Eelco Boonstra

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OBJECTIVES To assess the quality of nurses' prescribing through an assessment of their prescription in relation to diagnosis, and to investigate trends in drug use in Botswana primary health care. METHODS Key data regarding nurses' adherence to national prescription and treatment guidelines were obtained through participatory observation using a(More)
OBJECTIVES To assess the quality of dispensing and patient knowledge of drugs dispensed in primary care in Botswana. SETTING Thirty randomly assigned primary healthcare facilities in three districts of Botswana. PARTICIPANTS Patients visiting clinics and health posts. DESIGN Analysis of data from prospective participative observations of the drug(More)
OBJECTIVES To evaluate the quality of care of the syndromic management of sexually transmitted diseases (STDs) in Botswana's primary health care. METHODS Participative observations of 224 consecutive consultations of patients with STDs (135 females and 89 males) by nurses. Twenty-one cases were excluded because no STD checklist was filled in. Criteria for(More)
BACKGROUND An outbreak of contagious bovine pleuropneumonia (CBPP) in the northern part of Botswana in 1996 was contained through eradication of all heads of cattle in Ngamiland district (Ngami East and West) in the period April 1996 to February 1997. This disaster posed a serious threat to those who depended on the livestock sector for sustenance and to(More)
A community diagnosis which describes the health of the local population may be an important instrument in promoting health and preventing disease. Most general practitioners do not have time to carry out individual surveys in the local community. Therefore it seems relevant to look into the possibility of utilizing official health statistics as a basis for(More)
It is necessary to involve the local population to a greater extent in the work of health promotion and prevention of disease. In the municipality of Askvoll the results of a household survey were used as an educational tool at popular meetings in the different settlements. At these meetings, the local citizens themselves chose actual health promotion(More)
African sleeping sickness is no longer a rare disease among tourists visiting national parks in Tanzania. The disease is caused by a parasite, Trypanosoma brucei, which is transmitted by the tsetse fly. Two species infect humans: Trypanosoma brucci gambiense and Trypanosoma brucei rhodesiense; the last form is re-emerging in parts of Africa. Untreated this(More)
When trying out various models for community diagnosis we registered a sample of doctor-patient contacts in Askvoll municipality over one year. One fifth of all contacts, 2,743, were registered. The contact rate per year was 3.8 per inhabitant. 79% of the contacts were consultations, 10% home visits and 11% telephone consultations. The three most commonly(More)
A survey conducted among all Norwegian Chief Municipal Medical Officers, provided information about their formal role and involvement in health promotion work. Of the total respondents, 71% regularly attended meetings of the Municipal Board of Health and 32% attended meetings of the Building Council; 80% had authority to forward proposals to the Board of(More)