scholarly journals Adherence to Integrated Management of Childhood Illnesses Guideline in Treating South Sudanese Children with Cough or Difficulty in Breathing

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Jonathan Izudi ◽  
Stanley Anyigu ◽  
David Ndungutse
Keyword(s):  
Health Workers ◽  
Integrated Management ◽  
South Sudan ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significance Level ◽  
Childhood Illnesses ◽  
South Sudanese ◽  
Academic Qualifications ◽  
Structured Questionnaire

Background. Pneumonia substantially kills children aged 2–59 months in South Sudan. However, information on health workers adherence to Integrated Management of Childhood Illnesses (IMCI) guideline in treating children with cough/difficulty in breathing remains scarce. This study assessed factors associated with adherence to IMCI guideline in Aweil East County, South Sudan. Methods. This cross-sectional study involved 232 health workers from 36 health facilities. Data collected using structured questionnaire and checklist was double-entered in EpiData and analyzed with STATA at 5% significance level using logistic regression. Results. Respondents mean age was 32.41±7.0 years, 154 (66.4%) were males, 104 (44.8%) reached secondary education, and 190 (81.9%) had certificate. 23 (9.9%, 95% CI: 6.4–14.5) adhered to IMCI guideline. Holding diploma (adjusted odds ratio (AOR) = 6.97; 95% Confidence Interval (CI): 1.82–26.67; P=0.005), shorter time to follow guideline steps (AOR = 12.0; 95% CI: 2.73–61.66; P<0.001), and nondifficult use (AOR = 27.7; 95% CI: 5.40–142.25; P<0.001) were associated with adherence. Conclusion. Adherence was low. Academic qualifications, guideline complexity, and availability of IMCI drugs were associated factors.

scholarly journals Knowledge and Implementation of Integrated Management of Childhood Illness at East Kalimantan

2018 ◽  
Vol 14 (2) ◽  
pp. 163-171
Author(s):  
Fatma Zulaikha ◽  
Rina Triasih ◽  
Purwanta Purwanta
Keyword(s):  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Integrated Management ◽  
Community Health Center ◽  
Cross Sectional Study ◽  
Childhood Illness ◽  
Morbidity And Mortality ◽  
Cross Sectional ◽  
Implementation Quality

Pneumonia is the most common cause of morbidity and mortality among young children worldwide. Integrated Management of Childhood Illness (IMCI) is a procedural form in the care of childhood illness which aims to minimize morbidity and mortality rate in children, including pneumonia. This was a cross-sectional study at Samarinda and Kutai Kartanegara community health center from July to October 2015. The health workers’ knowledge was assessed through questionnaire. The quality of IMCI implementation was evaluated through direct observation in primary health care. A total of 46 health workers were involved in this study. Observation of IMCI implementation quality was conducted in 104 children. The majority of respondents (73.9) had sufficient knowledge; however, in terms of direct implementation on the field, most of the respondents (87%) were included in incompetent category. It can be concluded that level of knowledge was related to implementation of cough IMCI in community health center, but the correlation was weak.

scholarly journals Exploring fear of COVID-19 and its correlates among older adults in Bangladesh

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Sabuj Kanti Mistry ◽  
A. R. M. Mehrab Ali ◽  
Farhana Akther ◽  
Uday Narayan Yadav ◽  
Mark F. Harris
Keyword(s):  
Older Adults ◽  
Health Workers ◽  
Psychological Needs ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
Effective Strategies ◽  
Related Information ◽  
Cumulative Score ◽  
Structured Questionnaire

Abstract Objective This study was aimed to assess the perceived fear of COVID-19 and its associated factors among older adults in Bangladesh. Methods This cross-sectional study was conducted in October 2020 among 1032 older Bangladeshi adults aged ≥60 years. A semi-structured questionnaire was used to collect information on participants’ characteristics and COVID-19 related information. Perceived fear of COVID-19 was measured using the seven-item Fear of COVID-19 Scale (FCV-19S), where the cumulative score ranged from 7 to 35. Multiple linear regression was performed to identify factors associated with perceived fear of COVID-19. Results The mean fear score was 19.4. Participants who were concerned about COVID-19 (β: 2.75, 95% CI: 1.71 to 3.78) and overwhelmed by COVID-19 (β: 3.31, 95% CI: 2.33 to 4.29) were significantly more likely to be fearful of COVID-19. Moreover, older adults who felt themselves isolated from others and whose close friends and family members were diagnosed with COVID-19 were more fearful. However, the participants who received COVID-19 related information from the health workers had a lower level of fear (β: -1.90, 95% CI: − 3.06 to − 0.73). Conclusions The presence of overwhelming fear of COVID-19 among the older adults of Bangladesh underlines the psychological needs of these vulnerable groups. Health workers have a key role in addressing these needs and further research is needed to identify the effective strategies for them to use.

scholarly journals THE CORRELATION OF FAMILY SUPPORT AND HEALTH WORKER SUPPORT WITH MEDICATION ADHERENCE OF TB PATIENTS AT PUSKESMAS (PUBLIC HEALTH SERVICE) TAMAN

2020 ◽  
Vol 9 (2) ◽  
pp. 41
Author(s):  
Yuliani Puji Lestari ◽  
Tintin Sukartini ◽  
Makhfudli Makhfudli
Keyword(s):  
Medication Adherence ◽  
Family Support ◽  
Health Worker ◽  
Health Workers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Significance Level ◽  
Worker Support

Introduction: Tuberculosis (TB) is a world health problem. This study aims to determine the relationship between family support and health worker support with adherence to taking medication for TB patients at Puskesmas Taman.Method: The research design used was a cross sectional study. The number of samples of 50 respondents used purposive sampling technique. The independent variables were family support, health worker support. The dependent variable was medication adherence. Data were collected using a questionnaire and analyzed using the Spearman rho test with a significance level of α <0.05.Result: It was found that there was a relationship between family support (p = 0.001) and support from health workers (p = 0.001) with adherence to taking medication in TB patients at TB health centers.Conclusion: Adherence to taking medication is related to family support and support from health workers. In providing interventions regarding adherence to taking medication for TB patients, it is expected that they can pay attention to the functions of the family and health workers so that the intervention can run optimally and the prevalence of TB decreases. 

scholarly journals DETERMINANTS OF BREASTFEEDING EXCLUSIVE IN THE WORKING AREA OF RUMBIA HEALTH CENTER, BOMBANA REGENCY: A CROSS SECTIONAL STUDY

NSC Nursing ◽  
2021 ◽  
pp. 1-19
Author(s):  
Asnidawati Asnidawati ◽  
Wa Ode Salma ◽  
Adius Kusnan
Keyword(s):  
Health Center ◽  
Family Support ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Cross Sectional Study ◽  
World Health ◽  
P Value ◽  
Cross Sectional ◽  
Significance Level ◽  
Health Organization

Background: Breast’s milk is an excellent food for the growth and development of infants. The United Nations Children's Funds (UNICEF) and the World Health Organization (WHO) recommend that children only be exclusively breastfed for six months and continued until two years. This study analyzes the effect of family support, health workers, and socio-culture on exclusive breastfeeding in the working area of the Rumbia Health Center, Rumbia District, Bombana Regency. Methods: This study involved 86 mothers who had babies aged 0-6 months who were registered and domiciled in the working area of the Rumbia Health Center spread over 4 Kelurahan and 1 Village, which were selected by purposive sampling using a cross-sectional design from February to April 2021. Data analysis using odds ratio (OR) and logistic regression at significance level < 0.05. Results: The largest age group in the range of 20-35 years, as many as 68 people (79.1%), undergraduate as many as 32 people (37.2%), and income above Rp. 2.552.014, - / month as many as 60 people (69.8%). The results showed an effect of family support on exclusive breastfeeding (p = 0.002<0.05). There is no influence of socio-cultural factors on exclusive breastfeeding (p = 0.282>0.05) and the results of multivariate analysis of the most dominant variables associated with exclusive breastfeeding in the working area of Rumbia Health Center District Rumbia Bombana Regency is supported by health workers with an OR = 9.199 (p-value = 0.039<0.05). Conclusions: This study concludes that the support of health workers plays a very important role in exclusive breastfeeding to infants aged six months, which can impact improving the health of toddlers. Keywords: Determinant, breastfeeding exclusive, toddler, mother

scholarly journals Determinants of awareness regarding immunization among parents of children residing in an urban slum of a metro city

2018 ◽  
Vol 5 (9) ◽  
pp. 4037
Author(s):  
Sandeep S. Hedaoo ◽  
Swati R. Deshpande ◽  
Vijay L. Badge
Keyword(s):  
Health Workers ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Accurate Information ◽  
Health Providers ◽  
Immunization Program ◽  
Cross Sectional ◽  
National Immunization ◽  
One Year ◽  
Structured Questionnaire

Background: Many families lack accurate information and knowledge about need for immunization, the need for subsequent dose(s), and the importance of completing the entire immunization schedule. Considering this fact present study was undertaken to identify the factors influencing knowledge of parents regarding immunization.Methods: It’s a cross sectional study conducted for a period of one year in an urban slum area of Malad, Mumbai. Children aged 12-24 months in the study area were included and their parents interviewed using semi structured questionnaire which was validated with the help of a pilot study.Results: Ninety seven percent respondents had heard about immunization. Only 2.8% of them were not aware about immunization. Total 30.5% of respondents could correctly identify the purpose of immunization i.e. protection of child from disease. Almost 65.2% of them did not know vaccines given under national immunization program. Fever (72.3%) was commonest side effect reported by respondents followed by swelling (38.3%). Reasons for lack of knowledge were ignorance about immunization (31.0%), followed by enough information was not received from health providers (24.1%).Conclusions: Knowledge regarding immunisation is very poor among the residents of urban slums of Mumbai. IEC material regarding immunization should be displayed in waiting areas of immunization clinic and several strategic places in the community. There is a need for additional training or capacity building of health workers to improve their attitudes towards clients, and to strengthen their ability to counsel regarding immunization.

scholarly journals Knowledge and attitude towards mental disorders among adults in an urban community in south-west Nigeria

2020 ◽  
Vol 32 (2) ◽  
pp. 87-94
Author(s):  
Iyanuoluwa Mojiminiyi
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Health Workers ◽  
Treatment Options ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
South West

BackgroundMental disorders are one of the most ignored public health issues worldwide. However, the burden associated with mental disorders is ever increasing and poses a major threat to health, social interactions and the economy of both developed and developing countries.Aim To assess the knowledge of adults residing in an urban local government area in Lagos, south-west Nigeria, with regards to mental health and investigate their attitudes towards this condition.Methods This was a descriptive cross-sectional study. Multi-stage sampling was used to select 242 adults who were subsequently interviewed with a structured questionnaire. Data was collected and analysed using Epi Info statistical software version 7. Associations between socio-demographic variables and the knowledge and attitudes of subjects with regards to mental disorders were assessed using chi-square tests at a significance level of 0.05. ResultsAlmost all respondents (95.5%) in this study were aware of mental disorders while 31.0% were related to someone with a mental disorder. Approximately half of the respondents (51.2%) had poor knowledge of mental disorders while the majority (90.0%) had positive attitudes. There was a significant and positive association between having a relative with a mental disorder and the level of knowledge (P=0.010).ConclusionAnalyses identified knowledge gaps in the community in terms of mental disorders in the community. We recommend that health workers should develop ways to educate the community with regards to the causes, symptoms, effects and treatment options for mental disorders.

scholarly journals Competency of peripheral health workers in detection & management of common syndromic conditions under surveillance, North 24 Parganas, West Bengal, India, 2016: a cross-sectional study

2017 ◽  
Vol 2 ◽  
Author(s):  
F. Debnath ◽  
T. Bhatnagar ◽  
L. Sundaramoorthy ◽  
M. Ponnaiah
Keyword(s):  
Indian Population ◽  
Health Workers ◽  
Integrated Management ◽  
Cross Sectional Study ◽  
Acute Respiratory Tract Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Clinical Vignettes ◽  
Auxiliary Nurse ◽  
Nurse Midwives

BackgroundCompetency of peripheral health workers in the detection and management of common syndromic conditions is crucial as they are the first point of contact for the majority of the Indian population.MethodsWe measured the competency of auxiliary nurse midwives (ANMs), and factors associated with inadequate competency, in the detection and management of common conditions-diarrhoea, acute respiratory tract infection, fever, malaria-through a cross-sectional study using condition specific validated clinical vignettes and structured questionnaires.ResultsOut of 272 selected ANMs, 68% (95% CI 62–74%) were adequately competent. Factors independently associated with inadequate competency were unavailability of essential drugs in preceding month [adjusted odds ratio (AOR) = 1.95; 95% CI 1.1–3.5] and ever trained in integrated management of childhood illness (AOR = 2.4; 95% CI 1.4–4.1).ConclusionMore than two third of the peripheral health workers were adequately competent to detect and manage common conditions. Ensuring uninterrupted drug availability and improved quality in service trainings might facilitate competency levels.

scholarly journals Assessment of knowledge of multipurpose health workers regarding adverse events following immunization in a rural block of Haryana, India

2019 ◽  
Vol 7 (1) ◽  
pp. 127
Author(s):  
Nishu C. Gupta ◽  
Kamleshkumar G. Rathod ◽  
Lalita R. Garg
Keyword(s):  
Storage Temperature ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Inadequate Knowledge ◽  
The Mean ◽  
Catch Up ◽  
One Year ◽  
Training Programmes ◽  
Structured Questionnaire

Background: No vaccine is entirely free from the risk of adverse reactions or remote sequel. Knowledge and reporting of AEFI is very important in this vaccine era. Objective of the study was to assess the knowledge of Multipurpose Health Workers (MPHWS) regarding AEFI.Methods: A cross-sectional study was undertaken on randomly selected 30 MPHWs of Beri block. A semi-structured questionnaire was administered after taking verbal consent. The MPHWs had a minimum of one year experience and had received the latest formal training during measles catch up campaign. Data compiled and analysed using appropriate statistical tests.Results: A total of 30 MPHWs duly completed and returned their questionnaires. The mean age was 36.5±2.54 years and mean post-qualification experience was 5.3 years. About 83% of the MPHWs knew that fever, pain, redness and swelling at injection site were symptoms of AEFI and 93% knew about proper storage temperature, dose, route and site of vaccines. Only 56% knew about the storage temperature of diluents and risk of its contamination, 30% knew proper reconstitution of the vaccine. Only 33% knew about filling an adverse event form to report an AEFI. Twenty-five (83.5%) MPHWs had encountered an AEFI and only 14(46.6%) reported such within 24 h. It was observed that level of correct knowledge was decreasing with increasing age of respondents.Conclusions: There was a lack of knowledge about the cause, identification and reporting of AEFI despite periodic training programmes. There is need to train the health workers to improve reporting and prevent complications due to vaccines. There is also further need to ponder over the lacunae in training programmes responsible for persistent inadequate knowledge among MPHWs. Last but not the least “DO NOT FURTHER HARM” should always be the primary aim.

scholarly journals Socio-economic and cultural factors associated with smoking prevalence among workers in the National Health System in Belo Horizonte

2015 ◽  
Vol 18 (2) ◽  
pp. 385-397 ◽  
Author(s):  
Luiz Fábio Machado Barbosa ◽  
Carla Jorge Machado
Keyword(s):  
Health System ◽  
National Health ◽  
Health Workers ◽  
National Health System ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Final Model ◽  
Significance Level ◽  
Stratified Sample ◽  
Belo Horizonte

OBJECTIVE: To identify factors related to smoking among health workers of the National Health System in Belo Horizonte, Minas Gerais, Brazil. METHODS: A cross-sectional study based on a survey conducted between September 2008 and January 2009 with a stratified sample. Data on sociodemographic, health, employment, and work characteristics were analyzed. Poisson regression models with robust variance and estimation of unadjusted and adjusted prevalence ratios were used to establish associations at a 5% significance level for inclusion in the final model. RESULTS: In 1,759 questionnaires analyzed, in which the question related to smoking was answered, the overall prevalence of smoking was 15.7%. Reasonable relationship between requirements and available resources remained negatively correlated to smoking in the final model (PR = 0.75; 95%CI 0.58 - 0.96). The variables that remained positively associated with smoking were being male (PR = 1.75; 95%CI 1.36 - 2.25) and the following positions: community health workers (PR = 2.98; 95%CI 1.76 - 5.05), professionals involved in monitoring (PR = 3.86; 95%CI 1.63 - 5.01), administrative and other general services workers (PR = 2.47; 95%CI 1.51 - 4.05); technical mid-level workers (PR = 2.23; 95%CI 1.31 - 3.78), including nurses and practical nurses (PR = 2.07; 95%CI 1.18 - 3.64). CONCLUSION: Specific occupational subgroups were identified and should be prioritized in smoking cessation and prevention programs.

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