scholarly journals Perinatal asphyxia and associated factors among neonates admitted to a specialized public hospital in South Central Ethiopia: A retrospective cross-sectional study

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262619
Author(s):  
Seifu Awgchew Mamo ◽  
Girum Sebsibie Teshome ◽  
Tewodros Tesfaye ◽  
Abel Tibebu Goshu

Introduction Perinatal asphyxia continues to be a significant clinical concern around the world as the consequences can be devastating. World Health Organization data indicates perinatal asphyxia is encountered amongst 6–10 newborns per 1000 live full-term birth, and the figures are higher for low and middle-income countries. Nevertheless, studies on the prevalence of asphyxia and the extent of the problem in poorly resourced southern Ethiopian regions are limited. This study aimed to determine the magnitude of perinatal asphyxia and its associated factors. Methods A retrospective cross-sectional study design was used from March to April 2020. Data was collected from charts of neonates who were admitted to NICU from January 2016 to December 31, 2019. Result The review of 311 neonates’ medical records revealed that 41.2% of the neonates experienced perinatal asphyxia. Preeclampsia during pregnancy (AOR = 6.2, 95%CI:3.1–12.3), antepartum hemorrhage (AOR = 4.5, 95%CI:2.3–8.6), gestational diabetes mellitus (AOR = 4.2, 95%CI:1.9–9.2), premature rupture of membrane (AOR = 2.5, 95%CI:1.33–4.7) fetal distress (AOR = 3,95%CI:1.3–7.0) and meconium-stained amniotic fluid (AOR = 7.7, 95%CI: 3.1–19.3) were the associated factors. Conclusion Substantial percentages of neonates encounter perinatal asphyxia, causing significant morbidity and mortality. Focus on early identification and timely treatment of perinatal asphyxia in hospitals should, therefore, be given priority.

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261033
Author(s):  
Sushma Rajbanshi ◽  
Mohd Noor Norhayati ◽  
Nik Hussain Nik Hazlina

Background Understanding maternal morbidity and its determinants can help identify opportunities to prevent obstetric complications and improvements for maternal health. This study was conducted to determine the prevalence of severe maternal morbidity (SMM) and the associated factors. Methods A hospital-based cross-sectional study was conducted at Koshi Hospital, Nepal, from January to March 2020. All women who met the inclusion criteria of age ≥18 years of age, Morang residents of Nepalese nationality, had received routine antenatal care, and given birth at Koshi Hospital were recruited consecutively. The World Health Organization criteria were used to identify the women with SMM. A multiple logistic regression analysis was performed. Overall, 346 women were recruited. Findings The prevalence of SMM was 6.6%. Among the SMM cases, the most frequently occurring SMM conditions were hypertensive disorders (12, 56.5%), hemorrhagic disorders (6, 26.1%), and severe management indicators (8, 34.8%). Women with no or primary education (adjusted odds ratio: 0.10, 95% confidence interval: 0.01, 0.76) decreased the odds of SMM compared to secondary education. Conclusion The approximately 7% prevalence of SMM correlated with global studies. Maternal education was significantly associated with SMM. If referral hospitals were aware of the expected prevalence of potentially life-threatening maternal conditions, they could plan to avert future reproductive complications.


2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.


2021 ◽  
Vol 05 (04) ◽  
pp. 110-116
Author(s):  
Huu Thang Nguyen ◽  
◽  
Thi Nguyet Minh Doan ◽  
Thanh Huong Tran ◽  
Hai Thanh Pham

Objectives: Medical facilities with an autonomous tendency always try to serve positive and pleasant experiences to improve the brand name, increase patient satisfaction and loyalty. A descriptive cross-sectional study was conducted on 245 inpatients at Lung Hospital in Son La province in 2020. To describe the current situation of the inpatient's experience at Lung Hospital in Son La province by 2020 and its related factors. Methods: This was a cross-sectional study conducted on 245 inpatients at Son La Lung Hospital Results: The study showed that the total score of inpatients’ experience ranged from 22 points to 57 points and the mean of it was 39.7 (6.13) points. Subject's experience scores were divided into 2 groups, the satisfied group accounted for 32.7% and the percentage of the unsatisfied group was 67.3%. As compared to men, a higher total score of women was (OR: 1.134; 95% CI: 0.284-0.997). The urban area group’s score was 1,190 times higher than that of those who live in rural and mountainous areas (95% CI: 1,010 - 1,400). The middle-income group had more positive experience than the low-income group (OR: 1.180; 95% CI: 1.010 - 1.370). Conclusions: Our research showed that gender, living area and economic condition affected the total score of inpatients’ experience at the Lung hospital. Keywords: Patient experiences, inpatient treatment, hospital, associated factors


2016 ◽  
Vol 26 (3) ◽  
pp. 341
Author(s):  
Marcella Evangelista Melo ◽  
Giovanna Lima Miguéis ◽  
Mikaela Silva Almeida ◽  
Tatiane Dalamaria ◽  
Wagner De Jesus Pinto ◽  
...  

Introduction: In the diagnosis of overweight and obesity based on body mass index in children and adolescents, several national and international anthropometric references are recommended. However, there is a divergence in the estimated prevalence of overweight and obesity among the references. Objective: To identify the prevalence of overweight and obesity and to analyse the magnitude of agreement among the three references. Methods: A cross-sectional study with 975 students from the early grades of elementary school. The prevalence of overweight and obesity were estimated according to the criteria of the World Health Organization (WHO), the International Obesity Task Force (IOTF) and Conde and Monteiro. The Kappa weighted index was calculated to assess the agreement magnitude among the three references. Results: The highest prevalence of overweight and obesity was estimated by the Conde and Monteiro and WHO references, respectively. Overall, the IOTF revealed lower a magnitude of prevalence than the two other references. The agreement among the references identified by the Kappa index had a range of 0.66 to 0.94. Conclusion: Despite the satisfactory agreement among the three references, this research highlighted the differing magnitudes of the prevalence of overweight and obesity. This fact limits the ability to make comparisons among populations and impairs the development of overweight and obesity prevention actions.


2021 ◽  
Vol 3 (1) ◽  
pp. 52-58
Author(s):  
Muhammad Thabran Talib ◽  
Satriani Albar

Pemberian imunisasi dapat dilihat dari banyaknya balita yang meninggal akibat penyakit dapat dicegah dengan imunisasi. Data World Health Organization menunjukkan bahwa satiap tahun, setidaknya 1,7 juta anak meninggal karena penyakit yang dapat dicegah dengan vaksin yang sudah tersedia. Penelitian ini bertujuan untuk menganalisis faktor pemberian imunisasi dasar lengkap antara pengetahuan dan sikap ibu tentang imunisasi. Penelitian Puskesmas Tamalate Makassar. Populasi adalah ibu yang memiliki anak usia imunisasi di Puskesmas Tamalate Makassar dengan jumlah sampel 122 orang. Data sekunder dari laporan tahunan imunisasi yang ada di Puskesmas Tamalate Makassar, data primer dengan pembagian kuisioner yang diisi responden. Analisa data dilakukan yaitu analisa Univariat dan analisa bivariat. Penelitian ini dilaksanakan pada Nopember-Desember 2019. Dengan jenis penelitian Desain dengan Cross Sectional Study. Hasil penelitian analisa univariat, pengetahuan baik 107(87,7%) responden dan pengetahuan responden yang kurang 15(12,2%) responden. Sedangkan sikap baik 115(94,2%) responden, sedangkan sikap yang kurang 7(5,7%) responden. Analisis bivariat menunjukkan Ada hubungan yang bermakna antara tingkat pengetahuan dengan pemberian imunisasi dasar lengkap pada bayi yaitu p: 0,002 dan ada hubungan yang bermakna antara sikap dengan pemberian imunisasi dasar lengkap pada bayi yaitu p: 0,038. Saran yaitu upaya peningkatan pembinaan dan pendidikan tentang pentingnya pemberian imunisasi secara lengkap pada bayi.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Ari Widyaningsih ◽  
Isfaizah Isfaizah

Salah satu penyakit tidak menular yang banyak ditemukan pada masyarakat saat ini salah satunya adalah hipertensi yang diawali pre-hipertensi. World Health Organization (WHO) mencatat pada tahun 2012 sedikitnya 839 juta kasus hipertensi, diperkirakan menjadi 1,15 milyar pada tahun 2025 atau sekitar 29% dari total penduduk dunia, dimana penderitanya lebih banyak pada wanita (30%) dibanding pria (29%).  Beberapa faktor risiko lain juga berkontribusi terhadap kenaikan tekanan darah pada wanita, diantaranya riwayat hipertensi, karakteristik seseorang (usia, jenis kelamin, ras), gaya hidup yang di dalamnya termasuk pola konsumsi lemak dan garam tinggi, makan secara berlebihan hingga mengakibatkan obesitas, kebiasaan merokok dan minum alkohol, kurang konsumsi sayuran dan buah, aktivitas fisik, pekerjaan, kualitas tidur, konsumsi kopi, stress, penggunaan alat kontrasepsi hormonal, status gizi dan obesitas sentral.  Perubahan tekanan darah tinggi dapat terjadi pada 5% pemakaian kontrasepsi hormonal. Tekanan darah akan meningkat secara bertahap dan tidak akan menetap. Wanita yang memakai kontrasepsi selama 5 tahun atau lebih, frekuensi perubahan tekanan darah tinggi meningkat 2 sampai 3 kali dari pada tidak memakai alat kontrasepsi hormonal. Resiko terjadinya tekanan darah tinggi akan meningkat dengan bertambahnya umur, lama pemakaian kontrasepsi dan bertambahnya berat badan.  Berdasarkan uraian di atas, peneliti tertarik melakukkan penelitian tentang.  Faktor – faktor yang Berhubungan dengan Kejadian Hipertensi pada Akseptor KB Suntik.  Penelitian ini merupakan analitik korelasi dengan pendekatan cross-sectional study dengan teknik pengambilan sampel accidental sampling dan uji chi square pada analisa datanya.


2019 ◽  
Vol 1 (1) ◽  
pp. 26-28
Author(s):  
Reni Fitriani ◽  
Agni Laili Perdani ◽  
Lia Juniarni

Background: Transgender is no longer classify a mental health illness from World Health Organization (WHO). The number of this community up to 3.9 million or 1.6% from Indonesia citizen. Transgender face social discrimination and stigma toward themselves as a result from community and family rejection. This condition could affected their process of self-acceptance and self-concept.Purpose: This study aimed to describe the self-acceptance and the self-concept among transgender in Indonesia    Methods: A cross-sectional study was conducted in transgender community at Srikandi Pamungkas, Lembang. This study used a convinience sampling and 30 respondents agreed to participate. Data was collected using self-questionnaire and consist of 52 item questions with.Results: This study showed that the total of transgender with good self-acceptance is 17 (56.7%) and good self-concept is 16 (53.3%)Conclusion: Most of the transgender in the transgender community had good self-acceptance and good self-concept from the support system in community environment.


2021 ◽  
Vol 15 (3) ◽  
Author(s):  
Supriya Patil ◽  
Yamini Patil ◽  
Sanjay Kumar Patil

Diabetes is a chronic metabolic disorder that disturbs the quality of life (QOL) of patients. Therefore, evaluation of diabetes- related QOL could be a key outcome measure for its management. This study assessed the QOL in type 2 diabetes mellitus (T2DM) patients using the World Health Organization (WHO) quality of life (QOL)˗BREF questionnaire and disease-specific appraisal of diabetes scale (ADS). In this cross-sectional study, 520 T2DM patients were included. Patients’ demographic data, clinical information was collected through interviews, and the WHOQOL-BREF instrument and ADS were used for the QOL of patients. Statistical analysis was performed by using R software (Version 3.6.0). The mean ADS scores were lower in controlled diabetic subjects (18.50±3.08) and higher in uncontrolled diabetic subjects (19.29±2.73) (P<0.05). For WHOQOL-BREF, the mean scores for all the domains (overall general health, physical, psychological, social, and environmental) were significantly higher in controlled diabetic subjects (P<0.001). In addition, the age, duration of diabetes, associated comorbidities, treatment, and HbA1c level of patients showed a highly significant correlation with WHOQOL-BREF (P<0.001). Diabetic patients had poor-to-average QOL. Therefore, public health measures and education of diabetic patients are essential to create more awareness for improving the QOL of T2DM.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Tesfaye Guja ◽  
Yabsira Melaku ◽  
Eshetu Andarge

Meeting minimum standards of dietary quality in mothers and children is a challenge in many developing countries including Ethiopia. Emerging evidence suggests that maternal and child dietary diversity is associated, but little is known about the associated factors of concordance of mother-child dietary diversity in Ethiopia and none is documented in the study area. This study examines the concordance between mother-child (6–23 months) dyads dietary diversity and the associated factors in Kucha District, Gamo Zone, Southern Ethiopia. A community-based cross-sectional study was conducted among 791 mother-child (6–23 months) pairs from 11 selected kebeles on March 6 to April 13, 2017. Multistage cluster sampling technique was used to select the study subjects. The sampling frame was obtained from the family folder of health posts in each kebele. The mother-child pairs were selected by the simple random sampling method. The 7 food groups of the World Health Organization (WHO) for children and the 10 food groups of FANTA/FAO 2016 for mothers were used to analyze the dietary diversity. Cohen’s kappa statistics was calculated to see the strength of concordance. The multivariable logistic regression model was fitted to determine factors affecting mother-child dietary diversity concordance. A good concordance was noted between mother-child dietary diversity scores (Kappa = 0.43). Only 56 (7.1%) mothers were negative deviants, and 133 (16.8%) mothers were positive deviants in dietary diversity consumption. Rural residence (AOR = 3.49; 95% CI: 1.90–6.41), having no formal education (AOR = 1.8; 95% CI: 1.08–3.05), not owning milking cow (AOR = 1.7; 95% CI: 1.10–2.56), children with low dietary diversity (AOR = 8.23; 95% CI: 5.17–13.08), and mothers with low dietary diversity (AOR = 0.46; 95% CI: 0.29–0.74) were found to be factors associated with mother-child dietary diversity concordance. An increase in the percentage of children reaching the minimum dietary diversity was greater with a successive increase in maternal dietary diversity. Despite interesting similarities between mothers and children dietary consumption, more than three-quarters of concordants did not achieve the recommended dietary diversity score (were low concordants). Interventions targeting on rural women’s access to high school education, home-based milking cow rearing, and promoting nutrition-sensitive agriculture to meet the dietary requirements of mothers and children in a sustainable manner and public health efforts to improve child nutrition may be strengthened by promoting maternal dietary diversity due to its potential effect on the entire family.


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.


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