scholarly journals Evaluating the availability of essential drugs for hypertension, diabetes and asthma in rural Rwanda, 2018

2021 ◽  
Vol 11 (1) ◽  
pp. 5-11
Author(s):  
F. Mbonyinshuti ◽  
K. C. Takarinda ◽  
S. Ade ◽  
M. Manzi ◽  
P. G. Iradukunda ◽  
...  

SETTING: Hypertension, diabetes mellitus and asthma are on the rise in developing countries, including Rwanda; there is thus a need to ensure uninterrupted drug availability.OBJECTIVES: To assess 1) the frequency and duration of drug stock-outs; 2) lead time duration 3) monthly stock levels; and 4) drug quantities requested vs. quantity delivered for captopril, metformin and inhaled salbutamol between January and December 2018 Kirehe District, Rwanda.DESIGN: This was a cross-sectional study using secondary programme data.RESULTS: The median annual stock-outs for captopril, metformin and inhaled salbutamol were respectively 4 (IQR 3–4), 3 (IQR 2–3) and 4 (IQR 4–5) at rural health facilities (RHCs); no stock-outs occurred at the district hospital. For all three drugs, the median lead time was 7.5 days (IQR 5.5–11.5) at the hospital vs. 5 days (IQR 3–6) in RHCs. Stock status for captopril was below the 4-week minimum stock level for 2/12 months at the hospital vs. 7/12 months at the RHCs, while metformin and inhaled salbutamol were below the 4-week minimum stock levels for respectively 1/12 and 4/12 months at both hospital and RHCs. Total drug quantities delivered were less than the combined total quantities requested in respectively 8/12, 5/12 and 8/12 months for captopril, metformin and inhaled salbutamol.CONCLUSION: There is a need to regularly and effectively monitor drug stock levels and ensure timely and sufficient stock replenishment to avert stock-outs.

Author(s):  
Sathyaprakash Dongade ◽  
ZainulMohammed Wajid Sermadi ◽  
Rangaswamynayaka Manjunath ◽  
Chandramohan Priyadarshini ◽  
MudigereSubbaiah Jayapala

2020 ◽  
Vol Volume 12 ◽  
pp. 1083-1090
Author(s):  
Retno Indrawati Roestamadji ◽  
Muhammad Luthfi ◽  
Meircurius Dwi Condro Surboyo ◽  
Rauhansen Bosafino Rumokoi ◽  
Fridaniyanti Khusnul Khotimah

2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Dan K. Kisitu ◽  
Lauren E. Eyler ◽  
Isaac Kajja ◽  
Gonzaga Waiswa ◽  
Titus Beyeza ◽  
...  

PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0232406 ◽  
Author(s):  
Edem M. A. Tette ◽  
Edmund T. Nartey ◽  
Benjamin D. Nuertey ◽  
Emmanuel A. Azusong ◽  
Dominic Akaateba ◽  
...  

Author(s):  
Vedavathi Hanumaiah ◽  
Eshanu H. Shastry ◽  
Shreenivas Revankar

Background: Peripheral intravenous cannulation (PIVC) is a first-choice vascular device, commonly performed clinical skill by junior medical doctors and interns in hospital. Improper technique of PIVC can lead to pain, stress, increased chance of infection. Thus, practising the appropriate PIVC technique is vital for interns. This study is conducted to analyse the understanding and necessity for training required to perform accurate PIVC. The objective of this descriptive cross-sectional study was conducted to determine and identify the level of knowledge, attitude and practice regarding PIVC among the interns of Mc Gann teaching district hospital, Shivamogga.Methods: A validated structured questionnaire containing 20 questions regarding PIVC in knowledge, attitude and practice (KAP) format was distributed in hand among 109 interns affiliated to this institution. Descriptive statistics were used to illustrate the results in the form of number and percentage. Chi- square and one-way ANOVA was used to analyse the result. SPSS 21.0 was used.Results: 74% of the participating interns had proper knowledge about the vein commonly used for PIVC. Only 39% of the interns answered that PIVC was an aseptic technique. 108 participants had knowledge about the common complication due to PIVC which is thrombophlebitis. 2/3rd of the interns was supervised on their first PIVC procedure by a nurse. 94.4% of the interns were instructed regarding the hand washing technique during PIVC.Conclusions: Need for learning module and training programs to ensure the interns have knowledge PIVC technique, complications and management.


Author(s):  
Chandan Sharma ◽  
Ashima Badyal

Background: Anemia in pregnancy can increase the risk of having a pre-term delivery/babies, which may further lead to low birth weight and sometimes death. Anemia is more prevalent in Asia, with half of the all-anemic women living in Indian subcontinent itself. The objective of the study was to estimate the prevalence of anemia among women in the reproductive age group (15-49) in a rural population set up of Akhnoor.Methods: A population based cross-sectional study was conducted in Sub district hospital, Akhnoor, Jammu, J and K, India, over a period of 6 months from September 2020 to February 2021, on a total of 320 women in the reproductive age group of 15 to 49 years.Results: A total prevalence of 59.06% was found with highest among pregnant females. Out of this total anemic patient 59.78% (113/189) were mild anemic, and 40.22% (76/189) were either moderately anemic or severe. High prevalence of anemia was seen among illiterate women (68.89%). Prevalence was also significantly associated to excessive/ scanty menstruation. Besides, menstrual cycle more than 35 days and less than 21 days were found to be at higher risk of anemia (60.53% and 83.33%). Underweight women were also found at higher risk of anemia (69.52%). Only 88 out of 320 women studied had completed the course of IFA tablets.Conclusions: Several socio-demographic, menstrual, dietary, environmental, and behavioral factors were associated with anemia. Women of reproductive age should be motivated to include food fortification or iron supplementations in their diet.


Author(s):  
Leonard Sama ◽  
michel Noubom ◽  
Christelle KENNE ◽  
Thibau Tchouangueu ◽  
omer Ngouateu ◽  
...  

Background: Group B streptococcus (GBS), also name as Streptococcus agalactiae, is a gram-positive bacterium know for it capacity to colonises the vaginal and rectal areas of the mother and is a leading cause of neonatal mortality and morbidity. This study aimed at determining the prevalence, associated risk factors and antimicrobial susceptibility of GBS colonization among pregnant women attending antenatal care at Dschang District Hospital. Methods: This hospital-base cross-sectional study targeted pregnant women population attending hospitals for routine prenatal testing using a multistage sampling method. Pregnant women at 23.46 ± 6.44 weeks gestation completed a questionnaire and vaginal swabs were obtained for GBS analysis. Data were analysed using chi-squared (χ2) test or the Fisher’s exact test when appropriate and the multivariable logistic regression models. Results: The colonisation rate of GBS among pregnant women was 8.69%. Induce abortion (odds ratio [CI] = 3.09, 95% [1.56-6.21]), Spontaneaous abortions (OR= 2.82, 95% CI 1.14-7.29), Stillborn (OR [CI] = 7.75, 95% [2.61-21.71]), Fever (OR [CI] = 0.37, 95% [0.19-0.71]) and anemia (OR [CI] = 0.22, 95% [0.12-0.43]) were found to be influencing factors associated with GBS colonisation. Conclusion: Our findings suggest that none of the studied factors were significantly associated with GBS colonisation. Further longitudinal research is needed to establish the causal relationship and its biological mechanisms. Keys words: Group B Streptococcus, Prevalence, Risk Factors, Antimicrobial Susceptibility, Pregnant Women


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