Journal of Health, Medicine and Nursing最新文献

{"title":"Correlates of HIV Infection among Men who have Sex with Men in Mvita Sub-County, Mombasa County, Kenya","authors":"Wangui K, K. Ngure, A. Adem","doi":"10.47604/jhmn.1849","DOIUrl":"https://doi.org/10.47604/jhmn.1849","url":null,"abstract":"Purpose: The broad objective of the study was to determine the correlates of HIV infection among men who have sex with men in Mvita sub-county, Mombasa County, by December 2020. \u0000Methodology: Descriptive cross-sectional study design using quantitative methods was used to collect data from a study population which included 121 HIV positive and 119 HIV negative MSM.  The respondent-driven sampling (RDS) was used to obtain the sample of respondents while chi-square and multivariable logistic regression were used to identify the variables which were associated with HIV infection. Data generated from the questionnaires was collected, cleaned, coded and analyzed using STATA software Version 17. Level of significance was fixed at p=0.05, with a 95% confidence interval. \u0000Findings: Majority of the MSM (51%) were between 19-29 years, were single (71%), were christian (60%) had attained primary education (45%), were working (63%), 55% had an income of less than Ksh. 5000 but only 38% were married to a female. Majority (91%) of HIV negative MSM accessed PEP/PrEP and only 70% used PEP/PrEP for HIV prevention. However, majority (60%) of HIV positive MSM had anal sex with multiple casual male partners, 49% sometimes had condomless insertive anal sex while 49% had condomless receptive anal sex. HIV positive MSM also had anal sex more than once while high on alcohol (41%), always used drugs before engaging in anal sex (33%) and were non-adherent to ARVs, PrEP/PEP due to lack of transport (66%), alcohol use (24%), and drug use (15%), among other factors. \u0000Unique Contribution to Theory, Practice and Policy: From the study findings, the Government/NGO must address the MSM issues for instance, by increasing the number of HIV programmes targeting MSM, adequately funding them and actively engaging the MSM in running the them. Also, by sensitizing the communities, human right groups, religious leaders, politicians and other stake holders on matters pertaining MSM and lobbying for the review of the laws that criminalizes same sex relationship.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"1993 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90426338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preparing Future Doctors for Palliative and End of Life Care in Kenya: Cross-sectional Survey","authors":"David Mungara, W. Too","doi":"10.47604/jhmn.1798","DOIUrl":"https://doi.org/10.47604/jhmn.1798","url":null,"abstract":"Purpose: The main aim of this study was to assess how prepared are Kenyan doctors in delivering palliative and end of life care to chronic and life-threatening conditions. \u0000Methodology: Cross-sectional survey was used to assess doctor’s palliative and end of life practices. Multi-center (three-mission referral and teaching hospitals in Kenya): Tenwek, Kijabe, and Chogoria were used to collect data from 96 medical practioners. Medical doctors with at least 6 months managing patients with chronic conditions (cancer, HIV/AIDS and other life-threatening conditions) were recruited into the study. The quantitative data was analysed using an independent t-test. All ethical considerations were addressed. \u0000Findings: Majority of doctors interviewed were generalists who had managed chronic diseases. Majority had basic concepts of palliative care and end of life care. Those who had received prior training in palliative care were better in performance’s score on knowledge questions regarding palliative care and end of life. Medical doctors were knowledgeable on psychological distress and opioids effects domains as compared to delirium and dyspnea domains. Among those who were knowledgeable in palliative care and end of life care were doctors trained outside Kenya, those who were senior with more experiences (>10 years), over 40 years and had further training after their undergraduate \u0000Unique Contribution to Theory, Practice and Policy: This study seeks to develop training tailored to Kenyan doctors and Physicians on end-of-life care practices in selected counties then roll-out to the rest of the counties in the country in collaboration with Ministry of Health Kenya and also provide opportunities for doctors to develop palliative and end-of-life care skills especially for resident and junior doctors. This study will also form basis for policy development on palliative and end-of-life care practices in Kenya, which currently is non-existent. End-of-life care Policy would aid in clinical application of good practices surrounding palliative and end-of-life care which should be implemented in Kenya. This study advocates inclusion of end-of-life care training modules in a standardized curriculum for undergraduate as part of training and preparing future Kenyan doctors. Further, this study can be considered as current Physician’s approach to end-of-life care practices in Kenya which then can be a basis to develop guidelines and standards addressing end-of-life which is fraught with ethical and medical dilemmas carried by healthcare professionals.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82855216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Profile of Pediatric Patients with Neural Tube Defects in a Tertiary Hospital in Davao City, Philippines: A Five-Year Retrospective Study","authors":"","doi":"10.7176/jhmn/106-04","DOIUrl":"https://doi.org/10.7176/jhmn/106-04","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88886280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinant Analysis of Divorce in Wolaita Sodo Town: In Case of Wadu Kebele, Snnpr, Ethiopia","authors":"Adinew Handiso Arficho","doi":"10.7176/jhmn/106-01","DOIUrl":"https://doi.org/10.7176/jhmn/106-01","url":null,"abstract":"Marriage is the very beautiful gift which Allah given to his human being. It gives pleasure, security, peace, and family. In life there is happiness and worries which men or women...","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82563411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Profile of Pediatric Extrapulmonary Tuberculosis in a Tertiary Hospital: A 10-year Retrospective Study","authors":"","doi":"10.7176/jhmn/106-03","DOIUrl":"https://doi.org/10.7176/jhmn/106-03","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84129526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses Practice and Associated Factors towards Hemodialysis Care in Addis Ababa, Ethiopia","authors":"","doi":"10.7176/jhmn/106-02","DOIUrl":"https://doi.org/10.7176/jhmn/106-02","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78179868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Covid-19 Management by Healthcare Providers in Busia County Referral Hospital, Busia County, Kenya","authors":"Psusma Psusma, Tito Kwena, Mukhtar Mukhtar","doi":"10.47604/jhmn.1725","DOIUrl":"https://doi.org/10.47604/jhmn.1725","url":null,"abstract":"Purpose: The main objective was to assess COVID-19 management by healthcare providers in Busia County Referral Hospital, Busia County, Kenya by November 2021. \u0000Materials and Methods: A sample size of 153 was considered to give the data from the different clustered cadres The data collection tools included a facility readiness assessment for COVID-19 observation checklist adopted from the World Health Organization, an Interview structured questionnaire, and a key informant guide for managers of every key cadre. Both qualitative and quantitative data collected were cleaned, coded, sorted, and analyzed using the statistical package for social sciences (SPSS) version 21. The data collected was presented in frequencies, pie charts, graphs, proportions, and tables. The associations of variables were tested using the Chi-square test, bivariate and multivariate. An association was considered significant when the p-value is less than 0.05 (p<0.05) with a confidence interval of 95% (CI 95). \u0000Findings: The study revealed a shorter duration of experience 1 to 3 years and a shorter training session 1 to 2 days had higher odds of 2.3 and 2.1 (p = 0.03) and p=0.04) respectively to report correct practice in the management of COVID-19, and was statistically significant. Furthermore, knowledge of five moments of hand hygiene (p=0.007), and audit (p=0.004) were statistically significant to report correct practice in the management of the pandemic. In addition, the availability of gloves, face masks, thermogun, screening checklist, and the designated focal person at triage reported higher odds >2.5 with p>0.05 to facilitate correct practice in the management of COVID-19. Respondents who reported the existence of an infection prevention and control committee had 5.2 odds with p=0.03 to adhere to correct practice in pandemic management. \u0000Unique contribution to theory, practice, and policy: The study revealed that updated policy documents, knowledge, skills, and Health Products and Technologies on the management of COVID-19 were paramount in the fight against the pandemic. \u0000Keywords: SARSCOV2; COVID-19; Hand hygiene; Personal Protective Equipment","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81759282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accessibility and Health Facility Factors Influencing Maternal and Fetal Outcomes among Mothers Referred with Obstetric Emergencies in Baringo County Referral Hospital, Kabarnet, Kenya","authors":"Phylis Kandie","doi":"10.47604/jhmn.1723","DOIUrl":"https://doi.org/10.47604/jhmn.1723","url":null,"abstract":"Purpose: To determine the accessibility to a health facility and health facility factors influencing maternal and fetal outcomes among mothers referred with obstetric emergencies in Baringo County referral Hospital. \u0000Methodology: A descriptive cross-sectional study which employed a mixed method approach of data collection was adopted. Simple Random technique was used in selecting 284 respondents into the study. The study population also included nurses, gynaecologist and medical officers who were purposively sampled. Qualitative data collection was analysed through content analysis while descriptive and inferential statistics were used to analysed quantitative data.  \u0000Findings: results show that mothers who are accompanied by nurse are 4.3 times more likely to have complications than those accompanied by relatives (AOR:4.3;95% CI:1.2-16.1;p=0.03). Moreover, mothers who were coming from distant health facilities were 70% less likely to have experience complications than those who live closer to the referral hospital (AOR: 0.3; 95%CI: 0.1-1.1; p=0.07). Neonates whose mothers received treatment within 30 min (OR: 0.5; 95% CI: 0.3 – 0.8; p = 0.005) were 50% less likely to have had abnormal outcome. In contrast, the risk of abnormal outcome was higher for neonates whose mothers received treatment before referral (OR: 2.3; 95% CI: 1.4 – 3.8; p = 0. 001) suggesting possible delay in providing treatment as a possible cause of deteriorating condition of the foetus. Mothers who stated that nurses listened and explained things (3.9%) or those seen within less than 30 minutes to be attended to (p = 0.3) experienced complications. On the other hand, the odds of complications increased where the main reason for referral was lack of expertise and equipments at the referring health facility (p = 0.09) though the result was not statistically significant. \u0000Unique Contribution to Theory, Practice and Policy: This study has identified accessibility and health facility factors influencing the obstetric emergencies in a marginalized county. The study will provide insight to policy maker’s hence evident-based interventions will be made. No literature review has been published on this topic at the study site therefore, this study will form a basis for other researchers.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74150535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risky Sexual Behaviour and Contraceptive Use Among Young Adults in Public Colleges of Education in Ogun State, Nigeria","authors":"","doi":"10.7176/jhmn/104-02","DOIUrl":"https://doi.org/10.7176/jhmn/104-02","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86805177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Knowledge, Attitude and Practices About Rabies Prevention and Associated Factors in Wolaita Sodo City, Southern Ethiopia","authors":"","doi":"10.7176/jhmn/104-01","DOIUrl":"https://doi.org/10.7176/jhmn/104-01","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74863885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}