scholarly journals A cross-sectional survey of COVID-19 preparedness in governmental hospitals of North-West Ethiopia

2021 ◽  
Vol 9 ◽  
pp. 205031212199329
Author(s):  
Abebe Tiruneh ◽  
Tikuneh Yetneberk ◽  
Denberu Eshetie ◽  
Bassazinew Chekol ◽  
Moges Gellaw

Introduction: The novel coronavirus was first reported in December 2019, from Wuhan, China, and it has been declared as a pandemic by World Health Organization on 7 January 2020, and from that time till now the disease transmitted across the world. Hospitals need to be prepared for the overwhelming COVID-19 cases in their respective hospitals. Objectives: The objective of this study was to assess the level of hospital preparedness for COVID-19 in South Gondar Zone Governmental Hospitals, 2020. Methods: The institutionally based survey was conducted in South Gondar Zone Hospitals from 20 July to 25 July 2020. We used the World Health Organization preparedness checklist for COVID-19, and the checklist has three options for eight hospitals (not started, in progress, and started), so each hospital evaluated out of 208 points (104 items × 2) to assess each hospital their preparedness based on the checklist. Statistical Package for the Social Sciences, Version 21, is used for the analysis of the data. We used descriptive statistics and explained by using text and tables. Results: We evaluated all eight hospitals in these zone hospitals and only one hospital was in an acceptable level of preparation (>146 points), three hospitals were in an insufficient level of preparation (73–145 points), and the other four hospitals were grouped under the unacceptable level of preparation (<72 points) for COVID-19. And in all hospitals, there was no laboratory diagnostic method and treatment center for the COVID-19 virus. Conclusion: From the level of COVID-19 pandemic preparation from eight hospitals, only one hospital reaches the level of an acceptable level of preparedness. Mobilizing the community and other stakeholders to equip the hospital with resources and prioritization is recommended to mitigate the impact of COVID-19.

2016 ◽  
Vol 1 (2) ◽  
pp. 48-60
Author(s):  
Oktafiana Manurung ◽  
Ermawaty Arisandi Siallagan

According to the World Health Organization (WHO) Indonesian women have According to the World Health Organization (WHO) Indonesian women have very bad criteria in terms of health, marriage, employment, education, equality with men. This condition is thought to lead to low maternal access to antenatal care. Goals : Antenatal care in accordance with antenatal care standards may decrease Maternal and Infant Mortality due to regular antenatal care can detect early problems that occur in the mother during pregnancy.Methods : The type of this research is analytical descriptive with cross sectional design which aims to analyze the influence of access and motivation of pregnant mother to mother behavior in doing antenatal visit. The research was conducted in Pancur Batu Puskesmas Working Area. The population is 181 people and the sample size is 61 people. Data analysis was performed using univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis with multiple logistic regression test.Result : The result of this research indicate that physical accessibility variable is the availability of unrelated officer (p = 0,461) to mother behavior in antenatal visit, social accessibility variable (p = 0,005) and attitude (p = 0,023), and for motivation variable is motive P = 0.005) and expectations (p = 0.019) had a significant effect on maternal behavior in antenatal visits.Conclution : Based on the results of research suggested Head of Pancur Batu Puskesmas to conduct training to officers especially midwives who provide services mainly about hospitality in providing services and to officers implementing services further improve the communication of information and education so that every pregnant women have a good understanding that can eventually cause attitude Positive, high motivation and expectation that can affect the mother in conducting standardized antenatal visits.


Author(s):  
Allison Brown ◽  
Aliya Kassam ◽  
Mike Paget ◽  
Kenneth Blades ◽  
Megan Mercia ◽  
...  

Background: The evidence surrounding the impact of COVID-19 on medical learners remains anecdotal and highly speculative despite the anticipated impact and potential consequences of the current pandemic on medical training. The purpose of this study was to explore the extent that COVID-19 initially impacted medical learners around the world and examine global trends and patterns across geographic regions and levels of training. Methods: A cross-sectional survey of medical learners was conducted between March 25–June 14, 2020, shortly after the World Health Organization declared COVID-19 a pandemic. Results: 6492 learners completed the survey from 140 countries. Most medical schools removed learners from the clinical environment and adopted online learning, but students reported concerns about the quality of their learning, training progression, and milestone fulfillment. Residents reported they could be better utilized and expressed concerns about their career timeline. Trainees generally felt under-utilized and wanted to be engaged clinically in meaningful ways; however, some felt that contributing to healthcare during a pandemic was beyond the scope of a learner. Significant differences were detected between levels of training and geographic regions for satisfaction with organizational responses as well as the impact of COVID-19 learner wellness and state-trait anxiety. Conclusions: The disruption to the status quo of medical education is perceived by learners across all levels and geographic regions to have negatively affected their training and well-being, particularly amongst postgraduate trainees. These results provide initial empirical insights into the areas that warrant future research as well as consideration for current and future policy planning.


Author(s):  
E. K. Mgbe ◽  
C. G. Mgbe ◽  
S. N. Ezeofor ◽  
J. F. Etiki

Background: The world is experiencing a global corona virus (COVID-19) pandemic. As of 9th June 2020, over 7 million confirmed cases of coronavirus disease (COVID-19) and more than 400,000 deaths had been reported in more than 30 countries of the world according to World Health Organization. Aim: We aimed to assess the knowledge, attitudes, and vulnerability perception of Enugu state residents during the coronavirus outbreak in order to facilitate better health care outcomes. Methodology: A prospective Web-based cross-sectional survey was designed for this study which was conducted in March 2020 among Enugu state residents. The obtained data were coded, validated, and analyzed using Statistical Package for the Social Sciences SPSS software, version 24. Descriptive analysis was applied to calculate the frequencies and proportions and Chi-Square Test was also used. A preliminary phase was conducted to assess the validity and reliability of the questionnaire before its use.  Results: The study showed that significant number (99.6%) of the respondents had heard about Covid-19 and the most stated source of knowledge was social media (57.6%), followed by Newspaper and television shows (50.2%) while the least was from General Practitioner (GP) (8.9%). There was over 75% agreement with, and practice, of all known covid precautionary measures and less than 35% responses for wrong claims and practices about covid -19. Conclusion: The overall knowledge, attitude, and perception are high in Enugu state population although few still has background combined superstitious believes. Social media and internet are the highest used facility for acquisition of knowledge and information in Enugu, Nigeria.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Mekdes Akalewold ◽  
Getachew W. Yohannes ◽  
Ziyad Ahmed Abdo ◽  
Yonas Hailu ◽  
Aynye Negesse

Abstract Introduction The World Health Organization estimated that approximately 48 million couples and 186 million people are infertile worldwide. Although the problem of infertility is increasing worldwide, as well as in Ethiopia, there are limited studies done. Therefore, this study aims to determine the magnitude of infertility and the major risk factors in three governmental hospitals in Addis Ababa, Ethiopia. Method An institutional-based cross-sectional study design was used to conduct the study. The participants were selected by using a systematic random sampling technique. Data were collected through an interview using a structured questionnaire. The data were entered into Epi Data version 3.1 and exported to SPSS version 25 for analysis. Logistic regression was used to identify the predictor variables. Statistical significance was considered at a P < 0.05 with an adjusted odds ratio calculated at 95% CI. Result The overall prevalence of infertility was 27.6% (95%CI = 23.2, 32.0). Of these, 14.4% had primary infertility, and 13.2% had secondary infertility. Those whose duration of marriage was less than 60 months [AOR = 3.85; 95%CI 1.39, 10.64], had a history of fallopian tube obstructions [AOR = 8.27; 95%CI 2.36, 28.91], had irregular frequency of coitus [AOR = 37.4; 95%CI 11.29, 124.114], had more than one sex partner [AOR = 3.51; 95%CI 1.64, 7.54], had an abortion greater than 3 times [AOR = 6.89; 95%CI 1.28, 37.09], and had partners who currently consumed alcohol [AOR = 1.31; 95%CI 1.11, 1.86] were more likely to be infertile than their counterparts. Conclusion According to the results of this study, the prevalence of infertility was high compared to the global estimate of the World Health Organization. The government, health care providers, and researchers should emphasize developing appropriate strategies, research, education, and awareness creation of infertility and its potential causes.


2011 ◽  
Vol 20 (2) ◽  
pp. 290-297 ◽  
Author(s):  
TIKKI PANG

“I want my leadership to be judged by the impact of our work on the health of two populations: women and the people of Africa.” This is how Dr. Margaret Chan, the current Director-General of the World Health Organization (WHO), described her leadership mission. The reason behind this mission is evident. Women and girls constitute 70% of the world’s poor and 80% of the world’s refugees. Gender violence against women aged 15–44 is responsible for more deaths and disability than cancer, malaria, traffic accidents, and war. An estimated 350,000 to 500,000 women still die in childbirth every year. The negative health implications of absolute poverty are worst in Sub-Saharan Africa and South Asia. Hence, Chan aims to have the biggest impact on the world’s poorest people.


It’s been a while since Coronavirus disease (COVID-19) was characterized as a pandemic by the World Health Organization (WHO), causing major concerns and unfortunately panic in many countries. The on-going outbreak is of international concern and most countries have already announced a series of protective measures to confront this health threat of unknown magnitude. Travel warnings, scientific congress suspensions, cancellations of national holidays and closing of schools, amusement parks, cinemas, theatres and gyms are only some of these measures. The impact in sports is also tremendous. Major sport events like the 2020 Tokyo Olympic Games and Euro 2020 have been postponed. Others like the Miami Open and the Wimbledon tennis tournament have been cancelled and there is an ongoing discussion for forthcoming events. However, few have been said regarding the impact of limiting public exercise.


2021 ◽  
Vol 6 (25) ◽  
pp. 01-14
Author(s):  
Siti Aisyah Mohamad Zin ◽  
Raja Nurul Hafizah Raja Ismail ◽  
Wan Nur Ainna Waheda Rozali ◽  
Nor Kalsum Mohd Isa

The COVID-19 pandemic is a major concern to the community around the globe at the moment and the World Health Organization (WHO) records a total of more than 200 million cases worldwide. The spread of the COVID-19 pandemic has had a huge impact on the world community, especially in Malaysia, from the socio-economic aspect that leads to mental health issues. The implementation of the Movement Control Order (MCO) to Malaysians is aimed at breaking the chain of pandemics by making social distancing which began on March 18, 2020, has changed the societal life pattern, especially for adolescents. If it is not managed properly, emotional conflicts such as depression, stress, anxiety, and untreated panic attacks can even affect the mental health of adolescents. There are numerous recent studies on the COVID-19 pandemic have been conducted by researchers from around the world. The COVID-19 outbreak has also affected the education sector in the country. Face-to-face learning cannot be conducted, hence, requires students to learn from home. The Ministry of Education in Malaysia has introduced a new platform to help students to continue their learning through an online learning system. Online learning has its own pros and cons. In these challenging times, the field of education is not falling behind in undergoing a transformation towards a more advanced and systematic learning process. Therefore, online learning is the best way to ensure that students do not fall behind in their studies even when they are at home. However, the implementation of online learning has the potential to affect the mental health of students such as feelings of stress, fear, anxiety, worry, and depression due to not being able to balance the use of computers during learning and to complete assignments as well as internet data problems. A study by the World Health Organization (WHO) found that the number of victims of depression worldwide is estimated to reach 300 million people and the average is of adolescents. This is the silent killer of this generation which is the pillar and hope of the country, therefore it should be given attention and proper treatment. A literature review through the content analysis method is used in this paper to look at the challenges and solutions to the recovery of emotional conflict and mental health. Thus, this paper aims to look at the challenges of this pandemic exploring scientifically the impact of COVID-19 especially in terms of emotional and mental health as well as the impact on the national education system. The attitude of "prevent before it gets worse" is very critical and needs to be given serious attention by the community in facing the escalating challenges during this COVID-19. An understanding of the effects of emotions could generate appropriate prevention measures and approaches that can be implemented to ensure that emotional conflicts can be treated to save those adolescents and inevitably to ensure the well-being of individuals affected by the COVID-19 outbreak.


2019 ◽  
Author(s):  
Ingvild Lilleheie ◽  
Jonas Debesay ◽  
Asta Bye ◽  
Astrid Bergland

Abstract Background: The number of people aged 80 years and above is projected to triple over the next 30 years. People in this age group normally have at least two chronic conditions. The impact of multimorbidity is often significantly greater than expected from the sum of the effects of each condition. The World Health Organization has indicated that healthcare systems must prepare for a change in the focus of clinical care for older people. The World Health Organization (WHO) defines healthcare quality as care that is effective, efficient, integrated, patient centered, equitable and safe. The degree to which healthcare quality can be defined as acceptable is determined by services’ ability to meet the needs of users and adapt to patients’ expectations and perceptions.Method: We took a phenomenological perspective to explore older patients’ subjective experiences and conducted semistructured individual interviews. Eighteen patients (aged from 82 to 100 years) were interviewed twice after discharge from hospital. The interview transcriptions were analyzed thematically.Results: The patients found their meetings with the health service to be complex and demanding. They reported attempting to restore a sense of security and meaning in everyday life, balancing their own needs against external requirements. Five overarching themes emerged from the interviews: hospital stay and the person behind the diagnosis, poor communication and coordination, life after discharge, relationship with their next of kin, and organizational and systemic determinants.Conclusion: According to the WHO, to deliver quality healthcare, services must include all six of the dimensions listed above. Our findings show that they do not. Healthcare focused on measurable values and biomedical inquiries. Few opportunities for participation, scant information and suboptimal care coordination left the patients with a feeling of being in limbo, where they struggled to find balance in their everyday life. Further work must be done to ensure that integrated services are provided without a financial burden, centered on the needs and rights of older people.


2019 ◽  
Vol 3 ◽  
pp. 1546 ◽  
Author(s):  

Taenia solium (TS), responsible for porcine cysticercosis, human taeniasis and (neuro)cysticercosis, was included in the World Health Organization neglected tropical disease (NTD) roadmap published in 2012. Targets set in this roadmap have not been met, but T. solium has been included in the consultation process for the new 2030 goals proposed for priority NTDs. Taenia solium transmission dynamics models can contribute to this process. A recent review has compared existing T. solium transmission models, identifying their similarities and differences in structure, parameterization and modelled intervention approaches. While a formal model comparison to investigate the impact of interventions is yet to be conducted, the models agree on the importance of coverage for intervention effectiveness and on the fact that human- and pig-focused interventions can be optimally combined. One of these models, cystiSim, an individual-based, stochastic model has been used to assess field-applicable interventions, some currently under evaluation in on-going trials in Zambia. The EPICYST, population-based, deterministic model has highlighted, based on simulating a generic sub-Saharan Africa setting, the higher efficacy (measured as the percentage of human cysticercosis cases prevented) of biomedical interventions (human and pig treatment and pig vaccination) compared to improved husbandry, sanitation, and meat inspection. Important questions remain regarding which strategies and combinations thereof provide sustainable solutions for severely resource-constrained endemic settings. Defining realistic timeframes to achieve feasible targets, and establishing suitable measures of effectiveness for these targets that can be quantified with current monitoring and evaluation tools, are current major barriers to identifying validated strategies. Taenia solium transmission models can support setting achievable 2030 goals; however, the refinement of these models is first required. Incorporating socio-economic elements, improved understanding of underlying biological processes, and consideration of spatial dynamics are key knowledge gaps that need addressing to support model development.


Author(s):  
Yuhemy Zurizah Yuhemy Zurizah

  ABSTRAK Flour Albous is the liquid that comes out of the vagina is not excessive blood. According to the World Health Organization (WHO) research on reproductive health Data show that 75 women in the world are experiencing vaginal discharge is normal and 45 of them may experience abnormal vaginal discharge. Vaginal discharge is caused by some common factor, among other personal hygiene which is less good, stress, drug use, wearing tight underwear, rinse the genitals from the wrong direction, did not immediately replace the pads when the menstruation, and a dirty sanitary environment. The design of this research is a survey with cross sectional approach analytic where the independent variables (understanding, messes, symptoms, causes, complications, and cope, prevent vaginal discharge)and the dependent variable (an overview knowledge on students about whiteness) collected within 2 days. He knew an overview knowledge of whiteness on the HIGH SCHOOL students in the County's southern OKU 2016. This population is all 3rd grade HIGH SCHOOL students in the County's southern OKU 2016. Samples of penelian this is a 3rd grade HIGH SCHOOL students in the South 2016dan OKU taken total engineering population, methods of sampling by disseminating a questionnaire with the amount of 150 respondents. Univarat analysis results showed that respondents found out about understanding whiteness good of 79 respondents (52,6%) while less knowledge of 71 respondents (47,4%), response based on the knowledge of the various good whiteness 112 respondents (74,6%) and while less knowledge i.e. 38 respondents (25,4%). respondents to the investigation of knowledge about signs of vaginal discharge either 95 respondents (63,4%) and while less knowledge i.e. 55 respondents (36,6%) respondents based on the cause of vaginal discharge either 60 respondents (40%) and while less knowledge i.e. 90 respondents (60%),reponden based on knowledge about overcoming good whiteness 62 respondents (41,3%) and while less knowledge i.e. 88 respondents (58,7%),respondents to the investigation of the knowledge of good whiteness complications 78 respondents (52%) and while less knowledge i.e. 72 respondents (48%), and the respondent investigation knowledge how to prevent vaginal discharge either 52 respondents (34,6%) and while less knowledge i.e. 98 respondents (65,4%).       Keputihan adalah cairan yang keluar berlebihan dari vagina bukan merupakan darah. Menurut World Health Organization (WHO) Data penelitian tentang kesehatan reproduksi menunjukan bahwa 75% perempuan di dunia mengalami keputihan normal dan 45% diantaranya dapat mengalami keputihan abnormal.Keputihan disebabkan oleh beberapa faktor umum, antara lain personal hygiene yang kurang baik, stress, penggunaan obat-obatan, memakai pakaian dalam yang ketat, membilas alat kelamin dari arah yang salah, tidak segera mengganti pembalut saat menstruasi, dan lingkungan sanitasi yang kotor.Desain penelitian ini adalah survey analitik dengan pendekatan cross sectional dimana variabel independen (pengertian, macam-macam, gejala, penyebab, mengatasi, komplikasi, dan mencegah keputihan) dan variable dependen (gambaran pengetahuan pada siswi tentang keputihan) dikumpulkan dalam waktu 2 hari. Diketahuinya gambaran pengetahuan tentang keputihan pada siswi SMA DI Kabupaten OKU SelatanTahun 2016. Populasi ini adalah semua kelas 3 siswi SMA DI Kabupaten OKU Selatan Tahun 2016. Sampel penelian ini adalah kelas 3 siswi SMA DI Kabupaten OKU Selatan Tahun 2016dan diambil metode teknik total populasi, pengambilan sampel ini dengan cara menyebarkan kuesioner dengan jumlah 150 responden. Hasil analisis univarat menunjukan responden yang mengetahui tentang pengertian keputihan baik sebesar 79 responden (52,6%), Respon berdasarkan pengetahuan tentang macam-macam keputihan baik 112 responden (74,6%) dan berdasarkan pengetahuan tentang mengatasi keputihan baik 62 responden (41,3%) dan responden berdasarakan pengetahuan cara mencegah keputihan baik 52 responden (34,6%)      


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