Postpartum infections are life-threatening conditions leading to 10% of maternal deaths worldwide; in sub-Saharan Africa, the estimated prevalence of postpartum infections is 11.5%. In Rwanda maternal sepsis contribute up to 56% of all maternal complications, where 5% of them die and most cases come from rural areas. In line with the above-mentioned background, this research aimed to find out the prevalence and factors contributing to postpartum infections in Nyanza District/ Rwanda. This study employed a cross-sectional design, with participants being mothers attending immunization services at health centers in Nyanza district. A sample size of 384 was determined for all health centers, with systematic sampling used to select individual participants. Data collection involved a structured questionnaire and a review of medical records. A case of postpartum infection was identified if self-reported signs or symptoms were also documented in the participant's medical records. Data analysis was conducted using IBM® SPSS 21.
{"title":"Prevalence and Factors Associated with Postpartum Infections among Mothers Attending Immunization Service at Health Centers of Nyanza District, Rwanda","authors":"","doi":"10.53819/81018102t5162","DOIUrl":"https://doi.org/10.53819/81018102t5162","url":null,"abstract":"Postpartum infections are life-threatening conditions leading to 10% of maternal deaths worldwide; in sub-Saharan Africa, the estimated prevalence of postpartum infections is 11.5%. In Rwanda maternal sepsis contribute up to 56% of all maternal complications, where 5% of them die and most cases come from rural areas. In line with the above-mentioned background, this research aimed to find out the prevalence and factors contributing to postpartum infections in Nyanza District/ Rwanda. This study employed a cross-sectional design, with participants being mothers attending immunization services at health centers in Nyanza district. A sample size of 384 was determined for all health centers, with systematic sampling used to select individual participants. Data collection involved a structured questionnaire and a review of medical records. A case of postpartum infection was identified if self-reported signs or symptoms were also documented in the participant's medical records. Data analysis was conducted using IBM® SPSS 21.","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133420645","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}
This study aimed to understand the prevalence and factors associated with caesarean section among expectant women who had delivered from Muhima hospital. Caesarean section is on the rise globally as well as national average where it accounts 24% of all deliveries conducted in hospitals and this increase has exceeded 15% which is recommended by WHO. A cross-sectional survey was conducted using an interview administered questionnaire and data extracted from obstetric chart review between May and June 2022 at Muhima hospital. A sample of 350 pregnant women that gave birth at Muhima District hospital were chosen using a convenience sampling process, whereby every mother that delivered at latter hospital was given same chances of being enrolled into the study. Data was analysed by use of IBM® SPSS 21 version. Out of 350 pregnant women had delivered at Muhima district hospital, 132 women had been delivered by CS making the prevalence of cesarean section to be 37.7%. Factors associated with CS delivery that were found to be significant were maternal age above 30 years (AOR=2.5,95%CI, 1.1-5.6, P=0.03) being single marital status (AOR=2.5,95%CI, 1.2-5.2, P=0.013) and delivering a baby weighing above 4000 grams (AOR=2.5,95%CI, 0.8-7.2, P=0.103). In conclusion, four out of ten pregnant women had delivered by CS at Muhima district hospital. This was common among older maternal age, being single mother, and delivering of big babies. Thus, it is evident that the prevalence of caesarean section is a growing concern in Muhima District Hospital, with a significant number of women undergoing this procedure. Depending on these factors, the country needs further national level policy decisions to reduce the attributed barriers. There is a need to develop and implement targeted educational programs and counselling services for expectant women, particularly older, single, or expecting big babies. These programs emphasize the importance of prenatal care, the risks and benefits of caesarean sections, and possible alternatives to reduce the likelihood of unnecessary caesarean deliveries. Also, it is recommended to strengthen healthcare provider training and adherence to clinical guidelines for caesarean sections. Moreover, it is essential to establish a comprehensive monitoring and evaluation system to track the rate of caesarean sections in the hospital and identify trends in specific patient populations.
{"title":"Prevalence and Factors Associated with Caeserean Section Among Mothers Delivering at Muhima District Hospital","authors":"","doi":"10.53819/81018102t5159","DOIUrl":"https://doi.org/10.53819/81018102t5159","url":null,"abstract":"This study aimed to understand the prevalence and factors associated with caesarean section among expectant women who had delivered from Muhima hospital. Caesarean section is on the rise globally as well as national average where it accounts 24% of all deliveries conducted in hospitals and this increase has exceeded 15% which is recommended by WHO. A cross-sectional survey was conducted using an interview administered questionnaire and data extracted from obstetric chart review between May and June 2022 at Muhima hospital. A sample of 350 pregnant women that gave birth at Muhima District hospital were chosen using a convenience sampling process, whereby every mother that delivered at latter hospital was given same chances of being enrolled into the study. Data was analysed by use of IBM® SPSS 21 version. Out of 350 pregnant women had delivered at Muhima district hospital, 132 women had been delivered by CS making the prevalence of cesarean section to be 37.7%. Factors associated with CS delivery that were found to be significant were maternal age above 30 years (AOR=2.5,95%CI, 1.1-5.6, P=0.03) being single marital status (AOR=2.5,95%CI, 1.2-5.2, P=0.013) and delivering a baby weighing above 4000 grams (AOR=2.5,95%CI, 0.8-7.2, P=0.103). In conclusion, four out of ten pregnant women had delivered by CS at Muhima district hospital. This was common among older maternal age, being single mother, and delivering of big babies. Thus, it is evident that the prevalence of caesarean section is a growing concern in Muhima District Hospital, with a significant number of women undergoing this procedure. Depending on these factors, the country needs further national level policy decisions to reduce the attributed barriers. There is a need to develop and implement targeted educational programs and counselling services for expectant women, particularly older, single, or expecting big babies. These programs emphasize the importance of prenatal care, the risks and benefits of caesarean sections, and possible alternatives to reduce the likelihood of unnecessary caesarean deliveries. Also, it is recommended to strengthen healthcare provider training and adherence to clinical guidelines for caesarean sections. Moreover, it is essential to establish a comprehensive monitoring and evaluation system to track the rate of caesarean sections in the hospital and identify trends in specific patient populations.","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127676353","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}
Most LMICs have been slow to receive and distribute vaccines, which are much more available in high-income countries, prompting critiques of global vaccine inequity, which were exacerbated with the distribution of so-called booster shots in high-income countries in the autumn of 2021. Access issues, coupled with vaccine hesitancy, can have catastrophic effects. Vaccination against the novel coronavirus is one of the most effective strategies for combating the global Coronavirus disease (COVID-19) pandemic. However, vaccine hesitancy has emerged as a major obstacle in several regions of the world, including Asia. The COVID-19 pandemic has necessitated the rapid development and distribution of vaccines worldwide. However, vaccine hesitancy, particularly in Asia, poses a significant challenge to achieving herd immunity and controlling the pandemic. This study aims to identify the key determinants of COVID-19 vaccine hesitancy in Asian populations and develop targeted strategies to improve vaccination uptake. A comprehensive review of literature from 2019 to 2020 was conducted, focusing on sociocultural, political, and healthcare system factors that contribute to vaccine hesitancy in the region. Findings reveal that cultural and religious beliefs, misinformation and distrust in government and healthcare systems, and logistical and accessibility issues significantly impact vaccine uptake. To address these challenges, the study proposes strategies such as engaging with community leaders, improving communication, building public trust, and addressing logistical and accessibility barriers. By comprehensively understanding and addressing the determinants of COVID-19 vaccine hesitancy in Asia, the public health community can navigate the complex landscape and facilitate higher vaccination rates, ultimately contributing to the global control of the COVID-19 pandemic. Keywords: COVID-19 vaccine, Vaccine hesitancy, Determinants, Strategies for improvement, Asia
{"title":"Navigating the Complex Landscape of COVID-19 Vaccine Hesitancy in Asia: Identifying Key Determinants and Strategies for Improvement","authors":"Yukio W. Murakami","doi":"10.53819/81018102t4134","DOIUrl":"https://doi.org/10.53819/81018102t4134","url":null,"abstract":"Most LMICs have been slow to receive and distribute vaccines, which are much more available in high-income countries, prompting critiques of global vaccine inequity, which were exacerbated with the distribution of so-called booster shots in high-income countries in the autumn of 2021. Access issues, coupled with vaccine hesitancy, can have catastrophic effects. Vaccination against the novel coronavirus is one of the most effective strategies for combating the global Coronavirus disease (COVID-19) pandemic. However, vaccine hesitancy has emerged as a major obstacle in several regions of the world, including Asia. The COVID-19 pandemic has necessitated the rapid development and distribution of vaccines worldwide. However, vaccine hesitancy, particularly in Asia, poses a significant challenge to achieving herd immunity and controlling the pandemic. This study aims to identify the key determinants of COVID-19 vaccine hesitancy in Asian populations and develop targeted strategies to improve vaccination uptake. A comprehensive review of literature from 2019 to 2020 was conducted, focusing on sociocultural, political, and healthcare system factors that contribute to vaccine hesitancy in the region. Findings reveal that cultural and religious beliefs, misinformation and distrust in government and healthcare systems, and logistical and accessibility issues significantly impact vaccine uptake. To address these challenges, the study proposes strategies such as engaging with community leaders, improving communication, building public trust, and addressing logistical and accessibility barriers. By comprehensively understanding and addressing the determinants of COVID-19 vaccine hesitancy in Asia, the public health community can navigate the complex landscape and facilitate higher vaccination rates, ultimately contributing to the global control of the COVID-19 pandemic. Keywords: COVID-19 vaccine, Vaccine hesitancy, Determinants, Strategies for improvement, Asia","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"266 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122556789","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}
Nicotine consumption increases brain excitability in a dispersed system of brain areas, such as the frontal cortex, amygdala, cingulate, and frontal lobes, in a dose-dependent manner. Stimulation in these areas is compatible with nicotine's ability to arouse and reinforce behaviour in humans. However, the effects of nicotine consumption on brain cells and the way it modifies them to either inhibit AD or facilitate AD is still unknown, therefore, the current scientific article aimed to address this research gap through analysing prior but latest research studies in this domain. Since there was a need to establish and explore more research regarding the positive impacts of Nicotine on patients with AD, a qualitative research design using secondary data was used to conduct the present scientific evidence. Four published papers within the year range 2017 to 2023 were acquired and thematically evaluated. Mixed findings regarding the impact of nicotine on brain cells and probability of getting AD were found however, there has been no clinical trials or enough empirical studies to support this assumption. Therefore, more research will be needed in the prospective to obtain credible and supporting results. Keywords: Nicotine, Brain cells, nicotinic receptors, Alzheimer’s disease.
{"title":"Nicotine's Potential to Protect Brain Cells: The Influence of Nicotine on Alzheimer's Disease Risk in the United States: A Scoping Review","authors":"Thomas E. Washington","doi":"10.53819/81018102t4132","DOIUrl":"https://doi.org/10.53819/81018102t4132","url":null,"abstract":"Nicotine consumption increases brain excitability in a dispersed system of brain areas, such as the frontal cortex, amygdala, cingulate, and frontal lobes, in a dose-dependent manner. Stimulation in these areas is compatible with nicotine's ability to arouse and reinforce behaviour in humans. However, the effects of nicotine consumption on brain cells and the way it modifies them to either inhibit AD or facilitate AD is still unknown, therefore, the current scientific article aimed to address this research gap through analysing prior but latest research studies in this domain. Since there was a need to establish and explore more research regarding the positive impacts of Nicotine on patients with AD, a qualitative research design using secondary data was used to conduct the present scientific evidence. Four published papers within the year range 2017 to 2023 were acquired and thematically evaluated. Mixed findings regarding the impact of nicotine on brain cells and probability of getting AD were found however, there has been no clinical trials or enough empirical studies to support this assumption. Therefore, more research will be needed in the prospective to obtain credible and supporting results. Keywords: Nicotine, Brain cells, nicotinic receptors, Alzheimer’s disease.","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129836197","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}
{"title":"Substance and Drug Abuse on Human Health; A Case Study of Youth in the USA","authors":"","doi":"10.53819/81018102t5139","DOIUrl":"https://doi.org/10.53819/81018102t5139","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126867473","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}
{"title":"Causes and Effects of Obesity on Health of Children in Australia","authors":"","doi":"10.53819/81018102t5138","DOIUrl":"https://doi.org/10.53819/81018102t5138","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125434158","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}
Vaccination has been shown to be one of the most cost-effective health interventions worldwide. Despite the efforts made towards global immunization coverage, the number of unvaccinated and under-vaccinated infants is still high. The situation is no different in Kenya. Basic vaccination coverage reduced from 77% in 2008 to 70% in 2017. National basic vaccination coverage of 70% is significantly lower than the global target of 90% by the year 2020. There are gaping regional differences in immunization coverage. The lowest national immunization coverage is documented at 31% in West Pokot County. This study sought to identify the determinants of vaccination coverage among children between 12-23 months of age in West Pokot County. The study used a community-based cross-sectional design where mothers/guardians of children between 12-23 months old were randomly sampled. The objectives of the study were to estimate the immunization coverage, investigate factors influencing immunization coverage and determine the influence of health service utilization on immunization coverage. Binary logistic regression was conducted to determine the influence of the independent variables on the dependent variable. The findings showed that, majority (62.4%) of the mothers/guardians had partially immunized their children, followed by those who had fully immunized their children (36.6%) and lastly 1.1% had not immunized their children. Age of the mother/guardian is significantly associated with immunization coverage (OR = 1.128, p =0.000<0.05). This suggests that the older the mother/guardian, the higher the chances of the child being fully immunized. The distance to nearest health facility was found to have no significant relationship with immunization coverage (p>0.05). Respondents who paid for the services were more likely to have their children fully immunized than those who did not pay for the services (OR = 3.546, p =0.019<0.05). It was also observed that Paternal occupation influences coverage OR = 2.006, P =0.035<0.05), visiting the health facility in last year also influenced immunization (OR = 3.147, P =0.01<0.05). The study concluded that the immunization coverage among children between 12-23 months in West Pokot County is below the set target. It is therefore recommended that the county government should intensify vaccination campaigns and develop policies aimed at economically empowering the residents of West Pokot County. Keywords: Immunization coverage, children aged between 12-23 months, West Pokot County
疫苗接种已被证明是全世界最具成本效益的卫生干预措施之一。尽管为实现全球免疫覆盖作出了努力，但未接种疫苗和接种疫苗不足的婴儿人数仍然很高。肯尼亚的情况也不例外。基本疫苗接种覆盖率从2008年的77%降至2017年的70%。国家基本疫苗接种覆盖率为70%，远低于到2020年达到90%的全球目标。在免疫接种覆盖率方面存在着巨大的区域差异。有记录的全国免疫覆盖率最低的是西波科特县，为31%。本研究旨在确定西波科特县12-23个月儿童疫苗接种覆盖率的决定因素。该研究采用基于社区的横断面设计，随机抽取12-23个月大儿童的母亲/监护人。研究的目的是估计免疫覆盖率，调查影响免疫覆盖率的因素，确定卫生服务利用对免疫覆盖率的影响。采用二元逻辑回归确定自变量对因变量的影响。调查结果显示，大多数(62.4%)母亲/监护人为孩子进行了部分免疫接种，其次是为孩子进行了完全免疫接种(36.6%)，最后是1.1%的母亲/监护人没有为孩子进行免疫接种。母亲/监护人的年龄与免疫覆盖率显著相关(OR = 1.128, p =0.0000.05)。付费服务的被调查者比不付费服务的被调查者更有可能让他们的孩子完全免疫(OR = 3.546, p =0.019<0.05)。还观察到，父亲的职业影响免疫覆盖率(OR = 2.006, P =0.035<0.05)，去年访问卫生设施也影响免疫接种(OR = 3.147, P =0.01<0.05)。研究得出的结论是，西波科特县12-23个月儿童的免疫覆盖率低于既定目标。因此，建议县政府加强疫苗接种运动，并制定旨在增强西波科特县居民经济能力的政策。关键词:免疫覆盖率;12-23月龄儿童;西波科特县
{"title":"Immunization Coverage among Children Aged Between 12-23 Months in West Pokot County, Kenya","authors":"David Kirongo, I. Mwanzo, E. Gitonga","doi":"10.53819/81018102t6047","DOIUrl":"https://doi.org/10.53819/81018102t6047","url":null,"abstract":"Vaccination has been shown to be one of the most cost-effective health interventions worldwide. Despite the efforts made towards global immunization coverage, the number of unvaccinated and under-vaccinated infants is still high. The situation is no different in Kenya. Basic vaccination coverage reduced from 77% in 2008 to 70% in 2017. National basic vaccination coverage of 70% is significantly lower than the global target of 90% by the year 2020. There are gaping regional differences in immunization coverage. The lowest national immunization coverage is documented at 31% in West Pokot County. This study sought to identify the determinants of vaccination coverage among children between 12-23 months of age in West Pokot County. The study used a community-based cross-sectional design where mothers/guardians of children between 12-23 months old were randomly sampled. The objectives of the study were to estimate the immunization coverage, investigate factors influencing immunization coverage and determine the influence of health service utilization on immunization coverage. Binary logistic regression was conducted to determine the influence of the independent variables on the dependent variable. The findings showed that, majority (62.4%) of the mothers/guardians had partially immunized their children, followed by those who had fully immunized their children (36.6%) and lastly 1.1% had not immunized their children. Age of the mother/guardian is significantly associated with immunization coverage (OR = 1.128, p =0.000<0.05). This suggests that the older the mother/guardian, the higher the chances of the child being fully immunized. The distance to nearest health facility was found to have no significant relationship with immunization coverage (p>0.05). Respondents who paid for the services were more likely to have their children fully immunized than those who did not pay for the services (OR = 3.546, p =0.019<0.05). It was also observed that Paternal occupation influences coverage OR = 2.006, P =0.035<0.05), visiting the health facility in last year also influenced immunization (OR = 3.147, P =0.01<0.05). The study concluded that the immunization coverage among children between 12-23 months in West Pokot County is below the set target. It is therefore recommended that the county government should intensify vaccination campaigns and develop policies aimed at economically empowering the residents of West Pokot County. Keywords: Immunization coverage, children aged between 12-23 months, West Pokot County","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117032874","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}
Sickle Cell Disease (SCD) is a high-morbidity and early-mortality disease if not managed and controlled properly. Managing a child with SCD is a challenging experience for both the caregiver and the family unit. These children are usually highly dependent on the caregiver for their daily activities. In Kenya, this disease has its highest prevalence in malaria-endemic regions mainly the Coast and Nyanza regions. Despite it being endemic in these regions, there is a dearth of literature on the determinants of the quality of life of caregivers of children with sickle cell disease in these areas. This study, therefore, sought to establish the determinants of the quality of life of caregivers of children with sickle cell disease attending care at the Siaya County Referral Hospital, in Kenya. The study adopted a descriptive and analytic cross-sectional study design. The study population were the caregivers of children suffering from Sickle Cell Disease seeking care at the Siaya County Referral Hospital in Kenya. A sample of 60 respondents was used to collect the desired data. A purposive sampling method was used to arrive at the sample. The study findings indicated that employment, financial security, monthly income, acquisition of new information, support from friends, ability to get around and quality of sleep impacted positively on caregivers’ quality of life. Results also indicated that frequency of hospitalization and frequent negative feelings impacted negatively on the caregivers’ quality of life. However, the study found no significant relationship between gender, age and education level with caregivers’ quality of life. The study recommended that the national and County governments should ensure that caregivers of children with SCD are provided with employment opportunities; the national and County governments should formulate programs aimed at supporting caregivers of children with SCD financially; and the employers of caregivers of children with SCD should consider raising their monthly income to enable them meet their financial needs. Keywords: Socio-demographic factors, economic factors, psychological factors, quality of life of caregivers, sickle cell disease
{"title":"Determinants of the Quality of Life of Caregivers of Children with Sickle Cell Disease at Siaya County Referral Hospital, Kenya","authors":"Joash Okinyi, Grace K Githemo, S. Bett","doi":"10.53819/81018102t6046","DOIUrl":"https://doi.org/10.53819/81018102t6046","url":null,"abstract":"Sickle Cell Disease (SCD) is a high-morbidity and early-mortality disease if not managed and controlled properly. Managing a child with SCD is a challenging experience for both the caregiver and the family unit. These children are usually highly dependent on the caregiver for their daily activities. In Kenya, this disease has its highest prevalence in malaria-endemic regions mainly the Coast and Nyanza regions. Despite it being endemic in these regions, there is a dearth of literature on the determinants of the quality of life of caregivers of children with sickle cell disease in these areas. This study, therefore, sought to establish the determinants of the quality of life of caregivers of children with sickle cell disease attending care at the Siaya County Referral Hospital, in Kenya. The study adopted a descriptive and analytic cross-sectional study design. The study population were the caregivers of children suffering from Sickle Cell Disease seeking care at the Siaya County Referral Hospital in Kenya. A sample of 60 respondents was used to collect the desired data. A purposive sampling method was used to arrive at the sample. The study findings indicated that employment, financial security, monthly income, acquisition of new information, support from friends, ability to get around and quality of sleep impacted positively on caregivers’ quality of life. Results also indicated that frequency of hospitalization and frequent negative feelings impacted negatively on the caregivers’ quality of life. However, the study found no significant relationship between gender, age and education level with caregivers’ quality of life. The study recommended that the national and County governments should ensure that caregivers of children with SCD are provided with employment opportunities; the national and County governments should formulate programs aimed at supporting caregivers of children with SCD financially; and the employers of caregivers of children with SCD should consider raising their monthly income to enable them meet their financial needs. Keywords: Socio-demographic factors, economic factors, psychological factors, quality of life of caregivers, sickle cell disease","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121748299","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}
{"title":"Demographic Factors Related to Pneumococcal Conjugate Vaccine Uptake Among Children Attending Immunization Services","authors":"","doi":"10.53819/81018102t3063","DOIUrl":"https://doi.org/10.53819/81018102t3063","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127259560","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}
{"title":"Relationship of Knowledge, Attitude and Practices of Parents /Guardians to Pneumococcal Conjugate Vaccine Uptake Among Children Attending Immunization Services","authors":"","doi":"10.53819/81018102t3062","DOIUrl":"https://doi.org/10.53819/81018102t3062","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121849706","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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