scholarly journals Sporadic utilization of ITN among households with under-five HIV positive children

2019 ◽  
Author(s):  
David Ayah Ounah ◽  
Jane Mumma ◽  
Constantine Loum ◽  
Susan Amuti ◽  
Jared Ogolla ◽  
...  

Abstract Children under-five are most vulnerable and bear the adverse effects of Malaria worldwide. In Kenya, 20% of all deaths in children are due to malaria, and 88.9% of all deaths among HIV positive children are malaria related. Correct and consistence ITN utilization is proven to protect against anopheles mosquito bites hence Malaria, however, despite free distribution of ITN to the study population and civic education on proper ITN use, the prevalence of Malaria is still high in this cohort. Therefore, there was an indelible need to establish the levels of household ITN ownership and utilization vis-à-vis demographic characteristics of participants and Malaria attacks among households with HIV positive children in Kimilili. Method: This was a community based study conducted between March and August, 2016 through a cross-sectional survey. The under-five children were recruited randomly at the comprehensive care centre in Kimilili Sub-County Referral Hospital and studied at their households; they were consented through their parents/caretakers. Data on demographic variables, ITN usage and Malaria attacks were collected using questionnaires and analyzed using Statistical Package for Social Scientists, percentages and chi square. Results: The ownership of ITN among the 222 study participants was 98%. The study established that there was poor (88.7%) household utilization of Insecticide Treated Nets. we further established that among poor ITN users, malaria attacks were high – 65.3%. Conclusion: Utilization of ITN at household level was poor; to the extent that it could not contribute to reduction of malaria associated morbidity and mortality. Efforts should be targeted at households to ensure correct utilization of ITN

2020 ◽  
Vol 8 (2) ◽  
pp. 92-101
Author(s):  
Zahroh Shaluhiyah ◽  
Aditya Kusumawati ◽  
Ratih Indraswari ◽  
Bagoes Widjanarko ◽  
Besar Tirto Husodo

Background:  Anemia prevalence among pregnant women in Central Java 2016 was 40.1% and 27.9% among fertile women aged 15-44 years. Anemia among pregnant mothers usually caused by ferrum defficiency due to low nutritional intakes during youth. The provision and processing of food at the family level that carried out mostly by mother were also the factors which related to nutrional problems at family level.Objectives: This study aims to identify mothers’ knowledge, attitudes, and practices in providing nutritional food for their family,  pregnant women and children under five years old.  Methods: An explanonatory research with cross-sectional survey has been conducted among mothersin Karanganyar Gunung and Karangayu Semarang. The mothers were selected using systematic random sampling with inclusion criteria were either pregnant or having children under five and willing to participate in this study. Of 200 mothers had participated in this survey.  Data were collected by enumerator using  structure questionnaires which have been validated before. Univariate, Chi-Square and logistic regression tests have been employed to analyze the data.Results: Nearly half of mothers have been categorized as poor practices in providing healthy food for their families (47%). More than half (56%) have good knowledge, but only 45.5% have positive attitudes towards providing healthy food. Mothers’ age (p = 0.048; OR = 0.547), education level (p = 0.042; OR = 0.580) and attitudes of providing healthy food (p = 0.001; OR= 3.138) were the influencing factors on providing healthy food. Conclusion: Mothers with positive attitudes have more likely to provide a healthy food for their families three times higher than those who have negative attitudes. Whilst, mothers who have aged ≥30 years were more likely to have protection (OR < 1) to provide healthy food than those who have aged <30 years. Likewise, mothers who have high education level were more likely to have protection to provide healthy food compare to those who have low education level.


2021 ◽  
Vol 5 ◽  
pp. 53-60
Author(s):  
Ubong Bassey Akpan ◽  
Kazeem Arogundade ◽  
Ezukwa Omoronyia ◽  
Atim Udo ◽  
Mabel Ekott ◽  
...  

Objectives: Intimate sexual partners’ disclosure of HIV positive status is vital in the control of HIV/AIDS pandemic globally. The disclosure rates vary from region to region. The aim of this study was to document the prevalence of HIV serodiscordance and partners disclosure rate; and also determine the associated factors among HIV positive married women living in Calabar region of Nigeria. Material and Methods: A cross-sectional survey was conducted among 260 married women, 18 years and above, receiving HIV care at various health institutions in the region. Data were analyzed using SPSS VERSION 23. Their demographic and health profile were presented in simple proportion and percentages while Chi-square test and logistic regression were used to determine the factors influencing patient’s HIV status disclosure with the level of significance set at 0.05. Results: A total of 254 compiled questionnaires were included in the analysis (response rate-97.7%). The serodiscordant rate was 50%. HIV status disclosure to partner was high, 89.4%. The main determinants of HIV status disclosure were good level of education (AOR = 2.2, 95% CI: = 1.75–2.53, P = 0.007) and long duration of ART use (AOR = 3.23, 95% CI = 2.78–4.15, P = 0.001) while women with high discordant rate were more likely to be divorced/separated (P = 0.012, OR = 1.67). Conclusion: Female education is an important factor in HIV control. Disclosure of HIV status is beneficial to the partner as it promotes safe sex practices and increases adherence to ART.


Author(s):  
Ojo OreOluwa

Malaria control efforts currently lay emphasis on reducing transmission by limiting human-vector contact. Meanwhile, Mosquito-Avoidance Practices (MAPs) have been shown to be sub-optimal in urban areas, especially among under-five children (U-5C), resulting in high child morbidity and mortality. This study was therefore designed to investigate MAPs among caregivers of U-5C living in Somolu; an urban Local Government Area (LGA) in Lagos State, Nigeria. A cross-sectional survey was conducted involving 394 female caregivers of U-5C. The LGA was stratified into three layers based on the level of planning and drainage using a geographic information system (GIS). Data were collected using a semi-structured, interviewer-administered questionnaire and were analysed using descriptive statistics and Chi-square test at p=0.05. Mean age of respondents was 33.6±7.7 years. The proportion who mentioned mosquito nets as a MAP by strata were: S1-59.3%, S2-80.7% and S3-64.3%. Other MAPs reported included: spraying insecticide: S1-20.5%, S2-26.3% and S3-17.1%, shutting door after sunset: S1-9.6%, S2-10.5% and S3-11.4%, and clearing surroundings: S1-2.9%, S2-5.3% and S3-2.9%. Ownership of bed nets was: S1-76.0%, S2-75.4% and S3-68.6%, and out of these, S1-73.1%, S2-70.7% and S3-72.4% reported that their child slept under the net the night before the survey. The most common mosquito-avoidance practice among caregivers of under-five children was the use of bed nets, and this did not differ by level of planning and drainage of the study site. Therefore, strategies to improve and sustain the use of bed nets and to promote the use of other effective mosquito-avoidance practices should be encouraged.


Author(s):  
Sandrine Roussel ◽  
Alain Deccache ◽  
Mariane Frenay

Introduction: The implementation of Therapeutic Patient Education (TPE) remains a challenge. An exploratory study highlighted two tendencies among practitioners of TPE, which could hamper this implementation: an oscillation between identities (as caregivers versus as educators) and an inclination towards subjective psychological health objectives. Objectives: To verify whether these tendencies can be observed among an informed audience in TPE. Next, to explore the variables associated with one or other of these tendencies. Method: A quantitative cross-sectional survey by a self-administered questionnaire was carried out among 90 French-speaking healthcare professionals. Statistical analyses (chi-square, logistic regression) were then conducted. Results: Sixty percent of respondents displayed identity oscillation, which was found to be linked to task oscillation, patient curability, scepticism towards medicine and practising in France. Fifty-six percent pursued subjective psychological health objectives, which was found to be associated with health behaviour objectives and a locus of power in the healthcare relationship distinct from those seen in the pre-existing health models (biomedical, global). This tendency seems to constitute an alternative model of TPE. Discussion & conclusion: Identity oscillation and subjective psychological health objectives can be both observed. This study stresses the need to deliberate on the form(s) of TPE that is/are desired.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 772
Author(s):  
Yi-Man Teng ◽  
Kun-Shan Wu ◽  
Wen-Cheng Wang ◽  
Dan Xu

During the pandemic, quarantine hotel workers face a higher risk of infection while they host quarantine guests from overseas. This study’s aim is to gain an understanding of the knowledge, attitudes, and practices (KAP) of quarantine hotel workers in China. A total of 170 participants took part in a cross-sectional survey to assess the KAP of quarantine hotel workers in China, during the COVID-19 pandemic. The chi-square test, independent t-test, one-way analysis of variance (ANOVA), descriptive analysis, and binary logistic regression were used to examine the sociodemographic factors associated with KAP levels during the COVID-19 pandemic. The results show that 62.41% have good knowledge, 94.7% have a positive attitude towards COVID-19, but only 78.2% have good practices. Most quarantine hotel workers (95.3%) are confident that COVID-19 will be successfully controlled and that China is handling the COVID-19 crisis well (98.8%). Most quarantine hotel workers are also taking personal precautions, such as avoiding crowds (80.6%) and wearing facemasks (97.6%). The results evidence that quarantine hotel workers in China have acquired the necessary knowledge, positive attitudes and proactive practices in response to the COVID-19 pandemic. The results of this study can provide a reference for quarantine hotel workers and their targeted education and intervention.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mariam John Munyogwa ◽  
Kaloli Sayi Ntalima ◽  
Secilia Ng’weshemi Kapalata

Abstract Background Obesity at the workplace has been associated with symptoms of lower self-esteem, increased individual and employer healthcare costs, increased absenteeism and presenteeism and reduced productivity. Therefore, this study was designed to study the prevalence and correlates of central obesity among formal sector employees in Dodoma City. Methods Study design was a cross-sectional survey conducted from March to June, 2019. Participants were employees from formal sector employment defined as those paid regular monthly wage and with either a secured permanent or temporary contract. Simple random sampling was used to select four out of fifteen large buildings hosting various establishments. Respondents were obtained conveniently and interviewed face to face. Central obesity was defined as a waist circumference greater than 102 cm for males and greater than 88 cm for females. Chi-square test was conducted to assess the differences among the groups. Simple and multiple logistic regression models were fitted to identify the correlates of central obesity. Results A total of 392 respondents (98% response rate) agreed and participated in the study. The overall prevalence of central obesity was found to be 41.8% (164/392). The prevalence of central obesity was significantly higher among females (67.4% p < 0.001), respondents aged ≥51 years (60%, p = < 0.001), administrators (55.1% p = < 0.05), respondents with salary of > 1,000,000 Tanzanian Shilling (TSh.) per month (54.4%, p = < 0.05), respondents who eat homemade meals at the workplace (64.2%, p = < 0.05) and respondents with hypertension (62.5%, p = < 0.05). Correlates of central obesity were found to be female sex (AOR = 9.53; 95% CI: 5.49, 16.78), increased age, eating homemade meals at the workplace (AOR = 2.32; 95% CI: 1.04, 4.19) and hypertension (AOR = 3.15; 95% CI: 1.41, 6.91). Conclusions The present study revealed high prevalence of central obesity among formal sector employees in Dodoma City. Scholars and stakeholders are urged to generate more evidences and design appropriate interventions to curb the situation.


2021 ◽  
Vol 15 (7) ◽  
pp. 1745-1748
Author(s):  
Zaid Bin Sohail ◽  
Muhammad Salman Chishty ◽  
M. Shairaz Sadiq ◽  
Farhan Riaz ◽  
Mehwish Munawar ◽  
...  

Objective: To assess the knowledge about different mandibular nerve block techniques of fresh dental graduates, dental surgeons and specialists to attain mandibular nerve block for dental treatment in Multan. Design of the Study: It was a cross-sectional survey. Study Settings: This study was carried out at Department of Dentistry at Multan Medical & Dental College, Nishtar Institute of dentistry (Nishtar Medical University) and Bakhtawer Amin Dental College from August 2019 to August 2020. Material and Methods: The study involved 220 respondents. The questionnaire was administered to fresh dental graduates (house officers) and dental surgeons in 3 dental colleges of Multan, and was collected on the same day. House officers who did not return the forms were reminded personally and contacted on the phone thrice over the following week. Results of the Study: The frequency of respondants who could administer Gow-Gates without supervison was 20.9% (n=46). Participants from NID, Multan had the highest frequency (35.3%) with the lowest in BIMDC (16.6%)and MMDC(20.6%). The differences were non-significant (p=0.19). Significantly higher frequency of male respondants (10%, n=22) claimed they could administer Gow-Gates without supervison compared to female respondants (5.4%, n=12, p=0.012, Chi-Square). Training for Gow-Gates had been received by 12.7% (n=28) of the House Officers and dental surgeons. The Highest frequency of training was in NID, Multan (5.4%, n= 12, p= 0.016, chi-square). Conclusion: The majority of the dental practitioners of Multan used IANB as their primary LA technique and intraligamental injections as a supplemental LA technique in their clinics to attain mandibular molars anesthesia for general dental procedures like fillings, root canals and extractions. Keywords: Mandibular local anesthesia, Inferior alveolar nerve block, Gow-Gates technique


Author(s):  
Cokorda Istri Ariwidyastuti ◽  
P.P. Januraga ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.


2005 ◽  
Vol 37 (6) ◽  
pp. 761-771 ◽  
Author(s):  
JOSEPH KEATING ◽  
KATE MACINTYRE ◽  
CHARLES M. MBOGO ◽  
JOHN I. GITHURE ◽  
JOHN C. BEIER

A geographically stratified cross-sectional survey was conducted in 2002 to investigate household-level factors associated with use of mosquito control measures and self-reported malaria in Malindi, Kenya. A total of 629 households were surveyed. Logistic regressions were used to analyse the data. Half of all households (51%) reported all occupants using an insecticide-treated bed net and at least one additional mosquito control measure such as insecticides or removal of standing water. Forty-nine per cent reported a history of malaria in the household. Of the thirteen household factors analysed, low (OR=0·23, CI 0·11, 0·48) and medium (OR=0·50, CI 0·29, 0·86) education, mud–wood–coral (OR=0·0·39, CI 0·24, 0·66) and mud block–plaster (OR=0·47, CI 0·25, 0·87) wall types, farming (OR=1·38, CI 1·01, 1·90) and travel to rural areas (OR=0·48, CI 0·26, 0·91) were significantly associated with the use of mosquito control, while controlling for other covariates in the model. History of reported malaria was not associated with the use of mosquito control (OR=1·22, CI 0·79, 1·88). Of the thirteen covariates analysed in the second model, only two household factors were associated with history of malaria: being located in the well-drained stratum (OR=0·49, CI 0·26, 0·96) and being bitten while in the house (OR=1·22, CI 0·19, 0·49). These results suggest that high socioeconomic status is associated with increased household-level mosquito control use, although household-level control may not be enough, as many people are exposed to biting mosquitoes while away from the house and in areas that are more likely to harbour mosquitoes.


2017 ◽  
Vol 5 (1) ◽  
pp. 95
Author(s):  
Nikmatur Rohmah ◽  
Fariani Syahrul

Diarrhea is still a public health problem in the world and the mostly occur in children under five years. At the moment the number of diarrhea-caused mortality was 3.8 per 1000 per year by 3.2 episodes per year in children under five years. This research aims to analyze the association between hand-washing habits and toilet use with the incidence of diarrhea in children under five years. This is an observational analytic with cross sectional study. Population of the research was a children's mother took her children to the public health center of Sekardangan Sidoarjo Subdistrict. The number of samples taken as many as 58 mother of children under five years. Data collection was done with interviews to parents of children and the observations of the toilets. Technique of data analysis using chi-square test or Fisher's exact test. On the results of the research there is a significant association the habit of hand washing (p = 0.006) and toilet use(p = 0.014) with the incidenceof diarrhea in children under five years. Conclusions of the research is the habit of hand washing and toilet use had a significant association with the incidenceof diarrhea in children under five years. Advice that can be given to the mother of a children under five years is to wash the hands before and after defecating and before preparing food for children. Keywords: diarrhea, hand washing, toilet use, observational, children under five years


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