-
Factors Influencing Knowledge and Attitude Among the Caregivers of Patients with Schizophrenia at Mathari Teaching and Referral Hospital, Kenya
Edna Anab,
Agatha Onyango,
Catherine Mwenda
Issue:
Volume 5, Issue 1, March 2020
Pages:
1-11
Received:
24 October 2019
Accepted:
6 January 2020
Published:
9 January 2020
Abstract: Schizophrenia is a mental disease that affects how a person feels, behaves and thinks. About 51 million people worldwide suffer from Schizophrenia globally. The main objective of the study was to determine factors that influence the knowledge and attitude of the caregivers of schizophrenic patients at Mathari Teaching and referral Hospital. Caregiver’s knowledge facilitates recognition of mental illness and health-seeking behavior. A cross- sectional descriptive study design was carried out to assess factors influencing knowledge and attitude among the caregivers of patients with schizophrenia at Mathari teaching and referral hospital, Kenya. To generate qualitative information, on knowledge and attitude the nurse in charge of the ward was selected as key informants. Data was collected using questionnaire and key informant interview. Qualitative data were analyzed through content analysis, similar themes were grouped. Schizophrenia was diagnosed using diagnostic and statistical manual of mental disorder (DSM-V-TR) criteria. A total of 303 caregivers visiting the patients with schizophrenia in the wards were selected for study using systemic sampling technique. Pearson correlation coefficient, logistic regression and multiple regression was used to determine the magnitude of the correlation between dependent and independent variables. Most (72%) of the participants did not know the name of the condition which the patient was suffering from. Majority, 164 (54.1%) of the caregivers had a positive attitude towards schizophrenia. There was a perfect positive correlation with the length of time the patient had suffered from the condition (.08423 zero order) with the knowledge of the caregiver. From the study finding, there was a perfect positive correlation with age, gender, highest level of education and nature of occupation (.06543, .04186, .0088 and .0039) with the knowledge of the caregiver. There was also a perfect positive correlation with age, gender religion, relationship to client, and nature of occupation (.0054, .0009.0357, .0574 and 0068 zero orders respectively). Study findings indicated a positive correlation between knowledge and the attitude since a caregiver with more knowledge had a positive attitude. The study recommends, treatment literacy classes for caregivers of schizophrenia patients.
Abstract: Schizophrenia is a mental disease that affects how a person feels, behaves and thinks. About 51 million people worldwide suffer from Schizophrenia globally. The main objective of the study was to determine factors that influence the knowledge and attitude of the caregivers of schizophrenic patients at Mathari Teaching and referral Hospital. Caregiv...
Show More
-
Study of the Factors Associated with Llin Use in the Dahras at the Health District of Darou Mousty
Diop Cheikh Tacko,
Diongue Mamadou,
Ka Ousseynou,
Bop Martial Coly,
Gueye Boubacar,
Diagne Maty Camara,
Faye Adama
Issue:
Volume 5, Issue 1, March 2020
Pages:
12-16
Received:
26 December 2019
Accepted:
13 January 2020
Published:
4 February 2020
Abstract: The use of Long Lasting Impregnated Nets (LLIN) is still a problem in Senegal despite the efforts made by the National Malaria Control Program (NMCP) and the partners to ensure its availability. The main objective was to study the factors linked to the use of LLIN in the ‘dahras’ at the health district of Darou Mousty. A cross sectional, descriptive and analytical study on the talibés and the marabouts, was carried out at the health district of Darou Mousty from December 31, 2015 to January 4, 2016. Data were collected at the dahra level using a questionnaire for each target. The questionnaires were administered by individual interview after informed consent. The data covered socio-demographic and environmental characteristics, knowledge of malaria and the LLIN, as well as the usefulness of the latter and the use of other means of protection. The data were entered and analyzed with EPI INFO software version 3.5.3 with a 95% confidence interval. In total, 400 talibés and 40 marabouts were enlisted. The mean age of the talibés was 10.7 ± 2.6 years; the sex ratio M / F of 15.7. LLIN availability was 36.8%, LLIN utilization rate was 33.9%. The use of LLINs was statistically linked to the seniority of the talibés in the dahra (p = 0.03), the female sex (OR = 10; CI = [1.4- 25]), the place of sleeping (p = 0.0029), the information received on the LLIN by the talibé and the marabout with respectively (OR = 4.2; IC = [1.3 - 17.9]; OR = 3.6; IC = [2.1 - 6.3]), the ‘Ndiguel’ received from the marabout (OR = 1.8; CI = [1.1 - 3.3]), the talibés' knowledge of the usefulness of LLIN as a means of elimination of malaria (OR = 2.7; CI = [1.5 - 4.6]), knowledge of the talibés of the mode of transmission of malaria (OR = 1.8; CI = [1.0 - 3, 3]), the use of spirals and insecticides. The use of LLIN in the dahras requires strengthening the knowledge of the talibés and marabouts on malaria and LLIN, its mass and routine distribution and the support of all partners.
Abstract: The use of Long Lasting Impregnated Nets (LLIN) is still a problem in Senegal despite the efforts made by the National Malaria Control Program (NMCP) and the partners to ensure its availability. The main objective was to study the factors linked to the use of LLIN in the ‘dahras’ at the health district of Darou Mousty. A cross sectional, descriptiv...
Show More
-
Community Resilience in Face of Dystocia Deliveries: Case of Abbey Community in Ivory Coast
Mathieu Tchétché Obou,
Oscar Kouadio Koffi Bodoua
Issue:
Volume 5, Issue 1, March 2020
Pages:
17-23
Received:
8 January 2020
Accepted:
28 January 2020
Published:
14 February 2020
Abstract: In Ivory Coast, the objectives of the sustainable development in health field seem to be upset by the frequency of dystocic deliveries. They contribute to the increase in the rate of maternity and mortality. In response to this concern, the community environment is developing resilience through various remedies. Like the different ethnic communities, each with its own options, the Abbey community is developing its own endogenous mechanisms. Also, how perceptions related to Caesarean section delivery determine the organization of resilience for women participants in this community. Through this questioning, the essential objective is to know the social perceptions related to the cesarean section, the limits of obstetric care offerings; and to present the attitudes of resilience with regard to the prognoses of dystocic births. The investigation has mobilized the qualitative approach in its case study tradition. It took place in the hospital and community settings of Oforidjé in Agboville and Azaguié Ahoua in Azaguié. On the basis of the network technique and the criterion of interruption of the collection at saturation of information, 67 people (qualitatively representative) were interviewed. The results reveal a social perception characterized by a view of the caesarean section as a factor of disillusionment for the participant or mother who has undergone it; a situation of offers of obstetrical care devoid of empathy for the pregnant and characterized by a change of scenery of the latter in the delivery room. Resilience in this community is characterized by perinatal care in the form of ritual and treatment with plants, bark and roots.
Abstract: In Ivory Coast, the objectives of the sustainable development in health field seem to be upset by the frequency of dystocic deliveries. They contribute to the increase in the rate of maternity and mortality. In response to this concern, the community environment is developing resilience through various remedies. Like the different ethnic communitie...
Show More
-
Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015
Diop Cheikh Tacko,
Mai Idriss Mahamat,
Lo Ahmadou,
Ka Ousseynou,
Gueye Boubacar,
Bop Martial Coly,
Faye Adama
Issue:
Volume 5, Issue 1, March 2020
Pages:
24-29
Received:
13 January 2020
Accepted:
2 March 2020
Published:
17 March 2020
Abstract: Financing health care continues to be a major challenge in low-income countries where universal health coverage is still far from being achieved. The objective of our study is to assess the level of adherence of populations to mutual health insurance and to study the determining factors. We conducted a cross-sectional, descriptive and analytical study among a sample of household heads selected through a two-stage cluster survey from 21 to 31 December 2015 in the district of Guédiawaye. A questionnaire validated after a pre-test was administered during an individual interview. Socio-economic and household characteristics, factors related to the provision of care and those related to mutual health insurance were collected. These data were entered and analyzed on Epi Info 2000 version 3.5.3. The significance value was p<0.05. The Odds ratio was used to measure the strength of the link. The study covered 300 heads of household, 90% of whom live in rural areas. The average age was 49.7 years with 93% of male. The overall membership rate was 16.7%. The analysis showed that UDAM membership was influenced by gender with p=0.033 and OR=2.74 (95% CI: 1.04-7.19). There was also a significant relationship between education level and membership of mutual health insurance with p=0.001 and OR=3.71 (95% CI: 1.97-6.99). In the service offer, the quality of the medical prescription encouraged some people to join mutual health insurance with p=0.020 and OR=2.12 (95% CI: 1.12-4). Among the factors related to mutual health insurance, access to information about the existence of mutual health insurance influenced membership with p=0.001 and OR=22.22 (95% CI: 3.01-163.84). This study not only revealed the low level of adherence to mutual health insurance in the Guediawaye health district, but also it helped identify the factors that positively or negatively influence adherence to mutual health insurance. With the involvement of all the actors concerned, such an information should make it possible to improve universal health coverage in the Guediawaye health district.
Abstract: Financing health care continues to be a major challenge in low-income countries where universal health coverage is still far from being achieved. The objective of our study is to assess the level of adherence of populations to mutual health insurance and to study the determining factors. We conducted a cross-sectional, descriptive and analytical st...
Show More
