Spatio-Temporal Factors Associated with Meningococcal Meningitis Annual Incidence at the Health Centre Level in Niger, 2004–2010

Abstract Background : Intestinal schistosomiasis is still a public health problem in Burundi. Since 2008, annual mass drug administration with praziquantel have been rolled out in 11 endemic districts. The national programme relies on school-based surveys with Kato-Katz to monitor the impact of mass drug administration. We explored whether routine data on intestinal schistosomiasis as determined by direct fecal smears at health centre level could be used. Methods : From the Burundian National Health Information System, we collected routine incidence data on intestinal schistosomiasis as determined by direct smear examination in all 45 sanitary districts between 2011 and 2015. A temporal trends analysis was performed using a mixed negative binomial regression. Sanitary districts with mass drug administration campaigns with praziquantel (n=11) were compared with those without (n=34). In addition, prevalence data on intestinal schistosomiasis based on Kato-Katz results from a school-based national mapping in 2014 were compared with the incidence data in health centres based on direct smear results, in the same 45 sanitary districts. Findings : In the 11 sanitary districts applying mass drug administration with praziquantel, the incidence rate decreased significantly for the years 2014 (β 2014 =-0.826, p=0.010) and 2015 (β 2015 =-1.294, p<0.001) and for the five-year period (β=-0.286, p<0.001), whereas in the 34 districts where mass drug administration was not delivered, there was no significant decrease over time (β=-0.087, p=0.219). In most of the 45 sanitary districts, the low prevalences based on Kato-Katz in schoolchildren were confirmed by low incidence rates based on direct smear in the health centres. Conclusions : National Health Information System surveillance data, based on routinely collected direct smear results at health centre level, may be able to monitor the impact of mass drug administration with praziquantel on intestinal schistosomiasis in Burundi. Control and elimination of intestinal schistosomiasis call for integration of adequate diagnosis and treatment into routine activities of primary health care facilities, as recommended by the World Health Organization since more than 20 years. When moving towards elimination, more sensitive tests, such as the Point-of-care Circulating Cathodic Antigen assay are desirable. Keywords : Direct smear, Health centre, Mass drug administration, Monitoring, Praziquantel, Routine data, Schistosomiasis, Burundi

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Factors associated with workability in Spanish health centre workers

Occupational Medicine ◽

10.1093/occmed/kqaa206 ◽

2020 ◽

Author(s):

I Mateo-Rodríguez ◽

E Knox ◽

A Daponte-Codina ◽

Keyword(s):

Multinomial Logistic Regression ◽

Health Centre ◽

Cross Sectional Study ◽

Work And Family ◽

Physical And Mental Health ◽

Related Factors ◽

Cross Sectional ◽

Logistic Regression Models ◽

Factors Associated ◽

Spanish Health

Abstract Background The concept of workability provides a conceptual framework and proposes measures for the evaluation of relevant actions focused on a healthy workforce. In Spain, one of the countries with the highest life expectancy, there are practically no scientific studies on workability and its associated factors. Aims The objective of this study is to examine the associations between workability and variables related to health and work in a sample of workers from Spanish health centres. Methods Cross-sectional study including 1184 health centre workers who completed a questionnaire at baseline, comprising measures of workability, health and other work-related factors. Workability has been analysed as a one-factor construct, and as a two-factor construct. Multinomial logistic regression models were used to analyse factors associated with workability. Results As a one-dimensional construct, workability is associated with physical and mental health, number of hours of worked, insomnia, work and family life balance, adequate training, never having had an accident and type of contract. When the two-factor measure was used, sensitivity of findings increased, and it was identified that those participants who were older, lived alone and have more years of service in their profession also show worse workability. Conclusions The present study identified factors associated with the workability of health centre workers. The two-factor workability index (WAI) has better psychometric properties and used in combination with the global measure of WAI, identifies important additional aspects, specifically, age and years of professional experience as additional considerations for the intervention.

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Can direct smear results that are routinely collected at health centre level be used for monitoring the impact of mass drug administration with praziquantel on schistosomiasis in Burundi? A preliminary assessment

Parasites & Vectors ◽

10.1186/s13071-020-04076-4 ◽

2020 ◽

Vol 13 (1) ◽

Author(s):

Paul Bizimana ◽

Katja Polman ◽

Giuseppina Ortu ◽

Meryam Krit ◽

Frédéric Nsabiyumva ◽

...

Keyword(s):

Drug Administration ◽

Mass Drug Administration ◽

Health Centre ◽

Preliminary Assessment ◽

Direct Smear ◽

The Impact ◽

Health Centre Level

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Factors associated with stroke survivors’ inconsistent uptake of physiotherapy interventions at Turton Community Health Centre, KwaZulu-Natal

South African Journal of Physiotherapy ◽

10.4102/sajp.v76i1.1475 ◽

2020 ◽

Vol 76 (1) ◽

Author(s):

Ntombifuthi Mlambo ◽

Khumbulani Hlongwana

Keyword(s):

Community Health ◽

Health Centre ◽

Community Health Centre ◽

Stroke Survivors ◽

Factors Associated ◽

Kwazulu Natal

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Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres

Sexual Health ◽

10.1071/sh16123 ◽

2017 ◽

Vol 14 (3) ◽

pp. 274 ◽

Cited By ~ 3

Author(s):

Belinda Hengel ◽

Handan Wand ◽

James Ward ◽

Alice Rumbold ◽

Linda Garton ◽

...

Keyword(s):

Aboriginal People ◽

Health Workers ◽

Health Centre ◽

Randomised Trial ◽

Laboratory Data ◽

Aboriginal Health ◽

Guideline Recommendation ◽

Cluster Randomised Trial ◽

Factors Associated ◽

Sexually Transmissible Infections

Background: In high-incidence Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) settings, annual re-testing is an important public health strategy. Using baseline laboratory data (2009–10) from a cluster randomised trial in 67 remote Aboriginal communities, the extent of re-testing was determined, along with the associated patient, staffing and health centre factors. Methods: Annual testing was defined as re-testing in 9–15 months (guideline recommendation) and a broader time period of 5–15 months following an initial negative CT/NG test. Random effects logistic regression was used to determine factors associated with re-testing. Results: Of 10 559 individuals aged ≥16 years with an initial negative CT/NG test (median age = 25 years), 20.3% had a re-test in 9–15 months (23.6% females vs 15.4% males, P < 0.001) and 35.2% in 5–15 months (40.9% females vs 26.5% males, P < 0.001). Factors independently associated with re-testing in 9–15 months in both males and females were: younger age (16–19, 20–24 years); and attending a centre that sees predominantly (>90%) Aboriginal people. Additional factors independently associated with re-testing for females were: being aged 25–29 years, attending a centre that used electronic medical records, and for males, attending a health centre that employed Aboriginal health workers and more male staff. Conclusions: Approximately 20% of people were re-tested within 9–15 months. Re-testing was more common in younger individuals. Findings highlight the importance of recall systems, Aboriginal health workers and male staff to facilitate annual re-testing. Further initiatives may be needed to increase re-testing.

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Clinical factors associated with syphilis concordance in men in sexual partnerships: a cross-sectional couples study

Sexually Transmitted Infections ◽

10.1136/sextrans-2017-053297 ◽

2017 ◽

Vol 94 (8) ◽

pp. 571-573 ◽

Cited By ~ 1

Author(s):

Janet M Towns ◽

Sarah Huffam ◽

Eric P F Chow ◽

Ian Denham ◽

Lei Zhang ◽

...

Keyword(s):

Health Centre ◽

Secondary Syphilis ◽

Sexual Partners ◽

Concordance Rate ◽

Hiv Positive ◽

Clinical Factors ◽

Syphilis Infection ◽

Factors Associated ◽

Early Syphilis ◽

Male Sexual Partners

BackgroundSyphilis infections continue to increase among men who have sex with men (MSM) in many countries, with rates often higher among HIV-positive MSM. There is limited understanding of the risk and determinants of syphilis transmission between men. We aimed to examine the concordance of early syphilis infection between male sexual partners and clinical factors associated with transmission.MethodsMen attending Melbourne Sexual Health Centre with their male partners, where at least one was diagnosed with early syphilis, were identified from linkage of partner records between March 2011 and April 2016. Early latent syphilis was defined as a new asymptomatic syphilis presentation of less than 2 years’ duration. Associations between concordance and potential risk factors were examined using Fisher’s exact test.ResultsAmong 43 couples (86 men) identified, there were 13 couples (26 men) where both were diagnosed with early syphilis, representing a concordance rate of 30.2% (95% CI 17.2% to 46.1%). Among the 13 concordant couples, 5 men had primary syphilis (4 penile, 1 anal), 11 secondary syphilis (8 generalised rash, 3 penile, 2 anal, 1 oral lesion) and 10 early latent infections. Concordance was higher among couples where at least one partner had secondary syphilis compared with couples where neither partner had secondary syphilis (53% (9/17) vs 15% (4/26), P=0.016). Furthermore, concordance was higher among couples where one was HIV positive compared with couples where both were HIV negative (62% (5/8) vs 23% (8/35), P=0.042).ConclusionsThere was an overall concordance rate of 30%. Higher concordance rates for early syphilis infection between male sexual partners were associated with HIV and secondary syphilis.

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Individual-level characteristics associated with oral HIV test acceptability among Peruvian men who have sex with men and transgender women: a cross-sectional study

Sexually Transmitted Infections ◽

10.1136/sextrans-2017-053388 ◽

2018 ◽

Vol 94 (7) ◽

pp. 528-533 ◽

Cited By ~ 4

Author(s):

Juan A Flores ◽

Brandon Brown ◽

Segundo R León ◽

Hugo Sánchez ◽

Jerome T Galea

Keyword(s):

Health Centre ◽

Secondary Analysis ◽

Prevalence Ratio ◽

Transgender Women ◽

Cross Sectional ◽

Individual Level ◽

Factors Associated ◽

Hiv Test ◽

Sex With Men ◽

The Individual

ObjectivesPeruvian men who have sex with men (MSM) and transgender women (TGW) are highly vulnerable to HIV infection (HIV), but stigma, access issues and fear of venipuncture hamper testing. The oral HIV test—which uses oral fluids and provides results in 20 minutes—could reduce these barriers. The objective of this study was to determine the acceptability of the oral HIV test and the individual-level factors associated with its acceptability among MSM and TGW.MethodsWe conducted a cross-sectional secondary analysis among Peruvian MSM and TGW attending a community-based health centre between February 2012 and February 2013 to determine the individual-level factors associated with oral HIV test acceptability.ResultsOf 334 participants, 88% were MSM and 12% TGW. Overall, 85% of participants indicated their acceptability of the oral HIV test. Acceptability was higher in MSM than TGW (85.7% vs 80.0%) but this difference was not significant. Factors associated with acceptability in MSM were: tertiary or higher education (prevalence ratio (PR)=1.18, 95% CI 1.06 to 1.32 and PR=1.16, 95% CI 1.03 to 1.30, respectively); sex with drug use (PR=1.19, 95% CI 1.05 to 1.36); believing that HIV is transmitted by saliva (PR=1.20, 95% CI 1.08 to 1.33); and potential use of the oral test at home (PR=1.56, 95% CI 1.32 to 1.85). The only factor associated with lower acceptability was having had first anal intercourse between 14 and 19 years of age (PR=0.89, 95% CI 0.80 to 0.98).ConclusionsWe identified the individual factors associated with oral HIV test acceptability among Peruvian MSM and TGW. Expanded use of the oral HIV test to increase testing rates among Peruvian MSM and TGW is recommended.Trial registration numberNCT01387412, post-results.

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