scholarly journals Evaluation of the Impact of Maternal Training on Knowledge of Danger Signs in Sick Newborns and Health Seeking Behaviors Among Mothers in Enugu, South-east Nigeria- a Pre-and-post Interventional Study

Author(s):  
Uchenna Ekwochi ◽  
Ikenna Kingsley Ndu ◽  
Obinna C Nduagubam ◽  
Onyinye H Chime ◽  
Ogechukwu F Amadi ◽  
...  

Abstract Background: During the early weeks of life, the signs/symptoms of serious illness can be subtle, thus careful watching is crucial. The World health Organization has recognized nine “danger sign” which are closely associated with morbidity and mortality when not recognized early and given adequate care. This project was undertaken to assess mothers’ knowledge of these danger signs and health seeking behavior before and after training on newborn danger signs.Methodology: This community-based interventional study was carried amongst women in two rural communities of Enugu State. Participant’s knowledge of danger signs and care seeking behaviors were obtained using an interviewer administered questionnaire before and after training on the danger signs newborns using videos from the Integrated Management of Childhood Illnesses (IMCI). Pre- and post-training data were collated for analysis and comparison using SPSS version 20.Results: A total of 197 women were enrolled for the study. Among the socio-demographic indices examined, only the number of newborns nursed in the past significantly determined knowledge of danger signs in the sick newborn (P=0.032). Prior to the training, 47% of respondents could not recount offhand any danger sign compared to 1.5% after the training (P=0.001). Knowledge of up to 3 danger signs significantly increased after the training (P = 0.001) and participants who admitted seeking medical help within 24 hours of noticing any danger signs in newborn also significantly increased, (P= 0.043).Conclusion: Our study documented a strong impact of training of mothers on their knowledge of danger signs in the sick newborns and on their healthcare seeking behavior. Therefore, training and retraining of mothers and/or care givers could help improve newborn care and reduce overall infant mortality

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Ikenna K. Ndu ◽  
Uchenna Ekwochi ◽  
Chidiebere D. I. Osuorah ◽  
Kenechi S. Onah ◽  
Ejike Obuoha ◽  
...  

Background.Efforts to reduce child mortality especially in Africa must as a necessity aim to decrease mortality due to pneumonia. To achieve this, preventive strategies such as expanding vaccination coverage are key. However once a child develops pneumonia prompt treatment which is essential to survival is dependent on mothers and caregiver recognition of the symptoms and danger signs of pneumonia.Methods.This community based cross-sectional study enrolled four hundred and sixty-six caregivers in Enugu state. It aimed to determine knowledge of caregivers about danger signs of pneumonia and the sociodemographic factors that influence knowledge and care seeking behaviour of caregivers.Results.There is poor knowledge of the aetiology and danger signs of pneumonia among caregivers. Higher maternal educational attainment and residence in semiurban area were significantly associated with knowledge of aetiology, danger signs, and vaccination of their children against pneumonia. Fast breathing and difficulty in breathing were the commonest known and experienced WHO recognized danger signs while fever was the commonest perceived danger sign among caregivers.Conclusion.Knowledge of danger signs and health seeking behaviour among caregivers is inadequate. There is need for intensified public and hospital based interventions targeted at mothers to improve their knowledge about pneumonia.


2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Amani Abu-Shaheen ◽  
Isamme AlFayyad ◽  
Muhammad Riaz ◽  
Abdullah Nofal ◽  
Abdulrahman AlMatary ◽  
...  

Introduction. The majority of neonatal deaths in developing countries occur at home. Many of these deaths are related to late recognition of the signs of a serious illness by parents and a delay in the decision to seek medical care. Since the health-seeking behavior of mothers for neonatal care depends on the mothers' knowledge about WHO recognized danger signs, it is essential to investigate their knowledge of these signs. Objective. To investigate the knowledge and the experience of mothers and caregivers towards the WHO suggested neonatal danger signs. Methods. A community-based study was conducted on mothers who had delivered or had nursed a baby in the past two years. Results. A total of 1428 women were included in the analysis. Only 37% of the participant's knowledge covered three or more danger signs. The frequently reported participants’ knowledge of danger signs in this study was for yellow soles (48.0%), not feeding since birth or stopping to feed (46.0%), and signs of local infection (37.0%). The majority (69.0%) of the participants had experienced at least one of the danger signs with their baby. The noteworthy frequent reports of the participants’ experiences were for yellow soles (27.0%), not feeding since birth or stopping to feed (25.0%), and umbilical complications (19.0%). Conclusion. The proportion of mothers with knowledge of at least three neonatal danger signs is low. There is a need for developing interventions to increase a mother’s knowledge of newborns danger signs.


1970 ◽  
Vol 28 (4) ◽  
Author(s):  
Melkamu Berhane ◽  
Hadiya Yimam ◽  
Nega Jibat ◽  
Mesfin Zewdu

BACKGROUND: Neonatal mortality rates in Ethiopia are among the highest in the world. Reducing neonatal and young infant mortality highly relies on early recognition of symptoms and appropriate care-seeking behavior of parents/care givers. The main aim of this study was to assess the knowledge of danger signs and health seeking behavior of parents/care givers in newborn and young infant illness in Southwest Ethiopia.METHODS: A community-based cross-sectional study was conducted using cluster sampling technique to get 422 samples of parents/care givers who had infants of less than 6 month old. Data was collected through face-to-face interviews using structured questionnaire. Logistic regression was used to identify factors affecting care seeking behavior and knowledge of parents/care givers on newborn and young infant illness.RESULT: Care seeking behavior for newborn and young infant illness was high (83%), the major factor associated with care seeking behavior being place of delivery. Only less than half of the respondents had adequate knowledge of symptoms of illness of newborns and young infants. The major factors associated with knowledge of parents/care givers were maternal education and  paternal education.CONCLUSIONS: To improve the knowledge of parents/care giversabout newborn and young infant illness, counseling about the major symptoms of newborn and young infant illness should be intensified.KEYWORDS: Neonatal illness, care seeking behavior, new born,knowledge


Author(s):  
Duaa Mohamed Bakhshwin ◽  
Abdulaziz Bakhshwin

Background: On March 11, 2020, the World Health Organization (WHO) announced the Coronavirus outbreak officially as a pandemic. This pandemic has led to new measurements to prevent viral spread. The measures included decreasing the person’s mobility outside homes with subsequent changes in the lifestyles, particularly in physical activity and eating habits. It has been noticed that consumption of some vitamins may help in preventing or reducing the symptoms of viral infection. Those vitamins include vitamin C, D and zinc. There is a common observation that the general public believes that the use of vitamins, especially vitamins C, D and zinc, reduces the chance of acquiring COVID-19. Objectives: The aim of this study was to determine the impact of COVID-19 pandemic on taking vitamins supplements by the Saudi general population in order to explore their believes regarding the protective value of these vitamins against COVID-19 infection. Subjects and Methods: This cross-sectional study was conducted using a self-administrated questionnaire that was designed, uploaded to the Google form and distributed online to the general Saudi population through the social media (Whatsapp, Twitter) as well as through email between August and December 2020. Statistical Packaged of Social Sciences program (SPSS) for Windows (version 17.0., Chicago: SPSS Inc) was used to analyze the data. A significant difference was considered when the p value is < 0.05. Student t-test and Chi-square (χ2) test were used to compare the studied variables as appropriate. Results: A total of 1043 participants were included in this study (64.9% females, 35.1% males). The mean age for them was 35.3±14.78 years. Only 9.3% (97 participants) were diagnosed to have COVID-19. About 28% of the participants were in contact with COVID-19 cases. Among participants diagnosed to have COVID-19 infection, (13% versus 29%) were taking vitamin C and (2% versus 15%) were taking zinc supplements daily during the 6 months before and after the pandemic, respectively, while (20% versus 25%) were taking vitamin D supplements weekly during the 6 months before and after the pandemic, respectively. Among participants who were in contact with COVID-19 cases, (8% versus 20%) and (3% versus 11%) were taking vitamin C and zinc supplements daily during the 6 months before and after the pandemic, respectively, while (14% versus 16%) were taking vitamin D supplements weekly during the 6 months before and after the pandemic Conclusion: The interest of taking multivitamin by Saudi population, such as vitamins C and D, zinc increased during and after the pandemic compared to that before it. There is no scientific evidence based on previous studies confirmed the role of dietary supplementation and multivitamins in preventing COVID-19 infection, therefore, effective education on the rationale use of vitamins during COVID-19 pandemic should be emphasized at local and/or national levels.


2018 ◽  
Vol 3 (1) ◽  
pp. 22
Author(s):  
Rapitos Sidiq

Kejadian Pneumonia pada balita masih menjadi permasalahan di dunia termasuk Indonesia. Banyak faktor yang melatarbelakangi kejadian penyakit ini, baik faktor lingkungan maupun perilaku manusia. Salah satu uapaya yang dilakukan untuk pencegahan penyakit ini adalah dengan peningkatan peran kader posyandu untuk kegiatan promotif dan preventif termasuk mempromosikan perilaku pencarian pertolongan kesehatan dan perawatan balita di rumah, sehingga setiap kader dituntut mengetahui tentang pencegahan pneumonia tersebut. Secara umu penelitian ini ingin melihat efektivitas penyuluhan kesehatan dalam meningkatkan pengetahuan kader posyandu tentang pencegahan penyakit pneumonia pada balita di wilayah kerja Puskesmas Darul Kamal Tahun 2017. Penelitian menggunakan metode quasi eksperimental dengan rancangan one group pretest-postest design. Jumlah sampel penelitian 30 orang. Uji statistic yang digunakan paired t-tes tingkat kemaknaan (α) 0,05 (5%). Penelitian ini menghasilkan nilai pengetahuan kader sebelum dan sesudah intervensi adalah 27,17:29,00 dengan p-value 0,003 (< 0,05). Penyuluhan kesehatan efektif dalam meningkatkan pengetahuan kader posyandu tentang pencegahan penyakit pneumoniaKata kunci:   Penyuluhan kesehatan, pengetahuan, kader posyandu, pneumonia, balita  ABSTRACTThe incidence of pneumonia in a toddler is still a problem in the world including Indonesia. Many factors caused the incidence of this disease, both environmental factors, and human behavior. One of the efforts undertaken for the prevention of this disease is by increasing the role of Health Post cadres for promotive and preventive activities including promoting health-seeking behavior and home toddler care so that each cadre is required to know about the prevention of pneumonia. In general, this research would like to see the effectiveness of health counseling in increasing the knowledge of health pos cadres on prevention of pneumonia disease in under-five children in the work area of Puskesmas Darul Kamal 2017. The study used quasi-experimental method with one group pretest-posttest design. The sample size is 30 people. Test statistic used paired t-test significance level (α) 0.05 (5%). This study yields cadre knowledge value before and after intervention is 27,17: 29,00 with p-value 0,003 (<0,05). Health counseling is effective in increasing knowledge of cadres about prevention of pneumonia disease.Keywords: Health counseling, knowledge, cadres, pneumonia, toddler


Accounting ◽  
2021 ◽  
pp. 167-178
Author(s):  
Mahfod Mobarak Aldoseri ◽  
Nasr Taha Hassan ◽  
Magdy Melegy Abd El Hakim Melegy

This paper aims to examine the effect of audit committee characteristics on audit report lag, and also explores whether this effect will vary between before and after mandatory adoption of IFRS in Saudi listed companies. Based on a Saudi sample of 388 firm-year observations from 2015 to 2018, the Poisson regression analysis shows that among audit committee characteristics, only audit committee financial experience significantly influences the timing of financial reporting. The result indicates a weak influence of audit committees on timeliness of financial reporting, which is consistent with the results of most of previous studies. On the other hand, the results show a strong impact of the adoption of IFRS on the context of that relationship, where the results show the impact of IFRS on audit report lag, audit committee quality and the association between them.


2007 ◽  
Vol 40 (5) ◽  
pp. 505-511 ◽  
Author(s):  
Raiza Ruiz-Guevara ◽  
Belkisyolé Alarcón de Noya ◽  
Sharon Kay Valero ◽  
Pablo Lecuna ◽  
Miguel Garassini ◽  
...  

Abdominal ultrasound can be a useful tool for diagnosing periportal fibrosis related to Schistosoma mansoni infection, and also for planning and monitoring the evolution of hepatic morbidity following control measures. We evaluated the standardized ultrasound methodology proposed by the World Health Organization for detecting periportal fibrosis and portal hypertension, among patients from an endemic area in Venezuela, and the impact of praziquantel treatment 3-5 years later. After chemotherapy, complete reversal of periportal lesions was observed in 28.2% of the cases and progression of the disease in 5.1%. Improvement in the hepatic disease started with a reduction in the periportal thickening followed by a decrease in the size of the left hepatic lobe, spleen and mesenteric and spleen veins. Ultrasound confirmed the clinical findings after chemotherapy among the patients with reversal of the disease. However, in patients with more advanced disease, these findings were contradictory. There was no correlation between evolution of the disease seen on ultrasound and age, intensity of infection or serological findings.


2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
C Parisis ◽  
A Bouletis ◽  
K Chatzidimitriou ◽  
D-D Palla ◽  
P Makri ◽  
...  

Abstract Funding Acknowledgements Type of funding sources: None. Background Sudden cardiac death is one of the main issues worldwide, with more than 700.000 deaths annually. It is strongly believed that the implementation of "Kids Save Lives" project in schools can change this situation. The World Health Organization endorsed the ‘Kids Save Lives’ project in 2015 in order to reduce mortality. The first chain of survival concerns the recognition of cardiac arrest with chin lift and head tilt manoeuvre of the victim and the feel- look- listen approach. Purpose Τo evaluate the level of theoretical knowledge, as far the recognition of cardiac arrest is concerned in Greek secondary school students before and after the "Kids Save Lives" program. Material – Method: Data collection took place on the academic periods of 2017-2018 and 2018-2019 and was performed in secondary schools of Thessaly’s region. A total of 4922 students (51,9% female, mean age 14.2 years) participated on the "Kids save Lives" program according to the European Resuscitation Council (ERC) and World Health Organization (WHO) statement. A 12-point questionnaire was answered by the students before and after the "kid saves lives" program, while practical skills were evaluated on manikins by experienced ERC Basic Life Support (BLS) Instructors. The knowledge of the recognition of cardiac arrest is investigated in this subgroup analysis Results The training improves significantly the theoretical knowledge regarding the recognition of cardiac arrest, with the percentage of correct answers being 58,3% and 96,1%,before and after the course respectively (p &lt; 0.001). In the practical part of the program, almost all of the participants (98.9%) could recognize the correct position near the victim and 91% perform chin lift manoeuvre and recognize cardiac arrest. Conclusions The overall results reveal that the "Kids Save Lives" program can play a important role in improving the theoretical knowledge and  the practical skills of Greek students towards towards the recognition of cardiac arrest and indicate the necessity of implementation in a greater scale nationwide.


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