scholarly journals Knowledge and practice regarding prevention of puerperal sepsis among postpartum women attending a private hospital in Bangladesh

Author(s):  
Shirin Sultana ◽  
Fatema Zohora Methe ◽  
Faisal Muhammad ◽  
ABM Alauddin Chowdhury

Background: Puerperal sepsis is a common pregnancy-related condition that could eventually lead to obstetric shock or sometimes death. In developing world, the puerperal sepsis is the second most cause of maternal mortality. Cases of Maternal mortality have not declined in spite of efforts by both the public and private sector to prevent such deaths.Methods: A descriptive cross-sectional study was conducted among 150 postpartum mothers who attended Ibn Sina Medical College Hospital (ISMCH) Bangladesh during August to December 2017. A non-probability purposive sampling technique was used to select the study participants and the data was collected using pre-tested semi-structured questionnaire by face to face interview. The collected information was analysed using SPSS 22.0 version.Results: About 50.7% of the study participants were in the age group 19-29 years and the mean age of the study participants was 29.6±15.9 years. More than seven-tenths (73.3%) of the study participants were Muslims and the majority (24.7%) of the study participants had senior secondary certificate. Most of the study participants (62%) were living in urban area and only 18.7% were service holders. Only 39.3% of the respondents think that they have sufficient knowledge regarding prevention of puerperal sepsis and about 78% of the study participants mentioned that getting immediate medical care for any wounds or even seasonal diseases prevents puerperal sepsis. About 37.4% were disagreed to avoid sexual intercourse during last 2 months of pregnancy prevents puerperal sepsis and about 51.3% were agreed to avoid appearances in crowded and unhygienic places, this will prevent from catching respiratory diseases.Conclusions: The findings reported that most of the study participants had poor level of knowledge regarding prevention of puerperal sepsis. However, the study participants had satisfactory practice level about prevention of puerperal sepsis. It further reveals that educational level and age of the study participants was found statistically significant with knowledge about prevention of puerperal sepsis.

Libri ◽  
2017 ◽  
Vol 67 (4) ◽  
Author(s):  
Shamshad Ahmed

AbstractThe purpose of this paper is to identify service quality differences among librarians working in the public and private sector university libraries of Pakistan. An adapted instrument based on the SERVQUAL model, comprised of 30 items and divided into four dimensions, (a) responsiveness; (b) reliability; (c) assurance; and (d) empathy, was used to measure the service quality of librarians. A convenience sampling technique was used to collect data from the users of public and private university libraries, with the Mann-Whitney


2021 ◽  
Vol 4 (1) ◽  
pp. 01-08
Author(s):  
Shanzida Khatun ◽  
Kohinur Begom MSN ◽  
Shanzida Khatun ◽  
Happy Bandana Biswas ◽  
Mohammad Nurul Anowar

Background: Having a child in hospital is a stressful experience for most parents, especially for mothers. In Bangladesh, the number of hospital admission of under-5 children is gradually increasing. Support from nurses can assist mothers to maintain their parenting role and promote quality nursing care. Objective: The study was conducted to assess the nursing support perceived by the mothers of hospitalized children in Bangladesh. Methods: A Descriptive cross-sectional study was conducted among 112 mothers whose children were admitted at Dhaka Medical College Hospital. Convenience sampling technique was used to select the study participants. Data was collected by using self-administered structured questionnaires including (1) The Demographic Data Questionnaires and (2) Perception of Nursing Support Questionnaire. Data were analyzed by using descriptive and inferential statistics. Results: The total mean of nursing support was 3.68 (SD=.25). The findings showed that there was a statistically significant difference between mothers’education and nursing support (F=2.73, p=.033). There was a statistically significant positive relationship between child age and nursing support (r=.22, p=.019). There were statistically significant differences between a child’s gender and nursing support of mothers (t=1.99, p=.048) which means mothers who had a male child had more nursing support. Conclusion: The findings of the present study provide information for the nurses ‘that help to increase nursing support among mothers of hospitalized children in Bangladesh. Nurses can promote the quality of care and should be aware of the importance of nursing support. Further study is crucial for identifying factors influencing on nursing support perceived by the mothers of hospitalized children. It is important that nurses continue to develop their knowledge about communication and establishing parent support system.


2013 ◽  
Vol 69 (4) ◽  
Author(s):  
A. Ellis ◽  
H. Van Aswegen ◽  
R. Ross ◽  
P. Becker

To examine the incidence of contamination and current practice of decontamination of nebulisers after use within a ventilator circuit, in public- and private sector intensive care units (ICUs) in Johannesburg; to assess the presence of and adherence to a decontamination protocol in these ICUs and to identify which practices were associated with lower or no bacterial growth. Methods: A cross-sectional study design was used which included a semi-structured interview with the ICU manager and an audit of current nebuliser practice. Nebulisers that were identified in the interview were swabbed and streaked on blood agar plates (BAPs). BAPs were incubated and assessed for bacterial colonisation, number of colony forming units (CFUs) and number of different species of CFUs present. Results: Two hundred and sixty-nine ICU beds were surveyed over a two-month period resulting in 45 nebulisers used within a ventilator circuit that could be tested. The majority (93%) were single-use jet nebulisers, all were being re-used and 52% presented with contamination. None of the ICUs had a nebuliser decontamination protocol in place. Contaminated nebulisers that were stored in a sterile drape had significantly higher concentrations of bacterial growth (p=0.03). Conclusion: The rate of colonisation of re-used jet nebulisers is high. Nebuliser decontamination protocols are urgently needed.


2013 ◽  
Vol 1 (2) ◽  
pp. 68-75
Author(s):  
AK Nepal ◽  
A Shrestha ◽  
SC Baral ◽  
R Bhattarai ◽  
Y Aryal

INTRODUCTION: Although the evidences suggest that more than one third tuberculosis (TB) cases are being managed in private sector, the quality of care in private sector is major concern. However, the information regarding the private practices were lacking. Therefore the study was conducted to gain insights on current practices of TB management at private sectors. MATERIALS AND METHODS: A descriptive cross sectional study, applying quantitative method, was conducted at two cities of Kaski among all private practitioners, private pharmacies and private laboratories through self administered questionnaire and structured interview schedule. RESULTS: Nearly one fourth of the TB suspects in the district were found to have consulted private providers with about 20.0% of the total smear positive cases diagnosed in private laboratories. Beside sputum microscopy, Private Medical Practitioners (PMPs) were also found to prefer other tests like X-ray, culture for TB diagnosis. Similarly, PMPs’ varying prescription of anti TB drugs beyond National TB Programme (NTP) recommendation along with their weak recording and case holding were noteworthy, and the cost of TB treatment seemed higher in private sector. Only one third of private institution had their staff trained in TB. Except some informal linkage, no collaboration between public and private sector was noted. CONCLUSIONS: Private sector was managing many TB cases in the district. However, their practice of TB management was not much satisfactory. Therefore NTP should take effective measures for Public Private Mix and to make them aware of the standards through training and orientation in order to improve the quality of care. DOI: http://dx.doi.org/10.3126/ijim.v1i2.7085 Int J Infect Microbiol 2012;1(1):68-75


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253808
Author(s):  
Dhan Bahadur Shrestha ◽  
Nagendra Katuwal ◽  
Ayush Tamang ◽  
Agrima Paudel ◽  
Anu Gautam ◽  
...  

Background Medical students are more prone to burnout than the general population and students of other faculties due to the demanding nature of medical education with limited time and resources. Burnout has a negative impact on the academics and personal life of the students which can continue into their professional life and ultimately hamper patient care. The purpose of this study is to determine the prevalence of burnout among medical students of a medical college and find its association with age, gender, and year of study. Materials and methods This cross-sectional study was conducted among medical students of a medical college in Kathmandu, Nepal from 14 January to 7 March, 2021. Stratified sampling followed by a simple random sampling technique was employed to select study participants. Data was collected through a self-administered questionnaire using the English version of the Oldenburg Burnout Inventory adapted for students (OLBI-S) and analyzed in STATA version 15. Results The prevalence of burnout was found out to be 65.9% (n = 229). And of the remaining, 12.7% were exhausted, 11.4% were disengaged and 10.0% were neither exhausted nor disengaged. Burnout had no significant association with age in years, gender, and year of study. Conclusions This study shows an alarming prevalence of burnout in almost two-thirds of medical students. These results indicate the necessity of employing effective strategies by relevant authorities for the mental well-being of future physicians. Further multicenter prospective studies are required for a better understanding of the prevalence and associated factors of burnout.


2021 ◽  
Author(s):  
Paulo Ferrinho ◽  
Nkanga Guimarães ◽  
Helga Freitas

Abstract BackgroundWe describe the profile of Angolan final year allied health workers (AHW) students: where they come from, their experience of training and expectations regarding professional future. MethodsIt was a questionnaire based observational cross-sectional study applied to final year AHW students in 24 public and private sector , higher and mid-level training institutions in 14 of the 18 provinces of Angola during 2014.ResultsMost AHW students were women, satisfied with their choice of training. Satisfaction with teachers was high but low regarding support systems such as access to library, laboratories and clinical cases.After training AHW students wanted to settle in Angola, preferable in hospital practice, preferably in the public sector and in a national or provincial capital, rather than in the municipal hospitals. ConclusionsThis study highlights some of the issues that will have to be addressed by training institutions in order to contribute to a balanced health workforce in Angola, with AHW in quantity with the quality and distribution necessary to address health system and population needs. It highlights the importance of private education institutions in meeting this need. As training is a significant investment by students or their relatives, training institutions must strive to improve support systems in terms of access to libraries, laboratories, clinical cases, informatic support, canteens, accommodation and leisure activities.


Author(s):  
Oscar Vetsi ◽  
Eric Gyamfi ◽  
Emmanuel Yaw Sarfo-Twerefour

Background: Rabies is one of the neglected tropical zoonotic diseases caused by a virus. It belongs to the Rhabdoviridae [1]. It is a disease that is commonly found in animals but can easily effect human [2]. Where there are animal reservoirs, rabies is commonly spread. The general objective of this study to evaluate differences in knowledge, attitude and perception about rabies, among the residence in Ga East. Methods: A cross-sectional study was used in this study using purposive sampling technique. Data was collected by interviewing study participants using OKD Collection and also STATA version14.2 was used for data analysis Results: A total of 475 respondents were involved in the study with 354 (74.53%) males and 121(25.47%) as females. Of this, majority of the participants (93.47%) own a dog against 6.53% who did not own a dog. Dog is own in the community basically for security purposes (77.25%). Few own dog for leisure.  The study document less than 50% of the respondents [186 (39.16%)] resort to local drug stores drug store for first aid following a dog bit. Seeking veterinary attention (12.84%) and properly clearing of wound (8.84%) was not a common practice. Participants were of the opinion that tetanus vaccination should be done first (29.05%). Most of the participants have heard about rabies (96.42%) and showed various degree of knowledge on source of rabies, common animals associated with rabies, symptoms of rabies. Among some other practices, any identified rabid dog is killed as indicated by majority of the participants (52.63%). Most participants (71.58%) knew that rabies vaccination serves as preventive measures against rabies and further perceived all dogs must be vaccinated (38.32%). Of the total respondents, most (63.74%) never sent their dog for routine medical check-up nor vaccinated their dogs (70.95%). Conclusion: The study revered that dog owners do not provide adequate care for their dogs. In addition to low coverage of dog vaccination and human anti rabies vaccination in the community which poses a greater threat to the lives community, the potential for increased spread of the diseases is high due to inadequate level of knowledge, poor perceptions, and attitudes towards rabies.


Author(s):  
Tarun Kumar Sarkar ◽  
Pulak Kumar Jana ◽  
Jasmine M. ◽  
Timiresh Kumar Das ◽  
Mrinmoy Adhikary ◽  
...  

Background: Thalassemia is more prevalent in India. The main treatment of Thalassemia is blood transfusion. But the transfusion of blood has many side effects like iron overload, transfusion related infections etc. The objectives of the study were to assess the adequacy of blood transfusion for thalassemic patients and to determine the magnitude of transfusion transmitted infections among those patients.Methods: A cross sectional study was conducted in Murshidabad Medical College and Hospital, West Bengal for 1 month with the sample size of 116. The blood samples from the patients were taken from the patients attending for blood transfusion in transfusion centre of Murshidabad Medical College and Hospital for two weeks dated from 24.04.2017 to 05.05.2017 to check for the hemoglobin, ferritin level and hepatitis B, C and HIV infection.Results: Among the 116 patients, even after transfusion, 94% of the study participants have their hemoglobin levels below 7 gm/dl. Only 2 individuals got their hemoglobin levels more than 9 gm/dl and only 1 patient got HIV infection post transfusion which accounts for 0.9% of study population.Conclusions: Frequent Hb estimation will help to maintain the adequacy of blood transfusion and proper screening of the blood before transfusion can help in reducing these transfusion transmitted infections.


Author(s):  
Shweta Goswami ◽  

Background: Preparedness for passive intervention in form of social distancing in cultural setting of India needs to be studied. Objective: To determine the attitude of urban adults of India regarding feasibility of social distancing as a mode of prevention of Covid-19 transmission before complete lockdown in country was imposed. Methodology: A descriptive cross sectional study was conducted among adults who were literate in English language and were residing in urban areas of various regions India. Data was collected between 16th to 20thMarch, 2020 before lockdown in various districts were started and Janatacurfew (lockdown) was announced. Questionnaire included hypothetical scenarios to assess attitude of study population on social distancing. Result:There were 264 completed responses. 87.9% among all believed that social distancing will prevent them and others too. Positive attitude towards work place related social distancing was reported by 84.8%. Feasibility towards avoiding market and going to family functions (coping strategies) were showing positive attitude among 52.3% and 72.9% respectively. Giving leave to maid (active prevention) was difficult for 47.4% female respondents, 73.3% employees in public and private sector and 83.3% of age more than 60 years. Conclusion: The urban India with so much of diversities showed a promising favorable attitude towards social distancing.


2021 ◽  
Vol 71 (2) ◽  
pp. 512-16
Author(s):  
Muhammad Akram Saeed ◽  
Soufia Farrukh ◽  
Wajahat Hussain ◽  
Samina Badar ◽  
Arif Ahmed Zaidi ◽  
...  

Objective: To determine the frequency of academic misconduct among students of medical colleges affiliated with University of Health sciences in Punjab. Study Design: Cross-sectional analytical study. Place and Duration of Study: Different public and private sector medical colleges in Punjab affiliated with University of Health Sciences, from Jan 2018 to Dec 2018. Methodology: Sample size calculated at 95% level of confidence, 1% required precision and 4.7% 6 anticipated population proportion was 1721. However, to increase the validity of study it was taken as 2000. Multistage stratified random sampling technique was used to select the study subjects. Information was collected on a self-administered questionnaire containing the common trends of academic misconducts. Data was entered and analyzed through SPSS version 22. Results: Total 2000 students were enrolled in the study with equal participation from public and private sector. Mean age of the respondents was 21.82 ± 1.82 years. Overall frequency of academic misconduct was high i.e. 1928 (96.4%). The most frequent academic misconduct was “asking friend to mark the proxy (84.45%)” and the least frequent reported misconduct was “using cell phone for exchange of answers (14.25%).” The difference of academic misconduct among students of public and private sector medical college students was significant (p<0.001). The academic misconduct was also significantly different (p=0.005) among students from rural and urban residential backgrounds. Conclusion: Academic misconduct was found a serious problem among medical students studying in public and private sector medical colleges of Punjab, Pakistan.


Sign in / Sign up

Export Citation Format

Share Document