scholarly journals Assessment of Kenyan Optometrists Knowledge, Skills and Practice on Cataract, Kisumu County, Western Kenya

2019 ◽  
Author(s):  
Shadrack Muma ◽  
Stephen Obonyo

Abstract BackgroundCataract is a major contributor to avoidable blindness in the world. It is the clouding of the normally clear lens of the eye characterized by reduced vision, increasing difficulty with vision at night and sensitivity to light and glare. The risk factors of cataract include increased age, smoking and excess exposure to sunlight. Though studies have focused on the causes and treatment of cataract, there is no data on optometrist knowledge, skill and practice on cataract in Kenya. The optometrists are the primary health care providers for cataract patients, they are well placed to assess, provide advice and refer cataract patients to the ophthalmologists.Methods: a cross sectional design was used. Stratified random sampling was used to select sample. Fisher’s formula was used.ResultsA total of 49 optometrists were interviewed over a period of four months, the male to female ratio was 2:1, mean age of 45.8(72%) years, age ranged from 25-39 years with mean duration of practice of one year and maximum of 10 years. One hundred percent optometrists had good knowledge and understanding of importance of slit lamp assessment in making cataract diagnosis. However, our results found that (83.6%) of optometrists used pen torch for assessment of lens changes in patients. On skills, optometrists were classified as having poor skills with thirty nine (79.6%) being unable to diagnose. 61.2% of optometrists did not screen patients aged 40 years and above who attended eye clinics for cataract. The most common challenges reported for not screening was long queues. The study further established that the optometrists had various reasons to refer patients to another hospital including 52.6% for availability of ophthalmologists and 39.5% of optometrists for availability of equipment.ConclusionThe study established that despite the good level of knowledge among the optometrist on cataract, there exist gaps in skills in categorizing the type of cataract. Most optometrists do not screen patients aged 40 years and above for cataract. Hence there is need to sensitize optometrists on the significance of screening for cataract to prevent blindness due to cataract.

2015 ◽  
Vol 14 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Zobaer Alam ◽  
Md Monoarul Haque ◽  
Md Rijwan Bhuiyan ◽  
Md Shahinoor Islam ◽  
Monirul Haque ◽  
...  

Background: The burden of childhood disability as a public health problem in developing countries remains relatively unrecognized. One out of 750 children born in the world suffer from club foot among them 80% are in low and middle income countries. Most of these babies have limited access to receive effective treatment for their clubfoot due to lack o knowledge, awareness and some barriers. We actually don’t know the level of knowledge of parents who have child with clubfoot deformity. The purpose of this study was to assess the level of knowledge of parents who have children with clubfoot during clubfoot treatment. Materials and Methods: This cross sectional study was conducted among 102 parents who have children with clubfoot deformity during its treatment in a selected clinic. The samples were selected purposively from the clinics where clubfoot treatment was given and face to face interview was done by using semi-structured questionnaire. Results: The mean (±SD) age of the respondents were 24.7 (±6.0) years where 87.3% (n=89) respondents ware female and 59.8 %(n=61) respondent’s educational status ware up to primary level. About 44.1% respondents started treatment of their child within 6 months of birth and 33% within 6 to 12 months where 57% (n=58) respondents are referred by health care professional to this clinics. About 93.1% of parents (n=95) said that they knew nothing about clubfoot deformity before their child was diagnosed where 97% are aware after diagnosis of their child. About 93.1% respondents knew the best time for treatment initiation where 59.8% respondents know the correct follow up time of clubfoot management. In case of knowledge of parents’ roles in the treatment of clubfoot about 91.2%, parents have knowledge weekly visit for treatment and 86.3% know the plaster care where 52.9% (n=54) parents have lack of knowledge about how to use the brace Conclusion: There is need to improve the communication skills of clinicians/health care providers offering treatment to children with clubfoot at the Clinics. Need to share information with the parents about the condition. Finally, there is need to emphasize of educating parents about plaster care and how to use brace. DOI: http://dx.doi.org/10.3329/cmoshmcj.v14i1.22882 Chatt Maa Shi Hosp Med Coll J; Vol.14 (1); Jan 2015; Page 42-46


2018 ◽  
Vol 35 (2) ◽  
pp. 371-380 ◽  
Author(s):  
Barbara Baranowska ◽  
Marta Malinowska ◽  
Ewelina Stanaszek ◽  
Dorota Sys ◽  
Grażyna Bączek ◽  
...  

Background: Extended breastfeeding is rare in Poland, and lack of acceptance and understanding is often evident in public opinion. The ability to provide reliable information about breastfeeding beyond infancy depends on health professionals’ levels of knowledge and attitudes. They are considered by most parents in Poland to be authorities in the field of child nutrition. Research aims: To determine (1) the level of knowledge and the attitudes of Polish health professionals towards extended breastfeeding; (2) the relationship between personal breastfeeding experience and attitudes towards extended breastfeeding; and (3) the relationship between knowledge about breastfeeding beyond twelve months and attitudes towards breastfeeding beyond infancy. Methods: A one-group prospective, cross-sectional, self-report style survey was used. The convenience sample ( N = 495) comprised gynaecologists, neonatologists and midwives. Data were collected via an online questionnaire and the results were analyzed with the use of descriptive statistics, a chi-square independence test, Fisher’s exact test, post-hoc testing, and two-part tables using SPSS. Results: Most of the respondents (76.7%; n = 384) had a low level of knowledge about the benefits of breastfeeding beyond twelve months and even emphasized that this nutritional choice could have negative impacts. There was a positive correlation ( F = 105.847; p = < .01) between levels of knowledge and respondents’ attitudes towards breastfeeding beyond infancy. Attitudes were also influenced by the length of time respondents had breastfed. Conclusion: Healthcare providers have an insufficient level of knowledge about extended breastfeeding and need further education in this area.


2020 ◽  
Vol 3 (2) ◽  
pp. 225-237
Author(s):  
Kellen Muganwa ◽  
Alice Muhayimana ◽  
Joella Mukashyaka ◽  
Pamela Meharry

Background Globally, about 10% of neonates require extra respiratory support to initiate breathing at birth. Over a million neonatal deaths could be prevented with quality basic care during neonatal resuscitation. Objective To determine the quality of care (QoC) of basic NR at birth among health care providers (HCPs) at three district hospitals in Kigali. Methods A descriptive cross-sectional study was conducted. Thirty-six HCPs were observed 2-3 times using a structured checklist. Descriptive and inferential statistics were used to analyze the data.  Results The majority had ‘good’ QoC scores for drying and stimulation (74.7%), and fair scores for airway clearance (85.1%). Some had poor scores for advanced bag and mask ventilation (BMV) (13%). Maternity work experience (1-5 years) was significantly associated with good quality drying and stimulation (p = 0.03), initial BMV (p = 0.02), and advanced BMV (p = 0.03), than HCPs with less than one-year experience.  Conclusion Maternity work experience of more than one year significantly improved the QoC during neonatal resuscitation. More NR support during the first year of work and regular NR refresher training would improve neonatal outcomes.  Rwanda J Med Health Sci 2020;3(2):225-237


2020 ◽  
Author(s):  
Gamil Ghaleb Alrubaiee ◽  
Talal Ali Hussein Al-Qalah ◽  
Mohammed Sadeg A. Al-Aawar

Abstract Background: The current rapid prevalence of the novel coronavirus (COVID-19) pandemic over the world is associated with a considerable level of scared, anxiety, and panic among the public, in particular, healthcare providers (HCPs) as the most vulnerable group at risk for SARS-CoV-2 infection. To protect and enhance HCPs' capacity to carry out their duties in responding to COVID-19, healthcare authorities should keep them away from stress and anxiety and improve their knowledge, attitude, and practice towards COVID-19 to ensure their compliance with infection control precautions. Therefore, this study aimed to explore knowledge, attitudes, anxiety, and preventive behaviours among Yemeni HCPs towards COVID-19. Methods: A descriptive, web-based-cross-sectional study was conducted among 1231 Yemeni HCPs. The COVID-19 related questionnaire was designed using Google forms. The responses were coded and analyzed using the software package (IBMSPSS), version 22.0. Descriptive statistics and Pearson's correlation coefficient test were also used in this study. A p-value of < 0.05 levels with a 95% confidence interval was considered as statistically significant. The data collection started on 22nd April 2020, at 6 PM and closed on 26th April 2020 at 11 AM. Results: The results indicated that out of 1231 of the HCPs participating in this study, 61.6% were male and 67% were in the age group of 20 to 30 years old with a mean of 29.29±6.75. Most of them (86%) had a bachelor's degree or above and had 10 years of working experience or less (88.1%). Besides, although 57.1% of the respondents obtained their information via social and news media and 60.0% had never attended lectures/discussions about COVID-19, the results revealed that the majority of respondents had an adequate level of knowledge, an optimistic attitude, moderate anxiety, and high performance in preventive behaviours (69.8%, 85.10%, 51.0& 87.70%, respectively) toward the COVID-19 pandemic. Conclusion: Although the Yemeni HCPs exhibited an adequate level of knowledge, an optimistic attitude, moderate anxiety, and high performance in preventive behaviours toward the COVID-19 pandemic, the results showed gaps in some themes, particularly in their knowledge and attitude on the COVID-19 pandemic which needs to be updated or refreshed.


1970 ◽  
Vol 37 (2) ◽  
pp. 47-50
Author(s):  
IA Parvin ◽  
SA Ahmad ◽  
MN Islam

This cross sectional descriptive study was conducted among the chronic asthma patients attending three Institutes of Dhaka city namely National Asthma Center, The National Institute of Diseases of Chest and Hospital (NIDCH), Mohakhali, and Dhaka Medical College Hospital to assess the level of knowledge regarding inhaler use. Convenient sampling was adopted. Data were collected using one semi-structured questionnaire through face-to-face interview. The patients were aged from 18 to 75 years with mean age being 40.68 years and sd ± 11.659 years. The mean monthly income of the respondents found was 8278.52 taka with standard deviation ± 3523.315 taka. Mean duration of bronchial asthma was 9.44 years with sd±4.862 years. Out of the total 298 respondents 103(35.8%) possessed “excellent knowledge” on inhalers. Ninety one (31.6%) had “adequate knowledge”, sixty nine (24.0%) had “poor knowledge” and thirty five (8.7%) respondents were found having “no knowledge” about inhalers. Males were seen having better knowledge than the females (χ2 =66.582, df=3, p<0.001). The respondents receiving treatment from the indoor possessed better knowledge than those from the outdoors (p<0.001). Level of Knowledge was also found to be associated with the educational status of the respondents. Respondents with higher education possessed more than the respondents with lower education (p<0.001). Though most of the physicians now prescribe inhalers, but many of them do not explain the proper use of inhaler. This may be corrected through training and motivation of physicians at Medical Colleges and Hospitals and during various medical conferences and other programs. To reduce the extent of suffering and economic burden of asthma patients and their families, active education program for the patients and training program for the health care providers, regarding “inhaler use technique” demands early consideration. DOI: http://dx.doi.org/10.3329/bmrcb.v37i2.8433 BMRCB 2011; 37(2): 47-50  


2022 ◽  
Vol 13 (1) ◽  
pp. 16-21
Author(s):  
Vikash Paudel ◽  
Deepa Chudal ◽  
Upama Paudel ◽  
Dwarika Prasad Shrestha

Background: Non-venereal genital dermatoses are the conditions of the genitalia that are not transmitted sexually. They may be confused with venereal diseases and be responsible for concerns among patients as well as diagnostic dilemmas for physicians. This study was conducted to determine the prevalence and describe the patterns of non-venereal genital conditions. Methods: This was a hospital-based, cross-sectional, prospective study conducted in a tertiary center in Kathmandu, Nepal, over a period of one year. Non-probability purposive sampling was employed to select the samples. Two hundred patients were enrolled in the study. Ethical approval was taken prior to the study. Detailed history taking along with a complete cutaneous examination were conducted for all patients and recorded in a preformed proforma. Results: Among 21366 patients, two hundred patients had non-venereal genital dermatoses. The prevalence of non-venereal dermatoses was 0.93 %. The mean age of the patient was 29.5 ± 15 years, ranging from 2 months to 81 years. The male-to-female ratio was 2.7:1. Itching was the most common presentation (46%). Fifty-four different types of non-venereal diseases were encountered and classified into inflammatory lesions (n = 84; 42%), infections and infestations (n = 43; 21.5%), normal variants and benign abnormalities (n = 41; 20.5%), and miscellaneous (n = 21; 10.5%). The most common were, among inflammatory dermatoses, drug reactions (11.5%) and eczema (6.5%) and, among infections and infestations, scabies (9.5%) and fungal infections (7.5%). Conclusion: Non-venereal genital dermatoses are important yet less common dermatological conditions. A number of patients have misconceptions about them as venereal. A comprehensive study of non-venereal dermatological genital conditions is required for careful management to minimize morbidity.


Author(s):  
Archana Lakshmi P. A. ◽  
Ashrof Raja ◽  
Meriton Stanly A. ◽  
Christina Mary Paul ◽  
Gladius Jennifer H.

Background: Health care workers are at risk of acquiring life threatening blood borne infections through needle stick and sharp injuries (NSSI) in their work place. This study was planned to highlight some important factors responsible for NSSI and possible measures to reduce it. The objective of the study was to assess the factors associated with NSSI and reasons for under-reporting. Methods: A cross sectional study was done during November 2014 to April 2015 in two tertiary health care institutions. All health care providers (Doctors, nurses and lab technicians) who had more than one year experience and gave informed consent were included. Data collected by pretested structured questionnaire. Data analysis was done using SPSS 20v and summarized by descriptive statistics. Proportion and Chi-square was calculated at 5% α. Results: Among 950 health care providers (HCPS), 649 (68.3%) had NSSI during their carrier, 335 (35.3%) in last one year. Females 225 (67.2%) experienced more NSSI. This study shows that, 98 (29.3%) HCPs had sustained injury once. Among the doctors, 51.4% Anaesthetist (p=0.001) and its more among the nurses (38.4%) followed by doctors (36.6%) (p=0.002). NSSI was more common among HCP who work between 30-40 hrs (p=0.00001). Majority of them sustained injury while performing the procedure 134 (40%), commonest place of injury was OT 149 (44.5%) and commonest item responsible was hypodermic needle 141 (42.1%). Only 50 (14.9%) reported to the concerned authority and follow up action was taken. Conclusions: The study shows high prevalence of NSSI, emphasizing the need for safe measures for handling sharps to prevent transmission of infection. 


2020 ◽  
Author(s):  
Gamil Ghaleb Alrubaiee ◽  
Talal Ali Hussein Al-Qalah ◽  
Mohammed Sadeg A. Al-Aawar

Abstract Background: The current rapid prevalence of the novel coronavirus (COVID-19) pandemic over the world is associated with a considerable level of scared, anxiety and panic among the public, in particular, healthcare providers (HCPs) as the most vulnerable group at risk for SARS-CoV-2 infection. To protect and enhance HCPs' capacity to carry out their duties in responding to COVID-19, healthcare authorities should keep them away from stress and anxiety and improve their knowledge, attitude, and practice towards COVID-19 to ensure their compliance to infection control precautions. Therefore, this study aimed to explore knowledge, attitudes, anxiety, and preventive behaviours among Yemeni HCPs towards COVID-19. Methods: A descriptive, web-based-cross-sectional study was conducted among a number of 1231 Yemeni HCPs. The COVID-19 related questionnaire was designed using Google forms. The responses were coded and analysed using the software package (IBMSPSS), version 22.0. Descriptive statistics and Pearson's correlation coefficient test were also used in this study. A p-value of < 0.05 levels with a 95% confidence interval was considered as statistically significant. The data collection started on 22nd April 2020, at 6 PM and closed on 26th April 2020 at 11 AM. Results: The results indicated that out of 1231 of the HCPs participating in this study, 61.6% were male and more than (67%) were in the age group of 20 to 30 years old with a mean of 29.29±6.75. Most of them (86%) had a bachelor degree or above and had 10 years of working experience or less (88.1%). Besides, although 57.1% of the respondents obtained their information via social and news media and 60.0% had never attended lectures/discussions about COVID-19, the results revealed that the majority of respondents had an adequate level of knowledge, an optimistic attitude, moderate anxiety and high performance in preventive behaviors (69.8%, 85.10%, 51.0& 87.70%, respectively) toward the COVID-19 pandemic. Conclusion: Although the Yemeni HCPs exhibited an adequate level of knowledge, an optimistic attitude, moderate anxiety and high performance in preventive behaviours toward the COVID-19 pandemic, the results showed gaps in some themes, particularly in their knowledge and attitude on COVID-19 pandemic which need to be updated or refreshed.


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