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Measurement of Patient Satisfaction as a Quality Indicator of Hospital Health Services: The Case of Outpatient Clinics in General Hospital
Georgoudi Ekaterina,
Kyriazis Stavros,
Mihalache Anca,
Kourkouta Lambrini
Issue:
Volume 5, Issue 2, March 2017
Pages:
128-135
Received:
8 January 2017
Accepted:
19 January 2017
Published:
23 February 2017
Abstract: Purpose: The measurement of patient satisfaction by the provided health services in outpatient clinic of the General Hospital of Athens. Material-Method: To measure the satisfaction of health service users was chosen a sample of 400 people using the method of stratified random sampling. The data were collected using a weighted structured questionnaire in those who had an appointment with the hospital doctors (period from 1st to June 30th 2012). The evaluation of patient satisfaction for services imprinted in two ways: (a) assessment of total services in ten-point scale, where 1 represents dissatisfied and 10 very satisfied and (B) assessment of individual medical, nursing and administrative services with the five-point scale. The five-point scale was established as follows: value 1: very bad 2: rather bad 3: neither good nor bad, 4: rather good 5: very good. For the statistical analysis was used descriptive statistics, t test and ANONA test. Results: The response percentage of interviewees reached 83.25%. In assessing the overall satisfaction was found that in the ten-point scale, the Hospital is evaluated positively. The average total score of evaluation is quite high (8.3). Important parameters of satisfaction for the majority of patients were courtesy, specialized knowledge and the professionalism of the staff of outpatient clinic. 85.29% of the sample declared absolutely satisfied by the behavior of the reception staff, 72.37% by the behavior of doctors, 69.67% by the quality of nursing care. However, the problematic aspects of the visit were identified to the responsiveness, the access, the outpatient clinics and the accommodations infrastructure. The lowest percentage of completely satisfied corresponds to the replies on the notice boards and on the information at the hospital entrance (5.41% and 5.71% respectively). Dissatisfaction was expressed for the long waiting time between the desired date for visit and the scheduled date (percentage of fully satisfied 14.71%), as well as for waiting time in order to be respect the scheduled time (percentage of fully satisfied 12.01%). Noteworthy is that the majority of interviewees would recommend the hospital to friends and family environment (percentages: definitely yes 58, 86%, rather yes 36.94%). Conclusions: The overall assessment of the services provided by the outpatient clinic of Hospital was positive. However, it appeared to have problems in the organization, delays and infrastructure of clinics, for which must be taken corrective measures to ensure that the services that patients benefit are characterized by high quality.
Abstract: Purpose: The measurement of patient satisfaction by the provided health services in outpatient clinic of the General Hospital of Athens. Material-Method: To measure the satisfaction of health service users was chosen a sample of 400 people using the method of stratified random sampling. The data were collected using a weighted structured questionna...
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Probability of HBsAg Among Village Midwives in Khartoum State, Sudan, 2014
Taha Ahmed Elmukashfi Elsheikh,
Yosra Mohammed Osman Abu Swait,
Siham Ahmed Balla,
Abdelgadir Ali Bashir,
Asma Abdelaal Abdalla
Issue:
Volume 5, Issue 2, March 2017
Pages:
56-60
Received:
20 December 2016
Accepted:
29 December 2016
Published:
23 January 2017
Abstract: The risk of catching HBV infection varies between and in-between health institutions as well as at geographical areas for general population. An observational study was performed in order to determine the conditional probabilities of the prevalence of HBsAg among Village Midwives in Khartoum State, Sudan, 2014. Through one stage stratified, systematic random sampling three hundred and thirty five village midwives out of 1848 were selected. A close end questionnaire for demographic data was used. Using Eliza, blood was tested; sera of all participants were examined for Anti-HBcore (IgG and IgM). Positive specimens for Anti-HBcore and HBsAg were examined for HBsAg and HBeAg respectively. Statistical package of social sciences (SPSS) version (16) and Chi-square test were used. P ≤ 0.05 was considered statistically significant. Probability was calculated manually using Bayesian analysis method. Participants were divided into three main age groups: (i) Age group less than 30 years (4.6%). (ii) Age group (30-49) represented by 65.8%. (iii) Age group more than 50 years (29.5%). For education (0.9%) university graduate, (9.8%) secondary certificate, (14.2%) intermediate, (50.2%) primary, (1.9%) Quranic School and (23%) were illiterate. About (61.8%) were married, (16.4%) widow, (11.3%) divorced and (4.8%) un-married. Thirty four percent of them were positive for Anti-HBcore (IgG) indicating past or on going infection. Out of these fifty seven percent were HBsAg positive. HBeAg and Anti-HBcore (lgM) were negative. The maximum conditional probabilities of positive HBsAg in relation to age, educational level, marital status, and duration of work was found to be: (0.576), (0.524), (0.676), and (0.633) respectively. While the overall conditional probability in relation to these factors was: (0.576), (0.451), (0.14), and (0.633). Conditional probabilities of positive HBsAg among village midwives in Khartoum State, Sudan, were high. Village midwives with duration of work for 1-2 years and age above 50 years have got high probability of positive HBsAg. Screening and vaccination of village midwives are recommended.
Abstract: The risk of catching HBV infection varies between and in-between health institutions as well as at geographical areas for general population. An observational study was performed in order to determine the conditional probabilities of the prevalence of HBsAg among Village Midwives in Khartoum State, Sudan, 2014. Through one stage stratified, systema...
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Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study
Ndambuki Stephen Mulinge,
Oyindamola Bidemi Yusuf,
Chris O. Aimakhu
Issue:
Volume 5, Issue 2, March 2017
Pages:
61-67
Received:
22 December 2016
Accepted:
9 January 2017
Published:
24 January 2017
Abstract: Effective antenatal care services (ANC) present an opportunity to minimize the high risk for poor perinatal outcomes and other birth complications associated with teenage pregnancy. With the failure by Kenya and majority of the Sub Saharan Countries to achieve the Millennium Development Goals (MDG 4 & 5), there is need to understand factors influencing utilization of maternal health services among special groups within the reproductive age. Therefore, this study identified factors that influence utilization of ANC services among women aged 13-19 years. A facility-based cross-sectional study was conducted among 385 teenage mothers using semi-structured questionnaires and key informants’ interviews in Malindi Sub-County. The WHO recommendation of at least 4 ANC visits was used as standard measure for good or poor ANC services utilization. Quantitative data were analyzed using descriptive statistics, chi square test and logistic regression at the 5% level of significance while qualitative data were analyzed thematically. Mean age of the participants was 18.10 ± 1.11 and about 69% were married. In total, 91.2% of the participants reported poor utilization of ANC services with less than 4 ANC visits. About 54.7% reported late/inappropriate booking time. Knowledge of the recommended ANC visits, marital status, occupation, and the person making the decision to attend ANC were strong determinants of ANC utilization. Participants with good knowledge of the recommended ANC visits were about 3 times more likely to have good utilization of ANC services than participants with poor knowledge (OR=2.734, p=0.006, 95% CI: 1.34, 5.58).Participants who made the decision to start ANC clinics were 3 times more likely to have good ANC services utilization compared to participants whose decision was made by others (OR=2.914, p=0.009, 95% CI: 2.91, 6.48).Utilization of ANC services among teenage mothers remains significantly poor in Malindi sub-County. Immense efforts should be directed towards creation of awareness about ANC and its importance in the communities, and implementation of innovative programs targeting pregnant teenage girls to encourage them to seek ANC services.
Abstract: Effective antenatal care services (ANC) present an opportunity to minimize the high risk for poor perinatal outcomes and other birth complications associated with teenage pregnancy. With the failure by Kenya and majority of the Sub Saharan Countries to achieve the Millennium Development Goals (MDG 4 & 5), there is need to understand factors influen...
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Psycho-active Substances Use and Determining Factors among Regular Undergraduate Students of Dire-Dawa University, Eastern Ethiopia
Gemechis Tesso Kumburi,
Atinafu Kebede Gelgile,
Bedasa Tessema Hatehu,
Dagne Tafa Gemechu
Issue:
Volume 5, Issue 2, March 2017
Pages:
68-76
Received:
2 December 2016
Accepted:
15 December 2016
Published:
6 February 2017
Abstract: Several studies indicate that use of psycho-active substances among Ethiopian youths is considerably rising particularly in universities. The use of psycho-active substances among youths can be harmful, leading to decreased academic performance, increased risk of exposure to sexually transmitted diseases, and psychiatric disorders such as lethargy, hopelessness and insomnia. The aim of this study was to investigate the magnitude and factors determining psycho-active substances use among regular undergraduate students of Dire-Dawa University. Cross-sectional study was conducted to explore the magnitude of self-reported psycho-active substance use and any association between these habits and the determinant factors among students of the Dire-Dawa University. Frequencies, proportion for categorical variables and cross-tabulations were used for data summarization. Binary Bivariate and Multivariate Logistic Regression analyses were used to identify factors associated with substance. Bivariate analysis was done, and variables with p-value less than 0.05 were used in the multivariate logistic regression analysis. Odds Ratio and 95% confidence intervals were also computed with the corresponding p-value.64.3% of respondents used psycho-active substances in their life time. The top three psycho-active substances used in last twelve months were alcohol (60%), khat (59.9%) and tobacco (56.5%). Through multivariate logistic regression analysis, being male, having peer influence, getting relief from stress, keeping alert while reading, using psycho-active substances (PAS) for recreational purpose, lacking of sufficient alternative means of recreation in the university campus, finding availability of PAS use centers around the university campus and using alcohol and cigarettes as a means of breaking the depression that ensues once the stimulation from khat has subsided significantly associated with PAS use. This study has revealed that psycho-active substances use among the undergraduate regular students of Dire Dawa University was higher than the findings of other similar studies conducted in public universities of Ethiopia. Being male, having peer influence, getting relief from stress, keeping alert while reading, using PAS for recreational purpose, lacking of sufficient alternative means of recreation in the university campus, finding availability PAS use centers around the university campus and using alcohol and cigarettes as a means of breaking the depression that ensues once the stimulation from khat has subsided were significantly associated with PAS use.
Abstract: Several studies indicate that use of psycho-active substances among Ethiopian youths is considerably rising particularly in universities. The use of psycho-active substances among youths can be harmful, leading to decreased academic performance, increased risk of exposure to sexually transmitted diseases, and psychiatric disorders such as lethargy,...
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Bypassing Primary Health Care Facilities for Common Childhood Illnesses in Sharg-Alneel Locality in Khartoum State, Sudan 2015
Malaz Elbashir Ahmed,
Talal Elfadil Mahdi,
Nada Jaffar Osman Ahmed
Issue:
Volume 5, Issue 2, March 2017
Pages:
77-87
Received:
17 December 2016
Accepted:
9 January 2017
Published:
9 February 2017
Abstract: In Sudan despite the current implementation of universal health coverage policy, routine monitoring reports highlight that patients frequently bypass Primary Health Care (PHC) facilities in favor of higher-level hospitals, though hospitals are costly and time consuming. The main objective of this study was to study the extent of bypassing the public PHC facilities and factors associated with the decision of caretakers to bypass such facilities seeking care for their under-five year’s children with common illnesses in Sharg-Alneel locality, 2015. The study proposed strategies and interventions to the Sudan government -Federal Ministry of Health (FMoH) - to improve PHC service utilization The study was cross- sectional comparative study, interviewer administered questionnaires and facility assessment checklist was used for data collection. The data was analysed using SPSS. The study interviewed 497 caretakers, 87% of them pursued health care for their children directly from secondary hospitals. The main reasons for bypassing the closest public health facilities were unavailability of doctors, lack of health insurance services and higher cost of services. The proportion of bypassing a PHC facility for child care is significantly associated with child sex, child age, presenting symptoms of diarrhea, fever, difficult breathing and severe vomiting, caretakers’ occupation as well as the economic status. In a resource limited country, health policy to achieve universal health coverage is better to focus on quality of care as well as quantity. Community mobilization and interventions to improve access and utilization of quality PHC services are all recommended. Furthermore, more research on bypassing behaviour is also recommended.
Abstract: In Sudan despite the current implementation of universal health coverage policy, routine monitoring reports highlight that patients frequently bypass Primary Health Care (PHC) facilities in favor of higher-level hospitals, though hospitals are costly and time consuming. The main objective of this study was to study the extent of bypassing the publi...
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Non Adherence to Diabetic Medication Among Diabetic Patients, a Case Study of Dormaa Hospital Ghana
Awuni Prosper Mandela Amaltinga
Issue:
Volume 5, Issue 2, March 2017
Pages:
88-97
Received:
6 July 2016
Accepted:
1 August 2016
Published:
15 February 2017
Abstract: Today, diabetes Mellitus is one of the chronic diseases prevalence in Ghana. This study assessed the factors that contribute to non-adherence to medication among diabetic patients undergoing therapy in Dormaa Hospital. The study used convenience and purposive sampling technique to sample 130 respondents comprising 123 diabetic patients and 7 health professionals from the Dormaa Presby Hospital. A standardized questionnaire was used to collect the data. Data was coded and analyzed with Stata 12.0. Most participants (57%) had a family history of diabetes and were at age 51 and above that most people were diagnosed with the disease. The level of diabetics’ adherence to diabetic treatment regimen was satisfactory and higher (68.5%). The majority of diabetics (69.23%) visited health facilities on monthly basis for review which involves testing of blood glucose level as well. Though most of diabetics surveyed were illiterate, they were, however, knowledgeable on the importance of treatment regimen as they disclosed that treatment regimen sought to prevent progression of the disease stage to associated complications, co-morbidities, and early death. Polyuria, polydipsia, and sweating were some of the commonest sign and symptoms mentioned by the patients. The majority of the patients (57%) had no idea of the normal range of fastening blood sugar level. Finances (25.6%), forgetfulness (45.5%), busy schedules (18.2%) and poor family support (2.5%) were some factors that affect better treatment adherence. Most diabetics called for a government subsidy to the drugs, continuous health education on the diseases and family support. The study recommends a much more focused preventive healthcare services to identify risk factors and early detection. Research on the burden of chronic diseases on the health facilities should be considered in the future.
Abstract: Today, diabetes Mellitus is one of the chronic diseases prevalence in Ghana. This study assessed the factors that contribute to non-adherence to medication among diabetic patients undergoing therapy in Dormaa Hospital. The study used convenience and purposive sampling technique to sample 130 respondents comprising 123 diabetic patients and 7 health...
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Comparative Study on Changes in Spirometric Lung Function Indices of Cobblestone Workers
Issue:
Volume 5, Issue 2, March 2017
Pages:
98-102
Received:
1 December 2016
Accepted:
10 December 2016
Published:
17 February 2017
Abstract: Cobblestone workers exposed to dust inhalation and physical injuries during cobblestone work activities exposed to respiratory problems due to proliferation and fibrotic alteration changing in their spiro metric lung function indices. This study was designed to determine changes in spirometric lung function indices of cobblestone workers. Comparative cross-sectional study was applied. Cobblestone workers exposed for one and above years and proportional non exposed non-smoking normal study participants with similar age range and anthropometric values were participated. The study showed higher change in Spiro metric lung function indices. Mean values and percent predicted mean values of lung functions (FVC, FEV1, FEV1/FVC, PEFR, PIFR and FEF25-75) were significantly reduced (p<0.05). Reduction in spirometric values was more marked in chiseling workers. Thus, dust emission during cobblestone preparation adversely affects pulmonary function of workers. Further studies should be conducted on many workers to make standing decisions and regulations. Workers should be trained and appropriate PPEs should be provided. Guideline has to be developed to provide guidance on how to assess and reduce health impacts of dust emissions.
Abstract: Cobblestone workers exposed to dust inhalation and physical injuries during cobblestone work activities exposed to respiratory problems due to proliferation and fibrotic alteration changing in their spiro metric lung function indices. This study was designed to determine changes in spirometric lung function indices of cobblestone workers. Comparati...
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Water and Sanitary Conditions of a Typical Faculty of Public Health Building in a Nigerian University
Adejumo Mumuni,
Ana Godson Rowland,
Oloruntoba Elizabeth Omoladun,
Morakinyo Oyewale Mayowa,
Hammed Taiwo Babatunde
Issue:
Volume 5, Issue 2, March 2017
Pages:
103-109
Received:
6 January 2017
Accepted:
18 January 2017
Published:
17 February 2017
Abstract: This study investigated water and sanitary conditions of a typical faculty of Public Health building, University of Ibadan, Nigeria. A cross-sectional study was conducted and 108 consented students and staff members were interviewed using a semi-structured questionnaire. Fifteen (15) toilet facilities with 45 rooms were also observed using an observational checklist. Respondents’ age was 28.9±5.5 years, 63.0% were female, 92.6% were students and all participants had completed tertiary education. The main source of water supply into the building was piped water (85.2%) and 77.9% used it for flushing toilet. Only 22.2% reported that the water source is readily accessible all the time while 63.0% stated that the quantity of water available got depleted during the afternoon time. On-site observations revealed that 8 (53.4%) of the toilet facilities had inadequate water supply. Majority (81.5%) reported water closet as the main type of sanitary convenience in the building while the major shortcomings of the toilets mentioned were non-accessibility (88.9%) and shortage of water supply (77.8%). All (100%) of the toilet rooms observed had no severe odour while 2 (4.4%) of the toilet rooms had appreciable quantities of vectors breeding. About fifty-nine percent had good attitude towards the sanitary conveniences within the building and significantly, 75.0% of female respondents had good attitude compared to 25.0% of their male counterpart (p<0.05). Twelve (11.1%) respondents said they practiced handwashing with water and soap and none (0.0%) reported presence of signs that encourage good hygiene practices in the toilet. Wash hand basins was observed to be present and functional within all the 15 (100%) toilet facilities, water was present in 10 (66.7%) of the facilities while soap was absent in all the 15 (100%) facilities observed. Constant water supply should be sustained, handwashing materials and signs that encourage good hygiene practices should be provided within the toilets.
Abstract: This study investigated water and sanitary conditions of a typical faculty of Public Health building, University of Ibadan, Nigeria. A cross-sectional study was conducted and 108 consented students and staff members were interviewed using a semi-structured questionnaire. Fifteen (15) toilet facilities with 45 rooms were also observed using an obser...
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Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria
Adaeze Nnenna Anaekwe,
Echendu Dolly Adinma,
Chinomnso Chinanuekpere Nnebue,
Chidebe Olisaegboka Anaekwe,
Kamtochukwu Maduneme Obi,
Achunam Simeom Nwabueze,
Christian Chibuzo Ibeh
Issue:
Volume 5, Issue 2, March 2017
Pages:
110-116
Received:
28 October 2016
Accepted:
8 December 2016
Published:
21 February 2017
Abstract: Background: People in discordant partnerships still deserve the right to enjoy sexual relations, and decide whether or not to have children while at the same time taking care not to infect the negative partner and the unborn child. Objective: To identify and compare factors influencing the sexual and reproductive health practices of HIV- concordant and discordant couples attending comprehensive health centers in Anambra state. Materials and methods: This was a cross-sectional comparative study of 289 (148 HIV-concordant and 141 HIV-discordant) couples, selected by a multistage sampling technique. Data were collected by interview using semi-structured questionnaire and analysed with statistical package for social sciences version 22.0. The models that met the criteria for significance, include: a statistically significant chi-square in the omnibus test (<0.05), a non-significant Hosmer Lemeshow test (> 0.05), Nagelkerke’s R square of at least 0.65. Results: Presence of support from religious circle and female age < 35 at couples' HIV diagnosis appear to encourage HIV couples to bear children (p=0.007 and p<0.000) respectively. Predictor variables that were significantly associated with satisfaction with sexual relationship (p<0.05), and contributed to model significance (p<0.05) consisted of female partner duration on HIV treatment, and safe sex practice method. Conclusions: This study revealed key determinants of the sexual and reproductive health practices of HIV- concordant and discordant couples. Such factors should form the basis for designing novel couple-targeted preventive strategies.
Abstract: Background: People in discordant partnerships still deserve the right to enjoy sexual relations, and decide whether or not to have children while at the same time taking care not to infect the negative partner and the unborn child. Objective: To identify and compare factors influencing the sexual and reproductive health practices of HIV- concordant...
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Production Shared Health in Surgery: Innovate to Improve the Quality of Therapy Paths
Antonio Giacomo Rizzo,
Andrea Cosentino Naselli
Issue:
Volume 5, Issue 2, March 2017
Pages:
117-127
Received:
4 January 2017
Accepted:
23 January 2017
Published:
22 February 2017
Abstract: The project uses the reality of the Department of Surgery of the AOU "G. Martino "in Messina, to plan and implement a new departmental organization, starting from the already matured experiences of hospital care for structured intensive care. The system is based on therapeutic needs and welfare of the citizen user with dedicated areas, according to real needs, with the help of multidisciplinary teams, overcoming the inpatient wards of UU.OO.CC., enhancement of professional capacity meritocratic and passing the management pyramid, resulting in smoothing of conflict and competition for the allocation of chief function. The sharing of the hospitality, the diagnostic and therapeutic guarantees, in addition to classic economies of scale, performance care that increase quality customer satisfaction, because the citizens being treated, have certain references and unique, adequate, coordinated, integrated, continuing the phases of the nursing staff. The perception of consistency, fairness, equality, personalization in the reception, in the comfort and enjoyment of the services and assistance. In addition, together with the use of evidence based medicine, that allows to provide reliable and therapies based on scientific evidence, it intends to introduce a new humanistic approach in the exercise therapy with the help of the Narrative Medicine that contextualizes and integrates clinical data and Scientific evidence with all the information concerning the individual's perception of the disease state and the meaning attributed to it. Narrative Based Medicine enables the active participation of the citizen in the process of taking care of care, emphasizes the uniqueness of the personality of the citizen user, recognizes its history of suffering and promotes straight primary determination.
Abstract: The project uses the reality of the Department of Surgery of the AOU "G. Martino "in Messina, to plan and implement a new departmental organization, starting from the already matured experiences of hospital care for structured intensive care. The system is based on therapeutic needs and welfare of the citizen user with dedicated areas, according to...
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Decentralisation of Health Systems and the Fate of Community Health Fund in Tanzania: Critical Review of High and Low Performing Districts
Chakupewa Joseph Mpambije
Issue:
Volume 5, Issue 2, March 2017
Pages:
136-144
Received:
18 January 2017
Accepted:
3 February 2017
Published:
24 February 2017
Abstract: The deterioration of health services provision in Tanzania from 1980s to 1990s made decentralization of health service provision through the Health Sector Reform (HSR) a necessity. HSR aimed at bringing better utilization of scarce resources, improved quality of health services, increasing user access and cutting rising costs. It is through HSR that health insurance schemes were introduced. Community Health Fund (CHF) came as a result of such efforts. The efficiency and effectiveness of CHF rests on district councils which are responsible for ensuring better performance of CHF. Although the Government of Tanzania targeted 85% of the population to be members of CHF, enrollment has remained as low as 9.2% by 2014. The most sticking problem is the variation in enrollment in different districts. There are districts with higher performance in CHF enrollment like Iramba (54%) and Bariadi (40.9%). Whereas, there are districts with very low enrollments in CHF like Liwale (8%), and Rungwe (6.5%). This paper is an effort to shed some light on this phenomenon ofperformance variation of CHF enrolment in districts. It argues that poor performing districts are constrained by their own weaknesses such as poor management and leadership capacities of Council Health Management Team (CHMT) and lack of motivation among health facility staff and allied health workers. Also, poor sensitization and mobilization of people to join CHF, as well as poor quality healthcare to people has deterred performance of CHF in some districts. The papers’ conclusion apart from offering recommendation also adds to the broader ongoing debate of decentralization process mainly through health insurance.
Abstract: The deterioration of health services provision in Tanzania from 1980s to 1990s made decentralization of health service provision through the Health Sector Reform (HSR) a necessity. HSR aimed at bringing better utilization of scarce resources, improved quality of health services, increasing user access and cutting rising costs. It is through HSR tha...
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The Role of Health Promoters in Raising Mothers of Under-Five Children Knowledge, Attitude and Practices Regarding Malaria
Yousif Mohammed Elmosaad,
Magda Elhadi,
Ahmed Elnadif,
Mustafa Mohammed Mustafa,
Ibrahim Alasqah
Issue:
Volume 5, Issue 2, March 2017
Pages:
145-151
Received:
22 January 2017
Accepted:
6 February 2017
Published:
27 February 2017
Abstract: A community-based intervention study was conducted in rural area of White Nile State, A total of 412 mothers of under-five children were selected randomly. To assess the role of health promoters in improving knowledge, developing positive attitudes and enhancing the practices of preventive activities against malaria among mothers of under-five children. Pre and Post data was collected using. A pre-coded, pre-tested, structured questionnaire. The data was analyzed through Statistical software Package for Social Sciences (SPSS) version 18. The results of the study show that; after intervention, the mean of mothers’ knowledge of malaria increased significantly from 16.5 before intervention to 26 after intervention (p<0.001). Furthermore a positive attitude is developed that considerably increased from 75.2% pre-intervention to 99.3% post-intervention (p<0.05), (OR=2.25). Moreover, the average mean practices score is increased significantly from 6.1 before intervention to 13.3 out of a maximum of 18, after intervention (p<0.001). Based on our results a considerable increase was observed in the average means of mothers’ knowledge, thus develop a positive attitude towards malaria and practice like use of preventives measured against malaria.
Abstract: A community-based intervention study was conducted in rural area of White Nile State, A total of 412 mothers of under-five children were selected randomly. To assess the role of health promoters in improving knowledge, developing positive attitudes and enhancing the practices of preventive activities against malaria among mothers of under-five chil...
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