scholarly journals Barriers to Treatment and Control of Hypertension among Hypertensive Participants: A Community-Based Cross-sectional Mixed Method Study in Municipalities of Kathmandu, Nepal

2016 ◽  
Vol 3 ◽  
Author(s):  
Surya Devkota ◽  
Raja Ram Dhungana ◽  
Achyut Raj Pandey ◽  
Bihungum Bista ◽  
Savyata Panthi ◽  
...  
Keyword(s):  
Mixed Method ◽  
Mixed Method Study ◽  
Barriers To Treatment ◽  
Community Based ◽  
Cross Sectional ◽  
And Control

scholarly journals Assessment on awareness towards preventive measures of COVID-19 in Sheka, Southwestern Ethiopia: Community based cross-sectional Study

2021 ◽  
Author(s):  
Assaye Belay Gelaw ◽  
Solomon Abebaw Andargie
Keyword(s):  
Public Health Problem ◽  
Cross Sectional Study ◽  
P Value ◽  
Critical Element ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Southwestern Ethiopia ◽  
Prevention Methods ◽  
And Control

Abstract Background: The coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and it is the most important of public health problem worldwide. A critical element in tackling the COVID-19 crisis is personal behavioral change; however, there is a paucity of evidence about peoples’ awareness towards COVID-19 pandemic. Hence, the aim of this was to assess the community’s awareness status towards COVID-19 in Sheka, Southwestern Ethiopia.Methods: Community-based cross-sectional study was conducted 10th to 21th April 2020. Four hundred-nineteen individuals participated during the study. Both univariable and multivariable logistic regression analyses were used to identify significant factors of awareness status, and variables with p-value<0.05 indicated it significantly influences the awareness status of the individuals towards COVID-19.Results: According to the study’s results, nearly half (49.4 %) of the participants had awareness about COVID-19 pandemic. Factors such being female equal (AOR: 0.476, 95%CI: 0.293, 0.772),education being secondary and above(AOR:2.178,95%CI:1.323,3.586),and prevention methods being fully used (AOR,8.127,95%CI: 1.273, 51.871)were significantly influencing the awareness status of the community towards COVID-19 pandemic than their counterparts.Conclusion: The study showed that there is a low awareness status among people towards COVID-19.Hence, programs to improve awareness towards COVID-19 pandemic is essential to prevent and control the pandemic.

scholarly journals Advancing clinical leadership to improve the implementation of evidence-based practice in surgery: a longitudinal mixed-method study protocol

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Amy Grove ◽  
Aileen Clarke ◽  
Graeme Currie ◽  
Andy Metcalfe ◽  
Catherine Pope ◽  
...  
Keyword(s):  
Social Network ◽  
Social Network Analysis ◽  
Network Analysis ◽  
Mixed Method ◽  
Qualitative Data ◽  
Mixed Method Study ◽  
Evidence Based ◽  
Theory Approach ◽  
Cross Sectional ◽  
Clinical Leadership

Abstract Background Clinical leadership is fundamental in facilitating service improvements in healthcare. Few studies have attempted to understand or model the different approaches to leadership which are used when promoting the uptake and implementation of evidence-based interventions. This research aims to uncover and explain how distributed clinical leadership can be developed and improved to enhance the use of evidence in practice. In doing so, this study examines implementation leadership in orthopaedic surgery to explain leadership as a collective endeavour which cannot be separated from the organisational context. Methods A mixed-method study consisting of longitudinal and cross-sectional interviews and an embedded social network analysis will be performed in six NHS hospitals. A social network analysis will be undertaken in each hospital to uncover the organisational networks, the focal leadership actors and information flows in each organisation. This will be followed by a series of repeated semi-structured interviews, conducted over 4 years, with orthopaedic surgeons and their professional networks. These longitudinal interviews will be supplemented by cross-sectional interviews with the national established surgical leaders. All qualitative data will be analysed using a constructivist grounded theory approach and integrated with the quantitative data. The participant narratives will enrich the social network to uncover the leadership configurations which exist, and how different configurations of leadership are functioning in practice to influence implementation processes and outcomes. Discussion The study findings will facilitate understanding about how and why different configurations of leadership develop and under what organisational conditions and circumstances they are able to flourish. The study will guide the development of leadership interventions that are grounded in the data and aimed at advancing leadership for service improvement in orthopaedics. The strength of the study lies in the combination of multi-component, multi-site, multi-agent methods to examine leadership processes in surgery. The findings may be limited by the practical challenges of longitudinal qualitative data collection, such as ensuring participant retention, which need to be balanced against the theoretical and empirical insights generated through this comprehensive exploration of leadership across and within a range of healthcare organisations.

scholarly journals Rabies prevention and control practice and associated factors among dog owners in Aksum town and Laelay-Machew district, north Ethiopia: community based comparative cross-sectional study

2018 ◽  
Author(s):  
Letebrhan Gebrezgiher ◽  
Gebretsadik Berhe ◽  
Aregawi Gebreyesus Belay ◽  
Alefech Adisu
Keyword(s):  
Prevention And Control ◽  
Cross Sectional Study ◽  
Outcome Variable ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Control Practice ◽  
Dog Owners ◽  
And Control ◽  
Rabies Prevention

AbstractBackgroundRabies is nearly 100% fatal zoonotic disease. One thousand seven hundred suspected rabies exposures reported in north Ethiopia, Tigray region in 2017, which has the highest rabies prevalence from Ethiopia. Almost half of them were from Central zone only. Of these 38% were in Aksum town and Laelay-Machew. Though Rabies exposure is prevalent in Tigray, there is scanty information on rabies prevention and control practices among dog owners. Thus, this deals with rabies prevention and control practice and associated factors among dog owners.Methods and materialsComparative community based cross-sectional study was conducted in Aksum town and Laelay-Machew district from March 01 to 20, 2018. A multi stage sampling was employed to recruit 558 households. Data were collected via structured and pretested questionnaire. Data were entered into Epi_info_7 and then exported to SPSS_20 for analysis. Both descriptive and inferential analysis was done with 95% confidence intervals at p value of 5% for the final model.ResultThe overall prevalence of poor rabies prevention and control practice was 56% [95%CI (50, 61.9)] in urban and 62% [95% CI (57.2, 67.7)] in rural dog owners. In urban; being government employee [AOR (95%CI) = 0.35 (0.13, 0.94)], private employee [AOR (95%CI) =0.39(0.16, 0.97)] and having poor attitude [(AOR (95%CI) =1.84 (1.04, 3.25)] were significantly associated with outcome variable. Whereas in rural dwellers; having no formal education [AOR (95%CI)=6.41(1.1,38.6)], poor attitude [AOR (95%CI)= 2.19 (1.18,4.05)], having one dog [AOR (95%CI)=3.31(1.34,8.15)], travel ≥30 minute to get vaccine [AOR (95%CI)= 4.26 (2.14,8.47]), no history of dog bite exposure [AOR (95%CI)= 4.16(1.49,11.6)] and neighbors as their source of information [AOR (95%CI) =3.64 (1.31,10.1)] have statistical significance with the outcome variable.Conclusion and RecommendationThe prevalence of poor rabies prevention and control practice was higher among rural dog owners. Thus; interventions should be implemented both to urban and rural residents based on the identified findings so as to promote effective rabies prevention and control activities.

scholarly journals (Un)Healthy Lifestyles, Environment, Well-being and Health Capability in Rural Neighbourhoods: A Community-based Cross-sectional Study

2020 ◽  
Author(s):  
Anabela Marisa Azul ◽  
Ricardo Almendra ◽  
Marta Quatorze ◽  
Adriana Loureiro ◽  
Flávio Reis ◽  
...  
Keyword(s):  
Mixed Method ◽  
Rural Areas ◽  
Well Being ◽  
Cross Sectional Study ◽  
P Value ◽  
Community Based ◽  
Cross Sectional ◽  
Health Loss ◽  
Mixed Method Design ◽  
Health And Well Being

Abstract Background: Non-communicable diseases (NCDs) are a leading cause of health loss worldwide, in part due to unhealthy lifestyles. Metabolic-based diseases are rising with an unhealthy body-mass index (BMI) in rural areas as the main risk factor in adults. Health loss risks in rural areas may be amplified by wider determinants such as socio-demography and surrounding environments. We assessed weather (un)healthy lifestyles and environment in rural neighbourhoods are reflected into metabolic risks and health capability, and how community circumstances may impact the self-ability for making balanced decisions.Methods: We conducted a community-based cross-sectional study in fifteen Portuguese rural neighbourhoods (with high ageing index and high illiteracy) to describe individuals’ health functioning condition and to characterize the community environment. We followed a qualitatively driven mixed-method design, using a healthy lifestyle assessment toolkit, to gather evidence-based data and lifestyles (incorporated in eVida technology), within a random sample of 270 individuals; and 107 in-depth interviews to determine whether environment influence the capability for improving or pursuing heath and well-being.Results: Men showed to have a 75% higher probability of being overweight than women (p-value=0.0954); and the reporting of health loss risks was higher in women (RR: 1.48; p-value=0.122), individuals with larger waist circumference (RR: 2.21; IC: 1.19; 4.27), overweight and obesity (RR: 1.38; p-value=0.293) and participants aged over 75 years (RR: 1.78; p-value= 0.235; when compared with participants under 40 years old). Metabolic risks were more associated to BMI and physical activity than diet (or sleeping habits); participants strongly evidenced the adherence to a Mediterranean dietary pattern. From the interviews, we identified seven environmental circumstances reflecting health needs, health expectations and health capability: economic development, built environment, social network, health care, demography, active lifestyles, and mobility. And, while the starting point of the interview addressed community needs, participants expressed the value of natural environment in their neighbourhood as the main positive effect to pursuing health and well-being, with particular emphasis to lower exposure to air / noise pollution, daily routines linked to nature or land use, and diversity of nature experiences.Conclusions: Our qualitatively driven mixed-method design, involving the community, uncovers environment contextual-dependent circumstances influencing the ability of individuals to pursue healthy habits. The active participation of local representatives, with its degrees of negotiation and flexibility, contributed to adapt the health-related messages. The co-benefits from this co-designing community program advance the evidence to support academy-community driven interventions for pushing health and well-being at a broader social, health care and (natural) environment agenda in rural neighbourhoods.

scholarly journals Health Problems of the Geriatric People: A Community Based Study in a Rural Area in Bangladesh

1970 ◽  
Vol 16 (1) ◽  
pp. 15-19
Author(s):  
Md Jawadul Haque ◽  
Md Rafiqul Alam
Keyword(s):  
Educational Status ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Control Measures ◽  
Community Based ◽  
Cross Sectional ◽  
Rural Villages ◽  
Good Relation ◽  
And Control ◽  
Relationship Of

A community based cross-sectional study among the geriatric people i.e. 60 years and aboveage group was carried out in the rural villages of Rangpur district with a view to find out theircommon health problems and the relationship between the health problems and some of theirsocio-economical factors. A total of 1000 geriatric people were interviewed. Among them 73.6%were male and 26.4% were female, majority of them (47.8%) were in the age group 60-64 yearsand about 30% of them were smokers. About 86% of the respondents were suffering from eithera disease or diseases at the time of Interview. The most common diseases suffered by themwere arthritis, diarrhoea, hyperacidity and peptic ulcerative diseases, bronchitis, asthma,hypertension, cataract, dental caries, skin disease, diabetes mellitus, hydrocele, etc.A positive relationship of disease prevalence was found with educational status (p< .001),economical status (p<.01) and dependency states (p< .001) of the respondents. Statisticallysignificant relationship was found between dependency state and mental state of therespondents (p< .001). Good relation with other members of the family was found more inindependent group (p< .001). This study might provide information to formulate effectivepreventive and control measures for health problems of the aged.doi: 10.3329/taj.v16i1.3896TAJ June 2003; Vol.16(1): 15-19

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