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Knowledge and Management of Post Partum Haemorrhage Among Skilled Birth Attendants in Primary Health Centres of Jos North LGA, Plateau State
Lydia Babatunde Bulndi,
Ramyil Mamzhi-Crown Seljul,
Ogundeko Timothy Ogundeko,
Bassi Amos Pual,
Adeniyi Olusegun Godwin,
Bulndi Isaac Godwin,
Stephen Nanbur,
Tina Ubanyi,
Ramyil Seljul Mary
Issue:
Volume 2, Issue 4, December 2017
Pages:
124-130
Received:
18 May 2017
Accepted:
3 June 2017
Published:
11 August 2017
DOI:
10.11648/j.wjph.20170204.11
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Abstract: Postpartum Haemorrhage is the leading cause of maternal mortality worldwide with a 6% prevalence recorded. In Africa and Asia where most maternal deaths occurred, postpartum haemorrhage accounts for more than 30% of all maternal deaths. However, the proportion of maternal deaths attributable to postpartum haemorrhage varies considerably between developed and developing countries. Consequently, many health care workers in developing countries have little or no access to basic practical information of PPH making it difficult to assess women with the risk factors typically leading to the complication that develops due to PPH. This study is aimed to determine the level of knowledge and managements kills of birth attendants providing delivery services as regards to PPH in Jos North, Plateau State, Nigeria. A multistage sampling technique was used to identify skilled birth attendants who are involved in the provision of maternal health services in Jos North Local Government Area. Informed consent was obtained from the respondents and when permitted by the respondents, the questionnaires were administered with confidentiality and results recorded by the interviewer. Out of 100 questionnaires completely filled, 86% of respondent are female why 14% are male. Professional qualifications of Registered Nurses (RN) was 12%, 10% of Registered Midwives (RM), RN & RM where 31%, Community Extension Health Workers (CHEW) is 36% and 11% of Junior Community Health Extension Worker (JCHEW) respectively; 56% of them are of the age range between 41-50 yrs; while 18% were between the ages of 31–40 and ≥ 50 years respectively. We found out that RN/RM demonstrated 80% higher level of knowledge and management skills in management of post partum hemorrhage among skilled birth attendants in primary health care of Jos North Nigeria with a significant relationship between the level of knowledge and professional qualification as well as significant relationship between the level of knowledge and years of working experience respectively at p-value<0.00001. In this study, we found that the RN & RM demonstrated high level of knowledge and managements kills in the management of post partum hemorrhage in Jos north primary health care. The study also found a significant relationship between the level of knowledge and professional qualifications as well as significant relationship between the level of knowledge and years of working experience. Thus, as the professional qualification and years of working experience increases, the level of knowledge of PPH also increases, reducing the morbidity and mortality experience in Jos North LGA of Plateau state, Nigeria.
Abstract: Postpartum Haemorrhage is the leading cause of maternal mortality worldwide with a 6% prevalence recorded. In Africa and Asia where most maternal deaths occurred, postpartum haemorrhage accounts for more than 30% of all maternal deaths. However, the proportion of maternal deaths attributable to postpartum haemorrhage varies considerably between dev...
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Health Rating, Obesity and Hypertension Among University Students in Nigeria by Gender and Ethnicity
Ezenna Michael Agwu,
Stephen Draper,
Mark De Ste Croix,
Regina Egimot-Nwadiaro,
Chizoba Roseline Onuoha
Issue:
Volume 2, Issue 4, December 2017
Pages:
131-143
Received:
30 July 2017
Accepted:
26 August 2017
Published:
28 September 2017
DOI:
10.11648/j.wjph.20170204.12
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Abstract: Background: There is evidence that students rating of health, obesity and hypertension are significantly related to gender, culture and ethnicity. Although, previous studies have suggested the need for regional and interregional comparison of health inequalities, however, literature indicated gaps in knowledge with regard to these variables. AIMs: This study explored health awareness, obesity and hypertension among university students in Nigeria by gender and ethnicity. Method: The study was cross sectional. Full time university students were recruited from six universities within the major three ethnic groups in Nigeria. Data collection was with an anonymous questionnaire. 1549 responses were valid, while 563 responses were rejected for missing data especially gender and ethnicity. The variables examined were, health awareness (general health, keeping eye on your health, seen a general practitioner (GP) recently, regular medication) obesity and hypertension. Descriptive statistics and chi-square tests were conducted. Results: Irrespective of ethnicity, more females than males saw their GP and had more regular medications. Further examination of the data, suggested that more Hausa students had seen their GP. Hausa females and Igbo males reported regular medications than other groups, while the Yoruba ethnic group saw their GP less frequently. More males were overweight or obese than females. More Yoruba males and Hausa females were overweight or obese. The study also indicated that over 90% of students reported normal blood pressure, and both by gender and ethnicity, there was no significant differences in both systolic and diastolic blood pressure. Conclusion: The findings indicated that the health status of female students in the sample was poorer than those of male students; with female students from the Hausa ethnic group, demonstrating the worst possible health outcome.
Abstract: Background: There is evidence that students rating of health, obesity and hypertension are significantly related to gender, culture and ethnicity. Although, previous studies have suggested the need for regional and interregional comparison of health inequalities, however, literature indicated gaps in knowledge with regard to these variables. AIMs: ...
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Effects of Behavior Change Communication Interventions on the Adoption of Contraceptive Methods in Urban and Peri-Urban Districts of Senegal
Ndèye Marème Sougou,
Jean Baptiste Diouf,
Mouhamadou Makhtar Mbacké Lèye,
Mayassine Diongue,
Babacar Guèye,
Abdou Guèye,
Adama Faye,
Ibrahima Seck,
Anta Tal-Dia
Issue:
Volume 2, Issue 4, December 2017
Pages:
144-150
Received:
7 September 2017
Accepted:
22 September 2017
Published:
5 November 2017
DOI:
10.11648/j.wjph.20170204.13
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Abstract: The Senegalese Urban Health Initiative (ISSU) was a six-year project (2009-2015) implemented by Intrahealth International, Senegal. This project aimed to improve the quality of life of the poorest urban populations in Senegal by increasing access, quality and use of FP services. The aim of this study is to determine the effects of behavior change communication interventions of the ISSU project on the adoption of modern contraceptive methods in 10 urban and semi-urban districts of Senegal. For the evaluation, we use quantitative methods. To do this, we use data from the baseline survey and the final survey in the project areas. A total of 9 614 women were included in the study. In this study we proceed to a descriptive study with an analytical aim. The evaluation showed an increase in the contraceptive prevalence of target FARs. Modern contraceptive use increased from 1154 users (16.7%) to 1727 (24.9%) users with an increase in the use of long-acting methods: IUDs: 448 (6.5%) to 583 (8.4%); Implants (0.8 to 1.8%); Injectable (5.7 to 5.9%). The study shows a decrease in unmet needs between the two surveys from 14.9% to 13.7%, especially among those with unmet needs in relation to birth spacing (10.6% to 8.4%). Several interventions in the FP generation project significantly impacted on the adoption of modern contraceptive methods (p <0.05). These include PF information in health facilities, PF information from private pharmacies, community interventions (community niches, home visits to relays, etc.), the use of telephony with calls and the involvement of the religious. Multiple logistic regressions concludes that the adoption of modern method of contraception by women was linked with being exposed to PF messages through advertising spots (ORa = 0.43 [0.13-0.87]) and having participated in a community conversation on PF (ORa = 0.43 [0.23-0.80]). The ISSU project through its demand generation interventions (community activities, the use of mass media in FP promotion,) has significantly increased contraceptive prevalence in intervention sites.
Abstract: The Senegalese Urban Health Initiative (ISSU) was a six-year project (2009-2015) implemented by Intrahealth International, Senegal. This project aimed to improve the quality of life of the poorest urban populations in Senegal by increasing access, quality and use of FP services. The aim of this study is to determine the effects of behavior change c...
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