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

Author(s):  
Dalal Youssef ◽  
Linda Abou Abbas ◽  
Hamad Hassan

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.

Author(s):  
Dalal Youssef ◽  
Linda Abou-Abbas ◽  
Hamad Hassan

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. Self-reported data were collected electronically from Lebanese CPs through an anonymous, questionnaire using google form. The collected data were analyzed using the statistical software SPSS (Statistical Package for Social Sciences). Bivariate and multivariable 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 = 3.12 with 95% CI (1.597–4.040)), higher education level (aOR = 2.02 with 95% CI (1.093–3.741)), previous experience in immunization (aOR = 2.72 with 95% CI (1.320–5.627)) and urbanicity of pharmacy (aOR = 1.542 with 95% CI (1.219–4.627)). Extensive working hours (aOR = 2.34 with 95% CI (1.131–4.845)), working in pharmacies that are operating round-the-clock, showing positive attitude towards immunization (aOR = 3.01 with 95% CI (1.872–6.422)) and towards provision of influenza vaccines (aOR = 13.72 with 95% CI (13.721–38.507)) were also positively associated to this willingness. Conversely, patient privacy (aOR = 0.55 with 95% CI (0.079–0.983)), time and cost for professional development (aOR = 0.55 with 95% CI (0.172–0.918)), limited patient’s trust (aOR = 0.39 with 95% CI (0.203–0.784)), financial remuneration (aOR = 0.18 with 95% CI (0.088–0.377)), and requirement of formal certification in vaccine administration (aOR = 0.07 with 95% CI (0.020–0.279)) 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.


BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e037297
Author(s):  
Karl Fai Njuwa ◽  
Larissa Pone Simo ◽  
Limnyuy Loweh Ntani ◽  
Azumesi Nguni Forchin ◽  
Chirsir Parviel ◽  
...  

IntroductionAttention deficit hyperactivity disorder (ADHD) is a chronic mental disorder that is associated with poor productivity, with a significant impact on the quality of life.ObjectivesTo determine factors associated with symptoms of ADHD among medical students in Cameroon.DesignA web-based cross-sectional study.SettingParticipants were recruited through a social media platform, WhatsApp, from 24 June to 2 September 2018.ParticipantsMedical students aged 18 years and older from seven medical schools in Cameroon. All non-medical students and all medical residents were excluded.ResultsData from a total of 491 eligible participants were analysed. The median age was 25 (IQR 21–25) years and 54% were of the participants were female. The prevalence of self-reported symptoms of ADHD was 24.4% (95% CI 20.6% to 28.3%). Histories of chronic disease (adjusted OR (AOR) 2.96; 95% CI 1.49 to 5.86, p=0.002), family history of ADHD (AOR 3.38; 95% CI 1.04 to 10.44, p=0.035), severe depression (AOR=3.49; 95% CI 1.82 to 6.77, p<0.001) and anxiety disorder (AOR 2.06; 95% CI 1.25 to 3.36, p=0.004) were found to be independently associated with the symptoms of ADHD.ConclusionADHD may be a highly prevalent mental disorder among medical students, and is associated with severe depression, anxiety disorders and chronic diseases. There is a need to conduct a large-scale prospective cohort study with interviews to estimate the true prevalence and incidence of ADHD among medical students in Cameroon, and to determinant the risk factors associated with the disorder.


Author(s):  
Raymond Langsi ◽  
Uchechukwu L Osuagwu ◽  
Piwuna Christopher Goson ◽  
Emmanuel Kwasi Abu ◽  
Khathutshelo P Mashige ◽  
...  

Mental health and emotional responses to the effects of COVID-19 lockdown in sub-Saharan Africa (SSA) are of serious public health concern and may negatively affect the mental health status of people. Hence, this study assessed the prevalence of mental health symptoms as well as emotional reactions among sub-Saharan Africans (SSAs) and associated factors among SSAs during the COVID-19 lockdown period. This was a web-based cross-sectional study on mental health and emotional features from 2005 respondents in seven SSA countries. This study was conducted between 17 April and 17 May 2020 corresponding to the lockdown period in most SSA countries. Respondents aged 18 years and above and the self-reported symptoms were feeling anxious, being worried, angry, bored and frustrated. These were the main outcomes and were treated as dichotomous variables. Univariate and multivariate logistic regression analyses were used to identify the factors associated with these symptoms. We found that over half (52.2%) of the participants reported any of the mental health symptoms and the prevalence of feeling bored was 70.5% followed by feeling anxious (59.1%), being worried (57.5%), frustrated (51.5%) and angry (22.3%) during the COVID-19 pandemic. Multivariate analysis revealed that males, those aged >28 years, those who lived in Central and Southern Africa, those who were not married, the unemployed, those living with more than six persons in a household, had higher odds of mental health and emotional symptoms. Similarly, people who perceived low risk of contracting the infection, and those who thought the pandemic would not continue after the lockdown had higher odds of mental health and emotional symptoms. Health care workers had lower odds for feeling angry than non-healthcare workers. During the COVID-19 lockdown periods in SSA, about one in two participants reported mental health and emotional symptoms. Public health measures can be effectively used to identify target groups for prevention and treatment of mental health and emotional symptoms. Such interventions should be an integral component of SSA governments’ response and recovery strategies of any future pandemic.


2019 ◽  
Vol 17 (4) ◽  
pp. 1613 ◽  
Author(s):  
Hala Sacre ◽  
Sahar Obeid ◽  
Georges Choueiry ◽  
Eva Hobeika ◽  
Rita Farah ◽  
...  

2019 ◽  
Vol 8 ◽  
pp. 1652
Author(s):  
Nayyereh Farajzadeh-Moghanjoughi ◽  
Sorayya Kheirouri ◽  
Mohammad Alizadeh ◽  
Alireza Farsad-Naeimi

Background: Dietary patterns of children are determined by their food preferences, and mothers have important implications for these preferences. This study was aimed to investigate the maternal factors associated with children’s food preferences. Materials and Methods: In this cross-sectional study, a total of 576 healthy children aged 3-6 years participated from nursery schools through simple cluster sampling method and maternal factors associated with children’s food preferences were determined using a researcher designed, validated tool through face-to-face interview with mothers. Data were analyzed by SPSS software version 16 using General Linear Model to assess the correlations between different variables. Results: The children with diploma-educated mothers had fewer preferences in consuming nuts, vegetables, and fruits, and children with academic-educated mothers had fewer preferences in consuming nuts, beans, vegetables, fruits, drinks, condiments, and snacks (P<0.05). Children with employed mothers had fewer preferences for beans and drinks (P<0.02). Drinks preferences were lower among children whose mothers had good nutritional knowledge score (P<0.03). Proteins, beans, fruits, condiments, and snacks preferences were higher among children whose mothers had good nutritional attitude score (P<0.05). A positive correlation was found between the food preferences of children and mothers (0.377<B<0.570, P<0.001) in all food groups.  Conclusion: The results of the study showed that mothers̓ educational level and their high nutritional knowledge and attitude could not guarantee the healthy dietary patterns of children. To promote children’s dietary patterns, it is imperative to improve the food preferences of mothers through specialized training. [GMJ.2019;8:e1652]


2019 ◽  
Vol 13 (4) ◽  
pp. 1151
Author(s):  
Priscila Costa ◽  
Nivia Figueiredo de Almeida Meneses ◽  
Paula Rosenberg de Andrade ◽  
Paula Hinoi ◽  
Monica Taminato

RESUMOObjetivo: verificar a adesão a uma campanha de vacinação contra a influenza. Método: trata-se de um estudo quantitativo, transversal, conduzido em uma creche pública que atende 211 crianças. Contemplaram-se, pela campanha de vacinação, a elaboração pelos enfermeiros e o envio às famílias de um folheto educativo, a solicitação de autorização para vacinar a criança, o uso do brinquedo terapêutico instrucional e a administração da primeira dose da vacina contra a influenza. Apresentaram-se os resultados em forma de figura e tabela. Resultados: verificou-se que a adesão foi de 79,1%, sendo significativamente menor nas famílias de crianças com menor média de idade, sendo que 149 crianças tiveram o esquema completo para o ano vigente e 77,8% daquelas que necessitavam da segunda dose foram vacinadas em um serviço de saúde. Conclusão: percebeu-se que o enfermeiro tem papel essencial nas ações de promoção da vacinação nos ambientes de educação infantil visando ao aumento da cobertura vacinal e à prevenção de agravos. Descritores: Vacinas Contra Influenza; Imunização; Saúde da Criança; Educação em Saúde; Creches; Enfermagem Pediátrica.ABSTRACT Objective: to check adherence to an influenza vaccination campaign. Method: this is a quantitative, cross-sectional study conducted in a public day-care center serving 211 children. The preparation of the nurses and the sending of an educational leaflet, the application for authorization to vaccinate the child, the use of the therapeutic instructional toy and the administration of the first dose of the influenza vaccine were contemplated by the vaccination campaign. The results were presented in figure and table form. Results: it was verified that the adherence was 79.1%, being significantly lower in the families of children with lower average age, and 149 children had the complete scheme for the current year and 77.8% of those who needed the second were vaccinated at a health facility. Conclusion: it was noticed that the nurse plays an essential role in actions to promote vaccination in the environments of children's education aimed at increasing vaccination coverage and prevention of diseases. Descriptors: Influenza Vaccines; Immunization; Child Health; Health education; Creches; Pediatric Nursing.RESUMEN Objetivo: verificar la adhesión a una campaña de vacunación contra la influenza. Método: se trata de un estudio cuantitativo, transversal, conducido en una guardería pública que atiende a 211 niños. Se incluyeron por la campaña de vacunación, la elaboración por los enfermeros y el envío a las familias de un folleto educativo, la solicitud de autorización para vacunar al niño, el uso del juguete terapéutico instruccional y la administración de la primera dosis de la vacuna contra la influenza. Se presentaron los resultados en forma de figura y tabla. Resultados: se verificó que la adhesión fue del 79,1%, siendo significativamente menor en las familias de niños con menor promedio de edad, siendo que 149 niños tuvieron el esquema completo para el año vigente y el 77,8% de las que necesitaban la segunda se vacunaron en un servicio de salud. Conclusión: se percibió que el enfermero tiene un papel esencial en las acciones de promoción de la vacunación en los ambientes de educación infantil con el objetivo de aumentar la cobertura de vacunación y la prevención de agravios. Descritores: Vacunas contra la Influenza; Imunización; Salud del Niño; Educación en Salud; Guarderías Infantiles; Enfermería Pediátrica.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Demisu Zenbaba ◽  
Biniyam Sahiledengle ◽  
Mitiku Bonsa ◽  
Yohannes Tekalegn ◽  
Jember Azanaw ◽  
...  

Background. In this globalized and high-tech era, the computer has become an integral part of daily life. A constant use of computer for 3 hours and more per day can cause computer vision syndrome (CVS), which is one of the leading occupational hazards of the 21st century. The visual difficulties are the most common health problems associated with excessive computer use. Therefore, this study aimed to assess the prevalence and associated factors of CVS among instructors working in Ethiopian universities. Methods. A web-based cross-sectional study was conducted among 422 university instructors in Ethiopia from February 02 to March 24, 2021. A structured and self-administered questionnaire prepared by Google Forms was shared among instructors through their e-mail addresses, Facebook, and Telegram accounts. Data cleanup and cross-checking were done before analysis using SPSS version 23. A multivariable logistic regression was applied to identify factors associated with CVS using p value <0.05 and 95% confidence interval. Results. Of the total 416 participants, about 293 (70.4%) were reported to have CVS (95% CI: 65.9–74.5%), of which 54.6% were aged 24–33 years. Blurred vision, pain in and around the eye, and eye redness were the main symptoms reported. Working in third-established universities (AOR = 8.44, 95% CI: 5.47–21.45), being female (AOR = 2.69, 95% CI: 1.28–5.64), being 44 years old and above (AOR = 2.73, 95% CI: 1.31–5.70), frequently working on the computer (AOR = 5.51, 95% CI: 2.05–14.81), and sitting in bent back position (AOR = 8.10, 95% CI: 2.42–23.45) were the factors associated with computer vision syndrome. Conclusions. In this study, nearly seven-tenths of instructors in Ethiopian universities reported having symptoms of computer vision syndrome. Working in third-generation universities, being female, age, frequently working on the computer, and sitting in bent back position were statistically significant predictors in computer vision syndrome. Therefore, optimizing exposure time, addressing ergonomic hazards associated with computer usage through on-the-job and off-the-job training, and making the safety guidelines accessible for all university instructors would be critical to address the problem.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1144-1150
Author(s):  
Muralidharan V A ◽  
Gheena S

Covid -19 is an infectious disease caused by the newly discovered strain of coronavirus. As there is no vaccine discovered, the only way to prevent the spread is through following the practice of social isolation. But prolonged isolation may also lead to psychological stress and problems. The objective of the survey was to assess the knowledge and awareness of preventive measures against Covid 19 amongst small shop owners. A web-based cross-sectional study was conducted amongst the small shop owners.  A structured questionnaire comprising 15-17 questions had been put forth to assess the Covid 19 related knowledge and perception. The shopkeepers were contacted telephonically and responses recorded. The data analysis was performed using IBM SPSS statistics. Although the majority of the population had a positive perception about the preventive measures against the Covid spread, 36% of the shopkeepers were not aware of the preventive measures against the Covid spread. This study found optimal knowledge and perception of the preventive measures against Covid spread among the shopkeepers but misinformation and misunderstanding still prevailing. The shopkeepers are crucial in the prevention of the spread of Covid 19 and educating them might aid us in the fight against Covid- 19. 


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