scholarly journals Factors influencing severity of recurrent malaria in a conflict-affected State of south Sudan

2021 ◽  
Author(s):  
Israel Oluwaseyidayo Idris ◽  
Gabriel Omoniyi Ayeni ◽  
Ihoghosa Osamuyi Iyamu ◽  
Ayomide Busayo Sina-Odunsi ◽  
Yusuff Adebayo Adebisi ◽  
...  
Keyword(s):  
Marital Status ◽  
Severe Malaria ◽  
Primary Healthcare ◽  
South Sudan ◽  
Malaria Treatment ◽  
Nutrition Status ◽  
Prevention Measures ◽  
Effective Response ◽  
Factors Influencing ◽  
Recurrent Malaria

Abstract Background South Sudan has borne the brunt of years of chronic warfare and remains endemic of malaria, with increasing mortality and morbidity. Limited data still exists on factors influencing the severity of recurrent malaria, especially in emergency context as South Sudan. This study therefore aimed to investigate factors influencing recurrence of severe malaria in selected primary healthcare centres in South Sudan. This would assist and guide in malaria prevention, treatment, and eradication efforts.Methods We conducted a retrospective study of routinely collected clinic data collected for individuals aged 1 year and above who received a diagnosis of severe malaria at 3 primary healthcare centres (PHCC); Malual Bab PHCC, Matangai PHCC and Malek PHCC between September 15, 2019 to December 15, 2019 in South Sudan. Patient characteristics were analyzed using simple descriptive statistics. Inferential statistics were also conducted to identify the associated factors influencing recurrence of severe malaria. All analyses were conducted using R Version 3.6.2.Results A total of 289 recurrent malaria cases were included in this study. More than half of the participants were female. Overall, the prevalence of severe recurrent malaria was 66.1% (191) while 74.4% (215) did not complete malaria treatment. Among those who did not complete malaria treatment, 76.7% (165) had severe recurrent malaria, while among those who completed malaria treatment 35.1% (26) had severe recurrent malaria (p<0.001). There is a significant association between marital status (OR= 0.33, 95% CI: 0.19-0.56, p<0.001), employment status (OR=0.35, 95% CI: 0.14-0.87, p=0.024), the use of preventive measures (OR=3.82, 95% CI: 1.81-8.43, p<0.001) and nutrition status (OR=0.22, 95% CI: 0.13-0.37, p<0.001). When adjusted for employment, marital status, nutritional and prevention measures in turns using Mantel-Haenszel test of association, this effect remained statistically significant.Conclusion Our study showed that there is a high prevalence of severe recurrent malaria in South Sudan and that significant relationship exists between severe recurrent malaria and antimalarial treatment dosage completion influenced by certain personal and social factors. Findings from our study would be useful for effective response to control and prevent malaria in endemic areas of South Sudan.

scholarly journals Factors influencing the willingness of primary care physicians to provide care during the coronavirus disease pandemic: a nationwide survey in Taiwan

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049148
Author(s):  
Hsien-Liang Huang ◽  
Chyi-Feng Jeff Jan ◽  
Brian Bih-Jeng Chang ◽  
Tai-Yuan Chiu
Keyword(s):  
Primary Care ◽  
Primary Healthcare ◽  
Primary Care Physicians ◽  
Healthcare Delivery ◽  
Nationwide Survey ◽  
Health Economy ◽  
Multivariate Logistic Regression Model ◽  
Healthcare Delivery System ◽  
Effective Response ◽  
Factors Influencing

ObjectivesThe COVID-19 pandemic continues to advance worldwide with tremendous impact on public health, economy and society. Primary healthcare is crucial in every country during the pandemic for an integrated and coordinated healthcare delivery system; hence, it is of paramount importance to maintain a sufficient frontline workforce. This study aimed to identify factors influencing the willingness of primary care physicians to provide care during the COVID-19 pandemic.DesignCross sectional study.SettingNationwide surveyParticipantsPrimary care physicians working in the community in Taiwan were selected using a cluster sampling method based on practice region from May to June 2020.Outcome measuresThe willingness of primary care physicians to provide care during the COVID-19 pandemic.ResultsThis study surveyed 1000 primary care physicians nationwide, and 625 valid questionnaires were received and included in the final analysis, with an effective response rate of 62.5%. Factors significantly associated with physicians willingness to provide care during COVID-19 were ‘joining the Community Healthcare Group (CHCG)’ (p<0.001), ‘perceived more overall benefits for providing care’ (p<0.001) ‘perceived less overall barriers to providing care’ (p<0.001), ‘higher knowledge scores about COVID-19’ (p=0.049) and ‘physician’s major specialties’ (p=0.009) in the multivariate logistic regression model.ConclusionsBuilding a comprehensive primary care system such as Taiwan’s CHCG, training of more family physicians or general practitioners, and protecting and supporting primary care physicians were important in response to infectious disease pandemics. The findings of this study inform the development of guidelines to support and maintain the primary healthcare workforces during the COVID-19 pandemic and for future events.

scholarly journals Factors Influencing Compliance with The Utilization of Effective Malaria Treatment and Preventive Measures in Wulu, South Sudan

2020 ◽  
Vol 30 (4) ◽  
Author(s):  
Gabriel O. Ayeni ◽  
Oladapo M. Olagbegi ◽  
Thayananthee Nadasan ◽  
Okwuoma C. Abanobi ◽  
Ebenezer O. Daniel
Keyword(s):  
Preventive Measures ◽  
South Sudan ◽  
Malaria Treatment ◽  
Insecticide Treated Nets ◽  
Effective Utilization ◽  
Factors Influencing ◽  
Poor Access ◽  
High Incidence ◽  
Compliance To Treatment ◽  
The Right

BACKGROUND: High incidence of malaria disease in South Sudan may be largely due to poor/non-compliance with effective treatment and preventive measures. This study examined factors limiting/enhancing compliance with the utilization of known and effective malaria treatment and preventive measures in Wulu, South Sudan.METHODS: A case-control study involving 396 respondents was conducted. Participants were interviewed using a semi-structured questionnaire to elicit information regarding socio-demographics and factors influencing compliance with using available treatment and preventive measures for malaria.RESULTS: Respondents diagnosed with malaria reported lack of insecticide treated nets (51.5%) and forgetfulness (16.6%) as reasons for not using insecticide treated nets. About 26% of them lacked the knowledge of insecticide treated net’s usefulness, while 57.5% of them did not consider it necessary to have door/window barriers. About 44% of all respondents forgot to take prescribed drugs at the right time while 14.5% of them did not complete drug prescriptions because they felt relief of symptoms. There were significant associations between identified factors of compliance to treatment/preventive measures and occurrence of malaria (all at p < 0.001). Having insecticide treated nets (OR: 5.78; CI: 3.46-9.00), awareness of its benefits (OR: 8.76; CI: 3.02-25.37), being taught on its use (OR: 3.35; CI: 2.17-5.18) and understanding of its use (OR: 3.80; CI: 2.01-7.20) were significantly associated with year-round utilization of insecticide treated nets.CONCLUSION: Poor access to and knowledge of malaria treatment, control and preventive measures are leading barriers to their effective utilization in Wulu.

scholarly journals Perceptions of registered nurses regarding factors influencing service delivery in expanding programmes in a primary healthcare setting

2012 ◽  
Vol 17 (1) ◽  
Author(s):  
Nnoi. A. Xaba ◽  
Mmapheko D. Peu ◽  
Salaminah S. Phiri
Keyword(s):  
Service Delivery ◽  
Registered Nurses ◽  
Primary Healthcare ◽  
Healthcare Setting ◽  
Qualitative Approach ◽  
Focus Group Interviews ◽  
Enabling Factors ◽  
Related Factors ◽  
Factors Influencing ◽  
Group Interviews

The aim of this study was to explore and describe the perceptions of registered nurses regarding factors influencing service delivery regarding expansion programmes in a primary healthcare setting, using a qualitative approach. The registered nurses, who have been working in the clinics for more than two years and have been exposed to the expansion programmes there, were purposively sampled. Two focus group interviews were conducted in a neutral place and the data collected by the researcher Nnoi A. Xaba (N.A.X.). Data were analysed by the researcher and an independent co-coder using the Tesch method. Categories, subcategories and themes were identified; those that formed the basis of discussion were disabling factors, enabling factors, client-related factors, service-related factors and solutions to problems. It is recommended that integration of programmes and coordination be done at a provincial level and planned together with the training centres in order to alleviate problems in service delivery. Training on expansion programmes in the form of in-service education should be carried out continually in the region.Die doel van die studie was om die persepsie van geregistreerde verpleegkundiges met betrekking tot die  faktore wat dienslewering van die uitbreidingsprogramme in ‘n primêre gesondheid opset beinvloed; te eksploreer en te beskryf. ‘n Kwalitatiewe benadering is gevolg in die iutvoering van die studie. ‘n Doelgerigte steekproef is uitgevoer vanuit geregistreerde verpleegkundiges wat vir langer as twee jaar in die klinieke werksaam was en blootgestel is aan die uitbreiding programme. Twee fokus groep onderhoude is deur die navorser Nnoi A. Xaba (N.A.X.) in ‘n neutrale opset uitgevoer. Data is deur die navorser en ʼn onafhanklike kodeerder ontleed volgens Tesch se metode van analise. Kategorieë, sub-kategorieë en temas was geidentifiseer. Die kategorieë fundamenteel tot die bespreking behels: remmende faktore, bydraende faktore, kliënt-verwante faktore, diens-verwante faktore, en oplossing van probleme. Daar word aanbeveel dat die integrasie en koordinasie van programme op provisiale vlak beplan word in samewerking met opleidings instansies om die dienslewerings probleem te verlig. In die streek behoort opleiding met betrekking tot die uitbreidingsprogramme deurlopend deur middel van indiensopleiding gedoen word.

scholarly journals Assessment of factors influencing the contribution of primary healthcare physicians in prevention of type 2 diabetes in South of Saudi Arabia

2021 ◽  
Vol 10 (9) ◽  
pp. 3185
Author(s):  
IbrahimM Gosadi ◽  
KhaledA Daghriri ◽  
AliA Majrashi ◽  
HassanS Ghafiry ◽  
RamizJ Moafa ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Saudi Arabia ◽  
Primary Healthcare ◽  
Factors Influencing

OP TRENTON 3: An analysis of primary care presentations to a deployed role 1 in support of a United Nation peacekeeping operation

2019 ◽  
pp. jramc-2019-001203 ◽  
Author(s):  
Christopher Thomas Bonham ◽  
S J C Pallett ◽  
T J Holland
Keyword(s):  
Primary Healthcare ◽  
Gastrointestinal Disease ◽  
Clinical Care ◽  
South Sudan ◽  
Operational Environment ◽  
Humanitarian Operations ◽  
Dermatological Disease ◽  
Significant Burden ◽  
Sub Saharan ◽  
Battle Injuries

ObjectivesHealth data of operational relevance from South Sudan are lacking, outdated and non-representative. This study sets out to record and analyse primary healthcare (PHC) presentations to a deployed UK Level 1 Primary Healthcare Centre (L1 PHC) facility in Bentiu, South Sudan, to inform on disease prevalence for UK Military Personnel in a sub-Saharan Operational environment.MethodsA prospective single-centre cohort study was completed for all PHC presentations to a UK L1 PHC facility while deployed on the United Nations Mission to South Sudan from June 2017 to November 2017.Results861 episodes of clinical care were recorded at Bentiu Camp during the 6-month period. 82% were from disease; 18% non-battle injuries and no battle injuries were seen. As per EPINATO2 categorisation, the top three presentations were acute gastrointestinal disease, dermatological disease and routine clinical care. Differences were noted for June–August and September–November, as a proportion of total cases seen. It was noted that gastrointestinal illnesses were three times more likely in the first half of the operation and bites and sting almost twice as likely.ConclusionsGastrointestinal disease results in a significant burden on humanitarian operations where an extended Relief-in-Place is a key area of risk. The EPINATO2 reporting tool provides insufficient detail for planning purposes and an improved method of data collection is required. Targeting the diagnosis and management of infectious diseases during predeployment training should prepare L1 PHC for the most common cases encountered. Delivery of targeted Force Health Protection training for all personnel with early deployment of L1 PHC forward could improve support to commanders during the highest risk periods.

Severe Malaria Treatment in the United States at the Precipice

2019 ◽  
Vol 171 (5) ◽  
pp. 362 ◽  
Author(s):  
Rebecca A. Krey ◽  
Mark A. Travassos
Keyword(s):  
United States ◽  
Severe Malaria ◽  
The United States ◽  
Malaria Treatment

scholarly journals Analysis of Factors Influencing the Consumption of Fish in Indonesian Women

2015 ◽  
Vol 18 (1) ◽  
Author(s):  
Nurjanah Nurjanah ◽  
Taufik Hidayat ◽  
Silvia Mawarti Perdana
Keyword(s):  
Nutritional Status ◽  
Marital Status ◽  
Fish Consumption ◽  
Economic Status ◽  
Social Economy ◽  
Regression Method ◽  
Fish Protein ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Logistic Regression Method

This study aimed to analyze factors affected fish consumption of Indonesian women. This research design was a cross-sectional referred to the Basic Health Research in 2010, conducted by the Health Institute for Research and Development The Ministry of Health Republic of Indonesia. Objects of this study were women within 19-55 years old. The variabel such as nutritional status, social economy and fish consumption were analysed using logistic regression method. The analysis showed that the consumption of fish protein accounted for 19.1 g/day or 82% of total animal protein intake in women subjected in this research, however thisconsumption only met 34% requirement of protein per day. The average of body mass index of the women was 23.2 ± 4.0 kg/m2 and was categorized as normal nutritional status. Positive relationship was found between fish consumption, intake of fat, and nutritional status. The consumption of fish was affected by marital status and economic status. Women with marital status had 1.13 times higher likelihood to consume fish than unmarried women. Economic status also determined fish consumption volume.

scholarly journals Factors influencing the implementation of ‘Four Pillars of Balanced Nutrition’ in a Retired Health Cadre Program for the elderly in BTPN Salatiga

Food Research ◽  
2020 ◽  
Vol 4 (S3) ◽  
pp. 147-154
Author(s):  
R.T. Sarwoningrum ◽  
C. Nissa ◽  
R. Purwanti ◽  
O. Setiarso
Keyword(s):  
Physical Activity ◽  
Multivariate Analysis ◽  
Elderly People ◽  
Healthy Lifestyle ◽  
Dietary Diversity ◽  
Education Level ◽  
Nutrition Status ◽  
Bivariate Analysis ◽  
Factors Influencing ◽  
Integrated Service

Elderly people are at risk in overnutrition or undernutrition, and thus leading to cause multiple diseases. Responding to this, ‘Four Pillars of Balanced Nutrition’ is recommended to promote health status, particularly in Integrated Service Post for Retired People (Posyandu lansia). However, there is limited evidence regarding factors influencing the implementation of ‘Four Pillars of Balanced Nutrition’. Retired Health Cadre is a BTPN bank-funded program which provides similar facilities to regular Integrated Service Post with several adjustments including time, services and the usage of peer counseling. Therefore, this cross sectional study was aimed to investigate the correlation of the frequency of participant attendance, gender, education level and income of elderly people in Retired Health Cadre Program to implement ‘Four Pillars of Balanced Nutrition’. This research was conducted in BTPN Salatiga branch offices with forty-four participants aged 60-74 years, enrolled by consecutive sampling method. Data collected include general characteristics, single 24-hour recall, level of physical activity and questionnaire of implementation clean and healthy lifestyle. The participants' weight and height were measured to calculate BMI. Statistical analysis included univariate analysis, bivariate analysis using chi-square and multivariate analysis using logistic regression. Bivariate analysis showed no correlation between the program attendance frequency with Dietary Diversity Score (DDS) (p=0.1000), physical activity (p=0.383), clean and healthy lifestyle implementation (p=0.357) and nutrition status (p=0.068). However, the multivariate analysis showed that the level of education affects food diversity more than the frequency of attendance (p=0.019) and frequency of attendance is the factor that affects nutritional status most (p=0.037) compared to others. In conclusion, there was no correlation between participant attendance frequency toward dietary diversity, physical activity, clean and healthy lifestyle implementation and nutrition status among elderly participants of Retired Health Cadre Program in BTPN Salatiga. However, dietary diversity was affected by education level while the nutrition status was affected by the frequency of attending.

scholarly journals Adherence towards COVID-19 prevention measures and associated factors in Hossana town, South Ethiopia, 2021

2021 ◽  
Author(s):  
Temesgen Fonkamo ◽  
LONSAKO WOILORO
Keyword(s):  
Marital Status ◽  
Sample Size ◽  
Family Size ◽  
Preventive Measures ◽  
Well Being ◽  
Developing Nations ◽  
Systematic Sampling ◽  
Prevention Measures ◽  
Cross Sectional ◽  
Advanced Analysis

Introduction: The covid-19 disease is a pandemic threat for humanity’s healthcare system, social, economic, and psychological well-being for both developed and developing nations. In the case of developing nations such as the resource of Ethiopia, however, the key obstacle is to buy the vaccine and administer it to their people.. In the study area, however, the degree of adherence to the covid-19 preventive measure was not well established. The aim of this study is to determine adherence to covid-19 prevention measures in Hossana town. Methods: From 3 to 29 January 2021, a community-based cross-sectional study was conducted among individuals living in the Hosanna town. We used a sample size of 384. The sample size was distributed to all 8 kebeles in proportion to the size of the households contained in each kebele in the town of Hossana. Systematic sampling methods were used and both descriptive and advanced analysis, data was entered into Epi-data and exported to SPSS. Binary logistic regression was used to identify variables associated with adherence to preventive measures for covid-19. Result: 50.4% of the study participants had good adherence with the COVID-19 preventive measures. 145 (38.5%) of all respondents had poor knowledge on COVID-19 preventive measures and 40.3 % had poor COVID-19 transmission methods knowledge. Age [AOR: 0.34; 95 % CI (0.131-0.912)], educational status [AOR: 0.32; 95% CI (0.165-0.632)], marital status [AOR: 2; % CI (1.191-3.803)], family size [AOR: 2.4; % CI (1.322-4.366)]] and covid-19 complication [AOR: 0.49: 95% CI (0.242-0.979)]] were significantly associated with covid-19 prevention measurement adherence in multivariate analysis. Conclusion: This study found that approximately half of the participants had poor adherence to COVID-19 preventive measures. Factors associated with covid-19 preventive measures were age, educational age, marital status, family size, and heard about complication of COVID-19 were associated with preventive measures.

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