scholarly journals Prevalence and Predictors of Adverse Reactions to COVID-19 AstraZeneca Vaccine among Healthcare Staff of General Hospital Ilorin, North-Central, Nigeria

2021 ◽  
Vol 3 (6) ◽  
pp. 82-88
Author(s):  
Christy O. Ademola ◽  
Adebayo R. Yusuf ◽  
Ismail A. Obalowu ◽  
Abdulkadir Mohammed

Background: Vaccines are crucial for an effective global pandemic response. Despite the proven efficacy and safety of the COVID-19 AstraZeneca vaccine by the World Health Organization, some adverse effects have been reported. Aim: This was to determine the prevalence of adverse reactions to COVID-19 vaccine among the healthcare workers, to assess the time of onset of symptoms after vaccination, to determine the total duration of persistent of symptoms after vaccination among respondents and to determine the socio-demographic and clinical predictors of adverse reactions among the participants. Materials and Method: This study was a hospital-based descriptive cross-sectional study, and it was conducted at the General Hospital Ilorin (GHI), Kwara State. The study population consists of 121 health workers at GHI who received the first dose of COVID-19 vaccine. Interviewers’ administered questionnaires were used to obtain socio-demographic and some clinical information from the participants. Clinical measurements were done using weighing scale, stadiometer, stethoscope, and sphygmomanometer. Results: The mean age of the participants was 39.5±8.9. The most commonly reported adverse drug reactions (ADRs) among the participants were site tenderness (51.2%), site pain (51.2%), fatigue (25.6%), and myalgia (24%). There was no report of blood clotting problems among them (0%). The majority of the ADRs started within 30 minutes to about 24 hours after the respondents received their COVID-19 vaccine jabs except for arthralgia which developed after 24 hours in the majority of the respondents who had it (61.5%). Most of the ADRs resolved completely within 24 hours to 72 hours except for chills that lasted for less than 24 hours among the majority of the participants who had it (53.3%), and also myalgia that lasted for more than 72 hours among the highest percentage of participants who reported having it (41.4%). The results of the multiple logistic regression analysis revealed no statistically significant predictors for the reactions (All reported P-values for all the regression coefficients were greater than 0.05). Conclusion: This study reported the prevalence, time of onset and duration of ARs to the first dose of AstraZeneca vaccine among health workers in Ilorin. The prevalence and pattern of the ARs reported is similar to those from other countries and continents. No report of severe anaphylactic reactions or blood clotting problems among the respondents. The time of onset and duration of most ARs were between 30 minutes to 24 hours, and less than 3 days respectively. The study also reported that no socio-demographic or clinical factors studied could significantly predict the occurrence of ARs among the participants.

2014 ◽  
Vol 17 (4) ◽  
pp. 805-817 ◽  
Author(s):  
Edna Cunha Vieira ◽  
Maria do Rosário Gondim Peixoto ◽  
Erika Aparecida da Silveira

OBJECTIVE: To evaluate the prevalence and factors associated with metabolic syndrome in the elderly. METHODS: Cross-sectional study, with 133 individuals randomly selected in the Unified Health System in Goiania, Goiás. The following variables were researched: anthropometric (BMI, waist circumference, fat percentage by Dual X-ray absorptiometry), sociodemographic (gender, age, color, income, marital status and years of schooling), lifestyle (physical activity, smoking and risk alcohol consumption) and food intake (risk and protective foods). The metabolic syndrome was assessed according to harmonized criteria proposed by the World Health Organization (WHO). The combinations were tested by Poisson regression for confounding factors. RESULTS: The prevalence of metabolic syndrome was 58.65% (95%CI 49.8 - 67.1), with 60.5% (95%CI 49.01 - 71.18) for females and 55.7% (95%CI 41.33 - 69.53) for males. Hypertension was the most prevalent component of the syndrome in both men, with 80.8% (95%CI 64.5 - 90.4), and women, with 85.2% (95%CI 75.5 - 92.1). After the multivariate analysis, only the excess of weight measured by body mass index (prevalence ratio = 1.66; p < 0.01) remained associated with the metabolic syndrome. CONCLUSIONS: The prevalence of metabolic syndrome in this sample was high, indicating the need for systematic actions by health workers in the control of risk factors through prevention strategies and comprehensive care to the elderly.


2018 ◽  
Vol 16 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Binod Kumar Aryal ◽  
Mohammad Daud ◽  
Ambika Thapa ◽  
Anita Mahotra ◽  
Sudip Ale Magar ◽  
...  

Background: Non-communicable Diseases are an alarming public health emergency in Nepal. Owing to the risk of NCD’s in Nepal, Government of Nepal has developed a Multisectoral Action Plan for Non-communicable Disease 2014-2020 and has adopted the World Health Organization Package of Essential Non-communicable Disease protocol. Prior for its implementation in Nepal, baseline study has been carried out to assess the status of health facilities in Nepal.Methods: A descriptive cross-sectional study was carried out in Kailali and Ilam district encompassing a total of 92 health facilities. A set of structured questionnaire and interview guideline was used to obtain the data. Collected data was transferred to Microsoft Excel, cleaned and analyzed in SPSS 16.0. Descriptive analysis was performed to express the frequencies and relative frequencies Results: Of the total health facilities, 49 and 43 health facilities of Ilam and Kailali were interviewed. The hospital of Ilam consisted all the procedure, equipment and medicine for the management of NCDs whilst, health posts lacked Oxygen services. Only 592 posts were fulfilled out of 704 sanctioned post in both the districts of which only 161 were trained in management of NCDs. Atotal of 231 patients were diagnosed with NCDs before the day of study in all the health facilities of both districts. Conclusions: Study reveals the gaps in capacity of health institution and system in terms of training, supply, equipments, and diagnostics. However, training of health workers, supply of essential medicines and improvising the service delivery would supplement the effective implementation of PEN in Nepal.


2019 ◽  
Vol 11 (2) ◽  
pp. 17-28
Author(s):  
Eka Ratna Sari ◽  
Lusi Andriani ◽  
PS. Kurniawati

Anemia in pregnancy is a condition of pregnant woman with hemoglobin (Hb) <11 gr% in the first and third trimesters while in the second trimester hemoglobin level <10,5 gr%. World Health Organization (WHO) in 2012, reported that the prevalence of anemia in pregnant women in the world ranges an average of 14%, in industrialized countries 56% and in developing countries between 35% -75%. This study aims to determined the factors of the occurrence of anemia in third trimester pregnant women in Kampung Melayu sub-district Bengkulu City 2017. This research uses Analytical Survey design with Cross Sectional Approach. Population in this research is third trimester pregnant woman in Kampung Melayu sub-district as many as 106 people, using sample total sampling technique. The analysis used Chi square test with significance level p <0,05.The results of this study indicate that there is a relationship between adherence of Fe (p = 0,000) and knowledge (p = 0,000) with anemia occurrence in third trimester pregnant women, no relationship between age (p = 0,346), parity (p = 0,949) , Education (p = 0.198), occupation (p = 1,000) with anemia and the most dominant factor with anemia was the consumption of Fe tablet (OR = 78,803). Health workers are expected to provide routine counseling on the causes, symptoms, and effects of anemia for pregnant women and screening anemia by checking Hb at least twice during pregnancy.


2019 ◽  
Vol 10 (3) ◽  
pp. 163-171
Author(s):  
Indah Purnama Sari ◽  
Dewi Handayani ◽  
Fatmalina Febry

Exclusive breastfeeding is one of the successful indicators in improving the health of babies. From 2013 until 2014, the practice of exclusive breastfeeding has decreased in Indonesia and has not reached the national targets of around 80% of babies being exclusively breastfed. This study aimed to identify the prevalence and determinants of exclusive breastfeeding in Seberang Ulu I, Palembang. A community-based cross sectional study was executed from July 5, 2016 to August 5, 2016 among mothers who had infants aged less than six months. A purposive sampling technique was used to select a sample of 125 participants. Data were collected using a structured questionnaire by the face-to-face interview technique. Bivariate and multiple logistic regression analysis were used to determine factors associated with the practice of breastfeeding exclusively and to control confounding effects. The prevalence of exclusive breastfeeding was 26.4% (95% CI: 20.0%-35.1%). After adjusting for confounders (mothers’ attitudes and health workers’ support), mothers who had good knowledge were 11.66 times more likely to breastfeed exclusively than those who had poor knowledge (AOR: 11.66, 95% CI: 3.07-44.31). The prevalence of exclusive breastfeeding in Seberang Ulu I, Palembang, was still very low and has not reached the national target. The recommendation is to maximize the role of health workers in providing information about exclusive breastfeeding, so that they can continue providing motivation for mothers, husbands and families, so that the success and sustainability of exclusive breastfeeding practices could be achieved.   Keywords: Mother’s knowledge, mother’s attitude, health workers support, exclusive breastfeeding


2020 ◽  
Vol 11 (2) ◽  
pp. 136-149
Author(s):  
Lia Suryani ◽  
Amrina Rosyada

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  


2017 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Ika Tristanti ◽  
Indah Risnawati

AbstrakBadan kesehatan dunia (WHO, 2011) memperkirakan bahwa 54% kematian anak disebabkan oleh keadaan gizi yang buruk. Di Indonesia, saat ini tercatat 4,5% dari 22 juta balita atau 900 ribu balita di Indonesia mengalami gizi kurang atau gizi buruk dan mengakibatkan lebih dari 80% kematian anak (Kemenkes,2012). Status gizi balita di Jawa Tengah tahun 2012 menunjukkan status gizi kurang sebesar 4,88% dan gizi buruk sebesar 0,06% (Dinkes Provinsi Jawa Tengah, 2012). Kabupaten Kudus tahun 2013 terdapat 3,74% balita menderita gizi kurang dan 0,76% gizi buruk. Penggunaan Kartu Menuju Sehat(KMS) untuk memantau pertumbuhan balita sangat efektif dan bermanfaat untuk mendeteksi adanya gangguan pertumbuhan seperti gizi kurang ataupun gizi buruk. Pengisian KMS dilakukan oleh kader kesehatan. Hasil survei pendahuluan dengan wawancara yang mendalam kepada 10 kader posyandu pada bulan Desember 2016 di Kabupaten Kudus, diperoleh 4 kader (40%) lengkap dalam pengisian KMS dan 6 kader (60%) tidak lengkap dalam pengisian KMS. Tujuan penelitian ini adalah untuk mengetahui pengaruh motivasi kader terhadap kelengkapan pengisian Kartu Menuju Sehat di Kabupaten Kudus. Jenis penelitian adalah observasional analitik dengan rancangan cross sectional. Tempat penelitian ini di Posyandu Kabupaten Kudus pada bulan Januari 2017. Populasi dalam penelitian ini sebanyak 39 kader yang bertugas mengisi KMS. Teknik pengambilan sampel dengan accidental sampling.Selanjutnya data yang diperoleh dianalisis dengan uji univariat dan bivariat dengan menggunakan SPSS versi 20. Hasil penelitian ini adalah ada pengaruh motivasi kader dengan kelengkapan pengisian Kartu Menuju Sehat. Hendaknya kader kesehatan lebih diberikan kesempatan untuk mengikuti pelatihan tentang posyandu dan pengisian KMS. Selain itu, insentif yang diberikan kepada kader lebih ditingkatkan lagi. Kata kunci : Motivasi, Kader,Kartu Menuju Sehat AbstractThe World Health Organization (WHO, 2011) estimates that 54% of child deaths are caused by poor nutritional status. In Indonesia, there are 4.5% from 22 million children less than 5 years or 900 thousand children less than 5 years in Indonesia suffered malnutrition or poor nutrition, and there are resulted more than 80% from childhood deaths (MoH, 2012). Nutritional status of children in Central Java in 2012 showed that malnutrition status is 4.88% and malnutrition is 0.06%  (Central Java Provincial Health Office, 2012). Kudus Regency in 2013 has 3.74% toodler under five suffer from malnutrition and 0.76% severe malnutrition. The use of Kartu Menuju Sehat (KMS) to monitor the growth of children is very effective and useful for detecting the presence of growth disorders such as malnutrition or poor nutrition. Charging KMS is done by health workers/ health cadre. The results of  preliminary survey with in-depth interviews to 10 cadres Posyandu in December 2016 in Kudus,is there are four cadres (40%) complete in charging  KMS and 6 (60%) did not complete in charging KMS. The purpose of this study was to determine the effect of the motivation of cadres in completeing Kartu Menuju Sehat in Kudus. The study was observational analytic with cross sectional design. This study place at Kudus District in January 2017. The population in this study is the  total 39 cadres and their duty to fill KMS.  The sampling technique is accidental sampling. Furthermore, the data obtained were analyzed by univariate and bivariate using SPSS version 20.  The results of this study are there is no motivational effect cadre completeness Kartu Menuju Sehat. Health workers should be given the opportunity to attend training on posyandu and charging KMS. In addition, the incentives for the cadres can be added and developed.  Key words: Motivation, cadres, KMS


2021 ◽  
Vol 9 (E) ◽  
pp. 1042-1049
Author(s):  
Putri Permatasari ◽  
Cahya Arbitera ◽  
Dwi Mutia Wenny

BACKGROUND: Citizens are people who have a high risk of exposure to diseases due to unhealthy environmental conditions. This requires citizens to take advantage of health services in order to get optimal examinations. AIM: The purpose of this study was to determine the description and relationship between the characteristics of citizens, the characteristics of health services and the utilization of health services by citizens in the area of Tangerang Selatan, Indonesia in 2020. METHODS: The quantitative research method with cross-sectional design used random sampling techniques. The number of samples was 150 families in the area of Tangerang Selatan, Indonesia. The riset measured data using a questionnaire and collected data by interviewing the respondents. Data analysis used Chi-square analysis and multiple logistic regression analysis. RESULTS: The results showed that the variables related to the utilization of health services were knowledge variable (p = 0.001), number of families (p = 0.021), perception of pain (p = 0.001), and family support (p = 0.030). And the variables that were not related to the utilization of health services were ownership of health insurance (p = 0.750), transportation (p = 0.297), distance (0.340), health information (p = 0.538), and attitudes of health workers (p = 1000). As well as the dominant variable related to the utilization of health services, that is knowledge (p = 0.000) with odds ratio 12.876. CONCLUSION: It is hope that primary healthcare and health workers can involve more communities around the area in their work programs, such as providing health information.


2019 ◽  
Author(s):  
Kevin Baker ◽  
Alice Maurel ◽  
Charlotte Ward ◽  
Dawit Getachew ◽  
Tedila Habte ◽  
...  

BACKGROUND Manually counting a child’s respiratory rate (RR) for 60 seconds using an acute respiratory infection timer is the World Health Organization (WHO) recommended method for detecting fast breathing as a sign of pneumonia. However, counting the RR is challenging and misclassification of an observed rate is common, often leading to inappropriate treatment. To address this gap, the acute respiratory infection diagnostic aid (ARIDA) project was initiated in response to a call for better pneumonia diagnostic aids and aimed to identify and assess automated RR counters for classifying fast breathing pneumonia when used by front-line health workers in resource-limited community settings and health facilities. The Children’s Automated Respiration Monitor (ChARM), an automated RR diagnostic aid using accelerometer technology developed by Koninklijke Philips NV, and the Rad-G, a multimodal RR diagnostic and pulse oximeter developed by Masimo, were the two devices tested in these studies conducted in the Southern Nations, Nationalities, and Peoples’ Region in Ethiopia and in the Karnali region in Nepal. OBJECTIVE In these studies, we aimed to understand the usability of two new automated RR diagnostic aids for community health workers (CHWs; health extension workers [Ethiopia] and female community health volunteers [Nepal]) and their acceptability to CHWs in Ethiopia and Nepal, first-level health facility workers (FLHFWs) in Ethiopia only, and caregivers in both Ethiopia and Nepal. METHODS This was a prospective, cross-sectional study with a mixed methods design. CHWs and FLHFWs were trained to use both devices and provided with refresher training on all WHO requirements to assess fast breathing. Immediately after training, CHWs were observed using ARIDA on two children. Routine pneumonia case management consultations for children aged 5 years and younger and the device used for these consultations between the first and second consultations were recorded by CHWs in their patient log books. CHWs were observed a second time after 2 months. Semistructured interviews were also conducted with CHWs, FLHFWs, and caregivers. The proportion of consultations with children aged 5 years and younger where CHWs using an ARIDA and adhered to all WHO requirements to assess fast breathing and device manufacturer instructions for use after 2 months will be calculated. Qualitative data from semistructured interviews will be analyzed using a thematic framework approach. RESULTS The ARIDA project was funded in November 2015, and data collection was conducted between April and December 2018. Data analysis is currently under way and the first results are expected to be submitted for publication in 2020. CONCLUSIONS This is the first time the usability and acceptability of automated RR counters in low-resource settings have been evaluated. Outcomes will be relevant for policy makers and are important for future research of this new class of diagnostic aids for the management of children with suspected pneumonia. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/14405


2021 ◽  
Vol 10 (2) ◽  
pp. 313-320
Author(s):  
Desak Nyoman Suartini ◽  
Andi Syamsul Bachri Jamal ◽  
Anas Budi

Background: Hospital Minimum Service Standards (SPM) are provisions for hospitals issued by the Minister of Health of the Republic of Indonesia in the context of government efforts to ensure the quality of hospital services. This Minimum Service Standard can be used as a guideline for the quality of service for every hospital in Indonesia. The Minimum Service Standard (SPM) is a quality guideline issued by the Minister of Health regarding the minimum service that must be provided by the hospital, where each hospital is required to assess and provide services in accordance with the Minimum Service Standards (SPM). Objectives: A study to analyze the implementation of minimum service standards in the Emergency Department (IGD) Regional General Hospital (RSUD) I Lagaligo, East Luwu. Methods: The research used in this research is descriptive analytic with a cross-sectional approach, in which all observed variables are measured simultaneously when the research is taking place. This research was conducted in the Emergency Room Installation Room (IGD) Regional General Hospital (RSUD) I Lagaligo East Luwu. Sample selection with total sampling technique. The research subjects were 33 respondents in the IGD Lagaligo Wotu East Luwu Regional Hospital. Results: Infrastructure and human resources with minimum service standards. The results showed that the results of the bivariate analysis used the Chi-Square Test. It shows that there is a relationship between infrastructure and minimum service standards with a value of p = 0.008, there is a relationship between human resources and minimum service standards with a value of p = 0.000. Conclusion: There are infrastructure facilities that can be used directly by health workers for the benefit of patients in the form of tools, materials, comfortable rooms and others. The human resources in the emergency department of Lagaligo Wotu Hospital are of good quality.


2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Zewdu Yilma ◽  
Mesfin Liben

Introduction. Irrational prescribing is a major cause for irrational drug use. Bad prescribing habits lead to ineffective and unsafe treatment, exacerbation or prolongation of illness, distress and harm to the patient, and higher costs. Incidence of irrational prescribing practice cannot be reduced without a critical intervention by assessing the causes. Objectives. The objective of this study was to assess drug prescription pattern, using WHO prescribing indicators, in OPD at Mekelle General Hospital (MGH) Methodology. The study was conducted at Mekelle General Hospital (MGH), Mekelle, Northern Ethiopia, from December 2016 to April 2017. A descriptive cross-sectional, retrospective hospital-based study design was used to assess prescriptions at OPD in MGH from 01 January to 31 December 2016. A systematic random sampling technique was used to select prescriptions at the time of data collection. Result. 384 prescriptions were analyzed. 751 medications were prescribed from which 679 (90.4%) were with their generic name, 225 (58.6%) prescriptions contained antibiotics, 162 (42.2%) prescriptions were encountered with injection, and 648 (86.3%) encountered from the hospital list of medicine. Conclusion. In general, average number of drugs per encounter, generic prescribing, and the use of EDL/formulary of the hospital to prescribe drugs reviewed in this study were totally out of the recommended values and hence inappropriate. The study also revealed overprescribing of both antibiotics and injections.


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