scholarly journals Late ART Initiation among adult HIV patients at university of Gondar Hospital, NorthWest Ethiopia

2019 ◽  
Vol 19 (3) ◽  
pp. 2324-2334
Author(s):  
Degefaye Zelalem Anlay ◽  
Bewket Tadesse Tiruneh

Introduction: Late initiation of anti-retroviral therapy (ART) is associated with low immunologic response, increase morbidity, mortality and hospitalization. Therefore, this study aimed to assess the prevalence and factors associated with late ART initiation among adult HIV patients in NorthWest Ethiopia.Methods: Retrospective cross-sectional study was conducted among 412 HIV patients who started ART between January/2009 and December/2014. Simple random sampling technique was used to select patient records. Data were collected by using pretested and structured extraction tool. Binary logistic regression model was fitted to identify factors associated with late ART initiation.Result: A total of 410 participants were included for analysis after excluding 2 participants with incomplete data. The prevalence of late ART initiation was 67.3%. Age between 35-44 years(AOR=3.85; 95%CI:1.68-8.82), duration between testing and enrollment to care<1year (AOR=2.19;95%CI:1.30-3.69), secondary education (AOR=2.59; 95%CI 1.36-4.94), teritary education(AOR=3.28; 95%CI 1.25-8.64), being unmarried(AOR=1.88; 95%CI 1.13-3.03), bedridden and ambulatory patients (AOR=4.68 95%CI:1.49-14.68), other medication use before ART initiation(AOR=2.18; 95%CI 1.07-4.44), starting ART between 2009-2010 (AOR=5.94; 95%CI 2.74-12.87) and 2011-2012(AOR=2.80; 95%CI 1.31-5.96) were significantly associated with late ART initation at p-value <0.05.Conclusion: The prevalence of late ART initiation was high. Strengthening the mechanisms of early HIV testing and linkage to care are recommended to initiate treatment earlier.Keywords: Associated factors, Late ART initiation, Ethiopia.

2021 ◽  
pp. 624-629
Author(s):  
Lilis Suryani ◽  
Ricky Kurniawan ◽  
Agni Laili Perdani

Patient safety is a significant global health problem and a top priority for incidents prevention. Data revealed that the patient safety goals’ average implementation was only 33.5%, far away from the 100% target. The compliance of hand hygiene among nurses, meanwhile, was only 28.6%. This study aims to analyze factors associated with the implementation of patient safety goals among nurses at X Hospital Karawang. A cross-sectional approach with a simple random sampling technique was implemented in this study. A total of 117 nurses in the inpatient room were recruited in this study. A significant relationship showed knowledge, supervision, motivation, and the implementation of patient safety goals (p-value < 0.05). Supervision from the head nurse is the most associated factor. By improving the quality of Supervision, will influence the application of patient safety goals; therefore, that a patient safety culture is created and achieved well. recommend to define clearly the significant of patient safety and what kind of indicators we can use to measure this? and evaluate qualitatively (not using percetange) to indicate the extent to which patient safety is applied.   Keywords: patient safety goals, Supervision, knowledge, motivati


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tariku Gebre Haile ◽  
Eshetu Haileselassie Engeda ◽  
Abdella Amano Abdo

Background. In many studies, compliance with standard precautions among healthcare workers was reported to be inadequate.Objective.The aim of this study was to assess compliance with standard precautions and associated factors among healthcare workers in northwest Ethiopia.Methods.An institution-based cross-sectional study was conducted from March 01 to April 30, 2014. Simple random sampling technique was used to select participants. Data were entered into Epi info 3.5.1 and were exported to SPSS version 20.0 for statistical analysis. Multivariate logistic regression analyses were computed and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.Results.The proportion of healthcare workers who always comply with standard precautions was found to be 12%. Being a female healthcare worker (AOR [95% CI] 2.18 [1.12–4.23]), higher infection risk perception (AOR [95% CI] 3.46 [1.67–7.18]), training on standard precautions (AOR [95% CI] 2.90 [1.20–7.02]), accessibility of personal protective equipment (AOR [95% CI] 2.87 [1.41–5.86]), and management support (AOR [95% CI] 2.23 [1.11–4.53]) were found to be statistically significant.Conclusion and Recommendation.Compliance with standard precautions among the healthcare workers is very low. Interventions which include training of healthcare workers on standard precautions and consistent management support are recommended.


2021 ◽  
Vol 4 (1) ◽  
pp. 29-37
Author(s):  
Sitti Marya Ulva ◽  
Sinar Jannah

The percentage of families in Lapulu Village that had healthy latrines was 64,84% who met the health requirements and 35,16% who did not meet the health requirements in 2019. This shows that the ownership of healthy latrines is still lower than the national achievement. This study aims to determine the factors associated with low ownership of healthy latrines in the coastal areas of Lapulu Village, Kendari City. The research design was observational, with a cross-sectional approach. The population in this study was 437 respondents, while the study sample was 209 respondents. The sampling technique used was proportional random sampling technique. The analysis were performed using the Chi-Square test. The results of statistical tests with chi-square obtained the value of land availability (p-value=0,000), knowledge (p-value=0,031), and income (p-value=0,000). It can be concluded that there is a relationship between land availability, knowledge, and income levels associated with low ownership of healthy latrines in the tidal area of ​​Lapulu Village, Kendari City. Therefore, it is hoped that the community and local government will establish this inter sector collaboration with related agencies to increase community ownership of healthy latrines.


2020 ◽  
Vol 9 (1) ◽  
pp. 111-118
Author(s):  
Lumastari Ajeng Wijayanti ◽  
Eny Sendra ◽  
Ratih Novitasari ◽  
Tanti Dwi Pujaningsih

This research used cross sectional design. The population was 194 respondents and the sample was 54 respondents which are taken by using simple random sampling technique. Independent variable in this research was demographic status that was measured by questionnaire and nutritional status that was measured based on Body Mass Index (BMI). Meanwhile, dependent variable in this research was the occurrence of anemia that was measured by using spectrophotometry. Data analysis used Fisher's Exact test and Two-Sample Kolmogorov-Smirnov test (α = 0,05). Result of Fisher's Exact test was obtained that p value = 1,000 > 0,05, which meant that there was no significant correlation between demographic status and the occurrence of anemia. Meanwhile, result of Two-Sample Kolmogorov-Smirnov test was obtained that p value = 0,017 < 0,05, which meant that there was a significant correlation between nutritional status and the occurrence of anemia.


Author(s):  
Ulva Noviana

Sibling rivalry is the natural jealousy or dislike feeling of a children to a new child in the family. Preliminary study result obtained 6 (60%) children have sibling rivalry. The purpose of the study was to analyze the relationship of parent role in anticipatory guidance sibling rivalry and emotional intelligence with sibling rivalry incident in preschooler. The design of this research is correlational analytic with cross sectional approach. The independent variable is the parent role in the anticipatory guidance sibling rivalry and emotional intelligence, while the dependent variable is sibling rivalry. The unit of analysis of this study is preschool children who have younger siblings, and the source of information is parents, the sample of 37 children with simple random sampling technique. The data collected from these three research variables used questionnaires. The statistical test using spearman rank with α (0,05). The result of the statistical test shows the value of p value with the alpha significance level α (0,05), mean value of p value < α, so H0 is rejected and H1 accepted, it means there is relation of parent role in anticipatory guidance sibling rivalry and emotional intelligence with incident sibling rivalry preschooler. The results of this study is expected parents can perform its role in anticipatory sibling rivalry and improve the emotional intelligence of children to avoid sibling rivalry between siblings


1970 ◽  
Vol 7 (1) ◽  
pp. 62-65
Author(s):  
Muhammad Faisal Qureshi ◽  
Aneeta Rathore ◽  
Nandlal Seerani ◽  
Sumera Qureshi ◽  
Bisharat Faisal ◽  
...  

Background: Children's health is very important for their better learning and timely nourishment everywhere in the world. Malnutrition among school going children has remained a big challenge in under developed countries. Methods: Cross-sectional study was conducted among 422 children of four Government Primary schools of Qasimabad, district Hyderabad after taking the proper consent and administration approval from the head of school. Multi stage simple random sampling technique was adopted. Study was approved from Institutional review board of Health Services Academy Islamabad. Results: Out of total, 217 (51.4%) were boys and 205 (48.6%) were girls. Mean Height of boys and girls were 128.09 cm (±SD 12.90) and 130.36 cm (±SD 12.50) respectively. Mean Weight of boys was 25.27 Kgs (±SD 6.17) while in girls mean Weight was 26.83 Kgs (±SD 7.03). 17.57 cm (±SD 2.34) was mean MUAC for all participants and mean BMI was 15.42 (±SD 2.02). Prevalent of stunting and wasting were 24.4% and 18.3% respectively. While in 13.7% thinness (BMI for age) was seen. Stunting was statistically significant in girls 9-10 year (p value=.015, CI: .118-.823, OR=.311) and 11-≥12 years (p value=.018, CI: .215-.874, OR=.434). Pallor was more in girls (17%) and Dental caries were higher in boys (20.8%). Insufficient breakfast was done by 347 (82.2%), whereas 75 (17.8%) were doing sufficient breakfast. 341 (80.8%) students became ill during last year, out of that 80 (19%) were having history of hospitalization. Conclusion: Poor polices and lack of food aid interventions regarding health of primary school going children was assessed during this study.


2020 ◽  
Vol 202 ◽  
pp. 12018
Author(s):  
Iwan Suryadi ◽  
Istar Yuliadi ◽  
Seviana Rinawati ◽  
Siti Rachmawati ◽  
Bekti Nugraheni

Terminal workers work with physical load activities every day and are in a hot work climate, which has the potential to experience status disturbances, potentially resulting in hydration problems. The purpose of the study was to analyze the relationship between Heat stress and Physical Workload and Hydration Status of Tirtonadi Bus StationWorkers in Surakarta. research design using observational analytic with a cross-sectional approach. A sample of 48 people was taken by simple random sampling technique. Heat stress is measured by heat stress area, physical workload with SNI 726/2009, and hydration status by urine specific gravity examination. the average heat stress measurement results amounted to 34.75 ° C. the correlation between independent and dependent variables shows there is a significant relationship between heat stress and physical workload with hydration status with p-value = 0,000 and r = -0,799, and p-value = 0.028 and r = 0.317. Conclusion: There is a significant correlation between heat stress and hydration status, and there is a significant correlation between physical workload and the hydration status of workers at the Tirtonadi Surakata Terminal.


2017 ◽  
Vol 16 (1) ◽  
pp. 17 ◽  
Author(s):  
Aria Gusti

Judul : Faktor-Faktor Yang Berhubungan Dengan Gejala Neurotoksik Akibat Paparan Pestisida Pada Petani Sayuran Di Kenagarian Alahan Panjang Kabupaten SolokLatar belakang: Sekitar 60% petani penyempro sayur di Kanagarian Alahan Panjang mempunyai riwayat gejala neurotoksik.. Penelitian ini bertujuan untuk mengkaji faktor-faktor yang berhubungan dengan gejala gangguan syaraf pada petani penyemprot yang menggunakan pestisida di Kanagarian Alahan Panjang Kabupaten Solok.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional. Subyek penelitian sebanyak 75 responden. Penarikan sampel dilakukan secara random. Variabel yang dikaji dalam penelitian ini meliputi jenis pestisida, komposisi pestisida, pemakaian alat pelindung diri, dan gejala neurotoksik. Instrument penelitian menggunakan kuesioner Q18 versi Jerman. Analisis data menggunakan uji Chi-square pada taraf signifikasi 5%.Hasil: Hasil penelitian menunjukkan sebanyak 62,7% petani penyemprot sayuran pernah mengalami gejala neurotoksik. Hasil analisis statistik menunjukkan ada hubungan signifikan antara jumlah dan komposisi pestisida yang digunakan dengan gangguan neurotoksik pada petani sayuran (p-value <0,05). Sedang kebiasaan pemakaian alat pelindung diri tidak berpengaruh terhadap kejadian gangguan neorotoksin.  Simpulan: Jumlah dan komposisis pestisida berhubungan dengan gangguan neurotoksik pada petani sayuran di Kanagarian Alahan Kabupaten Solok. Petani sayur disarankan untuk memperhatian komposis pestidian dan tidak menggunakan secara berlebihan dalam menyemprot sayuran. AbstractTitle: Factors related with neurotoxic symptoms on pesticides exposed vegetable farmer in Kanagarian Alahan Panjang, Solok DistrictBackground: Around 60% of vegetable farmer sprayer in Kenagarian Alahan Panjang have experienced of the neurotoxic symptoms. The purpose of this study was to determine factors associated with neurotoxic symptoms on vegetable farmer sprayer with pesticide in Kenagarian Alahan Panjang Solok District in 2016. Method: Type of this research was quantitative using cross-sectional design. The sample were 75 respondents. Sampling using simple random sampling technique. Processing data using univariate and bivariate analysis with chi-square test. Results: The result of this research showed (62,7%) vegetable farmer sprayer have experienced of the neurotoxic symptoms. Bivariate analysis showed there were significant relationship (p<0,05) between pesticide composition and amount of pesticide with neurotoxic symptoms. There was no significant relationship between use of personal protective equipment with neurotoxic symptoms. Conclusion: The number and compostion of pesticides were factors which had associated significantly with neurotoxic symptoms. It was suggested to vegetable farmers to change organofosfat pesticide which was not dangerous to health like faction of pyrethroids. Vegetable farmers were suggested to use appliance protector of X’self completely when activity of mixing and application of pesticide.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Melash Belachew Asresie ◽  
Gizachew Worku Dagnew

Abstract Background Institutional delivery is the cornerstone reducing maternal mortality. Community-based behavioral change interventions are increasing institutional delivery in developing countries. Yet, there is a dearth of information on the effect of attending pregnant women’s conferences in improving institutional delivery in Ethiopian. Therefore, this study was aimed to assess the effect of attending pregnant women’s conference on institutional delivery, Northwest Ethiopia. Methods Community-based comparative cross-sectional study was conducted in 2017 among 871 women who gave birth within the last 12 months (435: pregnant women’s conference attendants and 436: pregnant women’s conference non-attendants). Participants were selected by using a multistage-simple random sampling technique and a structured interviewer-administered questionnaire was used for data collection. Both descriptive and logistic regression analyses were performed using SPSS V.23. A P-value less than or equal to 0.05 at 95% confidence interval was set to test statistical significance. Results Institutional delivery among women who attended pregnant women’s conferences was 54.3%, higher compared with 39.9% of women who didn’t attend the conference. Likewise, the level of well-preparedness for birth was higher among women who attended the conference (38.9%) compared with their counterparts (25.7%). Being knowledgeable on childbirth (AOR = 1.7, 95%CI: 1.2, 2.8) and postpartum danger signs (AOR = 14.0, 95%CI: 4.6, 40.0), and discussed with partners/families about the place of birth (AOR = 7.7, 95%CI: 3.6, 16.4) were more likely to institutional delivery among women who attended pregnant women’s conference. Whereas, among women who didn’t attend the pregnant women’s conference, being knowledgeable about pregnancy danger signs (AOR = 3.6, 95%CI: 1.6, 8.1) were more likely to institutional delivery. In addition, the nearest health facility within 1 h of walking and well-preparedness for birth and its complication were found positively associated with institutional delivery in both groups. Conclusion Institutional delivery was low in both groups compared to the national plan, but was higher among women who attended the conference. Similarly, women’s knowledge of obstetric danger signs and preparation for birth and its complication was higher among women who attended the conference. Therefore, encouraging women to attend the pregnant women’s conference and discuss with their families about the place of delivery should be strengthened.


Author(s):  
Noor Dharmarha ◽  
Anuradha Konda

Background: Present study highlights that the worldwide trend of declining age at menarche is also seen in urban Indian girls. The aim of the study was to evaluate the age of menarche and to find out the factors associated with the timing of menarche.Methods: The study was an observational cross sectional study. 258 healthy, menstruating, adolescent girls aged 10-16 years, were selected by simple random sampling. Pre-designed structured questionnaires were distributed after taking informed consent. Anthropometric measurements were taken using standard techniques. The average age of menarche was calculated. The association of the age at menarche with the proposed factors was analyzed using chi square test and Pearson’s correlation coefficient. “P value” less than 0.05 was considered as significant.Results: The mean age at menarche was found to be 12.23±1.09 years. The study found a strong association between the respondent’s age at menarche and her sister’s age at menarche (p=0.002). The study also found a strong association between age at menarche and the socioeconomic status (p=0.021). This study however found no association of menarcheal age with factors like birth weight, type of diet, frequency of milk intake, body mass index, waist hip ratio, amount of exercise, unstable environment at home and psychosocial stress.Conclusions: The worldwide trend of declining age at menarche is also seen in urban Indian girls. This trend underlines the importance of investigating the factors associated with it and studying the future implications of a lower age at menarche.


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