Feature page


Malaria

In school children on the Kenyan coast P. falciparum infection is strongly associated with anaemia, but there is no clear association between health status and education. 532–549

HRP2 can persist up to 28 days after ACT treatment; therefore this test is not suitable for treatment follow up in pregnant women and can generate problems when using this test during intermittent preventive treatment (IPTp). 550–557

Extended support of African PhD students and post-doctoral scientists through a consortium of Northern and African institutions provided a substantial community (40+) of high calibre scientists to enhance national research capacity development. 558–563

HIV/AIDS

Too few women in low and middle income countries negotiate the many steps between testing HIV-positive in pregnancy-related services and accessing HIV services. But efforts to stem patient-drop-out, such as the MTCT-Plus Initiative, hold promise. 564–580

In a cohort of patients in Indonesia total lymphocyte count, if measured after at least 1 year ART, correctly identified patients with <200 CD4-cells, and reliably excluded immunological failure, obviating the need for CD4-cell measurement in 43% of patients. 581–583

Classification of ART patients based on dynamic adherence behavior is associated with mortality independently of drug possession ratio. 584–594

Chagas disease

Migrants with Chagas disease in Europe accumulate factors of poor health outcome due to infectious, non-communicable, socio-economic and behavioural causes. 595–603

Hygiene

Handwashing campaigns during influenza pandemics should highlight its effectiveness, compare the current with prior local outbreaks and not use fear tactics. 604–612

Child health

Exposure to animals near or in households does not seem to constitute a major risk for diarrhea in children under the age of 5 in Vietnam. 613–621

Among infants aged <6 months, MUAC is more realiably ans accurately measured by community health workers than Weight for Length Z score. With defined cut-off values MUAC can be used for community-based screening of severe acute malnutrition in infants. 622–629

Fascioliasis

ELISA, with Fasciola antigen from the adult liver fluke is suitable for the detection of IgG against fascioliasis in human sera when backed up by a compatible clinical history together with a second diagnostic technique for other cross-reactive helminth infections. 630–636

Maternal health

Despite limited access to health services, Nigerian women with multiple pregancies report more delivery care. Surprisingly, the reasons for this do not seem to be related to the presence or quality of antenatal care. 637–645

Health systems

Relations between disease control programmes and the rest of the health system can be enhanced through mutual support, common values, and integrating research and training. 646–651

Obstetric staff in Ifakara see audit as an important tool for quality improvement. But insufficient staff commitment and poor managerial support are barriers to successful implementation. 652–657

In KwaZulu Natal accelerated implementation of collaborative TB/HIV activities including PMTCT will require political will and leadership to overcome health systems barriers. 658–665

Strategies to control visceral leishmaniasis in Bihar, India, should target low caste communities, as they have poorer access to treatment and worse prognoses than higher castes. 666–673

In accountability checking Health Committees appear focuse on supporting the medical staff and not on representing the population. Community-Based Organisations do convey information about the concerns of the population to the health authorities; but they represent too few users. 674–682

Ancillary