Research articles (Dept of Family Medicine & Public Health)http://hdl.handle.net/10311/12622024-03-28T04:49:29Z2024-03-28T04:49:29ZThe Impact of China’s lockdown policy on the incidence of COVID-19: an interrupted time series analysisMolefi, MooketsiTlhakanelo, John T.Phologolo, ThaboHamda, Shimeles G.Masupe, TinyTsima, BillySetlhare, VincentMashalla, YohanaWiebe, Douglas J.http://hdl.handle.net/10311/24782023-01-17T00:01:26Z2021-10-28T00:00:00ZThe Impact of China’s lockdown policy on the incidence of COVID-19: an interrupted time series analysis
Molefi, Mooketsi; Tlhakanelo, John T.; Phologolo, Thabo; Hamda, Shimeles G.; Masupe, Tiny; Tsima, Billy; Setlhare, Vincent; Mashalla, Yohana; Wiebe, Douglas J.
Background. Policy changes are often necessary to contain the detrimental impact of epidemics such as those brought about by coronavirus disease (COVID-19). In the earlier phases of the emergence of COVID-19, China was the first to impose strict restrictions on movement (lockdown) on January 23rd, 2020. A strategy whose effectiveness in curtailing COVID-19 was yet to be determined. We, therefore, sought to study the impact of the lockdown in reducing the incidence of COVID-19. Methods. Daily cases of COVID-19 that occurred in China which were registered between January 12th and March 30th, 2020, were extracted from the Johns Hopkins CSSE team COVID-19 ArcGIS® dashboards. Daily cases reported were used as data points in the series. Two interrupted series models were run: one with an interruption point of 23 January 2020 (model 1) and the other with a 14-day deferred interruption point of 6th February (model 2). For both models, the magnitude of change (before and after) and linear trend analyses were measured, and β-coefficients reported with 95% confidence interval (CI) for the precision. Results. Seventy-eight data points were used in the analysis. There was an 11% versus a 163% increase in daily cases in models 1 and 2, respectively, in the preintervention periods (). Comparing the period immediately following the intervention points to the counterfactual, there was a daily increase of 2,746% () versus a decline of 207% () in model 2. However, in both scenarios, there was a statistically significant drop in the daily cases predicted for this data and beyond when comparing the preintervention periods and postintervention periods (). Conclusion. There was a significant decrease the COVID-19 daily cases reported in China following the institution of a lockdown, and therefore, lockdown may be used to curtail the burden of COVID-19.
NB: Some scientific formulas or symbols may not appear as they are on the original document
2021-10-28T00:00:00ZUniversity of Botswana Public Health Medicine Unit contributions to the national COVID-19 responseSiamisang, KeatlaretseKebadiretse, DineoMasupe, Tinyhttp://hdl.handle.net/10311/24772023-01-17T00:01:03Z2021-05-27T00:00:00ZUniversity of Botswana Public Health Medicine Unit contributions to the national COVID-19 response
Siamisang, Keatlaretse; Kebadiretse, Dineo; Masupe, Tiny
COVID-19 was declared a Public Health Emergency of International Concern (PHEIC) in January 2020 and a pandemic in March 2020. Botswana reported its first case on 30th March 2020 and as of 31st January 2021 had 21,293 cases and 46 deaths. The University of Botswana Public Health Medicine Unit has made significant contributions to the national preparedness and response to COVID-19. The program alumni and Public Health Medicine residents have and continue to provide key technical support to the Ministry of Health and Wellness across the major pillars of COVID-19. This includes key roles in national and subnational coordination and planning, surveillance, case investigations and rapid response teams, points of entry, travel and transportation, infection prevention and control and case management. The unit is thus supporting the country in achieving the World Health Organization (WHO) primary objective of limiting human-to-human transmission, optimal care of the affected and maintaining essential services during the outbreak. The Public Health Medicine Unit has played a key role in capacity building including early rapid COVID-19 training of healthcare workers across the country. Furthermore faculty members and residents are involved in several COVID-19 research projects and collaborations.
2021-05-27T00:00:00ZPatient-centredness: meaning and propriety in the Botswana, African and non-Western contextsSetlhare, VincentCouper, IanWright, Annehttp://hdl.handle.net/10311/22652022-01-13T00:00:56Z2014-02-20T00:00:00ZPatient-centredness: meaning and propriety in the Botswana, African and non-Western contexts
Setlhare, Vincent; Couper, Ian; Wright, Anne
Patient-centredness is a key principle in Family Medicine. It is covered in a Family Medicine textbook by McWhinney and textbooks edited by Goh et al., Rakel and Rakel3 and Mash and Blitz-Lindeque, to name but a few. Patient-centredness (PC) is an extension of the biopsychosocial approach to patient care which was championed by Engel.
The term ‘patient-centredness’ was coined by Balint to emphasise that patients should be treated as unique individuals and was used initially to describe how physicians should interact and communicate with patients. From highlighting and emphasising the patient’s agenda and appropriate communication skills in doctor–patient interactions, PC grew to include optimal patient–healthcare system interactions. This established the meaning of PC which was distilled by McWhinney as ‘seeing the illness through the patient’s eyes’.
A method of practising PC was then described as paying attention to ‘patients’ cues and behaviour’ and also referred to need for the physician to provide an environment that is conducive to patients’ full and free expression.8 Others outlined the method as ‘exploring the illness experience, understanding the whole person, finding common ground regarding management, incorporating prevention and health promotion, enhancing the doctor–patient relationship, and being realistic about the doctor’s personal limitations’.9 Variations of this method are described and they have a similar outline.
2014-02-20T00:00:00ZReflections on primary health care and family medicine in BotswanaSetlhare, Vincenthttp://hdl.handle.net/10311/22612022-01-13T00:00:45Z2014-08-14T00:00:00ZReflections on primary health care and family medicine in Botswana
Setlhare, Vincent
Primary Care should be the ‘central function and main focus of a country’s health system‘.The Ouagadougu Declaration similarly states that the vehicle for achieving the Millennium Development Goals and addressing the health of African nations is Primary Health Care (PHC).
2014-08-14T00:00:00Z