scholarly journals Seroprevalences and Correlates of Hepatitis B and C Among Cameroonian Pregnant Women

2018 ◽  
Vol 12 ◽  
pp. 117955811877067 ◽  
Author(s):  
Florent Ymele Fouelifack ◽  
Jeanne Hortence Fouedjio ◽  
Jovanny Tsuala Fouogue ◽  
Loic Dongmo Fouelifa

Background and rationale: Viral hepatitis B (VHB) and viral hepatitis C (VHC) are major public health issues in resource-poor countries where vertical transmission remains high. Aim: To assess prevalences and correlates of VHB and VHC among women attending antenatal clinic. Methods: A cross-sectional study at the Yaounde Central Hospital from January 1 to June 30, 2016. We included 360 pregnant women who were screened for hepatitis B virus surface antigen (HbsAg) and VHCAb by rapid diagnostic test (DiaSpot Diagnostics, USA) followed by confirmation of positive results by a reference laboratory. Odds ratios (95% confidence interval [CI]) were used to measure associations between variables. Statistical significance was set for P-value <.05. Results: Mean age was 27.9 ± 5.6 years. The prevalences of HbsAg and VHCAb were 9.4% (n = 34) and 1.7% (n = 6), respectively. Multiplicity of sex partners was significantly associated with HbsAg positivity (adjusted odds ratio [aOR]: 11.6; 95% CI: 5.1-26.7; P < .001) while none of the studied factors was associated with VHCAb. Conclusion: The high prevalence of hepatitis B among pregnant women supports systematic screening and free vaccination of pregnant women and women of childbearing age.

2016 ◽  
Vol 3 (1) ◽  
pp. 48
Author(s):  
Annisaa’ Nurmasari ◽  
Fatimah Fatimah ◽  
Febrina Suci Hati

<p>HIV infection in pregnant women can threaten the life of the mother and the mother can transmit the virus to their babies. Sleman PHC registered 2 people including one pregnant woman and one women of childbearing age in the year of 2014. Incidence of pregnant women suffering from HIV-AIDS in 2014 is 1 patients and detected from PITC test results for 7 weeks in a row is 1 patient. And in January year of 2015 found 1 patient with 3 times test and the results was positive. The purpose of this study was to determine relationship between Knowledge Level of Pregnant women about HIV/AIDS and Behaviour of PITC (Provider Initiated Test and Counselling) test. This study was a quantitative analysis of correlation with cross-sectional design. The population of this study were all pregnant women checkups at the health center in Yogyakarta Sleman. The sampling technique was used accidental sampling study which consisted of 72 respondents. The analysis used univariate and bivariate. The results showed that most respondents aged 20-35 (72.2%), senior high school education (47.2%) and work as a housewife (IRT) (38.9%). Most respondents have good knowledge about HIV/AIDS were 50 respondents (69.4%). Most respondents perform checks PITC were 71 respondents (98.6%). There was no relationship between knowledge level of pregnant women about HIV/AIDS and Behaviour of PITC (p-value=0.243&gt;0.005). In Conclusion, There was no relationship between knowledge level of pregnant women about HIV/AIDS and Behaviour of PITC in Sleman, Yogyakarta.</p>


2014 ◽  
Vol 6 (3) ◽  
pp. 49-57 ◽  
Author(s):  
Fiekumo Igbida Buseri ◽  
Charity Ngozi Okonkwo

Background: This study aims at investigating the seroprevalence of HIV infection among status naive pregnant women and probable vertical transmission in Sokoto, Nigeria.Materials and Methods: This cross-sectional study examined 13,026 apparently healthy pregnant women aged between 14 and 45 years and 312 mother-baby pairs in 4 different hospital settings in Sokoto State, North West, Nigeria between March, 2011 and February, 2013. The babies were aged between 8 and 16 months. HIV screening was performed using qualitative rapid tests and ELISA and HIV-DNA polymerase chain reaction (PCR) techniques. Measurement of CD4+ T-lymphocytes was carried out by the BD FACScount System. All seropositive pregnant women were immediately placed on triple antiretroviral therapy (ART) throughout the duration of the pregnancy and beyond.Results: An overall 2.4% prevalence of HIV-1 infection among the pregnant women and 20.5% incident of mother-to-child transmission were found. Of the seropositive pregnant women, 75.0% were full-time house wives, 13.8% and 11.2% were traders and civil servants respectively; of which, 70.2% were within the ages of 14 and 27 years (youthful predominance). Pearson’s χ2analysis did not show any statistically significant difference in the Mean values in the 4 health facilities (χ2 =2.084, df=3, P-value=0.555). Similarly, no significant difference in HIV seropositivity in the demographic data of the pregnant women were observed (P>0.05). Infection was recorded in all age groups but there was no statistical significance between age groups and infection (P = 0.833). Of the 64 seropositive babies, 62 (92.5%) contracted HIV from antiretroviral therapy non-adherence mothers (χ2 =271.457, df=1, P<0.01), OR=1506.6 (95%CI=285.5-7950.4). Conclusion: This study found high prevalence of vertical transmission due to ART non-adherence. Intervention initiatives should, therefore, focus seriously on ART non-adherence. DOI: http://dx.doi.org/10.3126/ajms.v6i3.11530Asian Journal of Medical Sciences Vol.6(3) 2015 49-57  


2019 ◽  
Vol 3 (3S) ◽  
pp. 84-89
Author(s):  
Dian Furqani ◽  
Nuraerni Semagga

This study aims to see the factors that influence the quality of Antenatal Care in the City of Palopo; the type of design used is analytical descriptive with the Cross-Sectional Study approach. Samples from this study were all pregnant women based on 1, 2 and 3th-trimester pregnancy age, and 3 who were lived at the research location as many as 154 people who conducted inspection visits from January to March 2018. The results showed that the average age of the mother was 20 years. In the research statisticallly interconnected variables are maternal knowledge showed p-value (0.000). There are several variables have statistical significance, but there are differences in the percentage between the classification of each variabels as for the quality of Antenatal care associated with parity, maternal characteristics (age, education and occupation), antenatal care in each of the 1.2 trimester, and 3. Service access and economic welfare status, where each variable has a p-value> 0.005. The study expects that a health program should not look the quantity of maternal pregnancy visits, but pay attention to the examination checks received at each gestational age. We hope to encourage mothers to be more active in paying attention to the examinations that will be accepted based on their gestational age so that good health services and of recipients of services occur.


2021 ◽  
Vol 15 (7) ◽  
pp. 1843-1846
Author(s):  
Jawad Hussain ◽  
Muhammad Saqib ◽  
Nadia Khan ◽  
Sohail Khan ◽  
Fawad Jan ◽  
...  

Background: Epilepsy drug therapy advancements have resulted in an increasing number of childbearing age well-controlled epileptic women. It is not surprising then, that the impact of pregnancy on the progression of epilepsy has sparked renewed interest. Aim: The aim of current study was to evaluate the frequency of fits or seizure in pregnant women with previously controlled epilepsy. Materials and Methods: This cross-sectional study was carried out on 98 pregnancies of 84 epileptic women during the period between August 2019 and August 2021in the department of neurology and gynaecology of Ayub Teaching Hospital, Abbottabad. All the pregnant women with less than three verified epileptic fits, pregnancy ended with abortion and incomplete seizure or fit frequency were excluded. All the patients were referred to Gynaecology and Neurology department for early pregnancy and planning by a neurologist and gynaecologist. Data analysis was done with SPSS version 23 with p<0.05 as statistical significance. Results: The association of fits frequency on pregnancy was studied and monitored in 84 epileptic women out of 98pregnancies. About 49 (50%) pregnancies were not affected by fits frequency. The fits frequency was increased in 36 (37%) pregnancies or puerperium while decreased in 13 (13%) pregnancies. Sleep deprivation or drug regimen on-compliances associated was increased in 30 (30.6%) pregnancies. Out of 19pregnancies, eight (42%) had improvement with sleep deprivation correction during none months pre-gestation. Antiepileptic drugs with low plasma concentration of uncontrolled epilepsy during pregnancy were found in 47%. Conclusion: Sleep deprivation, Non-compliance during pregnancy, and before and after pregnancy inadequate therapy all have a significant impact on the course of epilepsy during pregnancy. With proper medical care, pregnancy appears to have only a minor impact on the course of epilepsy. Keywords: Epilepsy, Frequency fits, Sleep Deprivation.


Author(s):  
Abdalla Hassan Mudardum ◽  
Abbakar Adam Mohammed

Background: Sudan is an endemic country for hepatitis B virus (HBV). Screening for HBV during pregnancy may help in instituting interventions to minimize vertical transmission. HBV in pregnant women in remote areas of Darfur were uncovered by the previous studies in Sudan, Objectives: This study was aimed to determine the seroprevalence of HBV and the possible risk factors for its acquisition among antenatal care attendants in Um Dafog area, South Darfur State, Sudan. Materials and Methods: A cross-sectional study was conducted between July, 2018 to January, 2019 in Um Dafog area. Blood samples were collected from165 (143from Sudan and 22from Central African Republic) pregnant women attending Antenatal Um Dafog Clinic. Serum was separated and tested for HBV marker using rapid HBsAg test. Information on socio-demographic and other pertinent data was collected using a structured questionnaire. Informed consent was obtained and confidentiality of personal data was assured.   Results: HBsAg was detected in 8.5% of study population. Participants from Central African Republic recorded higher prevalence (18.2%) than those from Sudan (7%). However, there was no significant association (P value > 0.05) between prevalence of HBsAg and residence, history of blood transfusion, tattooing, circumcision, surgical procedure, cupping therapy, caesarean section, ear piercing, unsafe injection, and jaundice or liver problems. Conclusion: The study concluded that the prevalence of HBV among pregnant women in Um Dafog area is of high endemicity according to WHO, hence the need for established public health interventions that leading  to reduction of HBV transmission. Keywords: Hepatitis B, pregnant women, Um Dafog, Sudan.


Author(s):  
Khaled Hassan

Introduction: The establishment of occupational health in all health structures, the improvement of working conditions and the generalization of antiviral B vaccination have contributed to the virtual disappearance of occupational viral hepatitis B and the very significant reduction in the incidence of viral hepatitis C. Aim: to assess knowledge, attitudes and practices on viral hepatitis B and C in health-care settings. Method: cross sectional study using questionnaire. Results: The latter was significantly higher for physicians (72.4%) than for support staff (66.8%) and nurses (60.5%)Viral hepatitis was feared by 82% of caregivers. Only 47.4% of the staff claimed to be correctly vaccinated against hepatitis B. Conclusion: The prevention of occupational viral hepatitis B and C is an objective set by the recommendations issued by the WHO and the CDC. Keyword: Hepatitis B, Hepatitis C


2021 ◽  
Vol 7 (3) ◽  
pp. 510-517
Author(s):  
Amrina Octaviana ◽  
Nelly Indrasari

Background: Anemia in pregnant women is one of the health problems in Indonesia that is often experienced by women of childbearing age, especially pregnant women. Pregnant women who suffer from anemia have a risk of maternal death during the antenatal, perinatal, postnatal period and are at risk of giving birth to babies with low birth weight (LBW). In Indonesia, Pregnant women who experienced anemia in 2013 were 37.1% and increased in 2018 by 48.9%.Purpose:  To determine the determinants of pregnant women with anemia at Puskesmas Karta Raharja & Marga Kencana, Tulang Bawang Barat Regency in 2020 seen from internal and External factors from Pregnant Women with Anemia.Methods: This type of correlation analytic research uses a cross-sectional approach. The research sample was pregnant women in the area of Puskesmas Karta Raharja & Marga Kencana. Based of a minimum sample of 100 respondents, Examination and sampling were carried out according to the form the inclusion and exclusion criteria of the study. The research analysis used a logistic test using a computer. Results: This research showed that pregnant women who had anemia were 26%, the most dominant internal factors with the incidence of anemia in pregnant women were maternal parity (p-value 0.017), maternal age (p-value 0.017), and birth spacing (p-value 0.000. ). As for external factors, there was no significant relationship with the incidence of anemia in pregnant women.Conclusion:  This proves that parity, maternal age, and birth spacing affect the incidence of anemia in pregnant women at Puskesmas Karta Raharja & Marga Kencana, Tulang Bawang Barat district in 2020.Suggestion: The results of this study can be improved to provide more relevant information and learning references for the determinants of Anemia as an effort to prevent and support the achievement of Maternal Health in Tulang Bawang Barat. Keywords: pregnant women, anemia ABSTRAK Latar Belakang: Anemia pada ibu hamil merupakan salah satu masalah kesehatan di Indonesia yang sering dialami wanita usia subur terutama oleh ibu hamil. Ibu hamil yang menderita anemia mempunyai resiko kematian ibu pada masa antenatal, perinatal, masa postnatal serta beresiko melahirkan bayi dengan berat badan lahir rendah (BBLR). Ibu  hamil yang mengalami anemia  di Indonesia tahun 2013 sebanyak 37,1% dan meningkat ditahun 2018 sebanyak 48,9%.Tujuan: Untuk mengetahui determinan ibu hamil Anemia di Puskesmas Karta Raharja & Marga Kencana Kabupaten Tulang Bawang Barat tahun 2020 dilihat dari faktor internal dan eksternal Ibu Hamil dengan Anemia. Metode: Jenis penelitian analitik korelasi menggunakan pendekatan Crossectional. Sampel penelitian adalah ibu hamil di wilayah Puskesmas Karta Raharja & Puskesmas Marga Kencana, dengan perhitungan sampel minimal 100 responden, dilakukan pemeriksaan dan penjaringan sampel sesuai dengan form dan kriteria inklusi dan ekslusi peneltian. Analisis penelitian dengan uji logistik menggunakan komputer. Hasil: Hasil penelitian menunjukkan ibu hamil yang mengalami anemia sebanyak 26%,  Faktor Internal yang paling dominan dengan kejadian Anemia pada ibu hamil adalah paritas ibu (p-value 0.017), umur ibu (p-value 0.017),  dan jarak kelahiran (p-value 0.000). Sedangkan untuk faktor eksternal didapatkan tidak ada hubungan signifikan dengan kejadian anemia pada ibu hamil.Kesimpulan: Pada peneltian didaptkan Faktor Internal yaitu paritas dan umur ibu, serta jarak kelahiran mempengaruhi kejadian Anemia pada Ibu Hamil di Puskesmas Karta Raharja & Marga Kencana Kabupaten Tulang Bawang Barat tahun 2020.Saran: Hasil penelitian ini dapat terus ditingkatkan untuk memberikan informasi dan referensi pembelajaran yang lebih relevan mengenai determinan Anemia sebagai salah satu upaya pencegahan dan mendukung tercapainya Kesehatan Ibu di Tulang Bawang Barat. Kata Kunci : Ibu hamil, Anemia 


2020 ◽  
Vol 14 ◽  
pp. 117863022091939
Author(s):  
Teklit Angesom ◽  
Hailay Gebreyesus ◽  
Brhane Gebremariam

Background: Malaria among pregnant women contributes to maternal anemia, low birth weight, spontaneous abortion, and infant deaths. In response to this serious health problem, regular use of the long-lasting insecticidal net is the most cost-effective method of preventing malaria. However, in most developing countries, including Ethiopia, long-lasting insecticidal net utilization by pregnant women is uncertain. Objectives: This study was conducted to measure the utilization of insecticidal net and to identify the associated factors with its utilization among pregnant women in Asgede Tsimbla district in 2017. Methods: A community-based cross-sectional study was employed and data were collected using interviewer-administered questionnaire. Systematic random sampling method was used to select 550 pregnant women. Data were entered into a computer using Epi Info (version 7) and exported to Statistical Package for the Social Sciences (version 21) for further analysis. Variables with P-value less than 0.05 were used to declare statistical significance between the dependent and the independent variables in multivariable logistic regression. Results: Among 550 pregnant women surveyed, 347 (63.1%) of the pregnant women slept under a long-lasting insecticidal net the night before the survey. Urban residence (OR [95% CI] = 1.9 [1.22-3.01]), family size of 3-5 and >5 (2.8 [1.53-5.22] and 2.4 [1.20-5.03], respectively), and history of malaria during their current pregnancy (3.0 [1.95-4.86]) were found to be the factors associated with pregnant women’s long-lasting insecticidal net utilization. Conclusion: Utilization of long-lasting insecticidal net was low, and place of residence, exposure status to malaria during their current pregnancy, and family size were the factors associated with long-lasting insecticidal net utilization.


2015 ◽  
Vol 14 (4) ◽  
pp. 376-383 ◽  
Author(s):  
Sadia Shakeel ◽  
Wajiha Iffat ◽  
Hina Rehman ◽  
Nadia Jamil ◽  
Faiza Nazeer ◽  
...  

Objectives: Hepatitis B virus (HBV) infection is a global health problem with about 2 billion infected persons. Pakistan is one of the endemic areas for viral hepatitis B. Prevention is merely a safe approach rather than curing against high incidence of viral hepatitis. Therefore, the aim of the present study was to assess the knowledge and awareness of HBV infection, its prevention and transmission, perception of HBV vaccine and vaccination status among young females of Karachi, Pakistan. Methods: This cross sectional study was conducted from Oct till Dec 2014 by adopting a pre-validated questionnaire distributed to female individuals in Karachi, Pakistan. Descriptive statistics were used to demonstrate students’ demographic information and their response to the questionnaire items. Kruskal Wallis H test was executed to evaluate the association of age and educational status of the respondents with their response. A p-value <0.05 was considered as significant. Results: Out of 550 survey questionnaires, only 434 were returned back in useable form. Hence the response rate was 78.9%. More than 90% had knowledge of HBV infection and 85.94% knew that HBV infection can be prevented by vaccination. However, only 17% had received HBV vaccination during childhood. 67.05% and 54.60% knew that HBV can be transmitted from mother to infant and an infected mother may transmit hepatitis B to her newborn baby through breast milk respectively. Only 24% had been tested for HBV in adulthood. General excuses for not having their HBV status tested, were lack of motivation (36.76%) and lack of time to check (21.54%). Conclusion: It indicates that majority of respondents showed some awareness of HBV and its related consequences. Yet, there are some misapprehensions regarding the attitudes that imitate a fallacy perception of the disease. It identifies a more standardized approach coupled with the well-structured health education programs pointing out such misconceptions.Bangladesh Journal of Medical Science Vol.14(4) 2015 p.376-383


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