scholarly journals A Descriptive, Cross-Sectional Study of Ugandan Students in Health Care Education regarding Postgraduate Migration and Future Practice

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Arabat Kasangaki ◽  
Andrew Macnab ◽  
Faith Gagnon
Keyword(s):  
Health Care ◽  
Low Income ◽  
Urban Areas ◽  
Community Health Centers ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Rural Practice ◽  
Low Income Countries ◽  
Cross Sectional ◽  
Future Practice

A growing challenge of globalization is the migration of many healthcare trainees to richer nations when they complete their education. This loss of intellectual capital compromises the ability of low-income countries to provide adequate health care. Despite recognition of this loss most African nations keep no track of those they train. Effective investment in health care demands retention of this resource; the ability to direct healthcare providers where needed; understanding of local factors driving migration, choices regarding postgraduate training abroad, and future practice preference. Self-administered questionnaires were distributed to a random sample of 200 Uganda College of Health Sciences students for anonymous completion; 141/200 (70.5%) were completed; 84% of respondents intended to pursue postgraduate studies abroad; 63% to migrate within five years of graduation; 57% to work in urban areas. While partly due to global trends and awareness of international opportunities, this negative trend of migration and shunning rural practice is also influenced by sociopolitical and educational elements within Uganda. One option (adopted elsewhere) is mandatory practice in government community health centers for a period following graduation. But the ethics, consequences, and implications of current international migratory trends need to be addressed locally and by the global medical education community.

scholarly journals Determinants of Exposures to Hazardous Materials among Nail Cosmeticians in the Kampala City, Uganda

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
John C. Ssempebwa ◽  
Rawlance Ndejjo ◽  
Ruth Mubeezi Neebye ◽  
Edwinah Atusingwize ◽  
Geofrey Musinguzi
Keyword(s):  
Low Income ◽  
Urban Areas ◽  
Safety Information ◽  
Hazardous Materials ◽  
Cross Sectional Study ◽  
Low Income Countries ◽  
Hazardous Chemicals ◽  
Protective Material ◽  
Cross Sectional ◽  
Middle Income

Globally, nail salons represent a fast expanding industry and often with low-income cosmeticians. In general, cosmeticians have limited access to safety information about the hazardous materials they handle, which would potentially enable them to minimize workplace exposures. The problem is much pronounced in low- and middle-income countries due to weaknesses in regulation of the industry. We investigated determinants of exposures to hazardous materials among nail cosmeticians in Kampala District, Uganda. We employed a cross-sectional study design among a random sample of 243 participants. The sociodemographic characteristics, education and training status, knowledge about routes of exposure to hazardous chemicals, and personal protective material use of cosmeticians were assessed through face-to-face interviews. Most cosmeticians were aged 18–34 years, and more males were engaged in this work than females. Also, 82.7% believed inhalation was the major exposure route for the chemicals they handled. Participants who had attained secondary-level education and above were over three times more likely to wear masks (AOR = 3.19, 95% CI 1.58–6.41) and gloves (AOR = 3.48, 95% CI 1.55–7.81) and over two times more likely to use aprons (AOR = 2.50, 95% CI 1.18–5.32). Participants who had ever received safety training on hazardous chemicals were more likely to wear all four personal protective equipment: masks (AOR = 3.21, 95% CI 1.61–6.42), gloves (AOR = 4.23, 95% CI 2.05–8.75), goggles (AOR = 4.14, 95% CI 1.25–13.65), and aprons (AOR = 2.73, 95% CI 1.25–5.96). Participants who had spent more than two years in the nail cosmetics business were more likely to wear masks (AOR = 3.37, 95% CI 1.64–6.95). With the increasing demand for nail cosmetics, and many people in urban areas of low-income countries engaging in this industry, there is need for training and better workplace policies to promote a healthier urban workforce dealing in cosmetics.

scholarly journals Effectiveness and efficiency of leadership, management, and governance trainings in Ethiopia: a cross-sectional study

2021 ◽  
Author(s):  
Sualiha Abdlkader Muktar ◽  
Binyam Fekadu Desta ◽  
Wondwosen Shiferaw Abera ◽  
Heran Demissie ◽  
Mesele Damte Argaw
Keyword(s):  
Low Income ◽  
Health Workers ◽  
Healthcare Providers ◽  
Synergetic Effect ◽  
Cross Sectional Study ◽  
Low Income Countries ◽  
Cross Sectional ◽  
Leadership Management ◽  
Post Test ◽  
Effectiveness And Efficiency

Abstract Objectives Leadership, management, and governance (LMG) trainings are implemented to capacitate managers and clinical healthcare providers in several countries. However, there is no evidence gathered on effectiveness and efficiency of LMG trainings in low-income countries. Hence, this study aims to determine the effectiveness and efficiency of basic LMG trainings implemented in Ethiopia. Results In the study, the results training evaluations of 293 health workers with a 100.0% response rate is presented. In addition, data on 136 leadership project achievements and financial documents are reviewed. The mean pretest score with SD was 44.97% ± 15.50%, and the post-test score was 78.11% ± 14.22%, which showed a significant gains in knowledge at post-test with t=-35.99, df = 292, p < 0.001. The average net health service coverage gain by each entity was 16.55% (95% CI: 12.26%, 20.84%). The majority of LMG trainings were found to be effective in imparting knowledge and skills for staff to lead, manage and govern primary health entities. Moreover, the trainings were efficient in regards to time, communication, and resources utilized during the sessions. The trainings had a synergetic effect in strengthening health system components in the low-income country of Ethiopia.

scholarly journals Cross-sectional study of drivers of animal-source food consumption in low-income urban areas of Nairobi, Kenya

BMC Nutrition ◽  
2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Laura Cornelsen ◽  
Pablo Alarcon ◽  
Barbara Häsler ◽  
Djesika D. Amendah ◽  
Elaine Ferguson ◽  
...  
Keyword(s):  
Food Consumption ◽  
Low Income ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Animal Source ◽  
Animal Source Food

scholarly journals Personal and domiciliary hygiene practices and its association with incidence of infectious diseases among children aged 6-59 months

2021 ◽  
Vol 8 (9) ◽  
pp. 4204
Author(s):  
Md Hasanuzzaman ◽  
Md Hafizur Rahman ◽  
Md Shafiqul Islam Khan ◽  
Musammet Rasheda Begum ◽  
Farjana Alam ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Low Income ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
Low Income Countries ◽  
Sectional Study ◽  
Child Feeding ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Prepared Food

Background: Over 200 million under-five-children born in low-income countries are at risk of not reaching their development potential and infectious diseases are the leading cause of development deficits in these regions.Methods: A cross-sectional study was conducted to investigate personal and household hygiene practices among 154 mothers and their association with the incidence of infectious diseases among 167 children aged 6 months to 59 months in Patuakhali district, Bangladesh.Results: Only 13.6% of the mothers had proper hand washing knowledge. Besides, 14% and 53.9% of the mothers washed their hands with soap and only with water respectively before feeding their child. About 68.2% of mothers prepared food on the ground and half (49.5%) of the toilet did not have a hand washing location beside it. The risk of childhood infectious disease was significantly associated with hand washing of mothers before feeding a child (OR: 2.3, 95% CI: 1.5-4.1, p<0.05) and hand washing of child before eating (OR: 3.4, 95% CI: 1.8-5.7, p<0.05).Conclusions: Hand washing agents were inadequate and compliance to hand washing was poor. Therefore, the continuous focus is needed on the mother's awareness construction to increase the compliance to hand washing practice among mothers as well as their child with soap, especially during child feeding.

scholarly journals Healthcare Providers’ Knowledge, Attitude, and Perspective regarding Diabetes Self-Management during Ramadan Fasting: A Cross-Sectional Study

2021 ◽  
Vol 11 (1) ◽  
pp. 124-132
Author(s):  
Sh Sugiharto ◽  
Wiwiek Natalya ◽  
Bambang Widjanarko Otok
Keyword(s):  
Community Health Centers ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Management Training ◽  
Cross Sectional Study ◽  
Wilcoxon Test ◽  
Self Management ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Ramadan Fasting

Background: Evidence shows that most general practitioners have low knowledge related to diabetes self-management during Ramadan fasting. However, studies on healthcare providers’ competencies related to diabetes self-management during Ramadan fasting are still rare.Purpose: This study aimed to investigate healthcare providers’ knowledge, attitude, and perspective concerning diabetes self-management during Ramadan fasting.Methods: The study applied a cross-sectional design and was conducted in forty-one (41) community health centers in Pekalongan, Central Java, Indonesia. The study participants were medical doctors, nurses, nutritionists, pharmacists, and public health officers. The total sampling technique was used. There were 205 healthcare providers who met the inclusion criteria. Their knowledge, attitude, and perspective were assessed using a questionnaire developed by Zainudin and Hussain. The Wilcoxon test was used to analyze the data. Results: The healthcare providers’ knowledge of Ramadan fasting was very low (36.79±26.11). More than half of the respondents (53.17%) advised diabetic patients to manage diabetes in general, although specific counseling for diabetic patients related to fasting in Ramadan month was not provided (55.12%). The perspective of Ramadan fasting among healthcare providers was moderate (62.68%±30.40). The results also showed that general and safe practice knowledge significantly affected the healthcare providers’ perspective toward Ramadan fasting (Z=-12.49, p=0.000), (Z=-12.02, p=0.000), respectively. Conclusion: Healthcare providers’ knowledge and attitude concerning diabetes self-management during Ramadan fasting were low. Accordingly, this affected their perspective. It is strongly recommended that a formal Ramadan fasting management training program should be given regularly to provide appropriate consultations and services. 

scholarly journals Disclosure of herbal medicine use to health care providers among pregnant women in Nepal: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mansoor Ahmed ◽  
Hyea Bin Im ◽  
Jung Hye Hwang ◽  
Dongwoon Han
Keyword(s):  
Health Care ◽  
Herbal Medicine ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Pregnant women’s disclosure of herbal medicine (HM) use to their health care providers during pregnancy is crucial, as misuse of HM can have a detrimental effect on both pregnant woman and the fetus. However, the lack of disclosure of HM use to physicians remains a public health concern in developing countries such as Nepal. Methods A cross-sectional study was conducted among 400 postpartum women admitted at Maternity and Women’s Hospital located in Kathmandu, Nepal. The survey instrument included 30 questions on the use of HM during pregnancy, sociodemographic and health characteristics, and pregnancy outcomes. Chi-square test and logistic regression were conducted for data analysis using SPSS ver. 21.0., and a p-value of less than 0.05 was considered statistically significant for all analyses. Results 60.3% of respondents used at least one herbal remedy during their previous pregnancy, and the overall disclosure rate of HM use to healthcare providers was 54.6%. Women with secondary education level and four or more antenatal care visits were more likely to disclose their HM use to healthcare providers. Conclusions This study highlights that despite the popular use of HM among pregnant women in Nepal, most women obtained HM-related information from informal sources and did not disclose their HM use to physicians. To ensure the safe use of HM, physicians should integrate questions regarding patients’ HM use into their routine patient assessments to facilitate active communication and improve the quality of care.

scholarly journals Knowledge and Acceptance of Labour Analgesia in Pregnant Women

2018 ◽  
Vol 16 (3) ◽  
pp. 302-306 ◽  
Author(s):  
Mona Sharma ◽  
Saurya Dhungel ◽  
Sujata Niroula ◽  
Manan Karki
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Care Center ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Acceptance Rate ◽  
Labour Analgesia ◽  
Low Income Countries ◽  
Cross Sectional

Background: Labour analgesia, though practiced worldwide, is not very popular in low-income countries. The aim of the study was to assess the awareness, attitude, acceptance, and reasons for hindrance of labour analgesia among patients visiting a tertiary care center in the capital cityMethods: It was a cross sectional study conducted in Obstetrics and Gynecology outpatient department of Kathmandu Medical College Teaching Hospital in the month of August 2017. All pregnant patients presenting for antenatal checkup was included. Data was collected based on a questionnaire after informed consent. Statistical analysis was done in SPSS version 20 and results were expressed in frequencies and percentage.Results: Total of 270 pregnant women participated in the study. Out of these forty-four (16.3%) patients were aware about labour analgesia. The acceptance rate was high (72.2%). Majority (84.6%) had no problem with expenditure associated with labour analgesia.Conclusions: Despite low awareness about painless delivery among the antenatal women, the acceptance rate is high.

scholarly journals The ISN 0by25 Global Snapshot Study

2016 ◽  
Vol 68 (Suppl. 2) ◽  
pp. 29-31 ◽  
Author(s):  
John Feehally
Keyword(s):  
Low Income ◽  
Kidney Injury ◽  
Complete Recovery ◽  
Cross Sectional Study ◽  
Low Income Countries ◽  
Clinical Indication ◽  
Partial Recovery ◽  
Cross Sectional ◽  
Middle Income ◽  
New Information

The International Society of Nephrology's (ISN) 0by25 initiative aims to prevent avoidable deaths from acute kidney injury (AKI) by 2025, most of which occur in low and lower middle-income countries (LLMICs). To increase evidence about the epidemiology of AKI, especially in LLMICs, ISN conducted a ‘Global Snapshot', a multinational, cross-sectional study in which 322 physicians from 72 countries in 6 continents identified 3,664 adults and 354 children with AKI who were under their care of which 45% were from LLMICs, nevertheless low-income countries were under-represented. In LLMICs, patients with AKI were younger, and community acquired AKI was more common. Hypotension (40%) and dehydration (39%) were the most common causes of AKI. Dehydration was a more common cause in LLMIC, as were sepsis, pregnancy-related AKI and animal envenomation. Acute dialysis was performed in 23% of patients. Eight percent had a clinical indication for this but were not dialyzed. In LLMICs, lack of resources (16%) and inability to afford therapy (30%) accounted for almost half of these cases. Overall mortality at 7 days was 11% and was higher in LLMICs. Complete recovery from AKI occurred in 30% of patients and partial recovery 37%, and was more often complete in LLMICs. The 0by25 Global Snapshot provides new information about the worldwide epidemiology of AKI, helping to identify elements that would be amenable in intervention to reduce preventable deaths.

scholarly journals Use of Pesticides and Health Risk among Farmers in Sunsari District, Nepal

2019 ◽  
Vol 17 (01) ◽  
pp. 66-70
Author(s):  
Rajendra Lamichhane ◽  
Nishant Lama ◽  
Sangam Subedi ◽  
Suman Bahadur Singh ◽  
Ram Bilakshan Sah ◽  
...  
Keyword(s):  
Health Risk ◽  
Low Income ◽  
Wind Direction ◽  
Agricultural Sector ◽  
Skin Irritation ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Low Income Countries ◽  
Cross Sectional

Background: An increasing widespread use of Pesticides is as an issue in the agricultural sector. Pesticides use is one of the occupational risks in farmers of low-income countries including Nepal. Objective of this study was to explore the health effects of Pesticides among agricultural farmers of Sunsari.Methods: A community based cross sectional study was carried out in Duhabi-Bhaluwa of Sunsari District, Nepal from September 2015 to February 2016. Non-probability sampling technique was used to enroll the total 300 study participants. Data were collected by face to face interview with farmers using pre-tested semi structured questionnaire. Data were recorded by reading the original container of the Pesticides.Results: Fungicides (60.3%), Herbicides (56.3%), pyrethrum (35.3%) and Organophophate (11.6%) Pesticides were commonly used by the agricultural farmers in their farms. The health problem within 48 hours after application of pesticides was reported by more than one-sixth (17%) of the farmers. Dizziness (74.5%) and headache (58.8%) were the most common health problems found among the farmers. Skin irritation (19.6%), nausea (13.7%), paraesthesia (9.8%), restlessness (5.8%), eye irritation (5.8%) and vomiting (1.9%) were also reported by pesticides handlers. Factors associated with health problems were hazardous pesticides use (AOR=26.95, CI 6.15 - 118.0), good knowledge on impacts of pesticides (AOR=3.16, CI 1.09-9.13), determination of wind direction first and spray (AOR=2.25, CI 1.08-4.67), working experience of 20-29 years on farm (AOR=3.38, CI 1.05-10.83). Conclusions: One-sixth of the farmers reported health problems. Farmers working with hazardous Pesticides were in need of special attention in terms of safe handling, determing the wind direction and spray.Keywords: Farmer; health hazardious; health risk; pesticides use.

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