Open Access. Powered by Scholars. Published by Universities.®
- Discipline
-
- Education (71)
- Social and Behavioral Sciences (41)
- Medicine and Health Sciences (32)
- Physical Sciences and Mathematics (20)
- Arts and Humanities (17)
-
- Public Health (16)
- Medical Specialties (13)
- Environmental Sciences (12)
- Life Sciences (12)
- Engineering (11)
- History (11)
- Civil and Environmental Engineering (10)
- Sociology (10)
- Civil Engineering (9)
- Law (9)
- Library and Information Science (9)
- Natural Resources and Conservation (9)
- African Studies (8)
- International and Area Studies (8)
- African History (7)
- Economics (7)
- Political Science (6)
- Risk Analysis (6)
- Industrial Engineering (5)
- International Relations (5)
- Operations Research, Systems Engineering and Industrial Engineering (5)
- Public Affairs, Public Policy and Public Administration (5)
- Applied Mathematics (4)
- Earth Sciences (4)
- Environmental Indicators and Impact Assessment (4)
- Institution
-
- Aga Khan University (89)
- University of Dar es Salaam (38)
- SIT Graduate Institute/SIT Study Abroad (11)
- San Jose State University (8)
- Kennesaw State University (5)
-
- University at Buffalo School of Law (5)
- City University of New York (CUNY) (4)
- James Madison University (4)
- Portland State University (4)
- Himmelfarb Health Sciences Library, The George Washington University (3)
- Michigan Technological University (3)
- American University in Cairo (2)
- Gettysburg College (2)
- Louisiana State University (2)
- Population Council (2)
- Prairie View A&M University (2)
- TÜBİTAK (2)
- University of South Carolina (2)
- American Dental Association (1)
- Analytical and Data Services, Elsevier (1)
- Andrews University (1)
- Bridgewater State University (1)
- Butler University (1)
- Campbell University School of Law (1)
- Case Western Reserve University School of Law (1)
- Chapman University (1)
- Cleveland State University (1)
- DePaul University (1)
- Duquesne University (1)
- Gonzaga University (1)
- Keyword
-
- Tanzania (7)
- Biological Sciences (6)
- Africa (5)
- School leadership (5)
- 2014 (4)
-
- Aga Khan University (4)
- English (3)
- Rwanda (3)
- School management (3)
- Walter rodney (3)
- 18.2 (2)
- AKU NAMA (2)
- Alumni (2)
- Apartheid (2)
- Black power (2)
- Cerebral palsy (2)
- Culture (2)
- Development (2)
- Disturbance (2)
- Early childhood education (2)
- East Africa (2)
- Head teachers (2)
- Innovation (2)
- Journal (2)
- Pakistan (2)
- Rainfall-runoff modelling (2)
- Remotely Sensed Rainfall Data (2)
- Sub-Saharan Africa (2)
- Terrorism (2)
- 2014 ASHA (1)
- Publication
-
- Master of Education (65)
- Business Management Review (14)
- Independent Study Project (ISP) Collection (11)
- Journal of Humanities and Social Sciences (9)
- Tanzania Journal of Engineering and Technology (TJET) (9)
-
- Library Philosophy and Practice (e-journal) (8)
- Tanzania Journal of Science (6)
- UB Law Forum (4)
- Groundings (3)
- Obstetrics and Gynaecology, East Africa (3)
- Pathology, East Africa (3)
- Commencement and Convocation Exercises (2)
- Electronic Theses and Dissertations (2)
- Environmental and Occupational Health Faculty Publications (2)
- Faculty Publications (2)
- Faculty of Health Sciences, East Africa (2)
- History Faculty Publications (2)
- Master of Medicine in Family Medicine (2)
- OHSU-PSU School of Public Health Faculty Publications and Presentations (2)
- Paediatrics and Child Health, East Africa (2)
- School of Nursing & Midwifery, East Africa (2)
- The Aga Khan University Newsletter and Magazine for Alumni (AKU-NAMA) (2)
- The Journal of Conventional Weapons Destruction (2)
- Theses and Dissertations (2)
- ADA News (1)
- All Master’s Theses (1)
- All Maxine Goodman Levin School of Urban Affairs Publications (1)
- Annual Reports (1)
- Apparel Design and Hospitality Management (1)
- Applied Linguistics Faculty Publications and Presentations (1)
- Publication Type
Articles 181 - 210 of 233
Full-Text Articles in Entire DC Network
Exploring Experiences Of Lower Primary School Teachers In Teaching Through Local Language As A Medium Of Instruction In Uganda, Nanseko Pharidah Bwanika
Exploring Experiences Of Lower Primary School Teachers In Teaching Through Local Language As A Medium Of Instruction In Uganda, Nanseko Pharidah Bwanika
Master of Education
This study explores the experiences of lower primary teachers in teaching through a local language namely Luganda. The study conducted in Wakiso district in Uganda aimed to discover issues that emerge for teachers in the course of their teaching practice as they learn alongside teaching in local language without prior knowledge and experience of teaching and learning in a local language. Employing narrative inquiry, data was mainly collected through one-on-one interviews and supplemented by a focus group discussion, lesson observations, and analysis of relevant documents. Findings revealed that teachers were expected to learn to teach in Luganda, their second or …
Aga Khan University, Report 2014, Aga Khan University
Aga Khan University, Report 2014, Aga Khan University
The Aga Khan University Reports Archives
- The Greatest Challenge of Our Time
- Transforming the University
- AKU Overview
- Going Where the Need is Greatest
- Our People
- Research with Impact
- Notable Developments
- World-Class Graduate Professional Education
- Investing in Excellence with Your Support
- AKU by the Numbers
- University Governance
- Financial Highlights
A Crisis And Its Afterlife: Some Reflections On ‘Scholars In Self-Estrangement’, Ruth Buchanan
A Crisis And Its Afterlife: Some Reflections On ‘Scholars In Self-Estrangement’, Ruth Buchanan
Articles & Book Chapters
This essay is an extended reflection on the avenues of influence of a single article, one that is arguably the most cited contribution to scholarship on law and development of the last 40 years. In that article, published in the Wisconsin Law Review in 1974, David Trubek and Marc Galanter confidently identified and cogently parsed a ‘crisis’ in law and development studies in the United States. ‘Scholars in Self-Estrangement: Some Reflections on the Crisis in Law and Development Studies in the United States’ (hereinafter SISE), was undoubtedly a key intervention in the debate over US funding of law reform …
Pediatric Cerebral Palsy In Africa: A Systematic Review, Kirsten A. Donald, Pauline Samia, Angelina Kakooza-Mwesige, David Bearden
Pediatric Cerebral Palsy In Africa: A Systematic Review, Kirsten A. Donald, Pauline Samia, Angelina Kakooza-Mwesige, David Bearden
Paediatrics and Child Health, East Africa
Cerebral palsy is a common neurologic problem in children and is reported as occurring in approximately 2-2.5 of 1000 live births globally. As is the case with many pediatric neurologic conditions, very little has been reported on this condition in the African context. Resource-limited settings such as those found across the continent are likely to result in a different spectrum of etiologies, prevalence, severity as well as management approaches. This review aims to establish what has been reported on this condition from the African continent so as to better define key clinical and research questions.
Rwandan Young People’S Perceptions On Sexuality And Relationships: Results From A Qualitative Study Using The ‘Mailbox Technique’, Kristien Michielsen, Pieter Remes, John Rugabo, Ronan Van Rossem, Marleen Temmerman
Rwandan Young People’S Perceptions On Sexuality And Relationships: Results From A Qualitative Study Using The ‘Mailbox Technique’, Kristien Michielsen, Pieter Remes, John Rugabo, Ronan Van Rossem, Marleen Temmerman
Obstetrics and Gynaecology, East Africa
This study aimed to gain more insight into young Rwandans’ perceptions on sex and relationships, which is essential for formulating effective sexual and reproductive health (SRH) promotion interventions. Using a ‘mailbox technique’, this paper studies the spontaneous thoughts of Rwandan young people on sexuality. Mailboxes were installed in five secondary schools in the Bugesera district and students were invited to write about their ideas, secrets, wishes, desires and fears on sexuality and relationships. Of the 186 letters collected, 154 addressed SRH topics. The letters were analysed in NVivo 9 using a theoretical model on vulnerability. Two stereotypical sexual interactions co-exist: …
Interview Transcipt, J. Rich Leonard
Interview Transcipt, J. Rich Leonard
Other Publications
Transcript of an interview with Hon. J. Rich Leonard, (Ret.) U.S. Bankruptcy Court for the Eastern District of North Carolina by Hon. Randy D. Doub, U.S. Bankruptcy Court for the Eastern District of North Carolina.
An Unconventional Challenge To Apartheid: The Ivorian Dialogue Diplomacy With South Africa, 1960-1978, Abou B. Bamba
An Unconventional Challenge To Apartheid: The Ivorian Dialogue Diplomacy With South Africa, 1960-1978, Abou B. Bamba
History Faculty Publications
This article focuses on the dialogue diplomacy that Ivorian President Félix Houphouët-Boigny initiated in the late 1960s to engage apartheid South Africa. Although contemporary observers and subsequent scholars (have) derided the scheme as an act of acquiescence and even betrayal, I argue that Ivory Coast's dialogue diplomacy was neither accommodationist nor dependent on the prodding of neocolonial powers such as France. A Pan-Africanist extension of the home-grown neotraditional practice of Dialogue ivoirienne, the diplomatic initiative never got the backing of other African states. A close analysis of the Ivory Coast's maneuvers in the context of an increasing radicalization of …
Minority Languages For Instruction: A Comparative Study Of Teachers’ Perspectives In Tanzania And Brazil, Jean Antunes
Minority Languages For Instruction: A Comparative Study Of Teachers’ Perspectives In Tanzania And Brazil, Jean Antunes
Master of Education
Research has pointed to the benefits of children learning in their mother tongue, and much has been discussed and done to assert the rights of ethnic minorities toward the use of their language in education. However, it has also been shown that there are instances in which education in the mother tongue is not preferred. This has many implications for the education systems of multilingual countries such as Tanzania and Brazil that have to deal with a multiplicity of languages in the school. Education stakeholders face these issues on a daily basis. In view of these implications this study set …
The School Leadership Support On Science Teaching And Learning, Samillah Qadar
The School Leadership Support On Science Teaching And Learning, Samillah Qadar
Master of Education
Science is an important human tool for taming nature because explanations and predictions that science makes empower human beings to be able to utilize the natural resources that abound in the world. Therefore science considerably touches the personal, social, professional and cultural lives of everyone. Young people’s understanding of science is therefore crucial to prepare to live in a more scientific world than today’s. The school is the ultimate center for such preparations, where learners’ prior-knowledge will be joined with the contextual and scientific knowledge in inquiry and discovery teaching and learning approaches established by competent teachers under effective supportive …
The Management Of The Thematic Curriculum: A Case Study Of A Public School Head Teacher, Abim District, Uganda, Owiny Charles Dickens
The Management Of The Thematic Curriculum: A Case Study Of A Public School Head Teacher, Abim District, Uganda, Owiny Charles Dickens
Master of Education
Recently, Uganda has been involved in educational reforms, especially in the implementation and management of school curriculum now called, 'the thematic curriculum' This reform was introduced by government as an initiative to promote the goals and objectives of the new curriculum to achieve the national literacy and numeracy standards in primary school education. Despite this reform initiative, literacy and numeracy competences in public primary schools in Uganda have continued to be generally low. The purpose of carrying out this study therefore, was to investigate the management of the new thematic curriculum by a public primary school head teacher in the …
Malaria Curriculum, Caroline Schairer
Malaria Curriculum, Caroline Schairer
Honors Projects
Objectives:
I.) The students will be able to explain what malaria is, how one gets malaria, and how one prevents malaria through the creation of a brochure.
II.) The students will be able to analyze and distinguish whether or not a patient has malaria, through the use of a case study.
III.) The students will be able to compose a malaria prevention plan for their home using their knowledge and comprehension of malaria and various prevention measures.
Complexity Of Breastfeeding Health Policy In Tanzania, Africa, Theresa Thompson
Complexity Of Breastfeeding Health Policy In Tanzania, Africa, Theresa Thompson
Master of Public Health Program Student Publications
Background: The purpose of this study was to investigate Tanzanian health policy regarding the protection and promotion of breastfeeding.
Country Profile: Tanzania is a United Republic composed of the mainland and also the islands of Zanzibar. Tanzania is located in east Africa with a population of approximately 46 million. About 1.6 million babies are born each year in Tanzania, however only approximately 140,000 are registered annually. Tanzania’s infant mortality rate is 68 infant deaths per 1000 live births. Tanzania makes up for approximately 0.5% of the world population but 2% of the global infant death.
Approaches: In this study, the …
Preparation Of Preschool Children For Grade One: A Case Study Of A Rural Public Preschool In Likuyani Sub-Country Kenya, Ruth Nyongi Kituzi
Preparation Of Preschool Children For Grade One: A Case Study Of A Rural Public Preschool In Likuyani Sub-Country Kenya, Ruth Nyongi Kituzi
Master of Education
Preschools in Kenya play an important role in the preparation of children for grade one. Most preschools are community-based and the management of preschool solely lies in the hands of parents. However, problems such as funding and lack of parental involvement abound. The study adopted a qualitative case study which examined preparation of preschool children for grade one in a rural public preschool in Likuyani Sub-County, Kenya. Four teachers ,two drawn from the preschool, two from grade one and six parents responded to open ended interview questions on how preschool children are prepared for grade one. The preschool had eighty …
Enhancing Democratic Teaching And Learning Strategies In A Civics Classroom At Secondary School Level In Tanzania: An Action Research, Amiri Bakari Kaniki
Enhancing Democratic Teaching And Learning Strategies In A Civics Classroom At Secondary School Level In Tanzania: An Action Research, Amiri Bakari Kaniki
Master of Education
Democratic Teaching and Learning Strategies refers to teaching techniques which provide opportunities for learners to be engaged in a dialogue with the teacher and among themselves to contribute in the process of learning. Unlike teacher-centered which suspended the voice of the learner and Learner-centered which implicitly ignored the voice of the teacher, democratic teaching is about balancing the voice of the teacher and that of the learner for them to equitably contribute in the learning process. The study sought to find out how Democratic Teaching and Learning Strategies with specific focus on the use of group discussions and Debates can …
An Investigation Of Female Heads Of Department: Challenges And Opportunities For Promotion To Headship In Secondary Schools: A Case Study Of Migori Country, Okea Chuda Ayoo
Master of Education
Many attempts by the international community to improve the participation of women in leadership have been frustrated by several factors, such as societal expectations and multiple responsibilities; excuses have been given such as women are emotionally and physically weak as to why they should not be in educational leadership. This study provides a critical reflection on barriers related to the promotion of heads of department to headship positions in secondary schools in Kenya. The study used a qualitative case study approach based on one-on-one indepth interviews with one group of female heads of department .A focus group discussion was held …
Exploring The Effects Of The Free Day Secondary School Program In Kenya: A Case Of A Day School In Eastern Kenya, Boniface Nzioka Musyoki
Exploring The Effects Of The Free Day Secondary School Program In Kenya: A Case Of A Day School In Eastern Kenya, Boniface Nzioka Musyoki
Master of Education
The FDSE program was initiated by the Kenyan government in 2008 where it paid Ksh 10,265 (US $64) for tuition per year for each secondary student in public school. This study investigated the effects of the FDSE program on various stakeholders in one school in Makueni County, South Eastern Kenya. Data was collected from school administrators, teachers and students by using semi-structured interviews, focus group discussion, document analysis and observation as data collection methods. Data was analyzed qualitatively by first transcribing and identifying codes which were later organized into themes. Findings from the study showed that the implementation of the …
The Role Of Indigenous Knowledge In Teaching Social Studies To Nomadic Pastoralists Lower Primary Learners, Josphat Sempere Reteti
The Role Of Indigenous Knowledge In Teaching Social Studies To Nomadic Pastoralists Lower Primary Learners, Josphat Sempere Reteti
Master of Education
Studies have shown that education service delivery to nomadic pastoralists communities cannot be done in isolation as social, cultural and economic issues also need to be addressed which is embedded in their indigenous knowledge(Ministry of Education, 2010). According to UNESCO(2006), Education for Sustainable Development starts from recognizing the function of indigenous knowledge. The government of Kenya therefore launched the Nomadic Education Policy (2010), which calls for use of traditional nomadic pastoral knowledge and techniques in teaching nomadic pastoralists children. Despite the policy, text book driven teaching is still rampant in nomadic pastoral schools especially in the teaching of social studies. …
Exploring The Role Of Head Teacher In Supporting Early Literacy Development In Lower Primary: A Case Of Makole Primary School In Southern Tanzania, Baraka Roberty Muhindila
Exploring The Role Of Head Teacher In Supporting Early Literacy Development In Lower Primary: A Case Of Makole Primary School In Southern Tanzania, Baraka Roberty Muhindila
Master of Education
Primary school head teachers have many roles to play in supporting early literacy development to young learners of lower primary. This study sought to explore the role of head teacher in supporting early literacy in lower primary school in Southern Tanzania. Through qualitative case study, I deployed multiple methods, namely semi structured interview document analysis to collect data. Data were recorded in the field and later transcribed verbatim. Data analysis involved developing code and themes as guided by the research question and the purpose of my study. The study findings revealed different strategies deployed by the head teacher to support …
Head Teacher’S Role In The Utilization Of Universal Primary Education Funds: A Case Of Bigandu Primary School In Uganda, Moses Nsamba
Head Teacher’S Role In The Utilization Of Universal Primary Education Funds: A Case Of Bigandu Primary School In Uganda, Moses Nsamba
Master of Education
In 1997 universal primary education (UPE) was introduced in Uganda in response to a series of international conferences and summits of 1990s that resulted into the adoption of the United Nations Millennium Declaration of 2000. To operationalize the declaration the UN secretariat put in place a list of eight Millennium Development Goals (MDGS) to be achieved by 2015, each of them accompanied by specific targets and indicators. The second MDG is “to achieve universal primary education”. Target 2A of this goal is to ensure that, by 2015 children everywhere, boys and girls alike will be able to complete a full …
An Exploration Of The Role Of Open Distance Learning In Facilitating Teachers’ Professional Development, Sije Daniel Ojala
An Exploration Of The Role Of Open Distance Learning In Facilitating Teachers’ Professional Development, Sije Daniel Ojala
Master of Education
Teachers’ professional development is a key component in improving the quality of teachers so that they can impact on their practice as well as improving learner’s performance. However many teachers in Tanzania are in the teaching profession with old skills and those who are qualified still have low capacities that needs continue professional development to meet the reforms in the education sector. One of the forms of teachers’ professional development is through open distance learning that ensures reaching masses of teachers who cannot access convectional studies for professional development for different reasons. This study sought to explore the role of …
Teacher Preparation For Teaching English In Secondary School Classes In A Teacher Preparation College In Southern Tanzania, Gervace Anthony
Teacher Preparation For Teaching English In Secondary School Classes In A Teacher Preparation College In Southern Tanzania, Gervace Anthony
Master of Education
The increase of learner from diverse linguistic backgrounds in today’s classrooms makes teacher education important for teaching these learners. For this case teachers are crucial in making sure that these learners acquire English language basic skills which are important for them in the whole learning process as almost all the subjects in secondary schools are being taught in English except Kiswahili subject. The situation calls for well prepared English teachers to help English language learners who are in transition from using Kiswahili as the medium of instruction to English language. Thus, the study sought to find out how pre-service English …
Public Expenditure Monitoring In Primary Schools: A Case Of A Primary School In Masaka Municipality- Uganda, Stephen Ssemutono
Public Expenditure Monitoring In Primary Schools: A Case Of A Primary School In Masaka Municipality- Uganda, Stephen Ssemutono
Master of Education
Initiatives to increase the quality of education and number of children in schools, including ‘Universal Primary Education’, lead to the need for more teachers, school administrators and infrastructure. This necessitates hugely increased levels of funding. This in turn leads to the increasing importance of strong financial monitoring. This study sought to explore how public funds are deployed and monitored in a primary school in Uganda, and how key stakeholders are involved in spending decisions and how they perceive their roles. The study adapted a qualitative approach involving one public primary school. Data collection included document analysis, and also interviews and …
School Self-Evaluation: A Case Of A Public Secondary School In Kiambu County, Kenya., Albert Wanjala Mauka
School Self-Evaluation: A Case Of A Public Secondary School In Kiambu County, Kenya., Albert Wanjala Mauka
Master of Education
Moves to expand both quality of education and the number of children in school have been highlighted across the world for many years. This has heightened the need for monitoring mechanisms, which, alongside decentralisation of control, have increasingly turned from external inspection to self-evaluation. The use of self-evaluation as a means of school improvement is well documented in the developed world. Evidence of its use in the developing world can be found with, so far, little research literature alongside. This research, therefore, sought to explore how a secondary school in Kenya has implemented school self-evaluation. It aimed to explore the …
The Role Of School Leadership In Facilitating The Use Of Ict In Teaching And Learning : A Case Of Public Secondary School In Tanzania, Obed Kipelo
Master of Education
Literacy development is very important especially to young learners because it is not only for the purpose of reading, writing, listening and speaking. Literacy development rather is about development in many practices learners are exposed to, through the interaction with others and the environment in which they live. Therefore, school and home based environment are importance in promoting learners’ literacy development. Room to Read organization intervened in school settings by providing story books which are the useful resource in teaching process Literature appears to concentrate on the usefulness of using story books in literacy development to learners though very little …
Impact Of Routine Immunization Coverage In Controlling Measles And Progressing Toward The Introduction Of Rubella Containing Vaccine: A Comparison Study Between Rwanda And Uganda, Carmen Kupangi Dibaya
Impact Of Routine Immunization Coverage In Controlling Measles And Progressing Toward The Introduction Of Rubella Containing Vaccine: A Comparison Study Between Rwanda And Uganda, Carmen Kupangi Dibaya
Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)
Despite the existence of safe and effective vaccines, measles and rubella present a major public health problem in many developing countries, disproportionally affecting low-income populations.1-3 Indeed, measles and rubella remain two of the leading causes of death and congenital defects in children worldwide.4-6 In 2008, an estimated 10 million new cases and 164,000 deaths were reported from measles alone.3 During the same time period, the United Nations International Children's Emergency Fund (UNICEF) reported an estimated 110,000 cases of Congenital Rubella Syndrome (CRS) in developing countries, with the continent of Africa shouldering 38% of the disease burden.7 Measles is a highly …
Migrant Labor, Development, And Hiv In Botswana, William Kearns
Migrant Labor, Development, And Hiv In Botswana, William Kearns
HIM 1990-2015
At independence, Botswana was highly underdeveloped and reliant on external capital earned through migrant labor. This presented several challenges to development despite the discovery of diamonds shortly after independence. However, no challenge was greater than the HIV epidemic which came to infect one in four Batswana. This thesis discusses the historical factors which promoted the spread of the virus in the greater context of migrant labor and development within Botswana.
Potential Of Moringa Oleifera L. As Livestock Fodder Crop: A Review, Wasif Nouman, Shahzad Maqsood Ahmed Basra, Muhammad Tahir Siddiqui, Azra Yasmeen, Tehseen Gull, Maria Angelica Cervantes Alcayde
Potential Of Moringa Oleifera L. As Livestock Fodder Crop: A Review, Wasif Nouman, Shahzad Maqsood Ahmed Basra, Muhammad Tahir Siddiqui, Azra Yasmeen, Tehseen Gull, Maria Angelica Cervantes Alcayde
Turkish Journal of Agriculture and Forestry
Dairy and meat production in dry regions is very complex due to low quality and shortage of fodder, especially in dry periods. Livestock scientists are eager to explore and investigate good-quality fodders that can boost milk and meat production in an organic and economical way. Some organic meals like soybean, cotton seed cake, and range grasses are being utilized to overcome the fodder shortage. These have some limitations, however, like unavailability in December through May as currently green fodder is least available after wheat, alfalfa, brassica, and maize harvesting. This leads towards reduced livestock production and low-quality milk and meat …
Regional Integration And People-Centeredness; An Assessment Of The Mechanisms For Popular Involvement In The Decision-Making Of The East African Community, Louise M. Mdachi
Regional Integration And People-Centeredness; An Assessment Of The Mechanisms For Popular Involvement In The Decision-Making Of The East African Community, Louise M. Mdachi
Dissertations and Theses
No abstract provided.
Barriers To Obstetric Fistula Treatment In Low-Income Countries: A Systematic Review, Benjamin Bellows, Rachel Bach, Zoe Baker, Charlotte E. Warren
Barriers To Obstetric Fistula Treatment In Low-Income Countries: A Systematic Review, Benjamin Bellows, Rachel Bach, Zoe Baker, Charlotte E. Warren
Reproductive Health
Obstetric fistula is a maternal morbidity condition that occurs in some low-income countries and is caused by prolonged obstructed labor that results in a hole between the vagina and the bladder or rectum through which urine or feces leak. Unrepaired fistula can lead to lifelong ostracism, stigma, and shame. Obstetric fistula is preventable and treatable, but women in these countries experience delays in seeking repair due to a number of factors including awareness of their condition as well as the potential for treatment, resources necessary for seeking care, lack of skilled fistula surgeons, and long hospital waiting times. UNFPA estimates …
Clinical Features, Proximate Causes, And Consequences Of Active Convulsive Epilepsy In Africa, Symon M. Kariuki, William Matuja, Albert Akpalu, Angelina Kakooza-Mwesige, Martin Chabi, Ryan G. Wagner, Myles Connor, Eddie Chengo, Anthony K. Ngugi, Rachael Odhiambo, Christian Bottomley, Steven White, Josemir W. Sander, Brian G. R. Neville, Charles R. J. C. Newton
Clinical Features, Proximate Causes, And Consequences Of Active Convulsive Epilepsy In Africa, Symon M. Kariuki, William Matuja, Albert Akpalu, Angelina Kakooza-Mwesige, Martin Chabi, Ryan G. Wagner, Myles Connor, Eddie Chengo, Anthony K. Ngugi, Rachael Odhiambo, Christian Bottomley, Steven White, Josemir W. Sander, Brian G. R. Neville, Charles R. J. C. Newton
Internal Medicine, East Africa
Purpose: Epilepsy is common in sub-Saharan Africa (SSA), but the clinical features and consequences are poorly characterized. Most studies are hospital-based, and few studies have compared different ecological sites in SSA. We described active convulsive epilepsy (ACE) identified in cross-sectional community-based surveys in SSA, to understand the proximate causes, features, and consequences.
Methods: We performed a detailed clinical and neurophysiologic description of ACE cases identified from a community survey of 584,586 people using medical history, neurologic examination, and electroencephalography (EEG) data from five sites in Africa: South Africa; Tanzania; Uganda; Kenya; and Ghana. The cases were examined by clinicians to …