scholarly journals Early Malaria diagnosis and treatment seeking Behavior among clients attending outpatient department Sekou-Toure regional referral Hospital in Mwanza, Tanzania; A Cross-Sectional Study

2022 ◽  
Author(s):  
Samson Peter Mvandal ◽  
Gotfrida Marandu
Keyword(s):  
Health Facility ◽  
Early Treatment ◽  
Malaria Diagnosis ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Treatment Seeking ◽  
Sectional Study ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Seeking Behavior

Abstract Background Early diagnosis of malaria and treatment seeking behavior play key role in controlling and preventing further complication related to malaria disease. Aim of this study was to determine the responses on early malaria diagnosis and treatment seeking behavior among outpatient clients attending at Sekou toure regional referral hospital in Mwanza, Tanzania. Methods A cross-sectional study was conducted among outpatient client at Sekou-Touré regional referral hospital, convenient simple random sampling used and self-administered questionnaire were used to collect data and data was entered into Microsoft excel and then exported to SPSS version 25.0 for further analysis and presented on the percentages and table. The analysis of strength of relationships between categorical variables was conducted using the Chi-square test. A p-value of ≤ 0.05 was considered to be statistically significant. Results A total of 192 respondents completed the study with a response rate of 97.6%. The study revealed that Most of the respondents about 90.6% stated they would seek treatment from health facility when symptoms appear. However, only 6.3% seek treatment within 24 hours of onset of illness (p= 0.017). Half of respondents (50.5%) experienced malaria symptoms in the past six months and only 30% seek for treatment at health facility. Preference of health facility, (51%) respondents were going direct to pharmacy to buy medicine for self-treatment. Overall, cost of service, time consumed and distance of health facility especially health center shows significant with such delay. Conclusion A low proportion of malaria-suspected patients sought treatment within 24 h of fever onset compared to the national target. Distance from the health facility, cost of service and time consumed were found to be predictors of early treatment-seeking behavior for malaria. Strengthening strategies tailored to increasing awareness for communities about malaria, importance of going hospital and early treatment-seeking behavior is essential.

scholarly journals Early Malaria Diagnosis and Treatment Seeking Behavior Among Clients Attending Outpatient Department Sekou-Toure Regional Referral Hospital in Mwanza, Tanzania; A Cross-Sectional Study

2021 ◽  
Author(s):  
Samson Mvandal ◽  
Godfrida Marandu
Keyword(s):  
Health Facility ◽  
Early Treatment ◽  
Malaria Diagnosis ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Treatment Seeking ◽  
Sectional Study ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Seeking Behavior

Early diagnosis of malaria and treatment seeking behavior play key role in controlling and preventing further complication related to malaria disease. Aim of this study was to determine the responses on early malaria diagnosis and treatment seeking behavior among outpatient clients attending at Sekou toure regional referral hospital in Mwanza, Tanzania. Methods: A cross-sectional study was conducted among outpatient client at Sekou-Touré regional referral hospital, convenient simple random sampling used and self-administered questionnaire were used to collect data and data was entered into Microsoft excel and then exported to SPSS version 25.0 for further analysis and presented on the percentages and table. The analysis of strength of relationships between categorical variables was conducted using the Chi-square test. A p-value of ≤ 0.05 was considered to be statistically significant. Results: A total of 192 respondents completed the study with a response rate of 97.6%. The study revealed that Most of the respondents about 90.6% stated they would seek treatment from health facility when symptoms appear. However, only 6.3% seek treatment within 24 hours of onset of illness (p= 0.017). Half of respondents (50.5%) experienced malaria symptoms in the past six months and only 30% seek for treatment at health facility. Preference of health facility, (51%) respondents were going direct to pharmacy to buy medicine for self-treatment. Overall, cost of service, time consumed and distance of health facility especially health center shows significant with such delay. Conclusion: A low proportion of malaria-suspected patients sought treatment within 24 h of fever onset compared to the national target. Distance from the health facility, cost of service and time consumed were found to be predictors of early treatment-seeking behavior for malaria. Strengthening strategies tailored to increasing awareness for communities about malaria, importance of going hospital and early treatment-seeking behavior is essential.

scholarly journals Treatment-Seeking Behavior Towards Epilepsy Among Rural Residents in Ethiopia: A Cross-Sectional Study

2020 ◽  
Vol Volume 16 ◽  
pp. 433-439 ◽  
Author(s):  
Alemayehu Molla ◽  
Birhanie Mekuriaw ◽  
Endashaw Habtamu ◽  
Moges Mareg
Keyword(s):  
Cross Sectional Study ◽  
Treatment Seeking ◽  
Sectional Study ◽  
Rural Residents ◽  
Cross Sectional ◽  
Seeking Behavior

scholarly journals Post Caesarean Wound sepsis and associated factors among patients attending a rural regional referral hospital in Western Uganda: A cross-sectional study

2020 ◽  
Author(s):  
Ismael Muhumuza ◽  
Abdulrahman Zeinul Lavingia ◽  
Bekson Tayebwa ◽  
Ahmed Abdulhussein Ahmed ◽  
Farhiya Mohammed Koriow ◽  
...  
Keyword(s):  
Health Workers ◽  
Bacterial Pathogens ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Vaginal Examination ◽  
Sectional Study ◽  
Wound Sepsis ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Antibacterial Susceptibility

Abstract Background : Post-caesarean wound sepsis is among the most common problem for patients who undergo caesarean section. It remains a common and widespread problem contributing to morbidity and mortality; this could be due to an increase in antimicrobial resistance. Determining the burden of wound sepsis and common bacterial pathogens can provide solution to prevent incidence and establish microbiological mapping. Aim: To determine prevalence, identify factors, common bacterial pathogens from post-caesarean wounds and antibacterial susceptibility pattern at Hoima Regional Referral Hospital. Methods : A cross-sectional study was conducted among post-caesarean mothers attending Hoima Regional Referral Hospital. Consecutive enrolment of 303 participants who consented to participate was done. Structured questionnaires were used to collect data on associated factors and wound swabs were done prior to bacterial culture. Antibacterial susceptibility pattern of isolated bacterial pathogens was determined by Kirby Bauer disc diffusion method. Data was analyzed using Stata 14.2. Results : The wound sepsis rate was 16.8%. Being educated, multiple vaginal examination, hygiene, previous caesarean sections and HIV seropositivity were all significantly and positively associated with post-caesarean wound sepsis (p<0.05). The most implicated bacteria was Staphylococcus aureus and was most susceptible to ciprofloxacin. Resistance was most exhibited against ciprofloxacin, gentamycin, ceftriaxone and cotrimoxazole especially by coliforms. Conclusions. The rate of caesarean wound sepsis is high at Hoima Regional Referral Hospital . Being educated, multiple vaginal examination, hygiene, previous caesarean sections and HIV seropositivity are possible risk factors for the condition. Staphylococcus aureus is the commonest organism isolated from exudates of septic wounds after caesarean section. Awareness amongst health workers and patients about these major factors is necessary so that management can be directed. Rational use of antibiotics by health workers is paramount to combat resistance in this setting.

scholarly journals Nutritional Knowledge and Practice among Patients with Non-communicable Diseases Attending Mbale Regional Referral Hospital in Eastern Uganda: A Cross Sectional Study

2019 ◽  
pp. 1-11
Author(s):  
Esther Nambala ◽  
Jayne Byakika-Tusiime ◽  
Yahaya Gavamukulya
Keyword(s):  
Cross Sectional Study ◽  
Nutrition Knowledge ◽  
Referral Hospital ◽  
P Value ◽  
Nutritional Knowledge ◽  
Sectional Study ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Adequate Knowledge ◽  
Eastern Uganda

Aim: To determine nutritional knowledge and practices among patients with Non-Communicable Diseases (NCD) attending Mbale Regional Referral hospital, in Eastern Uganda. Study Design: A mixed methods cross sectional study design was used. Place and Duration of Study: Mbale Regional Referral Hospital among patients attending the NCD clinic from May to July 2017. Methodology: Two hundred sixty clients were recruited for the study. Quantitative data was collected through structured administered questionnaires. Quantitative data was analyzed at univariate, bivariate and multivariate levels. Chi square test and logistic regression were used to determine the association between nutrition knowledge and utilization. Qualitative data was coded first and summarized according to the themes. Results: The mean age of the respondents was 55 years (SD= 14) and hospital was the main source of nutrition information (n=156, 60%). Most respondents (n=156, 60%) had a high level of nutrition knowledge, however only 48.8% (n=127) were utilizing the knowledge. Those who had attained secondary level of education were 2.308 more likely to utilize the nutrition knowledge than those who had never studied P value of .028, 95CI (1.093-4.874). Those with tertiary education were even 9.261 times more likely to utilize the knowledge P value <.001 95CI (2.721-31.522). Those with adequate knowledge were about 1.6 times most likely to utilize the nutrition knowledge compared to those with inadequate knowledge level, however, with the adjusted odd ratio of 1.573 at 95% CI (0.923- 2.868) the results were not statistically significant (P value .098). Conclusion: NCD patients had adequate knowledge, with a few of them utilizing the knowledge. High education level was associated with better nutrition practices.

scholarly journals Treatment Seeking Behavior for COVID-19 Symptoms and Its Related Factors Among Northern Iranian Population: A Cross-sectional Study

2020 ◽  
Author(s):  
Farahnaz Joukar ◽  
Mehrnaz Asgharnezhad ◽  
Mohammadreza Naghipour ◽  
Fariborz Mansour-Ghanaei ◽  
Saman Maroufizadeh ◽  
...  
Keyword(s):  
Respiratory Disease ◽  
Cross Sectional Study ◽  
Treatment Seeking ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Patient Reported ◽  
Seeking Behavior ◽  
History Of ◽  
Professional Treatment

Abstract Background: This study was conducted to investigate the treatment seeking behavior for COVID-19 symptoms among northern Iranian population and its related factors.Methods: This hospital-based cross-sectional study was conducted to investigate the treatment seeking behavior for COVID-19 symptoms and its related factors in 602 confirmed COVID-19 cases for a period of 2 months between March and May 2020 in Guilan at the onset of the corona epidemic in Iran. Results: Professional treatment-seeking was observed in 18.6% of patients and most of patient reported home remedies (50.3%) and self-medication (31.1%) as first reaction to COVID-19 symptoms. The multivariate logistic regression analyses revealed that patients with breathing difficulties symptom and history of respiratory disease had greater odds professional treatment of seeking respectively (adjusted odds ratio (OR) =1.6, P=0.03, (OR) =3.3, P =0.001). Conclusions: Roughly half of symptomatic COVID-19 patient reported home remedies as first treatment-seeking behaviors and only breathing difficulties symptom and past history of respiratory disease were identified as an independent predictor of professional treatment–seeking. However, we found no more professional treatment -seeking behaviors among elderly, diabetic, hypertensive and obese patients, while there were at risk of severe illness and death from COVID-19 infections. Thus, behavior change interventions in population with underling disease (including diabetes, hypertension and obesity) and older age is crucial to improve professional treatment -seeking behaviors.

scholarly journals Delays in diagnosis and treatment of pulmonary tuberculosis in patients seeking care at a regional referral hospital, Uganda: a cross sectional study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Winters Muttamba ◽  
Samuel Kyobe ◽  
Alimah Komuhangi ◽  
James Lakony ◽  
Esther Buregyeya ◽  
...  
Keyword(s):  
Health Facility ◽  
Cross Sectional Study ◽  
Patient Delay ◽  
Referral Hospital ◽  
Cross Sectional Survey ◽  
Total Delay ◽  
Cross Sectional ◽  
Treatment Unit ◽  
Regional Referral Hospital ◽  
Tb Treatment

Abstract Objective A cross-sectional survey involving 134 pulmonary TB patients started on TB treatment at the TB Treatment Unit of the regional referral hospital was conducted to ascertain the prevalence of individual and health facility delays and associated factors. Prolonged health facility delay was taken as delay of more than 1 week and prolonged patient delay as delay of more than 3 weeks. A logistic regression model was done using STATA version 12 to determine the delays. Results There was a median total delay of 13 weeks and 110 (82.1%) of the respondents had delay of more than 4 weeks. Patient delay was the most frequent and greatest contributor of total delay and exceeded 3 weeks in 95 (71.6%) respondents. At multivariate analysis, factors that influenced delay included poor patient knowledge on TB (adjOR 6.904, 95% CI 1.648–28.921; p = 0.04) and being unemployed (adjOR 3.947, 95% CI 1.382–11.274; p = 0.010) while being female was found protective of delay; adjOR 0.231, 95% CI 0.08–0.67; p = 0.007). Patient delay was the most significant, frequent and greatest contributor to total delay, and factors associated with delay included being unemployed, low knowledge on TB while being female was found protective of delay.

scholarly journals Determinant of malaria service readiness at health facility: Evidence from 2018 Service Availability and Readiness Assessment: Cross sectional study

2019 ◽  
Author(s):  
Gebeyaw Molla ◽  
Theodros Getachew ◽  
Atkure Defar ◽  
Tigist Shumet ◽  
Girum Taye ◽  
...  
Keyword(s):  
Health Facility ◽  
Treatment Guideline ◽  
Malaria Diagnosis ◽  
Cross Sectional Study ◽  
P Value ◽  
Service Availability ◽  
Sectional Study ◽  
Readiness Assessment ◽  
Cross Sectional ◽  
Service Readiness

Abstract Background: Globally, an estimated 3.3 billion people are at the risk of malaria. The majority of cases have occurred in the African Region. This study aims to assess the determinant of malaria service readiness at the health facility level.Method: Data from the 2018 Service Availability and Readiness Assessment was used for this analysis. The study was a facility-based cross-sectional study and a stratified sampling technique was used. Data was collected from October - December 2017. Mean readiness score was used by computing six tracer items (Available of at least one trained staff for malaria diagnosis & treatment, Available malaria diagnosis & treatment guideline, Malaria diagnostic capacity, First-line anti-malarial drug in-stock, Paracetamol cap/tab, and ITN). Linear regression was used to identify factors associated with the mean readiness score of health facility to provide malaria service. The proportion test was used to check any change between 2016 and 2018 malaria service readiness.Result: A total of 764 facilities were included in the study, of these only 682(89.3%) of facilities were provide malaria service. Eighty-nine percent of facilities offer diagnosis or treatment of malaria service and 70% of the facility diagnosis malaria by clinical symptom followed by microscopy (67%) and Rapid Diagnostic Tests (RDT) (46%). Only 3%facilities had all the six tracer items. Hospitals and health centers had the availability of tracer items above the average mean readiness score (52%). Facilities managed by other than public authorities were had lower mean score readiness for malaria service compared with those managed by the public. Higher & medium clinics, health posts, and Lower clinics were had lower mean score readiness for malaria service compared with hospitals. A significant change was not observed for malaria service readiness of tracer items between 2016 and 2018 (p-value=0.732).Conclusion: The study revealed that higher & medium clinics, lower clinics, health posts, facilities managed by other authorities and region were the determinate factor of malaria service readiness.Keyword: Malaria, Service availability, and readiness

scholarly journals Morbidity Pattern Among the Rural Household in a Selected Area of Dhamrai Upazila, Dhaka

2012 ◽  
Vol 3 (2) ◽  
pp. 6-10
Author(s):  
M Rahman ◽  
A Rahman ◽  
S Yeasmeen ◽  
TT Sajani ◽  
FMA Islam ◽  
...  
Keyword(s):  
Nuclear Family ◽  
Family Members ◽  
Cross Sectional Study ◽  
Treatment Seeking ◽  
Sectional Study ◽  
Cross Sectional ◽  
Duration Of Illness ◽  
Seeking Behavior ◽  
The Mean ◽  
Scientific Treatment

This is a descriptive type of cross sectional study among 477 family heads as respondents. It is aimed to identify morbidity pattern, duration of illness among households' members and also to determine treatment seeking behavior during illness. The socio-demographic characteristics of the respondents are points of investigations. It reveals from the findings that the mean age of the respondents is 35.16 years. They are mostly female (66%) and married (90%). Only 30% respondents are illiterate, 69% respondents are found from nuclear family. The study shows 73% respondents family are suffering from illness during last two months and majority sufferers (19%) and (44%) were less than 5years and more than 31 years old respectively. However, male sufferers were more among <5 years (9.63%) and female sufferers more (26.84%) among >31 years old. Moreover about 43% respondents' family members are suffering for more than 4 weeks and about 29% less than 01 week. On the other hands, Fever, Cough and Pain are found prominent sign/symptoms among 38%, 28% and 29% sufferers respectively. Common cold, Arthritis and Diarrhoea are found as diagnosis among 53.5%, 22.5% & 8.5% respondents' family members respectively. Nevertheless majority 56% are seeking treatment from MBBS doctors. The study findings highlight awareness program among family heads and adult sufferer towards preventing infectious and chronic diseases as well as to undertake modern scientific treatment. Improved surveillance system in the locality may be considered for early detection of cases to treat accordingly to avoid complications. DOI: http://dx.doi.org/10.3329/akmmcj.v3i2.11686 AKMMC J 2012: 3(2): 06-10

Sign in / Sign up

Export Citation Format

Share Document