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Level of Perceived Stigma Among Caregivers of Persons with Severe Mental Illness in Jimma City, Ethiopia: A Cross-sectional Study
Muhammed Seid Muhammed,
Markos Tesfaye,
Eshetu Girma,
Mengesha Birkie
Issue:
Volume 9, Issue 4, July 2021
Pages:
77-85
Received:
12 April 2021
Accepted:
9 July 2021
Published:
22 July 2021
Abstract: Background: Stigma associated with mental illness is a psychosocial consequence that causes indescribable suffering for the victim. Therefore this study aimed to assess the magnitude and factors associated with level of perceived stigma among caregivers of persons with severe mental illness in Jimma city, Ethiopia. Methods: A cross-sectional study was conducted with a face-to-face interview from September 20 to October 20/2012 G.C. Family interview schedule was used to assess perceived stigma. A total of 289 participants were recruited using a consecutive sampling technique. Data were analyzed using SPSS version 16 software. Results: The most frequently endorsed item was having felt grief or depression because of having a mentally ill family member or relative (96.5%). The mean stigma score was 17.8±6.9 and the majority of the respondents (54.7%) had a high stigma score. Caregivers/Family members who were spouse to the patient (AOR=4.25, 95%CI: 1.12–16.13) and longer duration of illness (AOR=3.60, 95%CI: 1.42– 9.44) were associated with higher stigma. But a person with mental illness who had verbal/physical violent behavior towards caregivers/family members and other people at the time of the illness (AOR=0.34, 95%CI: 0.17–0.70) and among those family members who attributed the cause of mental illness as the loss of properties and unsuccessful life (AOR=0.27, 95%CI: 0.08-0.89) at p=0.032. Were associated with low stigma respectively. Conclusions: Perceived stigma was found to be a common problem among caregivers of persons with severe mental illness. Becoming spouse of the person, duration of illness, patient with violent behavior and, those caregivers who attributed the cause of mental illness as the loss of properties and unsuccessful life were significantly associated with perceived stigma.
Abstract: Background: Stigma associated with mental illness is a psychosocial consequence that causes indescribable suffering for the victim. Therefore this study aimed to assess the magnitude and factors associated with level of perceived stigma among caregivers of persons with severe mental illness in Jimma city, Ethiopia. Methods: A cross-sectional study ...
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Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study
Tarekegn Jabara,
Elias Ali,
Zalalem Kaba
Issue:
Volume 9, Issue 4, July 2021
Pages:
86-101
Received:
23 June 2021
Accepted:
14 July 2021
Published:
22 July 2021
Abstract: Improving quality of care has been a necessary goal for family planning programme worldwide. The unmet need for family planning services in Ethiopia is believed to be high (26%) while the already available services do not appear to be optimally used by potential clients. It was assessed the quality of family planning services provision. Facility based quantitative and qualitative cross-sectional study based on James Bruce analytical framework was employed from May 1-30, 2016. Three hundred one (301) family planning service users for exit interview and 40 female clients observed while taking service and 4 service providers from four health centers participated for in-depth interview. Facility audit was made on four health centers. Linear regression was used for data analysis. Based on the overall satisfaction score; 68.8% of clients were satisfied in family planning services. Having more children, currently breast feeding, discussion of family planning with husband or partner, and family size were the significant predictors of client satisfaction to family planning services. It revealed that, for a single individual increase in family size the satisfaction score decreases on average by 0.8 at p=0.007, CI (0.005-0.034). For a unit increase in need to have more child, client satisfaction decreases by 0.947 at p=0.002, CI (0.019, 0.088). Utilization of information, education and communication material during consultations was low (65%). Providers didn’t assessed critical information’s in more than two third of observed sessions of history taking and physical examinations. Hence, service providers should be sensitized and motivated to give complete information on a method to the client. The way family planning providers comply with guideline recommendations and utilize information, education and communication materials consistently during client consultations need to be designed by respective health centers.
Abstract: Improving quality of care has been a necessary goal for family planning programme worldwide. The unmet need for family planning services in Ethiopia is believed to be high (26%) while the already available services do not appear to be optimally used by potential clients. It was assessed the quality of family planning services provision. Facility ba...
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Health Related Quality of Life and Associated Factors Among HIV Patient on Highly Active Antiretroviral Therapy at Assosa Hospital, Northwest Ethiopia, 2019
Paulos Jaleta Wondasho,
Mulugeta Adimasu
Issue:
Volume 9, Issue 4, July 2021
Pages:
102-108
Received:
30 June 2021
Accepted:
15 July 2021
Published:
23 July 2021
Abstract: Health-related quality of life is a broad concept reflecting a patient’s general subjective perception of the impact an illness and treatment given for them. It measures an integral part of patient follow up by providing valuable feedback about the disease as well as associated interventions. The aim of this study was to assess health related quality of life and associated factors among HIV patient on highly active antiretroviral therapy at Assossa general hospital. Institution based cross-sectional study design was conducted among HIV positive patient from February, 8 to March, 21st 2018 at Assossa general hospital. Data was collected using medical outcome study HIV questionnaire, systematic sampling technique was used, entered in to Epi-info software version 7 analyzed using the statistical product and service solution version 20. Bivariate at p-value < 0.2 and Multivariate Logistic regression p-value at <0.05 was used to identify factors associated with health related quality of life. Three hundred participants with 96.5% response rate were involved in the study. About fifty six point seven percent of the study participants mean (±SD) score of overall health related quality of life was 54.85±11.3. Participant that had viral load copies of forty and below were AOR=3.19 (95%CI 1.73, 5.91) associated with good health related quality of life and participant who have no recent opportunistic infection were AOR=2.87 (95%CI 1.49, 5.51) associated with good health related quality of life. Therefore, the health related quality of life was good. Occupational status, living condition viral load copies/ml and opportunistic infection showed association with good health related quality of life and Further research was suggested.
Abstract: Health-related quality of life is a broad concept reflecting a patient’s general subjective perception of the impact an illness and treatment given for them. It measures an integral part of patient follow up by providing valuable feedback about the disease as well as associated interventions. The aim of this study was to assess health related quali...
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Knowledge and Attitude Towards COVID-19 and Its Associated Factors Among Health Care Providers in Ethiopia: A Systematic and Meta-Analysis
Maru Meseret,
Zegeye Regasa,
Gizaw Hailye,
Bayou Tilahun,
Amare Dagnew
Issue:
Volume 9, Issue 4, July 2021
Pages:
109-121
Received:
30 June 2021
Accepted:
15 July 2021
Published:
6 August 2021
Abstract: Objective: The main aim of this study is to determine the pooled estimate of good knowledge and positive attitude towards COVID-19 among health care providers in Ethiopia. Methods: This review was registered on PROSPERO with registration number CRD42020213000. PubMed, Advanced Google search, and Google Scholar databases were searched up to June 20, 2020, to identify relevant articles. Result: This research searched a total of, 126 articles, from this articles 19 from PubMed, 6 from advanced Google search, 45 from Google scholar databases, and 56 were pre-print unpublished sources. A total of 3752 study participants within 10 articles were used to pool the prevalence of Knowledge and attitude towards COVID-19 among health care providers in Ethiopia and the pooled prevalence of knowledge and attitude towards COVID-19 was 73.01% with 95% CI (65.8% - 80.21%) and 70.72% (59.68%-81.77%) respectively. Place of residence [AOR= 0.24, 95% CI (0.14–0.43)], and social media use [AOR= 2.51, 95% CI (1.53–4.12)] for knowledge while educational status [AOR= 2.41, 95% CI (1.33–4.39)], and status of knowledge were also identified as factors affecting attitude towards COVID 19 among healthcare providers in Ethiopia. Conclusion: The level of knowledge and attitude towards COVID 19 among healthcare providers working in Ethiopia was very low and variables such as residence and social media use were factors affecting knowledge while educational status and knowledge were factors affecting attitude towards COVID 19 among healthcare providers.
Abstract: Objective: The main aim of this study is to determine the pooled estimate of good knowledge and positive attitude towards COVID-19 among health care providers in Ethiopia. Methods: This review was registered on PROSPERO with registration number CRD42020213000. PubMed, Advanced Google search, and Google Scholar databases were searched up to June 20,...
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Gabapentin — The Popular but Controversial Anticonvulsant Drug May Be Zeroing in on the Pathophysiology of Disease
Issue:
Volume 9, Issue 4, July 2021
Pages:
122-134
Received:
13 August 2021
Accepted:
24 August 2021
Published:
31 August 2021
Abstract: Originally marketed under the brand name Neurontin, the anticonvulsant drug gabapentin has become one of the most widely prescribed—and one of the most controversial—drugs in America. On the market for nearly three decades, the drug has been prescribed for everything from chronic cough to chronic pain and hot flashes to bipolar disorder; but is it the real deal, or is it just the brain-child of aggressive marketing, false advertising, and wishful thinking? This critical review will dissect gabapentin down to its molecular roots and trace its wide-ranging effects to better understand the drug and the persons who use it. It will also discuss how gabapentin (and other anticonvulsant drugs) may be doing something more profound than just treating acute symptoms. An emerging hypothesis contends that psychiatric and related function symptoms are driven by pathological hyperactivity in symptom-related circuits in the brain and that the same abnormality may, over time, be driving the development of a plethora of general medical conditions, including diabetes, high blood pressure, cardiovascular disease, autoimmune diseases, dementia, and cancer. Emerging evidence suggests that the underlying physiological abnormality—an inherent hyperexcitability of the neurological system—is very common, and clinical correlation suggests that it is inherited in a classic autosomal dominant distribution. There is also evidence that the abnormality may be reflected in one’s resting vital signs, an observation that could help carriers identify the trait themselves. Gabapentin, together with other pharmacological (and non-pharmacological) interventions that reduce neuronal excitability, may, in addition to their immediate effects, have the potential to prevent the long-term erosive effects of neuronal hyperexcitability by simply turning down the stress response. Recognition of this could usher in history’s greatest campaign in the fight against sickness and disease.
Abstract: Originally marketed under the brand name Neurontin, the anticonvulsant drug gabapentin has become one of the most widely prescribed—and one of the most controversial—drugs in America. On the market for nearly three decades, the drug has been prescribed for everything from chronic cough to chronic pain and hot flashes to bipolar disorder; but is it ...
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