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Quality of Youth Friendly Service at Public Health Facilities in SendafaTown, Oromia Region, Ethiopia: A Facility Based Cross Sectional Study
Adugna Amenu,
Wassie Negash,
Enguday Demeke
Issue:
Volume 3, Issue 3, September 2022
Pages:
39-53
Received:
30 May 2022
Accepted:
1 July 2022
Published:
13 July 2022
DOI:
10.11648/j.ajnhs.20220303.11
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Abstract: Background: Global initiatives are urging countries to prioritize quality as a way of reinforcing human rights-based approaches to health. Yet, evidence from both high- and low-income countries shows that services for adolescents are highly fragmented, poorly coordinated and uneven in quality. Objective: The main aim of the study was to assess quality of youth friendly service at public health facilities in Sendafa town, Oromia Region, Ethiopia. Methods: Facility based cross-sectional study design using both qualitative and quantitative data was conducted from April 12 to May 14, 2021 at two public health centers in Sendafa town. Four hundred twenty one (421) samples were included by using a systematic sampling technique. To collect the data interview-administered questionnaire and observation checklist was used. Binary logistic regression model were applied to identify the independent predictors of client satisfaction. Strength of association was measured using adjusted odds ratio (AOR) with 95% confidence interval. Key informant interview and observation were used to collect qualitative data. Qualitative findings were coded and analyzed by using thematic content analysis. Result: A total of 421 youth friendly service clients age between 10-24 years were participated in the study. The overall quality of youth friendly services for public health facilities in Sendafa town was 58% which is below the standard of care. Age (15-19) (AOR=0.34, 95% CI: 0.12, 0.97), education below secondary (AOR=0.041, 95% CI: 0.013, 0.134), who do not get all services (AOR=0.02, 95% CI: 0.001, 0.36), current schooling status of in school (AOR=6.7, 95% CI: 2.12, 21.5), experience of youth friendly service visit (AOR=10.86, 95% CI: 4.72, 25.0) and comfortable with age and sex of provider (AOR=9.86, 95% CI: 3.58, 27.12) had statistically significant association with client satisfaction. Conclusion: The study shows that, quality of youth friendly service at public health facilities of Sendafa town was poor quality or below the standard of care.
Abstract: Background: Global initiatives are urging countries to prioritize quality as a way of reinforcing human rights-based approaches to health. Yet, evidence from both high- and low-income countries shows that services for adolescents are highly fragmented, poorly coordinated and uneven in quality. Objective: The main aim of the study was to assess qual...
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Adherence to WHO Dietary Recommendations and Its Associated Factors Among Pregnant Women Attending ANC at MKCSH, Southwest Ethiopia
Daniel Desta,
Efrem Negash,
Abdi Geda
Issue:
Volume 3, Issue 3, September 2022
Pages:
54-61
Received:
28 May 2022
Accepted:
28 June 2022
Published:
20 July 2022
DOI:
10.11648/j.ajnhs.20220303.12
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Abstract: Introduction: Maternal nutrition is essential for fetal development and growth, as well as the health of offspring throughout their lives. A nutritious prenatal diet improves fetal development and may aid in the prevention of congenital defects, premature birth, and low birth weight. Despite the fact that pregnant women are generally aware of the importance of a well-balanced diet during their pregnancy, their nutritional intake remains unsatisfactory. Lower socioeconomic women, in particular, follow dietary requirements less frequently and have poorer pregnancy and child health outcomes than higher socioeconomic women. Objective: To determine the level of adherence to WHO dietary recommendations and associated factors among pregnant mothers following antenatal care in Mettu Karl’s comprehensive specialized hospital. Method: An institution-based cross-sectional study was carried out among 401 randomly selected pregnant women from July 25-September 28/2021. Socio-demographic, obstetrics, and adherence to the dietary recommendation data were collected using a structured questionnaire. Data were entered into Epi data 3.1 and exported to SPSS version 25 for analysis. Bivariate and multivariable logistic regression models were fitted. An adjusted odds ratio with a 95% Confidence level was used to assess the association between independent and dependent variables. The statistical significance was declared at P-values of < 0.05. Results: A total of 401 pregnant women were included in the study with a response rate of 94.5%. More than half (56.3%) of the participants met the recommendations for cereals, 22.4% for dairy, 10.4% for fruit, 29.1 for meat, and less than 10% for vegetables. In the multivariable logistic regression analysis, the factors significantly associated with overall adherence to the dietary recommendations were distance from Health facility (< 40 minutes’ walk) (AOR=2.26, 95% (CI) (1.97, 7.63), educational status (secondary and above) (AOR=2.31, 95% (CI) (1.57, 3.42), wealth status (in better off) AOR =7.89, 95% (CI) (9.57, 8.42) and early registration for ANC (<4 months) (AOR=2.99, 95% CI (1.99, 3.21)). Conclusions: A significant proportion of pregnant women do not consume the recommended daily servings from the five food groups. Intervention strategies are warranted, particularly those that increase women’s ability to evaluate their diet and also encourage positive dietary changes.
Abstract: Introduction: Maternal nutrition is essential for fetal development and growth, as well as the health of offspring throughout their lives. A nutritious prenatal diet improves fetal development and may aid in the prevention of congenital defects, premature birth, and low birth weight. Despite the fact that pregnant women are generally aware of the i...
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First Line Antiretroviral Therapy (ART) in Regional Hospital of Niamey (Niger): Socio-demographic Characteristics and Treatment Outcome
Kadri Sani,
Salifou Ibrahim Alkassoum,
Harouna Amadou Mahaman Laouali,
Djibo Sayo Adamou,
Garba Abdoul Azize,
Boureima Karimou,
Daou Mamane
Issue:
Volume 3, Issue 3, September 2022
Pages:
62-66
Received:
16 July 2022
Accepted:
28 July 2022
Published:
4 August 2022
DOI:
10.11648/j.ajnhs.20220303.13
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Abstract: Background: The increasing access of PLHIV to antiretroviral treatment (ART) over the last decade has led to a substantial reduction in patient morbidity and mortality and an increase in the life expectancy of PLHIV. Objective: The aim of this study was to describe the sociodemographic characteristics and treatment outcome of patients living with HIV. Methods: This is a retrospective, descriptive and cross-sectional study carried out from 1 January 2016 to 31 December 2020. Results: of 253 patients 72.33% of the patients were women and 27.66% were men. 60.07% of the patients were married, 14.62% single, 13.43% widowed and 11.85% divorced, 42.68% of whom lived in a monogamous household. 84% of the patients came from the urban area. HIV/HBV and HIV/TB co-infections were 5.53% and 3.95% respectively. Clinically, 41.89% of the patients are at WHO stage II, 48.61% had an undetectable viral load. The average CD4 cells count was 270 with extremes ranging from 0 to 1818, 94.86% of patients. Conclusion: ART treatment is associated to age, gender and low socio-economic status and low level of education. The majority of patients are in treatment success; between WHO stages I and II, under the TDF-3TC-EFV protocol. Fewer rate of patients was in viral therapeutic failure.
Abstract: Background: The increasing access of PLHIV to antiretroviral treatment (ART) over the last decade has led to a substantial reduction in patient morbidity and mortality and an increase in the life expectancy of PLHIV. Objective: The aim of this study was to describe the sociodemographic characteristics and treatment outcome of patients living with H...
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Development and Implementation of Virtual Stroke Nurse Certification: SINN-ECHO Model for Low and Middle Income Countries
Shani SD,
Angela Gnanadurai,
Saramma PP,
Laisa Kumar,
Anila Goswami,
Rebecca Sumathibai,
Manju Dhandapani
Issue:
Volume 3, Issue 3, September 2022
Pages:
67-72
Received:
17 August 2022
Accepted:
30 August 2022
Published:
27 September 2022
DOI:
10.11648/j.ajnhs.20220303.14
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Abstract: Background: Patients treated in specialized stroke care units and received discharge education are reported to have better medication adherence and reduced risk of stroke recurrence. Comprehensive stroke care necessitates specialized stroke nurses to provide evidence-based stroke care and education. Methods: The Virtual Stroke Nurse Certification Course by SINN-ECHO collaboration was to train and certify nurses working in the neurology- stroke area to improve quality of care. The course curriculum includes nine modules, case presentations, procedure demonstrations, videos, care pathways, care plans, and extensive discussions. The mean pre-test and post-test scores difference was calculated, and ‘t’ test was done for statistical significance. The score difference of more than or three defined as improved knowledge as a result of participation in the course. Chi2 test was done to find out the association between knowledge improvement and basic characteristics of the participants. Results: Recruited 30 participants 74.1% females. The mean age of participants was 37.89±9.04 years and the mean years of experience were 14.80 (9.50) years. The mean years of experience in the neurology or stroke unit was 7.5 (8.02) years. The mean post-test score 19.3 (3.37) was significantly higher (p<0.001) compared to pre-test score 16.33 (3.1). Around 60% of the participants have a score difference of more than three between pre-test and post-test. More than 90% of participants agreed that their objectives for participation in the course were met, and it improved their knowledge. The Virtual platform provided by ECHO reduced the feeling of professional isolation of more than 70% of the participants. More than 80% of the participant expressed that they would recommend this course to their colleagues. Conclusion: Implementation of Virtual Stroke Nurses Certification Course through ECHO model was proven to effectively improve participants’ confidence and competency in stroke care.
Abstract: Background: Patients treated in specialized stroke care units and received discharge education are reported to have better medication adherence and reduced risk of stroke recurrence. Comprehensive stroke care necessitates specialized stroke nurses to provide evidence-based stroke care and education. Methods: The Virtual Stroke Nurse Certification C...
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Assessing the Predictors and Outcomes of Guillain-Barré Syndrome at St. Paul’s and Zewditu Hospitals in Addis Ababa, Ethiopia
Wubakal Teshome,
Tesfaye Dagne,
Tsegaye Getachew
Issue:
Volume 3, Issue 3, September 2022
Pages:
73-83
Received:
5 September 2022
Accepted:
16 September 2022
Published:
29 September 2022
DOI:
10.11648/j.ajnhs.20220303.15
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Abstract: Guillain–Barré Syndrome (GBS) is the most frequent cause of acute flaccid paralysis worldwide and constitute one of serious emergencies in neurology. In Ethiopia there is high prevalence of infectious disease influencing the prevalence as well as the subsequent outcome of GBS where there is significant constrain in the availability of critical care, rehabilitation and social service. So, the objective of this study is assessing predictors and outcomes of Guillain-Barré Syndrome. Retrospective cross sectional study was used and all patients who fulfill the inclusion criteria’s for GBS in the 7 years period were included. The organized data was interpreted using descriptive methods in the form of tables, charts, and graphs in the SPSS version 20 and Excel software. Binary logistic regression analysis was used to assess the association between exposure variables and outcome of GBS. And univariate analysis performed to screen out potentially significant independent variables to be included in the multivariable binary logistic regression. The most common presenting symptoms were muscle weakness (91), respiratory muscle involvement (32) and Cranial Nerve involvement (27). HIV (40.64%) and DM (31.25%) were important comorbid illness. Cranial nerve palsies, respiratory compromise, disability score, need of mechanical ventilation, HIV and DM were significantly associated with worse outcome. Common GBS variants identified were AMAN (36%) and AIDP (30%), AMAN type were associated with unfortunate outcome. GBS-specific therapy was administered in 43.96% patients and having appropriate treatment had lower incidence of poor outcome. Generally, this study showed 60% of patients had good outcome (GDS ≤ 2) and 40% of bad outcome (GDS > 2). Digitization of medical recording evaluation report using a software based template would help to improve the completeness of each patient report and awareness of predictors of GBS outcome and being perceptive for alarming features will help allocate resource in keen manner in our resource restricted setting. Having GBS specific treatments available in affordable and accessible manner will inflict significant light in the prognosis of GBS patients. It would be better to conduct further studies on Concordance between molecular tests, anti-body, sequential electro-diagnostic tests and availability of physiotherapy to have better model that predict outcome of GBS.
Abstract: Guillain–Barré Syndrome (GBS) is the most frequent cause of acute flaccid paralysis worldwide and constitute one of serious emergencies in neurology. In Ethiopia there is high prevalence of infectious disease influencing the prevalence as well as the subsequent outcome of GBS where there is significant constrain in the availability of critical care...
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