Julius Chacha Mwita
A5077156965- Diabetes, Cardiovascular Risks, and Lipoproteins
- Antibiotic Use and Resistance
- Heart Failure Treatment and Management
- Atrial Fibrillation Management and Outcomes
- Infective Endocarditis Diagnosis and Management
- Congenital Heart Disease Studies
- Pharmaceutical Practices and Patient Outcomes
- Lipoproteins and Cardiovascular Health
- Streptococcal Infections and Treatments
- HIV/AIDS Research and Interventions
- HIV-related health complications and treatments
- Venous Thromboembolism Diagnosis and Management
- Patient Satisfaction in Healthcare
- Otolaryngology and Infectious Diseases
- Global Maternal and Child Health
- Chronic Disease Management Strategies
- Global Public Health Policies and Epidemiology
- Blood Pressure and Hypertension Studies
- Diabetes Treatment and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiovascular Health and Risk Factors
- Surgical site infection prevention
- Frailty in Older Adults
- Diabetes Management and Research
- Health Systems, Economic Evaluations, Quality of Life
University of Botswana
2016-2025
Invictus Medical (United States)
2024
Princess Margaret Hospital
2022
King Saud bin Abdulaziz University for Health Sciences
2021
Imam Mohammad ibn Saud Islamic University
2021
Stellenbosch University
2019-2020
University of Strathclyde
2019
Muhimbili University of Health and Allied Sciences
2010-2013
Introduction There are positive aspects regarding the prescribing of fixed dose combinations (FDCs) versus medicines separately. However, these have to be balanced against concerns including increased costs and their irrationality in some cases. Consequently, there is a need review value among lower- middle-income countries (LMICs) which greatest prevalence both infectious noninfectious diseases issues affordability.Areas covered Review potential advantages, disadvantages,...
There are serious concerns with rising antimicrobial resistance (AMR) across countries increasing morbidity, mortality and costs. These have resulted in a plethora of initiatives globally nationally including national action plans (NAPs) to reduce AMR. Africa is no exception, especially the highest rates AMR globally. Key activities NAPs include gaining greater understanding current utilization patterns through point prevalence surveys (PPS) subsequently instigating stewardship programs...
The introduction of effective vaccines in December 2020 marked a significant step forward the global response to COVID-19. Given concerns with access, acceptability, and hesitancy across Africa, there is need describe current status vaccine uptake continent. An exploratory study was undertaken investigate these aspects, challenges, lessons learnt Africa provide future direction. Senior personnel 14 African countries completed self-administered questionnaire, descriptive analysis data....
Background: Multiple measures introduced early to restrict COVID-19 have dramatically impacted the teaching of medical and pharmacy students, exacerbated by lack infrastructure experience with e-learning at start pandemic. In addition, costs reliability Internet across Africa pose challenges alongside undertaking clinical practical programmes. Consequently, there is a need understand many how these were addressed, given increasingly complex patients, provide future direction. Method: An...
Rheumatic heart disease (RHD) remains a public health issue in low- and middle-income countries (LMICs). However, there are few large studies enrolling individuals from multiple endemic countries.
Antibiotic prophylaxis in surgery is known to reduce the rate of surgical site infections (SSI) as well shorten hospital stay. However, there currently a scarcity data on antibiotic and SSIs among African countries including Botswana. Consequently, this study aimed address this.A prospective involving 400 patients was carried out at leading tertiary Botswana from 2014-2015. Patients' demographic information, type performed peri-operative use antibiotics were documented. All enrolled...
Currently about 19 million people in Africa are known to be living with diabetes, mainly Type 2 diabetes (T2DM) (95%), estimated grow 47 by 2045. However, there concerns early diagnosis of patients 1 (T1DM) as often present late complications. There also challenges access and affordability insulin, monitoring equipment test strips typically high patient co-payments, which can catastrophic for families. These negatively impact on the quality care T1DM increasing morbidity mortality. issues...
Warfarin treatment requires regular and proper monitoring to avoid overanticoagulation at the same time prevent thromboembolic complications. This study assessed quality of warfarin anticoagulation Princess Marina Hospital in Botswana. cross-sectional consecutively enrolled patients who were on for least 3 months outpatient medical clinic. The level was determined by therapeutic range (TTR) using Rosendaal method that calculates percentage days when international normalized ratio is...
Abstract Background Asthma is a common chronic disease of childhood that associated with significant morbidity and mortality. We aimed to estimate the prevalence asthma among secondary school pupils in urban rural areas coast districts Tanzania. The study also describe pupils’ perception towards asthma, assess their knowledge on symptoms, triggers, treatment asthma. Methods A total 610 from Ilala district 619 Bagamoyo formed groups, respectively. Using modified International Study Allergies...
This was a cross-sectional study designed to assess the validity of Finnish Diabetes Risk Score for detecting undiagnosed type 2 diabetes among general medical outpatients in Botswana. Participants aged ≥20 years without previously diagnosed were screened by (1) an 8-item risk assessment questionnaire and (2) Haemoglobin A1c test. Data from 291 participants analyzed (74.2% females). The mean age 50.1 (SD = ±11) years, prevalence 42 (14.4%) with no significant differences between gender (20%...
Heart failure is a common cause of hospitalisation and therefore contributes to in-hospital outcomes such as mortality. In this study we describe patient characteristics acute heart (AHF) in Botswana.
Control of glycaemic, hypertension and low-density lipoprotein-cholesterol (LDL-C) among patients with type 2 diabetes mellitus (T2DM) is vital for the prevention cardiovascular diseases. The current study was an audit LDL-C control ambulant T2DM in Botswana. Also, aimed at assessing factors associated attaining optimal therapeutic goals.A cross-sectional study.A specialised public clinic Gaborone, Botswana.Patients who had attended ≥3 months between August 2017 February 2018.The proportion...
There is evidence of statin benefit among patients with diabetes regardless cholesterol levels or prior cardiovascular disease history. Despite the evidence, there under-prescription statins in clinical practice. This study aimed to assess prescriptions and associated factors type 2 Botswana.The was a secondary data analysis 500 randomly selected at specialised clinic Gaborone, Botswana. We assessed proportion statin-eligible who are prescribed evaluated adjusted associations between various...