scholarly journals Knowledge, Attitude, and Practice of Exclusive Breastfeeding Among Mothers Attending Masaka District Hospital Kigali/Rwanda: a Cross-section Study.

2021 ◽  
Author(s):  
Jiayou Luo ◽  
Dukuzumuremyi Claude Jean Prince ◽  
Kaburu Francis Mungai ◽  
Ntambara James
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Healthcare Providers ◽  
Public Health Intervention ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Attitude Score ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background: Exclusive breastfeeding (EBF) for 6 months is considered a major public health intervention to reduce the escalating child mortality of neonates and infants in low and middle-income countries. In most East Africa countries, exclusive breastfeeding did not meet the recommendation of WHO/UNICEF that a baby should be fed only breast milk for the first 6 months. This study is aimed to provide knowledge, attitudes, and practice (KAP) towards EBF and identify factors associated with the practice of exclusive breastfeeding. Methods: A cross-sectional study was conducted from January to April 2020. A total of 364 mothers were interviewed using a questionnaire. Univariate statistical analysis was used to define variables using frequencies and percentages. Multiple logistic regression was also applied to identify the factors associated with EBF practice.Results: In the current study, the majority of mothers, 84%, presented good knowledge, 87.0% also showed a good attitude toward EBF. Nearly 95.9% of the respondents understood the benefits of EBF practice for at least six months, 86.0% also responded that breast milk should be started immediately after birth within an hour. Besides, 87.6% knew the importance of the first breast milk or colostrum. 92.3% of mothers understand that breastfeeding increases mother-infant bonding, 92.3% of mothers understand that breastfed babies are healthier than formula-fed babies, and 94.8% believed that breast milk is the ideal food for babies. Furthermore, 76.4% of the surveyed mothers exclusively breastfed their infants for the first 6 months after delivery A married women (OR=.270; 95%CI=.160-.457, p<.001), had a high school degree(OR= .150; 95CI=.073-.307; p<.001), mothers whose had babies more than three (OR=.090; 95%CI=.035-.233, p<.001), good knowledge score(OR=2.535; 95%CI=1.399-4.594, P=0.002) and positive attitude score OR=2.051; 95%CI=1.149-3.662, P=0.015) were statistically significant association with EBF.Conclusion: In the studied area; knowledge and attitude of mothers towards EBF are relatively high. However, the level of EBF is still below the WHO recommendation. The findings of this study highly inform policymakers and healthcare providers to direct their efforts to provide evidence-based information and recommendations on the benefits of breastfeeding to promote the practice of exclusive breastfeeding.

scholarly journals Knowledge, attitude and practices towards COVID-19 among healthcare workers of Karnataka, India: a cross-sectional survey

2020 ◽  
Vol 7 (12) ◽  
pp. 4889
Author(s):  
Satendra Kumar Verma ◽  
D. Sunil Kumar ◽  
Rufia Shaistha Khanum ◽  
Chandan N. ◽  
M. R. Narayanmurthy
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Attitude Score ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Good Practices ◽  
The Mean

Background: COVID-19 is a Public health emergency of international concern which has affected over 213 countries infecting millions across the globe and also affected the economy worldwide. This study was conducted in Healthcare Workers as they are the frontline warriors in fighting this pandemic and their knowledge, attitude and practices towards the disease are valuable.Methods: Online cross sectional study was conducted on Healthcare Workers. A self-administered Google form was used to collect the data through social media. Data was analyzed using MS Excel. P<0.05 was considered statistically significant obtained using SPSS version 22.Results: The mean age among the participants was 30.7±9.9 years. Majority were in the age group of 20-30 years (60.9%), followed by 31-40 years (18.9%), 41.-50 years (9.1%) and >50 years (5.4%). 46.3% of the participants were females and 53.0% were males. 37.1% were doctors, 14.0% are nurses and 46.9% are paramedical staff. In the present study, Mean knowledge score is 5.86±1.32, mean attitude score is 6.48±0.93 and the mean practice score is 4.60±0.79, thus 95.7% of the participants have good knowledge and attitude, where as 90.3% have good practices towards COVID-19.Conclusions: The HCWs of Karnataka have good knowledge, positive attitude and good practices. To further improve their preparedness and response towards infectious diseases and pandemics mandatory training programs can be introduced, as such programs enhances knowledge and boosts confidence among HCWs which is very crucial in medical as well as public health emergencies.

scholarly journals Sociodemographic and lifestyle correlates of exclusive breastfeeding practices among mothers on antiretroviral therapy in the Eastern Cape, South Africa

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniel Ter Goon ◽  
Anthony Idowu Ajayi ◽  
Oladele Vincent Adeniyi
Keyword(s):  
South Africa ◽  
Antiretroviral Therapy ◽  
Exclusive Breastfeeding ◽  
Hiv Transmission ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Eastern Cape ◽  
Cross Sectional ◽  
Factors Associated ◽  
Breastfeeding Practice

Abstract Background Exclusive breastfeeding (EBF) is associated with a reduction of postnatal HIV transmission and optimal infant growth. Given that the factors influencing exclusive breastfeeding are multi-factorial and context-specific, we examined the prevalence and factors associated with exclusive breastfeeding practice in the first 6 months among mothers on antiretroviral therapy in the Eastern Cape, South Africa. Methods This was a cross-sectional study conducted between January to May 2018, on 469 parturient women enlisted in the prevention of mother-to-child HIV transmission cohort study in the Eastern Cape. Mothers were asked to recall whether they breastfed their infant exclusively with breast milk from birth and if so, to state how long they did. We collected relevant sociodemographic, lifestyle, and maternal information by interview. Bivariate and multivariable logistic regression analyses were fitted to determine the sociodemographic and lifestyle factors associated with exclusive breastfeeding practice. Results The prevalence of six-month exclusive breastfeeding, measured since birth, was 32.0%. E Exclusive breastfeeding’s prevalence was significantly higher among married women (36.8%), unemployed women (36.6%), non-smokers (32.7%), and those who never drank alcohol (37.0%). Unemployed women (adjusted odds ratio [AOR] 1.66, 95% Confidence Interval [CI] 1.08–2.56) and those with grade 12 or less level of education (AOR 2.76, 95% CI 1.02–7.49) had a higher likelihood of practising EBF for 6 months since birth while mothers who consumed alcohol (AOR 0.54, 95% CI 0.34–0.85) were less likely to practice EBF for 6 months. Conclusions The prevalence of six-month exclusive breastfeeding in the study, although comparable with sub-Saharan Africa and worldwide prevalence, remains suboptimal. Advocacy campaigns on EBF must target alcohol cessation and the creation of a favourable workplace environment for lactating mothers.

scholarly journals Perspectives of Healthcare Professionals Regarding Factors Associated with Antimicrobial Resistance (AMR) and Their Consequences: A Cross Sectional Study in Eastern Province of Saudi Arabia

Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 878
Author(s):  
Mohamed A. Baraka ◽  
Amany Alboghdadly ◽  
Samar Alshawwa ◽  
Asim Ahmed Elnour ◽  
Hassan Alsultan ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Inappropriate Prescribing ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Key Factors ◽  
Eastern Province ◽  
Cross Sectional ◽  
Factors Associated ◽  
Factors Influencing

Factors reported in the literature associated with inappropriate prescribing of antimicrobials include physicians with less experience, uncertain diagnosis, and patient caregiver influences on physicians’ decisions. Monitoring antimicrobial resistance is critical for identifying emerging resistance patterns, developing, and assessing the effectiveness of mitigation strategies. Improvement in prescribing antimicrobials would minimize the risk of resistance and, consequently, improve patients’ clinical and health outcomes. The purpose of the study is to delineate factors associated with antimicrobial resistance, describe the factors influencing prescriber’s choice during prescribing of antimicrobial, and examine factors related to consequences of inappropriate prescribing of antimicrobial. A cross-sectional study was conducted among healthcare providers (190) in six tertiary hospitals in the Eastern province of Saudi Arabia. The research panel has developed, validated, and piloted survey specific with closed-ended questions. A value of p < 0.05 was considered to be statistically significant. All data analysis was performed using the Statistical Package for Social Sciences (IBM SPSS version 23.0). 72.7% of the respondents have agreed that poor skills and knowledge are key factors that contribute to the inappropriate prescribing of antimicrobials. All of the respondents acknowledged effectiveness, previous experience with the antimicrobial, and reading scientific materials (such as books, articles, and the internet) as being key factors influencing physicians’ choice during antimicrobial prescribing. The current study has identified comprehensive education and training needs for healthcare providers about antimicrobial resistance. Using antimicrobials unnecessarily, insufficient duration of antimicrobial use, and using broad spectrum antimicrobials were reported to be common practices. Furthermore, poor skills and knowledge were a key factor that contributed to the inappropriate use and overuse of antimicrobials, and the use of antimicrobials without a physician’s prescription (i.e., self-medication) represent key factors which contribute to AMR from participants’ perspectives. Furthermore, internal policy and guidelines are needed to ensure that the antimicrobials are prescribed in accordance with standard protocols and clinical guidelines.

scholarly journals Sociodemographic and lifestyle correlates of exclusive breastfeeding practices among mothers on antiretroviral therapy in the Eastern Cape, South Africa

2021 ◽  
Author(s):  
Daniel Ter Goon ◽  
Anthony Idowu Ajayi ◽  
Oladele Vincent Adeniyi
Keyword(s):  
South Africa ◽  
Antiretroviral Therapy ◽  
Exclusive Breastfeeding ◽  
Hiv Transmission ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Eastern Cape ◽  
Cross Sectional ◽  
Factors Associated ◽  
Breastfeeding Practice

Abstract Background: Exclusive breastfeeding (EBF) is associated with a reduction of postnatal HIV transmission and optimal infant growth. Given that the factors influencing exclusive breastfeeding are multi-factorial and context-specific, we examined the prevalence and factors associated with exclusive breastfeeding practice in the first six months among mothers on antiretroviral therapy in the Eastern Cape, South Africa. Methods: This was a cross-sectional study conducted between January – May 2018 on 469 parturient women enlisted in the prevention of mother-to-child HIV transmission cohort study in the Eastern Cape. Mothers were asked to recall whether they breastfed their infant exclusively with breast milk from birth and if so, to state how long they did. We collected relevant sociodemographic, lifestyle, and maternal information by interview. Bivariate and multivariable logistic regression analyses were fitted to determine the sociodemographic and lifestyle factors associated with exclusive breastfeeding practice.Results: The prevalence of six-month exclusive breastfeeding, measured since birth, was 32.0%. EBF’s prevalence was significantly higher among married women (36.8%), unemployed women (36.6%), non-smokers (32.7%), and those who never drank alcohol (37.0%). Unemployed women [adjusted odds ratio (AOR) = 1.66, 95% Confidence Interval CI), 1.08-2.56] and those with grade 12 or less level of education (AOR =2.76, 95% CI, 1.02-7.49) had a higher likelihood of practising EBF for six months since birth while mothers who consumed alcohol (AOR = 0.54, 95% CI, 0.34-0.85) were less likely to practice EBF for six months. Conclusions: The prevalence of six-month exclusive breastfeeding in the study, although comparable with sub-Saharan Africa and worldwide prevalence, remains suboptimal. Advocacy campaigns on EBF must target alcohol cessation and the creation of a favourable workplace environment for lactating mothers.

scholarly journals Perbandingan Faktor-Faktor yang Mempengaruhi Pengetahuan Tentang Asi Ekslusif Antara Ibu yang Melahirkan di BPM Dengan Puskesmas

2019 ◽  
Vol 5 (1) ◽  
pp. 39-42
Author(s):  
Heriza Syam ◽  
Jehanara Jehanara ◽  
Nurdjasmi Nurdjasmi
Keyword(s):  
Breast Milk ◽  
Research Design ◽  
Exclusive Breastfeeding ◽  
Post Partum ◽  
Good Knowledge ◽  
Independent Practice ◽  
Place Of Birth ◽  
Cross Sectional ◽  
Infant Deaths ◽  
Nursing Mothers

Mother's knowledge is one factor in the success of exclusive breastfeeding. Research in Ghana (2008), 1.3 million infant deaths can be prevented by the provision of breast milk (ASI) in infants from the first day of birth until under the age of 5 years. If breastfeeding starts in the first 1 hour after birth, This figure rises to 22% from 16%,. This study aims to determine the differences in knowledge about Exclusive Breastfeeding and the factors that influence it in post partum mothers in BPM with Puskesmas in the East Jakarta area. Research Design: Observational analytic study with the approach used is cross sectional. The results showed that there were significant differences (P = 0.001) between the place of labor and the knowledge of nursing mothers. Mothers who gave birth at the Good Knowledge Midwife Practice (PMB) were 78.6%, while those in the Puskesmas were only 38.5%. Characteristics of respondents related to knowledge of post partum mothers about breastfeeding were Education (P 0.01), Economy, (P 0.000) and ethnicity (P 0.019). Factors-education, economy and ethnicity influence mother's knowledge about exclusive breastfeeding. Place of birth in the Independent Practice Midwives have the opportunity to increase knowledge of exclusive breastfeeding 3 times compared to the knowledge of mothers who give birth at the Puskesmas after controlled by the Education variable.  

Community Pharmacists’ as Influenza immunizers in a Middle Eastern country: A national web-based cross-sectional study

2021 ◽  
Author(s):  
Dalal Youssef ◽  
Linda Abou Abbas ◽  
Hamad Hassan
Keyword(s):  
Influenza Vaccine ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Influenza Vaccines ◽  
Attitude Score ◽  
Patient Privacy ◽  
Sectional Study ◽  
Cross Sectional ◽  
Web Based ◽  
Factors Associated

Abstract Background Utilizing community pharmacists (CPs) as immunizers has being adopted in various countries as approach to boost influenza vaccination coverage. Our study aims to explore the Lebanese CPs’ willingness to administer influenza vaccine, and to identify factors associated with this willingness. Methods This is a web-based, cross-sectional study, conducted over 2 months, from the 1st of November to the end of December 2020, among Lebanese CPs. An anonymous, questionnaire using google form was sent electronically to pharmacists. The collected data was analyzed using the statistical software SPSS (Statistical Package for Social Sciences). Bivariate and multivariate analyses were performed to examine factors associated with the willingness of CPs to administer influenza vaccine. Results A total of 412 CPs participated in this survey of which 76.9% are willing to administer influenza vaccines. More than 90% of them had a good overall knowledge score and 88.8% of CPs showed a positive overall attitude score, particularly towards involvement of CPs in influenza vaccine provision. Their willingness to administer vaccine was positively associated with the younger age (aOR = 3.106 with 95% CI (1.597 to 6.040)), higher education level (aOR = 2.022 with 95% CI (1.093 to 3.741)), previous experience in immunization (aOR = 2.725 with 95% CI (1.320 to 5.627)) and urbanicity of pharmacy (aOR = 1.542 with 95% CI(1.219 to 4.627)). Extensive working hours (aOR = 2.341 with 95% CI (1.131 to 4.845)), working in pharmacies that are operating round-the-clock, showing positive attitude towards immunization (aOR = 3.014 with 95% CI (1.872 to 10.422)) and towards provision of influenza vaccines (aOR = 13.721 with 95% CI (13.721 to 38.507)) were also positively associated to this willingness. Conversely, patient privacy (aOR = 0.553 with 95% CI (0.079 to 0.983)), time and cost for professional development (aOR = 0.551 with 95% CI (0.172 to 0.918)), limited patient’s trust (aOR = 0.339 with 95% CI (0.203 to 0.784)), financial remuneration (aOR = 0.182 with 95% CI (0.088 to 0.377)), and requirement of formal certification in vaccine administration (aOR = 0.182 with 95% CI (0.088 to 0.377)) were negatively associated to this willingness. Conclusion Addressing the unearthed concerns related to utilizing CPs as influenza immunizers through a concerted effort is a key to success in any future implementation of vaccination services in pharmacies.

scholarly journals Knowledge about Epilepsy and Attitudes toward Students with Epilepsy among Middle and High School Teachers in Kuwait

2016 ◽  
Vol 2016 ◽  
pp. 1-15 ◽  
Author(s):  
Eman Al-Hashemi ◽  
Abdullatif Ashkanani ◽  
Haneen Al-Qattan ◽  
Asmaa Mahmoud ◽  
Majd Al-Kabbani ◽  
...  
Keyword(s):  
Teaching Experience ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Attitude Score ◽  
School Teachers ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Positive Attitudes ◽  
Knowledge And Attitude ◽  
Attitudes Toward Students

Background and Objectives. Attitudes toward students with epilepsy and epilepsy-related knowledge of teachers are crucial for child’s safety in the school. The aim of this study was to evaluate teachers’ knowledge and attitudes toward epilepsy.Methods. This cross-sectional study included 824 teachers from 24 randomly selected middle and high schools. Scale of Attitudes Toward Persons with Epilepsy (ATPE) was modified to assess teachers’ knowledge about epilepsy and attitudes toward students with epilepsy.Results. Median knowledge score about epilepsy was 5 (out of 13), while median attitude score was 10 (out of 15). Both knowledge and attitude median scores were significantly higher in senior teachers with longer teaching experience and in respondents who dealt with a person with epilepsy. There was significant association between knowledge score and attitude score (p<0.01). Logistic regression showed that significant variables, independently associated with poor knowledge after adjusting for possible confounders, were not having a family member with epilepsy (p=0.009), unawareness of life circumstances of persons with epilepsy (p=0.048), and a poor attitude score (p<0.001).Conclusion. School teachers in Kuwait have relatively poor knowledge about epilepsy but have positive attitudes toward students with epilepsy. A number of historical and stigmatizing ideas about epilepsy still exist. It is recommended to provide teachers with information about handling seizures in the educational setting through development and implementation of epilepsy education programs.

scholarly journals The Relationship Between Knowledge and Working Mother for Breastfeeding in Sidomulyo, Stabat

2020 ◽  
Vol 2 (2) ◽  
pp. 31-37
Author(s):  
Rahmi Fitri ◽  
Nurhikmah Panjaitan
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Working Mother ◽  
Chi Square Test ◽  
The Relationship ◽  
Is Value

    Breast milk contains substance known as IgA for the defense system in digestive tract against infection. This study aims to determine the relationship between knowledge and working mothers with exclusive breastfeeding in Sidomulyo, Stabat. The type of research used is a descriptive analytic survey using a cross sectional study. The sampling technique used accidental sampling with 150 as population and 30 people is involved as the research sample.  The data analysis applied chi square test to determine the relationship between two variables. The results of this study revealed that there is a relationship between mother's knowledge of exclusive breast feeding with a significant level (ɑ) = 5% (0.05) and df = 2, the result is value = 0.026 at df = 2 where sig <ɑ (0.026 < 0.05) then Ho is rejected and Ha is accepted.  Therefore, mothers are advised to continue to provide exclusive breastfeeding to their babies even though they work by storing breast milk in the refrigerator.  

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