection are major public health problems in sub-Saharan Africa, yet the impact of food insufficiency on HIV risk behavior has not been systematically investigated. We tested the hypothesis that food insufficiency is associated with HIV transmission behavior. Methods and Findings: We studied the association between food insufficiency (not having enough food to eat over the previous 12 months) and inconsistent condom use, sex exchange, and other measures of risky sex in a cross-sectional population-based study of 1,255 adults in Botswana and 796 adults in Swaziland using a stratified two-stage probability design. Associations were examined using multivariable logistic regression analyses, clustered by country and stratified by gender. Food insufficiency was reported by 32% of women and 22% of men over the previous 12 months. Among 1,050 women in both countries, after controlling for respondent characteristics including income and education, HIV knowledge, and alcohol use, food insufficiency was associated with inconsistent condom use with a nonprimary partner (adjusted odds ratio [AOR] 1.73, 95% confidence interval [CI] 1.27–2.36), sex exchange (AOR 1.84, 95% CI 1.74–1.93), intergenerational sexual relationships (AOR 1.46, 95% CI 1.03–2.08), and lack of control in sexual relationships (AOR 1.68, 95% CI 1.24–2.28). Associations between food insufficiency and risky sex were much attenuated among men. Conclusions: Food insufficiency is an important risk factor for increased sexual risk-taking among women in Botswana and Swaziland. Targeted food assistance and income generation programs in conjunction with efforts to enhance women’s leg URI: http://hdl.handle.net/10311/556 Files in this item: 1
Food insufficiency.pdf (2.245Mb) -
Phaladze, N.; Tlou, S. (Oxfam. http://www.ingentaconnect.com/content/routledg/cgde, January 1, 2006)[more][less]
Abstract: This article discusses the response of Botswana to the HIV/AIDS epidemic. In recognition of the fact that HIV/AIDS is more than just a health issue, Botswana has instigated a multi-sectoral response to the epidemic, which sets Botswana apart as an example of a country following ‘best practice’ in HIV/AIDS prevention and control. Yet the battle is not over. AIDS is the leading cause of death in Botswana for young adult women aged between 15 and 19 years old. This article makes suggestions for future improvement, to respond to the challenges facing Batswana women living with, and affected by, HIV/AIDS. URI: http://hdl.handle.net/10311/567 Files in this item: 1
Gender and HIV.pdf (1.167Mb) -
Mmualefe, L.C.; Torto, N.; Huntsman-Mapila, P.; Mbongwe, B. (Elsevier Ltd, http://www.elsevier.com/locate/microc, NaN, 2009)[more][less]
Abstract: Headspace solid phase microextraction (HS-SPME) was optimized for the analysis of pesticides with gas chromatography electron capture detection (GC-ECD) and high-resolution mass spectrometry. Factors influencing the extraction efficiency such as fiber type, extraction mode and temperature, effect of ionic strength, stirring and extraction time were evaluated. The lowest pesticide concentrations that could be detected in spiked aliquots after HS-SPME–GC-ECD ranged from 0.0005 to 0.0032 μg L−1. Consequently hexachlorobenzene, trans-chlordane, 4,4′-DDD and 4,4′-DDE were detected in water samples after HS-SPME at concentrations ranging from 2.4 to 61.4 μg L−1 that are much higher than the 0.1 μg L−1 maximum limit of individual organochlorine pesticides in drinking water set by the European Community Directive. The same samples were cleaned with ISOLUTE C18 SPE sorbent with an optimal acetone/n-hexane (1:1 v/v) mixture for the elution of analytes. No pesticides were detected after SPE clean-up and pre-concentration. Precision for both methods was satisfactory with relative standard deviations less than 20%. This work demonstrated the superiority of HS-SPME as a sample clean-up and pre-concentration technique for pesticides in water samples as well as the need to identify and control point sources of pesticides. URI: http://hdl.handle.net/10311/851 Files in this item: 1
Mbongwe_MJ_2009.pdf (786.8Kb) -
Ekosse, G.; Jager, L.; Van den Heever, D.J. (African Forum of Health Sciences http://www.ajol.info/index.php/ajhs/article/view/30803/23134, NaN, 2005)[more][less]
Abstract: This study determines the prevalence of types of sicknesses and diseases affecting patients vising health service facilities and the available health services within the Selebi Phikwe Ni-Cu area, Botswana.Through the administration of the questionnaires and structured questions, attempts were made to establish and verify the existing human health problems at the study area by focusing on respiratory tract related symptoms of sicknesses and diseases.With the aid of Statistical Package of Social Sciences (SPSS), interpreted results from respondents indicated that all the health service providers served patients suffering from headaches, persistent coughing, chest pains, lower abdominal pains, pain when passing out urine, genital discharge and diarrhea.Seventy one percent of the health service providers indicated that their patients who suffered from recent loss of body weight, and another 86 % pointed out that their patients had influenza/common cold. Other health complaints reported included unusual spitting, shortness of breath, palpitations, neausea/vomiting, diarrhea, and constipation. Moreover the health service providers indicated that they had patients who suffered from significant illnesses of which some passed away. However, if they are lacking facilities, patients are referred to bigger health service providers in the country. The findings of the study do not general depict demarcating differnces of health status of residents of the study area to those of the control site. A need therefore for further investigations to be conducted to establish relations of mining activities to human health at Selebi Phikwe is called for. URI: http://hdl.handle.net/10311/425 Files in this item: 1
Ekosse_AJHS_2005.pdf (1.623Mb) -
Mbongwe, B.; Mmereki, B.T.; Magashula, A. (Elsevier Ltd. http://www.elsevier.com/wps/find/journaldescription.cws_home/404/description#description, March 12, 2007)[more][less]
Abstract: Healthcare waste management continues to present an array of challenges for developing countries, and Botswana is no exception. The possible impact of healthcare waste on public health and the environment has received a lot of attention such that Waste Management dedicated a special issue to the management of healthcare waste (Healthcare Wastes Management, 2005. Waste Management 25(6) 567-665). As the demand for more healthcare facilities increases, there is also an increase on waste generation from these facilities. This situation requires an organised system of healthcare waste management to curb public health risks as well as occupational hazards among healthcare workers as a result of poor waste management. This paper reviews current waste management practices at the healthcare facility level and proposes possible options for improvement in Botswana. URI: http://hdl.handle.net/10311/223 Files in this item: 2
license.txt (1.998Kb) -
Mogobe, K.D.; Seboni, N.; Brown, M.S.; Ntsayagae, E.; Sebego, M.; Sabone, M. (Elsevier Ltd, http://www.elsevier.com/locate/microc, NaN, 2007)[more][less]
Abstract: This article represents a case study of one university faculty’s efforts to fight the threat of HIV/AIDS to their student body. This case study reviews the early stages of faculty endeavors beginning with the development of an HIV/AIDS course and continuing through evaluation of the success and failures of the course, as well as current refinements now being made. Because the problem of HIV/AIDS on campus is a common one throughout sub-Saharan Africa, the authors hope that this case study of one faculty’s approach may be helpful to those facing the same challenge. URI: http://hdl.handle.net/10311/972 Files in this item: 1
Mogobe_JANAC_2007.pdf (1.034Mb) -
Mogobe, K.D.; Seboni, N.; Brown, M.S.; Ntsayagae, E.; Sebego, M.; Sabone, M. (Association of Nurses in AIDS Care. http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/description#description, NaN, 2007)[more][less]
Abstract: Botswana currently has one of the highest HIVpositive prevalence rates in the world. University students are an important group seriously affected by this pandemic. They represent one of the country’s richest resources for the future, and faculty at University of Botswana believe there is a responsibility to educate them in a way that helps them preserve their health and vitality. This article represents a case study of one university faculty’s efforts to fight the threat of HIV/AIDS to their student body. This case study reviews the early stages of faculty endeavors beginning with the development of an HIV/AIDS course and continuing through evaluation of the success and failures of the course, as well as current refinements now being made. Because the problem of HIV/AIDS on campus is a common one throughout sub-Saharan Africa, the authors hope that this case study of one faculty’s approach may be helpful to those facing the same challenge. URI: http://hdl.handle.net/10311/548 Files in this item: 1
HIV AIDS education.pdf (1.139Mb) -
Sabone, M.B. (Sage Publications, http://jfn.sagepub.com, NaN, 2008)[more][less]
Abstract: This report is part of a larger study that investigated the relationships between illness demands, marital support, and psychological adjustment in the context of diabetes mellitus in rural and urban middle-aged marital couples in Botswana. Ninety-six persons experiencing diabetes and 87 of their spouses participated in the study. This report is based on data from 87 diabetic patients and their spouses. Data were collected through face-to-face interviews. Patients and their spouses were interviewed separately. Three open-ended questions elicited participants’ personal experiences of illness demands. The couple participants reported many challenging illness experiences associated with the illness and contextual factors that influenced their perception about the burden of illness and reported that the illness experienced was often a growth-enhancing and maturing process. URI: http://hdl.handle.net/10311/990 Files in this item: 1
Sabone_JFN_2008.pdf (1.169Mb) -
Cainelli, F.; Vallone, A.; Tanko, M. N.; Vento, S. (Elsevier, http://www.elsevier.com, NaN, 2010)[more][less]
Abstract: Lymphadenopathy was identified as an essential feature of AIDS soon after its appearance and before the identification of HIV as its cause.¹ However, lymphadenopathy has not subsequently received much attention. Recently, two studies have allowed lymph nodes to regain centre stage. URI: http://hdl.handle.net/10311/582 Files in this item: 1
Lymph nodes and pathogenesis.pdf (355.1Kb)
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