Factors associated with differential community prevalence of hepatitis E in two sub-counties in Kitgum District in Northern Uganda: A comparative cross-sectional study

Abstract Background: Hepatitis E is one of the leading causes of acute viral hepatitis worldwide. During 2009, an epidemic of hepatitis E resulted in 10,437 infections and 167 deaths in Kitgum district.Objective: To investigate factors associated with the differential community prevalence of hepatitis E in two sub-counties in Kitgum District.Methods: We conducted a community survey during the 4th-31st of May 2012 in two Sub Counties in Kitgum District in Northern Uganda. A total of 474 heads of household were recruited using a probability proportional to size through multistage and random sampling methods. Two hundred thirty-four (49.26%) heads of household were from Mucwini, and 241 (50.74%) were from Kitgum Matidi Sub Counties. The questionnaire had an internal validity of Cronbach’s α=0.85. The study was approved by a local IRB. STATA version 10.0 was used for data analysis, and a p-value less than 0.05 was considered significant.Results: The prevalence of hepatitis E was significantly higher in Mucwini Subcountry 97 (41.99%) than in Kitgum Matidi 63 (26.47%); χ2=12.6; p=0.000. Factors associated with differential prevalence were hand washing after latrine use with Adjusted Odds Ratio (AoR)=0.23,95%CI:0.110-0.646; p=0.003; frequency of communal hand washing AoR=0.53,95%CI:0.330-0.860; p=0.01; patients’ handling by health workers AoR=1.91,95%CI:1.410-2.610; p<0.001; frequency of village health meetings held AoR=0.69,95%CI:0.56-0.85; p<0.001 and awareness of the cause of Hepatitis E AoR=1.42, 95%CI:0.710-1.880; p=0.015.Conclusions: Factors associated with the differential community prevalence of hepatitis E in the two communities were poor personal hygiene, poor community practices and a low level of community awareness about the virus. District and health authorities should put in place measures to improve personal and household hygiene and strengthen community health education on hepatitis E.

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Factors Associated With Contraceptive Use In Reproductive Age Couples

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2019.7(1).47-53 ◽

2019 ◽

Vol 7 (1) ◽

pp. 47

Author(s):

Desak Nyoman Suryaningrat ◽

Ni Wayan Suniyadewi ◽

Ni Luh Putu Dewi Puspawati

Keyword(s):

Family Planning ◽

Contraceptive Use ◽

Health Workers ◽

Reproductive Age ◽

P Value ◽

Family Planning Services ◽

Cross Sectional ◽

Factors Associated ◽

Spearman Test

Mothers are family members who play an important role in family life. Maternal deaths that occur in every minute at every day are mostly caused by complications related to pregnancy, childbirth, and puerperal. Contraceptive use in reproductive age couples is one of the strategies of the family planning to reduce maternal mortality. This study aimed to investigate the factors associated with contraceptive use in reproductive age couples. This study used a correlational design with a cross-sectional approach. The samples were 56 people selected using a non-probability sampling technique, i.e., purposive sampling. Data were analyzed using Rank Spearman test and contingency coefficient test. The results showed that there was a correlation between contraceptive use and factors of age, education, employment, customs / culture and quality of family planning services with a p-value of <0.05. This study recommends that Mengwi Public Health Center I provide a counseling room for family planning acceptors and increase the schedule of family planning services as well as improve the quality of health workers especially in giving counseling about contraceptive use.

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Early contraceptive implants removal and its associated factors among women using implants at National Referral hospital, Kampala Uganda.

10.21203/rs.3.rs-107083/v1 ◽

2020 ◽

Author(s):

Gerald Ssebatta ◽

Dan Kaye ◽

Scovia Mbalinda

Keyword(s):

Side Effects ◽

Rural Areas ◽

Health Workers ◽

Implant Removal ◽

P Value ◽

Multivariable Logistic Regression Model ◽

Early Discontinuation ◽

Cross Sectional ◽

Factors Associated ◽

Contraceptive Implants

Abstract Background. Early discontinuation of implant contraceptive methods and reasons for discontinuation remains a major concern for family planning programs and is generally higher in developing countries. Discontinuation is closely related to higher rates of the overall fertility rate, unwanted pregnancies leading to possibly induced abortion. The proportion and factors associated with early contraceptive implant removal are not well known in Uganda. The objective of the study was to determine the magnitude of early implants discontinuation among women receiving implants services in the study area and the factors associated with it. Methods: A facility-based cross-sectional study was conducted from 2nd January to 3rd March 2020 through a face-to-face interview. A total of 207 Implant user women were selected by systematic random sampling technique. SPSS version 20 was used for both data entry and analysis. Factors associated with early Implant discontinuation were analyzed using a binary and multivariable logistic regression model. Variables with a p-value of <0.05 and a 95% confidence interval were considered as statistically significant. Results. The proportion of early implant discontinuation was 42%. Factors associated with early implant discontinuation included; experience of side effects (OR= 2.629; 95%CI: 1.095-6.314; P= 0.031), not having received pre-insertion counseling about the benefits and side effects of contraceptive implants (OR= 2.565; 95%CI: 1.190-5.532; P= 0.016) and staying in rural areas (OR= 2.390; 95%CI: 1.229-4.648; P= 0.010). Conclusion. Nearly one in every two mothers have early discontinuation of contraceptive implants. Factors associated with early implant removal were the experience of side effects, lack of effective counseling before insertion, and staying in rural areas. Hence, health workers should provide adequate counseling services before insertion of the implant with emphasis on possible side effects and their immediate management. Spouses, where possible, should be involved during the counselling to increase implant retention. Also proper screening of women for pregnancy before insertion of an implant should be routine.

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HUBUNGAN ANTARA TINGKAT PENGETAHUAN TENAGA KESEHATAN TENTANG PENYEBARAN INFEKSI DENGAN KEPATUHAN MENCUCI TANGAN (FIVE MOMENT) DI RSD MANGUSADA

Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) ◽

10.36911/pannmed.v16i2.1106 ◽

2021 ◽

Vol 16 (2) ◽

pp. 405-410

Author(s):

I Made Dwie Pradnya Susila ◽

Ni Made Risna Sumawati

Keyword(s):

Health Workers ◽

Sampling Technique ◽

Hand Washing ◽

P Value ◽

Cross Sectional ◽

Correlational Research ◽

Level Of Knowledge ◽

Spread Of Infection ◽

Healthcare Associated ◽

Treatment Procedures

Infections that occur in hospitals called Healthcare Associated Infections (HAIs) are a serious problem for public health. HAIs are infections that patients get during undergoing treatment procedures and medical procedures in health services after jam 48 hours and after ? 30 days after leaving the health facility. One way to reduce nosocomial infections is by washing hands. The purpose of this study was to determine the relationship between the level of knowledge of health workers about the spread of infection with five moment compliance. The design of this research is descriptive correlational research with the approach used is cross sectional approach. Determination of the sample in this study was chosen by the total sampling technique which amounted to 40 people. The data collection of knowledge about the spread of disease using questionnaires and hand washing data five moments using the observation sheet. The statistical test used in this study was Rank Spearman. The results of this study are p value 0.104 <0.05 so that the hypothesis is rejected ie there is no relationship knowledge knowledge of infection spread with the compliance of health workers in hand washing (five moments). Based on the results of this study, it is recommended that the Badung Mangunsada General Hospital be used as a reference in compliance with five moments hand washing by health workers so as to prevent the spread of infection.

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Environmental factors associated with diarrhoea among under-five children attending at Muhimbili National Hospital, Tanzania: a descriptive cross sectional study

10.21203/rs.3.rs-38053/v1 ◽

2020 ◽

Author(s):

Victor Aidan Mathias ◽

Asumin Abdul Mkalagale ◽

Margareth Thulisile Mtshengu

Keyword(s):

Cross Sectional Study ◽

Hand Washing ◽

P Value ◽

Muhimbili National Hospital ◽

Sectional Study ◽

National Hospital ◽

Cross Sectional ◽

Under Five ◽

Factors Associated ◽

Under Five Children

Abstract Background: Generally, diarrhea is still a second major reason of death and illness in children below the age of five years. It holds breathes of around half a million under five children’s every year and causes million more to be admitted. Every year diarrhea kills around 525000 children of under five years.Although few study have been done in Tanzania to determine factors associated with diarrhea among under five children, but environment factors have not yet well addressed. Therefore, this study seeks to address environmental factors associated with diarrhoea among under-five children attending at Muhimbili National Hospital, in Tanzania. Methods: A quantitative descriptive cross sectional study design of 100 simple randomly participants were selected. Questionnaires were used to collect data form key informants who were mothers/ carers with a child of under-five suffering from diarrhoea admitted at Muhimbili National Hospital, Tanzania. Data were analysed using SPSS. Statistical tests used were mean, median, proportions and chi square. Environmental risk factors associated with diarrhoea were determined with a p value of less than 0.05. Ethical approval and permission to collect data were obtained from relevant authorities.Results: Unsuitable infrastructure for grey water disposal, improper hand washing before feeding the baby and hand washing without using clean water and soap had strongly association with the occurrence of diarrhoea in under-five children attending at Muhimbili National Hospital (MNH) with P-value of 0.00, 0.00, and 0.01 respectively.Conclusion: Childhood diarrhoea is contributed by various environmental risk factors including unimproved sanitation, lack of hand washing facilities and poor knowledge among caregivers. This calls for the importance of providing health education to the caregivers on the cause, prevention and treatment of diarrhoea among under-five children.

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Associated Factors with Hypnobirthing Implementation in Trimester III Pregnant Women at Diana Panitra Clinic Medan in 2020

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v8i1.art.p107-112 ◽

2021 ◽

Vol 8 (1) ◽

pp. 107-112

Author(s):

Endryani Syafitri ◽

Muthia Sari Mardha

Keyword(s):

Pregnant Women ◽

Health Workers ◽

P Value ◽

Sampling Techniques ◽

Third Trimester ◽

Cross Sectional ◽

Factors Associated ◽

Independent Variables ◽

Analysis Technique ◽

Almost All

Almost all maternal experienced anxiety and fear during pregnancy, labor, and after childbirth. One of the methods is used to reduce childbirth anxiety namely hypnobirthing. The purpose of this study was to determine the factors associated with the implementation of hypnobirthing in third trimester pregnant women at the Diana Panitra Clinic Medan in 2020. The design of this study used an analytic survey with a cross-sectional approach. The population of the study were all 30 third trimester pregnant women, and sample using accidental sampling techniques. The independent variables in this study are knowledge, husband's support, distance from facilities, and mother's interest. The instrument used a questionnaire. The data analysis technique used univariate and bivariate analyses. The results showed that there is a relationship implementation of hypnobirthing between knowledge with p-value (sig) = 0.044, husband's support with p-value (sig) = 0.004, facility distance and p-value (sig) = 0.019, and maternal interest with p-value (sig) = 0.015. The conclusion of this study is that there is a relationship between knowledge, husband's support, the distance of facilities, and mother's interest with the implementation of hypnobirthing in trimester III pregnant women at the Diana Panitra Clinic Medan in 2020. And it is hoped that health workers will participate in providing information about the benefits of hypnobirthing during pregnancy.

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FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ASAM URAT PADA LANSIA (45 – 70 TAHUN)

Human Care Journal ◽

10.32883/hcj.v4i1.242 ◽

2019 ◽

Vol 4 (1) ◽

pp. 34

Author(s):

Ridhyalla Afnuhazi

Keyword(s):

Uric Acid ◽

Health Workers ◽

Statistical Tests ◽

Univariate Analysis ◽

The Elderly ◽

Outreach Program ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated

Indonesian is the 4th largest country in the world whose in habitants suffer from gout. In Indonesian, it is estimated that uric acid occur in 840 people every 100,000 people. Disease of gout is one of the degenerative disease. One of the signs of the disease gout is the increase in the levels of uric acid in the blood (hiperurisemia). Factors related to the incidence of hiperurisemia is sex, IMT, intake carbohydrate sand intake purin. Purin intake is a risk factor most strongly associated with the incidence of hiperurisemia. This study used a cross-sectional research design cross method i.e. research to study the dynamics of the correlation between two variables. Research carried out in the Puskesmas Kebun Sikolos in August 2016. The population in this study amounts to 100 people. Sampling techniques in "accidental sampling", with a sample of as many as 20 people. Data processing is carried out using the SPSS program with computerized analysis univariate and bivariat, statistical tests used was chi-square. The results of the univariate analysis showed that (65%) of respondents-sex women, (55%) of respondents experiencing obesity and (55%) of the respondents did not suffer from hypertension. Bivariat analysis p value = 0.019 means there is a relationship between the sex with uric acid, and p value = 0.025 means there is a connection between obesity with uric acid, and p value = 0.337 which means there is no relationship between hypertension with the occurrence of uric acid. Thus the factors associated with the incidence of gout in the elderly is gender and obesity. So from that recommended that health workers improve outreach program again about the factors associated with the incidence of gout in the elderly.

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Factors Associated With Behavior of Exclusive Breastfeeding to Women Have Baby 6-12 Months in the Work Area of Andalas Health Center

Women Health Care and Issues ◽

10.31579/2642-9756/062 ◽

2021 ◽

Vol 4 (5) ◽

pp. 01-07

Author(s):

Yollanda Vonitania ◽

Yulizawati Yulizawati ◽

Fitrisia Amelin

Keyword(s):

Health Center ◽

Infant Formula ◽

Exclusive Breastfeeding ◽

Significant Relationship ◽

Health Workers ◽

Bivariate Analysis ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Work Area

In Indonesia target of exclusive breastfeeding is 80% and this target is very difficult to accomplish. The scope of exclusive breastfeeding in West Sumatera (75%), in Padang (70.7%) and in the work area of Andalas Health Center (55.17%). This study aim is to determine factors associated with exclusive breastfeeding in the work area of Andalas Health Center. This type of study is analytic with cross sectional design.The participant of this study is 90 mothers who have infants 6-12 months in the work area of Andalas Health Center. Sampling was proportional random sampling. Data collected using questionnaires. Data analysis using univariate and bivariate with chi square test and significant if p value < 0,05. The study showed exclusive breastfeeding (21,1%), mother have a good knowledge (48.9%), secondary education (51.1%) , unemployed (65.6%), not having breast problem (51.1%), and interested in infant formula promotion (57.8%). The results of bivariate analysis showed a significant relationship between education (p=0.048) and breast problems (p=0,000) and no significant relationship between work (p=0.98) with exclusive breastfeeding. There is a tendency all mothers who have less knowledge and interested in infant formula promotion to not exclusive breastfeeding From the result of this study it can be conclude there is a significant relationship between education, and breast problems with exclusive breastfeeding, no significant relationship between work and exclusive breastfeeding, there is a tendency all mothers who have less knowledge and interested in infant formula promotion to not exclusive breastfeeding. For the next research can add other variables, for health workers to more diligent give counseling and for the community to follow more counseling.

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Faktor Risiko Kejadian Penyakit Kulit Pada Pekerja Pengangkut Sampah Di Kota Jambi

Riset Informasi Kesehatan ◽

10.30644/rik.v6i2.87 ◽

2017 ◽

Vol 6 (2) ◽

pp. 129

Author(s):

Entia Nopa ◽

Ranissa Dwi Imansari ◽

Irwandi Rachman

Keyword(s):

Cross Sectional Study ◽

Personal Hygiene ◽

P Value ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional

Faktor Risiko Kejadian Penyakit Kulit Pada Pekerja Pengangkut Sampah Di Kota Jambi 1Entianopa, 2Ranissa Dwi Imansari, 3Irwandi Rachman 123Program Studi Kesehatan Masyarakat STIKES Harapan Ibu, Jambi Abstrak Latar Belakang: Kulit merupakan organ terbesar pada tubuh manusia yang membungkus otot-otot dan organ-organ dalam serta merupakan jalinan jaringan pembuluh darah, saraf, dan kelenjar yang tidak berujung, semuanya memiliki potensi untuk terserang penyakit yang salah satunya adalah penyakit kulit. Penyakit kulit merupakan salah satu gangguan kesehatan yang sering dialami oleh pekerja pengangkut sampah. Berdasarkan komposisi sampah yang diangkut serta waktu paparan kerja. Tujuan penelitian ini untuk mengetahui hubungan antara masa kerja, pemakaian Alat Pelindung Diri (APD), dan personal hygiene dengan kejadian penyakit kulit pada pekerja pengangkut sampah di Kota Jambi. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross sectional study. Sampel penelitian yaitu sebanyak 62 pekerja pengangkut sampah yang berada di Kantor Pekerjaan Umum dan Penata Ruang, yang mana seluruh populasi dijadikan sampel. Data dikumpulkan berdasarkan pemeriksaan kesehatan oleh dokter dan dengan kuesioner, kemudian dianalisa menggunakan uji statistik chi-square. Hasil: Hasil menunjukan bahwa pekerja yang mengalami penyakit kulit sebanyak 35 pekerja (56,5%). Berdasarkan hasil analisis chi-square didapatkan bahwa ada hubungan yang bermakna antara masa kerja dengan kejadian penyakit kulit pada pekerja pengangkut sampah dimana nilai (p-value= 0,006), Pemakaian Alat Pelindung Diri (APD) nilai (p-value= 0,008), personal hygiene nilai (p-value= 0,008). Kesimpulan: Untuk meminimalisir risiko terjadinya penyakit kulit pada pekerja pengangkut sampah disarankan perlunya disusun standar operasional prosedur yang aman, penyediaan sarana sanitasi agar dapat mengurangi resiko terkena penyakit kulit. Pentingnya pemakaian APD dan perilaku hidup bersih dan sehat selama bekerja, serta diharapkan pekerja menggunakan APD pada saat bekerja dan lebih memperhatikan personal hygiene. Kata kunci : Masa Kerja, APD, Personal Hygiene

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Penanganan Issu Terkait Keselamatan Pasien di Rumah Sakit

10.31219/osf.io/z4yw8 ◽

2020 ◽

Author(s):

Kristin Natal Riang Gea

Keyword(s):

Patient Safety ◽

Health Workers ◽

Sampling Technique ◽

Good Health ◽

Bivariate Analysis ◽

P Value ◽

Patient Identification ◽

Cross Sectional ◽

The Right ◽

The Relationship

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 < 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 <0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers

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ANALISIS PERILAKU HYGIENE MENSTRUASI MELALUI HEALTH BELIEF MODEL (HBM) PADA SISWI SMP DI JAKARTA UTARA

National Nursing Conference ◽

10.34305/nnc.v1i1.122 ◽

2020 ◽

Vol 1 (1) ◽

pp. 16

Author(s):

Luqman Effendi ◽

Nurul Khotimah

Keyword(s):

Health Belief Model ◽

Health Belief ◽

Personal Hygiene ◽

Perceived Threat ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Pruritus Vulvae ◽

Perceived Benefit ◽

Belief Model

Keluhan pada organ reproduksi yang sering terjadi adalah Pruritus vulvae yaitu ditandai dengan adanya sensasi gatal parah dari alat kelamin perempuan. Pruritus vulvae disebabkan oleh jamur, bakteri dan virus yang muncul 44% karena buruknya Personal Hygiene dan Hygiene Menstruasi. Penelitian Tahun 2015 di 4 wilayah di Indonesia yaitu di Nusa Tenggara Timur (NTT), Jawa Timur, Papua, dan Sulawesi Selatan terkait kebersihan saat menstruasi menemukan 67% remaja di kota dan 41% remaja di desa masih adanya perilaku negatif. Tujuan penelitian untuk mengetahui beberapa faktor yang berhubungan dengan perilaku hygiene menstruasi melalui Health Belief Model (HBM). Penelitian ini adalah penelitian kuantitatif dengan menggunakan pendekatan cross sectional dengan sampel sebanyak 101 siswi SMPN 244 di Jakarta Utara, dianalisis secara univariat dan bivariat menggunakan chi square. Perilaku Hygiene Menstruasi baik baru dilakukan 55,4% responden. Perilaku Hygiene Menstruasi berhubungan secara signifikan dengan pengetahuan (OR=5,1), perceived threat (OR=3,9) dan perceived benefit (OR=3,3) dengan P Value < 0.005. Health Belief Model (HBM) bisa dipertimbangkan sebagai suatu pendekatan dalam upaya memperbaiki perilaku hygiene menstruasi pada remaja. Peningkatan pengetahuan direkomendasikan dengan menekankan pada ancaman penyakit yang berkaitan dengan perilaku hygiene menstruasi dan manfaat-manfaat yang langsung dirasakan oleh remaja berkenaan dengan perilaku higiene menstruasi.

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