Rwanda Journal of Medicine and Health Sciences最新文献_第6页

Public-Private Partnership Supported Health Facilities and Progress towards Attainment of Universal Health Coverage in Kilimanjaro, Tanzania 在坦桑尼亚乞力马扎罗市，公私伙伴关系支持的卫生设施和实现全民健康覆盖的进展

Rwanda Journal of Medicine and Health Sciences Pub Date : 2022-07-11 DOI: 10.4314/rjmhs.v5i2.10

K. Kanti, Kayunze Kim, Muhanga Mikidadi

{"title":"Public-Private Partnership Supported Health Facilities and Progress towards Attainment of Universal Health Coverage in Kilimanjaro, Tanzania","authors":"K. Kanti, Kayunze Kim, Muhanga Mikidadi","doi":"10.4314/rjmhs.v5i2.10","DOIUrl":"https://doi.org/10.4314/rjmhs.v5i2.10","url":null,"abstract":"BackgroundPublic-Private-Partnership-supported health facilities have been operational in Tanzania, and specifically, in Kilimanjaro since 1990s. This study provides a snapshot of the contribution of PPP-supported health facilities’ operations towards attainment of Universal Health Coverage (UHC) in Kilimanjaro region.MethodsAdopting a cross-sectional research design, samples of 384 households and 30 health facilities were selected through a multi-stage and purposive sampling approaches, respectively. Questionnaires and key informant interviews (KIIs) were administered (June 2020 - February 2021). Using IBM-SPSS v.23, chi-square was used to compare PPP-supported and government health facilities’ service delivery quality and affordability. Content analysis was done on KIIs.ResultsWith PPP-support unweighted mean index score for service availability (SA) was 46.59% and 29.14% without PPP-supported health facilities. With PPP-support, the GSR index score was 87% while it was 82% without PPP-support. This implies, with PPP-support, progress towards UHC attainment can be accelerated. There was no significant association between accessing services in PPP-supported or government health facilities by perceived service delivery quality and service affordability.ConclusionPPP-supported and government health facilities co-existence is essential at hastening the progress towards UHC in the study area. The government should strengthen policies and regulations to promote more PPPs in improving health facilities’ operations.Rwanda J Med Health Sci 2022;5(2):216-232","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134353279","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

Teaching and Learning during COVID-19 Crisis: Faculty Preparedness and Factors Influencing the Use of E-learning Platform at the College of Medicine and Health Sciences, University of Rwanda 2019冠状病毒病危机期间的教学:卢旺达大学医学与健康科学学院教师的准备和影响电子学习平台使用的因素

Rwanda Journal of Medicine and Health Sciences Pub Date : 2022-07-11 DOI: 10.4314/rjmhs.v5i2.8

Gerard Nyiringango, B. Umubyeyi, Alice Nyirazigama, Juliet Mukankusi, M. Mukeshimana, John Mugarura, Justine Bagirisano, Dieudonné Kayiranga, David Ryamukuru, Christine Igikundiro, Reverien Rutayisire, Eric M. Niyikiza, O. Adejumo

{"title":"Teaching and Learning during COVID-19 Crisis: Faculty Preparedness and Factors Influencing the Use of E-learning Platform at the College of Medicine and Health Sciences, University of Rwanda","authors":"Gerard Nyiringango, B. Umubyeyi, Alice Nyirazigama, Juliet Mukankusi, M. Mukeshimana, John Mugarura, Justine Bagirisano, Dieudonné Kayiranga, David Ryamukuru, Christine Igikundiro, Reverien Rutayisire, Eric M. Niyikiza, O. Adejumo","doi":"10.4314/rjmhs.v5i2.8","DOIUrl":"https://doi.org/10.4314/rjmhs.v5i2.8","url":null,"abstract":"BackgroundTowards the beginning of 2020, the COVID-19 pandemic spread worldwide and caused many schools to close. Many educational institutions transitioned from traditional face-to-face or blended to a total e-learning approach. The University of Rwanda rapidly shifted from a blended teaching and learning approach to a total e-learning approach. Thus,this study assessed the faculty preparedness and the factors influencing the use of e-learningplatforms at the College of Medicine and Health Sciences.MethodsThe study used a cross-sectional design. A web self-administered questionnaire was used to collect data from 450 CMHS faculty from June to July 2020, with a response rate of 34.4% (n=155). SPSS was used to describe nominal variables with frequencies and percentages. Similarly, continuous variables were analyzed by calculating median and interquartile ranges. The Chi-Square and Man-Whitney tests were also computed using SPSS.ResultsThe majority of participants (93.7%) started using the e-learning approach, and 92.4% attended e-learning training. The top motivator for e-learning use was a personal interest in technology use (93.3%) and the leading barrier to using e-learning was the concern about access to students (77.1%).ConclusionThis study found that faculty preparedness was significantly associated with e-learning use. The leading motivator and barriers were a personal interest in technology use and concern about access to students, respectively.Rwanda J Med Health Sci 2022;5(2):189-202","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115175175","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

Pharmacovigilance: Awareness and Practice of Nurses and Midwives in Monitoring and Reporting Adverse Drug Reactions in a Selected University Teaching Hospital, Rwanda 药物警戒:卢旺达某大学教学医院护士和助产士在监测和报告药物不良反应方面的认识和实践

Rwanda Journal of Medicine and Health Sciences Pub Date : 2022-07-11 DOI: 10.4314/rjmhs.v5i2.11

David Ryamukuru, Joselyne Mukantwari, E. Munyaneza, Timothee Shahidi Twahirwa, Vedaste Bagweneza, Adeline Nzamukosha, Valens Musengamana, D. Nyirasebura, Omondi Lilian

{"title":"Pharmacovigilance: Awareness and Practice of Nurses and Midwives in Monitoring and Reporting Adverse Drug Reactions in a Selected University Teaching Hospital, Rwanda","authors":"David Ryamukuru, Joselyne Mukantwari, E. Munyaneza, Timothee Shahidi Twahirwa, Vedaste Bagweneza, Adeline Nzamukosha, Valens Musengamana, D. Nyirasebura, Omondi Lilian","doi":"10.4314/rjmhs.v5i2.11","DOIUrl":"https://doi.org/10.4314/rjmhs.v5i2.11","url":null,"abstract":"BackgroundAdverse drug reactions result in thousands of deaths, disabilities, and other serious outcomes. Nurses and midwives administer drugs, monitor both therapeutic and adverse drug reactions, and are on the front line of safety reporting. This study aimed to assess awareness of nurses and midwives about pharmacovigilance and their practice in monitoring and reporting adverse drug reactions at the University Teaching Hospital of Kigali .MethodsWe conducted a cross-sectional study on 147 randomly selected nurses and midwives. Self-administered questionnaires were used to collect data. We analyzed data using SPSS version 22 computer software for descriptive and inferential statistics.ResultsConcerning the awareness of nurses and midwives, 88% had heard about pharmacovigilance, and 22.3% were aware of Rwanda Food and Drug Authority. Nearly two-thirds (62.3%) reported inadequate practice in monitoring adverse drug reactions. Their practice was associated with having heard about pharmacovigilance (p=0.004) and knowing the hospital’s adverse drug reactions reporting system (p=0.005). Concerning practice in reporting adverse drug reactions, 66.2% had observed adverse drug reactions, and 18.2% filled out adverse event notification forms.ConclusionFew nurses and midwives were aware of the pharmacovigilance system in Rwanda, and many of them reported inadequate practices toward monitoring and reporting adverse drug reactions .Rwanda J Med Health Sci 2022;5(2):233-245","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115902973","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: 1

Nursing and Midwifery Students’ Perceptions and Experiences of Using Blended Learning in Rwanda: A Qualitative Study 卢旺达护理和助产学学生使用混合学习的认知和经验:一项定性研究

Rwanda Journal of Medicine and Health Sciences Pub Date : 2022-07-11 DOI: 10.4314/rjmhs.v5i2.9

J. P. Ndayisenga, A. Nkurunziza, D. Mukamana, J. Murekezi, Y. Babenko-Mould, Y. Kasine, O. Tengera, A. Muhayimana, J. Bahumura, A. Yamuragiye, E. Marilyn

{"title":"Nursing and Midwifery Students’ Perceptions and Experiences of Using Blended Learning in Rwanda: A Qualitative Study","authors":"J. P. Ndayisenga, A. Nkurunziza, D. Mukamana, J. Murekezi, Y. Babenko-Mould, Y. Kasine, O. Tengera, A. Muhayimana, J. Bahumura, A. Yamuragiye, E. Marilyn","doi":"10.4314/rjmhs.v5i2.9","DOIUrl":"https://doi.org/10.4314/rjmhs.v5i2.9","url":null,"abstract":"BackgroundAlthough blended learning (BL) is being adopted in public and private higher learning institutions (HLIs) in Rwanda, little is known about students’ use of BL in their learning activities. This article describes a qualitative descriptive study of students’ perceptions and experiences of BL in Rwanda’s post-secondary nursing and midwifery programs in public and private HLIs.MethodsThirty-three nursing and midwifery students from all public and private HLIs in Rwanda exposed to BL were invited to participate in three online focus group discussions (FGDs) conducted using a developed FGD guide with open-ended questions. Inductive content analysis was used to analyze the transcripts.ResultsThree main themes emerged from the data analysis:(1) BL perceived as a new and effective teaching and learning approach, (2) Contextual challenges to the BL method, and (3) Recommendations to improve the BL method. From students’ experiences, the benefits included but were not limited to the flexibility of the approach, time, and cost-saving. However, several challenges were identified, including technological issues such as lack of ICT skills and poor internet connectivity.ConclusionThis study provides insights into the usefulness of BL in HLIs and offers recommendations on how BL teaching and learning can be improved to strengthen nursing and midwifery pre-service education quality.Rwanda J Med Health Sci 2022;5(2):203-215","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131195828","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 associated with Type 2 Diabetes Mellitus at Kibuye Referral Hospital, Rwanda- A case control study 卢旺达Kibuye转诊医院与2型糖尿病相关的危险因素——一项病例对照研究

Rwanda Journal of Medicine and Health Sciences Pub Date : 2022-06-08 DOI: 10.4314/rjmhs.v5i2.4

Egide Freddy Muragijimana

{"title":"Risk factors associated with Type 2 Diabetes Mellitus at Kibuye Referral Hospital, Rwanda- A case control study","authors":"Egide Freddy Muragijimana","doi":"10.4314/rjmhs.v5i2.4","DOIUrl":"https://doi.org/10.4314/rjmhs.v5i2.4","url":null,"abstract":"BackgroundType 2 Diabetes Mellitus (T2DM) is increasing globally, being among the leading cause of premature mortality. If no bold actions are taken, nine in ten persons diagnosed with diabetes will have T2DM by 2025.ObjectivesThis study aims at assessing socio-demographic characteristics and identify lifestyle factors associated with T2DM at Kibuye Referral Hospital.MethodsHospital-based case control study design was used. Food frequency, and global physical activity questionnaires adapted from WHO were used. SPSS v 23 was used for all research analysis. Descriptive statistics were used to summarize categorical variables with help of frequencies and percentages. Binary logistic regression was used to identify the factors associated with T2DM by computing odds ratio with corresponding 95% confidence interval. Logistic regression models using multivariate analysis with a significance level of 5% was used to establish the independent risk factors of T2DM by controlling the confounding variables.ResultsSmoking, level of physical activity, low level of dietary diversity were associated with T2DM. The likelihood of developing T2DM among smokers was about 9 times more [AOR= 8.9; 95%CI=2.84-27.86; p<0.001] compared to non- smokers. Respondents with low level of physical activities were 8.1 times more likely to get T2DM than those with high or moderate physical activities [AOR= 8.1; 95%CI= 2.90-22.79; p<0.001]. Similarly, respondents with low level of dietary diversity score were 6 times more likely to developT2DM [AOR= 6.03; 95%CI= 1.67-21.80; p=0.006] compared to those with high level of dietary diversity score.ConclusionLifestyle factors that showed strong association with T2DM can all be modified by public health interventions that are promoting physical activity, healthy lifestyle, and dietary diversity. \u0000Rwanda J Med Health Sci 2022;5(2):151-157","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121641396","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

Birth Outcome and Maternal Risk Factors Associated with Childhood Leukemia in Rwanda: A case - Control Study 卢旺达与儿童白血病相关的出生结局和母亲危险因素:一项病例对照研究

Rwanda Journal of Medicine and Health Sciences Pub Date : 2022-06-08 DOI: 10.4314/rjmhs.v5i2.5

Felicien Turatsinze, E. Rutayisire, Michael Habtu

{"title":"Birth Outcome and Maternal Risk Factors Associated with Childhood Leukemia in Rwanda: A case - Control Study","authors":"Felicien Turatsinze, E. Rutayisire, Michael Habtu","doi":"10.4314/rjmhs.v5i2.5","DOIUrl":"https://doi.org/10.4314/rjmhs.v5i2.5","url":null,"abstract":"BackgroundLeukemia is the most common cancer affecting children and remains the top cause of death among children.ObjectiveThis study aimed at determining birth outcomes and maternal risk factors associated with childhood leukemia in Rwanda.MethodsA case control study was conducted at Butaro Cancer Referral hospital. The sample of 103 cases and 103 controls was recruited using the records for children diagnosed with Acute lymphocytic leukemia (ALL) and Acute myelogenous leukemia (AML) and those who were hospitalized for non-cancer treatment as controls. Semi-structured questionnaire and phone calls were used to gather information. SPSS version 21.0 was used to analyze the data. Logistic regression analysis was used to assess the risk factors.ResultsThe majority (56.8%) of children who participated in the study were aged 10-14 years. Overall 41.3% were born via C-Section. It was revealed that children who had had birth asphyxia had about three (3) times increased risk of childhood leukemia [AoR= 2.47, 95%CI: 1.167-5.262, P=0.018] compared to children that had not experienced birth asphyxia. Children who had suffered Neonatal Jaundice, had five (5) times increased risk of getting leukemia [AOR= 5.05, 95%CI: 1.738-14.664, P=0.003].ConclusionIt is important that public and private stakeholders invest more in childhood oncology researches to enable the health system deliver effective management of the cases more efficiently. \u0000Rwanda J Med Health Sci 2022;5(2):158-169","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125697335","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

Predictors of Compliance to Hand Hygiene among Health Care Workers in Rwanda 卢旺达卫生保健工作者遵守手部卫生的预测因素

Rwanda Journal of Medicine and Health Sciences Pub Date : 2022-06-08 DOI: 10.4314/rjmhs.v5i2.6

Dieudonne Ndatimana, C. Habiyakare, F. Niragire, A. Ndibaza, Olive Ntakirutimana, Onesime Manishimwe, Josue Mutabazi, E. Rutayisire

{"title":"Predictors of Compliance to Hand Hygiene among Health Care Workers in Rwanda","authors":"Dieudonne Ndatimana, C. Habiyakare, F. Niragire, A. Ndibaza, Olive Ntakirutimana, Onesime Manishimwe, Josue Mutabazi, E. Rutayisire","doi":"10.4314/rjmhs.v5i2.6","DOIUrl":"https://doi.org/10.4314/rjmhs.v5i2.6","url":null,"abstract":"BackgroundHand hygiene is critical to the prevention of Healthcare Acquired Infections. Compliance of health care workers to hand hygiene in developing countries is reportedly low.ObjectiveThe aim of this study was to assess predictors of hand hygiene compliance among healthcare workers in RwandaMethodsThis cross-sectional study was conducted in 26 selected hospitals. Trained hospital IPC focal points anonymously observed 1380 hand hygiene opportunities from 341 healthcare workers. Logistic regression analysis was used to identify predictors of compliance to hand hygiene among health care workers using Stata.ResultsThe overall compliance to HH was 72.4%. It was respectively 70%, 77% and 60% less likely in labor (AOR=0.30, 95% CI: 0.19-0.49), maternity (AOR= 0.27, 95% CI: 0.17-0.43), and neonatology (AOR= 0.40 95% CI: 0.25-0.65) departments than in theater. Other clinical staff than nurses/midwives were 35% less likely to comply than did medical doctors. The availability of water source and soap at hand washing station was associated with 2.5 times higher odds of compliance (AOR=2.46, 95% CI: 1.27-4.77).ConclusionThe compliance to HH is associated with the availability of hand hygiene facilities. Well-maintained water sources and soap at hand washing stations should be a priority in health care settings. \u0000Rwanda J Med Health Sci 2022;5(2):170-179","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116353423","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

Acceptance of COVID-19 Vaccine among Adults in Two Urban Local Government Areas of Kwara State, North Central Nigeria 尼日利亚中北部夸拉州两个城市地方政府地区的成年人接受COVID-19疫苗

Rwanda Journal of Medicine and Health Sciences Pub Date : 2022-06-08 DOI: 10.4314/rjmhs.v5i2.2

Idowu Ajibola, Olowwokere Anu Samuel, Israel Kikelomo Oluseyi, Akinwumi Adebowale Femi

{"title":"Acceptance of COVID-19 Vaccine among Adults in Two Urban Local Government Areas of Kwara State, North Central Nigeria","authors":"Idowu Ajibola, Olowwokere Anu Samuel, Israel Kikelomo Oluseyi, Akinwumi Adebowale Femi","doi":"10.4314/rjmhs.v5i2.2","DOIUrl":"https://doi.org/10.4314/rjmhs.v5i2.2","url":null,"abstract":"BackgroundCovid-19 has unquantifiable negative impacts on the world’s socio-economic parameters. The rapid discovery of vaccines to fight this pandemic is a monumental scientific breakthrough.Study objectiveThe study assessed willingness of adult Nigerians to accept Covid-19 vaccine and elucidated on factors influencing such decisions.MethodologyCross-sectional design was employed among 400 respondents recruited using multi-stage random sampling technique in Ilorin, Kwara-State, Nigeria. Pretested interviewer-administered, semi-structured questionnaire was used for data collection. Both descriptive and inferential statistics were carried out.ResultsMean age ±SD of respondents was 40.85±13.75 and 215 (53.7%) of them were males. Those who possessed good knowledge of Covid-19 were 321 (80.3%), but few respondents had misconceptions regarding its causation. Attitude to Covid-19 vaccination was positive in 360 (90%) of the respondents, 278 (69.5%) were willing to accept the vaccine. Respondents’ Covid-19 knowledge and attitude to its vaccination were the main determinants of willingness to receive the vaccine.ConclusionThe Nigerian government urgently needs to leverage on the positive attitude of the people to fully implement its covid-19 vaccination policies which can ensure effective coverage and equitable access to the revolutionary Covid-19 vaccines. Awareness campaign on practice of other preventive measures should be sustained to produce a synergistic control effort.Rwanda J Med Health Sci 2022;5(2):127-140","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"516 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114571000","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: 1

Pattern of Presentation and Physiotherapy Approach to Management of Children with Cerebral Palsy at Public Hospitals in Ibadan, Nigeria 尼日利亚伊巴丹公立医院脑瘫患儿的表现模式和物理治疗方法

Rwanda Journal of Medicine and Health Sciences Pub Date : 2022-06-08 DOI: 10.4314/rjmhs.v5i2.3

Fatudimu Margaret Bukola, Hamzat Talhatu Kolapo, Oluwole Olubiyi

{"title":"Pattern of Presentation and Physiotherapy Approach to Management of Children with Cerebral Palsy at Public Hospitals in Ibadan, Nigeria","authors":"Fatudimu Margaret Bukola, Hamzat Talhatu Kolapo, Oluwole Olubiyi","doi":"10.4314/rjmhs.v5i2.3","DOIUrl":"https://doi.org/10.4314/rjmhs.v5i2.3","url":null,"abstract":"IntroductionChildren with Cerebral Palsy (CP) require physiotherapy as part of their habilitation programme. Given scarcity of physiotherapy clinical guidelines for managing CP in Nigeria, it is probable that physiotherapists would adopt management approaches based on individual preferences. The commonly used management approaches by physiotherapists at two purposively selected public-funded hospitals in Ibadan, Nigeria were documented in this retrospective study.MethodsInformation was methodically extracted from the clinic records of children with CP managed over a 5-year period. They include: information concerning the clinical diagnosis; physiotherapy management approach such as techniques, assessment and discharge practice. Data were analysed using descriptive statistics.ResultsSix hundred and ten (610) case files were retrieved. The spastic type of CP was the most prevalent (n = 214; 35.1%;); conventional physiotherapy treatment (n = 344; 56.4%); neurodevelopmental technique (n=185; 30.3%); and the proprioceptive neuromuscular facilitation (n=81; 13.3%) were the treatment approaches. Home programmes were prescribed for the majority (n =520; 85.2%); 555 (90.0%) were not formally discharged; many (n=409; 67.0%) were not reassessed in the course of receiving physiotherapy and those reassessed were done without the use of a standardized outcome measure.ConclusionImportance of physiotherapy practice guideline in CP is underscored by this report. \u0000Rwanda J Med Health Sci 2022;5(2):141-150","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123174879","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

Effect of Positive Deviance Hearth Intervention on Acute Malnutrition Persistence among Children under Five in Burera District, Rwanda 积极越轨行为干预对卢旺达布雷拉地区五岁以下儿童急性营养不良持续性的影响

Rwanda Journal of Medicine and Health Sciences Pub Date : 2022-06-08 DOI: 10.4314/rjmhs.v5i2.7

G. Minani, Michael Habtu, E. Rutayisire

{"title":"Effect of Positive Deviance Hearth Intervention on Acute Malnutrition Persistence among Children under Five in Burera District, Rwanda","authors":"G. Minani, Michael Habtu, E. Rutayisire","doi":"10.4314/rjmhs.v5i2.7","DOIUrl":"https://doi.org/10.4314/rjmhs.v5i2.7","url":null,"abstract":"BackgroundPositive Deviance Hearth is considered as a good approach to use existing and available resources to address malnutrition at the community level.ObjectiveThe present study aimed to determine the effect of Positive Deviance Hearth on persistent acute malnutrition management among children under five in Burera District.MethodsA comparative quasi-experimental study was conducted in Burera district. One hundred ninety six (196) participants were selected purposively. Nutrition status of children who attended Positive Deviance Hearth sessions for 12 consecutive days were measured and compared with children who were not in the HEARTH intervention.ResultsThe majority (55.6%) of children in both groups were male. The prevalence acute malnutrition persistence was significantly higher (52.0%) among the non-HEARTH intervention compared to those in the HEARTH intervention area (20.4%). In reduced model of the multivariate analysis, persistence of acute malnutrition was 87% higher among children in the non-Hearth intervention compared to those in Hearth intervention (AoR= 0.13; 95%CI: [0.05-0.35], p<0.001).ConclusionThe use of Positive Deviance Hearth model was significantly associated with low prevalence of malnutrition persistence; therefore, it should be adopted by the Ministry of Health. \u0000Rwanda J Med Health Sci 2022;5(2):180-188","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126831400","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: 1