scholarly journals Healthcare providers’ practice and attitude towards abortion service provision in Gulu city, Northern Uganda

2020 ◽  
Author(s):  
Francis Pebolo Pebalo ◽  
Auma Anna Grace ◽  
Obol James Henry
Keyword(s):  
Medical Training ◽  
Health Workers ◽  
Healthcare Providers ◽  
Public Health Problem ◽  
Least Square ◽  
World Health ◽  
P Value ◽  
Northern Uganda ◽  
Unsafe Abortion ◽  
Abortion Complications

Abstract Background: Unsafe abortion is a growing public health problem concern globally despite being preventable. The World Health Organization estimates that about 20 million pregnancies results into unsafe abortion globally. The proportion of unsafe abortion has been increasing with developing countries contributing about 97% of unsafe abortions cases including Uganda. Unsafe abortion is among the four leading causes of pregnancy related mortality, injuries, and disability globally. The restrictive abortion laws and religious situation make abortion a highly controversial social issue in Uganda leading to high stigma in the society, and a majority of the healthcare providers are reluctant to perform an abortion even if indicated for fear of possible legal consequences.Methods: We conducted survey among health worker about knowledge of complications, practice, and attitudes of induced abortion between September and November 2019 among 252 healthcare providers in Gulu Municipality, Northern Uganda. Multivariate analysis showed associations between healthcare providers' characteristics and adequate knowledge about abortion complications. Ordinary least square regression analysis found associations between providers' characteristics and their intention for general support, generally not in support, conditional support for abortion provision, as well as their personal attitudes and beliefs against or towards abortion provision.Results: The mean attitudinal score for generally in support, generally not in support, conditional in support, personal attitude, and beliefs against and toward abortion provision were 2.80, 2.71, 2.86, 3.239, and 3.35 respectively. Participants who were married and practice Anglican religion were more likely to have good knowledge of abortion complications, p-values 0.035, and 0.042 respectively, meanwhile participants who were employed in faith-based facilities were more likely to have poor knowledge of abortion complications p-value 0.002.Conclusion: Ministry of Health and stakeholders need to provide training of health workers to improve quality of abortion services. Medical training institutions should ensure that students understand the laws and responsibilities that govern their professional actions with respect to abortion care regardless of their personal views, beliefs, and attitudes.

Training health workers to provide person-centred maternal and newborn health care in Burkina Faso

2013 ◽  
Vol 3 (2) ◽  
pp. 154-159
Author(s):  
Janet Perkins ◽  
Aminata Bargo ◽  
Cecilia Capello ◽  
Carlo Santarelli
Keyword(s):  
Health Care ◽  
Burkina Faso ◽  
Health Care Providers ◽  
Health Workers ◽  
Healthcare Providers ◽  
Newborn Health ◽  
World Health ◽  
Maternal And Newborn Health ◽  
Care Providers ◽  
Maternal And Newborn

Assuring the provision of person-centred care is critical in maternal and newborn health (MNH). As a component of the national strategy to improve MNH, Burkina Faso Ministry of Health, supported by Enfants du Monde, La Fondation pour le Développement Communautaire/Burkina Faso and UNFPA, is implementing the World Health Organization’s (WHO) framework for Working with Individuals, Families and Communities (IFC) to improve MNH. As a first step in district implementation, participatory community assessments were conducted. These assessments consistently revealed that poor interactions with healthcare providers posed one important barrier preventing women from seeking MNH services. In order to address this barrier, healthcare providers were trained to improve their interpersonal skills and in counselling women. During 2011-12 a total of 175 personnel were trained over a 5-day course developed using a WHO manual. The course was met with enthusiasm as providers expressed their need and desire for such training. Immediate post-test results revealed an impressive increase in knowledge and anecdotal evidence suggests that training has influenced provider’s behaviours in their interactions with women. In addition, health care providers are taking concrete action to build the capabilities of women to experience pregnancy and birth safely by engaging directly with communities.  While early findings are promising, an evaluation will be necessary to measure how the training has influenced practices, whether this translates into a shift of perceptions at community level and ultimately its contribution toward promoting person-centred care in Burkina Faso.

scholarly journals Pengaruh pemberian jus wortel terhadap penurunan skala nyeri dismenore primer pada remaja putri

2020 ◽  
Vol 2 (2) ◽  
pp. 277-282
Author(s):  
Vivi Dwi Ariyanti ◽  
Septika Yani Veronica ◽  
Feri Kameliawati
Keyword(s):  
Quantitative Research ◽  
Health Workers ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
World Health ◽  
P Value ◽  
Carrot Juice ◽  
Pain Level ◽  
Teenage Girls ◽  
The World

Based on the data from the World Health Organization (WHO) in 2018, the number of dysmenorrhea cases in the world is very large.  The results of a preliminary study conducted at SMA Negeri 1 Seputih Mataram, Central Lampung showed that from 10 teenage girls who experience menstrual pain, a total of 2 teenage girls complained of pain with a mild pain level, 6 teenage girls complained of pain with a moderate pain level, and 2 teenage girls complain of pain with a severe pain level.  This research aims to determine the effect of carrot juice consumption on the reduction of primary dysmenorrhea pain levels in teenage girls at SMA Negeri 1 Seputih Mataram, Central Lampung in 2020. The type of this research is a quantitative research with a pre-experimental design namely one-group pretest, one-group posttest design which is given to 20 people by using accidental sampling technique and by giving carrot juice twice a day with 4 hours interval from the first administration. The bivariate test used in this study was the Wilcoxon test. The results of the research show that there is an effect of carrot juice consumption to reduce dysmenorrhea pain (p value 0,001 less than 0.05).  It is recommended for health workers to be able to make carrot juice as one of the teenage girls reproductive health treatment programs in order to reduce dysmenorrhea pain.  It is expected that the results of this research can be used as a source of information and implementation for the students/teenage girls in an effort to reduce the levels of dysmenorrhea pain through the consumption of carrot juice.

scholarly journals The Effect of Unintended Pregnancy Among Married Women on the Length of Breastfeeding in Indonesia

2020 ◽  
Vol 11 (2) ◽  
pp. 136-149
Author(s):  
Lia Suryani ◽  
Amrina Rosyada
Keyword(s):  
Child Care ◽  
Health Workers ◽  
Unwanted Pregnancy ◽  
Cross Sectional Study ◽  
Married Women ◽  
World Health ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Duration Of Breastfeeding

The coverage of exclusive breastfeeding in Indonesia in 2017 is 35%, far below the recommendations of WHO (World Health Organization) of 50%. This rate is getting lower in unwanted pregnancies. Every year there is13.3% incidence of unwanted pregnancy in women aged 15-44 years. It has an impact on the mental, psychological condition of the mother in the process of child care and nutrition from birth. This study aims to determine the prevalence and relationship of unwanted pregnancy among married women on the duration of breastfeeding in Indonesia. This research wa  a quantitative study using cross -sectional study design, a sample of 5,163 married women, and aged 15-49 years. Data were analyzed using univariate descriptive statistics on complex sample analysis, bivariate analysis using Chi-Square, and multivariate using logistic regression tests of risk factor models. This study showed that 1,267 mothers who breastfed <6 months and there was a relationship between the unwanted pregnancy with the duration of breastfeeding (p-value: 0.007 with PR: 1.349; 95% CI: 1.085-1.676) after been controlled by the use of contraception. The support of husband and health workers during pregnancy, childbirth until child care is needed to support breastfeeding  

scholarly journals Antibiotic prescriptions in the case management of acute watery diarrhea in under fives

2017 ◽  
Vol 4 (3) ◽  
pp. 691 ◽  
Author(s):  
Ekong E. Udoh ◽  
Martin M. Meremikwu
Keyword(s):  
Health Workers ◽  
Sampling Technique ◽  
World Health ◽  
Watery Diarrhea ◽  
P Value ◽  
Oral Rehydration ◽  
Cross River State ◽  
Multi Stage ◽  
Acute Watery Diarrhea ◽  
Health Organization

Background: Diarrhea disease is a leading cause of under-five mortality globally. The World Health Organization recommends low osmolality oral rehydration solution, zinc supplementation and adequate nutrition in the management. Antibiotic is indicated only in specific circumstances. This study was aimed at determining the antibiotic prescription in the management of under-fives with acute watery diarrhea.Methods: An audit of under-fives managed for acute watery diarrhea was conducted between January and February 2012. A multi-stage stratified random sampling technique was used to select 32 health facilities (21 primary and 11 secondary) from two local government areas of Cross River State. Case records of children managed for the condition six months prior to the audit were retrieved and evaluated. The appropriateness, types and frequency of antibiotic prescriptions were assessed.Results: A total of 370 case records were evaluated. Antibiotic was not indicated in any of the children but was prescribed for 291 (78.6%). Of this number, 169 (45.7%) received one antibiotic while 122 (33.0%) received two or more antibiotics. The difference in the prescription of multiple antibiotics between health workers in the primary and secondary facilities was statistically significant (p value = 0.00001). Metronidazole was the most prescribed antibiotic 228 (50.9%), followed by co-trimoxazole 88 (19.6%) and gentamicin 55 (11.8%).Conclusions: There is a high level of irrational antibiotic prescriptions in the State with oral metronidazole being the most prescribed. Periodic training of health workers on indications for antibiotic prescriptions in the management of diarrhea in under-fives is necessary.

scholarly journals Factors Related To Abortus Events In Mitra Medika Rsu Tanjung Mulia Medan In 2019

2020 ◽  
Vol 5 (3) ◽  
pp. 631
Author(s):  
Qori Armiza Septia
Keyword(s):  
Pregnant Women ◽  
Health Workers ◽  
Statistical Tests ◽  
World Health ◽  
Bivariate Analysis ◽  
P Value ◽  
Contraceptive Failure ◽  
Study Approach ◽  
History Of ◽  
Relationship Of

<p><em>Abortion is an important problem in public health because it affects maternal morbidity and mortality. Based on data from the World Health Organization (WHO) in 2016, around 830 women die from pregnancy-related complications worldwide every day. During 2010-2014, an estimated 56 million abortions occur each year worldwide. The aim is to find out factors related to the abortion at Mitra Medika Tanjung Mulia Medan Hospital in 2019.</em></p><pre><strong><em>         </em></strong><em>This research uses a Mix Methods research with a Sequential Explanatory strategy. The approach used in quantitative retrospectives and qualitative uses a case study approach. The population </em><em>in</em><em> this study were all pregnant women who experienced abortion recorded in the medical records of Mitra Medika Hospital Tanjung Mulia Medan as many as 73 respondents. The sample in a quantitative approach of 73 respondents with the technique of Total Population while for qualitative 2 pregnant women who have abortion, 2 husbands, 1 midwife. Data collection is carried out with primary, secondary and tertiary data. Data analysis was performed by univariate, bivariate analysis. Qualitative </em><em>data</em><em> analysis with data reduction, data presentation, and drawing conclusions.</em></pre><pre><em>         </em><em>Data obtained from the results of statistical tests show there is a relationship between age and abortion p value 0.005, there is a relationship of work with abortion p value 0.017, there is a relationship of parity with abortion p value 0.022, there is a relationship between historical abortion with abortion p value 0.001. And there is no correlation between contraceptive failure and abortion p value 0.297. Qualitatively based on in-depth interviews with informants that the cause of the occurrence of abortion is due to the age of the mother at risk, a history of previous abortion and fatigue at work. Another factor related to the incidence of abortion is husband's support.</em></pre><p><em>         The conclusion of this study is that there is a relationship between age, occupation, parity, history of abortion of pregnant women with abortion and there is no relationship between contraceptive failure of pregnant women with abortion in Mitra Medika Tanjung Mulia Hospital in 2019. It is expected that health workers can improve the quality of services in efforts to manage abortion and providing information about pre-conception preparation and health monitoring during pregnancy.</em><em></em></p>

scholarly journals Prevalence and associated factors of anemia among adolescent girls and boys at 10-14 years in rural western China

2020 ◽  
Author(s):  
Zhonghai Zhu ◽  
Christopher R. Sudfeld ◽  
Yue Cheng ◽  
Qi Qi ◽  
Shaoru Li ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Associated Factors ◽  
Public Health Problem ◽  
Household Wealth ◽  
Western China ◽  
World Health ◽  
P Value ◽  
Adolescent Girls And Boys ◽  
Critical Age ◽  
Health Organization

Abstract Background: Evidence on the prevalence and associated factors of anemia among young adolescent girls and boys in rural western China is limited. Methods: We used data from a follow-up study of adolescents (10-14 years) born to women who participated in a randomized trial of antenatal micronutrient supplementation in western China. Anemia was defined by World Health Organization standards. Logistic regression was used to examine the risk factors for anemia. Results: The overall prevalence of anemia was 11.7% (178/1517). Female adolescents were 1.73 (95% CI 1.21, 2.48) times more likely to have anemia as compared to males. Adolescents whose mothers had completed high school were 65% (95% CI 7%, 87%) less likely to be anemic, compared with those of whom had <3 years. Household wealth was also inversely associated with anemia. The association of puberty status with anemia was modified by adolescent sex (p-value for interaction was 0.04): males with greater than mild puberty development had 65% (95% CI 17%, 85%) reduced odds of anemia while there was no association among females (OR: 0.72, 95% CI 0.29, 1.78). Consumption of flesh foods, eggs, and having a meal frequency of three times or more per day were associated with 42% (95% CI 11%, 62%), 40% (95% CI 7%, 62%) and 32% (95% CI 4%, 52%) reduced odds of anemia, respectively. Conclusions: Anemia is a public health problem among adolescents in rural western China. Nutritional and social determinants were identified as predictors, warranting interventions to reduce the risk of anemia among this critical age group.

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

2021 ◽  
Author(s):  
Judith Aloyo ◽  
Juliet Kiguli ◽  
Christopher Orach Garimoi ◽  
Eric Nzirakaindi Ikoona ◽  
David Lagoro Kitara
Keyword(s):  
Health Workers ◽  
Internal Validity ◽  
Hepatitis E ◽  
Hand Washing ◽  
Personal Hygiene ◽  
P Value ◽  
Northern Uganda ◽  
Cross Sectional ◽  
Factors Associated ◽  
Heads Of Household

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.

scholarly journals Attitudes and Practices in the Prevention of Purulent Ophthalmia Neonatal in Senegalese Hospital

2020 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Health Workers ◽  
Public Health Problem ◽  
World Health ◽  
Major Public Health Problem ◽  
Eye Drops ◽  
Eye Care ◽  
Attitudes And Practices ◽  
Care Workers ◽  
Multicenter Prospective Study ◽  
Health Organization

Introduction: Ophthalmia or neonatal conjunctivitis is a major public health problem in developing countries. Recommendations have been issued by the World Health Organization (WHO) and the Ministry of Health of Senegal for the prevention of this scourge. The objective of the work was to assess the level of knowledge and practice of these recommendations by health workers. Methodology: This was a multicenter, prospective study conducted from March 1st to June 30th, 2013 in nine (9) health structures at the four (4) districts of Dakar. All agents who performed care at birth were included. Results: We interviewed 108 health care workers in the nine targeted structures. More than half of the respondents (54.6%) interviewed were in a maternity ward with midwives (41.7%) who were clearly in the majority. As far as knowledge is concerned, the practice of neonatal eye care was systematic for 88% of the nursing staff at birth. Regarding attitudes and practices, the majority of caregivers cleaned (67.6%) the eyes before instillation of eye drops. More than eighty-four percent (84.3%) of the caregivers surveyed routinely practiced eye care in the newborn at birth. The majority of the agents prescribed Rifamycin (47.2%) as a single dose in each eye. Paediatricians recommended one day of treatment while midwives and general practitioners recommended 7 days. Conclusion: Overall, the recommendations are not well implemented by caregivers. It would then be necessary to improve the level of information for harmonization and application of the recommendations.

scholarly journals Visual Inspection of Cervix with Acetic Acid (VIA) as a Screening Tool for Early Detection of Cervical Pre-Cancer & Cancer.

2018 ◽  
Vol 13 (1) ◽  
pp. 24-27
Author(s):  
Zebunnessa Parvin ◽  
Lutfun Naher ◽  
Sanjoy Kumar Das ◽  
Shafeya Khanam ◽  
Nasrin Rosy
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Early Detection ◽  
Visual Inspection ◽  
Health Workers ◽  
Cervical Screening ◽  
Public Health Problem ◽  
World Health ◽  
Major Public Health Problem ◽  
Screening Programs

Cervical cancer continues to be a major public health problem in Bangladesh in the absence of satisfactory and organized cervical screening programs. World Health Organization (WHO) considered cervical cancer as a preventable disease, as it can be identified in the pre-invasive stage. Visual inspection of the cervix with acetic acid (VIA) is an effective, inexpensive screening test that can be combined with simple treatment procedure for early cervical lesions, provided by trained health workers. To evaluate the value of visual inspection with acetic acid (VIA) for early detection of cervical pre-cancer and cancer in low resource country like Bangladesh, diluted acetic acid 5% was applied to the cervix and visual inspection was done. VIA tests were done for at least 3 years interval, in case of married woman, for cervical cancer screening. Women with positive results were sent for colposcopy. From January to December 2014, in Gynae OPD of the Faridpur Medical College Hospital, Faridpur, a total of 2000 women were screened by VIA test. Fourty-one VIA positive cases were identified and referred for colposcopy. Out of 41 cases, 27 patients underwent colposcopic examination, among them CIN-1 was found in 21 cases, CIN-2 in 2 cases and CIN-3 in 2 cases. However, two cases were colposcopically negative. So even during gynecological practice, if we arrange a setup for cervical screening by VIA test, many women can be saved from future development of carcinoma cervix later in their lives.Faridpur Med. Coll. J. Jan 2018;13(1): 24-27

scholarly journals The Effect of COVID-19 Illness on Pregnant Patients With Rheumatic Disease: Early Reassuring Data

2021 ◽  
pp. jrheum.211050
Author(s):  
Lisa R. Sammaritano
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Health Workers ◽  
Healthcare Providers ◽  
World Health ◽  
Novel Therapies ◽  
Serious Illness ◽  
The World ◽  
Public Health Workers ◽  
Health Organization

As of September 20, 2021, the World Health Organization (WHO) reported 228,206,384 cases of coronavirus disease 2019 (COVID-19), with over 4.5 million deaths worldwide.1 International responses by healthcare providers (HCPs), medical and pharmacologic researchers, and public health workers identified risk factors for serious illness and developed novel therapies and vaccines in real time, even as new variants emerge.

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