• Anaemia and its determinants among young children aged 6–23 months in Ethiopia (2005–2016) 

      Heinrichs, Helen; Endris, Bilal Shikur; Dejene, Tariku; Dinant, Geert-Jan; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-09-23)
      Anaemia in children remains a significant public health threat. Recent numbers from Ethiopia showed that more than two-thirds of children under the age of 2 years were anaemic. This study aimed to investigate the determinants of anaemia throughout Ethiopia over 11 years, making use of the Ethiopian Demographic and Health Survey (EDHS) rounds 2005, 2011 and 2016. The EDHS made it possible to use ...
    • Challenges and opportunities for general practice specific CME in Europe – a narrative review of seven countries 

      Löffler, Christin; Altiner, Attila; Blumenthal, Sandra; Bruno, Pascale; De Sutter, An; De Vos, Bart J.; Dinant, Geert-Jan; Duerden, Martin; Dunais, Brigitte; Egidi, Günther; Gibis, Bernhard; Melbye, Hasse; Rouquier, Frederic; Rosemann, Thomas; Touboul-Lundgren, Pia; Feldmeier, Gregor (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-11-07)
      Background - Several changes have led to general practitioners (GPs) working in a more differentiated setting today and being supported by other health professions. As practice changes, primary care specific continuing medical education (CME) may also need to adapt. By comparing different primary care specific CME approaches for GPs across Europe, we aim at identifying challenges and opportunities ...
    • Designing mHealth for maternity services in primary health facilities in a low-income setting - Lessons from a partially successful implementation 

      Shiferaw, Solomon; Workneh, Andualem; Yirgu, Robel; Dinant, Geert-Jan; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-11-12)
      <p><i>Background</i>: Increasing mobile phone ownership, functionality and access to mobile-broad band internet services has triggered growing interest to harness the potential of mobile phone technology to improve health services in low-income settings. The present project aimed at designing an mHealth system that assists midlevel health workers to provide better maternal health care services by ...
    • Does proximity of women to facilities with better choice of contraceptives affect their contraceptive utilization in rural Ethiopia? 

      Shiferaw, Solomon; Spigt, Mark; Seme, Assefa; Amogne, Ayanaw; Skrøvseth, Stein Olav; Desta, Selamawit; Radloff, Scott; Tsui, Amy; Dinant, Geert-Jan (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-11-13)
      Background:<br>There is limited evidence of the linkage between contraceptive use, the range of methods available and level of contraceptive stocks at health facilities and distance to facility in developing countries. The present analysis aims at examining the influence of contraceptive method availability and distance to the nearby facilities on modern contraceptive utilization among married women ...
    • The Effects of a Locally Developed mHealth Intervention on Delivery and Postnatal Care Utilization; A Prospective Controlled Evaluation among Health Centres in Ethiopia 

      Shiferaw, Solomon; Spigt, Marcus; Tekie, Michael; Abdullah, Muna; Fantahun, Mesganaw; Dinant, Geert-Jan (Journal article; Tidsskriftartikkel; Peer reviewed, 2016)
      Background Although there are studies showing that mobile phone solutions can improve health service delivery outcomes in the developed world, there is little empirical evidence that demonstrates the impact of mHealth interventions on key maternal health outcomes in low income settings. Methods A non-randomized controlled study was conducted in the Amhara region, Ethiopia in 10 health ...
    • Evaluation of the performance of clinical predictors in estimating the probability of pulmonary tuberculosis among smear-negative cases in Northern Ethiopia: A cross-sectional study 

      George, Mala; Dinant, Geert-Jan; Kentiba, Efrem; Teshome, Teklu; Teshome, Abinet; Tsegaye, Behailu; Spigt, Mark (Journal article; Tidsskriftartikkel, 2020-11-03)
      <i>Objectives</i> - To evaluate the performance of the predictors in estimating the probability of pulmonary tuberculosis (PTB) when all versus only significant variables are combined into a decision model (1) among all clinical suspects and (2) among smear-negative cases based on the results of culture tests.<p> <p><i>Design</i> - A cross-sectional study.<p> <p><i>Setting</i> - Two public ...
    • External validation of prediction models for pneumonia in primary care patients with lower respiratory tract infection: An individual patient data meta-analysis 

      Schierenberg, Alwin; Minnaard, Margaretha C.; Hopstaken, Rogier M.; Van De Pol, Alma C.; Broekhuizen, Berna D.L.; De Wit, Niek J.; Reitsma, Johannes B.; Van Vugt, Saskia F.; Graffelman, Aleida W.; Melbye, Hasse; Rainer, Timothy H.; Steurer, Johann; Holm, Anette; Gonzales, Ralph; Dinant, Geert-Jan; De Groot, Joris A.H.; Verheij, Theo J.M. (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-02-26)
      Background:<br> Pneumonia remains difficult to diagnose in primary care. Prediction models based on signs and symptoms (S&S) serve to minimize the diagnostic uncertainty. External validation of these models is essential before implementation into routine practice. In this study all published S&S models for prediction of pneumonia in primary care were externally validated in the individual patient ...
    • Geospatial inequality of anaemia among children in Ethiopia 

      Endris, Bilal Shikur; Dinant, Geert-Jan; Gebreyesus, Seifu H.; Spigt, Mark (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-10-28)
      Anaemia remains a severe public health problem among children in Ethiopia and targeted approaches, based on the distribution and specific risk factors for that setting are needed to efficiently target health interventions. An analysis was performed using Ethiopia Demographic and Health Survey 2016 data. Blood specimens for anaemia testing were collected from 9268 children aged 6-59 months. A child ...
    • Health workers' experiences, barriers, preferences and motivating factors in using mHealth forms in Ethiopia 

      Medhanyie, Araya Abrha; Little, Alex; Yebyo, Henock; Spigt, Marcus; Tadesse, Kidane; Blanco, Roman; Dinant, Geert-Jan (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-01-15)
      <p>Background: Mobile health (mHealth) applications, such as innovative electronic forms on smartphones, could potentially improve the performance of health care workers and health systems in developing countries. However, contextual evidence on health workers’ barriers and motivating factors that may influence large-scale implementation of such interfaces for health care delivery is ...
    • Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems 

      Gidding, Luc G; Spigt, Marcus; Dinant, Geert-Jan; Spigt (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-09-15)
      <p><i>Background</i>: Recognizing patients with psychological problems can be difficult for general practitioners (GPs). Use of information collected in electronic medical records (EMR) could facilitate recognition.</p> <p><i>Objectives</i>: To assess relevant EMR parameters in the decade before patients present with psychological problems.</p> <p><i>Methods</i>: Exploratory case-control study ...
    • Risk factors of anemia among preschool children in Ethiopia: a Bayesian geo-statistical model 

      Endris, Bilal Shikur; Dinant, Geert-Jan; Hagos, Seifu; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-07)
      Background - The etiology and risk factors of anemia are multifactorial and varies across context. Due to the geospatial clustering of anemia, identifying risk factors for anemia should account for the geographic variability. Failure to adjust for spatial dependence whilst identifying risk factors of anemia could give spurious association. We aimed to identify risk factors of anemia using a Bayesian ...
    • Tuberculosis case detection by trained inmate peer educators in a resource-limited prison setting in Ethiopia: a cluster-randomised trial 

      Adane, Kelemework; Spigt, Marcus; Winkens, Bjorn; Dinant, Geert-Jan (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-02-26)
      <i>Background</i> - To improve tuberculosis case detection, interventions that are feasible with available resources are needed. We investigated whether involving trained prison inmates in a tuberculosis control programme improved tuberculosis case detection, shortened pre-treatment symptom duration, and increased treatment success in a resource-limited prison setting in Ethiopia.<p><p> <i>Me ...
    • Tuberculosis treatment outcome and predictors in northern Ethiopian prisons: A five-year retrospective analysis 

      Adane, Kelemework; Spigt, Marcus; Dinant, Geert-Jan (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-02-20)
      <p><i>Background</i>: The prison situations are notorious for causing interruptions of tuberculosis (TB) treatment and occurrence of unfavorable outcomes. In Ethiopian prisons, though TB treatment programs exist, treatment outcome results and factors contributing to unsuccessful outcome are not well documented. In this study, we assessed the treatment outcome of TB cases and identified risk factors ...