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Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia
Desalegn Kumera,
Wondimu Mitiku,
Zalalem Kaba
Issue:
Volume 2, Issue 2, June 2021
Pages:
18-32
Received:
2 February 2021
Accepted:
24 March 2021
Published:
20 April 2021
DOI:
10.11648/j.ajnhs.20210202.11
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Abstract: Only 50% of women and no more than 40 percent of births in the developing world are attended by a skilled healthcare provider. Worldwide, lack of skilled attendants at birth accounts for two million preventable maternal deaths, stillbirths and newborn deaths each year. Unavailability of the services, inadequate number of skilled personnel, geographical inaccessibility and poor quality of care, financial constraints, and preference for home delivery were barriers to access to skilled care by women especially in developing countries. Appropriate delivery care is crucial for both maternal and prenatal health and increasing skilled attendance at birth is a central goal of the safe motherhood and child survival movements and is an important indicator in monitoring progress towards Millennium Development Goal 5 (five). This study assessed the magnitude and factors affecting place of delivery among women of child bearing age in Nunu Kumba Woreda, Oromia region, Western Ethiopia. Community based cross sectional quantitative household survey was employed. A pre-tested structured questionnaire was used. The response rate for this study was 100%. Those mothers who didn’t attended antenatal care for their last pregnancy were 7.8 times more likely in home birth as compared to antenatal care attendants. Mothers whose husband’s educated were less likely to choose home as delivery place AOR 95%CI (0.232, 0.083-0.644). Age at first marriage, antenatal care attendance, number of visits for antenatal care, planning of pregnancy, choice of husband to place of delivery and his educational status, and mode of transport used to reach health facility were the significant predictors of choice of delivery place. Therefore, women and partner education, inter sectorial collaboration, availing youth friendly services at all health units and equipping health posts are recommended.
Abstract: Only 50% of women and no more than 40 percent of births in the developing world are attended by a skilled healthcare provider. Worldwide, lack of skilled attendants at birth accounts for two million preventable maternal deaths, stillbirths and newborn deaths each year. Unavailability of the services, inadequate number of skilled personnel, geograph...
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Postmenopausal Osteoporosis: A Primary Women Health Concern
Nabiha Khalid,
Quratulain Yousaf,
Lubna Shehzadi,
Sehrish Fatima
Issue:
Volume 2, Issue 2, June 2021
Pages:
33-38
Received:
21 December 2020
Accepted:
4 January 2021
Published:
20 April 2021
DOI:
10.11648/j.ajnhs.20210202.12
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Abstract: Osteoporosis is the chronic condition of bone associated with decreased bone density, quality of bones and increased risks of fractures. Postmenopausal osteoporosis deals with increased bone resorption that results in loss of bone and fragility over 45 years of women. One of the leading causes of postmenopausal osteoporosis is the reduction of estrogen production in the ovaries of females. Lack of estrogen triggers several bone turnover pathways that result in osteoporosis. The drop of estrogen in the postmenopausal transition period, causes more bone resorption as compared to bone formation resulting in postmenopausal osteoporosis. Osteoporotic fractures is the major threat to the health of the women due to postmenopausal osteoporosis and hormone therapy is considered the first line therapy against this disease. To date, several pharmacological and non-pharmacological approaches have been designed to treat postmenopausal osteoporosis. Bone turnover markers help in the monitoring of osteoporosis treatment and in the assessment of fracture risk. Besides these conventional therapies, novel and advanced strategies have been constructed for the treatment of osteoporosis. Probiotics Choice and Ovarian Follicular Pool have opened a new avenue to treat osteoporosis. This review shed light on the biochemical perspective of postmenopausal osteoporosis, novel methods for its treatment, and management therapies to treat postmenopausal osteoporosis.
Abstract: Osteoporosis is the chronic condition of bone associated with decreased bone density, quality of bones and increased risks of fractures. Postmenopausal osteoporosis deals with increased bone resorption that results in loss of bone and fragility over 45 years of women. One of the leading causes of postmenopausal osteoporosis is the reduction of estr...
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Successes and Challenges of Establishing Visual Inspection with Acetic-acid and Cryotherapy Programme for Cervical Cancer Screening in the Gambia
Baboucarr Cham,
Eugene E. Okpere,
Chike F. Okolocha,
Adama K. M. Demba
Issue:
Volume 2, Issue 2, June 2021
Pages:
39-45
Received:
29 March 2021
Accepted:
19 April 2021
Published:
14 May 2021
DOI:
10.11648/j.ajnhs.20210202.13
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Abstract: Introduction: Cervical cancer is one of the leading female cancers with slow progression but still remains a major public health problem in developing countries. Each year about 528, 000 new cases of cervical cancer are diagnosed worldwide, with a mortality of about 266 000 and 85% of these deaths occur in developing countries. The aim of the study was to evaluate the successes and challenges of establishing a cervical screening and treatment programme using visual inspection with acetic-acid and cryotherapy in The Gambia. Material and Methods: A qualitative (phenomenological) study designs was used and a total of 6 midwives conducting cervical cancer screening were purposively selected and interviewed on the successes and challenges of establishing cervical cancer screening services in The Gambia. A key informant interview was conducted with the use of an interview guide. The interviews were recorded and transcribed verbatim. The data was analyzed using thematic analysis. This study is part of my PhD thesis which is a mixed study method. Results: Midwives interviewed stated that cervical cancer is the leading gynaecological cancer among women in The Gambia and it is on the increase. According to midwives the main successes of the programme is that many women have been screened for cervical cancer and those found positive were offered treatment. Some of the challenges mentioned include shortage of supplies like cotton wool, orange stick, vinegar, and nitrogen gas for cryotherapy as well as inadequate supervision from relevant authorities. Conclusion: The use of VIA and cryotherapy is a viable screening and treatment programme in The Gambia if given the necessary support.
Abstract: Introduction: Cervical cancer is one of the leading female cancers with slow progression but still remains a major public health problem in developing countries. Each year about 528, 000 new cases of cervical cancer are diagnosed worldwide, with a mortality of about 266 000 and 85% of these deaths occur in developing countries. The aim of the study...
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Knowledge and Perceived Susceptibility of Traders Towards the Prevention of COVID-19 Pandemic at Selected Markets in Ibadan Oyo-State, Nigeria
Adeleke Iyabode Aderonke,
Akindele Folasade,
Otufale Taiwo,
Owolabi Gbonjubola
Issue:
Volume 2, Issue 2, June 2021
Pages:
46-59
Received:
12 April 2021
Accepted:
6 May 2021
Published:
21 May 2021
DOI:
10.11648/j.ajnhs.20210202.14
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Abstract: Covid-19 is an emerging respiratory infection that was first discovered in Wuhan city, china in Dec. 2019. It is an infectious disease caused by a newly discovered corona virus which is currently spreading worldwide and is considered a pandemic disease. The study aimed at finding out the knowledge and perceived susceptibility of traders towards the prevention of covid-19 pandemic and to suggest ways in which the pandemic can be prevented. The study also aimed to help reduce the susceptibility of the disease thereby contributing to a decrease in the prevalence of Covid-19. The study was a cross-sectional descriptive survey. A total of 1774 respondents which comprised of traders in some selected markets in Ibadan were randomly selected. Data were collected with a self-administered questionnaire. The data were analyzed using the Statistical Package for Social Sciences (SPSS). Chi square was used to test the hypotheses at a significant level of P<0.05. The findings shows that 1136 (68.0%) of the respondents believed that there is no vaccine or treatment for covid-19; 1360 (81.4%) said that admitting infected persons to isolation wards is the best management for Covid-19; 1085 (64.9%) agreed that there are more lie than truth about covid-19 pandemic; 774 (46.3%) agreed that covid-19 is a stigmatized disease; 759 (45.4%) agreed that Covid-19 is the same thing as strong malaria; 939 (56.2%) of the respondents suggested wearing of face mask by individual, 621 (37.2%) suggested keeping of hygienic environment by family, 506 (30.3%) suggested wearing of facemask within the society while 1231 (73.7%) suggested that government should provide incentives in form of money and other palliative measures. The study shows that majority of the respondents have good knowledge (72.4%); poor perception (34.7%) and poor attitude (21.0%) about covid-19. In conclusion, individuals should believe that Covid-19 is real and strictly adhere to Covid-19 protocol. The government needs to do more in terms of sensitization, provision of facilities and vaccines as well as providing incentives in form of palliatives to cushion the effects of the pandemic.
Abstract: Covid-19 is an emerging respiratory infection that was first discovered in Wuhan city, china in Dec. 2019. It is an infectious disease caused by a newly discovered corona virus which is currently spreading worldwide and is considered a pandemic disease. The study aimed at finding out the knowledge and perceived susceptibility of traders towards the...
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