scholarly journals Maternal and New-Born Care Practices by Traditional Delivery Care Givers: A Cross Sectional Survey

2015 ◽  
Vol 4 (11) ◽  
pp. 2028-2032
2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Y. Ogbolu ◽  
E. N. Iwu ◽  
S. Zhu ◽  
J. V. Johnson

Background.Research related to prevention of maternal to child transmission (PMTCT) of HIV is dynamic and rapidly changing and has provided evidence-based interventions and policies for practitioners. However, it is uncertain that research and policy guidelines are adequately being disseminated and implemented in resource-constrained countries with the largest burden PMTCT. This study examined current PMTCT practices in 27 public health facilities in Nigeria.Methods.A cross-sectional survey of 231 practicing nurses was conducted. Current PMTCT care practices were evaluated and compared to WHO and national PMTCT policy guidelines. Linear mixed models evaluated the association between PMTCT care practices and training in PMTCT.Results.Most nurses (80%) applied practices involving newborn prophylaxis; yet significant gaps in maternal intrapartum treatment and infant feeding practices were identified. PMTCT training explained 25% of the variance in the application of PMTCT care practices.Conclusion.Key PMTCT practices are not being adequately translated from research into practice. Researchers, policymakers, and clinicians could apply the study findings to address significant knowledge translation gaps in PMTCT. Strategies derived from an implementation science perspective are suggested as a means to improve the translation of PMTCT research into practice in Sub-Saharan African medical facilities.


2018 ◽  
Vol 2018 ◽  
pp. 1-12
Author(s):  
Bartholomew Yir-Erong ◽  
Marcel Tunkumgnen Bayor ◽  
Isaac Ayensu ◽  
Stephen Yao Gbedema ◽  
Joshua Boateng

Background. The study was undertaken to elicit the knowledge, views, and perceptions of key stakeholders on malaria, its bioburden, and treatment options, in order to ascertain the knowledge gabs and challenges, especially in the use of oral quinine in childhood malaria. Methods. A cross-sectional survey was conducted using a well-structured Likert Scale and self-administered questionnaire. The principal site of the study was a government-run children’s hospital located in the Ashiedu Keteke Sub-Metro of Accra. The study population included health workers, parents, and guardians or care givers. The participants were 300, purposively selected, and consisted of both men (41%) and women (59%) who were twenty years and above, whether employed (42%), self-employed (37%), or unemployed (21%). Results. Majority of the participants (78%) demonstrated above average knowledge of malaria. However, their awareness of the causes, modes of transmission, signs, and symptoms as well as preventive mechanisms of malaria did not result in low incidence of malaria. About 77% of the respondents agreed they would seek treatment within 24 hours once signs and symptoms are detected. Though close to 50% undertook home treatment of malaria, majority eventually sought treatment at hospital or clinic. Above 92% of respondents knew that quinine is used to treat malaria and agreed its bitter taste greatly affects compliance, especially in children. Consequently, 95% of the respondents would be glad if its bitter taste is masked. Conclusion. The study demonstrated the availability of substantial knowledge of the devastating effects of malaria, especially in children. Therefore, there is the need to ensure the availability and utilization of effective paediatric formulations in the fight against malaria. From this study, fast dissolving oral thin film with a good mouth feel, would be the formulation of choice for quinine.


2019 ◽  
Vol 26 (1) ◽  
Author(s):  
John Edjophe Arute ◽  
Valentine Uche Odili

Background: The world health organization (WHO) estimates that every 45 seconds an African child dies of malaria while several others lay ill. Also, studies have shown that home-based management of malaria could improve prompt access to antimalarial medications for African children. Objective: This study aimed at assessing the home based management practices among care givers of children below five years in Delta State. Methods: This study was a descriptive cross-sectional survey used to assess the home based management practices of malaria in children under age five. 459 consenting Caregivers of children under five (6 to 59 months) were purposively selected from different churches during Sundays and Wednesdays midweek services through balloting from two communities in Central and North Senatorial Districts of Delta State (Oghara and Obiaruku). Prior to the commencement of the study, the caregivers were thoroughly counselled on the objectives of the study, and a pretested structured interviewer administered questionnaire was used for administration in English, Urhobo and Ukwuani languages. Results: The study revealed that 86.93% respondents have good knowledge of malaria, and 60% commenced treatment within 24hrs. It also showed that 58.4% preferred anti-malarial combination therapies with arthemether-lumefantrine combination accounting for 34.0% drug options. Drug sources for home based malaria management were mainly from Pharmacy 40.5%, Drug sellers such as chemist 55.1% while information sources on choice of therapy and dosage were mainly from chemist 32.7%; health personnel 25.7%; neighbours 7.5% and self-based on previous experience 36.6%. Conclusion: The study revealed very good knowledge of malaria and good management practices as well as good treatment seeking behaviours amongst the caregivers.


2015 ◽  
Vol 1 (1) ◽  
pp. 17 ◽  
Author(s):  
Teshome Kokebie ◽  
Mekonen Aychiluhm ◽  
Genet Degu Alamneh

Background; Essential newborn care is important for the proper development and healthy life of a baby. Although 70% of infant deaths occur during the first month of life, the policy-makers and health professionals in developing countries, until recently, gave little attention for the new born care. But, the principles of essential newborn care are simple, requiring no expensive high technology equipment.Objective: the main aim of this study was to assess level of community based essential new born care practices and associated factors among rural women who gave birth in the last 12 months preceding the survey in Awabel District, Amhara, Ethiopia.Method: A community-based cross-sectional study was conducted in September and October 20013. Data were collected from randomly selected 570 women by interview. The collected data were entered into computer using Epi-Data version3.1 and analyzed using SPSS version 16. Logestic regression was fitted to assess possible associations and the strength of association was measured using odds ratio with 95% CI.Results: the study revealed that the level of Essential New born Care practices was 23.1%. Educational status, (OR=7.02, 95%, CI=2.27,21.74), immediate PNC visit, (OR=3.22,95%CI = 1.18,9.48), advise about Essential New born Care practices during monthly pregnant mothers group meeting (OR=4.77,95%CI=1.11, 19.79) advise about birth preparedness during ANC visits (OR=9.05,95% CI =2.76,29.61) and presence of radio in the household (OR=7.91,95%CI=2.64,23.67) were found to have statistically significant association with essential new born care practices.Conclusion: The study identified low comprehensive practices of essential new born care in the study area. Community oriented promotion of essential new born care practices including women empowerment through education, promotion of suitable IEC materials and emphasizing and providing information and education to all pregnant women is recommended.


2021 ◽  
pp. 1-4
Author(s):  
Olayan Alatawi ◽  
Faisal Alzahrani ◽  
Nasrin S Saiyed

Background: Levetiracetam (Keppra®) is a well-known second-generation anti-epileptic drug (AED). The study was aimed to addresses Levetiracetam use, availability and knowledge of toxicity among epileptic patients and their care givers in King Salman Armed Forces Hospital Tabuk Saudi Arabia. Methods: This cross-sectional survey was conducted in King Salman Armed Forces Hospital (KSAFH) in Tabuk city in Saudi Arabia. The study participants were epileptic patients and their care givers, selected from different outpatient departments using a convenient sampling technique. Data was collected using an Arabic self-reported questionnaire consisted of open-ended and closed-ended questions to facilitate study participants. Altogether, 381 persons answered the full questionnaire. The data were entered into SPSS version 26.0 for Windows, cleaned and managed before analysis. Results: Participants age ranged from 18 to 63 years, with a mean 29.6 years and standard deviation 5.8 years. 47.0% (n= 179) were male and 53.0% (n= 202) female. Six out of ten participants lived in the urban area (67.7%). Majority of the participants had knowledge about seizures (96.9%). About 31.0% of the participants and/or patients had seizures (epilepsy) since more than 20 years. Nearly 28.0% participants and/or patients had family history of seizures (epilepsy). Majority of the participants had Levetiracetam at home and aware of the correct usage of it. However, about 11% of the participants felt that Levetiracetam is used to help sleep. Eight out of ten of the participants reported “Sleepiness” as the side effect of Levetiracetam (79.3%). Half of the participants reported “Headache” as the side effect of Levetiracetam. About 94.0% of the participants knew that someone could take enough Levetiracetam to harm themselves. Conclusion: The study population used Levetiracetam, they demonstrated basic awareness of Levetiracetam use including the potential consequences of overdosing. Participants' knowledge regarding the toxicity of Levetiracetam is adequate. Special awareness programs for parents of children with epilepsy may be needed to reduce the knowledge gaps in the management of epilepsy and to ensure compliance and optimal therapeutic outcomes.


2020 ◽  
Author(s):  
Olusola Olawoye ◽  
Olufunmilayo Fawole ◽  
Adeyinka Ashaye

Abstract Purpose: To assess the eye care practices, knowledge and attitudes of glaucoma patients identified at community eye outreaches (CEO) in Nigeria. Methodology: This was a mixed method study. The quantitative component was a cross sectional survey of patients with suspected glaucoma identified at routine CEO in South West Nigeria. Surveys were administered by trained personnel and gathered information on knowledge and attitudes toward glaucoma. The qualitative component consisted of structured interviews with providers to assess their knowledge and perspectives of glaucoma patients’ attitudes and behaviors. Results: A total of 1881 patients were screened at 24 outreaches in South West Nigeria, among which 120 glaucoma cases/suspects were identified. Fifty-six (46.7%) of the glaucoma patients were aware of glaucoma and only 39 (32.5%) patients could answer at least one knowledge question correctly. Predictors of awareness of glaucoma were minimum of secondary school education (adjusted odds ratio [OR] 9.76; 95% confidence interval [CI] 3.18-29-92) and having had an eye check-up in the past (adjusted OR 6.22; 95% CI 1.96 – 19.78). More than half 55.8% had attended an eye outreach in the past and 34.2% did not follow up at the main hospital. Patients said cost and ‘not knowing the disease was serious’ were reasons for not following up at the main hospital. Health workers interviewed said cost and poor knowledge were the main reasons glaucoma patients frequently attended free screening outreach events rather than seeking definitive care.Conclusion: Although community eye outreaches improves access to eye care, provision of appropriate health education programs and strengthening of the health insurance scheme are needed to improve its impact in glaucoma care.


2021 ◽  
pp. 1-7
Author(s):  
Obumneme Emeka Okoro ◽  
Abubakar Imam ◽  
Rachel Barminas

<b><i>Background:</i></b> Traction alopecia (TA) is the commonest cause of hair loss among women, with a prevalence of 46.2% in Nigeria. Adequate knowledge and good hair care practices can assist in its prevention. <b><i>Objective:</i></b> The aim of this study was to determine knowledge of both TA and hair care practices among adolescents in Keffi, Nigeria. <b><i>Methods:</i></b> This was a cross-sectional survey conducted among 333 female adolescents in 3 senior secondary schools between November 2019 and February 2020. The participants were randomly selected and interviewed using a questionnaire which sought information about the knowledge of TA and hair care practices. The data were analysed using SPSS 25 statistical software. <b><i>Results:</i></b> Overall, the knowledge score was poor in 61.4% of the adolescents. Hair plaiting 86.8% (289/333), use of chemical relaxers 68.8% (229/333), and use of hair covers 88.3% (294/333) were the predominant hair care practices. In total, 90.8% had concurrently relaxed and plaited their hair. Cornrows with own hair were the commonest hair grooming style. The use of hair attachments was believed to be the commonest cause of TA. The use of hijab was the commonest form of hair cover used. <b><i>Conclusions:</i></b> The knowledge of TA is poor among female adolescents. A large number engaged in risky hair care practices. Interventions to reduce the knowledge gap will reduce the prevalence of TA. <b><i>Key Message:</i></b> The knowledge of traction alopecia is poor among female adolescents in Keffi who engage in traumatic hair practices.


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