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There is growing interest in the migration of doctors from Africa to developed nations. Little attention has been made in understanding the flow of doctors into African countries.To describe the nationality, country of primary qualification as a doctor and specialties of doctors registered in Malawi in 2003.Review of Medical Council of Malawi 2003 register and University of Malawi-College of Medicine graduation records.There were 252 doctors registered by the Medical Council of Malawi (MCM)...
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Many African countries are liberal in accepting medical degrees and specialist qualifications acquired abroad. This in part stems from the lack of training programs on the African continent that can supply the required or near the required numbers of doctors to serve the populations. As the majority of African states are English-speaking, academic and professional qualifications obtained in other English-speaking countries are more likely to be accepted than those from countries with some...
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The health challenges facing the African continent are enormous and sometimes look insurmountable. The continent is plagued by an array of preventable and communicable causes of morbidity and mortality. Malaria, measles, pneumonia, undernutrition, and diarrheal diseases are major child killers. Tuberculosis and HIV/AIDS are huge and growing challenges, especially within the adult population (1,2). Many inhabitants of Africa live below the poverty line, usually defined as earning less than...
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Education as a research variable is favored by researchers because, in part, it is easy to get a response about it from study participants. Editors, reviewers, and readers of articles also expect that researchers report at least something on the “education” of study participants. It is also customary that the first table of an article presents the socio-demographic characteristics of the study participants, in which the variable “education” is included. In epidemiologic modeling, it is...
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Non communicable diseases are a growing public health concern. Globally tobacco-related deaths surpass malaria deaths and yet developing countries' data are lacking.To compare prevalence of tobacco use and exposure to tobacco and tobacco-related issues among adolescents in Kampala, Uganda and Lilongwe, Malawi.Cross sectional data from the Global Youth Tobacco Survey (GYTS) w used. Data were collected in 2001 in Lilongwe and in 2002 in Uganda using a standardized questionnaire tool. The study...
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To determine the prevalence of tobacco-use and describe tobacco-related knowledge, perceptions, and behavior of high school students aged 13-15 years in Kampala, Uganda.A cross-sectional questionnaire study was carried out among 2,789 students in 19 high schools in Kampala District, Uganda, in 2002. In each school, three classes from Senior One to Senior Three (average student age, 13 to 15 years, respectively) were randomly selected. All students who consented to participate in the study...
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Introduction: Tobacco smoking is a risk factor for several non-communicable public health problems including cancer, ischaemic heart disease and chronic obstructive airways disease. The prevalence of smoking among adolescents and the associated environment deserve attention. Methods: A cross-sectional descriptive study was carried out in 2001 to determine the prevalence of tobacco smoking, exposure to advertisements, environmental tobacco smoke exposure, deterrents from smoking and...
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A qualitative cross-sectional study was conducted at Ndirande Primary School in the peri-urban area of Blantyre, Malawi in 2002. The aim was to describe the knowledge, attitudes and practices towards malaria among pupils. Forty pupils (20 boys and 20 girls) were recruited into four focus group discussions. There was very good knowledge about the role of the female Anopheles mosquito as an agent for transmission of malaria. Respondents were also aware of the clinical features of malaria and...
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Cigarette smoking is the single most important preventable cause of non-infectious diseases. There is limited data on adolescent smoking and its determinants in developing countries.Further analysis was done on data collected in the Global Youth Tobacco Survey conducted among school-going adolescents in Lusaka, Zambia in 2002. Weighted logistic regression analyses were performed to determine associations between selected explanatory factors and ever smoked cigarettes.A total of 2175 students...
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Medical students gaining experience in outpatient's clinics and admission wards are exposed to clinical clerkship as this is an important part of their training. There is paucity of reported patients' experiences and perceptions of medical students in low-income settings. The present study was conducted at the Queen Elizabeth Central Hospital (QECH), Malawi to describe patients' and perceptions of, and experience with medical students being present when patients are seen by a medical doctor...
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We conducted a quasi-experiment to investigate whether a peer education intervention could result in positive sexual behavioral change outcomes in selected schools in Northern Malawi. The experimental participants (n = 158) were exposed to an HIV risk reduction intervention. The control participants (n = 147) were exposed to a Health Promotion Package. At 8 months, there were significant improvements in the intervention arm on several outcomes. The experimental group was 96% less likely to...
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Objective To describe perceptions of medical students, recent medical graduates, faculty of the College of Medicine, University of Malawi and private medical practitioners (PMPs) towards an attachment of undergraduate medical students in private medical doctors' offices.Method Qualitative cross sectional study conducted in Blantyre, Malawi in 2004 using in-depth key informant interviews and content analysis. ResultsIn general, private medical practitioners were favourable to the idea of...
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 Introduction: We conducted a study to explore the impact of adolescent exposure to HIV and AIDS behaviour change Interventions (BCI) on their HIV risk reduction and sexual behaviour change in some selected secondary schools in the district of Mzimba, district of Nkhata Bay and Mzuzu city in Northern Malawi.
 Methods: We used mixed methods in a descriptive survey design triangulating both quantitative and qualitative approaches, with questionnaires and focus groups...
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Malawi opened its only medical school in April 1991, despite opposition from some who believed that the venture was a waste of precious resources. From 1986, selected Malawi students had done preclinical training in Australia, the United Kingdom and South Africa, returning to Malawi for the clinical phase of their training. From 1994, Malawi students have been able to do the whole undergraduate medical course in their own country. Twenty Malawi medical students attended the medical schools...
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Physical trauma is an important cause of childhood morbidity and mortality in Africa. There are however, few community-based reports on the subject on the continent. The present study was conducted to explore school children's experience of physical trauma in a disadvantaged periurban area of Blantyre, in Malawi.A cross sectional questionnaire study was carried out among school children in Ndirande-Blantyre, Malawi in 2004. Data were obtained to describe the following aspects of trauma...
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Malaria is a major cause of childhood morbidity and mortality in Malawi. Use of insecticide treated bed nets (ITNs) could reduce the burden of malaria. The objective of the study was to determine the general health status, and factors that influence reported access to ITNs among school children in a peri-urban area of Blantyre, Malawi. 454 school children participated in the study of which 253 (55.7%) were males and 201 (44.3%) females. Their mean age and range were 14 years (std. deviation,...