Hazel Bradley - Academia.edu (original) (raw)

Papers by Hazel Bradley

The Lancet Global Health, 2019

Journal of Hypertension, 2006

The International Journal of Tuberculosis and Lung Disease, 2020

INTRODUCTION: Asthma is a chronic condition affecting between 300 and 400 million people worldwid... more INTRODUCTION: Asthma is a chronic condition affecting between 300 and 400 million people worldwide. Studies have shown that asthma symptoms can be controlled by the daily use of inhaled corticosteroids (ICS). The management of asthma varies in different settings.METHODS: Asthma management in 13 sub-Saharan African countries was compared to the 2018 Global Initiative for Asthma (GINA) guidelines and the 20th WHO model list of essential medicines (2019). A table with predefined criteria extracted from the international guidelines was used to analyse the content and compare the different treatment guidelines using an Excel spreadsheet.RESULTS: There are variations in the way asthma is diagnosed and treated in different countries. Countries with older treatment guidelines do not have a stepwise approach to assessing severity as stipulated by GINA. Of the 13 countries, only 46% have inhaled ICS at the primary level, 38% have ICS at the secondary level and 16% do not specify.CONCLUSION: T...

The International Journal of Tuberculosis and Lung Disease, 2020

INTRODUCTION: Asthma is a chronic condition affecting between 300 and 400 million people worldwid... more INTRODUCTION: Asthma is a chronic condition affecting between 300 and 400 million people worldwide. Studies have shown that asthma symptoms can be controlled by the daily use of inhaled corticosteroids (ICS). The management of asthma varies in different settings.METHODS: Asthma management in 13 sub-Saharan African countries was compared to the 2018 Global Initiative for Asthma (GINA) guidelines and the 20th WHO model list of essential medicines (2019). A table with predefined criteria extracted from the international guidelines was used to analyse the content and compare the different treatment guidelines using an Excel spreadsheet.RESULTS: There are variations in the way asthma is diagnosed and treated in different countries. Countries with older treatment guidelines do not have a stepwise approach to assessing severity as stipulated by GINA. Of the 13 countries, only 46% have inhaled ICS at the primary level, 38% have ICS at the secondary level and 16% do not specify.CONCLUSION: T...

The purpose of the study was to assess factors contributing to poor performance of Directly Obser... more The purpose of the study was to assess factors contributing to poor performance of Directly Observed Treatment Short-Course (DOTS) in Mopani district of Limpopo Province, South Africa. An exploratory qualitative approach was used to investigate the factors that contribute to poor performance of the DOTS Strategy. Four focus group discussions were conducted, two with Directly Observed Therapy (DOT) Supporters and two with patients on treatment for more than 6 months. The focus groups (4) discussions were tape-recorded. Data collected were descriptively analyzed using thematic methods. The patients generally found supervision of TB treatment helpful as they were motivated and encouraged to continue treatment. Some of the aspects identified as being unhelpful were the inconvenient times for treatment support and stigma due TB supporters ’ visit to patients home. Patients often preferred family members as supporters, whereas health workers favoured trained volunteers as DOT supporters. ...

SA Pharmaceutical Journal, 2011

This year, the SAAHIP Conference workshop focused on improving the quality of pharmaceutical serv... more This year, the SAAHIP Conference workshop focused on improving the quality of pharmaceutical services. This should be an aspiration of all SAAHIP pharmacists, and is equally applicable in the varied areas in which SAAHIP members work. This includes pharmacists who work in the public and private sectors, in tertiary and district hospitals, community health centres, and primary care clinics, as well as in management and policy-making settings. Improving the quality of health care is the central purpose of the Department of Health’s initiative to introduce National Core Standards for Health Establishments in South Africa. 1,2 The National Core Standards correspond with the National Department of Health’s strategic plan for 2009/2012, and the 10-Point Plan of 2009-2014, which highlight “improving the quality of health services” and “the establishment of a quality management and accreditation body” respectively. 1

The study was both a prospective and retrospective cross-sectional descriptive study. The aim of ... more The study was both a prospective and retrospective cross-sectional descriptive study. The aim of the study was to assess the rational use and availability of antimicrobials at primary level health facilities under the Lusaka district community health office, Zambia. Using the WHO methodology and standard indicators of rational medicines use, this study analyzed 800 patient encounters, 520 medicines inventory records, and other baseline data, from 20 small, medium and large designated primary healthcare facilities under the Lusaka district community health office, in Zambia. The results of the study demonstrated irrational prescribing and dispensing of medicines at the 20 health centers, and a need for appropriate interventions.

SA Pharmaceutical Journal, 2016

This year the SAAHIP Conference workshop introduced delegates to current challenges and innovatio... more This year the SAAHIP Conference workshop introduced delegates to current challenges and innovations related to improving access to and use of medicines for chronic non-communicable diseases (NCDs) in South Africa. This topic is of relevance to pharmacists working in hospitals and institutions in a variety of settings in both the public and private sectors across South Africa.

The Lancet Global Health, 2019

Journal of Hypertension, 2006

The International Journal of Tuberculosis and Lung Disease, 2020

INTRODUCTION: Asthma is a chronic condition affecting between 300 and 400 million people worldwid... more INTRODUCTION: Asthma is a chronic condition affecting between 300 and 400 million people worldwide. Studies have shown that asthma symptoms can be controlled by the daily use of inhaled corticosteroids (ICS). The management of asthma varies in different settings.METHODS: Asthma management in 13 sub-Saharan African countries was compared to the 2018 Global Initiative for Asthma (GINA) guidelines and the 20th WHO model list of essential medicines (2019). A table with predefined criteria extracted from the international guidelines was used to analyse the content and compare the different treatment guidelines using an Excel spreadsheet.RESULTS: There are variations in the way asthma is diagnosed and treated in different countries. Countries with older treatment guidelines do not have a stepwise approach to assessing severity as stipulated by GINA. Of the 13 countries, only 46% have inhaled ICS at the primary level, 38% have ICS at the secondary level and 16% do not specify.CONCLUSION: T...

The International Journal of Tuberculosis and Lung Disease, 2020

INTRODUCTION: Asthma is a chronic condition affecting between 300 and 400 million people worldwid... more INTRODUCTION: Asthma is a chronic condition affecting between 300 and 400 million people worldwide. Studies have shown that asthma symptoms can be controlled by the daily use of inhaled corticosteroids (ICS). The management of asthma varies in different settings.METHODS: Asthma management in 13 sub-Saharan African countries was compared to the 2018 Global Initiative for Asthma (GINA) guidelines and the 20th WHO model list of essential medicines (2019). A table with predefined criteria extracted from the international guidelines was used to analyse the content and compare the different treatment guidelines using an Excel spreadsheet.RESULTS: There are variations in the way asthma is diagnosed and treated in different countries. Countries with older treatment guidelines do not have a stepwise approach to assessing severity as stipulated by GINA. Of the 13 countries, only 46% have inhaled ICS at the primary level, 38% have ICS at the secondary level and 16% do not specify.CONCLUSION: T...

The purpose of the study was to assess factors contributing to poor performance of Directly Obser... more The purpose of the study was to assess factors contributing to poor performance of Directly Observed Treatment Short-Course (DOTS) in Mopani district of Limpopo Province, South Africa. An exploratory qualitative approach was used to investigate the factors that contribute to poor performance of the DOTS Strategy. Four focus group discussions were conducted, two with Directly Observed Therapy (DOT) Supporters and two with patients on treatment for more than 6 months. The focus groups (4) discussions were tape-recorded. Data collected were descriptively analyzed using thematic methods. The patients generally found supervision of TB treatment helpful as they were motivated and encouraged to continue treatment. Some of the aspects identified as being unhelpful were the inconvenient times for treatment support and stigma due TB supporters ’ visit to patients home. Patients often preferred family members as supporters, whereas health workers favoured trained volunteers as DOT supporters. ...

SA Pharmaceutical Journal, 2011

This year, the SAAHIP Conference workshop focused on improving the quality of pharmaceutical serv... more This year, the SAAHIP Conference workshop focused on improving the quality of pharmaceutical services. This should be an aspiration of all SAAHIP pharmacists, and is equally applicable in the varied areas in which SAAHIP members work. This includes pharmacists who work in the public and private sectors, in tertiary and district hospitals, community health centres, and primary care clinics, as well as in management and policy-making settings. Improving the quality of health care is the central purpose of the Department of Health’s initiative to introduce National Core Standards for Health Establishments in South Africa. 1,2 The National Core Standards correspond with the National Department of Health’s strategic plan for 2009/2012, and the 10-Point Plan of 2009-2014, which highlight “improving the quality of health services” and “the establishment of a quality management and accreditation body” respectively. 1

The study was both a prospective and retrospective cross-sectional descriptive study. The aim of ... more The study was both a prospective and retrospective cross-sectional descriptive study. The aim of the study was to assess the rational use and availability of antimicrobials at primary level health facilities under the Lusaka district community health office, Zambia. Using the WHO methodology and standard indicators of rational medicines use, this study analyzed 800 patient encounters, 520 medicines inventory records, and other baseline data, from 20 small, medium and large designated primary healthcare facilities under the Lusaka district community health office, in Zambia. The results of the study demonstrated irrational prescribing and dispensing of medicines at the 20 health centers, and a need for appropriate interventions.

SA Pharmaceutical Journal, 2016

This year the SAAHIP Conference workshop introduced delegates to current challenges and innovatio... more This year the SAAHIP Conference workshop introduced delegates to current challenges and innovations related to improving access to and use of medicines for chronic non-communicable diseases (NCDs) in South Africa. This topic is of relevance to pharmacists working in hospitals and institutions in a variety of settings in both the public and private sectors across South Africa.