International Journal Of Community Medicine And Public Health最新文献_第10页

Determinants of teenage pregnancies in a rural area of Zambia: a case study of Chipili district, Zambia 赞比亚农村地区少女怀孕的决定因素：赞比亚奇皮利地区的案例研究

International Journal Of Community Medicine And Public Health Pub Date : 2024-02-29 DOI: 10.18203/2394-6040.ijcmph20240635

Mercy Kanswata Lukwesa, Peter Chungulo, E. Kazonga

{"title":"Determinants of teenage pregnancies in a rural area of Zambia: a case study of Chipili district, Zambia","authors":"Mercy Kanswata Lukwesa, Peter Chungulo, E. Kazonga","doi":"10.18203/2394-6040.ijcmph20240635","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20240635","url":null,"abstract":"Teenage pregnancies are a serious public health issue around the world and Zambia in particular. This is driven by many factors. The general objective of the study was to explore determinants of teenage pregnancy in Chinshinki village, Chipili district. This was a qualitative study, which adopted a phenomenological study design. Data was collected using a focus group discussion with teenage mothers and four key informants. Participants were purposively selected based on the in-depth knowledge and experience of the phenomenon studied. The data collected was analysed using thematic analysis. The study showed that despite being aware of the various methods of contraception, teenagers still have negative attitudes toward their use. Cultural beliefs of not discussing sexual matters at household level have led to teenagers to search for guidance and information from their peers. The study also revealed that the reduced accessibility and awareness on reproductive health information was influenced by the healthcare workers who did not provide this information to the teenagers in their respective communities. The study showed that despite being aware of the various methods of contraception, teenagers are still not willing to fully utilize these methods. This perception stems from misinformation provided by their peers who play an important role regarding teenagers' decisions about engaging in risky sexual behaviour.","PeriodicalId":502325,"journal":{"name":"International Journal Of Community Medicine And Public Health","volume":"14 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140409300","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

Profile of the patients suffering from non-communicable diseases attending outpatient department of an urban health training center- a cross sectional study 城市卫生培训中心门诊部非传染性疾病患者概况--一项横断面研究

International Journal Of Community Medicine And Public Health Pub Date : 2024-02-29 DOI: 10.18203/2394-6040.ijcmph20240622

Abhishek Naidu, R. Gurav, Amit M. Yadav

{"title":"Profile of the patients suffering from non-communicable diseases attending outpatient department of an urban health training center- a cross sectional study","authors":"Abhishek Naidu, R. Gurav, Amit M. Yadav","doi":"10.18203/2394-6040.ijcmph20240622","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20240622","url":null,"abstract":"Background: Non-communicable diseases continue to be an important public health problem in India. These diseases are responsible for a major proportion of morbidity and mortality. In view of this, study was conducted among patients suffering from non-communicable diseases attending outpatient department of an urban health training center of a medical college to know their profile.\u0000Methods: A cross-sectional study was conducted in the month of September, 2023 at an urban health training center. All the patients suffering from non-communicable diseases attending outpatient department during above month were included in the study using purposive sampling method. Predesigned and pretested proforma was used to collect the data. Data was analyzed using Microsoft Excel and appropriate statistical methods. The statistical level of significance was fixed at p<0.05.\u0000Results: 4670 new patients attended outpatient department, of which 269 (05.76%) were suffering from non-communicable diseases. 136 (52.92%) were suffering from hypertension, 105 (40.86%) were of diabetes, 07 (02.72%) were of stroke and 09 (03.50%) were of other non-communicable diseases. 12 (04.46%) patients were suffering from both hypertension and diabetes. 131 (50.97%) were above 60 years of age. 139 (54.09%) were males and 118 (45.91%) were females. 50 (19.46%) patients were illiterate while 207 (80.54%) were literate (p<0.05). 42 (16.34%) patients were having family history of non-communicable diseases. 40 (15.56%) and 62 (24.12%) patients were doing yoga and exercise respectively. 77 (29.96%) patients were smokers or consuming tobacco or alcohol.\u0000Conclusions: The growing problem of non-communicable diseases can be effectively controlled by empowerment of community through effective health education, utilizing services of trained health care workers, advanced health care services and social insurance.","PeriodicalId":502325,"journal":{"name":"International Journal Of Community Medicine And Public Health","volume":"19 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140411070","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

A study on knowledge, attitude and practices towards research among medical post graduate students 关于医学研究生对研究的认识、态度和实践的研究

International Journal Of Community Medicine And Public Health Pub Date : 2024-02-29 DOI: 10.18203/2394-6040.ijcmph20240617

Tejaswini Junga, Partha Sarathy Naidana

{"title":"A study on knowledge, attitude and practices towards research among medical post graduate students","authors":"Tejaswini Junga, Partha Sarathy Naidana","doi":"10.18203/2394-6040.ijcmph20240617","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20240617","url":null,"abstract":"Background: Research is crucial for the scientific progress of the health of individuals and communities. Understanding the concept of evidence-based medicine needs strong research knowledge. Research assures understanding of the subject and improves the knowledge of the students. This study was aimed to assess the level of knowledge, attitude and practices among medical post graduate students and to study the sociodemographic factors. And to determine the association of knowledge with various sociodemographic factors.\u0000Methods: An analytical cross-sectional study conducted during a period of two months among the medical post graduate students studying in a private medical college. Knowledge, attitude and practice were assessed by using self- administered questionnaire among 117 post graduate students. Likert scale was used to assess the knowledge component.\u0000Results: Among 117 study subjects 47% were first year 27.4% were second year and 25.6% were third year among which the overall adequate knowledge was 86.3%, positive attitude was 95.7% and good practices according to the study scale was only 29.1%. Level of knowledge and practices were found to be having significant association with the academic year studying in (p value <0.05).\u0000Conclusions: The post graduate students had adequate knowledge and positive attitude but had poor practices towards research. Adequate research helps to bridge the gaps in research and help the future generations in developing new interventions.","PeriodicalId":502325,"journal":{"name":"International Journal Of Community Medicine And Public Health","volume":"34 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140412211","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

Perceptions of volunteers on the effectiveness of Kenya Medical Training College-run free medical camps in enhancing access to healthcare by vulnerable communities 志愿者对肯尼亚医学培训学院开办的免费医疗营在促进弱势群体获得医疗服务方面的效果的看法

International Journal Of Community Medicine And Public Health Pub Date : 2024-02-29 DOI: 10.18203/2394-6040.ijcmph20240636

Zachary O. Ombasa, Jonah R. Nyachae, Urbanus M. Mutiso, Raphael N. Mutiso, Nicholas M. Kwinga, Luciana N. Kaloki, James Musovya, Vincent N. Kinyae, Gilbert K. Nguutu, Emma Nthei, Loise W. Mwangi, Lucia M. Jonah, Redempta M. Mutisya

{"title":"Perceptions of volunteers on the effectiveness of Kenya Medical Training College-run free medical camps in enhancing access to healthcare by vulnerable communities","authors":"Zachary O. Ombasa, Jonah R. Nyachae, Urbanus M. Mutiso, Raphael N. Mutiso, Nicholas M. Kwinga, Luciana N. Kaloki, James Musovya, Vincent N. Kinyae, Gilbert K. Nguutu, Emma Nthei, Loise W. Mwangi, Lucia M. Jonah, Redempta M. Mutisya","doi":"10.18203/2394-6040.ijcmph20240636","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20240636","url":null,"abstract":"In certain regions of Kenya, such as Nyahururu, Kabarnet, Kasikeu, and Mbooni, inadequate access to healthcare services contributes to avoidable deaths. Organizations like the Kenya Medical Training College (KMTC) address this challenge by organizing free medical camps, involving both local and international volunteer healthcare workers. This study explored the effectiveness of KMTC's free medical camps through interviews with 18 key informants, including faculty, non-faculty members, and community leaders from purposefully sampled hardship areas, namely, Nyahururu, Kabarnet, Kasikeu, and Mbooni. The study found that KMTC's free clinics offered crucial services like curative care, immunization, maternal and child health services, disease sensitization, reproductive health services, and substance abuse education. However, limitations were identified, including a shortage of medications, lack of specialized screening, follow-up care, and referral services. Resources available included community health volunteers, KMTC and hospital staff, socio-structural support, and physical infrastructure. Challenges faced by volunteers included motivation issues, inadequate facilitation, limited stakeholder involvement in planning, and perceived service comprehensiveness issues. Despite these challenges, the community acknowledged the vital role of medical camps in delivering essential services to marginalized groups. Addressing resource shortages, enhancing stakeholder engagement, improving service comprehensiveness, and boosting volunteer motivation were highlighted as crucial steps to maximize community benefits.","PeriodicalId":502325,"journal":{"name":"International Journal Of Community Medicine And Public Health","volume":"50 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140413992","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 and risk factors of hypertension and diabetes mellitus in riverine communities in Nigeria’s Niger delta: implications for community-based interventions 尼日利亚尼日尔三角洲沿河社区高血压和糖尿病的发病率和风险因素：对社区干预措施的影响

International Journal Of Community Medicine And Public Health Pub Date : 2024-02-29 DOI: 10.18203/2394-6040.ijcmph20240600

A. Fajola, Alphonsus O. Isara, Aloni Alali, Bunmi Adetula, Suodei Akenge

{"title":"Prevalence and risk factors of hypertension and diabetes mellitus in riverine communities in Nigeria’s Niger delta: implications for community-based interventions","authors":"A. Fajola, Alphonsus O. Isara, Aloni Alali, Bunmi Adetula, Suodei Akenge","doi":"10.18203/2394-6040.ijcmph20240600","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20240600","url":null,"abstract":"Background: The global burden of non-communicable diseases is enormous, especially in low- and middle-income countries. This study assessed the prevalence of hypertension and diabetes mellitus and associated factors among adult residents of riverine communities in Niger delta region of Nigeria.\u0000Methods: A community-based descriptive cross-sectional study. Adults aged 18 years and above residing in riverine communities who attended a free medical outreach programme were screened for hypertension and diabetes mellitus. Anthropometry and measurements were done using standard methods. Data was analysed using SPSS version 26.\u0000Results: Of the 1597 participants, 1066 (66.6%) were females, 470 (29.4%) overweight and 356 (22.3%) were obese. Their mean age was 41.0±14.5 years. The prevalence of hypertension diabetes mellitus and hypercholesterolemia was 37.6%, 3.9% and 65.6% respectively. Significant predictors of hypertension were age ≥40 years (OR =3.86, CI: 2.59-5.75, p<0.001), male sex (OR=1.78, CI: 1.19-2.65, p=0.005), overweight (OR=1.92, CI: 1.19-3.11, p=0.008) and obesity (OR=1.73, CI: 1.05-2.85, p=0.032). No statistically significant association between demographic characteristics and diabetes mellitus was observed.\u0000Conclusions: The high prevalence of hypertension and diabetes mellitus in the riverine communities calls for an urgent need to set up community based noncommunicable diseases prevention programmes and then develop and implement effective targeted interventions to help residents of the riverine communities diagnosed with these conditions to better manage the disease.","PeriodicalId":502325,"journal":{"name":"International Journal Of Community Medicine And Public Health","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414967","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

A review on vitamin B12 deficiency induced by metformin 二甲双胍引起的维生素 B12 缺乏症综述

International Journal Of Community Medicine And Public Health Pub Date : 2024-02-29 DOI: 10.18203/2394-6040.ijcmph20240646

V. Sireesha, Sumaya, Pravarsha, Kompalli Varun, Faiqua Fatima, Shafeen Sultana

{"title":"A review on vitamin B12 deficiency induced by metformin","authors":"V. Sireesha, Sumaya, Pravarsha, Kompalli Varun, Faiqua Fatima, Shafeen Sultana","doi":"10.18203/2394-6040.ijcmph20240646","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20240646","url":null,"abstract":"Multiple studies have established a higher prevalence of vitamin B12 deficiency in patients who have type 2 diabetes mellitus (T2DM). Metformin is prescribed as the 1st line oral glucose-lowering medication for individuals with T2DM. However, metformin therapy has been linked to vitamin B12 malabsorption, which can result in both biochemical and clinical manifestations of vitamin B12 deficiency. The long-term use of metformin is associated with a significant decrease in vitamin B12 levels, particularly in doses greater than 2000 mg per day over a period of 4 years. Vitamin B12 is a water-soluble vitamin. It acts as a cofactor for enzymes involved in DNA synthesis and neuroprotection at the cellular level. Hence, vitamin B12 deficiency can lead to various clinical consequences, including hematologic abnormalities such as megaloblastic anemia and hypersegmented neutrophil formation, peripheral neuropathy, and progressive axonal demyelination, hyperhomocysteinemia (HHcy). The latest \"standards of medical care in diabetes-2017\" issued by the American diabetes association recommends periodic assessment of B12 status and, if necessary, the use of B12 replacement therapy in diabetic patients taking metformin. In order to address the vitamin B12 deficiency associated with metformin several therapies are available including prophylactic supplements of calcium and vitamin B12, discontinuation of metformin, and replenishment of vitamin B12 stores through intramuscular or oral therapy. It is important to regularly monitor vitamin B12 levels for at least annually to prevent complications of vitamin B12 deficiency and continue with supplementation if metformin is still being used.\u0000 ","PeriodicalId":502325,"journal":{"name":"International Journal Of Community Medicine And Public Health","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140415157","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

The relationship between energy intake with stunting and wasting among toddlers in Aertembaga subdistrict, Bitung city 比通市 Aertembaga 县幼儿的能量摄入与发育迟缓和消瘦之间的关系

International Journal Of Community Medicine And Public Health Pub Date : 2024-02-29 DOI: 10.18203/2394-6040.ijcmph20240601

Maureen I. Punuh, Rahayu H. Akili, Ardiansa A. T. Tucunan

{"title":"The relationship between energy intake with stunting and wasting among toddlers in Aertembaga subdistrict, Bitung city","authors":"Maureen I. Punuh, Rahayu H. Akili, Ardiansa A. T. Tucunan","doi":"10.18203/2394-6040.ijcmph20240601","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20240601","url":null,"abstract":"Background: Stunting and wasting are forms of malnutrition that can occur in toddlers. Stunting and wasting can increase the risk of physical and cognitive growth retardation. One of the factors directly causing stunting and wasting is energy intake. The purpose of this study was to determine the relationship between energy intake with stunting and wasting in toddlers.\u0000Methods: This study was a type of quantitative research with an analytical survey method using a cross-sectional design conducted in Aertembaga district, Bitung city. The sample taken was 205 respondents using purposive sampling technique and met the inclusion and exclusion criteria. Data were analyzed univariately and bivariately using the chi square statistical test.\u0000Results: The percentage of stunted toddlers was 45.9%, not stunted was 54.1%. The percentage of toddlers with wasting was 8.3% and not wasting was 91.7%. Energy intake of toddlers in the sufficient category amounted to 35.6%, the less category amounted to 33.2% and the more category amounted to 31.2%.\u0000Conclusions: There was an association between energy intake and stunting (p=0.005) and wasting (p=0.037) in toddlers. Optimization of stunting and wasting prevention programs is needed to reduce stunting and wasting rates among under-fives in Aertembaga sub-district, Bitung city.","PeriodicalId":502325,"journal":{"name":"International Journal Of Community Medicine And Public Health","volume":"1987 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140416828","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

The effect of thyroid disorders on obstetric and perinatal outcomes: an observational retrospective study in a tertiary care center of north India 甲状腺疾病对产科和围产期结果的影响：印度北部一家三级医疗中心的观察性回顾研究

International Journal Of Community Medicine And Public Health Pub Date : 2024-02-29 DOI: 10.18203/2394-6040.ijcmph20240612

Ankita Sharma, Kanik Pandita, Utkarsha Khajuria, Shazia Chowdhary

{"title":"The effect of thyroid disorders on obstetric and perinatal outcomes: an observational retrospective study in a tertiary care center of north India","authors":"Ankita Sharma, Kanik Pandita, Utkarsha Khajuria, Shazia Chowdhary","doi":"10.18203/2394-6040.ijcmph20240612","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20240612","url":null,"abstract":"Background: The incidence of hypothyroidism in pregnancy is between 0.5-3.5%, hyperthyroidism occurs in about 0.2-0.4%. They are associated with various maternal-fetal complications.\u0000Methods: This retrospective observational cohort study was conducted in SMGS Hospital, Jammu, India after ethical clearance. Admitted patients were included over a period of 1 year from January to December 2021. Inclusion criteria was women belonging to any period of gestation admitted to the labour room and woman with established thyroid disorder. Exclusion criteria was women on drugs influencing thyroid functions.\u0000Results: 1641 (10.43%) of 15722 women had thyroid disorders. Hypothyroidism in 10.37% (8.99% subclinical and 1.37% overt) and hyperthyroidism in 0.06%. PPROM was seen in 5.9% subclinical, 2.7% overt hypothyroid, none of hyperthyroid group. 7% subclinical, 8.5% overt hypothyroid and 1/10 women in hyperthyroid group had GDM. Abruption seen in 2.5% subclinical, 1.7% overt hypothyroid and none in hyperthyroid. In subclinical group 3.2% had gestational hypertension, 5.2% had preeclampsia and 0.6% had eclampsia. In overt hypothyroid, 2.8% had gestational hypertension, 7.9% preeclampsia and 1.7% eclampsia. In hyperthyroid group, 1/10 had gestational hypertension, 1/10 had preeclampsia. 18.2% subclinical, 14.7% overt hypothyroid, 2/10 in hyperthyroid group had history of abortion. 7% subclinical, 9.6% overt hypothyroid and 0/10 hyperthyroid group had infertility. 25.8% babies born were abnormal in terms of less gestational age at birth, low birth weight, IUGR, low apgar and IUD. 16.5% babies that had low birth weight <2.5 kg.\u0000Conclusions: The impact of thyroid disorders warrants routine screening for thyroid dysfunctions in all women in prenatal and antenatal period to predict and prevent adverse maternal-neonatal outcomes.","PeriodicalId":502325,"journal":{"name":"International Journal Of Community Medicine And Public Health","volume":"60 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140408570","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

Physical rehabilitation of the visually impaired and its implications for tactile modelling 视障人士的身体康复及其对触觉模型的影响

International Journal Of Community Medicine And Public Health Pub Date : 2024-02-29 DOI: 10.18203/2394-6040.ijcmph20240634

Namrata Srivastava, Poonam Pachauria, Nitesh

{"title":"Physical rehabilitation of the visually impaired and its implications for tactile modelling","authors":"Namrata Srivastava, Poonam Pachauria, Nitesh","doi":"10.18203/2394-6040.ijcmph20240634","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20240634","url":null,"abstract":"The aim of this study is to investigate the effect of tactile models in improving the health of visually impaired people. The main objective of the intervention is to improve mobility, muscle strength, flexibility and physical fitness. Longitudinal study, this study was approved by the research ethics committee “Naraina Medical College and Research Centre (NMCRC)” Kanpur, Uttar Pradesh. Convenience sampling was conducted over a three-week period from December 2021 to January 2022. The physical rehabilitation of the visually impaired (PP-PVI) process includes physical assessment, language selection, design structure and visually impaired language. A longitudinal study was conducted with youth and young adults with visual impairment. They received treatment twice a week for 12 months and their quality of life was assessed before and after treatment. Quality of life was assessed using the 30-item short form health questionnaire (SF-30). Mean scores improved in all domains except the quality of life questionnaire after PP-PVI. PP-PVI has proven to be a valuable, easy-to-understand, and reliable clinical tool. This product is for people with visual impairment. Implications for Professionals: PP-PVI exercise improves many aspects of your body and performance. This plays an important role in ensuring independence for people with low vision. Physical therapy is effective in improving visual and tactile motor skills. Physical therapists can help improve the overall function and quality of life of people with these problems through targeted exercises and activities.","PeriodicalId":502325,"journal":{"name":"International Journal Of Community Medicine And Public Health","volume":"8 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140409866","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 post-discharge postnatal educational intervention on maternal self-efficacy among low-income primiparas living in informal settlements in Nairobi County, Kenya 出院后产后教育干预对肯尼亚内罗毕县非正规住区低收入初产妇自我效能的影响

International Journal Of Community Medicine And Public Health Pub Date : 2024-02-29 DOI: 10.18203/2394-6040.ijcmph20240602

Immaculate Wambui Kamau, M. Keraka, E. Gitonga

{"title":"Effect of post-discharge postnatal educational intervention on maternal self-efficacy among low-income primiparas living in informal settlements in Nairobi County, Kenya","authors":"Immaculate Wambui Kamau, M. Keraka, E. Gitonga","doi":"10.18203/2394-6040.ijcmph20240602","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20240602","url":null,"abstract":"Background: Maternal knowledge and maternal self-efficacy (MSE) are crucial for the adoption of health-promoting evidence-based postnatal practices. Short hospital stay after normal deliveries curtails delivery of pre-discharge postnatal education thus inadequate knowledge and poor MSE. This is accentuated among low-income primiparas thus a need for post-discharge follow-up. Aim was to determine the effect of self-efficacy theory-based post-discharge postnatal education on low-income primiparas’ MSE.\u0000Methods: A Quasi-experimental study on low-income primiparas residing in selected slums in Nairobi, Kenya. The control and experimental sites had 118 primiparas each conveniently recruited on early discharge after normal delivery from health facilities serving the slums. An interviewer-administered entry questionnaire was applied to collect facility and demographic data. The intervention group received post-discharge PNE intervention and routine PNC while the control group received routine PNC only. Perceived maternal parental self-efficacy scale was used to measure MSE at 6 weeks. Focus group discussions were conducted for qualitative data. IBM SPSS was used to analyze data. Independent sample t-tests and multiple linear regression were derived.\u0000Results: There was a significant (t=12.322, p=0.000) difference in MSE between experimental and control groups. The intervention was a significant predictor of MSE (β=0.59, p=0.00). Respondents appreciated the multi-pronged learning methods, especially the community health volunteers. COVID-19 pandemic challenges such as loss of livelihood and disruption of social connectedness were highlighted.\u0000Conclusions: Self-efficacy theory-based follow-up PNE intervention improves MSE among low-income primiparas thus a valuable complement to routine care.","PeriodicalId":502325,"journal":{"name":"International Journal Of Community Medicine And Public Health","volume":"14 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140411973","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