The Psychological Impact of Child Sexual Abuse on Primary Caregivers


Research on child sexual abuse (CSA) suggests that support and protection from the caregiver provide the child an effective platform for quick recovery and improvement in mental health and social functioning.  Nonetheless, not all caregivers are supportive of survivors; recent research findings, instead, show that incidents of CSA have debilitating psychological impact on survivors’ caregivers which impair their functioning.

Successful Multi-partner Response to a Cholera Outbreak in Lusaka, Zambia 2016: A Case Control Study


Background: A Cholera outbreak was reported in Lusaka District between February and May 2016, with 1,079 cases and 20 deaths recorded in the per-urban areas. Bauleni catchment area alone reported 441 (40.9%) case patients with case fatality rate of 4 (0.9%). Bauleni clinic was one of the three established cholera treatment centres (CTC) and other two being Kanyama and Matero Health Centres.  Ministry of Health engaged partners that conducted a multi-intervention response to the outbreak.

Relationship between Serum Zinc Levels and Preeclampsia at the University Teaching Hospital, Lusaka, Zambia


Background: Preeclampsia is one of the common conditions in the pregnant mothers in Zambia. This condition has been shown in some studies to be associated with increased oxidative stress. This study aimed at evaluating the association of zinc, an important cofactor in the antioxidant metalloproteins in the aetiology of preeclampsia. 

The Spectrum of Renal Diseases in HIV Infected Adults Presenting with Renal Insufficiency at the University Teaching Hospital Lusaka


Background: The spectrum of renal diseases in HIV infected adults undergoing biopsy is vast. Previous studies have indicated that HIV-associated nephropathy (HIVAN) is the commonest diagnosis in HIV-infected patients presenting with renal insufficiency. More than 90% of patients with HIVAN are black. The natural history of the renal diseases associated with HIV infection has been radically changed by antiretroviral therapy.

Non-Invasive Ventilation in HIV Positive patients with Sepsis and Respiratory Failure at the UTH, Lusaka, Zambia


Background: Sepsis due to respiratory disease is one of the main complications of HIV/AIDS. Audit data from the Department of Internal Medicine at the University Teaching Hospital in Lusaka, Zambia indicate that pneumonia and tuberculosis in HIV represent two of the four leading causes of death. The mortality rate has remained high despite the advances made in antimicrobial spectrum.

Transformation Agenda of World Health Organization Regional Office for Africa to the Zambian context

The focus of this special issue of the Medical Journal of Zambia is to showcase the progress made by the World Health Organization (WHO) Country Office for Zambia in domesticating the Transformation Agenda (TA) of the WHO Regional Office for Africa. This TA is the regional vision to fast track implementation of the global WHO reform. The introduction of this Transformation Agenda is timely and smoothly dovetails with the on going implementation of the national Zambia development transformation is a robust process that facilitates effective implementation of the Regional Agenda within WHO.

Adaptable Lessons Learnt on Procurement from Deployment to a Deadly Emergency Outbreak: The Case of Sierra Leone during Ebola Outbreak 2015


Background:  The WHO has standard operating procedures for procurement, travel and logistics for use at country level.   Some of the guidance is waived during public health emergencies of international concern. Practical acumen on using the standards for emergency settings is limited at country level. WHO Zambia was one of the countries that responded to the call by WHO HQ to support the 2014 Ebola outbreak in West Africa. This paper aims to document lessons learnt by procurement staffs that were deployed to emergency settings.