scholarly journals Prevalence and Associated Factors of Hypertension among Assosa town, WesternEthiopia, 2018

2020 ◽  
Vol 5 (2) ◽  

Background: Hypertension, the global first and third risk for mortality and disease burden respectively, is recording an increment in Sub-Saharan Africa countries. This study aimed to identify prevalence and its associated risk factor of Hypertension in the Assosa town. Objective: To identify prevalence and factors associated with hypertension in the study area to increase it’s prevention and control methods. Methods & materials: Institutional based cross sectional study design with quota non-probability sampling technique was conducted among patients visited OPD units ofAssosa General Hospital (AGH) andAssosa Health Center(AHC) fromMarch to June 2018. All outpatients were included. To collect data, pre-tested structured questionnaire and face to face interviews were used. Components ofstatisticalresearch software SPSS version-21 like frequency table, chi-square test of independence & logistic regression was used to enter, analyze, summarize and characterize disease and associated factors data. Result: The study was conducted among 194 participants(152 from AGH and 42 from AHC) with 102 males and 92 females. Prevalence of hypertension among patients visited outpatient units of Assosa General Hospital and Assosa Health Center was 17.5%, and was slightly highest in male than female. Associated factors for hypertension among patients visited OPD units of AGH & AHC were history of hypertension in the family (CI=95% and COR=4.497(1.133-17.844) and being private employee (CI=95% and COR=0.0017(0.001-0.407). Conclusion & recommendation: Prevalence of HTN in the Assosa town, was low and influenced by some risk factors like work status and previousfamily history of hypertension. Even if usual usage ofsalt and using vegetable oil was not associated factor, being private employee were independent factor of HTN. In-depth study is recommended for further investigation. To increase preventative methods of HTN, health education supported by mass media, illustrative posters and anotherstrategies at every government & non government work sector are recommended.

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Nega Degefa ◽  
Ketema Diriba ◽  
Tekeste Girma ◽  
Amelework Kebede ◽  
Ayano Senbeto ◽  
...  

Background. The first 28 days of life (the neonatal period) constitute the most vulnerable time for a child’s survival. Overall 2.7 million neonatal deaths were stated by the 2015 global report of neonatal mortality and they account for 45% of under-five deaths. Sub-Saharan Africa remains the region with the highest risk of death in the first month of life and is among the regions showing the least progress in reducing neonatal mortality in the world. Ethiopia, as part of sub-Saharan Africa, also shares the greatest risk of neonatal death. A recent report in Ethiopia showed that neonatal mortality was 29 deaths per 1,000 live births. Therefore, the signs that suggest the onset of severe illness which leads to death and their contributing factors should be identified. The aim of the study was to assess knowledge about neonatal danger signs and associated factors among mothers attending immunization clinic at Arba Minch General Hospital. Method. Institution-based cross-sectional study design was employed from Feb to April 2018. Systematic sampling technique was used to select a total of 345 mother-child pairs. A pretested, structured, and interviewer-administered questionnaire was used to collect data. Data were entered using Epidata version 3.1 and analyzed using SPSS version 20. Bivariate and multivariable analysis were carried out using binary logistic regression to check and test the association between dependent and explanatory variables. Model fitness was checked by Hosmer-Lemeshow goodness of fit test. Result. Nearly two-fifths (40.9%) of all mothers had good knowledge about neonatal danger signs (95% CI; 35.7, 46.4). Close to thirty-three percent of mothers identified child’s body hotness (fever) as a neonatal danger sign. Maternal educational status (AOR: 5.64; 95% CI: 1.68, 18.95) and attendance of postnatal care (AOR: 2.64; 95% CI: 1.36, 5.15) were significantly associated with maternal knowledge about neonatal danger signs in multivariable analysis. Conclusion. Even though considerable improvement has been achieved over the past decades as a result of expanded coverage of maternal and childcare services, still there are a significant number of mothers who have limited knowledge about neonatal danger signs. Therefore, interventional strategies that stress strengthening maternal education and ANC follow-up should be extended.


2020 ◽  
Vol 2 (2) ◽  
pp. 15-23
Author(s):  
Rusmini Marslan Arsyad ◽  
Engelina Nabuasa ◽  
Enjelita M. Ndoen

DHF is one of the widespread  infectious diseases in Indonesia, with an increased infected number of sufferers. DHF case is closely related to environmental sanitation, wich causes the availability of breeding places for the Aedes aegypti mosquito vectors. The study was to determine the relationship between environmental sanitation behavior and the case of DHF in the working area of the Tarus Community Health Center in 2020. The study design was descriptive-analytical with a cross-sectional study approach. The sample was_99 respondents taken by simple random sampling technique. Data was collected from interviews and analyzed using the Chi-square test. The results showed that the varuabels of  knowledge (p = 0.000), attitudes (p = 0.021), and actions to environmental sanitation (p = 0.000) were related to the DHF case. The Tarus Community Health Center should increase outreach activities and family empowerment efforts related to the prevention and control of DHF.


Author(s):  
Oumou Hawa Bah ◽  
Boubacar Alpha Diallo ◽  
Aboubacar Fode Momo Soumah ◽  
Boubacar Siddi Diallo

Background: Prevalence studies are still rare in sub-Saharan Africa on perineal tears. We conducted this cross-sectional study in a communal hospital in Guinea-Conakry, with the objective of this study was to determining the prevalence and characteristics of post-obstetric perineal lesions.Methods: All deliveries between March 1st and August 31st, 2014 were reviewed. We included in the analysis all the single deliveries with perineal tears. The Anglo-Saxon classification of perineal tears was used.Results: The prevalence of perineal tears was 5.7% with 5.4% benign lesions and 0.3% severe lesions. We did not register 4th degree lesions. The average age of parturient was 22 years. The majority (96.6%) of parturient had a history of genital mutilation and perineal scarring (60.3%).Conclusions: This prevalence appear low compared to those reported in other studies in Africa and point to the need for more sophisticated studies to have a better estimate of the prevalence of perineal tears in Guinea-Conakry.


2021 ◽  
Vol 15 (2) ◽  
pp. 248-255
Author(s):  
Idha Farahdiba ◽  
Noviyani Hartuti

Youth Care Health Program (YCHP) among adolescent students: Knowledge and participation Background: Teenagers can access the health center to get some information regarding health and consultation with their psychological problems. Youth Care Health Program (YCHP) focuses more on promotive and preventive services, considering that adolescence is a time when problems are caused by ignorance, misperception, and lack of consideration in acting and preventing destructive behavior.Purpose: To evaluate adolescent knowledge of adolescent knowledge with adolescent participation in the Youth Care Health Program (YCHP).Method: The research method used is the Cross Sectional Study method. The population of the study was teenagers who had attended the Youth Youth Care Health in the working area of the Dahlia Health Center, Makassar City. The sampling technique used purposive sampling technique obtained 42 participants. The research instrument used a questionnaire to assess adolescent knowledge and youth participation by observing their presence, activeness, and enthusiasm in Youth Care Health Program (YCHP). The analytical technique is used in univariate and bivariate data analysis (chi-square test). α-value = 0.05Results: The adolescents with a good knowledge 36 (85.7%) and has a high desire participation of 31 (73.8%). The correlation of all variables independent with participation as dependent variable was >0.05Conclusion: There was not a relationship between Youth Care Health Program (YCHP) among adolescent in knowledge and participation.Keywords: Adolescent; Knowledge; Participation; Youth Care Health Program (YCHP).Pendahuluan: Remaja dapat mengakses layanan dengan mudah hanya datang ke puskesmas yang telah ditunjuk untuk menyelenggarakan program tersebut. PKPR lebih berfokus pada pelayanan promotif dan preventif dimana mengingat masa remaja merupakan masa dimana permasalahan disebabkan oleh ketidaktahuan, salah persepsi, hingga kurangnya pertimbangan dalam bertindak. ketidaktahuan remaja tentang layanan PKPR merupakan faktor penting dalam menentukan akses PKPR oleh remaja.Tujuan: Diketahui apakah terdapat hubungan pengetahuan remaja terhadap partisipasi remaja dalam kegiatan PKPR.Metode: Menggunakan metode Cross Sectional Study dengan populasinya penelitian remaja yang pernah mengikuti posyandu remaja di wilayah kerja Puskesmas Dahlia Kota Makassar. Teknik pengambilan Sampel menggunakan teknik purposive sampling didapatkan sampel berjumlah 42 responden. Instrumen penelitian menggunakan kuisioner untuk menilai pengetahuan remaja dan partisipasi remaja dengan mengobsevasi kehadiran, keaktifan dan antusiasnya selama kegiatan PKPR. Teknik analisa menggunakan analisis data univariat dan bivariat (uji chi-square) dengan nilai α sebesar 0,05.Hasil: Remaja dengan pengetahuan baik 36 (85,7%) dan memiliki keinginan partisipasi tinggi sebesar 31 (73,8%). Korelasi semua variabel independen dengan partisipasi sebagai variabel dependen adalah >0,05Simpulan: Penelitian didapatkan bahwa tidak ada hubungan antara pengetahuan remaja tentang PKPR dengan partisipasi remaja dalam kegiatan PKPR. 


2020 ◽  
Author(s):  
Francois Folefack Kaze ◽  
Seraphin Nguefack ◽  
Constantine Menkoh Asong ◽  
Jules Clement Nguedia Assob ◽  
Jobert Richie Nansseu ◽  
...  

Abstract Background A relationship exists between birth weight (BW) and glomerular filtration rate (GFR) in postnatal kidney. Willing to fill a gap of knowledge in sub-Saharan Africa, we assessed the effect of BW on blood pressure (BP), proteinuria and GFR among Cameroonians children.Methods This was a cross-sectional hospital-based study from January to April 2018 at the Yaounde Gynaeco-Obstetric and Paediatric Hospital (YGOPH). We recruited low BW (LBW) [<2500g], normal BW (NBW) [2500-3999g] and high BW (HBW) [>4000g] children, aged 5-10 years, born and followed-up at YGOPH. We collected socio-demographic, clinical (weight, height, BP), laboratory (proteinuria, creatinine), maternal and birth data. The estimated GFR was calculated using the Schwartz equation.Results We included 80 children (61.2% boys) with 21 (26.2%) LBW, 45 (56.2%) NBW and 14 (15.5%) HBW; the median (interquartile range) age was 7.3 (6.3-8.1) years and 17 (21.2%) were overweight/obese. Two (2.5%) children, all with a NBW (4.4%), had an elevated BP whereas 2 (2.5%) other children, all with a LBW (9.5%), had hypertension (p=0.233). Seven (8.7%) children had proteinuria with 19%, 2.2% and 14.3% having LBW, NBW and HBW, respectively (p=0.051). Equivalent figures were 18 (22.5%), 14.3%, 24.2% and 28.6% for decreased GFR, respectively (p=0.818). There was a trend towards an inverse relationship between BW and BP, proteinuria and GFR (p>0.05). Conclusion Proteinuria is more pronounced in childhood with a history of LBW and HBW while LBW children are more prone to develop hypertension. Regular follow-up is needed to implement early nephroprotective measures among children with abnormal BW.


2019 ◽  
Author(s):  
Haile Workye Agazhu ◽  
Melese Niguse Robele ◽  
Ijigu Tadesse Ayele ◽  
Amin A/Karim Mohammed

Abstract Background; Hepatitis B virus (HBV) is the world’s most common and highly contagious liver infection. Its transmission methods are: mother to child, via open wounds, sexual contact, blood transfusion and other blood contact related activities. Prevalence of HBV among pregnant women in Africa ranges from 3.67 - 16.5% and in Ethiopia 2.4 to 8.4%. Hepatitis B infection leads to high morbidity and mortality for mother as well as for their infants due to the vertical transmission. Hence assessing the prevalence and associated factors of Hepatitis B Virus infection is a priority. Methodology : An institution based cross sectional study was conducted with a total of 194 of pregnant women attending antenatal care at Agena health center from May 1-30/2019. Frequency analysis and Logistic regression test was used to determine the associated factors associated with Hepatitis B virus by using SPSS version 25. Results: The prevalence of HBV in Agena health center among pregnant women were 4.1% and it was associated with marital status, history of hospital admission and history of abortion. Conclusion : The prevalence of HBV in Agena health center among pregnant women was intermediate. Since routine screening and immunization of all pregnant women is mandatory. Key words : Hepatitis B infection, pregnant women, Agena health center


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Patricia J. Munseri ◽  
Henrika Kimambo ◽  
Kisali Pallangyo

Abstract Background A bi-directional interaction between diabetes mellitus and tuberculosis is well established and has been likened to that between HIV and TB. Whereas HIV screening is standard of care test in sub Saharan Africa TB programs, the same is not true for diabetes mellitus (DM). Sub Saharan Africa, a region with high TB infection rates, is going through an epidemiological transition with rapidly rising prevalence of diabetes. We aimed at characterizing TB patients with DM in order to identify factors associated with TB-DM dual disease among patients attending TB clinics in Dar es Salaam. Methods A cross-sectional study was conducted between September 2016 and January 2017 among patients attending TB clinics in Dar es Salaam. We collected socio-demographic characteristics, anthropometric measurements and screened for diabetes by measuring fasting blood glucose that was followed by a 2 h postprandial glucose for participants with impaired fasting blood glucose. We examined for socio-demographic and clinical factors associated with diabetes using logistic regression analysis. Results Of the 660 enrolled participants with TB, 25 (3.8%) were on treatment for diabetes while 39 (6.1%) and 147 (23%) of the remaining 635 participants were ultimately diagnosed with DM and impaired fasting blood glucose respectively. The overall prevalence of DM was 9.7% (64/660). Independent risk factors for diabetes included: age > 44 years {OR 4.52, 95% CI: [1.28–15.89]}; family history of diabetes {OR 3.42, 95% [CI 1.88–6.21]}. HIV sero-positive TB patients were less likely to have DM compared to those who were HIV sero-negative {OR 0.35, 95% CI [0.17–0.73]}. Conclusions Screening for diabetes should be advocated for TB patients aged above 44 years and/or with a family history of diabetes. HIV sero-negative TB patients were more likely to have DM compared to those who were HIV sero-positive. Further studies are needed to confirm this observation and the underlying factors.


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