Qualitative and quantitative methods: in-depth or rapid assessment?
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Biomedical subjects
Publications and source records attributed to F J Bennett.
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The East African Medical Journal which started in 1923 has now reached its 70th year. To what extent has the journal focused the attention of policy and decision makers on the most relevant problems of and solutions for Community Health in Eastern Africa? To answer this question this paper surveys the Journal's publications on Community Health in four eras into which the 70 years can be subdivided. It then tries to match these publications with what has been happening in the political field and in the development of health services related to community health. The conclusion is that the journal has, in this geographical region, been keeping pace with important trends and has been a stimulus to the development of improved and more relevant services for communities. Although the predominant focus has often been on publications based on clinical research in hospital settings, it is hoped that the journal will step up even further its publication of papers related to community health and Primary Health Care. By doing so it can make an even greater contribution to the health and well being of the populations of Eastern Africa and not just to the care of individuals who gain access to medical institutions.
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This article describes the evolution of essential drug programmes in eastern Africa from national donor assisted programmes to community-based drug programmes. Problems of the transition towards cost recovery are discussed and greater dialogue between government, donors and communities will be required if real community management is to be commenced.
AIDS as a new lethal and at present incurable sexually transmitted disease is already having remarkable social repercussions not yet fully explicit and hence it can be termed a social phenomenon. Political, behavioural, economic and legal reactions and social responses such as stigmatization, changes in the sick role and the growth of voluntary organizations and international collaboration are described. Communication, education and information aspects of AIDS are considered using material from the press and it is clear that a massive educational approach to modify behaviour must be the basis for a control programme.
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Three subpopulations of the Hadza were examined for the following antigens and proteins including enzymes A1ABH, MNS Henshaw, CcCwDDuEeVCe, Lua, KJsa, Fy1Fy2, JkaJkb, Dia, Wra, haemoglobin, haptoglobin, transferrin, acid phosphatase, glucose-6-phosphate dehydrogenase, 6-phosphogluconate dehydrogenase, phosphoglucomutase, adenylate kinase, lactate dehydrogenase, and malate dehydrogenase. The results are discussed in relation to other African populations including the Sandawe, Nyaturu, Pygmies, San, and Khoikhoi.
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A systematic tabulation is provided of the frequency of different types of inbreeding in the Hadza. Genealogical information was obtained for 931 individuals, alive and dead. Inbreeding was encountered with 165 individuals. There were 49 different types of inbred genealogy. No attempt was made to calculate an average inbreeding coefficient and the reasons for this are given in the text.
Venereal diseases are becoming a major health problem in many developing countries where the greater part of primary medical care is undertaken by medical auxiliaries. Under these circumstances, the medical auxiliary has an important role to play in the control of these diseases but he can only do this with adequate training, support, and supervision from the professional doctors and specialists. In this paper, the role of the medical auxiliary is outlined and a case is also made for a specially-trained cadre for venereal disease work in busy urban clinics in developing countries.
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A study of 412 persons aged at least 45 years showed that cardiovascular disease, especially hypertension, was common. Cardiac enlargement was the most frequent complication of hypertension; cerebrovascular accidents were rare. Cardiomegaly without hypertension or valvular disease was found in 29 persons. Valvular disease was present in 17 persons, but was symptomless in all but 3 cases.
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