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OBJECTIVE Voluntary HIV testing and counseling (VTC) has been shown to reduce the incidence of HIV in cohabiting couples who now represent the majority of new infections in many African cities. Community and client perceptions of a 1-day voluntary testing and counseling program in Lusaka, Zambia, were assessed, and a rapid HIV-testing algorithm was(More)
This paper assesses the relative contribution of maternal, household, child, and poverty characteristics to the quality of the home environment. The sample consists of 1,887 children birth to 4 years old from the National Longitudinal Survey of Youth (NLSY). Ordinary least-squares regression is used to explore conceptually distinct aspects of children's(More)
In the analysis of survival data using the Cox proportional hazard (PH) model, it is important to verify that the explanatory variables analysed satisfy the proportional hazard assumption of the model. This paper presents results of a simulation study that compares five test statistics to check the proportional hazard assumption of Cox's model. The test(More)
OBJECTIVE In its landmark document Caring for Our Future: The Content of Prenatal Care, the Public Health Service Expert Panel on the Content of Prenatal Care presented a framework for refocusing prenatal care in the 1990s. The purpose of this study was to examine the extent to which the panel's recommendations for preconceptional care and for the content(More)
With the increasing numbers of older adults in our population, nurses are reexamining all aspects of nursing care in order to best meet the needs of these individuals. Normal age changes, the impact of decades of environmental challenges, successful adaptations, acute illnesses, trauma and chronic illnesses combine to create a challenge for accurate and(More)
Children in Lusaka and in a rural area in central Zambia were examined during November 1984 and April 1985 to assess the effect of urbanization on malaria transmission. Of 423 urban children examined in November, 2.4% had scanty parasitaemia, and low titres of malarial antibodies were found in 46%. These proportions increased in April to a parasite rate of(More)
A study of blood pressure levels of 372 rural Zambian schoolchildren age 7-16 years showed that blood pressure increases with age. The association between age and blood pressure is decreased when growth is controlled for in the analysis. Girls tended to have either the same or slightly higher mean blood pressure levels at all ages than boys. The main(More)
STUDY OBJECTIVES The main aim of the study was to discover if a midwife home visiting programme has a significant effect on the prevalence of health problems and breast feeding behaviour of mothers who delivered normally and their healthy fullterm newborn babies, during a period of 42 days after delivery. Another aim was to compare the mothers', the(More)
OBJECTIVE To describe the routine care of women during normal labour and delivery, and the immediate care of newborn babies in Zambia at different levels of health care. DESIGN A descriptive survey carried out between July 1994 and January 1995. SETTING Eleven maternity facilities, one University teaching hospital, two urban health centres and eight(More)
STUDY OBJECTIVE The aim was to investigate the relationship between duration of breast feeding and growth of children. DESIGN The study was a survey of randomly selected clusters of households. SETTING The study was community based and took place in an urban township with a population of over 43,000 people in Lusaka, the capital city of Zambia. (More)