scholarly journals Post Partum’s Knowledge about Breast Care at Niar Patumbak Clinic

2020 ◽  
Vol 2 (2) ◽  
pp. 23-30
Author(s):  
Indrawati ◽  
Eqlima Elfira

Woman tend to treat the breast during the puerperium (breastfeeding period) to streamline the breastfeeding process. It’s due to maximize the breast function as the only producer of breast milk, and found good for newborns. This study aims to determine the knowledge of mothers about breast care using a cross-sectional study design. The sampling method used was purposive sampling with a sample size of 41 respondents and the tools used in data collection were questionnaires. The results of this study showed that the majority of mothers with high school education with a focus on taking care of the household had a sufficient level of knowledge in carrying out breast care, around 58,5% as many as 24 mothers. It is hoped that health workers can further improve education about breast care by frequently providing information such as counseling at health centers or when implementing Posyandu and carrying out cross-sectoral cooperation to increase maternal knowledge about breast care.

Author(s):  
Hope Inegbenosun ◽  
Clement Chinedu Azodo ◽  
John Chukudi Anionye ◽  
Collins Usunobun Inegbenosun ◽  
Obinna Chukwunwike Njoku

Background: The coronavirus disease (COVID-19) infection rate and mortality among Nigerian health care workers appear to be on the increase. Aside from health workers, it has caused millions of infections and deaths worldwide.  This study determined the level of knowledge, attitude, and practices of nursing and midwifery students towards COVID-19 in a North-Eastern Nigerian state.Methods: A total of 156 respondents were involved in this institutional-based cross-sectional study, conducted after the lockdown period. A total of 17 questions were used to assess the KAP with knowledge appraised with 12 questions, attitudes with 2 questions, and practices with 3 questions.Results: The majority of the students (53.80%) possessed a good level of knowledge regarding COVID-19, while 40.4% had fair knowledge regarding COVID-19 with only 5.80% having poor knowledge of COVID-19. The mean knowledge of COVID-19 in this study was 9.40±1.353 with an overall 78% correct answer rate. A vast majority of the respondent (82.7% and 98.1%) had strong confidence in Nigeria and believed that the pandemic will soon be over, respectively. Only a few avoided large gatherings of people (30.8%) with the vast majority reporting to have worn a mask when going out (84.6%) and washing their hands with running water and soap frequently as recommended (73.1%). In multiple logistic regression analyses, the COVID-19 knowledge score (OR: 0.39-0.40, 95%CI: 0.26 – 0.62, P<0.05) was significantly associated with a lower likelihood of negative preventive practices towards COVID-19.Conclusions: The participants in this study showed good knowledge, positive attitudes, and good practices toward COVID-19. There is still a need to strategize and implement periodic educational interventions and training on infection control practices among healthcare workers including students. 


Author(s):  
Ameneh Marzban ◽  
Vahid Rahmanian ◽  
Azam Namdar ◽  
Marzieh Zamani

Introduction: Health information seeking and knowledge acquisition play an important role in the management of chronic diseases such as hypertension. The purpose of this study was to determine the information sources used by hypertensive patients in self-management of patients referred to Jahrom... health centers. Methods: This cross-sectional study was performed on 396 hypertensive patients who were selected by cluster sampling from six urban-rural health centers of Jahrom City in 2016. Data gathering tool was a 17-question researcher-made questionnaire that was used after validation and reliability. Data were analyzed using descriptive statistics and chi-square test by SPSS version 16 software. Results: 61.40% (243 patients) of patients with hypertension had information about their disease after developing hypertention. Most of their information sources were physicians and health workers 60.02% (236 people), family and friends 31.12% (122 people) and other patients 25.8% (101 people) and mass media 24.51% respectively. 96 people). 35.4% (n = 86) of patients admitted that this acquisition of knowledge has decreased their referrals to specialized levels  The most important reasons for not obtaining information in 35.29% (140 people) were difficulty and lack of access to information resources. Conclusion: The results of this study showed a relatively high and good knowledge of the patients after the disease. The most frequently used sources of information were physicians and health workers. Therefore, it is imperative that health professionals use effective ways of transmitting information to these people.


Author(s):  
Prakash Padhan ◽  
Basanta Kumar Bindhani ◽  
Jayanta Kumar Nayak

Background: Malaria is a mosquito-borne disease caused by a protozoan parasite i.e. Plasmodium parasites. It is one of the most prevalent disorders worldwide. India ranked the fourth-highest number of death cases. In Odisha, more than two-thirds of malaria cases are reported from ten southern districts. A high risk of malaria infection is found in Koraput district of Odisha. The present study aims to access the knowledge, attitude, and practices (KAP) about malaria among the individuals of Koraput district, Odisha.Methods: This is a cross-sectional study and 258 respondents were taken randomly from five villages of Koraput district. Data on demographics as well as knowledge, attitude, and practices about malaria was collected by using self-modified and pretested schedules.Results: A significant number of the respondent (97.29%) have reported that they had heard about malaria. 37.60% of respondents answered that they knew it from television, followed by health workers (23.26%) and friends (20.54%). The majority (98.06%) of the sample reported that it is caused by mosquito bites. Almost 63% of the respondents were consulted with a doctor whereas 24.81% consulted first to traditional healers of that region. The majority (99.22%) has a mosquito net and 98.83% of them were used it after a proper wash.Conclusions: Although the study found good knowledge on malaria, still further awareness is required to elevate the present status. In this study most of the respondents had a good level of knowledge about malaria, however, attitude and practices about malaria prevention still need to be improved.  


2018 ◽  
Vol 2 (4) ◽  
pp. 654-662
Author(s):  
Yanuarita Tursinawati ◽  
Wijayanti Fuad

Abstrak Pengetahuan, sikap dan tindakan yang baik oleh tenaga kesehatan seperti dokter dalam upaya strategi pencegahan thalassemia sangat diperlukan, karena dokter yang berperan sebagai penyampai informasi kepada masyarakat. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan, sikap dan tindakan mahasiswa kedokteran tentang pencegahan thalassemia. Penelitian dengan pendekatan cross sectional study ini melibatkan 96 mahasiswa angkatan tahun I s.d IV, di Fakultas Kedokteran, Universitas Muhammadiyah Semarang antara bulan April-Juni 2018. Analisis pengetahuan, sikap, tindakan terhadap thalasemia menggunakan kuesioner. Skor tiap angkatan dibandingkan dengan uji Kruskal wallis, hubungan antara skor sikap, tindakan dengan pengetahuan diuji dengan regresi linier sederhana. Sebanyak 42,7 % mahasiswa memiliki pengetahuan yang baik, mayoritas memiliki sikap yang positif (72,9%), tindakan yang baik (91,7%). Sebagian besar (70,8%) memiliki rencana untuk memeriksakan status karier thalassemia, namun lebih memilih menunda pemeriksaan sampai saat akan menikah (58,3%). Terdapat hubungan yang signifikan (P=0,023) antara sikap dengan pengetahuan dan antara tindakan dengan pengetahuan (p=0,039). Mahasiswa memiliki pengetahuan, sikap dan tindakan yang baik tentang pencegahan thalassemia serta tingkat pengetahuan mempengaruhi sikap dan tindakan mahasiswa.   Abstract Adequate knowledge, attitudes and practice by health workers such as doctors in thalassemia prevention strategies are needed, because doctors as informers to the public. This study aims to determine knowledge, attitudes and practice of medical students about thalassemia. This study was a cross sectional study involving 96 students from grade year I to IV, at the Faculty of Medicine, University of Muhammadiyah Semarang between April-June 2018. Analysis of knowledge, attitudes, practice against thalassemia used a questionnaire. The score of each grade was compared using Kruskal Wallis, relationship between attitude, practice with knowledge was analyzed with simple linear regression. A total of 42.7% of students had good knowledge, the majority had a positive attitude (72.9%), good practice (91.7%). Most (70.8%) had plans to check thalassemia career status, but prefered to postpone until get married (58.3%). There was a significant relationship (p = 0.023) between attitudes with knowledge and between practice with knowledge (p = 0.039). Students have good knowledge, attitudes and practice and level of knowledge influences their attitudes and practice.  


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Mesfin Aklilu ◽  
Waleleng Warku ◽  
Wogayehu Tadele ◽  
Yimer Mulugeta ◽  
Hussene Usman ◽  
...  

Health workers account for the largest share of public expenditures on health and play an important role in improving the quality of health services. There is concern that poor health worker performance limits the effectiveness of health systems strengthening efforts. A cross-sectional study was conducted from September to October 2016 in Addis Ababa health centers. Data were collected from 420 healthcare workers using a pretested and structured questionnaire by trained data collectors. EPI Info 7 was used for data entry, and analysis was done by SPSS version 20. Bivariate and multivariate logistic analyses were used to identify factors associated with the outcome variable and to control confounders. P values less than 0.05 were considered statistically significant. The overall job satisfaction level accounts for 53.8% with 95% CI of (48.9%, 59.0%). Marital status and professional qualification were the potent predictors of job satisfaction. Respondents who never married were 1.65 times more likely to be satisfied in their job than those married or divorced (AOR: 1.65 (95% CI: 1.02, 2.66)). Laboratory professionals and nursing professionals were 2.74 and 1.97 times more likely to be satisfied in their job compared to health officers (AOR: 2.47 (95% CI: 1.14, 6.59) and AOR: 1.97 (95% CI: 1.12, 3.48), respectively). More than half of the healthcare workers in the study area were satisfied in their job. Marital status and healthcare workers’ profession type were predictors of job satisfaction. Research studies indicate that there is a positive relationship between performance and job satisfaction. Accordingly, the present study aimed at determining the level of job satisfaction of health workers and its associated factors in the health centers of Addis Ababa, Ethiopia.


2020 ◽  
Vol 15 (2) ◽  
pp. 105-110
Author(s):  
Haile Kassahun ◽  
Dugessa Tesfaye

Background: Disposal of pharmaceutical waste among patients is a global challenge especially in developing countries like Ethiopia. Improper medication disposal can lead to health problems and environmental contaminations. Therefore, the present study aimed to assess disposal practices of unused medications among patients in public health centers of Dessie town, Northeast Ethiopia. Methods: A descriptive cross-sectional study was conducted among 263 patients in four public health centers of Dessie town, Ethiopia from March to June, 2019. Face-to-face interviews using structured questionnaires were used to collect data from each study subject. Results: The majority of the respondents, 224 (85.17%) had unused medications at their home during the study period. The most commonly reported disposal method in the present study was flushing down into a toilet 66 (25.09%). None of the respondents practiced returning unused medications to Pharmacy. Moreover, 85 (32.31%) of the respondents reported never disposing their medications and believed that it is acceptable to store medications at home for future use. Conclusion: In the present study, there was a high practice of keeping medications at home and most of the disposal practices were not recommended methods. In addition, most of the respondents did not get advice from pharmacists and other health care professionals on how to dispose off unused medications. Hence, there is a need for proper education and guidance of patients regarding disposal practices of unused medications.


Author(s):  
Sofia Pappa ◽  
Joshua Barnett ◽  
Ines Berges ◽  
Nikolaos Sakkas

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e046638
Author(s):  
Sk Masum Billah ◽  
Abdullah Nurus Salam Khan ◽  
S M Rokonuzzaman ◽  
Nafisa Lira Huq ◽  
Marufa Aziz Khan ◽  
...  

Study objectiveTo evaluate the competency of trained health workers in detecting and managing hypertensive disorders of pregnancy during routine antenatal check-ups (ANCs) at primary care facilities in Bangladesh.Study design and settingsCross-sectional study; conducted in 26 primary care facilities.Outcome measuresAccurate diagnosis of the hypertensive disorders of pregnancy.MethodIn total 1560 ANC consultations provided by primary health workers, known as Family Welfare Visitors (FWVs), were observed using a structured checklist between October 2017 and February 2018. All consultations were reassessed by study physicians for validation.ResultOf the ‘true’ cases of gestational hypertension (n=32), pre-eclampsia (n=29) and severe pre-eclampsia (n=16), only 3%, 7% and 25%, respectively, were correctly diagnosed by FWVs. Per cent agreement for the diagnosed cases of any hypertensive disorders of pregnancy was 9% and kappa statistics was 0.50 (p value 0.0125). For identification of any hypertensive disorders by FWVs, sensitivity and positive predictive values were 14% and 50%, respectively. There was a moderate positive correlation between the blood pressure measurements taken by FWVs and study physicians. Only 27% of those who had ‘some protein’ in urine were correctly identified by FWVs. Women diagnosed with any of the hypertensive disorders of pregnancy by FWVs were more likely to be counselled on at least one danger sign of pre-eclampsia (severe headache, blurring of vision and upper abdominal pain) than those without any such diagnosis (41% vs 19%, p value 0.008). All four cases of severe pre-eclampsia diagnosed by FWVs were given a loading dose of intramuscular magnesium sulphate and three among them were referred to a higher facility.ConclusionThe FWVs should be appropriately trained on risk assessment of pregnant women with particular emphasis on accurately assessing the diagnostic criteria of hypertensive disorders of pregnancy and its management.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maru Mekie ◽  
Dagne Addisu ◽  
Minale Bezie ◽  
Abenezer Melkie ◽  
Dejen Getaneh ◽  
...  

Abstract Background Preeclampsia has the greatest impact on maternal mortality which complicates nearly a tenth of pregnancies worldwide. It is one of the top five maternal mortality causes and responsible for 16 % of direct maternal death in Ethiopia. Little is known about the level of knowledge and attitude towards preeclampsia in Ethiopia. This study was designed to assess the knowledge and attitude towards preeclampsia and its associated factors in South Gondar, Northwest Ethiopia. Methods A multicenter facility-based cross-sectional study was implemented in four selected hospitals of South Gondar Zone among 423 pregnant women. Multistage random sampling and systematic random sampling techniques were used to select the study sites and the study participants respectively. Data were entered in EpiData version 3.1 while cleaned and analyzed by Statistical Package for Social Sciences (SPSS) version 23. Descriptive and inferential statistics were performed. Adjusted odds ratio with 95 % confidence interval were used to identify the significance of the association between the level of knowledge on preeclampsia and its predictors. Results In this study, 118 (28.8 %), 120 (29.3 %) of the study participants had good knowledge and a positive attitude towards preeclampsia respectively. The likelihood of having good knowledge on preeclampsia was found to be low among women with no education (AOR = 0.22, 95 % CI (0.06, 0.85)), one antenatal care visit (ANC) (AOR = 0.13, 95 % CI (0.03, 0.59)). Whereas, those who booked for ANC in the first trimester (AOR = 6.59, 95 % CI (1.43, 30.33)), gave the last birth at a health facility (AOR = 2.61, 955 CI (1.03, 6.61)), and experienced a complication during previous births (AOR = 3.67, 95 % CI (1.78, 7.57)) were more likely to be knowledgeable on preeclampsia. Conclusions No formal education and not attending four ANC visits were associated with poor knowledge of preeclampsia. While participants who visited health facilities during the first trimester, who gave birth at health facilities, and those who experienced a complication in previous births were more likely to be knowledgeable on preeclampsia. Improving the numbers of ANC visits and encouraging facility delivery are important measures to improve women’s knowledge on preeclampsia. Health education regarding preeclampsia risk factors, symptoms, and complications shall be emphasized.


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