The faculty at Moi University in Kenya and Indiana University in the USA opened adult and pediatric HIV clinics in a national referral hospital, a district hospital, and six rural health centers in western Kenya using a newly developed electronic medical record system (EMR) to support comprehensive outpatient HIV/AIDS care. The EMR contains more than 30,000 visit records for more than 4,000 patients, almost half taking antiretroviral drugs. This article describes the development and structure of this EMR and plans for future development that include wireless connections, tablet computers, and migration to a Web-based platform
Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. This study examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. It concludes that this approach is both feasible and likely to have a significant impact
Describes a scientific study that examined in pregnant women the relationship between HIV infection and malaria prevalence, to determine, in relation to HIV infection, the effectiveness of sulphadoxine-pyrimethamine in clearing P. falciparum (malaria) infection
The globalisation of the world economy and the consequent increase in commerce, travel, and communication have brought benefits to virtually every country. But these changes also bring risks that cannot be addressed adequately within traditional national borders. These risks include emerging infectious diseases, resulting in part from increased prevalence of drug-resistant pathogens; exposure to dangerous substances, such as contaminated foodstuffs, and banned and toxic substances; and violence, including chemical and bioterrorist attack. By investing in global health, industrliased countries will not only benefit populations in desperate and immediate need of assistance, but also themselves--through protecting their people, improving their economies, and advancing their international interests. This paper describes the rationale for involvement of industrialised countries in global health, and suggests a means for its coordination.
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