Background: Periodontitis worldwide reported increasing 57.3% between 20 years also reported 6 th most prevalence disease around the world. Imune response abnormalities, hyperactivity of production of autoantibodies deposited in human tissue and organ could affect oral cavity condition. Objectives: To find oral manifestation on SLE patients and correlate with SLE severity. Methods: Subjects were 61 patients with SLE (age 17-51 years; diagnosed using SLICC) collected from Dr. Saiful Anwar General Hospital, Malang Indonesia. Oral Manidestation is measured by clinical examination and SLE severity measured using SLEDAI. Result: A total 61 SLE subjects were included in this study. We found that 54 patients (88,53%) subjects with SLE had periodontitis. 7 subject had no periodontitis, 11 mild periodontitis, 43 severe periodontitis. There is correlation between oral condition and SLE severity. Periodontitis and SLEDAI score showed significant (p<0.0001) and strong positive correlation (r=0.948) Discussion : Our study found high rates of gingivitis, periodontitis, bop, low plaque index, and low calculus index. SLE is chronic autoimmune disease develop autoantibodies and immune complexes, because of immune respon abnormalities.It could be forming autoantibodies cause DNA damage, lipid peroxidation, protein. This condition induce collagen breakdown, RANKL, osteoclast stimulation until alveolar bone resorption resulting poor oral condition and periodontitis. Conclusion: Our study showed that oral condition were associated with SLE disease activity Keywords: Oral Manifestation , Periodontitis; SLEDAI; SLE
{"title":"ORAL MANIFESTATION ON SYSTEMIC LUPUS ERYTHEMATOSUS PATIENTS","authors":"N. Gofur, Nurdiana, K. Handono, H. Kalim","doi":"10.32827/ijphcs.6.3.172","DOIUrl":"https://doi.org/10.32827/ijphcs.6.3.172","url":null,"abstract":"Background: Periodontitis worldwide reported increasing 57.3% between 20 years also reported 6 th most prevalence disease around the world. Imune response abnormalities, hyperactivity of production of autoantibodies deposited in human tissue and organ could affect oral cavity condition. Objectives: To find oral manifestation on SLE patients and correlate with SLE severity. Methods: Subjects were 61 patients with SLE (age 17-51 years; diagnosed using SLICC) collected from Dr. Saiful Anwar General Hospital, Malang Indonesia. Oral Manidestation is measured by clinical examination and SLE severity measured using SLEDAI. Result: A total 61 SLE subjects were included in this study. We found that 54 patients (88,53%) subjects with SLE had periodontitis. 7 subject had no periodontitis, 11 mild periodontitis, 43 severe periodontitis. There is correlation between oral condition and SLE severity. Periodontitis and SLEDAI score showed significant (p<0.0001) and strong positive correlation (r=0.948) Discussion : Our study found high rates of gingivitis, periodontitis, bop, low plaque index, and low calculus index. SLE is chronic autoimmune disease develop autoantibodies and immune complexes, because of immune respon abnormalities.It could be forming autoantibodies cause DNA damage, lipid peroxidation, protein. This condition induce collagen breakdown, RANKL, osteoclast stimulation until alveolar bone resorption resulting poor oral condition and periodontitis. Conclusion: Our study showed that oral condition were associated with SLE disease activity Keywords: Oral Manifestation , Periodontitis; SLEDAI; SLE","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75881659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Out-of-pocket (OOP) payments is a principal means of financing health care throughout both developed and developing countries. Over-reliance on OOP payments may pose an undesirable effect from an equity perspective, where equity in financing is an important policy objective of the health care system. Objectives: To assess the progressivity of OOP payments for health care among Malaysian households. Methods: This paper used cross-sectional nationally representative data derived from the Malaysian Household Expenditure Survey (HES) 2014/15, which comprised of 14,473 households. Progressivity measures deviation from proportionality in the relation between OOP payments and ability to pay (ATP). This paper combined evidence from proportion approach, graphical measures (concentration curve) and summary indices (Gini coefficient, concentration index and Kakwani index) to demonstrate the progressivity of OOP health payments among Malaysian households. Result: More than two-third (77%) of Malaysian households surveyed reported to have made OOP health payments. The average shares of OOP payments from household consumption was 1.65% and was increasing across the household consumption quintiles. The OOP payments distribution was progressive demonstrated by all three approaches. The household consumption and burden of OOP payments was concentrated among the richer populations, with positive Gini coefficient and concentration index. The Kakwani index of OOP payments was 0.0910, indicates mildly progressive OOP payments in Malaysia. Conclusion: The OOP health payments in Malaysia has a progressive distribution. However, reducing progressivity trend should be monitored by the policymakers, and to decide further strategies on policy improvements pertaining to the country’s health financing. Keywords: Progressivity, Out-of-Pocket Expenditures, Health Care, Malaysia
{"title":"ASSESING PROGRESSIVITY OF OUT-OF-POCKET EXPENDITURES FOR HEALTH CARE: EVIDENCE FROM HOUSEHOLDS IN MALAYSIA","authors":"Fakhri M.A.B., M. H. Juni, A. Rosliza","doi":"10.32827/ijphcs.6.3.187","DOIUrl":"https://doi.org/10.32827/ijphcs.6.3.187","url":null,"abstract":"Background: Out-of-pocket (OOP) payments is a principal means of financing health care throughout both developed and developing countries. Over-reliance on OOP payments may pose an undesirable effect from an equity perspective, where equity in financing is an important policy objective of the health care system. Objectives: To assess the progressivity of OOP payments for health care among Malaysian households. Methods: This paper used cross-sectional nationally representative data derived from the Malaysian Household Expenditure Survey (HES) 2014/15, which comprised of 14,473 households. Progressivity measures deviation from proportionality in the relation between OOP payments and ability to pay (ATP). This paper combined evidence from proportion approach, graphical measures (concentration curve) and summary indices (Gini coefficient, concentration index and Kakwani index) to demonstrate the progressivity of OOP health payments among Malaysian households. Result: More than two-third (77%) of Malaysian households surveyed reported to have made OOP health payments. The average shares of OOP payments from household consumption was 1.65% and was increasing across the household consumption quintiles. The OOP payments distribution was progressive demonstrated by all three approaches. The household consumption and burden of OOP payments was concentrated among the richer populations, with positive Gini coefficient and concentration index. The Kakwani index of OOP payments was 0.0910, indicates mildly progressive OOP payments in Malaysia. Conclusion: The OOP health payments in Malaysia has a progressive distribution. However, reducing progressivity trend should be monitored by the policymakers, and to decide further strategies on policy improvements pertaining to the country’s health financing. Keywords: Progressivity, Out-of-Pocket Expenditures, Health Care, Malaysia","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91055388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oluchukwu Loveth Obiora, P. Ezenduka, E. Ndie, C. Umeonwuka, Juliet Onyinyechukwu Nwachukwu-Umeonwuka
Background : Despite the progress made in recent decades to reduce the number of child deaths globally, many new-borns continue to die preventable deaths from conditions such as neonatal infections, especially in developing countries such as Nigeria. The umbilical cord remnants provide a good site for proliferation of infectious organisms which can lead to the death of new-born babies in their first month of life. Hence this study explored the new-born cord care practices of parturient women and the factors that contribute to such practices. Method: This study was a descriptive, cross-sectional survey of parturient women, who gave birth in the past one year. A Multi-stage sampling technique, was used to recruit respondents across selected communities. Ethical clearance was obtained, while informed consent was obtained from the study participants. A total of 400 volunteering respondents were consecutively recruited while a self-developed and validated questionnaire was used to collect data Result: The major findings of the study were that a significant percentage (12.2%) of the respondents did not deliver their babies in any health facility. There were evidences of potentially harmful new-born cord care practices among the respondents such as application of herbs and tooth-pastes to new-born’s umbilical cord (12% and 5.2% respectively) and 8% applied hot balms to hasten cord separation. Fifteen percent of the respondents indicated that they noticed signs of infection on the baby’s cord while place of delivery influenced their new born cord care practices. Conclusion: Therefore, there is need for public enlightenment programs specifically tailored for rural dwellers on good new-born cord care practices. Keywords: New-born; cord care practices; parturient women; South Eastern Nigeria.
{"title":"NEW BORN CORD CARE PRACTICES AMONG PARTURIENT WOMEN IN A RURAL CONTEMPORARY NIGERIA SETTING","authors":"Oluchukwu Loveth Obiora, P. Ezenduka, E. Ndie, C. Umeonwuka, Juliet Onyinyechukwu Nwachukwu-Umeonwuka","doi":"10.32827/ijphcs.6.3.117","DOIUrl":"https://doi.org/10.32827/ijphcs.6.3.117","url":null,"abstract":"Background : Despite the progress made in recent decades to reduce the number of child deaths globally, many new-borns continue to die preventable deaths from conditions such as neonatal infections, especially in developing countries such as Nigeria. The umbilical cord remnants provide a good site for proliferation of infectious organisms which can lead to the death of new-born babies in their first month of life. Hence this study explored the new-born cord care practices of parturient women and the factors that contribute to such practices. Method: This study was a descriptive, cross-sectional survey of parturient women, who gave birth in the past one year. A Multi-stage sampling technique, was used to recruit respondents across selected communities. Ethical clearance was obtained, while informed consent was obtained from the study participants. A total of 400 volunteering respondents were consecutively recruited while a self-developed and validated questionnaire was used to collect data Result: The major findings of the study were that a significant percentage (12.2%) of the respondents did not deliver their babies in any health facility. There were evidences of potentially harmful new-born cord care practices among the respondents such as application of herbs and tooth-pastes to new-born’s umbilical cord (12% and 5.2% respectively) and 8% applied hot balms to hasten cord separation. Fifteen percent of the respondents indicated that they noticed signs of infection on the baby’s cord while place of delivery influenced their new born cord care practices. Conclusion: Therefore, there is need for public enlightenment programs specifically tailored for rural dwellers on good new-born cord care practices. Keywords: New-born; cord care practices; parturient women; South Eastern Nigeria.","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"181 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79689390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The anatomical defect of the oral cavity in children with orofacial clefts presents them with feeding challenges which increase their risk of becoming malnourished. The objective of this review was to investigate the extent of malnutrition among children under 5 years with unrepaired cleft of the lip and/ or palate. Materials and Methods: A systematic literature search of published articles that assessed malnutrition in children with unrepaired cleft lip and/or palate was conducted. Pubmed Central, Cochrane library, Pubmed (MEDLINE) and Google Scholar databases were searched. Result: A total of 4,489 papers were found of which 8 were included in the review after meeting the inclusion criteria. Malnutrition was found to be higher in isolated cleft palate and cleft lip and palate infants than in isolated cleft lip infants who had nutritional status close to that of non-cleft infants. Syndromic cleft infants were highly malnourished compared to non-syndromic infants. Weight-for-age was the most assessed anthropometric indicator of nutritional status. Average prevalence of underweight (low weight-for-age) was 21.5%. Conclusion: Malnutrition is high especially within the first year of life in infants with unrepaired cleft lip and/or palate. Keywords: Cleft lip and palate, malnutrition, growth impairment, failure to thrive
{"title":"MALNUTRITION IN CHILDREN WITH UNREPAIRED OROFACIAL CLEFT: A SYSTEMATIC REVIEW","authors":"D. A. Nyakotey, C. Apprey, R. Annan","doi":"10.32827/ijphcs.6.3.67","DOIUrl":"https://doi.org/10.32827/ijphcs.6.3.67","url":null,"abstract":"Background: The anatomical defect of the oral cavity in children with orofacial clefts presents them with feeding challenges which increase their risk of becoming malnourished. The objective of this review was to investigate the extent of malnutrition among children under 5 years with unrepaired cleft of the lip and/ or palate. Materials and Methods: A systematic literature search of published articles that assessed malnutrition in children with unrepaired cleft lip and/or palate was conducted. Pubmed Central, Cochrane library, Pubmed (MEDLINE) and Google Scholar databases were searched. Result: A total of 4,489 papers were found of which 8 were included in the review after meeting the inclusion criteria. Malnutrition was found to be higher in isolated cleft palate and cleft lip and palate infants than in isolated cleft lip infants who had nutritional status close to that of non-cleft infants. Syndromic cleft infants were highly malnourished compared to non-syndromic infants. Weight-for-age was the most assessed anthropometric indicator of nutritional status. Average prevalence of underweight (low weight-for-age) was 21.5%. Conclusion: Malnutrition is high especially within the first year of life in infants with unrepaired cleft lip and/or palate. Keywords: Cleft lip and palate, malnutrition, growth impairment, failure to thrive","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83535843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : Decision making during disaster management is a challenging task because of the uncertain environment and involvement of multiple stakeholders. Decision makings types can be unstructured, semi structured or structured according to the disaster situation and phase of disaster. Decision making during disasters is crucial to ensure that every decision taken reduces impact from disaster to human life. Objective: The objective of this review is to identify the appropriate decision-making type according to the phases in the disaster management cycle accordingly. Materials and Methods: Scoping review base on the PRISMA diagram were conducted from four databases. Combination of keywords were adapted for each database. Inclusion and exclusion criteria were applied. A total of 21 articles were synthesized base on the three types of decision-making types following four phases of disaster management cycle. Data was extracted base on an agreed upon framework of data chart. Result: Information on decision types identified were synthesised according to the four phases in the disaster management cycle emerged. Findings are distributed evenly across all types of disaster that is floods, hurricanes, earthquakes and tsunamis. For the mitigation and preparedness phase, the two decision-making types that were commonly observed were the unstructured and structured type, while during the response and recovery phase all three-decision making unstructured, semi-structured and structured type is represented. Decisions are made by various levels of management according to the level of information available and certainty of a situation. The predominant decision-making type for disaster management during each phase is the unstructured decision making which is usually adopted by the top or middle management. Unstructured decision making involves making decision in uncertain environment. Conclusion: Decision making type applies according to situations and the level of decision-maker making the decision. Unstructured decision-making type emerged as predominant in all phases of natural disaster management cycle due to uncertainty posed by disaster environment. Keywords: disaster management cycle, decision- making, structure, unstructured, semi-structured
{"title":"DECISION MAKING IN DISASTER MANAGEMENT CYCLE OF NATURAL DISASTERS: A REVIEW","authors":"A R Arifah, M. Tariq, M. H. Juni","doi":"10.32827/ijphcs.6.3.1","DOIUrl":"https://doi.org/10.32827/ijphcs.6.3.1","url":null,"abstract":"Background : Decision making during disaster management is a challenging task because of the uncertain environment and involvement of multiple stakeholders. Decision makings types can be unstructured, semi structured or structured according to the disaster situation and phase of disaster. Decision making during disasters is crucial to ensure that every decision taken reduces impact from disaster to human life. Objective: The objective of this review is to identify the appropriate decision-making type according to the phases in the disaster management cycle accordingly. Materials and Methods: Scoping review base on the PRISMA diagram were conducted from four databases. Combination of keywords were adapted for each database. Inclusion and exclusion criteria were applied. A total of 21 articles were synthesized base on the three types of decision-making types following four phases of disaster management cycle. Data was extracted base on an agreed upon framework of data chart. Result: Information on decision types identified were synthesised according to the four phases in the disaster management cycle emerged. Findings are distributed evenly across all types of disaster that is floods, hurricanes, earthquakes and tsunamis. For the mitigation and preparedness phase, the two decision-making types that were commonly observed were the unstructured and structured type, while during the response and recovery phase all three-decision making unstructured, semi-structured and structured type is represented. Decisions are made by various levels of management according to the level of information available and certainty of a situation. The predominant decision-making type for disaster management during each phase is the unstructured decision making which is usually adopted by the top or middle management. Unstructured decision making involves making decision in uncertain environment. Conclusion: Decision making type applies according to situations and the level of decision-maker making the decision. Unstructured decision-making type emerged as predominant in all phases of natural disaster management cycle due to uncertainty posed by disaster environment. Keywords: disaster management cycle, decision- making, structure, unstructured, semi-structured","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88545816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ibrahim Kabir, Shalom Wunukhen Wando, A. Abdulsamad, Lukman Shiji Saddiq, A. Adamu
Background: Billions of plastic bags are used annually across the globe, leading to wider environmental and health concerns. This study evaluates the knowledge regarding adverse effects of plastic bags usage and its associated factors among consumers in three major markets of Bauchi Metropolis, Bauchi State, Nigeria. Materials and Methods: The study covers 300 consumers, who were randomly sampled and interviewed face-to-face using pretested structured questionnaire from October to December 2018. The cross-sectional approach was employed in the study. Result: The findings revealed that slightly more than half of the surveyed consumers have good knowledge (59.3%); however, the narrow gap between the consumers with good and poor knowledge indicates the need for improvement. Only two factors including age and income were found to be associated with consumers’ knowledge regarding adverse effects of plastic bag usage in this study. Conclusion: Based on this therefore, the study suggests that the relevant stakeholders should support programmes that may raise consumers’ knowledge regarding adverse effects of plastic bags usage. This should be done while taking into cognisance the factors found to be associated with knowledge regarding adverse effects of plastic bag usage among the surveyed consumers. The findings from this study will serve as input to the potential policies on regulating plastic bags usage particularly in Bauchi and other similar cities of developing countries. Keywords: Plastic bags, Adverse effects, Knowledge, Consumers, Nigeria
{"title":"KNOWLEDGE REGARDING ADVERSE EFFECTS OF PLASTIC BAGS USAGE AND ITS ASSOCIATED FACTORS AMONG CONSUMERS IN BAUCHI METROPOLIS, NIGERIA","authors":"Ibrahim Kabir, Shalom Wunukhen Wando, A. Abdulsamad, Lukman Shiji Saddiq, A. Adamu","doi":"10.32827/ijphcs.6.3.179","DOIUrl":"https://doi.org/10.32827/ijphcs.6.3.179","url":null,"abstract":"Background: Billions of plastic bags are used annually across the globe, leading to wider environmental and health concerns. This study evaluates the knowledge regarding adverse effects of plastic bags usage and its associated factors among consumers in three major markets of Bauchi Metropolis, Bauchi State, Nigeria. Materials and Methods: The study covers 300 consumers, who were randomly sampled and interviewed face-to-face using pretested structured questionnaire from October to December 2018. The cross-sectional approach was employed in the study. Result: The findings revealed that slightly more than half of the surveyed consumers have good knowledge (59.3%); however, the narrow gap between the consumers with good and poor knowledge indicates the need for improvement. Only two factors including age and income were found to be associated with consumers’ knowledge regarding adverse effects of plastic bag usage in this study. Conclusion: Based on this therefore, the study suggests that the relevant stakeholders should support programmes that may raise consumers’ knowledge regarding adverse effects of plastic bags usage. This should be done while taking into cognisance the factors found to be associated with knowledge regarding adverse effects of plastic bag usage among the surveyed consumers. The findings from this study will serve as input to the potential policies on regulating plastic bags usage particularly in Bauchi and other similar cities of developing countries. Keywords: Plastic bags, Adverse effects, Knowledge, Consumers, Nigeria","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"131 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82600202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Standard Precautions (SP) is important in preventing healthcare-associated infections (HAI) as well occupational infection among healthcare workers (HCWs) in healthcare facilities. However, the knowledge and practice of SP among HCWs is still poor. Objectives: To identify the predictors for knowledge and practice of Standard Precautions among HCWs. Materials and Methods: Articles were searched using Pubmed, Medline, Scopus and Google Scholar search engines using keywords “Standard Precautions OR infection control AND knowledge practice”. Types of studies included are analytical observational studies. Only English articles published from 2010 to 2018, accessible as full texts and evaluating multiple components of Standard Precautions were included in the review. Result: There are 10 articles included in this study. Several predictors had been identified through this review such as age, marital status, clinical experience, knowledge, administrative role, grade of hospital and working department, training, history of blood and body fluid exposure and constructs of Health Belief Model (HBM). Conclusion: HBM’s construct is among the important predictors of knowledge and practice on SP. Program aiming at comprehensive education and training about knowledge and practice on SP tailored to the HBM’s construct could help improve the compliance with SP among the HCWs in order to reduce the chances of occupational exposure to infections. Keywords: Standard Precautions, predictors, healthcare workers, knowledge and practice, infection control.
{"title":"SYSTEMATIC REVIEW ON THE PREDICTORS OF KNOWLEDGE AND PRACTICE ON STANDARD PRECAUTIONS (SP) AMONG HEALTHCARE WORKERS (HCWS)","authors":"R. Waramlah, H. Rahmawati","doi":"10.32827/ijphcs.6.3.19","DOIUrl":"https://doi.org/10.32827/ijphcs.6.3.19","url":null,"abstract":"Background: Standard Precautions (SP) is important in preventing healthcare-associated infections (HAI) as well occupational infection among healthcare workers (HCWs) in healthcare facilities. However, the knowledge and practice of SP among HCWs is still poor. Objectives: To identify the predictors for knowledge and practice of Standard Precautions among HCWs. Materials and Methods: Articles were searched using Pubmed, Medline, Scopus and Google Scholar search engines using keywords “Standard Precautions OR infection control AND knowledge practice”. Types of studies included are analytical observational studies. Only English articles published from 2010 to 2018, accessible as full texts and evaluating multiple components of Standard Precautions were included in the review. Result: There are 10 articles included in this study. Several predictors had been identified through this review such as age, marital status, clinical experience, knowledge, administrative role, grade of hospital and working department, training, history of blood and body fluid exposure and constructs of Health Belief Model (HBM). Conclusion: HBM’s construct is among the important predictors of knowledge and practice on SP. Program aiming at comprehensive education and training about knowledge and practice on SP tailored to the HBM’s construct could help improve the compliance with SP among the HCWs in order to reduce the chances of occupational exposure to infections. Keywords: Standard Precautions, predictors, healthcare workers, knowledge and practice, infection control.","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89853794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Si Dung Chu, M. Tran, Dung T. Vu, K. Q. Pham, Anh Quoc Nguyen
Objective: A survey was conducted for measuring healthcare service quality for inpatient at national public general hospital in Hanoi, Vietnam using the Tools of both in the SERVQUAL model and John E. Ware model. Methods: Cross-Sectional study. The study obtained feedbacks from inpatients over one month from January 2014 to February 2014; after inpatients finished their inpatient care at the hospital, they were asked 30 questions following the tool of both in functional and technical quality, using the five generic dimensions (the original 22 scores) of SERVQUAL instrument to combinate with the one dimensions (8 scores) of John E. Ware model, each question can score from 1-5. Results: In total, 325 patients were interviewed and completed the survey. Levels of inpatient satisfaction about service quality is influenced by the tool with 6 items (30 score), All dimension (6 dimension) have reliability coefficient > 0.05; and Cronbach alpha coefficient of the model’s 0.932: Including the first is Reliability (5 score), the second is Responsiveness (4 score), the third is Assurance (4 score), the fourth is Empathy (4 score), the fifth is Tangible (5 score), and the sixth is Technical quality (8 score) with highly Corrected Item-Total Correlation of four construct of patient satisfaction in healthcare service quality (from 0.646 to 0.837). Overall, the level of highly inpatient satisfaction about quality of healthcare in the hospital was explained almost 73.954% what could be achieved. Conclusions: Adjusted research model for the hospital has six contruct from levels of inpatient satisfaction about healthcare service quality is influenced by the tool with 6 factors (30 score). The tool provides feedback on the service quality for medical examination and treatment process of a public hospital experience from the adult inpatient’s perspective at the developing nation as Vietnam. Keywords: Measuring healthcare service quality, inpatient, SERVQUAL, John E. Ware model.
目的:采用SERVQUAL模型和John E. Ware模型两种工具对越南河内市国立公立综合医院住院患者的医疗服务质量进行测评。方法:横断面研究。本研究从2014年1月至2014年2月的一个多月的住院患者中获得反馈;住院患者在医院完成住院治疗后，采用SERVQUAL量表的5个通用维度(原22分)与John E. Ware模型的1个维度(8分)相结合，按照功能质量和技术质量两方面的工具对其进行30个问题的问卷调查，每个问题的得分从1-5分。结果:共访谈325例患者并完成调查。住院患者服务质量满意度受工具影响有6个项目(30分)，所有维度(6个维度)的信度系数> 0.05;模型的Cronbach alpha系数为0.932:包括第一是可靠性(5分)，第二是响应性(4分)，第三是保证性(4分)，第四是共情(4分)，第五是有形(5分)，第六是技术质量(8分)，四个结构的患者满意度在医疗服务质量中的项目-总相关系数高度校正(从0.646到0.837)。总体而言，住院患者对医院医疗质量的高度满意度几乎可以解释其所能达到的73.954%。结论:调整后的研究模型对医院的住院患者满意度有6个构形，对医疗服务质量的影响有6个因子(30分)。该工具从越南等发展中国家成年住院病人的角度，对公立医院的医疗检查和治疗过程的服务质量进行反馈。关键词:医疗服务质量测量，住院患者，SERVQUAL, John E. Ware模型。
{"title":"MEASURING HEALTHCARE SERVICE QUALITY FOR INPATIENT AT THE NATIONAL HEART INSTITUTE AT BACHMAI HOSPITAL IN VIETNAM","authors":"Si Dung Chu, M. Tran, Dung T. Vu, K. Q. Pham, Anh Quoc Nguyen","doi":"10.32827/ijphcs.6.3.143","DOIUrl":"https://doi.org/10.32827/ijphcs.6.3.143","url":null,"abstract":"Objective: A survey was conducted for measuring healthcare service quality for inpatient at national public general hospital in Hanoi, Vietnam using the Tools of both in the SERVQUAL model and John E. Ware model. Methods: Cross-Sectional study. The study obtained feedbacks from inpatients over one month from January 2014 to February 2014; after inpatients finished their inpatient care at the hospital, they were asked 30 questions following the tool of both in functional and technical quality, using the five generic dimensions (the original 22 scores) of SERVQUAL instrument to combinate with the one dimensions (8 scores) of John E. Ware model, each question can score from 1-5. Results: In total, 325 patients were interviewed and completed the survey. Levels of inpatient satisfaction about service quality is influenced by the tool with 6 items (30 score), All dimension (6 dimension) have reliability coefficient > 0.05; and Cronbach alpha coefficient of the model’s 0.932: Including the first is Reliability (5 score), the second is Responsiveness (4 score), the third is Assurance (4 score), the fourth is Empathy (4 score), the fifth is Tangible (5 score), and the sixth is Technical quality (8 score) with highly Corrected Item-Total Correlation of four construct of patient satisfaction in healthcare service quality (from 0.646 to 0.837). Overall, the level of highly inpatient satisfaction about quality of healthcare in the hospital was explained almost 73.954% what could be achieved. Conclusions: Adjusted research model for the hospital has six contruct from levels of inpatient satisfaction about healthcare service quality is influenced by the tool with 6 factors (30 score). The tool provides feedback on the service quality for medical examination and treatment process of a public hospital experience from the adult inpatient’s perspective at the developing nation as Vietnam. Keywords: Measuring healthcare service quality, inpatient, SERVQUAL, John E. Ware model.","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87360474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: This study attempts to review longitudinal school-based physical activity (PA) interventions in Southeast Asia countries Materials and Methods: ScienceDirect, PubMed and Scopus databases were used, which ranged from the years 2003 until April 2018. A total of twelve studies were included in the final review including seven from Malaysia, three from Singapore, one from Indonesia and one from Thailand. Results: The findings from Malaysian studies showed that EPaL provides students with cognitive and behavioural skills to cause changes in targeted behaviours by aiming to alter disordered eating behaviour, promoting PA, preventing sedentary lifestyle and enhancing eating behaviours. The integration of the transtheoretical framework improves participant adherence. Furthermore, circuit training was implemented during PE classes. The results showed significant improvements in the reduction of BMI, cardiovascular endurance and flexibility. In addition, MASCOT is ideal for promoting health and reducing obesity in Malaysian children as it has shown to improve BMI and total PA. In the Indonesian study, low-intensity endurance exercise of lower extremity has shown improvements in lower-extremity endurance as well as V02 max before for individuals with lower physical capacity. In Thailand, child health promotion programme has been shown to reduce the percentage of obesity of school children in the long--term. Finally, exergaming in the Singaporean studies showed improvements in attitude, self-efficacy, and perceived behavioural control. Conclusion: Limited studies were conducted on studying the cause of longitudinal PA implementation in school settings and its impact in Southeast Asia. Therefore, future studies are proposed to investigate this relationship and utilise comprehensive frameworks to identify domains for facilitating or inhibiting PA implementation. Keywords: Physical activity, school, children, intervention, exercise, Southeast Asian.
{"title":"SCHOOL-BASED PHYSICAL ACTIVITY INTERVENTIONS IN SOUTHEAST ASIA: A SYSTEMATIC REVIEW","authors":"H. Rizal, Mawar Siti Hajar, Garry Kuan","doi":"10.32827/ijphcs.6.3.32","DOIUrl":"https://doi.org/10.32827/ijphcs.6.3.32","url":null,"abstract":"Background: This study attempts to review longitudinal school-based physical activity (PA) interventions in Southeast Asia countries Materials and Methods: ScienceDirect, PubMed and Scopus databases were used, which ranged from the years 2003 until April 2018. A total of twelve studies were included in the final review including seven from Malaysia, three from Singapore, one from Indonesia and one from Thailand. Results: The findings from Malaysian studies showed that EPaL provides students with cognitive and behavioural skills to cause changes in targeted behaviours by aiming to alter disordered eating behaviour, promoting PA, preventing sedentary lifestyle and enhancing eating behaviours. The integration of the transtheoretical framework improves participant adherence. Furthermore, circuit training was implemented during PE classes. The results showed significant improvements in the reduction of BMI, cardiovascular endurance and flexibility. In addition, MASCOT is ideal for promoting health and reducing obesity in Malaysian children as it has shown to improve BMI and total PA. In the Indonesian study, low-intensity endurance exercise of lower extremity has shown improvements in lower-extremity endurance as well as V02 max before for individuals with lower physical capacity. In Thailand, child health promotion programme has been shown to reduce the percentage of obesity of school children in the long--term. Finally, exergaming in the Singaporean studies showed improvements in attitude, self-efficacy, and perceived behavioural control. Conclusion: Limited studies were conducted on studying the cause of longitudinal PA implementation in school settings and its impact in Southeast Asia. Therefore, future studies are proposed to investigate this relationship and utilise comprehensive frameworks to identify domains for facilitating or inhibiting PA implementation. Keywords: Physical activity, school, children, intervention, exercise, Southeast Asian.","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79400376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Vaccines play an important role in preventing serious infectious diseases in childhood. There are still existences of unvaccinated children with current immunization system in Malaysia. The aim of this study was to measure parents’ knowledge and practice regarding childhood immunization awareness and to evaluate their association with parental socio-demographic factors. Materials and Methods: A cross sectional study was conducted among parents with child aged 6 years old and below who visited public health clinics in District of Northeast Penang Island from October to December 2017. A total of 147 respondents were recruited by convenience sampling. Data was collected using a validated self-administered questionnaire. Result: The mean of knowledge score and practice score among parents were 6.40 and 6.99 respectively. Significant association was noted for knowledge score with employment status (p < 0.001), education level (p <0.001) and family income (p = 0.001). Practice score was found significantly associated with education level (p = 0.006) and family income (p = 0.014). Parents’ knowledge score was positively associated with their practice score (Spearman's correlation coefficient 0.291, p < 0.001). Conclusion: Immunization campaigns or education programs are required to improve parents’ knowledge and practice regarding childhood immunization awareness. Particular attention ought to be given to parents who were unemployed, with lower education level or family income. Keywords: Childhood immunization, Parents, Awareness, Knowledge, Practice
{"title":"FACTORS INFLUENCING PARENTS’ AWARENESS REGARDING CHILDHOOD IMMUNIZATION: FINDINGS OF CROSS-SECTIONAL STUDY IN NORTHEAST PENANG ISLAND DISTRICT, MALAYSIA","authors":"P. Ooi, Z. Heng, K. Boon","doi":"10.32827/ijphcs.6.3.130","DOIUrl":"https://doi.org/10.32827/ijphcs.6.3.130","url":null,"abstract":"Background: Vaccines play an important role in preventing serious infectious diseases in childhood. There are still existences of unvaccinated children with current immunization system in Malaysia. The aim of this study was to measure parents’ knowledge and practice regarding childhood immunization awareness and to evaluate their association with parental socio-demographic factors. Materials and Methods: A cross sectional study was conducted among parents with child aged 6 years old and below who visited public health clinics in District of Northeast Penang Island from October to December 2017. A total of 147 respondents were recruited by convenience sampling. Data was collected using a validated self-administered questionnaire. Result: The mean of knowledge score and practice score among parents were 6.40 and 6.99 respectively. Significant association was noted for knowledge score with employment status (p < 0.001), education level (p <0.001) and family income (p = 0.001). Practice score was found significantly associated with education level (p = 0.006) and family income (p = 0.014). Parents’ knowledge score was positively associated with their practice score (Spearman's correlation coefficient 0.291, p < 0.001). Conclusion: Immunization campaigns or education programs are required to improve parents’ knowledge and practice regarding childhood immunization awareness. Particular attention ought to be given to parents who were unemployed, with lower education level or family income. Keywords: Childhood immunization, Parents, Awareness, Knowledge, Practice","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80224552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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