Showing papers by "Robert Clive Pattinson published in 2008"
TL;DR: The decrease in NTD rates postfortification is consistent with decreases observed in other countries that have fortified their food supplies and the economic benefit flowing from the prevention of NTDs greatly exceeds the costs of implementing folic acid fortification.
Abstract: University of Cape Town
South African Medical Research Council
South African Department of Health (Tender RT1200GP)
208 citations
TL;DR: The country is off-track for the health-related Millennium Development Goals and mortality in children younger than 5 years has increased, whereas maternal and neonatal mortality remain constant, indicating the challenge of strengthening the health system because of high inequity and HIV/AIDS.
155 citations
TL;DR: It is demonstrated that the site of facilitation, either on site or at a centre of excellence, did not influence the ability of a hospital to implement KMC, and the implementation of a new health care intervention could be scaled up by using a carefully designed educational package, combined with face-to-face facilitation by respected resource persons.
Abstract: Background
Scaling up the implementation of new health care interventions can be challenging and demand intensive training or retraining of health workers. This paper reports on the results of testing the effectiveness of two different kinds of face-to-face facilitation used in conjunction with a well-designed educational package in the scaling up of kangaroo mother care.
41 citations
TL;DR: This chapter deals with acute medical conditions occurring uncommonly in pregnant women, and an obstetrician should know the initial steps to take in the emergency management of these cases.
Abstract: More than half of maternal deaths in the UK are due to pre-existing medical conditions, and medical emergencies often mimic acute obstetric conditions. An acute flare of systemic lupus erythaematosus, a thyroid storm or a phaeochromocytoma have many of the signs and symptoms of imminent eclampsia. Similarly, severe postpartum haemorrhage can result in diagnostic difficulties of medical conditions such as Addison's syndrome or acute renal failure. An acute collapse can be due to a pulmonary embolus, myocardial infarction, tachyarrhythmia or myasthenia gravis. These conditions are rare; however, unless they are considered in a differential diagnosis, they will not be diagnosed, to the detriment of the woman and her infant. This chapter deals with acute medical conditions occurring uncommonly in pregnant women. An obstetrician should know the initial steps to take in the emergency management of these cases.
14 citations
TL;DR: Recommendations should also be phrased in such a way that targets can be established, and these targets should be measurable and then be measured.
Abstract: Implementing recommendations is a complex process involving all levels of health care. Effecting change in the health system can be broadly divided into four areas: policy, administration, clinical practice and training. Changes at the policy level require advocacy by lobby groups, as these changes are mainly political in nature. Changes at administrative level require a diversion of resources, and a clear policy framework must be in place within which the health administrator can work. Changes to clinical practice refer mainly changes in protocols of managing patients. The essential elements to change clinical practice include on-site, face-to-face teaching by a senior clinician; ineffective methods are lectures and memorandums on guidelines for practice posted to clinicians. Training refers to ensuring there are appropriate curricula for healthcare workers. Recommendations should also be phrased in such a way that targets can be established. These targets should be measurable and then be measured.
14 citations
TL;DR: The objective of the present study was to determine septic abortion mortality trends following introduction of TOP legislation, and the numbers of deaths from puerperal sepsis were also tabulated.
8 citations