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Insomnia in Pregnancy: Prevalence and Predisposing Factors in a Developing Country
Dada Mobolaji Usman,
Aduloju Olusola Peter,
Akintayo Akinyemi,
Obadeji Adetunji,
Oluwole Lateef Olutoyin
Issue:
Volume 4, Issue 3, June 2018
Pages:
65-68
Received:
9 April 2018
Accepted:
26 April 2018
Published:
17 May 2018
Abstract: This study aimed at determining the prevalence as well as correlates of insomnia among pregnant women attending the antenatal clinic of a tertiary health centre in a developing country. Insomnia was assessed using the insomnia severity index among 237 consecutive women attending the Antenatal clinic of Ekiti State University Teaching Hospital. Other relevant data such as obstetric history and psychological morbidity were collected using structured forms and the data was analysed using SPSS version 20. Logistic regression was done to determine factors associated with insomnia. Prevalence of insomnia among the respondents was 32.5% and factors associated with insomnia included high maternal age (OR = 1.092, CI = 1.013- 1.177, P value = 0.022), and having psychological morbidity (OR= 1.218, CI= 1.067 – 1.390, P value= 0.004). Though a higher number of women in the 3rd trimester had insomnia, this was however not statistically significant. This study has shown that insomnia during pregnancy is a common occurrence most especially during the last trimester of pregnancy. Common factors associated with it include older age of the patient and having a psychological morbidity. Screening for insomnia and offering some form of management may reduce some of the medical and psychological complications that may arise in the child and mother.
Abstract: This study aimed at determining the prevalence as well as correlates of insomnia among pregnant women attending the antenatal clinic of a tertiary health centre in a developing country. Insomnia was assessed using the insomnia severity index among 237 consecutive women attending the Antenatal clinic of Ekiti State University Teaching Hospital. Othe...
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Illness Remission: Anathema to Compliance with Hypertensive Therapy
Joel Olayiwola Faronbi,
Ayodele Feyi Ojo,
Alinane Linda Nyondo Mipando
Issue:
Volume 4, Issue 3, June 2018
Pages:
69-75
Received:
2 June 2018
Accepted:
28 June 2018
Published:
4 August 2018
Abstract: Background: Hypertension is a chronic and persisting illness that can be difficult to treat. The success of management of hypertension depends on adherence to the treatment regimen. The objective of this study was to explore barriers and facilitators to compliance with hypertensive drug treatment among patients in Nigeria. Method: Twenty hypertensive patients were purposively selected and participated in in-depth interviews where their experiences with hypertensive treatments were explored. Interview sessions were audio recorded and transcribed verbatim and imported into Nvivo. Data was analysed using content analysis. Results: Four interrelated themes explain barriers to full compliance among to treatment among hypertensive patients as follows: (i) Temporary remission of symptoms, (ii) Dissatisfaction with Service, (iii) Navigating the Health Care Services, and (iv) Desire for Improved Functionality. Conclusion: This study concluded that lack of understanding of the chronical nature of hypertension hinders the participants from complying with treatment. It also identified inaccessible and poor quality services as a barrier to seeking treatment while the desire to regain functionality serves as a significant impetus for continuing with the treatment. Therefore, health professionals should endeavour to provide adequate health education on compliance with treatment while government should provide quality and affordable hypertensive care to citizens.
Abstract: Background: Hypertension is a chronic and persisting illness that can be difficult to treat. The success of management of hypertension depends on adherence to the treatment regimen. The objective of this study was to explore barriers and facilitators to compliance with hypertensive drug treatment among patients in Nigeria. Method: Twenty hypertensi...
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Patient’s Perception on Factors for Choice of Healthcare Delivery at Public Hospitals in Dodoma City
Steven Lee Mwaseba,
Emmanuel Simon Mwang’onda,
Mafuru Solomi Juma
Issue:
Volume 4, Issue 3, June 2018
Pages:
76-80
Received:
6 June 2018
Accepted:
9 July 2018
Published:
4 August 2018
Abstract: Globally health is regarded as a human capital and thus healthcare delivery is treated as of crucial importance to all communities. Both non-price and price factors play a significant role in determining the patient’s choice for healthcare delivery providers. Recently public hospitals have shown to face fairly growing community expectations, though they still perceived to have low quality healthcare, thus the intent of the study. Employing Chi-square and five point likert scale questions patient’s choice and perception were assessed. The results show that there is greater relationship between age and patient’s choices to attend at public hospitals, while education, sex and patient’s occupation were not significant. Moreover, treatment cost, distance from the hospital, and location of the hospital and medicine availability were key indicators for patient’s choice. Improvement of medicine availability and reduction of treatment cost is needed so as to attract patients in public hospitals. Since patient’s choices are not completely rational, further research should be done on health outcome factors that influence patient’s choice in order to integrate healthcare provider and health outcome factors towards improvements of quality health services at public hospitals.
Abstract: Globally health is regarded as a human capital and thus healthcare delivery is treated as of crucial importance to all communities. Both non-price and price factors play a significant role in determining the patient’s choice for healthcare delivery providers. Recently public hospitals have shown to face fairly growing community expectations, though...
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Recent Examination for Assessing Epidemiological Status of Schistosoma Mansoni in Plaine Orety, Urban Area of Libreville, Gabon, Central Africa
Rodrigue Mintsa Nguema,
Bertrand Mve Ondo,
Modeste Mabika Mamfoumbi,
Aubin Armel Koumba,
Marielle Karine Bouyou Akotet,
Maryvonne Kombila
Issue:
Volume 4, Issue 3, June 2018
Pages:
81-85
Received:
8 February 2018
Accepted:
1 March 2018
Published:
9 August 2018
Abstract: Schistosoma mansoni epidemiology is very uncertain in Gabon despite its wide distribution in Sub-Saharan African whereas knowledge of schistosomiasis endemicity setting has important implications for the national policy controls. To date only two cases of S. mansoni were diagnosed by the Department of Parasitology-Mycology (DPM), Libreville-Gabon between 1995 and 2009 and both came from Plaine Orety, an urban area of Libreville. As the result of this finding a survey that we report results here was conducted to determine the epidemiological status of S. mansoni in this site. Parasitological and malacological surveys were conducted prospectively from January to May 2012. Parasitological survey included people living in Plaine Orety (Libreville) area at least three months and aged from two years upwards. Stool examination was performed using Kato-Katz technique and malacological investigations were conducted in all the streams of this area for the same period to identify the intermediate snail host of S. mansoni. A total of 495 people were examined, of them 4 cases (0.81%) were identified positive to S. mansoni with no significant influence of sex or age group (p>0.05). Infected peoples said they never went out of the country but stayed in other regions of the country, i.e. Kango, Ovan, Lambaréné, Port-Gentil, Bitam and Fougamou. No intermediate snail host of human schistosomes has been identified in the whole surveyed water sites of Plaine Orety. Freshwater snails identified are: Lymnea sp, Physa sp, Melanoides sp and Indoplanorbis exustus (intermediate snail host of cattle schistosomes in India). The finding of this study illustrate existing indigenous cases of S. mansoni in Libreville (Gabon) even if local active transmission area remains to be elucidate because of the absence of intermediate snail host Biomphalaria.
Abstract: Schistosoma mansoni epidemiology is very uncertain in Gabon despite its wide distribution in Sub-Saharan African whereas knowledge of schistosomiasis endemicity setting has important implications for the national policy controls. To date only two cases of S. mansoni were diagnosed by the Department of Parasitology-Mycology (DPM), Libreville-Gabon b...
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HIV / AIDS Epidemic in the Democratic Republic of the Congo: Current Level of Key Indicators and Projection by 2030
Jack Hyyombo Tambwe Kokolomami,
Patrick Kalambayi Kayembe
Issue:
Volume 4, Issue 3, June 2018
Pages:
86-94
Received:
4 July 2018
Accepted:
17 July 2018
Published:
14 August 2018
Abstract: Since 2015, the Democratic Republic of Congo has subscribed to the global goal of eliminating HIV / AIDS as a major public health problem by 2030. However, there is a lack of evidence on the current level of key indicators of the epidemic in the country. In another hand, no study has yet explored the extent to which the country could meet the 2030 target. This study aimed to: (i) determine the current level of key indicators of the HIV / AIDS epidemic in the DRC; and (ii) assess whether the DRC could achieve the goal of eliminating HIV / AIDS as a major public health problem by the end of 2030. For the country as a whole and for 24 of its 26 provinces, we performed: (1) a trend analysis of HIV / AIDS surveillance data; and (2) projections of key indicators of the epidemic by 2030 on Spectrum software. In 2017, the DRC is experiencing a generalized epidemic of HIV / AIDS (national prevalence of 1.0%, 97.5%CI: 0.85% - 1.14%), which is poorly expansive (national incidence of 6, 97, 5%IC: 5 - 7 new infections per 10 000 person-years of observation). Ten of its 26 provinces have so far experienced a concentrated epidemic. From 2017 to 2030, HIV prevalence will decline for the country as a whole, falling below 1% by 2018 and reaching 0.76% by 2030. The incidence will experience the same overall declining trend. Nine provinces appear to be driving the epidemic. The DRC should target intensively the nine driving provinces of the epidemic and some of its key determinants, in order to fulfill the goal of reducing the HIV / AIDS epidemic to a non-major public health concern by 2030.
Abstract: Since 2015, the Democratic Republic of Congo has subscribed to the global goal of eliminating HIV / AIDS as a major public health problem by 2030. However, there is a lack of evidence on the current level of key indicators of the epidemic in the country. In another hand, no study has yet explored the extent to which the country could meet the 2030 ...
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