scholarly journals Post-Cesarean Section Maternal Health Outcome and its Determinants in Tigray Regional State, North Ethiopia.

2019 ◽  
Author(s):  
Mebrahtu Abay ◽  
Welay Gebremariam ◽  
Mirkuzie Woldie Kurie ◽  
Haileselassie Berhane ◽  
Abraham Mengstu
Keyword(s):  
Cesarean Section ◽  
Cross Sectional Study ◽  
Maternal Outcome ◽  
Health Facilities ◽  
World Health ◽  
Cross Sectional ◽  
Factors Associated ◽  
Regional State ◽  
Health Organization ◽  
Referral Status

Abstract Back ground Cesarean section rate is increasing worldwide. However, the World Health Organization has declared that there is insufficient information on maternal outcome following cesarean section for decision making.Objective The aim of this study was to assess post cesarean section maternal outcome and its associated factors availing evidence for practice and policy.Methods Institution based cross-sectional study was conducted among 357 mothers who underwent cesarean section in six selected public general hospitals of Tigray regional State, Ethiopia. Mothers were followed for the duration of post-operative period until they became safe for discharge. The maternal outcomes were categorized into either adverse or good outcomes depending on whether mothers develop any cesarean section related morbidity or not. Logistic regression model was constructed to determine the AOR and 95% CI of independent factors associated with maternal outcome following cesarean section.Results The proportion of adverse maternal outcome was 19.3% with 95% CI of (15.7% -23.8%). Route of anesthesia administration (AOR = 0.296, 95% CI: 0.126 - 0.695) and referral status (AOR = 0.371, 95%CI: 0.214 - 0.641) were statistically significant factors associated with maternal outcome following cesarean section.Conclusion There was high proportion of adverse maternal outcome. General anesthesia and referral from lower health facilities were associated with higher risk of post-CS adverse maternal outcome. Equipping lower level health facilities with the human and material capacity for timely detection of CS indications and provision of cesarean section services could decrease the number of referrals and subsequent delays that lead to adverse maternal outcome.

scholarly journals “Yes, I’m interested in taking PrEP!”: PrEP interest among women respondents to the European community-based survey “Flash! PrEP in Europe”

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246037
Author(s):  
Rosemary M. Delabre ◽  
Adeline Bernier ◽  
Flor Sánchez ◽  
Antoine Vilotitch ◽  
Sophocles Chanos ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
World Health ◽  
Community Based ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Final Multivariable Model ◽  
Cdc Guidelines ◽  
Health Organization ◽  
Exposure Prophylaxis

The World Health Organization recommends pre-exposure prophylaxis (PrEP) for all populations at substantial risk of HIV infection, including women. However, data regarding PrEP interest among women is lacking, particularly in Europe. Factors associated with interest in using PrEP were assessed among women respondents to the Flash! PrEP in Europe (FPIE) survey. This community-based cross-sectional study, conducted in 12 European countries, aimed to assess PrEP knowledge and interest. “High objective risk” (HOR) was assessed using established risk criteria following EACS and CDC guidelines. Factors associated with interest in using PrEP were assessed in univariable and multivariable logistic regression models. Among 678 women, 12.5% (n = 85) were considered at HOR, 46.8% (n = 317) indicated prior PrEP knowledge and 18.0% (n = 122) reported interest in using PrEP. Among women at HOR, 40.0% (n = 34) were interested in PrEP. Factors significantly associated with PrEP interest in the final multivariable model were: younger age (18–29 years) (aOR 1.91[95CI: 1.07; 3.41]), bad self-perceived financial status (1.84[1.09; 3.11]), migrant status (south to north) (2.87[1.05; 7.89]), single or dating relationship status (1.93[1.23; 3.03]), sexual abuse history (1.86[1.17; 2.97]), “rather high”/ “high” self-perceived HIV risk (3.21[1.32; 7.81]), and HOR (2.49[1.42; 4.35]). These results show that women at HOR and those who perceived themselves to be at high risk are interested in using PrEP. There is a critical need for targeted information and improved access to PrEP to increase uptake of this HIV prevention tool to meet PrEP interest among women.

scholarly journals Correlates of Hypertension among Persons with HIV at Livingstone Central Hospital: CHAP study

2021 ◽  
Author(s):  
Sody Mweetwa Munsaka ◽  
Annet Kirabo ◽  
Benson M. Hamooya ◽  
Musalula Sinkala ◽  
John R. Koethe ◽  
...  
Keyword(s):  
Low Cost ◽  
Heart Association ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Factors Associated ◽  
Salt Consumption ◽  
New Guidelines ◽  
Definition Of ◽  
Health Organization

Abstract Background: Persons with HIV (PWH) are more likely to develop hypertension and cardiovascular disease than the HIV-negative population. The new hypertension guidelines by the American Heart Association (AHA) and the American College of Cardiology (ACC) lowered the definition of hypertension from a systolic and diastolic blood pressure (BP) of ≥140/90mmHg to ≥130/80, respectively. This study was aimed at determining the prevalence and factors associated with hypertension in PWH using the new hypertension diagnostic criteria.Methods: This was a cross-sectional study. We recruited 226 antiretroviral treated PWH attending routine visits. Socio-demographic, health, and clinical data including BP readings were collected. Interviewer-structured questionnaires adapted from the World Health Organization Stepwise approach to Surveillance (WHO STEPs) and the international physical activity questionnaire (IPAQ) were used to collect data. Statistical evaluations were employed to elucidate relationships between hypertension and all response variables.Results: The prevalence of hypertension using the old and new guidelines was 16% and 42%, respectively. Factors significantly associated with increased and reduced odds for developing hypertension after adjustments in multivariate logistic regression were age, body mass index (BMI), employment status, fasting blood sugar (FBS) and table salt consumption, respectively (p<0.05 for all). Using the new AHA/ACC criteria for hypertension shifted the prevalence from 16% (old criteria) to 42%.Conclusion: The major risk factors associated with hypertension in PWH were increasing age, BMI and FBS. We recommend inclusion of FBS in routine measurements in PWH. The AHA/ACC new guidelines should be re-enforced in low-cost settings to increase the treatment of hypertension among PWH.

scholarly journals A comparative study of drug prescribing indicators in various hospitals of West Bengal, India

2018 ◽  
Vol 6 (6) ◽  
pp. 2063
Author(s):  
Arijit Ghosh ◽  
Anjan Adhikari ◽  
Rania Indu ◽  
Srijita Ghosh ◽  
Santosh Banik ◽  
...  
Keyword(s):  
West Bengal ◽  
Essential Medicine ◽  
Minimum Cost ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
World Health ◽  
Cross Sectional ◽  
Prescribing Indicators ◽  
Rational Therapy ◽  
Health Organization

Background: Rational use of drugs is essential to ensure safety and welfare of patients. Thus, prescription audits are conducted to monitor the practice of writing prescriptions. Various standard parameters have been rationalized by World Health Organization (WHO) in order to regulate drug utilization, globally. Present study aimed to compare the pattern of prescriptions generated in different healthcare centres of West Bengal.Methods: A cross-sectional study was conducted in the inpatient and outpatient departments of RG Kar Medical College, Kolkata, in order to evaluate the prescriptions. Literature was also surveyed with the keywords “prescription audit”, “West Bengal”, to extract data on prescription audits conducted in various other hospitals of West Bengal. The WHO prescribing indicators of all these health facilities were then compared to estimate the rationality of drug prescribed by different physicians.Results: Seven published reports of prescription audits were published from the period of 2013 to 2017, the distribution being- 2 health facilities from Kolkata, 2 from Burdwan, 1 each from Bankura, Murshidabad and North Bengal. WHO standards were not strictly followed by any of the hospitals. Polypharmacy level were higher in all the hospitals. Drugs were mostly prescribed from the essential medicine list (EML).Conclusions: Present study clearly indicated that it is essential to improve these parameters for most of the healthcare centres in order to prevent irrational use of drugs. Prescription audits should also be implemented regularly so that the patients can receive better treatment at minimum cost with suitable rational therapy.

scholarly journals Prevalence of vaccine hesitancy and its associated factors in an urban area of West Bengal, India

2020 ◽  
Vol 7 (9) ◽  
pp. 3443
Author(s):  
Rajib Sikder ◽  
Dipankar Mukherjee ◽  
Ujjwal Pattanayak ◽  
Kunal Kanti Majumdar ◽  
Subha Sankha Kundu ◽  
...  
Keyword(s):  
West Bengal ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Childhood Vaccination ◽  
World Health ◽  
Vaccine Hesitancy ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Givers ◽  
Health Organization

Background: Vaccine hesitancy is delay in acceptance or refusal of vaccines despite availability of vaccine services. This study was conducted to find out the prevalence and factors associated and contributing to vaccine hesitancy for childhood vaccinations in Rajpur-Sonarpur municipalty of south 24 parganas, India.Methods: A cross‑sectional study was done among 352 children aged 0-59 months. Hesitancy to all childhood vaccination including the birth doses were observed. By simple random sampling ward no 8 was selected among the 37 wards of Rajpur-Sonarpur municipalty. All the vaccination center of ward no 8 on various vaccination days were covered from July 2019- December 2019. Data were collected at these vaccination centers by interviewing parents /associates of the children. Validated version of vaccine hesitancy survey questionnaire by the World Health Organization was used.Results: Vaccine hesitancy was present among 103 (29%) parents/relatives /associates of children. Delay was more common for measles and the booster doses of other vaccines. Reluctance to vaccinate was the most common reason (26.2%) for vaccine hesitancy. About 15(15.4%) parents reported to be unaware or confused of when to vaccinate their children. Improper counselling by health care givers, illness or irritability of the child were other causes.Conclusions: To avoid delay in vaccination weekly vaccination days were recommended. Community level campaigning and home visit of those eligible children to generate awareness about vaccination and to avoid reluctance in parents/associates of children were suggested.

scholarly journals Evidence-based Birth Attendance in Spain: Private versus Public Centers

2019 ◽  
Vol 16 (5) ◽  
pp. 894 ◽  
Author(s):  
Antonio Hernández-Martínez ◽  
Juan Martínez-Galiano ◽  
Julián Rodríguez-Almagro ◽  
Miguel Delgado-Rodríguez ◽  
Juan Gómez-Salgado
Keyword(s):  
Cesarean Section ◽  
World Health Organization ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
World Health ◽  
Cross Sectional ◽  
Birth Attendance ◽  
The World ◽  
Health Organization

The type of hospital (public or private) has been associated with the type of clinical practice carried out. The purpose of this study was to determine the association between the type of hospital (public or private) and delivery attendance with practices based on the recommendations by the World Health Organization (WHO). A cross-sectional study with puerperal women (n = 2906) was conducted in Spain during 2017. The crude Odds Ratios (OR), adjusted (aOR) and their 95% confidence intervals (CI) were calculated through binary logistic regression. For multiparous women in private centers, a higher rate of induced labor was observed (aOR: 1.49; 95% CI: 1.11–2.00), fewer natural methods were used to relieve pain (aOR: 0.51; 95% CI: 0.35–0.73), and increased odds of cesarean section (aOR: 2.50; 95% CI: 1.81–3.46) were found as compared to public hospitals. For primiparous women in private centers, a greater use of the epidural was observed (aOR: 1.57; 95% CI: 1.03–1.40), as well as an increased likelihood of instrumental birth (aOR: 1.53; 95% CI: 1.09–2.15) and of cesarean section (aOR: 1.77; 95% CI: 1.33–2.37) than in public hospitals. No differences were found in hospitalization times among women giving birth in public and private centers (p > 0.05). The World Health Organization birth attendance recommendations are more strictly followed in public hospitals than in private settings.

Breastmilk Substitutes Marketing Violations and Associated Factors in Rio de Janeiro, Brazil

2020 ◽  
pp. 089033442097840
Author(s):  
Maria Inês Couto de Oliveira ◽  
Cristiano Siqueira Boccolini ◽  
Enilce de Oliveira Fonseca Sally
Keyword(s):  
Rio De Janeiro ◽  
Cross Sectional Study ◽  
World Health ◽  
Retail Stores ◽  
Department Stores ◽  
Chain Store ◽  
Cross Sectional ◽  
Factors Associated ◽  
A Chain ◽  
Health Organization

Background Aiming to protect breastfeeding, the World Health Organization released the International Code of Marketing of Breastmilk Substitutes in 1981, which was adopted by the vast majority of the 118 member countries, including Brazil. The Brazilian Code regulates the marketing of infant formulas, baby bottles, teats, pacifiers, milk, and processed complementary food. Research aims (1) To determine if retail stores had violated the Brazilian Code and (2) to analyze factors associated with these violations. Methods This cross-sectional study included all drugstores, supermarkets, and department stores in the Southern Zone of Rio de Janeiro City, Brazil. Trained health professionals observed retail stores for marketed products and violations of the Brazilian Code and then interviewed their managers. Factors associated with the retail stores violating the Brazilian Code (outcome) were analyzed, employing a logistic regression model with 95% Confidence Interval. Results Of the retail stores ( N = 349) evaluated, 62.8% violated the Brazilian Code, ranging from 1 to 37 violations per retail store. The most common promotion strategies were price discounts and special displays. Retail stores being part of a chain store (aOR = 4.59) and their manager receiving visits from industry business representatives (aOR = 2.14) were associated with the presence of violations. Conclusions The prevalence of Brazilian Code violations was high, especially in chain stores. The association between regular visits by industry representatives and violations suggests an indirect influence of manufacturers on the promotion of human milk substitutes. We recommend strengthening compliance with the Brazilian Code through calling on governmental surveillance agencies and civil society mobilization.

Demographic Factors Associated with Acceptance of COVID-19 Vaccination: An Online Survey-Based Study from Hyderabad Sindh

BioSight ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 18-23
Author(s):  
Tayyaba Kazi ◽  
Talha Arain ◽  
Saima Naz Shaikh ◽  
Ayaz Ali Samo ◽  
Nimra Masood Baig ◽  
...  
Keyword(s):  
Online Survey ◽  
Demographic Factors ◽  
Cross Sectional Study ◽  
World Health ◽  
Sectional Study ◽  
Low Literacy ◽  
Cross Sectional ◽  
Factors Associated ◽  
Other Information ◽  
Health Organization

Background: COVID19 is a major threat to global health. World health organization has proposed use of vaccines against COVID19 to end the pandemic. Due to low literacy rate in many developing countries and disinformation, the population is reluctant for COVID19 vaccination. To explore the demographic factors associated with acceptance of COVID19 vaccination, we set up an online cross-sectional study. Methods: The online survey-based cross-sectional study was conducted to understand the demographic factors of residents of Hyderabad city associated with vaccine acceptance. The questionnaire was divided into sections to get sociodemographic characters and other information related with willingness of vaccination. This questionnaire was sent to 300 people from which 205 people participated. Results: The result showed that 28.8% of the participants were not sure to get vaccination of COVID-19, while 41.5% participants were willing to get vaccine if available; rest of the people (29.8%) were not willing be vaccinated at all. The main reason behind this denial was due to belief on conspiracies against COVID-19 vaccine. Many participants either denied (42%) for any disinformation or were not sure (12%) on this account. Conclusion: The study was based on demographic factors of residents of Hyderabad associated with acceptance of COVID-19 vaccine. Among the studied population only 41.5% showed willingness to get vaccinated which indicate the necessity to effectively educate the population about COVID-19 vaccines.

Women and Continuous Labour Support in Public Health Facilities in Nigeria

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Olabisi Fatimo Ibitoye ◽  
Deliwe R Phetlhu
Keyword(s):  
Public Health ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Public Hospitals ◽  
World Health ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Childbirth Experience ◽  
Health Organization ◽  
The Right

Childbirth is a multifaceted process that is influenced by several factors resulting in an unsatisfactory or satisfactory childbirth experience. Continuous labour support (CLS) has been identified as a positive contributor to a satisfactory birthing experience, and consequently positive maternal health outcomes. The World Health Organization recommended the right of a pregnant woman to have a companion of her choice during labour, but CLS practice remains a mirage in Nigerian hospitals. This descriptive cross-sectional study explores the perceptions, attitudes and preferences of 368 randomly selected women regarding CLS in public hospitals in South West Nigeria. Data were collected using a pretested questionnaire developed from the literature review and analysed with descriptive and inferential statistics using SPSS Version 20. The findings revealed that the participants perceived support from midwives during labour as inadequate but that they were satisfied with professional care at birth. The participants perceived the inclusion of a familiar person for support as beneficial and expressed positive disposition to the introduction of persons from their social network for labour support in public health facilities. The preference for husbands and mothers as labour support persons was higher among the study participants.

scholarly journals Prevalence and factors associated with alcohol use among pregnant adolescents

2013 ◽  
Vol 21 (1) ◽  
pp. 433-441 ◽  
Author(s):  
Lorena Uchôa Portela Veloso ◽  
Claudete Ferreira de Souza Monteiro
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Cross Sectional Study ◽  
World Health ◽  
Pregnant Adolescents ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Increased Risk ◽  
Health Organization

AIM: to identify alcohol use and the associated factors in pregnant adolescents of the municipality of Teresina-PI. METHOD: this is cross-sectional study with 256 pregnant adolescents whose data were obtained through questionnaires covering socioeconomic, pregnancy and alcohol consumption characteristics and through the application of the Alcohol Use Disorders Identification Test, an instrument developed by the World Health Organization for screening for the excessive use of alcohol. Descriptive statistical analysis was performed using the chi-square test and odds ratio. RESULTS: the study indicates a prevalence of 32.4% for alcohol use during pregnancy in adolescents. Of these, 36.1% had scores consistent with risky use. The factors associated with an increased risk of alcohol use during pregnancy are: not having a partner, living on less than 1 minimum wage, not being religious, performing up to 3 prenatal consultations, having suffered violence and alcohol use in previous pregnancies. CONCLUSION: a high prevalence of alcohol consumption by pregnant adolescents and various risk factors involved in this process were identified. These data reflect the need for the use, by nurses, of screening technologies for alcohol consumption during pregnancy and health promotion strategies among groups of adolescents.

scholarly journals PREVALENCE AND INDICATION AND OUTCOME OF CESAREAN SECTION IN JUGAL HOSPITAL, HARARI REGIONAL STATE, ETHIOPIA, 2019: A RETROSPECTIVE STUDY

2019 ◽  
Vol 5 (4) ◽  
pp. 85-90
Author(s):  
Arif Hussen Jamie
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Birth Asphyxia ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
World Health ◽  
Steady Increase ◽  
Cross Sectional ◽  
Cesarean Section Delivery ◽  
Regional State

Background: Rising rates of cesarean delivery is becoming a concern to developing countries. Though cesarean section is a lifesaving surgical intervention, the rise in rates has resulted in significant health problems of mothers and newborns. Objective: The aim to undertaking this research is to know the prevalence, indications and outcome of cesarean section delivery In Jugal Hospital, Harari regional state, Ethiopia.Methods: Hospital based record review cross-sectional study was conducted in Jugal Hospital, Harar, Ethiopia from September 1, 2015 to September 1, 2019. Trained data collector and the principal investigator collected data employing a pre-tested extraction format. After checking the filled extraction format for completeness, data was entered, cleaned and analyzed using SPSS software Version 20.Results: In five years’ time (2015-2019), there were 6,111 deliveries, of which 1,817 were delivered by cesarean section which gives the overall rate of 29.7%. The most common indications for cesarean section were Cephalo-pelvic Disproportion (CPD) 323 (17.78%) followed by fetal distress 292(16.07%) and the least indication was pre-eclampsia 9(0.5%) and the most cause of prenatal death was birth asphyxia 38% followed by prematurity34%.Conclusion: In this study, there is a steady increase in the rates of cesarean delivery in five years’ time, the overall rate of C-section in Jugal Hospital was 29.7%. This rate is higher than the World Health Organization standard. Policies and efforts aimed at decreasing the unnecessary cesarean sections should be promoted and implemented at each health facility. 

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