scholarly journals Evaluation of Maternal Death Surveillance and Response System in Dewachefa District, Oromia Zone, Amhara Region, Ethiopia, 2018

2021 ◽  
Author(s):  
Mengistie Kassahun Tariku ◽  
Sewnet Wongiel Misikir ◽  
Simachew Animen Bantie ◽  
Abebe Habtamu Belete

Abstract Background Maternal death surveillance and response (MDSR) is the “litmus test” of the health system that provides evidence for accomplishment, and provides information in real time and allows improvement towards catching all maternal mortalities. The aim of study was to evaluate maternal death surveillance and response system in Dewachefa. Methods A cross sectional study design was conducted in two health centers, five health post, district health office and from these facilities 32 health workers were included. Data were collected through focal person, health worker and health extension worker interview by using checklist. Collected data were entered into Epi data version 3.1. These data were exported to statistical package for social science for analysis. Analyzed data were presented in the form of text, table and figures. Result The overall knowledge of health professionals and health extension workers on MDSR were 40.9% and 40% respectively. The sensitivity of surveillance system was 3/5(60%). In public health emergency management (PHEM) unit, its representativeness was 3/17 (17.6%). All maternal deaths were notified after 8 day of death. The overall knowledge of Health professionals and health extension workers on MDSR was lower. The surveillance system is not sensitive, timeliness and representative. The System is not sustainable/ not standardized. More work should be needed to improve the sensitivity, representativeness, timeliness and sustainable of the surveillance system.

2020 ◽  
Author(s):  
Mengistie Tariku ◽  
Sewnet Wongiel Misikir ◽  
Simachew Animen Bantie ◽  
Abebe Habtamu Belete

Abstract Background: Maternal death surveillance and response (MDSR) is the “litmus test” of the health system that provides evidence for accomplishment and , provides information in real time and allows improvement towards catching all maternal mortalities. The aim of study was to evaluate maternal death surveillance and response system in Dewachefa.Methods: A cross sectional study design was conducted in two health centers, five health post, district health office and from these facilities 32 health workers were included. Data were collected through focal person, health worker and health extension worker interview by using checklist. Collected data were entered into Epi data version 3.1. These data were exported to statistical package for social science for analysis. Analyzed data were presented in the form of text, table and figures.Result: The average completeness of weekly report form of the district was 73.1%. Thirteen (59.1 %) of health professionals and 6(60%) of health extension workers had unsatisfactory knowledge on MDSR. All visited health facilities and Woredas focal person were trained. The system had under notification of maternal death from the community, poor involvement of health facility staff, and discordance of data between public health emergency management, and maternal and newborn health unit report. Establish rapid response team that includes maternal and child health staff’s maternal death review committees in all health facilities.


2020 ◽  
Author(s):  
Mengistie Tariku ◽  
Sewnet Wongiel Misikir ◽  
Simachew Animen Bantie ◽  
Abebe Habtamu Belete

Abstract Background: Maternal death surveillance and response (MDSR) is the “litmus test” of the health system that provides evidence for accomplishment, links activities to results, makes maternal death visible at all levels, informs communities & health workers, increases country ownership of data, provides information in real time and allows improvement towards catching all maternal mortalities. The aim of study was to evaluate maternal death surveillance and response system in Dewachefa. Methods: A cross sectional study design was conducted in two health centers, five health post, district health office and from these facilities 32 health workers were included. Data were collected through focal person, health worker and health extension worker interview by using checklist. Collected data were entered into Epi data version 3.1. These data were exported to statistical package for social science for analysis. Analyzed data were presented in the form of text, table and figures. Result: The average completeness of weekly report form of the district was 77.4%. Twenty-eight (87.5%) of the health worker had not got Maternal death surveillance and response (MDSR) training. All visited health facilities and Woredas focal person were trained. The system had under notification of maternal death from the community, poor involvement of health facility staff, and discordance of data between public health emergency management, and maternal and newborn health unit report. Establish rapid response team that includes maternal and child health staff’s maternal death review committees in all health facilities.


2020 ◽  
Author(s):  
Mengistie Tariku

Abstract Background Maternal death surveillance and response (MDSR) is the “litmus test” of the health system that provides evidence for accomplishment, links activities to results, makes maternal death visible at all levels, informs communities & health workers, increases country ownership of data, provides information in real time and allows improvement towards catching all maternal mortalities. The aim of study was to evaluate maternal death surveillance and response system in Dewachefa. Methods A cross sectional study design was conducted in two health centers, five health post, district health office and from these facilities 32 health workers were included. Data were collected through focal person, health worker and health extension worker interview by using checklist. Collected data were entered into Epi data version 3.1. These data were exported to statistical package for social science for analysis. Analyzed data were presented in the form of text, table and figures. Result The average completeness of weekly report form of the district was 77.4%. Twenty-eight (87.5%) of the health worker had not got Maternal death surveillance and response (MDSR) training. All visited health facilities and Woredas focal person were trained. The system had under notification of maternal death from the community, poor involvement of health facility staff, and discordance of data between public health emergency management, and maternal and newborn health unit report. Establish rapid response team that includes maternal and child health staff’s maternal death review committees in all health facilities.


2020 ◽  
Author(s):  
Shuma Gosha Kanfe ◽  
Nebyu Demeke Mengiste ◽  
Mohammedjud Hassen Ahmed ◽  
Gebiso Roba Debele ◽  
Berhanu Fikadie Endehabtu

BACKGROUND Evidence based practice is a key to increase effectiveness and efficiency of quality health services. To achieve this, utilization of health facility data (DHIS2 data) is required which is determined by knowledge and attitudes of health professionals. Thus, this study aimed to assess knowledge and attitudes of health professionals to use DHIS2 data for decision making. OBJECTIVE This study aimed to assess the knowledge, attitudes and its associated factors among health professionals to use DHIS2 data for decision making at South west of Ethiopia 2020 METHODS Cross sectional quantitative study methods was conducted to assess Knowledge and Attitudes of health professionals to use DHIS2 data. A total of 264 participants were approached. SPSS version 22 software was used for data entry and analysis. Descriptive and analytical statistics including Bivariable and Multivariable analyses was done RESULTS Overall 130(49.2%) of the respondents had good knowledge to use DHIS2 data (95% CI: [43, 55.3]), whereas over 149 (56.4%) of the respondents had favorable attitudes towards the use of DHIS2 data for decision making purpose (95% CI: [53.2, 59.8]). Skills [AOR=2.20,95% CI:(1.16, 4.19)], Age [AOR= 1.92, 95% CI: (1.03, 3.59)] ,Resources[AOR=2.56, 95% CI:(1.35,4.86)], Staffing[AOR= 2.85, 95% CI : (1.49, 5.48)] and Experiences[AOR= 4.66, 95% CI: (1.94, 5.78)] were variables associated with knowledge to use DHIS2 data whereas Training [AOR= 5.59, 95% CI: (2.48, 5.42)], Feedback [AOR= 4.08, 95% CI: (1.87, 8.91)], Motivation [AOR=2.87, 95% CI: (1.36, 6.06)] and Health need [AOR=2.32, 95% CI: (1.10-4.92)] were variables associated with attitudes of health professionals to use DHIS2 data CONCLUSIONS In general, about half of the study participants had good knowledge of DHIS2 data utilization whereas more than half of respondents had favorable attitudes. Skills, resources, ages, staffing and experiences were the most determinant factors for the knowledge to use DHIS2 data whereas health need, motivation, feedback and training were determinant factors for attitudes to use DHIS2 data


Author(s):  
Juan M. Carmona ◽  
Ana M. Baena ◽  
Ana C. Berral ◽  
Quintiliano Sotelo ◽  
Beatriz Recio ◽  
...  

The objective of this study was to determine the knowledge of health professionals Hospital of Montilla on the administration of drugs in emergencies. Material: cross-sectional descriptive study conducted at the Hospital of Montilla (Córdoba). A questionnaire to doctors and nurses were distributed by random sampling during the month of December 2014. A survey of Machado de Azevedo et al. (2012) that consists of 9 items for the assessment of knowledge on medication administration was used. Results: The sample was composed of 59.1% of physicians and 40.9% of nurses with an average age of 38.05 (SD±8.981). Regarding the situation of respondents, 72.7% had received prior training. Regarding their own self-assessment, 72.7% considered to have a satisfactory knowledge of drug administration. 90.9% of respondents known to exist protocols on the administration of drugs in his unit. Discussion: Although the knowledge of drug delivery is acceptable for health workers, there are differences between the two analyzed collectives. Therefore, it would be ideal to perform adequate training and retraining of staff for optimal knowledge and, in this way, improve health care.


2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Luu Thi Phuong Thao ◽  
Nguyen Thi Dao

Objectives: To determine the rate of physical activity and some associated factors between adequate physical activity and understanding, barriers, and support from family and friends in diabetic patients at the Long Ho district Health Center in Vinh Long province in 2021. Subjects and research methods: A cross-sectional descriptive study with analysis. The toolkit is based on the GPAQ (Global Physical Activity Questionnaire) questionnaire and related research [9]. Results and discussions: Patients with incorrect knowledge about diabetes accounted for 53%, with sufficient physical activity 43.6%. The results of multivariable logistic regression analysis showed that there were relationship between sufficient physical activity and age (p<0.05), barriers including exercise taking a long time, remote locations, and a lack of facilities (p<0.05) and the patient was still confident in futures activities even when the weather was bad (OR = 0.486, p<0.05). The family and friends had not supported (OR= 0.317, p<0.05). Conclusions and recommendations: Patients need to sufficient physical activity as recommended with an average intensity of 150 minutes/week. It is necessary to update the knowledge of diabetes as well as the knowledge of sufficient physical activity from health workers, family and friends. Local governments should construct cultural houses and playgrounds to make it easier for patients to participate in activities.


2020 ◽  
Vol 5 (1) ◽  
pp. 90-103
Author(s):  
Lilis Sumardiani

The risk of maternal death is higher due to the delay factor, which is an indirect cause of maternal mortality. There are three risks of delay, namely being late in making decisions to be referred to (including being late in recognizing danger signs during pregnancy), being late to the health facilities during an emergency and being late in getting adequate services by health workers. The main causes of maternal deaths in Indonesia are bleeding (28%), eclampsia (24%), and infection (11%). The cause of maternal death can be prevented by adequate prenatal care. This study aims to describe the knowledge of attitudes of pregnant women about danger signs during pregnancy at Romauli ClinicMethod. This type of research is descriptive analytic with cross sectional approach. The total populations are all pregnant women who did the examination at Romauli Clinic from April to May are 120 pregnant women. The number of samples taken is a portion of the population, namely 25 pregnant women who are determined accidentally. The measuring instruments used are questionnaires and questionnaires. Data analysis uses 2x2 chi square test.Result. The results of this study indicate that there is an overview between knowledge and attitudes of pregnant women about danger signs duringElisabteh Health Journal : Jurnal Kesehatan, Vol. V No. 01 (Juni, 2020) : V-01 E-ISSN 2541-4992pregnancy by observing the results of statistical tests obtainead p = 0.003 <α 0.05. Because the significance value is smaller than the real level of 0.05,Duscussion. it can be concluded that there is an overview between the knowledge of the attitudes of pregnant women about danger signs during pregnancy at Romauli Clinic Marelan District Medan City.


2018 ◽  
Author(s):  
Usman Rabi ◽  
Ahmad A. Umar ◽  
Saheed Gidado ◽  
A.A Gobir ◽  
Izuchukwu F. Obi ◽  
...  

AbstractIntroductionEarly diagnosis and prompt and effective treatment is one of the pillars of malaria control Malaria case management guidelines recommend diagnostic testing before treatment using malaria Rapid Diagnostic Test (mRDT) or microscopy and this was adopted in Nigeria in 2010. However, despite the deployment of mRDT, the use of mRDTs by health workers varies by settings. This study set out to assess factors influencing utilisation of mRDT among healthcare workers in Zamfara State, Nigeria.MethodsA cross-sectional study was carried out among 306 healthcare workers selected using multistage sampling from six Local Government Areas between January and February 2017. Mixed method was used for data collection. A pre-tested self-administered questionnaire was used to collect information on knowledge, use of mRDT and factors influencing utilization. An observational checklist was used to assess the availability of mRDT in the six months prior to this study. Data were analyzed using descriptive statistics such as means and proportions. Association between mRDT use and independent variables was tested using Chi square while multiple regression was used to determine predictors of use at 5% level of significance.ResultsMean age of respondents was 36.0 ± 9.4years. Overall, 198 (64.7%) of health workers had good knowledge of mRDT; malaria RDT was available in 33 (61.1%) facilities. Routine use of mRDT was reported by 253 (82.7%) healthcare workers. This comprised 89 (35.2%) laboratory scientists/technicians, 89 (35.2%) community health extension workers/community health officers; 59 (23.3%) nurses and 16 (6.3%) doctors. Predictors of mRDT utilisation were good knowledge of mRDT (adjusted OR (aOR):3.3, CI: 1.6-6.7), trust in mRDT results (aOR: 4.0, CI: 1.9 - 8.2), having being trained on mRDT (aOR: 2.7, CI: 1.2 - 6.6), and provision of free mRDT (aOR: 2.3, CI: 1.0 - 5.0).ConclusionThis study demonstrated that healthcare worker utilisation of mRDT was associated with health worker and health system-related factors that are potentially modifiable. There is need to sustain training of healthcare workers on benefits of using mRDT and provision of free mRDT in health facilities.


2021 ◽  
pp. 205343452110616
Author(s):  
Budi Yanti ◽  
Nurdarlila Armita ◽  
Iskandar Zakaria

Introduction Health workers are at high risk of contracting the disease because they are at the forefront of assisting COVID19 patients. Globally, Indonesia has the worst death toll of health workers. Many previous studies have shown the differences in knowledge, attitudes, and behavior of health workers in handling with the COVID19 pandemic. This study aims to asses the role of knowledge, attitudes, and health workers' preparedness during the COVID-19 pandemic in Aceh Pidie Jaya District. Methods A cross-sectional study and the data were collected by distributing online questionnaires about knowledge, attitudes, behavior, and preparedness related to the COVID-19 at 12 Pidie Jaya District health centers. The knowledge, behavior, and preparedness parameters used Guttman and Likert scales to measure the workers' attitudes. Chi-square test was used to evaluate the relationship between knowledge, attitudes, behavior, and preparedness. Results In this study, 377 health workers were selected, the majority of respondents' education level was diploma, level 3 (257, 76.3%), and one-third of the respondents did not attend training. There are 197 (58.5%) respondents who had good knowledge, 177 (52.5%) positive attitudes, 283 (84%) good behavior, and 173 (51, 3%) well prepared. Furthermore, good knowledge, positive attitude, and good behavior had a significant correlation statistically with well prepared during the pandemic (p < 0.05). Discussion Most of the health workers in Aceh Pidie Jaya have good knowledge, positive attitudes, and good behavior that create adequate preparedness. Even though training is still very limited, educational attainment would remain the cornerstone for preparedness to encounter COVID-19.


BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033762 ◽  
Author(s):  
Sherilyn Chang ◽  
Louisa Picco ◽  
Edimansyah Abdin ◽  
Qi Yuan ◽  
Siow Ann Chong ◽  
...  

ObjectivesThe mental health profession exposes healthcare workers to unique stressors such as associative stigma (stigmatisation that is extended from the stigmatised patients to psychiatric professionals and is based on affiliation with an individual with mental illness). Enhancing resilience, or the ability to ‘bounce back’ from adversity, is found to be useful in reducing occupational stress and its negative effects. In view of the high burnout rates reported among mental health professionals, this study aimed to examine resilience in this group of professionals and to explore the association between resilience and associative stigma.DesignObservational study—cross-sectional design.SettingTertiary psychiatry hospital in Singapore.ParticipantsThe study was conducted among 470 mental health professionals (doctors, nurses and allied health professionals) working in the hospital.MeasuresResilience was assessed using the Brief Resilience Scale (BRS) and participants completed questionnaires that examined associative stigma. Participants provided their sociodemographic information, length of service, and information on whether they knew of a close friend or family member who had a mental illness.ResultsMean resilience score for the overall sample was 3.59 (SD=0.64). Older age (β=0.012, 95% CI 0.004 to 0.019, p=0.003) and having known a family member or close friend with a mental illness (β=0.155, 95% CI 0.019 to 0.290, p=0.025) predicted higher BRS score. Associative stigma remained significantly associated with resilience score after controlling for sociodemographic factors whereby higher associative stigma predicted lower resilience scores.ConclusionThe present finding suggests that resilience building programmes among mental health workers should target those of the younger age group, and that addressing the issue of associative stigma is essential.


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