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Research Article
Dietary Diversity Among Women of Reproductive Age in the Kolda Region in 2020
Alioune Badara Tall*,
Agnès Kamoye Yade,
Ndèye Mariéme Sougou,
Anta Agne,
Boubacar Guèye,
Daouda Faye
Issue:
Volume 10, Issue 1, February 2024
Pages:
1-7
Received:
21 December 2023
Accepted:
2 January 2024
Published:
18 January 2024
Abstract: Introduction: The lack of diversity in the diets of women of reproductive age (WRA) is a public health problem in Senegal. The good nutritional status of women is one of the factors in the fight against maternal mortality. The aim of this study was to investigate the state of dietary diversity among WRA in the Kolda region. Methods: The study was cross-sectional and descriptive and took place in January-February 2020 in the Kolda region. Data were collected at household level using a questionnaire administered after informed consent. Results: The mean age of the women was 27.62 years, with a standard deviation of 7.2 years. The median age was 27. Majority of women surveyed lived in rural areas (72.1%) and 58.5% were uneducated. The average dietary diversity score for WRA was 4.4, with a standard deviation of 1.7. Taking classification into account, 44% of WRA in the region had moderate dietary diversity, compared with 24.7% with low diversity and 31.3% with high diversity. Conclusion: In the fight against food insecurity and malnutrition, the synergy of actions from all sectors, such as health, agriculture, the economy and social development, is therefore essential for a good nutritional status of WRA.
Abstract: Introduction: The lack of diversity in the diets of women of reproductive age (WRA) is a public health problem in Senegal. The good nutritional status of women is one of the factors in the fight against maternal mortality. The aim of this study was to investigate the state of dietary diversity among WRA in the Kolda region. Methods: The study was c...
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Methodology Article
Impacts of Stress and Coping Stratégies Among Firefighters in the City of Conakry in 2021
Habib Toure*,
Toure Cheik Amadou,
Bah Hassane,
Ndiaye Mor
Issue:
Volume 10, Issue 1, February 2024
Pages:
8-11
Received:
24 October 2023
Accepted:
9 November 2023
Published:
23 January 2024
Abstract: Introduction: Firefi ghters are soldiers involved in the front line of the rescue chain in conakry. They may face stressful situations during their mission. The objective of this study was to determine the repercussions of stress on fi refi ghters and the way in which they preserved their psychic balance. Materials and methods: This was a cross-sectional, descriptive study conducted in the conakry. Fire and Rescue Company. The information collected from fi refi ghters victims of stress were: socio-professional characteristics, repercussions of stress and the management strategy developed. Results: The study involved 38 stressed fi refi ghters, all male. Age mean was 30.6 years. The majority were single (55.2%). Stress impacted negatively on their mental health (anxiety, insomnia), their social life (disruption of family homeostasis, drug and alcohol consumption) and companionship (absenteeism). The coping strategies developed by these professionals to manage their stress were social support (50%), emotion-focused coping (44.8%) and problem-focused coping (28.9%). Conclusion: Stress negatively impacts the mental health and operationality of fi refi ghters. Monitoring and regular psychological preparation are necessary as well as improving the working conditions of fi refi ghters.
Abstract: Introduction: Firefi ghters are soldiers involved in the front line of the rescue chain in conakry. They may face stressful situations during their mission. The objective of this study was to determine the repercussions of stress on fi refi ghters and the way in which they preserved their psychic balance. Materials and methods: This was a cross-sec...
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Research Article
Comparative Analysis of Responses to the Two Pertussis Epidemics that Occurred in the Health Districts of Lelouma, Mali and Lola, Guinea from November 2022 to April 2023
Jean Konan Kouame,
Sadou Sow*,
Abdoulaye Sow,
Alpha Oumar Diallo,
Mamadou Oury Balde,
Seydou Dia,
Mariama Souare,
Mamadou Alpha Diallo,
Kadiata Bah,
Alain Ntumba Katende,
Mouctar Kande,
Sekou Solano,
Issiaga Konate,
Fode Bangaly Diakite,
Kassie Fangamou,
Pepe Bilivogui,
Mamadou Bhoye Diallo,
Amadou Lamarana Sow,
Aly Antoine Kamano,
Mamadou Pathe Bah,
Bonata Seck,
Monemou Louise,
Amadou Bailo Diallo,
Jean Marie Kipela
Issue:
Volume 10, Issue 1, February 2024
Pages:
12-24
Received:
5 June 2023
Accepted:
25 June 2023
Published:
5 February 2024
Abstract: Introduction: Guinea experienced two pertussis epidemics in two health Regions of the country between 2022 and 2023. The first occurred in two health districts in the Labe region and the second in the Lola health district in Nzerekore. The aim of the study was to compare the two responses and determine the epidemiological, clinical, and evolutionary characteristics of pertussis cases in concerned children, and to identify the risk factors for the commencement of the disease. We conducted a descriptive and comparative cross-sectional study of the response to the two pertussis epidemics from 03 to 16 January 2023 in the prefectures of Lelouma and Mali and from 15 to 25 April 2023 in the prefecture of Lola. Our study population was children suspected of having pertussis living in these localities. Results: A total of 146 suspected cases of pertussis were recorded out of 5,831 inhabitants of the affected localities (the overall attack rate was 34 cases per 1,000 inhabitants), with one case of death. During the first epidemic, we recorded 83 cases of Pertussis cough in Linsan Saran and 13 cases in Dougountouny. The median age was 4 years and 54% were boys. The epidemic began on 21 November 2022 in Linsan Saran and cases then appeared intermittently until 20 January 2023. The second epidemic recorded 50 cases, of which 5 were confirmed and one death was reported in the village of Gbee. The epidemic began on 18 March 2023 and ended on 25 April 2023. The lessons learnt from the first epidemic enabled the health authorities to bring the second epidemic under control quickly, and to prevent any further outbreaks and prevent it from spreading to other localities in the health district. In terms of financial resources deployed to contain the two epidemics, out of a total of GNF 261,256,448, 62.78% was used for the second epidemic, compared with 37.22% for the first. Conclusion: Our study shows that during both epidemics, the disease affected children with a median age of 4 and 3 years respectively. The risk factors for the occurrence of pertussis were low vaccination coverage among children with the disease, a history of contact with cases and promiscuity. The two epidemics were studied using the surveillance system set up by the Ministry of Health and implemented by the health district management teams.
Abstract: Introduction: Guinea experienced two pertussis epidemics in two health Regions of the country between 2022 and 2023. The first occurred in two health districts in the Labe region and the second in the Lola health district in Nzerekore. The aim of the study was to compare the two responses and determine the epidemiological, clinical, and evolutionar...
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Research Article
Obesity in Southern Nigeria: A Prevalence Study Among Adults in Rumuomasi, Port Harcourt, Rivers State, Nigeria
Chibuike Eze Nwafor*,
Julius Edeogu,
Rosemary Stanley,
Blessing Enyichukwu,
Maxwell Ogomegbunam
Issue:
Volume 10, Issue 1, February 2024
Pages:
25-29
Received:
19 January 2024
Accepted:
29 January 2024
Published:
5 February 2024
Abstract: Background: Obesity is progressively taking on the characteristics of an epidemic, and Nigeria has its own share from this trend. Obesity increases the risk of a number of illnesses, including type 2 diabetes mellitus, stroke, coronary heart disease, and other atherosclerotic cardiovascular diseases. This study is aimed at determining and discussing the prevalence of obesity among adults 18–87 years in Rumuomasi community, Port Harcourt, Rivers State, Nigeria. Methods: A total of 199 adults between 18 and 87 years of age participated in this cross-sectional community based study using convenience sampling. Anthropometric variables were obtained and Body Mass Index (BMI) categorized according to World Health Organization (WHO) classification. Data was analyzed by descriptive and inferential analysis using Excel and STATA version 15.0. Results: The mean age for the participants was 49.43 ±15.67 years. There were more women (68.34%) than men (31.66%). The prevalence of obesity was 24.63% and there were more obese women (30.15%) than men (12.70%) in the population. The prevalence of overweight was also at 24.62%. Age (P=0.013) significantly influenced obesity as obesity was more prevalent in participant within 41-60 years old. Conclusion: The prevalence of obesity in this study was high (24.63%), this shows the need for regular community health education, awareness on healthy lifestyles, and regular health screening to control the rising prevalence of obesity.
Abstract: Background: Obesity is progressively taking on the characteristics of an epidemic, and Nigeria has its own share from this trend. Obesity increases the risk of a number of illnesses, including type 2 diabetes mellitus, stroke, coronary heart disease, and other atherosclerotic cardiovascular diseases. This study is aimed at determining and discussin...
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Research Article
Assessment of Health Seeking Behaviour of the Elderly in a Rural Community of Sokoto State, Nigeria
Oche Mansur Oche*,
Ahunna Zainab Ezenwoko,
Abdulaziz Mohammad Danmadami,
Nafisa Shuaibu Ahmadu,
Abdulwahab Salihu,
Usman Muhammad
Issue:
Volume 10, Issue 1, February 2024
Pages:
30-41
Received:
12 October 2023
Accepted:
30 October 2023
Published:
20 February 2024
Abstract: Introduction: The ageing populations of Nigeria has increased from 4.61% in 2020 to 4.78 % in 2022 and are vulnerable to long term diseases of insidious onset such as cardiovascular illness, Cerebrovascular accident (CVA), cancers, diabetes, and musculoskeletal disease. This study was carried out to assess the health problems of the elderly ad their health seeking behaviours. Materials and methods: This was cross-sectional descriptive study carried out amongst elderly persons aged 60 years and above in Wamakko Local Government Area of Sokoto state. Using a combination of multistage and systematic sampling methods, a total of 347 respondents were recruited into the study. A set of pretested questionnaire was used for data collection after obtaining ethical approval and informed consent from study subjects. Results: Less than half of the respondents (47.8%) had appropriate health seeking practices by visiting health facilities during spells of illness. The commonest illness experienced by the elderly in this community was musculoskeletal diseases followed by hypertension and visual problems. A total of 95.7% of the respondents were not covered with any form of health insurance scheme. Predictors of health seeking behavior included duration of illness more than ten years and belonging to upper socio-economic class. Conclusion: Very few of the elderly in this community had appropriate health seeking behavior with most of them not covered by any health insurance. There is the need to establish the community based health insurance scheme and bring on board all elderly persons so as to minimize out of pocket expenses by the aged.
Abstract: Introduction: The ageing populations of Nigeria has increased from 4.61% in 2020 to 4.78 % in 2022 and are vulnerable to long term diseases of insidious onset such as cardiovascular illness, Cerebrovascular accident (CVA), cancers, diabetes, and musculoskeletal disease. This study was carried out to assess the health problems of the elderly ad thei...
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Research Article
Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic
Antony Murithi Gitonga,
Makobu Kimani*
Issue:
Volume 10, Issue 1, February 2024
Pages:
42-49
Received:
5 January 2024
Accepted:
26 January 2024
Published:
20 February 2024
Abstract: Despite the MOH policies on the right to safe motherhood, right to access information and quality services by women throughout pregnancy, childbirth and post-natal period, accessibility and satisfaction with ANC services by pregnant mothers remain a challenge. Client satisfaction with antenatal care services affects accessibility to these services by pregnant women, which in turn affects the outcomes of pregnancy. Client’s concerns, suggestions, desires and expectations of health care services need to be seriously examined due to their potential influence on utilization of health services and satisfaction. This was a descriptive cross-sectional study which sought to determine antenatal clients’ satisfaction with antenatal care services among mothers attending antenatal clinic at Pumwani Maternity Hospital and N.C.C.K Huruma community clinic. The study targeted pregnant women aged between 18-49 years seeking antenatal services in both clinics. Simple random sampling technique was used to recruit the subjects. Fischer’s formula was applied to calculate a sample size of 265 antenatal mothers. Structured and semi-structured questionnaires were used to collect quantitative data. Bivariate analysis of data was done using SPSS Version 21software; cross-tabulation was done to obtain association between variables and null hypothesis was tested using Chi-square. Clients portrayed high levels of overall satisfaction with services at 92.8% (60.6% satisfied and 32.2% very satisfied). However, some of the reasons given for dissatisfaction were long waiting time, poor health workers support and high cost of services. Satisfaction was influenced by the type of facility attended i.e. public or Faith-based and a significant association was observed between type of facility and satisfaction levels (p-value 0.000). Age and level of education had no association with antenatal clients’ satisfaction with services (p-value 0.254 and 0.292 respectively). Family income was not seen to influence satisfaction (p-value 0.503). Waiting time for services (p-value 0.000) and health worker support (p-value 0.000) played a significant role in clients’ satisfaction. There was a statistically significant difference in the level of antenatal clients’ satisfaction with services between Pumwani Maternity Hospital clinic and N.C.C.K Huruma clinic. As much as the overall satisfaction with services was high, there is need to address reasons for dissatisfaction with antenatal services in order to increase antenatal clinic attendance, improve pregnancy outcomes and reduce maternal mortality rates.
Abstract: Despite the MOH policies on the right to safe motherhood, right to access information and quality services by women throughout pregnancy, childbirth and post-natal period, accessibility and satisfaction with ANC services by pregnant mothers remain a challenge. Client satisfaction with antenatal care services affects accessibility to these services ...
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Research Article
Factors Associated with the Completion of Antenatal Care in Podor Health District in 2020 (Senegal)
Ibrahima Ndiaye*,
Oumar Bassoum,
Maty Diagne-Camara,
Amadou Ibra Diallo,
Adama Faye,
Ibrahima Seck
Issue:
Volume 10, Issue 1, February 2024
Pages:
50-58
Received:
17 January 2024
Accepted:
14 February 2024
Published:
27 February 2024
Abstract: Introduction: The Ministry of Health and Social Action recommends at least four antenatal care (ANC). This indicator is not sufficiently documented in Podor health district. This study aimed to identify factors associated with the completion of ANC in this district. Methods: A cross-sectional study was conducted from 19 to 22 June 2020 in Podor health district, located 490 km away from Dakar in northern Senegal. The study population included women who had given birth in the 24 months preceding the survey. A two-stage cluster sampling was carried out. Data were collected during a face-to-face interview using an electronic questionnaire created with Open Data Kit Collect (ODK Collect) software. The adjusted Odds ratio (aOR) and its 95% confidence interval (CI95%) were calculated. Results: A total of 832 women were interviewed. Their average age was 26.5 ± 6.6 years, and they were mainly uneducated (54.1%), married (96.2%), and from rural areas (72.8%). The study showed that 51.20% of women surveyed underwent at least four ANC. Married women (aOR= 4.14), those who walked to reach health facilities (aOR=1.69), and those who watched television at least once a week (aOR=1.66) were significantly more likely to undergo at least four ANC. Conclusion: We need to raise awareness among women of reproductive age and resource persons through the mass media, and improve the geographical accessibility of health facilities to increase ANC coverage.
Abstract: Introduction: The Ministry of Health and Social Action recommends at least four antenatal care (ANC). This indicator is not sufficiently documented in Podor health district. This study aimed to identify factors associated with the completion of ANC in this district. Methods: A cross-sectional study was conducted from 19 to 22 June 2020 in Podor hea...
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