scholarly journals Analysis of Factors Associated with Stunted Growth in Children Aged 12-60 Months Living in Lenda Village, Manggarai Regency, NTT

2020 ◽  
Vol 15 (3) ◽  
Author(s):  
Oliva Suyen Ningsih ◽  
Yohanes Jakri ◽  
Erika Nur Cahyani

<div class="WordSection1"><p align="center">Stunting is one of the main health problems in Indonesia resulting from poor nutrition. Stunted growth can have a negative impact on children's development and long-term growth. The prevalence of stunted growth in NTT Province in 2017 reached 22.30%. Lenda Village became the priority village for an integrated stunted growth prevention program in 2018. The purpose of this study was to determine the factors associated with the incidence of stunted growth in children aged 12-60 months (n = 82) in Lenda Village, from October 2018-April 2019 using a cross-sectional study. The sample technique used was purposive sampling.The instruments used were: a questionnaire (including demographic data, birth history, diarrhea, mother’s knowledge), microtoise and weight scales.The analysis data involved a chi-square test and binary logistic regression. The results showed that most children were stunted (58 children (70.7%)). There was a significant association  between exclusive breastfeeding (AOR = 5.193, 95 % CI= 1.275-21.158, p = 0.022), immunization status (AOR= 0.110, 95 % CI = 0.025-0.477, p =0.003), diarrhea (AOR = 13.386, CI 95 % = 2.270-78.949, p= 0.004), knowledge (AOR = 0.049, 95 % CI = 0.008-0.290, p= 0.001) and stunted growth. Integrated stunted growth management needs to be provided through cross-sectoral collaboration to increase the coverage of health care providers, improve sanitation, increase the level of maternal knowledge and improve health outcomes during both antenatal and postnatal care</p></div>

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Niloufer Sultan Ali ◽  
Ali Khan Khuwaja ◽  
Adnan-ur-Rahman ◽  
Kashmira Nanji

Background. Metabolic Syndrome (MetS) is a major public health concern. Objective. The aim of this study was to estimate the frequency of MetS, its components, and factors associated with MetS amongst apparently healthy individuals in Pakistan. Methods. A retrospective cross-sectional study was conducted at the executive Clinics of Aga Khan Hospital, Pakistan. Medical records of patients aged ≥18 years visiting the clinics from July 2011 to December 2011 were consecutively reviewed. Records in which either MetS components data or 10% of overall data was missing were excluded. A total of 1329 participants’ records was included in final analysis. Data was analyzed using SPSS version 19 and multivariable logistic regression was used to identify the factors associated with MetS. Results. A total of 847 (63.7%) participants had MetS; mean age of the participants were 47.6 ± 11.6 years. About 70.4% were males and 29.6% were females. Approximately 70% of participants had BMI ≥25 kg/m2. MetS was associated with male gender (AOR = 2.1; 95% C.I: 1.6–3.2) and history of diabetes among parents (AOR = 3.0; 95% C.I: 1.6–6.0). Conclusion. This study shows that a large proportion of population has MetS and is overweight or obese. This requires urgent interventions on part of health care providers’ especially family physicians. Educating masses about life style factors can make a difference. Further researches on this issue are warranted.


2021 ◽  
Author(s):  
Ismat Babiker ◽  
Mohamed K. Elnaeim ◽  
Awab K.Elnaeim

Abstract Objective: the objective of this study was to assess the awareness of the community in Sudan of which seizure type(s) should present to health care providers.Methods: This is a cross-sectional descriptive internet-based survey that was conducted in Sudan during the period from January to April 2018, using google forms. The survey consisted of demographic data (age, gender, educational level), a statement evaluating participants’ sources of obtaining information regarding epilepsy, a statement assessing awareness about the primary care provider for people with epilepsy (PWE), and a statement describing the symptomatology of different seizure types in simple Arabic, asking what description(s) participants thought should present to health care providers. We included participants residing in Sudan, and those with a college degree or higher education. Four hundred sixty-seven participants completed the survey.Results: 467 participants were included, of whom, 279 (60%) were females. The mean age of participants was 28 years. Two-thirds of participants obtained their information from non-scientific sources. 84% of the participants were aware that doctors are the primary health care providers for people with epilepsy.The majority (92.%) of participants were aware that patients with symptoms corresponding to the generalized tonic-clonic seizure description should present to doctors, compared with two-thirds of participants for focal seizure symptom description, and only 30.6 % of participants for absence seizure symptom description.Conclusion: This study demonstrated poor awareness about the necessity of presentation for focal and absence seizures. We hypothesize that this lack of awareness may contribute to the epilepsy treatment gap, and we recommend further studies to examine this hypothesis.


2020 ◽  
Author(s):  
Betiel Yihdego Kidanemariam ◽  
Traudl Elsholz ◽  
Laban L. Simel ◽  
Eyasu H. Tesfamariam ◽  
Yonatan Mehari Andemeskel

Abstract Background: Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and reducing the need for medication. This study aimed to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals.Methods: This was a descriptive cross sectional study conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses' utilization of selected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVA were used to analyze the data. Statistical significance level was set at P < 0.05.Results: The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were mostly used while, cognitive-behavioral (5.9%) and physical methods (5.8%) were hardly used. The results also showed that, characteristics such as, age (p=0.013), level of education (p=0.012), work experience (p=0.001) and place of work (p=0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals were the only determinants of the non-pharmacological methods at multivariable level with a statistical significance of (p<0.001). On the perceived barriers; heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%), nurse’s lack of knowledge (50%) and experience (40.3%) were identified.Conclusion: The use of non-pharmacological methods in the studied hospitals varied greatly on the knowledge and experience of the nurses. Therefore, it is recommended that exposure and training for all health care providers at all level is a paramount importance in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.


2020 ◽  
Vol 35 (Supplement_1) ◽  
pp. i30-i37
Author(s):  
Mirembe Rachel Faith ◽  
Babirye Juliet ◽  
Nathan Tumuhamye ◽  
Tumwebaze Mathias ◽  
Emma Sacks

Abstract Uganda officially introduced the inactivated polio vaccine (IPV) in May 2016 as part of the polio eradication strategy and integrated it into its routine immunization programme in addition to the oral polio vaccine. The current coverage stands at 60% as of July 2017. We therefore aimed to determine factors associated with the uptake of IPV among children in Kalungu District so as to inform the implementation of the vaccine policy. A community-based cross-sectional study was conducted among caregivers of 406 eligible children aged 12–23 months through multi-stage systematic sampling and a standardized semi-structured questionnaire. Nine key informant interviews were conducted through purposive selection of health care providers and members of Village Health Teams (VHTs) based on their expertize. Modified Poisson regression and thematic content analysis were used to determine factors significant to IPV uptake among children. 71% of sampled children aged 12–23 months had received IPV in Kalungu District. The survey found that being encouraged by health workers and VHTs was significant to children’s uptake of IPV (Adjusted PR 1.24, 95% CI; 1.22–3.47). Distance to the immunization point (Adjusted PR 0.32,95% CI; 0.16–0.62) and caregiver’s education level (Adjusted PR 1.16,95% CI; 1.05–2.22) were also associated with IPV uptake. Qualitative findings from health workers and VHT members further confirmed the perception that distance to the immunization post was important, and VHTs also stated that being encouraged by health workers was critical to IPV uptake. The current prevalence of IPV uptake among children aged 12–23 months in Kalungu is 71%, higher than the last reported national coverage (60%), though still below the recommended national coverage of 95%. Efforts should be focused on sensitization of caregivers through health workers and VHTs. Immunization outreach should be strengthened so as to bring services closer to patients.


BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Betiel Yihdego Kidanemariam ◽  
Traudl Elsholz ◽  
Laban L. Simel ◽  
Eyasu H. Tesfamariam ◽  
Yonatan Mehari Andemeskel

Abstract Background Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and reducing the need for medication. This study aimed to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals. Methods This was a descriptive cross sectional study conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses’ utilization of selected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVA were used to analyze the data. Statistical significance level was set at P < 0.05. Results The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were mostly used while, cognitive-behavioral (5.9%) and physical methods (5.8%) were hardly used. The results also showed that, characteristics such as, age (p = 0.013), level of education (p = 0.012), work experience (p = 0.001) and place of work (p = 0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals were the only determinants of the non-pharmacological methods at multivariable level with a statistical significance of (p < 0.001). On the perceived barriers; heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%), nurse’s lack of knowledge (50%) and experience (40.3%) were identified. Conclusion The use of non-pharmacological methods in the studied hospitals varied greatly due to knowledge and experience of the nurses. Therefore, it is recommended that exposure and training for all health care providers at all level is a paramount importance in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.


Author(s):  
Sabrina Ait Gacem ◽  
Sabrina Ait Gacem ◽  
Moayad Jamal Al-Shahwan ◽  
Nageeb A. G. M. Hassan ◽  
Nageeb A. G. M. Hassan ◽  
...  

Background: This study was performed to assess mothers’ knowledge and awareness level regarding maternal medication intake during lactation and health care providers’ role in promoting lactation.Methods: This study is a cross-sectional, questionnaire based survey study and a convenient sample of (820) breastfeeding mothers in Ajman and Sharjah, United Arab Emirates (U.A.E.) participated in the study. The results were analyzed using the Statistical Package for the Social Sciences (SPSS) version 20. Descriptive statistics were used to summarize the data concerning the demographic characteristics and breastfeeding knowledge. Categorical variables (such as nationality and educational level) were described by using frequency, percentages, bar chart and pie chart.Results: The current study revealed a (72%) of maternal knowledge compared to (60.4%) four years ago and the most identified encouraging factor for the initiation of lactation stated by the respondents was their own decision followed by family support (58.4%, 39.8% respectively). The health care providers’ role was positively improved (58.4%) as observed in the current study compared to (52.1%) four years ago in UAE.Conclusions: An improvement was observed in terms of knowledge among breastfeeding mothers in the UAE compared to previous years as well as healthcare providers’ role which was also positively improved. Pharmacists were observed to have a low impact on the initiation of lactation, but on the other hand it was found that they had a significant role in terms of assessing maternal medication safety during lactation.


2021 ◽  
Vol 6 (1) ◽  
pp. 32-37
Author(s):  
Kouotou Armand ◽  
Ananfack Gaël ◽  
Ngowa Marcien ◽  
Ndjitoyap Wilson ◽  
Mendouga Reine ◽  
...  

Introduction : Since the beginning of Coronavirus disease2019 (COVID-19), hospitals and health centres have become sites  of potential contamination and spread of the virus, and have had to reorganize  their working environments to limit infections of patients and health care providers while continuing to render health services for those affected by other ailments. The purpose of the study was to conduct a descriptive study to assess the practice of telemedicine among Cameroonian medical doctors through an electronic survey. Methodology: This was a cross-sectional study conducted from May to June 2020 using an online data collection form designed on Google Forms. The questions dealt with socio-demographic data, the cancellation rate of appointments, the practice of teleconsultation, the frequency of telephone use, the means of teleconsultation used and the quality of the doctor-patient relationship. Participants comprised all physicians practicing in Cameroon using information and communication technologies Results: A total of 253 participants were included, 56.5% of which were women. Physicians from the ten regions of the country were represented. Twenty percent (20.2%) of physicians practiced teleconsultation, of which 3.2% continued teleconsultations while in quarantine. Seventy-five percent (75.4%) of physicians used multiple communication modalities at the same time; the most used modality in combination with others was the WhatsApp android application. Forty-six percent (41.6%) of participants judged that the doctor-patient relationship was poor during teleconsultations. Conclusion and recommendation: The practice of telemedicine is not widespread and is poorly framed in this setting. Regulatory authorities should put in place regulations and provide training to frame and ease access to the use of telemedicine


2019 ◽  
Vol 10 (1) ◽  
pp. 7
Author(s):  
Angga Wilandika

Healthcare providers’ stigma to people lived with HIV and AIDS (PLWHA) may cause a decreasing both in quality care and quality of life. Assessment on health care provider’s stigma needs to be measured in order to determine the stigma management strategy. This study aimed to identify psychometric scale and health care providers’ stigma of PLWHA. The design of this study was a quantitative analytic with cross-sectional approach. A total of 30 health care providers of Puskesmas were involved in this study. Psychometric analyses were performed to assess the reliability of the instruments. The data were analyzed using a descriptive analysis. The results of the stigma scale of health care providers were found that most (60%) of health care providers consisting of nurses, doctors, midwives, nutritionists have a high stigma against PLWHA. The high stigma against PLWHA may bring negative impact on health care services to PLWHA. Therefore, measurements of HIV-related stigma among health care providers need to be done, so that the policy-makers can formulate strategies to prevent the stigma of health care providers.Keyword: Discrimination, Health Care Providers, PLWHA, Stigma


2021 ◽  
Vol 9 (E) ◽  
pp. 552-558
Author(s):  
Mekar Dwi Anggraeni ◽  
Amin Fatoni ◽  
Rahmi Setiyani

BACKGROUND: Anemia during pregnancy causes several adverse effects. Furthermore, in Indonesia, this leads to restrictions among pregnant women. The information on this situation is still limited, and more research needs to be conducted. AIM: Therefore, this study aims to investigate the association between food consumption and anemia among pregnant women. METHODS: This is a cross-sectional descriptive research that involved 424 pregnant women. Furthermore, written informed consent was obtained from respondents before data collection. A self-administered questionnaire was used to assess the food consumption and demographic data. Hemoglobin concentration was further measured using a haemoglobinometer, and data were analyzed using a descriptive statistical Chi-square, and a Multiple Logistic Regression test. RESULTS: It was found that half of the respondents suffered from anemia (46.5%). Furthermore, the Multiple Logistic Regression test showed that tea, liver, eggs, and iron consumption with values of (odds ratio [OR] = 5.075, p < 0.001), (OR = 4.128, p < 0.001), (OR = 3.590, p < 0.01), and (OR = 3.837, p < 0.05), respectively, had significant correlations with anemia among pregnant women. CONCLUSIONS: Anemia is commonly experienced by Indonesian pregnant women. Therefore, health-care providers should focus on preventing anemia in pregnant women by reducing their tea intake and increasing the consumption of iron-rich foods or supplements.


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