Journal of Public Health in Africa最新文献

{"title":"Healthcare users' knowledge and experiences regarding the management of scabies in the Deder district, Ethiopia.","authors":"Sagni Challi Jira, Kholofelo Lorraine Matlhaba, David Ditaba Mphuthi","doi":"10.4081/jphia.2023.2305","DOIUrl":"10.4081/jphia.2023.2305","url":null,"abstract":"<p><strong>Background: </strong>Scabies is an ectoparasitic, highly contagious skin disease caused by a human itch mite infestation of the skin, and it is the leading cause of morbidity and disease burden in developing countries. The purpose of this study was to investigate healthcare users' current knowledge and experiences with scabies management provided at primary healthcare facilities.</p><p><strong>Materials and methods: </strong>A qualitative research design was used to address the research objectives. Focus group interviews with 58 health care users were used to collect data. Thematic analysis was performed on the verbatim transcriptions using Tesch's approach.</p><p><strong>Results: </strong>The findings showed that the knowledge of healthcare users who participated in the study on scabies, its management, prevention, and control was limited. Health care users experience different challenges regarding scabies and the management thereof. Five themes emerged after data analysis. These were knowledge regarding scabies, knowledge regarding the management of scabies, knowledge regarding the prevention of scabies, perceptions regarding receiving treatment for scabies, and recommendations regarding the availability of materials and medication.</p><p><strong>Conclusions: </strong>Healthcare users in the area had limited knowledge and experienced different challenges regarding scabies and their management. These challenges contribute to low-quality health services with undesirable health outcomes. To narrow this gap, consistent and programed health education was provided to the community through different modalities by using the existing health system to increase awareness regarding scabies. Following the implementation of community awareness, each community member was positioned to prevent and control scabies.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"2305"},"PeriodicalIF":0.8,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutrition education has significant impact on perceived barriers to healthy diet among adults with and without COVID-19 history.","authors":"Risti Kurnia Dewi, Trias Mahmudiono, Cindra Tri Yuniar, Eurika Zebadia, Nur Sahila, Mutiara Arsya Vidianinggar Wijanarko, Chika Dewi Haliman, Rahmania Adrianus, Shirley Gee Hoon Tang","doi":"10.4081/jphia.2023.2430","DOIUrl":"10.4081/jphia.2023.2430","url":null,"abstract":"<p><p>Healthy diet is an important tool to lower the risk and severity of COVID-19 infection. Low diet quality is usually caused by perceived barriers that stop people to do certain behavior. Perceived barriers can be overcome by implementing proper method such as conducting nutrition education. This study aimed to analyze the impact of nutrition education on perceived barrier to healthy diet among adults with and without covid-19 history in Padang, Indonesia. This study was a pre-experimental study using pre and post-design. This study was conducted on 70 adults with or without COVID-19 infection history, residing in Padang, Indonesia. The intervention was given in the form of nutrition education. Difference test was conducted to assess the impact of nutrition education on respondents' nutrition knowledge and perceived barriers. The majority of the respondents both with and without COVID-19 history (71.4 and 80%) had medium level of nutritional knowledge before the intervention. After the intervention, there was a significant (P<0.05) improvement on respondents' nutritional knowledge for both groups (100%). The result also showed 40% of the respondents with COVID-19 history had medium level of perceived barriers, while 28.6% respondents without COVID-19 history (65.7%) had medium level of perceived barriers before the intervention. A significant improvement (P<0.05) also showed on respondents' perceived barriers after the intervention. On both groups more 90% of the respondents only had low level of perceived barriers. The result shows that nutrition education has significant impact both on respondents' nutritional knowledge and perceived barriers.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"2430"},"PeriodicalIF":0.8,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The theory behind and factors influencing the use of telemedicine during the COVID-19 pandemic: A systematic review.","authors":"Arif Kurniawan, Elviera Gamelia, Dian Anandari","doi":"10.4081/jphia.2023.2592","DOIUrl":"10.4081/jphia.2023.2592","url":null,"abstract":"<p><p>A paradigm change in patient health care toward telemedicine services was necessary in 2020 due to the COVID-19 pandemic, which broke out at the end of 2019. Theories used in determining the determinants of telemedicine utilization are various theories. Research conducted on the use of telemedicine still has doubts about the basic theory used in analyzing the factors that influence telemedicine, especially during the Covid-19 pandemic. The goal of this study is to outline the fundamental principles of telemedicine utilization during the Covid-19 outbreak and the variables that affect it. This Literature Review uses the scoping review method with the tool procedure, namely PRISMA. Based on the conducted literature review, there are 12 scholarly papers addressing the variables that affect the utilization of telemedicine services. During the Covid 19 epidemic, more individuals in many nations used telemedicine services. Anderson's theory of health care use and the idea of technology adoption or acceptance serve as the foundational theories for forecasting the variables that affect the use of telemedicine. The utilization of telemedicine is influenced by 29 different factors that come from different theories. The desire for health, exposure to COVID 19, co-morbidities, social media usage, avoiding contamination, time efficiency, ease of use of services, social impact, and hedonic incentive are among the factors associated to the COVID 19 pandemic.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"2592"},"PeriodicalIF":0.8,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immunisation services in North-Eastern Nigeria: Perspectives of critical stakeholders to improve uptake and service delivery.","authors":"Semeeh Akinwale Omoleke, Babatunji Atunjeba Omotara, Adewale Luqman Oyeyemi, Omeiza Beida, Samuel O Etatuvie","doi":"10.4081/jphia.2023.1807","DOIUrl":"10.4081/jphia.2023.1807","url":null,"abstract":"<p><p>We investigated the perspectives of parents, health workers (HWs) and traditional medical practitioners (TMPs) on immunisation advocacy, knowledge, attitudes and immunisation practice and ways of improving immunisation uptake in Borno State, North-eastern Nigeria. A cross-sectional study analysing quantitative data from the three stakeholders' categories. It was conducted across 18 local government areas of Borno State. A representative sample of 4288 stakeholders (n=1763 parents, n=1707 TMPs, and n=818 HWs aged 20 to 59years, had complete data. The sample has more males: 57.8% (Parents); 71.8% (TMPs) and 57.3% (HWs). The awareness of immunisation schedule among the stakeholders ranged from 87.2 to 93.4%. The study showed that 67.9% of the parent and 57.1% of the health workers had participated in immunisation except the TMPs (27.8%). Across the stakeholders' categories, between 61.9 and 72.6% have children who had Adverse Event Following Immunisation (AEFI). The most common AEFI was fever. Safety concerns, preference for herbs and charm, culture and religions, and vaccination perception as a western culture were the major barriers to immunisation uptake. While 63.6 to 95.7% of respondents indicated that community leaders, religious and spiritual leaders and TMPs should be involved in immunisation advocacy, 56.9-70.4% of them reported that community leaders should be involved in immunisation policy. Upscaling the critical stakeholders' involvement in advocacy, policy development and implementation of immunization activities may improve acceptance, create demand and engender ownership in vulnerable communities of Borno State, Nigeria. AEFI could be detrimental to immunisation access and utilization. Consequently, health education by health workers needs strengthening to minimise vaccine hesitancy.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"1807"},"PeriodicalIF":0.8,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful treatment of tuberculosis using a collaborative approach between family and health workers.","authors":"Stang, Sumarni Marwang, Muhammad Rachmat, Musthamin Balumbi, Fadjriah Ohorella","doi":"10.4081/jphia.2023.2455","DOIUrl":"10.4081/jphia.2023.2455","url":null,"abstract":"<p><p>The optimization efforts of promotion, prevention, provision of preventive treatment, and infection control are strategies to overcome tuberculosis in Indonesia for the period 2020-2024. This research aims to analyze the effects of a collaborative model between health workers and family support to improve the success of treating patients with pulmonary tuberculosis. This is an experimental research using a one-group pre and post-test design. The study samples were TB patients treated at Bainamu and Bontosunggu Public Health Centers, Jeneponto Regency, from June 2021 to January 2022. Using McNemar's statistical test, the data analysis was conducted to determine the differences in patient behavior on factors that support and inhibit the recovery. The results showed that the collaborative model has an impact on eating, healthy living, and spiritual behaviors that support the recovery and cure rate of TB patients.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"2455"},"PeriodicalIF":0.8,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prevalence of health risk behavior engagement among grade 4 to 7 learners in primary schools: A phase one needs analysis.","authors":"Kurt John Daniels, Hamilton Pharaoh","doi":"10.4081/jphia.2023.2328","DOIUrl":"10.4081/jphia.2023.2328","url":null,"abstract":"<p><p>Health risk behaviour, as it pertains to adolescent behaviour, poses a massive challenge for many fields of medicine, not only due to developmental and psychological concerns but also its inevitable contribution to the burden of disease through trauma and non-communicable diseases resulting from risky behavioural choices. The objective study is to explore the prevalence of health risk behavior engagement among grade 4-7 learners at four primary schools in the Western Cape, South Africa, as well as establish a need for a prevention program starting at primary school level. An observational, descriptive, quantitative design was used to conduct this study. Non-probability, heterogenous, purposive sampling was used to select the study population. A needs analysis assessment using a modified self-administered Child Health Risk Behaviour survey was conducted using 7-inch electronic tablets. Four primary schools agreed to participate yielding a total sample size of n=1147 learners in grades 4 to 7. Learners' age ranged from nine years old to fourteen years old with a mean age of 11.45 (SD 1.271). Riding a bicycle without a helmet, physical fight (86.1 and 64.1% among boys and girls respectively), ever smoked a cigarette (boys 36.3%; girls 28.3%) and consuming alcohol without permission (boys 28.7%; girls 23.8%) had the most engagement. Sexual curiosity questions had by far the most positive engagement and consistency of engagement among both boys and girls. This evidence reaffirms the need that early, bespoke and scientific intervention/prevention programs are needed to combat health risk behaviour and subsequently reduce the burden of disease.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"2328"},"PeriodicalIF":0.8,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diet behavior and consumption of iron inhibitors: Incidence anemia in adolescent girls.","authors":"Erna Kusuma Wati, Colti Sistiarani, Setiyowati Rahardjo","doi":"10.4081/jphia.2023.2593","DOIUrl":"10.4081/jphia.2023.2593","url":null,"abstract":"<p><p>One of the strategies to prevent adolescent girls anemia through efforts to identify the factors that cause anemia. Adolescent girls are are prospective mothers who must prepare physically, mentally, with good knowledge so that they do not experience anemia during pregnancy. The aim of the study was to analyze the risk factors for the incidence of anemia in adolescent girls in Banyumas Regency, Indonesia. Quantitative approach used to identify factors that influence anemia in adolescent girls. Research variables are menstrual period, knowledge, diet attitudes and behavior, perception of body image, role of friends in prevention of anemia, role, exposure to information, consumption of iron, consumption of inhibitors and iron enhancers. The population of this research is young women aged 12-19 years. The taking technique by simple random sampling was amount 100, Data analysis was univariate, bivariate (chi square) and multivariate (linear regression). The results showed that the prevalence of anemia was 20%. Based on the results of statistical tests, it was obtained a P-value of 0.005 (<0.05) meaning that there was an influence on adolescent dietary behavior, the role of adolescents in preventing anemia and the consumption of iron inhibitors on the incidence of anemia. Anemia in young girls. There is an influence of eating behavior in female adolescents, the role of female adolescents in preventing anemia and consumption of iron inhibitors on the occurrence of anemia in female adolescents.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"2593"},"PeriodicalIF":0.8,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A multilevel analysis of the predictors of diarrhea among children under 5 years of age in Eswatini.","authors":"Maswati S Simelane, Kerry Vermaak","doi":"10.4081/jphia.2023.1149","DOIUrl":"10.4081/jphia.2023.1149","url":null,"abstract":"<p><p>Diarrhea remains a public health challenge and persistently affect children under 5 years of age, primarily in developing countries. The aim of the study was to investigate the effects of individual, household and community level factors on child diarrhea. Using combined data 2010 and 2014 Eswatini Multiple Indicator Cluster surveys, data for 4,363 under five children was analysed. Univariable, bivariable and multivariable multilevel logistic regression models were used for data analysis. We found that the prevalence of diarrhea was 16.2%, (95% confidence interval (CI): 15.3-18.1). Higher odds of diarrhea were observed among children aged 6-11 months (AOR: 2.67, 95% CI: 1.93, 3.71) and 12-23 months (AOR=2.12, 95% CI: 1.56, 2.87) compared to those aged less than 6 months. However, lower odds of diarrhea were observed among children aged 36-47 months (AOR=0.68, 95% CI: 0.48, 0.97) and 48-59 months (AOR=0.39, 95% CI: 0.26, 0.58), compared to children aged less than 6 months. Children born to mothers aged 35-39 years had lower odds of having diarrhea, (AOR=0.48, 95%CI: 0.30, 0.79) compared to those born to mothers aged 15-19 years. Higher odds of having diarrhea were observed among children from communities with a low proportion of households with improved toilet facility (AOR=1.29, 95% CI: 1.01, 1.66) compared to those from communities with a high proportion of households with improved toilet facility. We found that individual- and community-level factors were associated with child diarrhea in Eswatini. Programmes and policies that aim to mitigate child morbidity due to diarrhea should pay attention to the individual and community factors.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"1149"},"PeriodicalIF":0.8,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Newspaper depiction of mental illness in Nigeria.","authors":"Joshua A Erubami, Paul Bebenimibo, Gregory H Ezeah, Omanwa I Muobike","doi":"10.4081/jphia.2023.1527","DOIUrl":"10.4081/jphia.2023.1527","url":null,"abstract":"<p><p>Mental illness is fast becoming a leading cause of global disease burden, yet this aspect of public health remains highly neglected in Nigeria. The public relies on newspapers for diverse information needs and the way newspapers portray mental illness-related issues tends to sway public perception of such ailments. This study examined the level of media attention and prime discursive resources utilized by newspapers to depict mental illness-related issues from 2015 to 2019. Using a qualitative approach and ethnographic design, the study analyzed the manifest contents of three major Nigerian national newspapers selected through a multistage sampling technique. Data collection was done using a coding spreadsheet that reflected relevant content categories and units of analysis. Of the 920 health articles analyzed, only 79 (8.6%) articles discussed mental illness. Also, 84.8% of all mental illness-related articles were tucked in the inside pages of the newspapers and 58.2% of the stories were reported using the conventional straight news. The negative themes of suicide (36.7%) and substance abuse (32.9%) were the prime discursive resources that echoed in many of the analyzed articles. Overall, mental illness-related issues were grossly under-reported by Nigerian newspapers when compared to other health issues, and wrong media depiction of the problem remains a risk factor. Hence, Nigerian newspapers must strive toward setting better agenda that will actuate necessary policy actions from health stakeholders by providing adequate coverage and positive representation of mental illness-related issues.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"1527"},"PeriodicalIF":0.8,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expectations and experiences of urban and rural in-school adolescents of adolescent reproductive health services in Oyo State.","authors":"Oluwatosin Ruth Ilori, Sunday Olakunle Olarewaju, Phillip Oluwatobi Awodutire, Oluwatosin Stephen Ilori, James Olusegun Bamidele","doi":"10.4081/jphia.2023.2211","DOIUrl":"10.4081/jphia.2023.2211","url":null,"abstract":"<p><p>Reproductive health information and services are fundamental to health, well-being and opportunities for women and young people, yet throughout the world, women and youths do not have access to quality reproductive health care thereby exposing them to unplanned pregnancy, teen birth, induced abortion as well as increased exposure to sexually transmitted diseases, HIV inclusive. This study is meant to explore the expectation of adolescents of an adolescent reproductive health services as well as to assess the experiences of those who had visited an ARHS at the centers. It was a descriptive cross-sectional prospective study, analytic in design using a multistage sampling technique where 452 secondary school pupils in both rural and urban communities were interviewed using a pretested validated questionnaire. Data was analyzed using SPSS version 21. Chi square was used to test for association between both rural and urban adolescents in issues relating to their expectation and experiences, with P-value of <0.05. More of the respondents in the urban communities (73,32.4%) have the expectation that Adolescent Reproductive Health Services (ARHS) should be provided in an existing health service with special attention to adolescents while a larger percentage of those who preferred a special adolescent health institution were from the rural communities (122, 54.2%) which was statistically significant with a P-value of 0.001. More of respondents from the rural communities also expect that contraception services should be provided in an ARHS center while life skill services are expected by more of the respondents from the urban communities (122, 55.6%). More of the rural community respondents (57,25.3%) expect that fee at the ARHS centers should be provided at a subsidized rate while more of the urban dwellers have the expectation that services provided should be free of charge. For respondents who had been to an ARHS center, more of the urban respondents were attended to by a Medical doctor and a large percentage (34, 94.4%) of those who had visited ARHS center before professed to be satisfied with the services rendered there. Expectations from adolescents from ARHS are very high. However, most of them prefer a free of charge service as well as a service area nearer to residential area. Confidentiality and having a young health professional at the service centers cannot be overemphasized in the provision of quality ARHS.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"2211"},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}