Rwanda Journal of Medicine and Health Sciences最新文献_第2页

Pregnant Women’s Knowledge and Expectations about Prenatal Ultrasound: A Cross-Sectional Study 孕妇对产前超声波的了解和期望：横断面研究

Rwanda Journal of Medicine and Health Sciences Pub Date : 2023-11-30 DOI: 10.4314/rjmhs.v6i3.8

B. Chinene, L. Mudadi

{"title":"Pregnant Women’s Knowledge and Expectations about Prenatal Ultrasound: A Cross-Sectional Study","authors":"B. Chinene, L. Mudadi","doi":"10.4314/rjmhs.v6i3.8","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i3.8","url":null,"abstract":"BackgroundUltrasound imaging has been shown to improve maternal health outcomes through timely diagnosis of pregnancy problems. Despite ultrasound being vital for women's management in pregnancy, studies have reported low awareness among African women ObjectiveTo evaluate the knowledge and expectations of pregnant women in Harare about prenatal ultrasound. MethodsA cross-sectional survey of 385 pregnant women was done at the ultrasound department of a private maternity hospital in Harare, Zimbabwe. Statistical Package for Social Sciences (SPSS) 27.0 and Windows Excel were used to analyse the data.Results The majority of women (85.4%) concurred that ultrasound scans are important during pregnancy, but most (79.3%) were not aware that congenital abnormalities can be detected through ultrasound. Despite low overall knowledge of congenital abnormalities, 80.2% of women were familiar with Down's syndrome, and this knowledge tended to increase with higher education levels, although not statistically significant (linear-by-linear association = 0.057). The primary expectation of ultrasound scans among pregnant women was to confirm the expected delivery date, and gender determination, with the least expectation being a diagnosis of congenital abnormalities.ConclusionKnowledge levels were lower in our setting relative to other similar studies, and hence this underscores the need for further public education.Rwanda J Med Health Sci 2023;6(3):346-354","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"24 49","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196813","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}

引用次数: 0

Preterm Births and Associated Factors among Women who Delivered in a District Hospital in Eastern Province, Rwanda: A retrospective study 在卢旺达东部省一家地区医院分娩的妇女中的早产及其相关因素：回顾性研究

Rwanda Journal of Medicine and Health Sciences Pub Date : 2023-11-30 DOI: 10.4314/rjmhs.v6i3.1

Celestin Hakizimana, Japheths Ogendi, Michael Habtu

{"title":"Preterm Births and Associated Factors among Women who Delivered in a District Hospital in Eastern Province, Rwanda: A retrospective study","authors":"Celestin Hakizimana, Japheths Ogendi, Michael Habtu","doi":"10.4314/rjmhs.v6i3.1","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i3.1","url":null,"abstract":"BackgroundPreterm birth is the primary cause of infant fatalities and is a global public health issue. In 2020, approximately 13.4 million babies were born preterm globally. Preterm birth was potentially associated with different socio-demographic factors as well as clinical and gynaeco-obstetrical factors. This study aimed at assessing the prevalence of preterm births and factors associated with them among women who delivered in Gahini District Hospital. MethodsThis study employed a cross-sectional retrospective study design and the sample size was 312 mothers. SPSS version 21 was used for data analysis. Univariate and bivariate analysis with Chi-square tests were performed. Multivariable logistic regression analysis was performed to figure out factors that were independently associated with preterm birth.Results This research revealed that the preterm birth prevalence in Gahini hospital was 9.6% and independently associated factors included mothers’ age >35 (AOR: 9.56; 95% CI: 1.38–66.33), being unmarried (AOR: 18.19, 95% CI: 2.96–111.59) and maternal BMI of 25–30 (AOR: 6.25, 95% CI: 1.34–29.12).ConclusionPreterm birth was found to be associated with different factors. Therefore, intervention strategies related to maternal and child health need to be developed and strengthened to address factors associated with preterm births. Rwanda J Med Health Sci 2023;6(3):269-279","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139197411","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}

引用次数: 0

Assessment of the Risk of Future Metabolic Syndrome among Non-Hypertensive and Non-Diabetic Nigerian Pregnant Women Presenting with either Glycosuria or Proteinuria at Different Trimesters 评估不同孕期出现糖尿或蛋白尿的非高血压和非糖尿病尼日利亚孕妇未来患代谢综合征的风险

Rwanda Journal of Medicine and Health Sciences Pub Date : 2023-11-30 DOI: 10.4314/rjmhs.v6i3.5

O. Ekun, Franklin Kayode Ayenogun, Nkeiruka Ogo Ogidi, E. Adejumo

{"title":"Assessment of the Risk of Future Metabolic Syndrome among Non-Hypertensive and Non-Diabetic Nigerian Pregnant Women Presenting with either Glycosuria or Proteinuria at Different Trimesters","authors":"O. Ekun, Franklin Kayode Ayenogun, Nkeiruka Ogo Ogidi, E. Adejumo","doi":"10.4314/rjmhs.v6i3.5","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i3.5","url":null,"abstract":"BackgroundIn pregnancy, women experience physiological changes which could increase the risk of insulin resistance, and metabolic syndrome later in life. This study assessed the risk of future metabolic syndrome among pregnant women with either glycosuria or proteinuria at different gestational ages. MethodsEight-Six participants were recruited from health facilities in South-west, Nigeria and they were in three categories: those with glycosuria (n = 32), proteinuria (n = 27), and control (n = 27), based on urinalysis result. Data were analyzed using IBM SPSS Statistics for Windows version 25.0 (IBM Corp, Armonk, NY, USA). Groups were compared using one way ANOVA. Association between the variables was determined using Pearson correlation. Linear regression analysis was performed to predict the risk of future metabolic syndrome.ResultsParticipants with glycosuria, proteinuria and control were 29.19 (SD 6.04), 27.15 (SD 4.37) and 25.74 (SD 4.67) years respectively. Glycosuria group had higher (P = 0.01) triglycerides, HOMA-IR, and a-positive association (P = 0.001) between, FBG and HBA1C. Linear regression analysis predicted future risk of metabolic syndrome (P< 0.05) for those with glycosuria and proteinuria respectively with their plasma insulin values. ConclusionHealthy volunteers with glycosuria and proteinuria are at greater risk of developing metabolic syndrome.Rwanda J Med Health Sci. 2023;6(3): 315-325","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"10 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196705","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}

引用次数: 0

Prognostic Significance of Alpha-Fetoprotein in Staging of Chronic Hepatitis B Infection 甲胎蛋白在慢性乙型肝炎分期中的预后意义

Rwanda Journal of Medicine and Health Sciences Pub Date : 2023-11-30 DOI: 10.4314/rjmhs.v6i3.9

Olubunmi Gloria Ayelagbe, Ibrahim Eleha Suleiman, Olutoyin Catherine Adekunle, Adebayo Lawrence Adedeji

{"title":"Prognostic Significance of Alpha-Fetoprotein in Staging of Chronic Hepatitis B Infection","authors":"Olubunmi Gloria Ayelagbe, Ibrahim Eleha Suleiman, Olutoyin Catherine Adekunle, Adebayo Lawrence Adedeji","doi":"10.4314/rjmhs.v6i3.9","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i3.9","url":null,"abstract":"Background Ascertaining the stage of chronic hepatitis-B infection (CHBI) remains one of the major predicaments to effective therapeutic decision. There is pressing need to forestall dearth of such reliable biomarker(s). Despite the promising tendency of alpha-fetoprotein (AFP), it has not been assessed in staging CHBI.ObjectiveThis study was to determine the prognosis of serum AFP as a biomarker for staging CHBI. MethodsParticipants were grouped into three based on their hepatitis-B envelope antigen (HBeAg) status and alanine aminotransferase (ALT) level. By denoting HbeAg(+) as (EP), HbeAg(-) as (EN), elevated ALT as (H) and normal ALT as (I), the stages were EPH, ENH and ENI. AFP was assayed, One-way ANOVA, Multivariate linear regression and area under curve were adopted for the analysis. ResultsAFP was significantly elevated, (P < 0.05) in EPH, which equally has the highest prevalence of elevated AFP (64.7%). After adjusting for confounding factors, odds ratio was 1.438 (95% CI, 0.62–1.948), while area under the curve for predicting EPH was (0.828, 95% CI, 0.778 –0.895).ConclusionsThe finding of elevated AFP in CHBI is an independent prognostic marker of EPH. It is often associated with necroinflammation; thus, it is a reliable indicator for treatment initiation.Rwanda J Med Health Sci 2023;6(3):355-366","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"624 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139202884","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}

引用次数: 0

Are the Offspring Still Affected by their Mothers’ Genocidal Rape 28 Years Ago? : Thematic Analysis of Offspring Experience 28年前母亲惨遭种族灭绝强奸，后代还会受到影响吗?:子代体验的主题分析

Rwanda Journal of Medicine and Health Sciences Pub Date : 2023-08-08 DOI: 10.4314/rjmhs.v6i2.16

Fortunée Nyirandamutsa, Japhet Niyonsenga, G. Lisette, J. Izabayo, Emilienne Kambibi, Sam Munderere, C. Sebuhoro, Assumpta Muhayisa, V. Sezibera

{"title":"Are the Offspring Still Affected by their Mothers’ Genocidal Rape 28 Years Ago? : Thematic Analysis of Offspring Experience","authors":"Fortunée Nyirandamutsa, Japhet Niyonsenga, G. Lisette, J. Izabayo, Emilienne Kambibi, Sam Munderere, C. Sebuhoro, Assumpta Muhayisa, V. Sezibera","doi":"10.4314/rjmhs.v6i2.16","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i2.16","url":null,"abstract":"BackgroundThere has been little attention paid by researchers on how the mothers’ rape trauma may still affect the offspring born of that rape even in adulthood. This study, therefore, aimed to assess the perceived effects of being born of genocidal rape among adult offspring conceived from the genocidal rape against the Tutsi in 1994. MethodsA purposive sample of 32 participants (16 dyads of mothers and their offspring) selected nationwide was considered for this qualitative study. In-depth individual interviews were conducted and audio-recorded with permission. Codebook thematic analysis was applied to analyse the transcribed verbatim inductively within the NVivo 12 software. ResultsThe primary themes emerging from participants’ accounts of the effects of rape trauma on the offspring included feeling controlled by mothers, being affected by the history of their mothers, family and social problems, a lack of personal growth, psychological problems, and self-stigma that emerged with several sub-themes.ConclusionThe results from this assessment indicate that genocidal rape affected not only the mothers but also the offspring born of this rape, who are severely affected by the rape history of their mothers and feel hatred and rejection from them. Our findings will assist the health professionals and other stakeholders working with the adult offspring born of the genocidal rape in designing and strengthening the intervention targeted at this population. Rwanda J Med Health Sci 2023;6(2):251-263","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115524484","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}

引用次数: 0

Uptake of HIV Voluntary Counseling and Testing and Associated Factors among Students in the Higher Institutions of Learning in Kigali, Rwanda: A Cross-Sectional Study 卢旺达基加利高等院校学生接受艾滋病毒自愿咨询和检测及其相关因素:一项横断面研究

Rwanda Journal of Medicine and Health Sciences Pub Date : 2023-07-31 DOI: 10.4314/rjmhs.v6i2.1

Raissah Igiribambe, E. Rutayisire, Michael Habtu

{"title":"Uptake of HIV Voluntary Counseling and Testing and Associated Factors among Students in the Higher Institutions of Learning in Kigali, Rwanda: A Cross-Sectional Study","authors":"Raissah Igiribambe, E. Rutayisire, Michael Habtu","doi":"10.4314/rjmhs.v6i2.1","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i2.1","url":null,"abstract":"BackgroundHIV/AIDS remains a significant global public health challenge with youth bearing the brunt of the burden. One essential method for preventing and accessing AIDS care is through Voluntary Counselling and Testing (VCT). Regardless of this, youth population continues to have low utilization of VCT services.ObjectiveTo assess the uptake of HIV VCT services and associated factors among university students in Kigali.MethodsA cross-sectional study among 374 students recruited using stratified sampling was conducted. A structured questionnaire was used to gather information. A multivariable logistic regression analysis was used to assess the independent factors associated with VCT uptake.ResultsThe prevalence of VCT uptake was 59.9%. The logistic regression revealed that being Catholic (AOR = 11.99, 95%CI: 5.44-26.41) and Moslem (AOR = 37.34, 95%CI: 2.67-128.36) compared to Protestant, as well as availability of VCT services (AOR = 5.15, 95%CI: 3.11 - 8.541) favored the use VCT. On the other hand, being aged 20 to 24 years (AOR = 0.112, 95%CI: 0.04 - 0.29) had low likelihood of using VCT than those more than 24 years of age.ConclusionVCT uptake was significantly positively associated with religion and VCT services availability, and negatively associated with age 20-24 years in the campus. Therefore, targeted actions of disseminating information on benefits of VCT and enhancing accessibility of VCT services among students are necessary for the increased VCT uptake to be attained.Rwanda J Med Health Sci 2023;6(2):104-112","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"440 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115613717","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}

引用次数: 0

Functional Outcomes of Stroke Survivors after Physiotherapy Rehabilitation Program at a Tertiary University Teaching Hospital in Rwanda 卢旺达某高等大学教学医院物理治疗康复项目后中风幸存者的功能结局

Rwanda Journal of Medicine and Health Sciences Pub Date : 2023-07-31 DOI: 10.4314/rjmhs.v6i2.10

Jacques Nshimiyimana, J. Sagahutu, Chance Christian Ndahiriwe, Jean de Dieu Rukundo, Oreste Abayisenga, Pascal Bizimungu, Peace Mbonyumurerwa, Jean Claude Niyitegeka

{"title":"Functional Outcomes of Stroke Survivors after Physiotherapy Rehabilitation Program at a Tertiary University Teaching Hospital in Rwanda","authors":"Jacques Nshimiyimana, J. Sagahutu, Chance Christian Ndahiriwe, Jean de Dieu Rukundo, Oreste Abayisenga, Pascal Bizimungu, Peace Mbonyumurerwa, Jean Claude Niyitegeka","doi":"10.4314/rjmhs.v6i2.10","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i2.10","url":null,"abstract":"BackgroundAfter suffering from a stroke, serious long-term disability occurs and physiotherapy is one part of rehabilitation for stroke survivors that plays a significant role in improving functional recovery, mobility and has positive impact on outcome.ObjectiveTo identify functioning outcomes of stroke survivors after physiotherapy rehabilitation.MethodologyBy using both retrospective and cross-sectional study designs, 71 stroke cases were identified, and a Modified Barthel Index (MBI) was applied to score functioning outcomes. Data were managed and analyzed using IBM SPSS Statistics for Windows version 21.0 (IBM Corp, Armonk, NY, USA).ResultsThe findings showed that patients who received physiotherapy rehabilitation improved in activities of daily living (ADL). This was demonstrated by changes in the total MBI that were 0.72 ± 1.59 on admission and 15.3 ±4.89 on current status (after physiotherapy rehabilitation). However, some failed to achieve expected outcomes even though they received physiotherapy rehabilitation. This could be attributed to delayed onset, frequency and duration of rehabilitation.ConclusionStroke survivors after physiotherapy rehabilitation showed improvement in activities of daily living. Hypertension has been identified as the most influencing risk factor of stroke. Financial constraints were also identified for those who struggle to achieve the highest outcomes due to poor attendance at physiotherapy rehabilitation. Appropriate management of hypertension is necessary to reduce stroke; and facilitation of those under rehabilitation will improve their participation in the rehabilitation for better outcome.Rwanda J Med Health Sci 2023;6(2):191-198","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122087498","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}

引用次数: 0

Risk Factors of Transfusion Transmissible Infections among Blood Donors at Karongi Regional Centre for Blood Transfusion in Rwanda 卢旺达卡隆吉区域输血中心献血者输血传播感染的危险因素

Rwanda Journal of Medicine and Health Sciences Pub Date : 2023-07-31 DOI: 10.4314/rjmhs.v6i2.5

Olivier Nsekuye, Henri Desire Uwayo, Clarisse Marie Claudine Simbi, Michael Habtu, J. Ntaganira

{"title":"Risk Factors of Transfusion Transmissible Infections among Blood Donors at Karongi Regional Centre for Blood Transfusion in Rwanda","authors":"Olivier Nsekuye, Henri Desire Uwayo, Clarisse Marie Claudine Simbi, Michael Habtu, J. Ntaganira","doi":"10.4314/rjmhs.v6i2.5","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i2.5","url":null,"abstract":"BackgroundBlood transfusion saves human lives, but also it can be a route for Transfusion-Transmissible Infections (TTIs) including Human Immuno-Deficiency Virus (HIV), Hepatitis B virus (HBV), Hepatitis C virus (HCV), and syphilis.ObjectiveThis study aimed to explore the risk factors associated with TTIs among blood donors at Regional Centre for Blood Transfusion (RCBT) of Karongi, Rwanda.MethodsThis was a retrospective cross-sectional study design conducted among 36,708 blood donors from 2015 to 2019. Data were extracted from the system known as eProgesaused and the outcome variable were TTIs including HBV, HCV and HIV (measured using Enzyme Immuno-Assay/Chemiluminescence Immunoassay) and syphilis (determined by Rapid Reagin Plasma). Descriptive statistics was computed to describe the characteristics of the blood donors. Bivariate and multivariable logistic regression were performed to assess the risk factors associated with TTIs. P value less than 0.05 was considered statistically significant.ResultsThe study found that the overall prevalence of TTIs was 2.1%, while the prevalences of HBV, HCV, HIV, and syphilis were 1.3%, 0.4%, 0.06%, and 0.34%, respectively. Multivariable analysis showed that the factors associated with HBV, HCV, HIV and syphilis were being male, age more than 25 years, being married, living in urban areas, first time blood donors and blood donors living in Rusizi, Rusizi, Nyamasheke and Karongi districts.ConclusionThis study revealed that the most frequent TTI was HBV among blood donors and the main risk groups were males, age group of 26-35 years, married and first time donors. Hence, while developing health policies to reduce the effects of HBV infection on safe blood transfusion, these study findings should be taken into account. \u0000Rwanda J Med Health Sci 2023;6(2):143-153","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"331 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124663154","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}

引用次数: 0

Seroprevalence and Associated Risk Factors for Hepatitis B Virus among Pregnant Women Attending a Public Health Facility in Osogbo, Nigeria 在尼日利亚奥索博一家公共卫生机构就诊的孕妇中乙型肝炎病毒的血清阳性率和相关危险因素

Rwanda Journal of Medicine and Health Sciences Pub Date : 2023-07-31 DOI: 10.4314/rjmhs.v6i2.11

Olaniyan Olayinka Olaolu, Odewusi Odeyinka Olufunso, Oyekanmi Bolape Adeola, Joseph Gregory Uchechukwu

{"title":"Seroprevalence and Associated Risk Factors for Hepatitis B Virus among Pregnant Women Attending a Public Health Facility in Osogbo, Nigeria","authors":"Olaniyan Olayinka Olaolu, Odewusi Odeyinka Olufunso, Oyekanmi Bolape Adeola, Joseph Gregory Uchechukwu","doi":"10.4314/rjmhs.v6i2.11","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i2.11","url":null,"abstract":"BackgroundHepatitis B virus (HBV) infection among pregnant women has a high rate of vertical transmission and consequential effects on fetal and neonatal outcomes. The aim of this study was to determine the prevalence and associated risk factors of infection among pregnant women attending antenatal care services in Osogbo, Nigeria.MethodologyThis hospital based cross-sectional study was conducted among pregnant women attending routine antenatal care clinic between April and June 2021. Systematic random sampling technique was used to recruit 240 pregnant women, their data were collected by face to face interview using a pretested questionnaire, while blood sample was collected aseptically to determine hepatitis B surface antigen by enzyme linked immunosorbent assay test kit. Univariate and multivariate logistic regression were used to examine the association between explanatory variables and outcome variable.ResultsThe mean age and seroprevalence of the study population were 27.50 ± 4.4 years and 5.8% respectively. The significant risk factors for HBV infection were tattooing (aOR = 5.22; 95% CI = 0.52–8.01; p = 0.0000), history of multiple sexual partners (aOR = 2.88; 95% CI = 1.92–12.42; p = 0.0044); and past history of contact with HBV patient (aOR = 2.17; 95% CI = 1.21–15.32; p = 0.0310) were significant predictors of HBV infection.ConclusionThe seroprevalence of HBV from this study was of intermediate endemicity. We therefore, advocate for continuous health education programs on the mode of HBV transmission, high-risk behaviors and methods of preventions at antenatal care clinics to raise the awareness of mothers and limit the spread of infection.Rwanda J Med Health Sci 2023;6(2):199-207","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135313707","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}

引用次数: 0

Prevalence of Exclusive Breastfeeding and Associated Factors among Mothers in Karongi District, Rwanda 卢旺达卡隆吉区的母亲中纯母乳喂养的流行率及其相关因素

Rwanda Journal of Medicine and Health Sciences Pub Date : 2023-07-31 DOI: 10.4314/rjmhs.v6i2.3

Francine Nyirahirwa, G. Tuyisenge, J. Nyiligira, Michael Habtu

{"title":"Prevalence of Exclusive Breastfeeding and Associated Factors among Mothers in Karongi District, Rwanda","authors":"Francine Nyirahirwa, G. Tuyisenge, J. Nyiligira, Michael Habtu","doi":"10.4314/rjmhs.v6i2.3","DOIUrl":"https://doi.org/10.4314/rjmhs.v6i2.3","url":null,"abstract":"BackgroundExclusive breastfeeding is crucial for an infant’s growth and development. In Rwanda, 47% of rural children and 27% of urban children are stunted which could be linked to poor exclusive breastfeeding. Thus, this study was carried out to assess prevalence of exclusive breastfeeding and associated factors in Karongi district of Rwanda.MethodA cross-sectional design was used involving 261 mothers with infants of 6 to 9 months selected systematically with an interval two as they came to the health facilities. The data were collected using structured questionnaire. The factors independently associated with exclusive breastfeeding were determined using multivariable logistic regression analysis.ResultsThe prevalence of exclusive breastfeeding was 87.1%. Married mothers (AOR= 3.15; 95%CI = 1.07 – 9.28), protestant mothers (AOR= 0.15; 95%CI = 0.03 – 0.69), attending prenatal care (AOR= 19.87; 95%CI = 3.00 – 131.68), receiving postnatal care (AOR = 3.07; 95%CI = 1.31 – 7.21) and receiving breastfeeding counseling (AOR= 3.16; 95%CI = 1.03 – 9.69) were identified as independent factors associated with exclusively breastfeeding.ConclusionThe prevalence of exclusive breastfeeding was high but with various healthcare service associated factors. Therefore awareness and appropriate behavior change communication strategies on exclusive breastfeeding should be encouraged during prenatal and postpartum care for optimum practice.Rwanda J Med Health Sci 2023;6(2):123-134","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"10 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114131100","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}

引用次数: 0