scholarly journals Knowledge, Attitude, and Perception of COVID-19 Pandemic in Enugu, Southeast Nigeria- The Initial Experience

Author(s):  
E. K. Mgbe ◽  
C. G. Mgbe ◽  
S. N. Ezeofor ◽  
J. F. Etiki

Background: The world is experiencing a global corona virus (COVID-19) pandemic. As of 9th June 2020, over 7 million confirmed cases of coronavirus disease (COVID-19) and more than 400,000 deaths had been reported in more than 30 countries of the world according to World Health Organization. Aim: We aimed to assess the knowledge, attitudes, and vulnerability perception of Enugu state residents during the coronavirus outbreak in order to facilitate better health care outcomes. Methodology: A prospective Web-based cross-sectional survey was designed for this study which was conducted in March 2020 among Enugu state residents. The obtained data were coded, validated, and analyzed using Statistical Package for the Social Sciences SPSS software, version 24. Descriptive analysis was applied to calculate the frequencies and proportions and Chi-Square Test was also used. A preliminary phase was conducted to assess the validity and reliability of the questionnaire before its use.  Results: The study showed that significant number (99.6%) of the respondents had heard about Covid-19 and the most stated source of knowledge was social media (57.6%), followed by Newspaper and television shows (50.2%) while the least was from General Practitioner (GP) (8.9%). There was over 75% agreement with, and practice, of all known covid precautionary measures and less than 35% responses for wrong claims and practices about covid -19. Conclusion: The overall knowledge, attitude, and perception are high in Enugu state population although few still has background combined superstitious believes. Social media and internet are the highest used facility for acquisition of knowledge and information in Enugu, Nigeria.

2016 ◽  
Vol 1 (2) ◽  
pp. 48-60
Author(s):  
Oktafiana Manurung ◽  
Ermawaty Arisandi Siallagan

According to the World Health Organization (WHO) Indonesian women have According to the World Health Organization (WHO) Indonesian women have very bad criteria in terms of health, marriage, employment, education, equality with men. This condition is thought to lead to low maternal access to antenatal care. Goals : Antenatal care in accordance with antenatal care standards may decrease Maternal and Infant Mortality due to regular antenatal care can detect early problems that occur in the mother during pregnancy.Methods : The type of this research is analytical descriptive with cross sectional design which aims to analyze the influence of access and motivation of pregnant mother to mother behavior in doing antenatal visit. The research was conducted in Pancur Batu Puskesmas Working Area. The population is 181 people and the sample size is 61 people. Data analysis was performed using univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis with multiple logistic regression test.Result : The result of this research indicate that physical accessibility variable is the availability of unrelated officer (p = 0,461) to mother behavior in antenatal visit, social accessibility variable (p = 0,005) and attitude (p = 0,023), and for motivation variable is motive P = 0.005) and expectations (p = 0.019) had a significant effect on maternal behavior in antenatal visits.Conclution : Based on the results of research suggested Head of Pancur Batu Puskesmas to conduct training to officers especially midwives who provide services mainly about hospitality in providing services and to officers implementing services further improve the communication of information and education so that every pregnant women have a good understanding that can eventually cause attitude Positive, high motivation and expectation that can affect the mother in conducting standardized antenatal visits.


Medicina ◽  
2019 ◽  
Vol 55 (6) ◽  
pp. 282 ◽  
Author(s):  
Miko ◽  
Costache ◽  
Colosi ◽  
Neculicioiu ◽  
Colosi

Background and objectives: Health systems all over the world are confronted with an alarming rise of cases in which individuals hesitate, delay, and even refuse vaccination, despite availability of quality vaccine services. In order to mitigate and combat this phenomenon, which are now defined by the World Health Organization (WHO) as vaccine hesitancy (VH), we must first understand the factors that lead to its occurrence in an era characterized by wide access to safe and effective vaccines. To achieve this, we conducted field testing of the Vaccine Hesitancy Scale (VHS), as it was developed by the Strategic Advisory Group of Experts Working Group (SAGE WG), in Cluj-Napoca city, Cluj County, Romania. The scale is designed to quantify VH prevalence in a population, establish which vaccines generate the highest percentage of hesitancy, and allow a qualitative assessment of the individual’s reasons for hesitance. Materials and Methods: We conducted an observational cross-sectional survey, which was comprised of descriptive, analytical, and qualitative elements regarding VH. The necessary sample size was 452 individuals. The VHS and Matrix of Determinants (recommended by SAGE WG) for reasons people gave to justify their hesitance, was interpreted by qualitative thematic analysis (QTA) to ensure the validity and reliability in detecting hesitancy across various cultural settings and permit global comparisons. Results: We found a VH of 30.3% and 11.7% of parents reported refusing to vaccinate their child. Among the VH responders, the varicella vaccine generated 35% hesitancy, measles vaccine 27.7%, Human Papillomavirus (HPV) 24.1%, and mumps vaccine 23.4%, respectively. The QTA values for percent agreement ranged from 91% to 100%. Cohen’s Kappa values ranged from 0.45 to 0.95. Contextual influences identified for VH were "media," "leaders and lobbies," and "perception of the pharmaceutical industry." Individual and group influences for VH were "beliefs," "knowledge," and "risk/benefits (perceived).” Vaccine and vaccination specific issues for VH were "risk/benefit (rational)" and "health care practitioners (trustworthiness, competence).” Conclusions: One-third of the investigated population had expressed VH, and a further one-third of these had refused a vaccine for their child. Chicken Pox, Measles, Mumps, Rubella (MMR), and HPV vaccines generated the most hesitation. Negative information from the media was the most frequently evoked reason for VH.


2021 ◽  
Vol 9 ◽  
pp. 205031212199329
Author(s):  
Abebe Tiruneh ◽  
Tikuneh Yetneberk ◽  
Denberu Eshetie ◽  
Bassazinew Chekol ◽  
Moges Gellaw

Introduction: The novel coronavirus was first reported in December 2019, from Wuhan, China, and it has been declared as a pandemic by World Health Organization on 7 January 2020, and from that time till now the disease transmitted across the world. Hospitals need to be prepared for the overwhelming COVID-19 cases in their respective hospitals. Objectives: The objective of this study was to assess the level of hospital preparedness for COVID-19 in South Gondar Zone Governmental Hospitals, 2020. Methods: The institutionally based survey was conducted in South Gondar Zone Hospitals from 20 July to 25 July 2020. We used the World Health Organization preparedness checklist for COVID-19, and the checklist has three options for eight hospitals (not started, in progress, and started), so each hospital evaluated out of 208 points (104 items × 2) to assess each hospital their preparedness based on the checklist. Statistical Package for the Social Sciences, Version 21, is used for the analysis of the data. We used descriptive statistics and explained by using text and tables. Results: We evaluated all eight hospitals in these zone hospitals and only one hospital was in an acceptable level of preparation (>146 points), three hospitals were in an insufficient level of preparation (73–145 points), and the other four hospitals were grouped under the unacceptable level of preparation (<72 points) for COVID-19. And in all hospitals, there was no laboratory diagnostic method and treatment center for the COVID-19 virus. Conclusion: From the level of COVID-19 pandemic preparation from eight hospitals, only one hospital reaches the level of an acceptable level of preparedness. Mobilizing the community and other stakeholders to equip the hospital with resources and prioritization is recommended to mitigate the impact of COVID-19.


2021 ◽  
Vol 5 (2) ◽  
pp. 804-813
Author(s):  
Strahmawati Hamzah ◽  
Hamzah B

ABSTRACT Data from the World Health Organization shows that the incidence of dysmenorrhea is quite high throughout the world. The average incidence of dysmenorrhea in young women is between 16,8%-81%. The prevalence of adolescent girls in Indonesia is that the incidence of dysmenorrhea is 64,25%, consisting of 54,89% primary dysmenorrhea and 9,36% secondary dysmenorrhea. The purpose of this study was to analyze the factors associated with the incidence of dysmenorrhea in SMA Negeri 1 Lolak. This study used an analytic observational design with a cross sectional study design with a sample size of 68 respondents. The sampling technique used was total sampling. Data for each variable was collected using a questionnaire through interviews and then the data was then analyzed by univariate and bivariate with chi square test. The results of research conducted at SMAN 1 Lolak showed that there was a relationship between the age of menarche and the incidence of dysmenorrhea in class XI students (p = 0,030 < 0,05), there was a relationship between family history and the incidence of dysmenorrhea in class XI students (p = 0,039 < 0,05), and there is a relationship between exercise habits and the incidence of dysmenorrhea in class XI students (p=0,024


2021 ◽  
Author(s):  
Fiona C. Shenton ◽  
Musa Jawara ◽  
Majo Carrasco-Tenezaca ◽  
Jakob Knudsen ◽  
Umberto D'Alessandro ◽  
...  

Abstract Background: The World Health Organization recommends house screening as a tool for malaria control, yet evidence of the long-term durability, functionality and acceptability of this intervention is lacking. Here we examined the sustainability and use of novel types of screened doors and windows four years after installation in a Gambian village. Methods: A survey of 31 houses, each with two screened doors and two screened windows, was conducted in the rainy season. There were four types of screened door and two types of screened window. Trained staff carried out the survey and interviews of room owners were conducted in the local language before translation into English.Results: Structurally, the manufactured doors and windows were highly durable and in excellent condition. Most doors shut smoothly 50/61 (82%), although only 25/61 (41%) shut fully automatically with the latch slotting into the hole on the frame and holding fast. Door locks were less robust, with only (24/61) 39% present and working. Blinds proved especially flimsy, with only 4/109 (4%) of door blinds and 10/56 (18%) of window blinds present and in working order. Householders hung curtains inside most doors 50/61 (82%) and in 26/61 (43%) of the windows. Front doors were commonly found propped open 21/31 (68%) and 23/27 (85%) of those with a front door curtain, put their curtains down at night. Doors and windows were well liked, 19/31 (61%) of respondents were happy with them because they kept mosquitoes out 14/31 (45%) and provided security 12/31 (39%). The main reason given for the use of curtains was to provide privacy 26/28 (93% of those with curtains), especially while the door was open or had ‘see-through’ panels.Conclusions: Overall, the screened doors and windows were in excellent condition after four years of use. Improvements to the lock design are needed before scale-up. Installation of screening in buildings should be accompanied with health messaging recommending that at night, doors and windows be closed and curtains lifted or drawn to one side - to improve ventilation and keep the house cool.


2019 ◽  
Vol 4 (2) ◽  
pp. 343
Author(s):  
Rizka Angrainy ◽  
Lidia Fitri ◽  
Vipit Wulandari

<p><em><em><em>Anemia is a public health problem in the world. According to the World Health Organization (WHO), anemia cases occur 24.8% of the population and an estimated 50-80% of anemia is caused by iron deficiency. Anemia most often occurs in adolescents during menstruation and can be prevented by consuming Fe tablets. Initial survey of 10 female students showed most do not know about consuming Fe tablets during menstruation and 3 of them have Hb below 12 g%. The purpose of research to know the relationship of the adolescent knowledge about consuming fe tablets when menstrual with anemia in Junior High School 20 Pekanbaru 2018. The research design is quantitative Analitic with Cross Sectional approach.The population in this research amounted to 148 people with sampling using technique is purposive sampling as many as 86 people. The data obtained from the questionnaire and Hb measurements on the respondents.The statistical analysis used chi-square. The result of univariate analysis showed that most of the respondents (59,3%) had good knowledge about consuming Fe tablets during menstruation and the majority of respondents (84,3%) is not anemic. Test result obtained P Value &lt; α (0,001&lt;0,05), and it can be concluded that there is a significant relationship between of the adolescent knowledge about consuming Fe tablets when menstrual with anemia.</em></em></em></p><p><em><br /></em></p><p><em>Anemia merupakan masalah kesehatan masyarakat diseluruh dunia. Menurut World Health Organization (WHO), kasus anemia terjadi 24,8% dari populasi dan diperkirakan sekitar 50-80% anemia disebabkan oleh defisiensi besi. Anemia paling sering terjadi pada remaja saat menstruasi dan dapat dicegah dengan mengonsumsi tablet Fe. Survei awal terhadap 10 siswi menunjukkan sebagian besar tidak mengetahui tentang konsumsi tablet Fe pada saat menstruasi dan 3 diantaranya memiliki Hb dibawah 12 gr%. Tujuan penelitian untuk mengetahui hubungan pengetahuan remaja putri tentang  konsumsi tablet Fe pada saat menstruasi dengan anemia di SMP Negeri 20 Pekanbaru. Jenis penelitian Analitik Kuantitatif dengan desain Cross Sectional. Populasi sebanyak 148 orang dengan pengambilan sampel menggunakan purposive sampling sebanyak 86 orang. Data penelitian diperoleh dari kuesioner dan pengukuran Hb. Analisa data menggunakan uji chi-square. Hasil penelitian sebagian besar responden 59,3% memiliki pengetahuan baik tentang mengonsumsi tablet Fe pada saat menstruasi dan mayoritas responden 84,3% tidak anemia. Hasil uji diperoleh Pvalue  &lt; α (0,001&lt;0,05) dan dapat disimpulkan bahwa ada hubungan yang bermakna antara pengetahuan remaja putri tentang konsumsi tablet Fe pada saat menstruasi dengan anemia.</em></p>


Author(s):  
Cham ◽  
Scholes ◽  
Groce ◽  
Mindell

Background: Tobacco use is the leading cause of preventable death in the world, with a higher burden in low- and middle-income countries. The aim of this study was to quantify the prevalence and predictors of smoking among Gambian men using nationally representative data. Methods: Data was collected in 2010 from a random, nationally representative sample of 4111 adults aged 25–64 years (78% response rate) using the World Health Organization (WHO) STEPwise cross-sectional survey methods. Our analyses focused on men with valid information on smoking status (n = 1766) because of the low prevalence of smoking among women (1%). Results: The prevalence of current smoking among men was 31.4% (95% CI: 27.2–35.9). The median age of starting smoking was 19 years; 25% started before the age of 18 years and 10% started aged 8–10 years. Rural residence, underweight, and hypertension were significantly associated with smoking. Conclusion: The study reveals a high prevalence of smoking among Gambian men. It is evident that cigarettes are obtained by minors in The Gambia, as a high proportion of current smokers started at a young age. Advice and support to quit smoking should be extended to all smokers regardless of their age and whether or not they have any underlying health conditions.


2018 ◽  
Vol 17 (2) ◽  
pp. 430-476
Author(s):  
Raíssa Ottes Vasconcelos ◽  
Débora Cristina Ignácio Alves ◽  
Luciana Magnani Fernandes ◽  
João Lucas Campos de Oliveira

Objetivo: Identificar la adhesión a la Higienización de las manos de los profesionales de enfermería de una Unidad de Cuidados Intensivos para adultos de un hospital universitario público.Metodología: Estudio descriptivo, transversal, observacional, con abordaje cuantitativo, realizado con 68 profesionales en un hospital universitario del estado de Paraná, Brasil. La recolección de datos ocurrió de mayo a octubre de 2016, por 100 horas de observación directa. Se elaboró un formulario para caracterizar a los participantes y utilizado el Instrumento Adaptado del Manual para Observadores - Estrategia Multimodal de la Organización Mundial de Salud para la Mejora de la Higienización de las manos. Los datos fueron sometidos al análisis descriptivo, en medidas de proporción, y al test Chi-cuadrado de Pearson, en el Software SPSS versión 18.0, para verificar la asociación entre la adhesión y la no adhesión a la HM en cada uno de los cinco momentos recomendados y entre los profesionales (enfermero o técnico de enfermería), considerando nivel de significancia del 5%.Resultados: Eran enfermeros 12 (17,6%) profesionales y 56 (82,4%) técnicos de enfermería. La tasa de adhesión general a la Higienización de las manos por el equipo de enfermería fue de 311 (47,8%). No hubo adhesión al momento "antes de la realización de procedimientos asépticos". Los momentos "después" presentaron mayores índices de adhesión.Conclusión: La tasa de adhesión a la HM fue muy baja, y la práctica de higiene antes del contacto con el paciente crítico necesita ser mejorada con mayor urgencia. Objective: To identify adherence to Hand Hygiene (HH) of the nursing professionals of an Intensive Care Unit for adults of a public university hospital.Methodology: Descriptive, cross-sectional, observational study with a quantitative approach, carried out with 68 professionals in a university hospital in the state of Paraná, Brazil. Data collection occurred from May to October of 2016 for 100 hours of direct observation. A form was developed for characterization of the participants and the Adapted Instrument of the Handbook for Observers - Multimodal Strategy of the World Health Organization for the Improvement of Hand Hygiene was developed. Data were submitted to descriptive analysis, in proportion measurements and Pearson's Chi-Square test, in SPSS Software version 18.0, to verify the association between adhesion and non-adhesion to HH in each of the five recommended moments and among professionals (nurse or technician of nursing), considering a level of significance of 5%.Results: 12 (17.6%) were professional nurses and 56 (82.4%) were nursing technicians. The nursing staff received a general adhesion rate of 311 (47.8%). There was no adhesion to the moment "before performing aseptic procedures". The "after" moments presented higher accession rates.Conclusion: The rate of adhesion to HH was very low, and hygiene practice before contact with the critical patient needs to be improved with greater urgency. Objetivo: Identificar a adesão à Higienização das Mãos dos profissionais de enfermagem de uma Unidade de Terapia Intensiva para adultos de um hospital universitário público.Metodologia: Estudo descritivo, transversal, observacional, com abordagem quantitativa, realizado com 68 profissionais em um hospital universitário do estado do Paraná, Brasil. A coleta de dados ocorreu de maio a outubro de 2016, por 100 horas de observação direta. Foi elaborado um formulário para caracterização dos participantes e utilizado o Instrumento Adaptado do Manual para Observadores - Estratégia Multimodal da Organização Mundial de Saúde para Melhoria da Higienização das Mãos. Os dados foram submetidos à análise descritiva, em medidas de proporção, e ao teste Qui-Quadrado de Pearson, no Software SPSS versão 18.0, para verificar a associação entre a adesão e a não adesão à HM em cada um dos cinco momentos recomendados e entre os profissionais (enfermeiro ou técnico de enfermagem), considerando nível de significância de 5%.Resultados: Eram enfermeiros 12 (17,6%) profissionais e 56 (82,4%) técnicos de enfermagem. A taxa de adesão geral à Higienização das Mãos pela equipe de enfermagem foi de 311 (47,8%). Não houve adesão ao momento “antes da realização de procedimentos assépticos”. Os momentos "após" apresentaram maiores índices de adesão.Conclusão: A taxa de adesão à HM foi muito baixa, e, a prática de higiene antes do contato com o paciente crítico precisa ser melhorada com maior urgência.


Author(s):  
Imam Jayanto ◽  
Vitarani Dwi Ananda Ningrum ◽  
Wahyuni Wahyuni

ABSTRACTDiarrhea defined as bowel movements that does not form or in a liquid consistency with increasingfrequency. According to the data of World Health Organization (WHO), diarrhea isthe number one cause of infant mortality in the world. This research aims to describe thepharmacological use of antidiarrheal therapy and rehydration in the management hospitalizeddiarrheal patients in Sleman District Hospital according with SPM in this case using the SPMSardjito Hospital, Yogyakarta. This research carried out with the observational analytic crosssectional design (cross-sectional) and a prospective collecting data on patients hospitalizeddiarrhea in Sleman District Hospital during June to September 2012. Sampling used purposivesampling techniques that meets inclusion criteria. Type of data in this research is secondarydata and primary data taken from the demographic data and patient medical records aswell as interviews with relevant patients. Analysis the research data done in 2 ways, that isusing descriptive analysis to describe the demographic distribution of diarrhea in SlemanDistrict Hospital. Then continued with the inferential analysis using SPSS test a logisticsBinner and chi-square test. The results are was 34% the suitability treatment in the form ofantibiotic therapy for diarrhea; was 16.68% in the form of diarrhea rehydration therapy; was100% in the form of antidiarrheal therapy.Keywords : Acute diarrhea, therapeutic efficacy, binary logisticABSTRAKDiare didefinisikan sebagai buang air besar yang tidak berbentuk atau dalamkonsistensi cair dengan frekuensi yang meningkat. Menurut data Badan Kesehatan Dunia(WHO), diare adalah penyebab nomor satu kematian balita di seluruh dunia. Penelitian inibertujuan untuk mengetahui gambaran terapi farmakologi penggunaan antidiare dan rehidrasidalam penanganan pasien diare rawat inap di RSUD Sleman dengan mengacu pada SPMRSUP Sardjito, Yogyakarta. Penelitian ini dilakukan secara observasional dengan rancangananalitik cross sectional (potong lintang) dan pengambilan data secara prospektif pada pasiendiare rawat inap di RSUD Sleman selama Juni – September 2012. Pengambilan sampelmenggunakan teknik purposive sampling yang telah memenuhi kriteria inklusi. Jenis datayang digunakan dalam penelitian ini adalah data sekunder dan data primer yang diambil daridata demografi dan data rekam medik pasien serta wawancara langsung dengan pasienterkait. Analisis data hasil penelitian dilakukan dengan 2 cara, yaitu memakai analisisdeskriptif untuk mengetahui gambaran distribusi demografi pasien diare di RSUD Sleman.Lalu dilanjutkan dengan analisis inferensial dengan memakai uji SPSS berupa logistik binnerdan uji chi-square. Hasilnya terdapat kesesuaian terapi sebesar 34% yang berupa terapiantibiotik untuk diare; sebesar 16,68% yang berupa terapi rehidrasi diare; sebesar 100% yangberupa terapi antidiare.Kata Kunci : Diare akut, kemanjuran terapi, logistik biner


2020 ◽  
Author(s):  
Marion Dutour ◽  
Anna Kirchhoff ◽  
Cécile Janssen ◽  
Sabine Meleze ◽  
Hélène Chevalier ◽  
...  

Abstract Background The COVID-19 pandemic has shaken the world, but also caregiver’s practices. The World Health Organization warned about the stress it could generate for General Practitioners (GPs). In France, GPs were not involved in the decision-making process for organization of care before and during the first COVID-19 wave. Our objective was to estimate the self-perception of stress at the beginning of the pandemic in France, among GPs from the Auvergne-Rhône-Alpes (AuRA), a french administrative area severely impacted by COVID-19, and to identify which factors may have modulated this perception.Methods We conducted an online cross-sectional survey between 8th of April to 10th of May 2020. The self-perception of stress was evaluated using the 10-item Perceived Stress Score (PSS-10). An agreement score developed by the study scientific committee was measured for 31 positive assertion. Factors associated with stress were investigated using logistic regression, and triangulation based on verbatim analysis. Results Overall, 898 individual answers were collected. A total of 437 GPs (49%) were stressed (PSS≥27), and 283 GPs (32%) had a very high level of stress (PSS≥30). Perceived stress was associated with multiple components, and involved classic psychosocial risk factors such as emotional requirements: 415 GPs (49%) were affected by patient anxiety (OR=3.41, 95%CI [1.87-6.36], p<0.001). But in this context of health crisis, the main determinant of GPs’ stress appears to be the diversity and quantity of information from diverse sources (614 GPs (69%, OR=2.21, 95%CI [1.40-3.50], p<0.001). GPs felt isolated in a hospital-based model.Conclusion The first COVID-19 wave was stressful for AuRA’s GPs. One of the main determinants seems to be the diversity and quantity of information received from the health authorities.


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