Knowledge of Mothers and some Relative Factors about Kangaroo Method Take Care Premature Infants

Aim: The consequences of neonatal morbidity and mortality are severe, but interventions are available within maternal-children health care programs can save the lives of most babies. In particular, Kangaroo mother care for infants is a simple, easy-to-implement intervention that contributes to improving health and reducing infant mortality, especially among premature babies. Subjects and method of study: In this study, we used cross-sectional descriptive research to interview knowledge of 60 mothers with premature babies on Kangaroo mother care method and some related factors at Bach Mai Hospital from October 2019 to March 2020. Results: Research results show that 94.8% of mothers knew about Kangaroo mother care method, of which only 91.78% of mothers had knowledge about this method through their relatives and friends. friends accounted for 58.2%, via internet media 45.5% and 18.2% through health workers. The mother's education was related to the mother's knowledge about Kangaroo mother care method with p <0.05. Conclusion: Education enhancing about role and effection of skin-to-skin in premature infants. Keywords: skin-to-skin, Kangaroo mother care, KMC, preterm delivery.

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Kangaroo Mother Care at Low Birth Weight

Asian Journal of Applied Sciences ◽

10.24203/ajas.v8i1.6077 ◽

2020 ◽

Vol 8 (1) ◽

Author(s):

Maryanah, Sri Sukamti ◽

Juli Oktalia ◽

Novita Rina Antarsih ◽

Indra Supradewi, Aticeh

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Health Workers ◽

Secondary Data ◽

Kangaroo Mother Care ◽

P Value ◽

Cross Sectional ◽

Skin Contact ◽

Skin To Skin ◽

Difference Test

Kangaroo Care Method is a treatment given to babies with Low Birth Weight (LBW) as an alternative to an incubator. This method uses direct contact between the mother's skin and baby's skin or skin to skin contact. The kangaroo method not only replaces the care of the incubator but also provides benefits that cannot be provided by the incubator. Increasing the baby's body temperature, stabilizing heart rate and breathing, and increasing milk production, decreases the incidence of infection in infants. The purpose of this study was to determine the effectiveness of the use of the kangaroo method on LBW in Karawang Hospital. The cross-sectional research method uses secondary data through treatment records in the medical record. The study sample was 106 LBW infants treated at Karawang Hospital in the 2018 period. Analysts used average difference test data to see the effectiveness of using the kangaroo method in increasing infant weight. Results: There is an effect of the use of the kangaroo method to increase the baby's weight P-value 0,0001. Recommendation: It is expected that the use of the kangaroo method on LBW can be made into policy at the hospital with the support of health workers and facilities so that families can implement kangaroo mother care (KMC) in full.

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Predictors of Malaria Rapid Diagnostic Tests’ Utilisation Among Healthcare Workers in Zamfara State

10.1101/363697 ◽

2018 ◽

Author(s):

Usman Rabi ◽

Ahmad A. Umar ◽

Saheed Gidado ◽

A.A Gobir ◽

Izuchukwu F. Obi ◽

...

Keyword(s):

Community Health ◽

Healthcare Workers ◽

Health Workers ◽

Diagnostic Testing ◽

Study Data ◽

Good Knowledge ◽

Health Extension Workers ◽

Related Factors ◽

Cross Sectional ◽

Factors Influencing

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.

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Antenatal care among women in Chitwan district of Nepal: A cross-sectional study

Journal of Health Promotion ◽

10.3126/jhp.v9i01.40968 ◽

2021 ◽

Vol 9 (01) ◽

pp. 74-86

Author(s):

Sharmila Pokharel ◽

Ram Krishna Maharjan

Keyword(s):

Antenatal Care ◽

Educational Level ◽

Health Workers ◽

Cross Sectional Study ◽

Reproductive Age ◽

Care Utilization ◽

Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Care Community

Antenatal care is one of the most effective measures to reduce maternal mortality in Lower Middle-income Countries. The study aims to assess the utilization of antenatal care and related factors by breastfeeding mothers in Chitwan district of Nepal. A cross-sectional study was carried out in Bharatpur municipality in April 2020, among all women of the reproductive age group (15-49) who have had a birth child in the last 12 months before the survey date. A census sampling technique was used to select respondents. The vaccination period was two weeks. All the mothers who came to the vaccine center to vaccinate their children were the respondents of this study. The data were collected by using an interview schedule. The collected data were managed using SPSS Version 20. The study found that 84.31 percent of respondents attended more than four antenatal care utilization. The educational level of the respondents and the occupation of their partners were linked to the use of antenatal care. The number of pregnancies, the number of live births, the place of delivery, and the educational level and occupations of the birth attendees were also significantly linked to the use of antenatal care. Community mobilization and intensive use of community health workers are essential factors to improve the use of antenatal care.

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Anxiety Among Inpatients With Cancer: Findings From a Hospital-Based Cross-Sectional Study in Vietnam

Cancer Control ◽

10.1177/1073274819864641 ◽

2019 ◽

Vol 26 (1) ◽

pp. 107327481986464 ◽

Cited By ~ 3

Author(s):

Dung Viet Truong ◽

Quyen Thi Tu Bui ◽

Do Tri Nguyen ◽

Jaleesa Moore

Keyword(s):

Health Workers ◽

Early Stage ◽

Cross Sectional Study ◽

Anxiety Score ◽

Medical Mistrust ◽

Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Patients With Cancer ◽

Patient Health

Anxiety, a condition which is commonly found in patients with cancer, has negative impacts on their quality of life and treatment outcome. This study aimed to determine the level of anxiety in patients with cancer and explore sociodemographic, disease-related, and hospital-related factors associated with anxiety in those patients. A cross-sectional study was conducted on 510 inpatients with cancer at Thanh Hoa Oncology Hospital, Vietnam. Data were collected from self-administered questionnaire forms on hospital depression anxiety-A, interviews with patients, and patient medical records. The univariate and multivariate linear regression analyses were performed using STATA ver. 14.0. Our finding that the patients’ mean anxiety score (standard deviation) was 7.22 (3.8); 27.6% of the patients had an anxiety score between 8 and 10 points, and 15.5% had an anxiety score of ≥11 points. In the multivariate model, in more advanced stages of cancer, and patients with metastasis were more likely to have higher levels of anxiety than those who presented no sign of metastasis. The longer the patients had cancer, the less anxious they became. Lower levels of anxiety were observed in patients who stated that hospital facilities were adequate or had trust in health workers. Patients with cancer need to be provided with psychological support in the early stage of cancer detection and when metastases form. A strong patient–health-care provider relationship after diagnosis may help reduce distress among patients with cancer with higher levels of medical mistrust.

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Preferences for methadone clinics among drug users in Vietnam: a comparison between public and private models

Harm Reduction Journal ◽

10.1186/s12954-019-0355-x ◽

2020 ◽

Vol 17 (1) ◽

Cited By ~ 1

Author(s):

Tuan Anh Le ◽

Tuan Anh Nguyen ◽

Anh Duc Dang ◽

Cuong Tat Nguyen ◽

Hai Thanh Phan ◽

...

Keyword(s):

Drug Users ◽

Health Workers ◽

Methadone Maintenance ◽

Two Dimensions ◽

Public Facility ◽

Private Facility ◽

Related Factors ◽

Cross Sectional ◽

Public And Private ◽

Public Clinics

Abstract Background Methadone maintenance treatment (MMT) has been proven to be effective in treating opioid dependence. In Vietnam, MMT services are provided primarily by public clinics, with only one private MMT clinic established in recent years. Assessing the preferences of patients for different MMT models is important in evaluating the feasibility of these models. This study measured the preferences of drug users enrolling in public and private MMT clinics in Vietnam and examines the related factors of these preferences. Methods A cross-sectional study was performed on 395 participants at 3 methadone clinics in Nam Dinh. Data about the preferences for MMT models and sociodemographic characteristics of participants were collected. Exploratory factor analysis was employed to explore the construct validity of the questionnaire. The chi-square test and Mann-Whitney test were used for analyzing demographic characteristics and preferences of participants. Multivariate logistic regression identified factors associated with participants’ preferences. Results Half the participants received MMT treatment in a private facility (49.4%). Two preference dimensions were defined as “Availability and convenience of service” and “Competencies of clinic and health professionals”. Self-employed patients were more likely to consider these two dimensions when choosing MMT models. Only 9.9% of participants chose “Privacy” as one of the evaluation criteria for an MMT facility. Compared to public clinics, a statistically higher percentage of patients in the private clinic chose the attitudes of health workers as the reason for using MMT service (34.7% and 7.6% respectively). Mean score of satisfaction towards MMT services was 8.6 (SD = 1.0), and this score was statistically higher in a public facility, compared to the private facility (8.7 and 8.4 respectively). Conclusions The study highlighted patterns of patient preferences towards MMT clinics. Compared to the public MMT model, the private MMT model may need to enhance their services to improve patient satisfaction.

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Analisis Profil dan Faktor-Faktor yang Memengaruhi Perilaku Kepatuhan Pengobatan untuk Pasien Diabetes Mellitus Lanjut Usia

Jurnal Kefarmasian Indonesia ◽

10.22435/jki.v9i2.405 ◽

2019 ◽

pp. 114-125

Author(s):

Andi Makkulawu ◽

Adji Prayitno Setiadi ◽

Tri Budi Wahyuni Rahardjo ◽

Eko Setiawan

Keyword(s):

Diabetes Mellitus ◽

Support Groups ◽

Health Workers ◽

Profile Analysis ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Contributing Factors ◽

Related Factors ◽

Cross Sectional ◽

Adherence Behaviour

Adherence with medication is one of the important factors in controlling blood glucose levels in patients with diabetes mellitus (DM), which in turn also determines the risk of diabetic complications. The profile and factors that influence adherence behaviour in the use of medication in elderly diabetic patients in Indonesia, especially in East Surabaya, are not yet known. The purpose of this study was to identify profiles and factors that influence the behavior of drug use adherence in elderly DM patients. A cross-sectional study was conducted in 32 Karang Werda or support groups for elderly in East Surabaya. Identification of the respondent’s level of adherence was carried out using the Adherence to Refill and Medication Scale (ARMS) questionnaire while the contributing factors towards adherence behaviour were identified using a published questionnaire. Both questionnaires have been validated in elderly people living in Surabaya. Result of adherence profile analysis was expressed in terms of percentage while determinant factors analysis was identified by using the highest mean among 14 sub-domains included in the questionnaire. In total, 281 elderly diabetic patients were recruited in this study. It was identified that 67.26% of the respondents were classified as non-adherence patients. The dominant factors that contribute to the behavior of medication adherence in elderly diabetic patients were social support, product-related factors, health workers, and emotional factors. Appropriate interventions to optimize the use of medications in elderly diabetic patients need to be identified and implemented according to the identified contributing factors.

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Factors influencing women's knowledge at scheduled postnatal visits: a multi-centre study in Kakamega, Kenya

African Journal of Midwifery and Women s Health ◽

10.12968/ajmw.2020.0044 ◽

2021 ◽

Vol 15 (4) ◽

pp. 1-8

Author(s):

Charles Kiragu ◽

Justus SO Osero ◽

Anthony K Wanyoro

Keyword(s):

Postnatal Care ◽

Health Workers ◽

Neonatal Morbidity ◽

Cross Sectional Study ◽

Postnatal Period ◽

Systematic Sampling ◽

Cross Sectional ◽

Multi Centre Study ◽

Factors Influencing ◽

Postnatal Mothers

Background/aims Postnatal care is offered to mothers and their babies from birth and across the postnatal period. Visits are spread over the postnatal period, and a minimum of four visits is recommended. In many studies, postnatal visits in Africa have been reported to be low compared to antenatal visits. As a result of low postnatal visits, mothers are not able to utilise postnatal care services, resulting in delayed detection of and interventions for maternal and neonatal health problems, leading to high rates of maternal and neonatal morbidity and mortality. In Kenya, only 53% of mothers attend postnatal clinics; in Kakamega county, only 34% of mothers attend. This study aimed to establish factors influencing postnatal knowledge among mothers in selected hospitals in Kakamega, Kenya. Methods The study was a descriptive cross-sectional study involving 320 postnatal mothers recruited from four sub-counties. Systematic sampling was used to select eligible study participants. Data were collected using questionnaires that assessed the participants' knowledge of postnatal care in terms of what postnatal care is, recommended postnatal care, when to attend a clinic and the services offered at postnatal care clinics. The data were entered into a database and analysed using the Chi-squared test to assess how sociodemographic and socioeconomic characteristics were associated with knowledge of postnatal care. Results The majority of participants (73.1%) had poor or no knowledge of postnatal care and 89.7% had poor or no knowledge on when postnatal visits should be carried out. Most postnatal mothers (71.9%) received postnatal health information from health workers. Occupation (P<0.000), income (P<0.000), transport (P<0.000) and time taken to travel to hospital (P=0.034) were significantly associated with postnatal knowledge. Conclusions Knowledge on postnatal care is poor among postnatal mothers in Kakamega. The majority of participants obtained postnatal care information from health workers, and so it is recommended that Kakamega establishes other strategies for giving information on postnatal care, such as pamphlets to mothers.

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Mask-associated de novo headache in healthcare workers during the Covid-19 pandemic.

10.1101/2020.08.07.20167957 ◽

2020 ◽

Author(s):

Jose M Ramirez-Moreno ◽

David Ceberino ◽

Alberto Gonzalez ◽

Belen Rebollo ◽

Pablo Macias ◽

...

Keyword(s):

Health Care ◽

Health Professionals ◽

Healthcare Workers ◽

Social Impact ◽

De Novo ◽

Health Workers ◽

Online Questionnaire ◽

Related Factors ◽

Cross Sectional ◽

The Impact

Introduction: The pandemic caused by the new coronavirus (COVID-19) has led to changes in the development of health care activities by health professionals. We analysed whether there is an association between the appearance of de novo headache according to the type of mask used, the related factors, as well as the impact of the headache on health professionals. Method: cross-sectional study in a tertiary hospital in Extremadura, Spain. We administered an online questionnaire to healthcare workers during the period of maximum incidence of COVID-19 in our setting. Results: n=306, 244 women (79.7%), with an average age of 43 years (range 23-65). Of the total, 129 (42.2%) were physicians, 112 (36.6%) nurses and 65 (21.2%) other health workers. 208 (79.7%) used surgical masks and 53 (20.3%) used filtering masks. Of all those surveyed, 158 (51.6%) presented de novo headache. The occurrence of headache was independently associated with the use of a filtering mask, OR 2.14 (IC95% 1.07-4.32), being a nurse OR 2.09 (IC95% 1.18-3.72) or another health worker OR 6.94 (IC95% 3.01-16.04) or having a history of asthma OR 0.29 (IC95% 0.09-0.89). Depending on the type of mask used there were differences in headache intensity. And the impact of headache in the subjects who used a filtering mask was worse in the all aspects evaluated. Conclusions: The appearance of de novo headache is associated with the use of filtering masks and is more frequent in certain health care workers, causing a greater occupational, family, personal and social impact.

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Survival of Premature Babies with the Revolutionary Kangaroo Mother Care Technique at a Tertiary Care Center, Sindh, Pakistan

10.53350/pjmhs2115113244 ◽

2021 ◽

Vol 15 (11) ◽

pp. 3244-3246

Author(s):

Bakhtiar Ahmed Bhambrho ◽

Nisar Ahmed Shar ◽

Amjad Ali Mughal ◽

Farukh Imtiaz ◽

Pardeep Kumar ◽

...

Keyword(s):

Birth Weight ◽

Health Workers ◽

Care Center ◽

Tertiary Care ◽

Scale Up ◽

Sampling Technique ◽

Kangaroo Mother Care ◽

Primary Data ◽

Resource Limited ◽

Skin To Skin

Background: Kangaroo mother care (KMC) is a resource-limited method for low-birth-weight babies that seeks to mitigate mortality rates by thermoregulation, breastfeeding assistance, and early hospital discharge. Methods: This study was carried out at GIMS hospital Khairpur Kangaroo Mother Care Unit at PAQSJIMS between August 2019 to September 2020. A total of hundred mothers and their infants were enrolled in the study. A non-probability convenience sampling technique was employed. A Questionnaire filled with the permission of admitted mother and primary data collected as per proforma i.e. date of admission, mother name, address, age, parity, gravida, date of delivery, place of delivery, Type of delivery, gestation at birth (weeks), birth weight, gender, Date of KMS admission, weight at KMC, discharge date of KMC, weight of Discharge KMC, status at the time of discharge and cause of death (if any). All mothers used KMC kits and the infant weight at admission and discharge were documented. Results: The average age (Figure 1) of mothers was recorded as 31.69 (20-40 years). The babies weight at the time of KMC unit admission was recorded as 0.7 – 1.8 grams and after 3-4 weeks admission the babies survived and gained weight recorded at time of discharge was 0.8 to 2.2 grams which showed that all mothers used kits properly, and all babies survived. Conclusions: All mothers were pleased to operate KMC kits. KMC is a very innovative technique to save the lives of premature newborns. This therapy emphasizes mothers for continuous skin-to-skin touch with infants, as well as wrapping the child in a warm blanket. The availability of space facilities and capacity building for health workers are therefore the fundamental requirements that must be funded by international aid agencies in order to scale up the initiative in these environments. Keywords: Neonatal survival, KMC, care, breastfeeding.

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Kangaroo mother care: EN-BIRTH multi-country validation study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03423-8 ◽

2021 ◽

Vol 21 (S1) ◽

Author(s):

Nahya Salim ◽

◽

Josephine Shabani ◽

Kimberly Peven ◽

Qazi Sadeq-ur Rahman ◽

...

Keyword(s):

Health Workers ◽

Scale Up ◽

High Sensitivity ◽

Population Based ◽

Kangaroo Mother Care ◽

Quality Data ◽

Feeding Method ◽

Exit Survey ◽

Skin To Skin

Abstract Background Kangaroo mother care (KMC) reduces mortality among stable neonates ≤2000 g. Lack of data tracking coverage and quality of KMC in both surveys and routine information systems impedes scale-up. This paper evaluates KMC measurement as part of the Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study. Methods The EN-BIRTH observational mixed-methods study was conducted in five hospitals in Bangladesh, Nepal and Tanzania from 2017 to 2018. Clinical observers collected time-stamped data as gold standard for mother-baby pairs in KMC wards/corners. To assess accuracy, we compared routine register-recorded and women’s exit survey-reported coverage to observed data, using different recommended denominator options (≤2000 g and ≤ 2499 g). We analysed gaps in quality of provision and experience of KMC. In the Tanzanian hospitals, we assessed daily skin-to-skin duration/dose and feeding frequency. Qualitative data were collected from health workers and data collectors regarding barriers and enablers to routine register design, filling and use. Results Among 840 mother-baby pairs, compared to observed 100% coverage, both exit-survey reported (99.9%) and register-recorded coverage (92.9%) were highly valid measures with high sensitivity. KMC specific registers outperformed general registers. Enablers to register recording included perceptions of data usefulness, while barriers included duplication of data elements and overburdened health workers. Gaps in KMC quality were identified for position components including wearing a hat. In Temeke Tanzania, 10.6% of babies received daily KMC skin-to-skin duration/dose of ≥20 h and a further 75.3% received 12–19 h. Regular feeding ≥8 times/day was observed for 36.5% babies in Temeke Tanzania and 14.6% in Muhimbili Tanzania. Cup-feeding was the predominant assisted feeding method. Family support during admission was variable, grandmothers co-provided KMC more often in Bangladesh. No facility arrangements for other family members were reported by 45% of women at exit survey. Conclusions Routine hospital KMC register data have potential to track coverage from hospital KMC wards/corners. Women accurately reported KMC at exit survey and evaluation for population-based surveys could be considered. Measurement of content, quality and experience of KMC need consensus on definitions. Prioritising further KMC measurement research is important so that high quality data can be used to accelerate scale-up of high impact care for the most vulnerable.

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