April 2017

In This Issue:


The Health Press – Zambia, Volume 01, Issue 04, ISSN: 2520-4378, 05 May 2017 Download full Issue

The Health Press – Zambia Launch in Pictures

Table of Contents


EDITORIAL


The Health Press – Zambia Official Launch
by ML Mazaba

It is with great honour and pride that we announce the official launch of The Health Press – Zambia (THP-Z). We present to you the official launch and first print version of the publication. The monthly online issue was launched in


PESPECTIVES


Dramatic rise in sanitation uptake in Zambia
by L Markle

Access to water and sanitation and uptake of good hygiene practices can reduce the risk of getting diarrhoea by an estimated 30%. Since diarrhoea is the world’s second leading cause of death and the leading cause of malnutrition and stunting in children under five


Annual Tuberculosis screening for Health Care Workers – A strategy to ensure a healthy workforce in Zambia
by A Mwinga, B Kayumba, MS Carias

The incidence of Tuberculosis (TB) in Health Care Workers (HCWs) can be as high as twice that in the general population One undiagnosed TB patient can infect up to 10 individuals each year. Undiagnosed TB among HCWs may result in the transmission of infection to family members, colleagues, and patients. Annual screening of


RESEARCH ARTICLES


Description of cases of parasuicides reported at University Teaching Hospital, Lusaka, Zambia: preliminary findings
by R Paul, S Panchal, K Zimba

Parasuicide has become a public health problem of importance. A sample size of 207 case records of patients was estimated considering a prevalence of 16+5% obtained in the project area, z=1.96 and margin of error of 5%. The case records were conveniently sampled. A total of 141 (68.1%) out of 207 records were reviewed of which 53.2% were for males. About a third of the cases were in the age group 20-24 years

Appropriateness of antipsychotic drugs prescribed for First episode psychosis by clinicians at Chainama Hills college hospital in Lusaka
by J Kopolo, ML Mazaba, D Mulenga, S Siziya

Mental health disorders pose an increasing burden on societies all over the world Notable one is Psychosis, a debilitating condition that presents as marked distortion in thinking and perception, whose first presentation of symptoms in a newly diagnosed patient requires accurate and evidence based drug treatment. Patients with first episode psychosis may present in a variety of clinical settings to providers who have a range of knowledge and skills. This study aimed to

Increasing problem of alcohol abuse among the Zambian population in the psychiatric setting
by N von Hammerstein, R Paul, J Ncheka

Alcohol abuse is related to the development of cancer, neuropsychiatric disorders, cardiovascular diseases and cirrhosis of the liver among others. Level of alcohol abuse varies in different subpopulations and is hypothesized to be high in psychiatry patients. The objective of the study was to determine proportions of patients with history of alcohol abuse and alcohol related disorders in the Psychiatry ward of the University Teaching Hospital (UTH) in Lusaka, Zambia.

Characteristics of patients with psychosis at Ndola Teaching Hospital Psychiatric Unit, Zambia
by E Lukonde, S Siziya

Description of patients with psychosis is important in deciding on the best treatment to be offered to them. The objective of the study was to describe patients with psychosis at Ndola Central Hospital Psychiatric Unit, Zambia. Of the 699 patients who were seen and diagnosed with psychosis in a period of 12 months (01/01/14 to 31/12/14), records of 248 patients were considered in the study. However, 233 (94.0%) of 248 records were reviewed. Most of the patients were single (47.2%), of male gender

Epidemiology of tuberculosis in the context of HIV and AIDS in Sinazongwe district of Zambia: A retrospective analysis
by JL Mtalimanja, M Simuunza, S Malama, JB Muma

TB cure and completion rates have remained poor for Sinazongwe district in the past five years. Mortality, treatment failure and defaulter rates among TB patients have also been increasing in the same period. The reasons for the observed poor treatment outcomes are not well understood but could be attributed to high HIV co-infection among TB patients in the district.
This study was aimed at

Antiretroviral therapy for all: barriers to achieving universal access in Chikuni Mission in Zambia
by K Michelo, K Whalen

Zambia has attempted to create universal access to antiretroviral therapy. However, barriers still remain at the individual, institutional and national levels to access ART. The objective of the study was to determine factors related to accessibility to ART by PLHIV in Chikuni Parish in Southern province of Zambia. Out of a total of 1,067 Chikuni Home Based Care clients, 182 filled in the questionnaire: 173 adults, 7 youth aged 15-25 years and 2 children below the age of 15 years. In addition, two local partners implementing

Level of knowledge on postnatal care and its associated factors in Ndola, Zambia
by BC Chembe, S Siziya

Postnatal care (PNC) is considered as the most important maternal and child health service offered for a period of six weeks from the time of delivery. Inability to promote health behaviours affecting mothers and newborn children, illnesses, disabilities and death occur due to lack of PNC. Hence, the study was conducted to determine the level of knowledge on PNC and its associated factors. In early 2015, a cross sectional study was conducted at an urban health facility run by the district health office providing mother and child health care services in Ndola, Copperbelt province,

Prevalence of adolescent overweight or obesity among secondary school students in urban Ndola, Zambia and associated factors
by T Makashini, D Mulenga, S Siziya

Overweight and obesity are the fifth leading risk for global deaths and is on the increase among adolescents in developing countries. Zambia is also affected by adolescent obesity epidemic, but the context of obesity and overweight has been under explored in younger age groups. The study aimed to determine the prevalence of overweight and obesity among adolescents in Urban Ndola, Zambia and identify its correlates. A secondary

Hearing Loss among Multi-Drug Resistant Tuberculosis patients on Kanamycin in Ndola Teaching Hospital, Zambia: Study of ototoxicity and practice
by CS Mwansasu, S Siziya, BCT Mpondo

Multi-drug resistant tuberculosis is of public health importance. The purpose of this study was to determine the magnitude of hearing loss among multi-drug resistant TB patients being treated with kanamycin in Ndola Teaching Hospital, Zambia. This was a one year prospective descriptive study conducted among 38 MDR TB patients who received kanamycin injection for a maximum of eight months and tested by high frequency audiometer for at least two times. Out of 38 patients, 11 (29.0 %) were female and 73.7% were aged between 15 and 44 years. Of the 38 patients, 29 (76.0%) were HIV positive. Altogether,


OUTBREAK REPORT


Meningococcal Meningitis Outbreak at a Boarding School, Kabompo District, Zambia 2015
by L Moonde, E Kateule, C Malama, M Kapina, JJ Mwaba, R Kapinga, R Kumar

On 6th July 2015, the Zambian Ministry of Health received reports of cases of meningococcal meningitis (MM) at a boarding school in Kabompo District. MM is caused by Neisseria meningitidis. We investigated the outbreak to describe epidemiological characteristics, confirmed aetiology, and determined potential risk factors.
We reviewed medical records for six reported suspected cases of MM. Cerebrospinal fluid from patients was analysed for presence of N. meningitidis. We interviewed patients, and compared occupancy level against available bed space. A suspected case was