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PROTEIN-ENERGY-malnutrition (PEM) is a major cause of morbidity and mortality in young children in Africa. In South Africa, in 1987, to help combating and preventing PEM in the rural black population, the Gold Fields Nutrition Unit was inaugurated at the Medical University of Southern Africa. In 1987-9, 442 patients (rural/peri-urban) plus their mothers or(More)
  • Martin Bac
  • South African medical journal = Suid-Afrikaanse…
  • 1986
Since the independence of Bophuthatswana in 1977 many new services have been established. The policy of the Department of Health and Social Welfare to practise primary health care has been implemented step by step and special attention has been given to the well-being of infants and preschool children. During this period several parameters of child health(More)
BACKGROUND Quality improvement is increasingly becoming an essential aspect of the medical curriculum, with the intention of improving the health care system to provide better health care. The aim of this study was to explore undergraduate medical students' experiences of their involvement in quality improvement projects during a district health rotation.(More)
BACKGROUND The short timeframe of medical students' rotations is not always conducive to successful, in-depth quality-improvement projects requiring a more longitudinal approach. AIM To describe the process of inducting students into a longitudinal quality-improvement project,using the topic of the Mother- and Baby-Friendly Initiative as a case study; and(More)
BACKGROUND The National Department of Health of South Africa decided to start a programme to train mid-level healthcare workers, called clinical associates, as one of the measures to increase healthcare workers at district level in rural areas. Unfortunately, very little is known about the cost effectiveness of clinical associates. AIMS To determine, on a(More)
Protein energy malnutrition (PEM) is a major cause of hospital admissions and death in most impoverished Third World countries. In the Gelukspan Health Ward, in rural Western Transvaal, a primary health care (PHC) programme, based on the GOBI-FFF strategy, commenced in 1980. Community health surveys on African under-five children were regularly undertaken.(More)
Breast-feeding, supplementary feeding and weaning practices as well as nutrition during the second year of life were studied in 210 black primiparas, who had cared for their own children through the first year, in a poor, one-crop (maize) rural area in Bophuthatswana. The sampling strategy was similar to the one recommended by UNICEF for assessment of(More)