Background: Due to limited development of palliative care practice in Africa, many patients have not yet received formal palliative care. However, there were limited studies conducted among nurses assessing their knowledge and attitude towards palliative care in Ethiopia. Objective: The study aimed to assess nurses’ knowledge and attitude towards palliative care. Methods: A cross-sectional study was conducted, and a total of 402 were included in the study. A structured and pre-tested self-administered questionnaire was used to collect the data. Binary logistic regression was used to analyze the outcome variables. Finally, the association was declared using AOR at a 95% CI at p ≤0.05. Results: Of the total respondents, 216 (55.81%) were women. This study finding revealed that 304 (78.55%) of the respondents had inadequate knowledge, and 273 (70.54%) had unfavourable attitude towards palliative care. Educational level (AOR=2.61, 95%CI: 1.39, 4.89) and work experience (AOR=5.86, 95%CI:1.27, 26.92) were significantly associated with knowledge and attitude towards palliative care. Conclusions: This study finding showed that educational level and years of work experience showed a significant association with nurses’ knowledge and attitude towards palliative care. The concerned bodies and stake holders shall work together to enhance the nurses’ knowledge and attitude towards palliative care. Keywords: Knowledge; attitude; palliative care; nurses.
{"title":"Nurses' knowledge and attitude towards palliative care in Northcentral Ethiopia: a cross-sectional study","authors":"Tigabu Munye Aytenew, N. Ejigu, Melese Kebede, T. Amera, Amare Simegn, Tadila Dires, Demewoz Kefale, Solomon Demis, Gebrie Kassaw, Berihun Bantie","doi":"10.4314/ahs.v24i2.46","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.46","url":null,"abstract":"Background: Due to limited development of palliative care practice in Africa, many patients have not yet received formal palliative care. However, there were limited studies conducted among nurses assessing their knowledge and attitude towards palliative care in Ethiopia. \u0000Objective: The study aimed to assess nurses’ knowledge and attitude towards palliative care. \u0000Methods: A cross-sectional study was conducted, and a total of 402 were included in the study. A structured and pre-tested self-administered questionnaire was used to collect the data. Binary logistic regression was used to analyze the outcome variables. Finally, the association was declared using AOR at a 95% CI at p ≤0.05. \u0000Results: Of the total respondents, 216 (55.81%) were women. This study finding revealed that 304 (78.55%) of the respondents had inadequate knowledge, and 273 (70.54%) had unfavourable attitude towards palliative care. Educational level (AOR=2.61, 95%CI: 1.39, 4.89) and work experience (AOR=5.86, 95%CI:1.27, 26.92) were significantly associated with knowledge and attitude towards palliative care. \u0000Conclusions: This study finding showed that educational level and years of work experience showed a significant association with nurses’ knowledge and attitude towards palliative care. The concerned bodies and stake holders shall work together to enhance the nurses’ knowledge and attitude towards palliative care. \u0000Keywords: Knowledge; attitude; palliative care; nurses.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834780","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: Aflatoxins are a family of toxins produced by fungi species known as Aspergillus flavus and Aspergillus parasiticus. Contamination of aflatoxins in agricultural crops is of high concern as it has negative effects on public health. Objective: This study reports on the levels of aflatoxins in four types of spices (black pepper, turmeric, cardamom and garlic) collected from markets, stores and farms in selected locations of Tanzania. Methods: A total of 84 samples of selected spices were collected. The determination of aflatoxins was performed using high-performance liquid chromatography, coupled with fluorescence detector. Results: The results obtained showed that 64 samples (76%) were contaminated with total aflatoxins at varying levels with respect to location and weather conditions. Mean concentrations of total aflatoxins ranged from < DL to 8.41 ngg-1 for black pepper, from < DL to 0.22 ngg-1 for garlic, from < DL to 11.07 ngg-1 for cardamom and from 0.28 to 2.21 ngg-1 for turmeric. 4.7% of samples exceeded the maximum tolerable limit of 10 ngg-1 for total aflatoxins (TAF) set by European Commission and 7 (8.33 %) samples exceeded the maximum tolerable limit of 5 ngg-1 for Aflatoxin B1. Conclusion: The observed aflatoxin contamination gives an alert for control of aflatoxins for improved public health. Keywords: Aflatoxins; mycotoxins; liquid chromatography; contamination; spices.
{"title":"Aflatoxins contamination in spices marketed in selected areas of Tanzania and their Detection by Chromatographic Technique","authors":"Sharifa Juma, Clarence A Mgina, Kessy F Kilulya","doi":"10.4314/ahs.v24i2.17","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.17","url":null,"abstract":"Background: Aflatoxins are a family of toxins produced by fungi species known as Aspergillus flavus and Aspergillus parasiticus. Contamination of aflatoxins in agricultural crops is of high concern as it has negative effects on public health. \u0000Objective: This study reports on the levels of aflatoxins in four types of spices (black pepper, turmeric, cardamom and garlic) collected from markets, stores and farms in selected locations of Tanzania. \u0000Methods: A total of 84 samples of selected spices were collected. The determination of aflatoxins was performed using high-performance liquid chromatography, coupled with fluorescence detector. \u0000Results: The results obtained showed that 64 samples (76%) were contaminated with total aflatoxins at varying levels with respect to location and weather conditions. Mean concentrations of total aflatoxins ranged from < DL to 8.41 ngg-1 for black pepper, from < DL to 0.22 ngg-1 for garlic, from < DL to 11.07 ngg-1 for cardamom and from 0.28 to 2.21 ngg-1 for turmeric. 4.7% of samples exceeded the maximum tolerable limit of 10 ngg-1 for total aflatoxins (TAF) set by European Commission and 7 (8.33 %) samples exceeded the maximum tolerable limit of 5 ngg-1 for Aflatoxin B1. \u0000Conclusion: The observed aflatoxin contamination gives an alert for control of aflatoxins for improved public health. \u0000Keywords: Aflatoxins; mycotoxins; liquid chromatography; contamination; spices.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834858","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}
Sebastian Osei Kwarteng, Eric Sampane Donkor, Julius Eyiuche Nweze
Background: Tuberculosis (TB) is one of the major public health concerns in Ghana, with serious economic and social consequences. Tuberculosis is an infectious disease that is preventable and curable, as health educational programmes contribute to the control of TB However, the evidence required for such programmes is lacking in Ghana. Objectives: The aim of this study was to examine the underlying practices, attitudes and knowledge (PAK) of the patients at the Presbyterian hospital in Agogo, the Asante Akim North District (PHAA-AND) about tuberculosis disease and healthcare-seeking behaviour. Methods: This was a cross-sectional study among patients in the PHAA-AND. A simple random sampling method was used in selecting 370 participants for the study, who were interviewed regarding their TB knowledge, attitude and infection control practices. Results: Our study shows that the majority of the respondents demonstrated good knowledge about TB regarding its causative agent (68%), transmission (85.6%) and prevention (81.7%). However, poor knowledge was expressed regarding TB treatment by the majority (80.8%) of the respondents. Generally, the majority of respondents had a positive attitude and expressed good infection control practices regarding TB. The strongest determinants of TB related knowledge, or attitude or towards infection control practices were; level of education (OR, 1.49, CI; 1.25-1.77, p < 0.001), and gender (OR, 0.37, CI; 0.21-0.69, p=0.001). Conclusions: Respondents had good PAK towards TB, though some gaps were identified. These gaps called for health education about TB in the study area, and effective educational programs. Keywords: Knowledge; attitude; practices; tuberculosis; Presbyterian Hospital in the Asante Akim North District.
{"title":"Knowledge, attitude and practices related to tuberculosis among patients at the Presbyterian Hospital in the Asante Akim North District","authors":"Sebastian Osei Kwarteng, Eric Sampane Donkor, Julius Eyiuche Nweze","doi":"10.4314/ahs.v24i2.10","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.10","url":null,"abstract":"Background: Tuberculosis (TB) is one of the major public health concerns in Ghana, with serious economic and social consequences. Tuberculosis is an infectious disease that is preventable and curable, as health educational programmes contribute to the control of TB However, the evidence required for such programmes is lacking in Ghana. \u0000Objectives: The aim of this study was to examine the underlying practices, attitudes and knowledge (PAK) of the patients at the Presbyterian hospital in Agogo, the Asante Akim North District (PHAA-AND) about tuberculosis disease and healthcare-seeking behaviour. \u0000Methods: This was a cross-sectional study among patients in the PHAA-AND. A simple random sampling method was used in selecting 370 participants for the study, who were interviewed regarding their TB knowledge, attitude and infection control practices. \u0000Results: Our study shows that the majority of the respondents demonstrated good knowledge about TB regarding its causative agent (68%), transmission (85.6%) and prevention (81.7%). However, poor knowledge was expressed regarding TB treatment by the majority (80.8%) of the respondents. Generally, the majority of respondents had a positive attitude and expressed good infection control practices regarding TB. The strongest determinants of TB related knowledge, or attitude or towards infection control practices were; level of education (OR, 1.49, CI; 1.25-1.77, p < 0.001), and gender (OR, 0.37, CI; 0.21-0.69, p=0.001). \u0000Conclusions: Respondents had good PAK towards TB, though some gaps were identified. These gaps called for health education about TB in the study area, and effective educational programs. \u0000Keywords: Knowledge; attitude; practices; tuberculosis; Presbyterian Hospital in the Asante Akim North District.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834694","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: Complications in pregnancy, at childbirth and the pueperium cause high mortality and morbidity among women and neonates globally especially in the Lower and Middle Income Countries. Antenatal care is a key high impact strategy to improve maternal and child health. The objective of the study was to examine the effects of a targeted mobile phone intervention use in the provision of antenatal care on attendance and subsequent postnatal outcomes among pregnant women in a pastoralist community. Methods: We conducted a Randomized Controlled Trial (RCT) in four hospitals in Narok County, Kenya. Pregnant women were recruited early in pregnancy and followed upto 42 days after delivery. Recruitment started in June 2018. There were two study groups; the intervention and non-intervention groups with the non-intervention group receiving the routine care. Results: Two-hundred-and-sixty-two of the 280 study participants completed the study (93.6% response rate). The difference in proportion of study participants who had neonatal mortality at birth between the two study arms was 9.32% (95% CI 1.91-16.74%) between the intervention (6.06%) and the non-intervention (15.38%) study arms (p value = 0.015). Conclusion: A targeted mobile phone intervention used in antenatal care was associated with improved antenatal care attendance and better neonatal outcomes. Keywords: Postnatal neonatal outcomes; targeted mobile phone intervention; use in antenatal care amongst pregnant women; in a pastoralist community in Narok county; Kenya.
{"title":"Postnatal neonatal outcomes of a targeted mobile phone intervention use in antenatal care amongst pregnant women in a pastoralist community in narok county, Kenya: a randomized control trial","authors":"D. Muvengei, Simon Karanja, P. Wanzala","doi":"10.4314/ahs.v24i2.26","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.26","url":null,"abstract":"Background: Complications in pregnancy, at childbirth and the pueperium cause high mortality and morbidity among women and neonates globally especially in the Lower and Middle Income Countries. Antenatal care is a key high impact strategy to improve maternal and child health. The objective of the study was to examine the effects of a targeted mobile phone intervention use in the provision of antenatal care on attendance and subsequent postnatal outcomes among pregnant women in a pastoralist community. \u0000Methods: We conducted a Randomized Controlled Trial (RCT) in four hospitals in Narok County, Kenya. Pregnant women were recruited early in pregnancy and followed upto 42 days after delivery. Recruitment started in June 2018. There were two study groups; the intervention and non-intervention groups with the non-intervention group receiving the routine care. \u0000Results: Two-hundred-and-sixty-two of the 280 study participants completed the study (93.6% response rate). The difference in proportion of study participants who had neonatal mortality at birth between the two study arms was 9.32% (95% CI 1.91-16.74%) between the intervention (6.06%) and the non-intervention (15.38%) study arms (p value = 0.015). \u0000Conclusion: A targeted mobile phone intervention used in antenatal care was associated with improved antenatal care attendance and better neonatal outcomes. \u0000Keywords: Postnatal neonatal outcomes; targeted mobile phone intervention; use in antenatal care amongst pregnant women; in a pastoralist community in Narok county; Kenya.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834805","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: TB and HIV are the two widely distributed and successful microbial diseases which impose public health problems globally. Objectives: The study aimed to determine the prevalence and associated factors of TB among people living with HIV (PLHIV). Methods: A retrospective study was conducted among PLHIV at Saint Peter’s TB Specialized Hospital (SPTSH). Study participants were selected by random sampling technique. Logistic regression analyses were employed to determine the associations between dependent and independent variables. P ≤ 0.05 was taken as statistically significant. Results: The prevalence of TB among PLHIV in the entire study population was 24.6%. The proportion of pulmonary TB (PTB), disseminated TB (DTB) and extra pulmonary TB (EPTB), were 49 (57.6%), 9 (10.6%) and 27 (31.8%), respectively. Logistic regression analysis showed that PLHIV who are non-adhered to ART (AOR = 51.6, 95% CI 24.18 - 387), HAART duration of > 35 months (AOR = 0.39, 95% CI 0.198 - 2.10) and WHO clinical stage IV (AOR = 40.14, 95% CI15.14 -106.44), were significantly associated with TB/HIV co-infection. Conclusions: TB co-infection is the major public health issue of PLHIV. Special emphasis is required to reduce the incidence of TB/HIV associated morbidity and mortality among PLHIV. Keywords: Adherence; ETB; prevalence; TB/HIV co-infection.
背景：肺结核和艾滋病毒是两种分布广泛且成功治愈的微生物疾病，给全球带来了公共卫生问题。研究目的本研究旨在确定肺结核在艾滋病病毒感染者（PLHIV）中的发病率和相关因素。研究方法在圣彼得结核病专科医院（SPTSH）对艾滋病毒感染者进行了一项回顾性研究。研究对象通过随机抽样技术选出。采用逻辑回归分析确定因变量和自变量之间的关联。P≤0.05为具有统计学意义。结果在整个研究人群中，PLHIV 的结核病患病率为 24.6%。肺结核（PTB）、播散性肺结核（DTB）和肺外结核（EPTB）的比例分别为 49（57.6%）、9（10.6%）和 27（31.8%）。逻辑回归分析表明，未坚持抗逆转录病毒疗法的 PLHIV（AOR = 51.6，95% CI 24.18 - 387）、HAART 持续时间大于 35 个月（AOR = 0.39，95% CI 0.198 - 2.10）和 WHO 临床分期 IV（AOR = 40.14，95% CI 15.14 -106.44）与结核病/艾滋病毒合并感染显著相关。结论结核病合并感染是 PLHIV 的主要公共卫生问题。需要特别重视降低 PLHIV 中与 TB/HIV 相关的发病率和死亡率。关键词依从性；ETB；流行率；结核病/艾滋病毒合并感染。
{"title":"TB co-infection and associated factors among HIV patients attending highly active antiretroviral therapy in Saint Peter’s TB Specialized Hospital, Ethiopia: a five years retrospective study","authors":"Dereje Getaw, F. Tigu","doi":"10.4314/ahs.v24i2.7","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.7","url":null,"abstract":"Background: TB and HIV are the two widely distributed and successful microbial diseases which impose public health problems globally. \u0000Objectives: The study aimed to determine the prevalence and associated factors of TB among people living with HIV (PLHIV). \u0000Methods: A retrospective study was conducted among PLHIV at Saint Peter’s TB Specialized Hospital (SPTSH). Study participants were selected by random sampling technique. Logistic regression analyses were employed to determine the associations between dependent and independent variables. P ≤ 0.05 was taken as statistically significant. \u0000Results: The prevalence of TB among PLHIV in the entire study population was 24.6%. The proportion of pulmonary TB (PTB), disseminated TB (DTB) and extra pulmonary TB (EPTB), were 49 (57.6%), 9 (10.6%) and 27 (31.8%), respectively. Logistic regression analysis showed that PLHIV who are non-adhered to ART (AOR = 51.6, 95% CI 24.18 - 387), HAART duration of > 35 months (AOR = 0.39, 95% CI 0.198 - 2.10) and WHO clinical stage IV (AOR = 40.14, 95% CI15.14 -106.44), were significantly associated with TB/HIV co-infection. \u0000Conclusions: TB co-infection is the major public health issue of PLHIV. Special emphasis is required to reduce the incidence of TB/HIV associated morbidity and mortality among PLHIV. \u0000Keywords: Adherence; ETB; prevalence; TB/HIV co-infection.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141835237","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}
F. Ciccacci, Kanyza Ibraimo, A. Sineque, Susanna Ceffa, Zita Sidumo, Stefano Orlando, Cristina Marazzi
Background: TB is a global emergency, COVID-19 reversed the trend in TB mortality reduction to 2017 levels. Mozambique is one of the highest-burden countries with 368 new cases per 100.000 population in 2020.Objectives: This analysis aims to evaluate a TB diagnostic service in two Mozambican cities before and during the COVID-19 pandemic.Methods: We reviewed routine activity data from two laboratories in Mozambique (Maputo and Beira) in the period 01/2018–08/2022. GeneXpert test was prescribed based on clinical suspicion. Data about the number of tests, results, and rifampicin resistance were collected.Results: In the period 3,071 tests were conducted: 391 positive, and 32 rifampicin resistant. The number of positive samples was higher in Beira (20.2% vs 5%, OR 4[3.1-5.2]).In Maputo, we observed a higher percentage of rifampicin-resistant samples (13.2%vs7%, OR 0.5[0.2-1.1]), but the overall prevalence of rifampicin resistance was higher in Beira (14.1‰vs6.6‰, OR 2.1[1.0-4.5]).In 2020 and the first semester of 2021 a reduction in activity was observed, but positivity rates remained stable, with a slight increment starting in 2020.Conclusions: Our data confirm the impact of the COVID-19 pandemic on TB diagnostic services but also highlight possible benefits in terms of diagnostic appropriateness in clinical centers.Keywords: COVID-19 pandemic; tuberculosis diagnosis; sub-Saharan Africa; Mozambique.
{"title":"The impact of COVID-19 pandemic in tuberculosis diagnosis in sub-Saharan Africa: data from DREAM program in Mozambique","authors":"F. Ciccacci, Kanyza Ibraimo, A. Sineque, Susanna Ceffa, Zita Sidumo, Stefano Orlando, Cristina Marazzi","doi":"10.4314/ahs.v24i2.11","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.11","url":null,"abstract":"Background: TB is a global emergency, COVID-19 reversed the trend in TB mortality reduction to 2017 levels. Mozambique is one of the highest-burden countries with 368 new cases per 100.000 population in 2020.Objectives: This analysis aims to evaluate a TB diagnostic service in two Mozambican cities before and during the COVID-19 pandemic.Methods: We reviewed routine activity data from two laboratories in Mozambique (Maputo and Beira) in the period 01/2018–08/2022. GeneXpert test was prescribed based on clinical suspicion. Data about the number of tests, results, and rifampicin resistance were collected.Results: In the period 3,071 tests were conducted: 391 positive, and 32 rifampicin resistant. The number of positive samples was higher in Beira (20.2% vs 5%, OR 4[3.1-5.2]).In Maputo, we observed a higher percentage of rifampicin-resistant samples (13.2%vs7%, OR 0.5[0.2-1.1]), but the overall prevalence of rifampicin resistance was higher in Beira (14.1‰vs6.6‰, OR 2.1[1.0-4.5]).In 2020 and the first semester of 2021 a reduction in activity was observed, but positivity rates remained stable, with a slight increment starting in 2020.Conclusions: Our data confirm the impact of the COVID-19 pandemic on TB diagnostic services but also highlight possible benefits in terms of diagnostic appropriateness in clinical centers.Keywords: COVID-19 pandemic; tuberculosis diagnosis; sub-Saharan Africa; Mozambique.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834900","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 successful implementation of obstetric care should identify the maternal and foetal complications and refer to higher healthcare facilities in saving their lives. The study aimed to estimate the maternal and foetal complications risk factors during post-partum. Method: A retrospective cohort study was undertaken at a midwife obstetric unit among all women who had childbirths from January 2018 to October 2019. Regression analysis was used to predict risk factors. Results: The maternal and neonatal complications were 5.9% and 6.7% respectively. Regression analysis showed that mothers did not have antenatal care (ANC) were 2.8 times (OR=2.8, 95% CI: 1.5:5.4, p=0.001) and six times (OR=5.9, 95% CI; 2.7:12.5, p=0.000) more likely to have maternal and neonatal complications respectively. Gestational age < 32 weeks 19.0 times, (OR=19.0, 95% CI; 9.3:39.0, p=0.000) and 32-36 weeks, 4.6 times (OR=4.6, 95% CI; 2.5:9.4.0, p=0.000) more likely to have neonatal complications. Mothers without syphilis was 63% (OR=.37, 95% CI; .14:.97, p=0.04) less likely to have neonatal complications. Conclusion: Maternal and neonatal complication rates were comparable with others of similar settings. Pregnant women should be educated on the importance of ANC and strategies should be considered for improving ANC uptake and care to reduce maternal and neonatal complications. Keyword: Antenatal care; gestational age; syphilis.
{"title":"Incidence of post-partum complications and referrals of mothers and neonates to hospitals from a Midwife Obstetric Unit","authors":"Akm Monjurul Hoque, S. Buckus, M. Hoque","doi":"10.4314/ahs.v24i2.27","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.27","url":null,"abstract":"Background: The successful implementation of obstetric care should identify the maternal and foetal complications and refer to higher healthcare facilities in saving their lives. The study aimed to estimate the maternal and foetal complications risk factors during post-partum. \u0000Method: A retrospective cohort study was undertaken at a midwife obstetric unit among all women who had childbirths from January 2018 to October 2019. Regression analysis was used to predict risk factors. \u0000Results: The maternal and neonatal complications were 5.9% and 6.7% respectively. Regression analysis showed that mothers did not have antenatal care (ANC) were 2.8 times (OR=2.8, 95% CI: 1.5:5.4, p=0.001) and six times (OR=5.9, 95% CI; 2.7:12.5, p=0.000) more likely to have maternal and neonatal complications respectively. Gestational age < 32 weeks 19.0 times, (OR=19.0, 95% CI; 9.3:39.0, p=0.000) and 32-36 weeks, 4.6 times (OR=4.6, 95% CI; 2.5:9.4.0, p=0.000) more likely to have neonatal complications. Mothers without syphilis was 63% (OR=.37, 95% CI; .14:.97, p=0.04) less likely to have neonatal complications. \u0000Conclusion: Maternal and neonatal complication rates were comparable with others of similar settings. Pregnant women should be educated on the importance of ANC and strategies should be considered for improving ANC uptake and care to reduce maternal and neonatal complications. \u0000Keyword: Antenatal care; gestational age; syphilis.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141835070","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}
Ngozi O Adefala, T. Ashipa, Kolawole J Sodeinde, Fikayo E Bamidele, Adebola Y Omotosho, Abiodun O Osinaike, Chimaobi C Nwankpa
Background: Birth preparedness promotes the timely use of skilled maternal and neonatal care, reduces delays in receiving care; reduces maternal death, and ensures women have professional delivery thus reducing obstetric complications. Making the right decisions regarding the place of delivery influences the outcome of labour and childbirth. Objectives: To assess the practice of birth preparedness and its association with the place of delivery among women in rural and urban communities of Ogun East Senatorial District. Methods: A comparative cross-sectional study was carried out among 750 women in the rural and urban communities selected using a multistage sampling technique. An interviewer-administered, structured questionnaire adapted from the safe motherhood questionnaire of the Johns Hopkins Program for International Education in Gynecology and Obstetrics (JHPIEGO) and the Nigeria Demographic Health Survey (NDHS) 2018 was used. Data was analyzed using IBM SPSS version 22.0 and the statistical significance was set at p<0.05. Relevant descriptive and inferential statistics were calculated and results were presented in frequency tables. Results: Urban respondents were older (mean age 31.07±6.115 years) than their rural counterparts (mean age 30.69±6.312 years). The difference in the mean ages was not statistically significant (p=0.401). Urban respondents were significantly better prepared during their last pregnancy than rural respondents (p=0.022). The majority of respondents in both rural (n=288, 76.8%) and urban areas (n=296, 78.9%) utilized health facilities as a place of delivery during their last pregnancy; the difference was not statistically significant. Conclusion: Disparities existed in this study between rural and urban areas in the practice of birth preparedness. This calls for more health education interventions to increase the practice of birth preparedness in rural areas, having an ideal birth plan, which targets health facility delivery. Keywords: Birth preparedness; practice; place of delivery; utilization of skilled birth attendance.
{"title":"Birth preparedness and its association with place of delivery among women in rural and urban communities of Ogun east senatorial district Nigeria","authors":"Ngozi O Adefala, T. Ashipa, Kolawole J Sodeinde, Fikayo E Bamidele, Adebola Y Omotosho, Abiodun O Osinaike, Chimaobi C Nwankpa","doi":"10.4314/ahs.v24i2.23","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.23","url":null,"abstract":"Background: Birth preparedness promotes the timely use of skilled maternal and neonatal care, reduces delays in receiving care; reduces maternal death, and ensures women have professional delivery thus reducing obstetric complications. Making the right decisions regarding the place of delivery influences the outcome of labour and childbirth. \u0000Objectives: To assess the practice of birth preparedness and its association with the place of delivery among women in rural and urban communities of Ogun East Senatorial District. \u0000Methods: A comparative cross-sectional study was carried out among 750 women in the rural and urban communities selected using a multistage sampling technique. An interviewer-administered, structured questionnaire adapted from the safe motherhood questionnaire of the Johns Hopkins Program for International Education in Gynecology and Obstetrics (JHPIEGO) and the Nigeria Demographic Health Survey (NDHS) 2018 was used. Data was analyzed using IBM SPSS version 22.0 and the statistical significance was set at p<0.05. Relevant descriptive and inferential statistics were calculated and results were presented in frequency tables. \u0000Results: Urban respondents were older (mean age 31.07±6.115 years) than their rural counterparts (mean age 30.69±6.312 years). The difference in the mean ages was not statistically significant (p=0.401). Urban respondents were significantly better prepared during their last pregnancy than rural respondents (p=0.022). The majority of respondents in both rural (n=288, 76.8%) and urban areas (n=296, 78.9%) utilized health facilities as a place of delivery during their last pregnancy; the difference was not statistically significant. \u0000Conclusion: Disparities existed in this study between rural and urban areas in the practice of birth preparedness. This calls for more health education interventions to increase the practice of birth preparedness in rural areas, having an ideal birth plan, which targets health facility delivery. \u0000Keywords: Birth preparedness; practice; place of delivery; utilization of skilled birth attendance.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141835084","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}
J. Bamidele, O. Abiodun, K. Sodeinde, T. Bitto, A. Alabi, Callistus A. Akinleye, O. Adejumo, Olusoji Daniel
Background: Drug-resistant tuberculosis (DR-TB) continues to be a public health concern. Several factors, including the disease itself, affect the quality of life of DR-TB patients. This study aimed to assess the quality of life (QOL) and associated factors of drug-resistant tuberculosis patients in Nigeria. Methods: A cross-sectional study of 165 participants using an interviewer-administered 26-item World Health Organization Quality of life Brief version (WHOQOL-BREF) tool. Two questions assessed overall quality of life and general health while twenty-four questions assessed the physical, social, psychological and environmental domains of QOL. Continuous variables were summarized using means, standard deviations while association between categorical variables were analyzed using Chi-square test. Binary logistic regression model assessed the predictors of QOL with statistical significance at p<0.05 Results: Mean age was 35.63 ± 11.36. The overall quality of life was 3.96±0.82. The environmental domain had the highest mean quality of life (64.9±14.6), while the physical domain had the lowest (59.2±11.2). Marital status, family size, and support from the TB programme were associated with a good QOL. Conclusion: Overall quality of life was good. Continued financial and social support for drug-resistant tuberculosis patients on treatment by the national tuberculosis control programme is recommended. Keywords: Drug-resistant tuberculosis; quality of life; Nigeria.
背景：耐药性结核病（DR-TB）仍然是一个公共卫生问题。包括疾病本身在内的多种因素会影响 DR-TB 患者的生活质量。本研究旨在评估尼日利亚耐药结核病患者的生活质量（QOL）及相关因素。研究方法对 165 名参与者进行横断面研究，使用由访谈者管理的 26 个项目的世界卫生组织生活质量简明版（WHOQOL-BREF）工具。两个问题评估总体生活质量和一般健康状况，24 个问题评估 QOL 的身体、社会、心理和环境领域。连续变量采用均值和标准差进行总结，分类变量之间的关联采用卡方检验进行分析。二元逻辑回归模型评估了 QOL 的预测因素，P<0.05 时具有统计学意义：平均年龄为（35.63 ± 11.36）岁。总体生活质量为（3.96±0.82）分。环境领域的平均生活质量最高（64.9±14.6），而身体领域的平均生活质量最低（59.2±11.2）。婚姻状况、家庭规模和结核病计划的支持与良好的生活质量相关。结论：总体生活质量良好：总体生活质量良好。建议国家结核病控制项目继续为接受治疗的耐药结核病患者提供经济和社会支持。关键词：耐药结核病耐药结核病；生活质量；尼日利亚。
{"title":"Quality of life among drug-resistant tuberculosis patients on treatment in SouthWest Nigeria","authors":"J. Bamidele, O. Abiodun, K. Sodeinde, T. Bitto, A. Alabi, Callistus A. Akinleye, O. Adejumo, Olusoji Daniel","doi":"10.4314/ahs.v24i2.9","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.9","url":null,"abstract":"Background: Drug-resistant tuberculosis (DR-TB) continues to be a public health concern. Several factors, including the disease itself, affect the quality of life of DR-TB patients. This study aimed to assess the quality of life (QOL) and associated factors of drug-resistant tuberculosis patients in Nigeria. \u0000Methods: A cross-sectional study of 165 participants using an interviewer-administered 26-item World Health Organization Quality of life Brief version (WHOQOL-BREF) tool. Two questions assessed overall quality of life and general health while twenty-four questions assessed the physical, social, psychological and environmental domains of QOL. Continuous variables were summarized using means, standard deviations while association between categorical variables were analyzed using Chi-square test. Binary logistic regression model assessed the predictors of QOL with statistical significance at p<0.05 \u0000Results: Mean age was 35.63 ± 11.36. The overall quality of life was 3.96±0.82. The environmental domain had the highest mean quality of life (64.9±14.6), while the physical domain had the lowest (59.2±11.2). Marital status, family size, and support from the TB programme were associated with a good QOL. \u0000Conclusion: Overall quality of life was good. Continued financial and social support for drug-resistant tuberculosis patients on treatment by the national tuberculosis control programme is recommended. \u0000Keywords: Drug-resistant tuberculosis; quality of life; Nigeria.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834673","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}
Shehab M Abd E-Kader, Neveen Refaey, Afnan M AlKhateeb, Saad S AlFawaz, Ziyad A Neamatallah, Umar M Alabasi, Amer Alsaif, Riziq Allah Mustafa Gaowgzeh, Salwa R El-Gendy, Mohamed F El- Banna, H. Embaby, Fatma A Hegazy, Rasha M Hegazy, Khaled M Mounir, Saif Mehmed, Mohamed Y Abdelsamee, Ahmed M Aboeleneen
Background: Hemodialysis (HD) patients usually suffer from exercise intolerance. However, exercise training improves their exercise tolerance and quality of life. Objective: This study was designed to compare the effects of aerobic and resisted exercise on exercise tolerance and fatigue response in hemodialysis patients. Methods: Fifty-six sedentary patients with CKD were recruited from the dialysis unit of the King Abdulaziz University Teaching Hospital (Jeddah, Saudi Arabia). Participants were allocated randomly into two study groups; group (A) received intradialytic aerobic exercise training on cycle ergometers. However, group (B) received intradialytic resisted exercise training for six months. Results: There was a 30.05 % reduction in mean values of MFI total score and 32.04 % and 32.13 % increase in mean values of hand grip strength and six-minute walking test respectively in group (A). While, there was a 16.78 % reduction in mean values of MFI total score and 17.35 % and 16.20 % increase in mean values of hand grip strength and six-minute walking test respectively in group (B). In addition, the differences between both groups were significant at the end of the study. Conclusion: Aerobic exercise alleviates fatigue and improves exercise tolerance more effective than resistance exercise among hemodialysis patients. Keywords: Aerobic exercise; exercise tolerance; fatigue; hemodialysis; resistance exercise.
{"title":"Exercise tolerance and fatigue response to aerobic versus resisted exercise among hemodialysis patients","authors":"Shehab M Abd E-Kader, Neveen Refaey, Afnan M AlKhateeb, Saad S AlFawaz, Ziyad A Neamatallah, Umar M Alabasi, Amer Alsaif, Riziq Allah Mustafa Gaowgzeh, Salwa R El-Gendy, Mohamed F El- Banna, H. Embaby, Fatma A Hegazy, Rasha M Hegazy, Khaled M Mounir, Saif Mehmed, Mohamed Y Abdelsamee, Ahmed M Aboeleneen","doi":"10.4314/ahs.v24i2.42","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.42","url":null,"abstract":"Background: Hemodialysis (HD) patients usually suffer from exercise intolerance. However, exercise training improves their exercise tolerance and quality of life. \u0000Objective: This study was designed to compare the effects of aerobic and resisted exercise on exercise tolerance and fatigue response in hemodialysis patients. \u0000Methods: Fifty-six sedentary patients with CKD were recruited from the dialysis unit of the King Abdulaziz University Teaching Hospital (Jeddah, Saudi Arabia). Participants were allocated randomly into two study groups; group (A) received intradialytic aerobic exercise training on cycle ergometers. However, group (B) received intradialytic resisted exercise training for six months. \u0000Results: There was a 30.05 % reduction in mean values of MFI total score and 32.04 % and 32.13 % increase in mean values of hand grip strength and six-minute walking test respectively in group (A). While, there was a 16.78 % reduction in mean values of MFI total score and 17.35 % and 16.20 % increase in mean values of hand grip strength and six-minute walking test respectively in group (B). In addition, the differences between both groups were significant at the end of the study. \u0000Conclusion: Aerobic exercise alleviates fatigue and improves exercise tolerance more effective than resistance exercise among hemodialysis patients. \u0000Keywords: Aerobic exercise; exercise tolerance; fatigue; hemodialysis; resistance exercise.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834714","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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