scholarly journals Prevalence and Management of Perceived Adverse Events Following Immunization in Infants attending Well Baby Clinics in Benin City, Nigeria

2020 ◽  
Vol 32 (2) ◽  
pp. 57-67
Author(s):  
V.Y. Adam ◽  
E.D. Onowugbeda ◽  
O.I. Osuji ◽  
O.D. Omohwovo
Keyword(s):  
Adverse Events ◽  
Significant Proportion ◽  
Public Health Intervention ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Vaccine Preventable Diseases ◽  
Benin City ◽  
Almost All

Background: Immunization is an important public health intervention for vaccine-preventable diseases (VPDs). However, adverse events may follow immunization of infants. This study determined the prevalence and management of Adverse Events following Immunization (AEFI) reported by caregivers of infants in Well-Baby Clinics in Benin City, Nigeria.Methods: The study was carried out in 2015 among 400 caregivers of infants attending Well- Baby Clinics in Benin City, Nigeria. A descriptive cross-sectional study design was utilized. Respondents were selected using a systematic sampling technique. An adapted structured interviewer-administered questionnaire was used to collect data. Data analysis was done using IBM SPSS version 20.0.Results: Less than half, 169 (42.3%) of the caregivers stated that their children had AEFI. Three-quarters 126 (74.6%) and 68 (40.2%) of the AEFI occurred following vaccination with Bacillus Calmette-Guerin and pentavalent vaccine. Fever and swelling of the injection sites occurred in 142 (84.0%) and 65 (38.5%) of the children, respectively. Almost all 167 (98.8%) of the respondents reported an AEFI. Few of those who reported an AEFI, 13 (7.8%) had their children hospitalized.Conclusion: A significant proportion of children vaccinated experienced side effects perceived to be AEFI that presented mainly as fever and swollen injection sites which were mainly reported at the immunization clinic. Few of the reported cases of AEFI were hospitalized. Healthcare workers should continue to educate and reassure caregivers of infants of the symptoms and signs that may occur following vaccination and how they can be managed. Keywords: Adverse Events Following Immunization; Infants; Management; Prevalence; Nigeria.

scholarly journals Pulmonary Function Tests in Hypertensive Patients Attending Zewditu Memorial Hospital, Addis Ababa, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Mekuriaw Mesfin Birhan ◽  
Yekoye Abebe
Keyword(s):  
Pulmonary Function ◽  
Addis Ababa ◽  
Pulmonary Function Tests ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Memorial Hospital ◽  
Systematic Sampling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients

Background. Hypertension imposes stresses on many organs like heart and kidney. However, studies that show the effect of hypertension on the lungs are limited. Objective. To assess pulmonary function status of hypertensive patients aged 30-64 years at Zewditu Memorial Hospital, 2017. Methods. Hospital based comparative cross-sectional study was conducted on 61 hypertensive patients (cases) and 61 nonhypertensive clients (controls) aged 30-64 years. Computerized spirometry was done in all cases and controls which were selected by systematic sampling technique. The study was conducted from January 20, 2017, to May 25, 2017. Result. The values of FVC, FEV1, and FEF25-75% were 3.52±1.02 liters, 2.97±0.89 liters, and 3.34±1.3 liters/second in hypertensive patients and 4.31±0.82 liters, 3.54±0.7 liters, and 3.94±1.09 liters/second in controls, respectively. These values were significantly lower (p<0.05) in hypertensive patients compared to controls. Restrictive pulmonary defect was dominant in hypertensive patients. FEV1% which was 85%±7% in hypertensive patients and 82%±5% in controls was significantly higher (p<0.05) in hypertensive patients compared to controls. Conclusion. Hypertensive patients exhibit lower pulmonary function values. Routine check-up of the pulmonary function status of such patients should be done to prevent undesired outcomes.

scholarly journals PROPORTION OF EARLY ANTENATAL CARE BOOKING AND ASSOCIATED FACTORS IN MEKELLE CITY, PUBLIC HEALTH INSTITUTIONS, NORTHERN ETHIOPIA, 2015

2018 ◽  
Vol 11 (4) ◽  
pp. 409
Author(s):  
Gebreamlak Gidey ◽  
Desta Abraha
Keyword(s):  
Antenatal Care ◽  
Associated Factors ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
World Health ◽  
Systematic Sampling ◽  
Northern Ethiopia ◽  
Cross Sectional ◽  
Mekelle City

 Objective: The objective of this study was to assess the proportion and associated factors for early initiation of antenatal care visit in Mekelle City, Tigray, Northern Ethiopia, 2015.Method: An institution-based cross-sectional study was employed among 391 pregnant women’s in Mekelle special zone. A systematic sampling technique was used to select study participants. Pretested structured questionnaire was used to collect the data through interview. Data were entered into EPI info version 7 and analyzed using SPSS version 20, respectively. Bivariate and multivariate logistic regression was done to see significant variables with p<0.05 at 95% confidence interval (CI).Result: The proportion of pregnant women who initiate early antenatal care (ANC) visit was found to be 41.1%. Perceived correct time of initiation before 4 months (adjusted odds ratio [AOR]=3.261, 95% CI 1.391–7.645) and correct time told by others before 4 months with (AOR=6.617, 95% CI 2.580, 16.971) were found to have statistically significant positive outcomes association with early initiation of antenatal care visit.Conclusion: The proportion of early ANC initiation in Mekelle is lower than the World Health Organization recommendation which is <16 weeks gestation. Therefore, providing information to the community, initiation counseling, and providing health education on the benefits early ANC is crucial to improving maternal, neonatal, and child health outcomes.

scholarly journals Complementary Feeding Practices of Nepali mothers for 6 months to 24 months children.

2013 ◽  
Vol 52 (191) ◽  
Author(s):  
Ram Hari Chapagain
Keyword(s):  
Breast Feeding ◽  
Complementary Feeding ◽  
Sampling Technique ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Child Feeding ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Young Child Feeding

Introduction: Lack of knowledge and proper feeding practices contribute to higher childhood morbidity and mortality. The aim of the study wasto evaluate the mother’s knowledge and practices in terms of quantity, quality and timing of complementary feeding in infant and young child.Methods: A hospital based cross-sectional study was conducted between June, 2010 to October, 2011, at Kanti Children's Hospital, Nepal, involving 1100 mothers of children from 6 to 24 months of age who attended outpatient department of this hospital, applying systematic sampling technique using semi-structured questionnaire.Results: Eighty-seven percent of mothers had knowledge about the duration of exclusive breast feeding but only 33.0% practiced it and 21.0% breast fed their children up to 3 months. Eighty-seven percent of mothers knew when to start complementary feeding and 53.27% of mothers used the marketed weaning food. lito alone was offered by 28.27% as complementary food. Though 36.6% had proper knowledge of frequency of complementary feeding, only 33.27% were actually practicing it and 9.9% were offering more frequent thanrecommended. About half of the mothers fed their child with the food of appropriate consistency and 66.0% fed with the appropriate amount. But only 15.82% mothers fed their children with ideal frequency, sufficient amount and ideal quality.Conclusions: There was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of ideal complementary feeding. Rate of exclusive breast feeding was on declining trend._______________________________________________________________________________________Keywords: complementary feeding; exclusive breast feeding; infant and young child feeding; ideal feeding._______________________________________________________________________________________

scholarly journals Sexual Violence and Consequences of Unintended Pregnancy among the Street Based Sex Workers in Nepal

2017 ◽  
Vol 25 (1-2) ◽  
pp. 62-75
Author(s):  
Rita Karki
Keyword(s):  
Sexual Violence ◽  
Unintended Pregnancy ◽  
Sex Workers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Unprotected Sex ◽  
Snowball Sampling ◽  
Risk Area ◽  
Cross Sectional ◽  
Almost All

Unintended pregnancy, concerning particularly in street based female sex workers (SFSWs) who solicit in streets or public places for sex, is closely associated with sexual relation involuntarily and often unwillingly. It seriously challenges in physical, mental, social and economic wellbeing hazardously. The aim of the study is to explore the sexual violence, use of contraception and events and consequences of unintended pregnancy, the study of which is lacking up to the present time in Nepal. A cross-sectional study is conducted using mixed method consisting of questionnaire-based survey with 110 SFSWs along with case studies and observations. Respondents are identified by using snowball sampling technique. The findings are presented descriptively after arranging in different themes. Results show that almost all the SFSWs had experienced sexual violence at least once after involving in sex trade; 74 percent had threatening experience and 87 percent induced abortion among the unintended pregnancy from clients. The results indicate that the forced prostitution and threatening experience to follow clients' interest and unprotected sex are significantly hazardous for SFSWs' overall health. High prevalence of sexual violence and unintended pregnancy result in poor health outcomes for SFSWs. Assuring the sexual health and life safety of SFSWs from group sexual violence is another risk area for further exploration.

scholarly journals Immunization coverage under universal immunization programme in Kozhikode district, Kerala

2019 ◽  
Vol 6 (9) ◽  
pp. 3667
Author(s):  
Sreedevi C.
Keyword(s):  
Immunization Coverage ◽  
Sampling Technique ◽  
Cost Effective ◽  
Dropout Rate ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Vaccine Preventable Diseases ◽  
Immunization Programme ◽  
Multi Stage

Background: Immunization is an important cost effective tool for preventing the morbidities and mortalities caused by vaccine preventable diseases. The objectives of this study were to assess the universal immunization programme coverage of children of 12–23 months of age in Kozhikode district and to study the factors associated with immunization coverage.Methods: A cross sectional study was conducted in 30 randomly selected electoral wards of Kozhikode district which were selected using multi stage cluster sampling technique during April 2013 to May 2014.Results: 469 children were studied from 30 clusters. 75.5% was fully immunized while 1.5% was unimmunized. Dropout rate for DPT 3 to Measles was the highest accounting to 20.2%. Most common reason for failure of immunization among unimmunized was that the parents didn’t feel the need (57.1%) and for partially immunized was the illness of the child (27.8%) followed by lack of awareness of the time of immunization (22.2%). Religion, early age of the mother at marriage and first delivery and high birth order were significantly associated with a higher proportion of partially immunized while higher education of the parents (>12th standard), health worker’s home visit in the first year of the child and presence of immunization card were significantly associated with a high full immunization coverage (p<0.05).Conclusions: Immunization coverage of 75.5% is far behind the target to be achieved. 1.5% of the children didn’t get any of the vaccinations. It is very important to increases the coverage to prevent the re-emergence of vaccine preventable diseases.

scholarly journals Patients’ satisfaction with outpatient pharmacy services and associated factors in Debre Tabor comprehensive specialized hospital, Northwest Ethiopia: A cross-sectional study

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262300
Author(s):  
Mulugeta Molla ◽  
Woretaw Sisay ◽  
Yared Andargie ◽  
Belayneh Kefale ◽  
Pradeep Singh
Keyword(s):  
Associated Factors ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Public Hospitals ◽  
Systematic Sampling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Negatively Associated ◽  
Patients Satisfaction

Introduction By measuring patients’ satisfaction, providers can gain insight into several elements of health care services, including the effectiveness of their care and the level of empathy they exhibit. The aim of this study was to assess patient satisfaction with pharmaceutical services and associated factors in public hospitals located in Northwestern Ethiopia. Methods An institution-based quantitative cross-sectional study was used. The study was carried out in an outpatient pharmacy from January 1–June 30, 2021. Participants were selected by a systematic sampling technique. The IBM SPSS statistical package (version 23) was used to enter and analyze the collected data. The findings were presented using descriptive statistical methods. To find factors linked to satisfaction, binary logistic regression was used. Results The final analysis included a total of 401 samples. More than half of the participants (229, or 55.1%) were female. The overall mean score of satisfaction was 30.6 out of a maximum of 100 scores. By taking this mean score as a cut-off point, 204 (50.9%) of the study participants had satisfaction with the outpatient pharmacists’ service. Participants’ responses scored on the uncomfortable and inconvenient waiting areas [AOR = 0.31; 95%CI, (0.13, 0.49)] were found to be negatively associated with the level of patients’ satisfaction. Also, the unavailability of medications [AOR = 0.12; 95%CI, (0.02, 0.37)] was negatively associated with the respondent satisfaction. Uncomfortable and inconvenient private counseling areas [AOR = 1.37; 95%CI, (0.79, 4.42)] showed a negative association with their satisfaction. Conclusion Patients’ satisfaction levels with pharmacy service were found to be greater than 50%. The socio-demographic characteristics of patients have no association with their level of satisfaction, but their perception of uncomfortable private counseling areas and waiting areas was negatively associated with their satisfaction.

scholarly journals The burden and underlying determinants of under nutrition among under five year children in Gurage Zone

2019 ◽  
Vol 10 (4) ◽  
pp. 66-72
Author(s):  
Andamlak Dendir Egata ◽  
Abdusemd Worku Nida
Keyword(s):  
Food Insecurity ◽  
Breast Feeding ◽  
Study Participant ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Logistic Regressions

Background: Malnutrition is one of the most common causes of morbidity and mortality in children under the age of five year. However, in Gurage zone information about the prevalence and associated factors of malnutrition still limited. Aims and Objectives: The major objective of this study was assessing the burden and determinants of malnutrition among under five children. Materials and Methods: A community based cross-sectional study design was applied from December 25, 2016 to April 25, 2017. A total of 1040 eligible mothers were interviewed using structured interviewer administered questionnaires by trained data collectors working in pediatrics ward. Through systematic sampling technique study participant were included in the study. To test the existence of statistical relationship between independent and dependent variables multiple logistic regressions analysis was used. Results: The prevalence of malnutrition among study children was 38.8%. Logistic regressions analysis result indicated that Unimproved sanitation [AOR 1.58 (95% CI 1.13-2.2)], food insecurity [AOR 2.06 (CI 3.49-3.33)], maternal disempowerment [AOR 4.1(CI 2.69-6.24)], inadequate frequency of exclusive breast feeding [AOR 1.9 (95% CI 1.176-3.357]. showed a significant association with malnutrition. Conclusion: The prevalence of malnutrition among under five year children living in Gurage zone was 38.8%. It was associated with utilization of unimproved sanitation, maternal disempowerment, food insecurity. Hence to abort the problem, it is better to enhance house hold food security, exclusive breast feeding, maternal empowerment and utilization of improved sanitation.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ACNE VULGARIS (JERAWAT) PADA REMAJA DI SMK TARUNA PEKANBARU TAHUN 2014

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
HASTUTI MARLINA ◽  
HETTY ISMAINAR
Keyword(s):  
Acne Vulgaris ◽  
Sampling Technique ◽  
Skin Condition ◽  
Cross Sectional Study ◽  
Chronic Inflammatory Disease ◽  
Systematic Sampling ◽  
Measuring Instruments ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional

Acne vulgaris is a chronic inflammatory disease of the follicles pilosebaseous, characterized by comedones, papules, pustules, and nodules.The main causes of acne as yet known with certainty, but there is strong suspicion is a multifactorial disease, including heredity, hormonal balance, diet, skin condition and hygiene. Acne is a skin disease that is often found in adolescents by (85%).. Based on the results of the survey in 5 SMK Pekanbaru on class X , obtained the highest number of cases of acne that is in SMK Taruna Pekanbaru many as 113people. This study aims to determine the factors associated with the incidence of acne vulgaris in adolescents in SMK Taruna Pekanbaru 2014. The research is quantitative cross-sectional study research design that was held on 5-9 May 2014, in SMK Taruna Pekanbaru. The population this is the entire student SMK Taruna Pekanbaru class X at 302 people, and obtained a large sample of 117people, with rendom systematic sampling technique using a questionnaire measuring instruments. Data analiysis of univariate and bivariate using chi square test.The results showed that there is a relationship of knowledge obtainable, (p value = 0,006 dan POR = 3,06, 95%CI : 1,43-6,75), foods that can emergence the onset of acne obtainable (p value = 0,009 and POR = 2,88, 95%CI : 1,35-6,14, the frequency of facial wash (cleaning) obtainable (p value = 0,009 and POR = 2,88, 95%CI : 1,35-6,14) and the condition of facial skin obtainable (p value = 0,005, POR = 3,12 , 95%CI : 1,46-6,68) with incidence of acne vulgaris. It is recommended for adolescents to avoid foods that can emergence the onset of acne, skin treatment to reduce excess oil production by applying frequency facial wash (cleaning) on a regular basis.

scholarly journals Patient-Related Factors Influencing Satisfaction in the Patient-Doctor Encounters at the General Outpatient Clinic of the University of Calabar Teaching Hospital, Calabar, Nigeria

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Ndifreke E. Udonwa ◽  
Udoezuo K. Ogbonna
Keyword(s):  
Cultural Context ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Related Factors ◽  
Consultation Process ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Patients Satisfaction ◽  
Patient’S Perception

Medical consultation is at the centre of clinical practice. Satisfaction of a patient with this process is a major determinant of the clinical outcome. This study sought to determine the proportion of patients who were satisfied with their doctor-patient encounter and the patient-related factors that affected patients’ satisfaction with the consultation process. A clinic-based, cross-sectional study using a modified version of the General Practice Assessment Questionnaire (GPAQ), which employed a systematic sampling technique, was used. The questionnaires were administered on 430 patients within the ages of 18 years and 65 years. Among the 430 subjects within the ages of 18 years and 65 years studied, 200 (46.5%) were males and 230 (53.5%) were females. Only 59.3% were satisfied with their patient-doctor encounter. The patient’s perception of time spent in the consultation, illness understanding after the visit, ability to cope with the illness after the visit, and ability to maintain health after visit were the only factors that affected patient’s satisfaction with the consultation. In our environment, nonsatisfaction with the patient-doctor encounter is high. Only few factors considered to encourage a patients satisfaction at primary care consultation contributed to end-of-consultation satisfaction. This calls for refocusing so as to improve the overall patient care in our cultural context and meet the patient needs in our environment.

scholarly journals FREQUENCY OF EARLY POST-ERCP ADVERSE EVENTS IN BOTH DIAGNOSTIC AND THERAPEUTIC PROCEDURES

2018 ◽  
Vol 16 (2) ◽  
pp. 43-45
Author(s):  
Dure Nayab ◽  
Sana Ara Akhtar ◽  
Sher Rehman ◽  
Hafsa Habib
Keyword(s):  
Adverse Events ◽  
Demographic Data ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Endoscopic Retrograde ◽  
Cross Sectional ◽  
Age And Gender ◽  
Therapeutic Procedures ◽  
And Gender ◽  
Set Up

Background: Endoscopic retrograde cholangiopancreatography (ERCP) is widely used for diagnosis and treatment of hepatobiliary disorders. However, there are many adverse events associated with this procedure. The objective of this study was to determine the frequency of early post-ERCP adverse events in both diagnostic and therapeutic procedures in our set-up. Material & Methods: This cross-sectional study was conducted at Department of Gastroenterology, Hayatabad Medical Complex, Peshawar, Pakistan, from 20th December, 2016 to 20th January, 2017. Consecutive sampling technique was used. Patients undergoing ERCP whether diagnostic or therapeutic, irrespective of age and gender, were included. Those having evidence of pancreatitis, cholangitis, or previous ERCP, or abdominal surgery were excluded. The outcome was early post-ERCP complications including pancreatitis, cholangitis, bleeding and perforation. The patients were assessed for these complications immediately and 72 hours after the procedure. Demographic data like age and gender were recorded. The data regarding early post-ERCP complications were recorded and presented as frequencies. Results: Total 102 patients were included in the study. Among these, 38(37.3%) were males and 64 (62.7%) females. Mean age of patients included was 50.89±15.67 years (range 8 to 90 years). Overall post-ERCP complications were noted in 6(5.88%) patients. The most common complication was cholangitis in 5(4.9%) patients, followed by pancreatitis in only one (0.98%). Bleeding and perforation occurred in none of our patients. Conclusion: The most common Post-ERCP complication is cholangitis. Based on our findings, we suggest closer monitoring of patients undergoing ERCP for development of infection. Proper disinfection protocols should be followed to prevent infection.

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