Danny Mafuta-Munganga, Benjamin Lupenzi-Masikini, Pascal Bayauli-Mwasa, Jean Bosco Kasiam-Lasi-On'Kin, Joseph Bidingija-Mabika, Symphorien Ditu-Mpandamadi, Remy Kapongo, Magloire Atantama, Dominique Mupepe-Mayuku, Jean-Marie Kayembe-Ntumba, Blaise Makoso-Nimi, B. Longo-Mbenza
{"title":"Blood Pressure-to-height Ratios Can Identify Hypertension in Bantu Young Adults from Kinshasa in Democratic Republic of Congo","authors":"Danny Mafuta-Munganga, Benjamin Lupenzi-Masikini, Pascal Bayauli-Mwasa, Jean Bosco Kasiam-Lasi-On'Kin, Joseph Bidingija-Mabika, Symphorien Ditu-Mpandamadi, Remy Kapongo, Magloire Atantama, Dominique Mupepe-Mayuku, Jean-Marie Kayembe-Ntumba, Blaise Makoso-Nimi, B. Longo-Mbenza","doi":"10.11648/J.EJPM.20210902.13","DOIUrl":"https://doi.org/10.11648/J.EJPM.20210902.13","url":null,"abstract":"Background: The diagnosis of hypertension in children and adolescents is not always easy. The blood pressure-to-height ratios (BPHR) have been proposed as a screening tool for diagnosing hypertension. Objective: To evaluate the diagnostic value of BPHR for detecting hypertension in young adults. Methods: A cross-sectional study was conducted among 12621 healthy young adults aged of 18-25 years in Kinshasa, from July 2018 to February 2019. Systolic blood pressure-to-height ratio (SBPHR) was calculated as systolic blood pressure (SBP) in mmHg devised by height in centimeter. Diastolic blood pressure-to-height ratio (DBPHR) was calculated as diastolic blood pressure (DBP) in mmHg devised by height in centimeter. The receiver operating characteristics (ROC) curve analysis had allowed determining the cut-off points of SBPHR and DBPHR to detect hypertension. Results: The prevalence of hypertension, prehypertension, obesity and overweight were 10.5%, 9.2%, 3.0% and 22.4% respectively. The median values of SBPHR were 0.75 (0.69-0.79) mmHg/cm and 0.77 (0.67-0.80) mmHg/cm respectively in men and in women. The median values of DBPHR were 0.48 (0.44-0.53) mmHg/cm and 0.51 (0.49-0.56) mmHg/cm respectively in men and in women. Optimal cutoff points of SBPHR to identify hypertensionwere0.81mmHg/cm and 0.89 mmHg/cm respectively in men and in women. The threshold of DBPHR to detect hypertension was 0.54 mmHg/cm in both men and women. SBPHR and DBPHR had high sensitivity and specificity for identifying hypertension. Conclusion: SBPHR and DBPHR can be used to detect hypertension in Bantu young adults in Kinshasa.","PeriodicalId":342483,"journal":{"name":"European Journal of Preventive Medicine","volume":"53 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114099814","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}
A. Borissov, B. Trifonova, L. Dakovska, E. Michaylova, M. Vukov
{"title":"Age, Obesity, Family History, Previous Gestational Diabetes Are Major Risk Factors for Hyperglycemia in Pregnant Bulgarian Women","authors":"A. Borissov, B. Trifonova, L. Dakovska, E. Michaylova, M. Vukov","doi":"10.11648/J.EJPM.20210902.12","DOIUrl":"https://doi.org/10.11648/J.EJPM.20210902.12","url":null,"abstract":"The frequency of Gestational Diabetes Mellitus (GDM) ranges from 5.2% to 40.4% in different countries. This wide variability is due to numerous risk factors. The aim of the present study was to analyze the frequency and role of some risk factors for the development of Hyperglycemia regarding the Bulgarian population of pregnant women. Material: We screened 547 pregnant women, mean age 30.49±5.12 years, divided into two groups: up to 24 gestational week – g.w. (n-386, 70.6%) and after 24 g.w. (n-161, 29.4%). Methods: BMI before pregnancy and the current one at the time of the study were calculated. A two-hour, 75 g oral glucose tolerance test (OGTT) was performed. Plasma glucose was quantitatively determined using enzymatic reference method with hexokinase (Roche reagent) on Cobas e501 analyzer, in one Central laboratory on the day of the blood sampling. The results were in mmol / l. The statistical analysis was performed using standard SPSS 13.0 for Windows. Results: We showed that 14.4% (n-79/547) of the screened pregnant women have Hyperglycemia in fasted state or during the OGTT test – 7.5% in group up to 24 g.w. versus 31% in group after 24 g.w, P<0.01. The age of the group of pregnant women with Hyperglycemia (n-79) versus the others with Normoglycemia (n-468) was significantly higher - 32.18±5.26 years v.s. 30.21±5.05 years, Р<0.005. The women with a higher BMI before and during pregnancy are significantly at risk of developing glucose tolerance disorders during pregnancy, P<0.0001. Family history of diabetes occurred in 29.1% (n-23/79) of the pregnant women with Hyperglycemia, versus 13.5% (n-63/468) of those with Normoglycemia, P<0.001. There was a significant difference between the incidence of Hyperglycemia in pregnant women with previous GDM compared with those without - 3/79 (3.8%) versus 3/468 (0.6%), Р<0.04. Conclusion: Considering the main significant risk factors for the development of Hyperglycemia during pregnancy, identified in our population in the current screening - advanced maternal age, obesity, family history of diabetes, previous GDM or High blood sugar before pregnancy, verbal screening would be very helpful and would direct us immediately to screening each pregnant woman with any of these risk factors.","PeriodicalId":342483,"journal":{"name":"European Journal of Preventive Medicine","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115305489","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}
A. Delamou, F. M. Grovogui, Delphin Kolié, T. Fofana, K. Kourouma, S. Sidibé, Graziella Ghesquière
{"title":"COVID-19 Disease and Risk Perception Among Healthcare Professionals in Guinea","authors":"A. Delamou, F. M. Grovogui, Delphin Kolié, T. Fofana, K. Kourouma, S. Sidibé, Graziella Ghesquière","doi":"10.11648/J.EJPM.20210902.11","DOIUrl":"https://doi.org/10.11648/J.EJPM.20210902.11","url":null,"abstract":"The COVID-19 pandemic represents a public health challenge for health systems in the developing world. The objective of this study was to assess, among healthcare professionals in Guinea, the factors associated with COVID-19 perceived susceptibility and severity. We conducted a cross-sectional study in April 2020 among 1058 healthcare professionals as part of the rapid assessment of the Guinean health system preparedness and response to the COVID-19 pandemic. The median level of perceived susceptibility to COVID-19 among healthcare professionals was 6 (IQR: 6-10). About 74.57% of participants said that the COVID-19 was more severe in the elderly than in other age groups. Overall, 41.97% of participants said that healthcare professionals were more prone to get COVID-19 than other professionals, and 67.58% said that the risk of contracting COVID-19 in healthcare facilities was higher than anywhere else. Being a woman (β=0.37 [0.02; 0.73]), an allied healthcare professional (β=0.64 [0.23; 1.06]), perceiving the elderly as more likely to contract COVID-19 (β=0.48 [0.11; 0.86]) and accepting the closure of places of worship (β=0.47 [0.00; 0.93]) were predictors of higher perceived level of susceptibility to COVID-19. The level of perceived susceptibility to COVID-19 was very high among health professionals in the early stages of the COVID-19 pandemic in Guinea. Strategies to empower and improve health professionals' knowledge are needed to balance their provision of good quality care to patients with their responsibility and ability to protect themselves and their families.","PeriodicalId":342483,"journal":{"name":"European Journal of Preventive Medicine","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115558217","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":"Advantages and Disadvantages of Institutional Delivery and Home Delivery: A Qualitative Study in Northern Nigeria","authors":"Ryoko Sato, Yoshito Takasaki","doi":"10.11648/J.EJPM.20210901.14","DOIUrl":"https://doi.org/10.11648/J.EJPM.20210901.14","url":null,"abstract":"Background: Nigeria faces high maternal and infant mortality; and Nigeria is one of the two countries, with India, that account for one-third of global child mortality. Many deaths could be prevented by institutional delivery, yet many women especially in developing countries still deliver a baby at home. Nigeria is not an exception; it faces low rate of institutional delivery, only 35.8%. Objective: To identify why many women do not deliver at a clinic, we compare the advantages and disadvantages of each place – home and clinic – for childbirth. Method: We conducted a qualitative study among 86 women in northern Nigeria. Data were analyzed using inductive content analysis. Result: Among women who delivered a baby at home, the main barriers to institutional delivery include misconception about the importance, unpleasant clinic environment, and perceived harsh attitudes of health staff. One advantage of home delivery is the emotional support from family. Most women who delivered at clinic are satisfied with their experiences with no complaint about harsh staff attitude. The main disadvantages of clinic delivery is the condition of the clinic. Conclusion: The low quality of care at the health clinics is a concern and should be improved. Providing women with emotional support and pleasant environment at clinic are two feasible and potentially effective options.","PeriodicalId":342483,"journal":{"name":"European Journal of Preventive Medicine","volume":"263 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114269503","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}
E. Elmi, N. A. Hussein, Abdiwahab Mohamed Hassan, Abdiwahid Mohamed Ismail, A. Abdulrahman, A. Muse
{"title":"Antenatal Care: Utilization Rate and Barriers in Bosaso-Somalia, 2019","authors":"E. Elmi, N. A. Hussein, Abdiwahab Mohamed Hassan, Abdiwahid Mohamed Ismail, A. Abdulrahman, A. Muse","doi":"10.11648/J.EJPM.20210901.15","DOIUrl":"https://doi.org/10.11648/J.EJPM.20210901.15","url":null,"abstract":"Mothers and children are among the most vulnerable population groups requiring special attention and care. The fourth and fifth Millennium Development Goals (MDGs) address child mortality and maternal health, respectively. Although maternal mortality rate (MMR) has declined globally between 1990 and 2015 by 44%, the World Health Organization (WHO) estimates that 99% of global maternal mortality takes place in the developing countries. Somalia has one of the highest maternal and child mortality rates in the world, with 732 mothers dying in every 100,000 live births. Mainly, such high MMR is the outcome of the devastating civil wars that disrupted the country’s health infrastructure with limited antenatal care (ANC) coverage (26% only). We conducted a community-based cross-sectional study using a quantitative approach to identify ANC utilization rate and barriers among mothers having a child less than one year of age in Bosaso from October – November 2019. A sample size of 384 mothers was interviewed by using a structured questionnaire, and SPSS was used to analyze the collected data. This study found that (84.1%) of the respondents utilized ANC services during their last pregnancy, but only 28% of them completed the recommended number of ANC visits for pregnant women. The main barriers hindering the utilization of ANC services were identified to be distance of the health centers, financial constraints, inadequate knowledge and attitude of the respondents and their husbands, poor attitude of the healthcare providers, and time and family-related issues. Based on the findings of the study, we recommend uplifting the awareness of the family/mothers for the utilization of antenatal care services in health facilities.","PeriodicalId":342483,"journal":{"name":"European Journal of Preventive Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127540104","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":"Preference for Traditional Medical Care to Orthodox Medical Care Among Secondary School Students in Rural Area of Nigeria","authors":"S. Deji, E. Amu, P. Ajayi, Taiwo Samuel Ogunleye","doi":"10.11648/J.EJPM.20210901.13","DOIUrl":"https://doi.org/10.11648/J.EJPM.20210901.13","url":null,"abstract":"Most rural dwellers of developing countries often patronise unstandardized traditional medical care when they are ill. The study determined the reasons for preference of trado- medical care to standard orthodox medicine among secondary school students in Nigeria. A cross sectional study was carried out in three secondary schools located at Imesi-Ile, Osun State Nigeria. Respondents were recruited by multistage sampling technique. Fifty students each were selected from final year Junior Secondary School class, senior secondary classes 1 and 2 without gender bias. Pre-tested semi- structured questionnaires were employed to elicit data on their choice of preference for traditional medicine to orthodox medic-care. The results were analysed using SPSS version 20. Most respondents were females, 77 (51.3%). About 113 (75.3%) reported that they preferred traditional care to orthodox treatment because the later was too expensive for them to afford. About 108 (72%) adopted traditional medicine because of parents’ choice. Those who reported easy accessibility to traditional medicine as a choice for its preference were 85 (56.6%), while 78 (52%) believed that traditional medicines cure faster than orthodox, others reported they have been using traditional medicine from childhood (60.7%), and for some traditional medicine was preferred due to their friend’s choice (54.0%). Most youths preferred trado-medical care due to high cost of orthodox medicine and wrong perceptions. Proper education to correct wrong notions among youths and improving the economic power of the people will help the community.","PeriodicalId":342483,"journal":{"name":"European Journal of Preventive Medicine","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115964904","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}
P. Roméo, Aguèmon Badirou, D. Georgia, Djossou Elisette, Codjia Estelle, Hinson Antoine Vickey, Ayelo Paul
{"title":"Compliance with Intermittent Preventive Treatment Against Malaria in Pregnancy: Role of Health Center Quality and Accessibility in a Beninese Semi Urban Area","authors":"P. Roméo, Aguèmon Badirou, D. Georgia, Djossou Elisette, Codjia Estelle, Hinson Antoine Vickey, Ayelo Paul","doi":"10.11648/J.EJPM.20210901.12","DOIUrl":"https://doi.org/10.11648/J.EJPM.20210901.12","url":null,"abstract":"Background: In a context of low coverage (around 40%) of malarial intermittent preventive treatment in pregnant women in republic of Benin, we investigated the implication of health center quality and accessibility factors on the compliance with IPTp. Methods: In a cross-sectional study conducted from October 2017 to February 2018 in southern Benin, 422 women, pregnant in the last trimester or who gave birth less than a month ago were included. Conditions of access to the health center and factors related to the quality of services at the health center were collected. To search for associated factors, univariate analysis were performed using Chi2 (or Fisher’s) and Student’s test. Logistic regression model was fitted for multivariate analysis. Results: Rates of IPTp intake were 36.49%, 26.78% and 11.14% respectively for first, second and third doses. Two factors increased the probability of taking IPT: travel cost (OR=2.57 [1.36; 3.92]) and quality of reception at health center (OR=1.93 [1.27; 2.64]). Conversely, the increase in travel time from home to health center was associated with a lower probability of taking IPT (OR=0.91 [0.85; 0.98]). Conclusion: This study highlighted the need to take into account the improvement of the socioeconomic level of women and the improvement of the quality of services in health centers in order to achieve better coverage of IPT taking in pregnant women. Strengthening the health system in developing countries, in particular by recruiting health workers and training them, is beneficial.","PeriodicalId":342483,"journal":{"name":"European Journal of Preventive Medicine","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123897026","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}
Gallad Dahir Hassan, Omar Dahir, M. Adam, A. Hassan, Jamal Hassan Ofle, A. Muse
{"title":"Community Adherence Towards COVID-19 Preventive Health Messages in Somalia","authors":"Gallad Dahir Hassan, Omar Dahir, M. Adam, A. Hassan, Jamal Hassan Ofle, A. Muse","doi":"10.11648/J.EJPM.20210901.11","DOIUrl":"https://doi.org/10.11648/J.EJPM.20210901.11","url":null,"abstract":"Background: The coronavirus infection was first reported from Wuhan province, China then it spread becoming a pandemic reaching everywhere in the world. As of the time of writing this article (30th July 2020), the coronavirus pandemic resulted in over 16 million cases and over 650 thousand deaths worldwide. Objective: The objectives of this study was to evaluate community knowledge and practice to COVID-19 preventive measures. Methods: The study was community based cross sectional study design and target population were Somali adults (≥18 years of age) living in Somalia and using social media, voluntarily accepted to respond the questionnaire after giving short introductory text as informed consent. The data collection technique was online Google Forms, closed ended questionnaire and number of participants in the study was 526 subjects and selected through convenient non-probability sampling technique. Data were analyzed using SPSS. The data frequency and percentage were presented and also bivariate and multivariate analyses were conducted. Results: Among the respondents; 54.4% were male while 45.6% were male and in general, their age bracket of 15-25 had the highest percentage of 65.8% followed by the age bracket of 26-35 with a percentage of 26.8 and those with 36-45 years had a percentage of 3.0% and finally those above the age of 45 with corona virus information had a percentage of 4.4. Due to the high level of educational interaction with elite members of the society, those who went to university had better knowledge about the virus with 85.9 percent followed by the secondary level with 7.0% and then the uneducated with formal education 6.7% information and the least knowledgeable about the existence of the virus were the primary school who were having a four (4) percentage. About 76% of participants had a poor level of preventive measures practice toward Covid-19 and 22.4% had a good level of preventive practice toward Covid-19. 90.7% of the population also wash their hands frequently after they interact with people and only 9.3% don’t practice hand washing technique. Conclusion: In a nut shell; the study founded that the older the ages of the participants; the less information they have and inversely the higher the education; the more knowledge they have about covid-19. Majority of the participant didn’t wear mask when they go outside their home. Closely half of the total population did not give space when they talking to someone else. The study recommends awareness promotion to elder people and health education to illiterate people about covid-19. Also the study suggests to wear mask when people going outside and have one meter space when people talking.","PeriodicalId":342483,"journal":{"name":"European Journal of Preventive Medicine","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115055758","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}
B. Guèye, Ndéye Marième Diagne, M. Bop, Alouine Badara Tall, A. Ndiaye, O. Ka, C. Diop
{"title":"Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal","authors":"B. Guèye, Ndéye Marième Diagne, M. Bop, Alouine Badara Tall, A. Ndiaye, O. Ka, C. Diop","doi":"10.11648/J.EJPM.20200806.13","DOIUrl":"https://doi.org/10.11648/J.EJPM.20200806.13","url":null,"abstract":"Introduction: Maternal-fetal and child morbidity and mortality is still a major public health problem despite all the progress made. It can be reduced significantly by proper monitoring of pregnancy through the 4 recommended pre-natal consultations (PNC). However, PNC completion rates remain low in sub-Saharan Africa. The Koki health district is no exception to this reality with 39% completion rate. The objective of this study is to determine the factors associated with PNC completion by pregnant women in order to make recommendations which aim to reduce maternal and fetal morbidity and mortality in the Koki health district in Senegal. Methodology: A cross-sectional descriptive study was conducted among 603 women who gave birth between 01/01/2017 and 31/12/2017 in the health district's area of responsibility. Two-stage cluster sampling was conducted. The first stage involved the selection of villages through a simple random draw. The second concerned the selection of concessions chosen by the bottle method. The number of clusters per Health Service Delivery Point (HSDP) was based on the number of expected pregnancies. Thus the survey consisted of 30 clusters of 20 women. All women meeting the criteria were selected from the concession. Data entry and analysis was done using Epi Info version 7.2.3.0. Results: The sample consisted of aged 26.15 years old average women, married, predominantly educated (52.75 per cent), and of Wolof ethnic group (66.6 per cent). More than 2/3 of the women (61.63%) were within 5 km of the health facilities. The majority of women (68%) had their own income. Almost all women were satisfied with the reception (97.5%) in the HSDP. Half of the women (50.61%) had their first PNC in the first trimester of pregnancy. The PNC completion rate calculated with prenatal consultation booklet data is 30%. The main factors having a statistically significant relationship with the low PNC completion rate are: age ≥ 30 years, number of pregnancies >3, number of deliveries > 3, distance between home and HSDP ≥ 5 km, PNC high cost perception and lack of own income. Conclusion: The reasons for the low PNC completion rate are related to the obstetrical situation, geographical accessibility, but also the woman's financial situation. Achieving a satisfactory completion rate require not only a greater awareness and empowerment of women, but also accessibility to health facilities.","PeriodicalId":342483,"journal":{"name":"European Journal of Preventive Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133092260","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}
A. Salako, O. Odubela, T. Musari-Martins, Z. Musa, T. Gbaja-Biamila, B. Opaneye, D. Oladele, P. Ezemelue, H. Ohwodo, O. Ezechi, A. David
{"title":"Evaluating the Preparedness of Child Health Facilities and Health Care Providers to COVID 19 Pandemic","authors":"A. Salako, O. Odubela, T. Musari-Martins, Z. Musa, T. Gbaja-Biamila, B. Opaneye, D. Oladele, P. Ezemelue, H. Ohwodo, O. Ezechi, A. David","doi":"10.11648/j.ejpm.20200805.16","DOIUrl":"https://doi.org/10.11648/j.ejpm.20200805.16","url":null,"abstract":"The challenges of diagnosis of SARS-CoV2 infection in the paediatric population includes not only the mild nature of the disease, but the similarity in the symptomatology of the COVID-19 disease to common childhood illness, and the possibility that the infected children could be “silent transmitters” to the family members and health care workers [HCW]. The challenge raises the doubt on the level of preparedness, awareness of the child health facilities [HCF], and HCW in adopting measures at combatting the Coronavirus disease 2019 (COVID-19) pandemic. This study evaluated the preparedness and response of HCF and HCW in paediatric settings to the 2019-novel coronavirus pandemic. A cross-sectional study involving child HCF and HCW. An online tool was used to evaluate preparedness for the management of infectious disease outbreaks as typified by the COVID-19 Outbreak. The information collected included demographic characteristics of the health personnel providing care for children, infection control practices, knowledge, and preparedness for prevention of COVID-19. Data generated were analyzed using the SPSS version 23.0. A majority of respondents were medical doctors (89%), practicing for >5years (75%), and in public health care facilities (69%). A significant proportion of the health facilities had an infectious disease unit (68%) and policy on disease outbreak (60%) in place. 144 (96%) respondents knew SARS-CoV-2 was responsible for COVID-19 and the incubation period was an average of 2 – 14 days. Most of the respondents were aware that the disease could be with or without symptoms (86%), as well as mimic other childhood illnesses (93%). Most of the centres (55%) had fair policy strength towards combating the disease. IPC policies have been established in most paediatric facilities to combat the recurring threat of communicable disease outbreaks. There is a need for further scaling up of resources to address the COVID-19 pandemic.","PeriodicalId":342483,"journal":{"name":"European Journal of Preventive Medicine","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122676550","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}