Socioeconomic and geographic variations in antenatal care coverage in Angola: further analysis of the 2015 demographic and health survey
- Authors: Shibre, Gebretsadik , Zegeye, Betregiorgis , Idriss-Wheeler, Dina , Ahinkorah, Bright Opoku , Oladimeji, Olanrewaju , Yaya, Sanni
- Date: 2023
- Subjects: Prenatal care , Mothers -- Mortality , Health surveys
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/4489 , vital:44125 , https://doi.org/10.1186/s12889-020-09320-1
- Description: In African countries, including Angola, antenatal care (ANC) coverage is suboptimal and maternal mortality is still high due to pregnancy and childbirth-related complications. There is evidence of disparities in the uptake of ANC services, however, little is known about both the socio-economic and geographic-based disparity in the use of ANC services in Angola. The aim of this study was to assess the extent of socio-economic, urban-rural and subnational inequality in ANC coverage in Angola. We analyzed data from the 2015 Angola Demographic and Health Survey (ADHS) using the World Health Organization (WHO) Health Equity Assessment Toolkit (HEAT) software. The analysis consisted of disaggregated ANC coverage rates using four equity stratifiers (economic status, education, residence, and region) and four summary measures (Difference, Population Attributable Risk, Ratio and Population Attributable Fraction). To measure statistical significance, an uncertainty interval (UI) of 95% was constructed around point estimates. The study showed both absolute and relative inequalities in coverage of ANC services in Angola. More specifically, inequality favored women who were rich (D = 54.2, 95% UI; 49.59, 58.70, PAF = 43.5, 95% UI; 40.12, 46.92), educated (PAR = 19.9, 95% UI; 18.14, 21.64, R = 2.14, 95% UI; 1.96, 2.32), living in regions such as Luanda (D = 51.7, 95% UI; 43.56, 59.85, R = 2.64, 95% UI; 2.01, 3.26) and residing in urban dwellings (PAF = 20, 95% UI; 17.70, 22.38, PAR = 12.3, 95% UI; 10.88, 13.75). The uptake of ANC services were lower among poor, uneducated, and rural residents as well as women from the Cuanza Sul region. Government policy makers must consider vulnerable subpopulations when designing needed interventions to improve ANC coverage in Angola to achieve the 2030 Sustainable Development Goal of reducing global maternal mortality ratio to 70 deaths per 100,000 live births.
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Chemical Profiling, Toxicity and Anti-Inflammatory Activities of Essential Oils from Three Grapefruit Cultivars from KwaZulu-Natal in South Africa
- Authors: Miya, Gugulethu , Oyedeji, Opeoluwa , Gondwe, Mavuto , Oyedeji, Adebola
- Date: 2021-6
- Subjects: South Africa Citrus paradisi grapefruit essential oil toxicity anti-inflammatory Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6479 , vital:46408 , ("https://DOI:10.3390/molecules26113387")
- Description: Introduction: This case report discusses the successful use of an improvised bubble continuous positive airway pressure (CPAP) apparatus made using items commonly available in a poorly resourced district hospital. Case presentation: A 64-year-old female with no co-morbidities presented with respiratory failure due to pulmonary tuberculosis and was not accepted into the regional Intensive Care Unit (ICU) on referral. She required 8 days of improvised bubble CPAP to maintain adequate oxygen saturation before weaning and eventual discharge. Discussion: Improvised bubble CPAP is commonly used in neonatal care in developing countries and well described in literature however, there are no reports of its successful use in adult patients. In the absence of access to ICU or other Non-invasive ventilation (NIV) equipment, improvised bubble CPAP may provide some therapeutic benefit.
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Perceptions of Cultural and Heritage Tourism Entrepreneurship among Students at a Higher Educational Institution in Cape Town
- Authors: Asoba, Samson Nambei , Patricia, Nteboheng Mefi
- Date: 2021
- Subjects: Heritage Tourism Entrepreneurship Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/8085 , vital:61394 , xlink:href="https://www.abacademies.org/articles/perceptions-of-cultural-and-heritage-tourism-entrepreneurship-among-students-at-a-higher-educational-institution-in-cape-town-13940.html"
- Description: This study was inspired by the need to increase entrepreneurial opportunities in South Africa. It analysed the opportunity presented by tourism as a possible entrepreneurial field for you entrepreneurs from Universities. The study was based on the position that despite the attacks on colonial heritage sites, they can present possible entrepreneurial opportunities. The study adopted the quantitative approach to collect and analyse the perceptions of entrepreneurship students at a Higher Education Institution. Evidence was found that there were many benefits of heritage entrepreneurship which included creating financial viability, creation of employment and improving the environment and infrastructure in communities. It was also found that most of the students held a positive impression of the role of tourist and tourism entrepreneurship in the communities. They held a good image of the tourist and felt that they did not offer any threat to locals. Youth are recommended to adopt heritage tourism entrepreneurship as employment opportunity.
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The Profit motive and the enabling environment for Growth of Survivalist Township Entrepreneurship: A Study at a Township in Cape Town
- Authors: Asoba, Samson Nambei , Patricia, Nteboheng Mefi
- Date: 2021
- Subjects: Small Business Entrepreneurship Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/8141 , vital:61398 , "https://www.abacademies.org/articles/the-profit-motive-and-the-enabling-environment-for-growth-of-survivalist-township-entrepreneurship-a-study-at-a-township-in-cape-t-10396.html"
- Description: The paper draws attention to the profit motive in respect of survivalist entrepreneurship at a township environment in Cape Town. Survivalist entrepreneurs have received little specific focus yet they represent a significant portion of economic activities in South Africa townships. Essentially the study considers the problem of failure to grow among survivalist entrepreneurs as reported in related literature. Many survivalist entrepreneurs fail to grow beyond the survivalist phase and there is no consensus on the underlying cause for such a phenomenon. With the Covid-19 pandemic, there is an expectation that survivalist entrepreneurs are likely to multiply owing to the collapse of many small businesses as well as the loss of employment arising from the pandemic. Two specific objective were formulated for the study: (1) to inquire into the business motives of survivalist entrepreneurs and (2) to assess the perception of the survivalist entrepreneurs on the degree to which the small business environment in supportive of motive attainment. The study adopted a quantitative research design based on the selection of respondents using a convenience sampling strategy. The evidence established from this study suggest that survivalist entrepreneurs do not pursue the profit motive significantly but they faced inhibitions presented by the economic environment in which they operate. Government and other stakeholders in the national economy are recommended to develop a suitable legal and institutional framework with strong structures to ensure the growth of survivalist entrepreneurs Keywords: Survivalist Entrepreneur, Township Entrepreneurship, Profit Motive, Small Businesses.
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Cross-sectional study of prevalence and determinants of uncontrolled hypertension among South African adult residents of Mkhondo municipality
- Authors: Masilela, Charity , Pearce, Brendon , Ongole, Joven Jebio , Adeniyi, Oladele Vincent , Benjeddou, Mongi
- Date: 2020
- Subjects: Blood pressure control , Dyslipidaemia , Uncontrolled hypertension
- Language: English
- Type: article , text
- Identifier: http://hdl.handle.net/11260/4481 , vital:44124 , https://doi.org/10.1186/s12889-020-09174-7
- Description: Achieving the blood pressure treatment target in individuals with hypertension is a serious global health challenge. Furthermore, the actual burden of uncontrolled hypertension is poorly understood, especially in the developing countries. Therefore, this study comprehensively examined the prevalence and factors associated with uncontrolled hypertension in individuals receiving care at the primary healthcare facilities in the rural areas of Mkhondo Municipality in the Mpumalanga Province, South Africa. Methods: In this cross-sectional study, 329 individuals attending care for hypertension were recruited from January 2019 to June 2019 at three primary healthcare centres, namely, Piet Retief hospital, Mkhondo town clinic and Thandukukhanya community health centre. Uncontrolled hypertension was defined as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg in accordance with the South African Hypertension Society guideline (2014). Multiple logistic regression (Forward LR method) analysis was used to identify the significant determinants of uncontrolled hypertension. Results: The majority of the participants were 55 years old and above (69.0%), Zulus (81.2%), non-smokers (84.19%) and had been diagnosed with hypertension for more than a year prior to the study (72.64%). The overall prevalence of uncontrolled hypertension was 56.83% (n = 187) with no significant difference between sexes, 57.38% male versus 56.88% female, respectively. In the multiple logistic regression model analysis after adjusting for confounding variables, obesity (AOR = 2.90; 95% CI 1.66–5.05), physical activity (AOR = 4.79; 95% CI 2.15–10.65) and HDL-C (AOR = 5.66; 95% CI 3.33–9.60) were the significant and independent determinants of uncontrolled hypertension in the cohort. Conclusion: The high prevalence of uncontrolled hypertension in the study setting can be largely attributed to obesity, physical activity and dyslipidaemia. Treatment will require the collaborative efforts of individuals, clinicians and health authorities. All these determinants should be addressed decisively so as to achieve the treatment blood pressure targets in the study population.
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The impact of HIV knowledge and attitudes on HIV testing acceptance among patients in an emergency department in the Eastern Cape, South Africa
- Authors: Ryan, Sofia , Hahn, Elizabeth , Rao, Aditi , Mwinnyaa, George , Black, John , Nyanisa, Yandisa , Quinn, Thomas C , Hansoti, Bhakti , Maharaj, Roshen , Mvandaba, Nomzamo
- Date: 2020
- Subjects: HIV testing , Emergency departments
- Language: English
- Type: article , text
- Identifier: http://hdl.handle.net/11260/4473 , vital:44123 , https://doi.org/10.1186/s12889-020-09170-x
- Description: Transmission of HIV in South Africa continues to be high due to a large proportion of individuals living with undiagnosed HIV. Uptake of HIV testing is influenced by a multitude of factors including the patient’s knowledge and beliefs about HIV. Methods: This study sought to quantify the impact of knowledge and attitudes on HIV testing acceptance in an emergency department by co-administering a validated HIV knowledge and attitudes survey to patients who were subsequently offered HIV testing. During the study period 223 patients were interviewed and offered HIV testing. Individuals reporting more negative overall attitudes (p = 0.006), higher levels of stigma to HIV testing, and individuals who believed their test was confidential were more likely to accept an HIV test. Interventions focused on improving patient perceptions around testing confidentiality will likely have the greatest impact on testing acceptance in the emergency department.
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Prevalence and molecular analysis of multidrug-resistant Acinetobacter baumannii in the extra-hospital environment in Mthatha, South Africa
- Authors: Adjei, Anane Yaw , Apalata, Teke , Vasaikar, Sandeep , Okuthe, Grace Emily , Songca, Sandile
- Date: 2019
- Subjects: Acinetobacter baumannii , Carbapenemase-encoding genes , Multidrug-resistance , ISAba1 , intI1
- Language: English
- Type: article , text
- Identifier: http://hdl.handle.net/11260/2409 , vital:41457 , https://doi.org/10.1016/j.bjid.2019.09.004
- Description: The presence of Acinetobacter baumannii outside hospitals remains unclear. This study aimed to determine the prevalence of multidrug-resistance (MDR) A. baumannii in the extra-hospital environment in Mthatha, South Africa and to investigate the frequency of carbapenemase-encoding genes. Material and Methods: From August 2016 to July 2017 a total of 598 abattoir samples and 689 aquatic samples were collected and analyzed presumptively by cultural methods for the presence of A. baumannii using CHROMagarTM Acinetobacter medium. Species identification was performed by autoSCAN-4 (Dade Behring Inc., IL) and confirmed by the detection of their intrinsic blaOXA-51 gene. Confirmed MDR A. baumannii isolates were screened for the presence of carbapenemase-encoding genes, ISAba1 insertion sequence and integrase intI1. Results: In total, 248 (19.3%) Acinetobacter species were isolated. Acinetobacter. baumannii was detected in 183 (73.8%) of which 85 (46.4%) and 98 (53.6%) were recovered from abattoir and aquatic respectively. MDR A. baumannii was detected in 56.5% (48/85) abattoir isolates and 53.1% (52/98) aquatic isolates. Isolates showed high resistance to antimicrobials most frequently used to treat Acinetobacter infections such as piperacillin/tazobactam; abattoir (98% of isolates resistant), aquatic (94% of isolates resistant), ceftazidime (84%, 83%), ciprofloxacin (71%, 70%), amikacin (41%, 42%), imipenem (75%, 73%), and meropenem (74%, 71%). All the isolates were susceptible to tigecycline and colistin. All the isolates carried blaOXA-51-like. The blaOXA-23 was detected in 32 (66.7%) abattoir isolates and 11 (21.2%) aquatic isolates. The blaOXA-58-like was positive in 7 (14.6%) and 4 (7.7%) abattoir and aquatic isolates, respectively. Both groups of isolates lacked blaOXA-24-like, blaIMP-type, blaVIM-type, blaNDM-1, blaSIM, blaAmpC, ISAba1 and inI1. Isolates showed high level of Multiple Antibiotic Resistance Index (MARI) ranging from 0.20-0.52. Conclusion: Extra-hospital sources such as abattoir and aquatic environments may be a vehicle of spread of MDR A. baumannii strains in the community and hospital settings.
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Cloud computing adoption: Strategies for Sub-Saharan Africa SMEs for enhancing competitiveness
- Authors: Adane, Martin
- Date: 2018
- Subjects: business intelligence small businesses business planning Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6862 , vital:51101 , xlink:href="https://doi.org/10.1080/20421338.2018.1439288"
- Description: Small and medium-sized enterprises (SMEs) need to design and implement strategies for adopting new technologies as a competitive tool for maintaining their competitive advantage and cloud computing is at its peak. Since its emergence, there has been a surge in the adoption of cloud computing with research into its adoption primarily concentrated on bigger firms. However, a major characteristic of cloud computing is the anticipated possibilities it holds for SMEs. This paper primarily explores cloud computing adoption strategies for SMEs operating in Sub-Saharan Africa. Using a mixed method approach, a sample of 261 respondents and 11 SMEs was respectively used for the quantitative and qualitative stages of the research. The results reveal that, even though SMEs have their unique expectations for adopting cloud computing, they were of the consensus that elements of an adoption strategy should include adoption goals, a roadmap, and considerations. The paper makes specific recommendations to SMEs to develop adoption strategies that meet their specific needs if they expect cloud computing to play a stronger role to support more strategic initiatives to grow their businesses and improve customer experience.
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