Vincent Habiryayo, Olivier Mizero, Pelagie Izabayo, Janviere Uwizeyimana, Marie Sandrine Kwizera, Valens Mbarushimana, François Xavier Sunday
{"title":"Determinants of Stunting in Children Under Five Years: A Case Study of Nyagatare District, Rwanda.","authors":"Vincent Habiryayo, Olivier Mizero, Pelagie Izabayo, Janviere Uwizeyimana, Marie Sandrine Kwizera, Valens Mbarushimana, François Xavier Sunday","doi":"10.4314/rjmhs.v8i1.9","DOIUrl":"10.4314/rjmhs.v8i1.9","url":null,"abstract":"<p><strong>Background: </strong>Stunting is an indicator of chronic malnutrition. It is highly prevalent in Rwanda and negatively impacts children's survival and overall growth development.</p><p><strong>Objective: </strong>This study aimed to investigate the determinants of stunting among children under five years in Nyagatare District, Rwanda.</p><p><strong>Methods: </strong>A quantitative cross-sectional study was conducted in December 2021 involving 253 households with mothers of children under five years of age. The data were collected using structured questionnaires, and anthropometric measurements were taken for both children and mothers. The analyses were performed using WHO Anthro Survey Analyser and SPSS version 21. Findings were reported through frequency tables, bivariate analysis, and logistic regression.</p><p><strong>Results: </strong>The study found that 19.1% of the children were stunted, and 7.2% severely stunted. Bivariate analysis revealed that, lower level of the mother's education was associated with stunting (p=0.025). Logistic regression analysis indicated that children whose mothers had no education had higher odds of being stunted (OR=3.6, 95%CI: 1.3-9.9, p=0.012) compared to the mothers attained secondary education. Likewise, those whose mothers had primary education had higher odds of stunting (OR=1.7, 95% CI: 0.9-3.3) than those with secondary education.</p><p><strong>Conclusion: </strong>The prevalence of stunting in Nyagatare District remains a concern. Preventing childhood stunting in this rural area, efforts should focus on improving mothers' education.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"8 1","pages":"111-124"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510621","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":"Cardiometabolic Risk Marker Changes in Centrally Obese Women Using Depot Medroxyprogesterone Acetate (DMPA) in Kigali, Rwanda.","authors":"Evelyne Kantarama, Dieudonne Uwizeye, Annette Uwineza","doi":"10.4314/rjmhs.v8i1.2","DOIUrl":"10.4314/rjmhs.v8i1.2","url":null,"abstract":"<p><strong>Background: </strong>Hormonal contraceptives, such as depot medroxyprogesterone acetate (DMPA), are known to increase the risk of cardiometabolic disease, especially in obese users who are already at high risk.</p><p><strong>Objectives: </strong>This study aimed to evaluate changes in lipid profile, glycated hemoglobin (HbA1C), blood pressure (BP), and inflammatory markers over a 12-month follow-up in centrally obese women using DMPA in Rwanda.</p><p><strong>Methods: </strong>A prospective study involving 65 abdominally obese women (aged 15-49 years) was conducted at two family planning centres in Kigali. Measurements were taken at baseline, six months, and twelve months, including a lipid profile, HbA1c, BP, and high-sensitivity C-reactive protein (hs-CRP). Changes were analyzed using the Wilcoxon signed-rank test, with a significance level of 5%.</p><p><strong>Results: </strong>The study demonstrated significant changes in the median of cardiometabolic parameters over 12 months of DMPA use. WC increased from 96(41) to 99.5(44) cm, TG from 1.15(2.40) to 1.53(3.63) mmol/L, while HDL-c decreased from 1.09(1.55) to 0.90(0.99) mmol/L (all P=0.001). Lipid ratios also increased significantly, where the TC/HDL-c increased from 3.54(5.92) to 5.99(8.58), and LDL-c/HDL-c from 2.63(4.8) to 4.68(7.38) (P=0.001).</p><p><strong>Conclusion: </strong>Given these findings, assessing central obesity before initiating DMPA and performing cardiovascular risk evaluations every six months is recommended to mitigate adverse effects.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"8 1","pages":"17-29"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510619","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":"Anatomical Variation of the Origin and Course of the Right Renal Artery.","authors":"Gabriel Jackob Mchonde","doi":"10.4314/rjmhs.v8i1.12","DOIUrl":"10.4314/rjmhs.v8i1.12","url":null,"abstract":"<p><p>The anatomy of renal vascular variants plays an important role during planning of major procedures involving retroperitoneal spaces. The present observation revealed the coexistence of arterial and venous variants on the right kidney. A single right renal artery originates from the abdominal aorta at the level of fourth lumbar vertebrae and ascends superolaterally towards the hilum of the right kidney, arching above the inferior vena cava, leading to compression of the largest retroperitoneal vein. Accompanying this, a variant anastomosing vein connecting the right renal vein and the inferior vena cava was also observed. Understanding the existence of these variants is of important to clinicians, surgeons, urologists, radiologists, and cardiologists during their routine procedures such as nephrectomy, kidney transplant, and management of inferior vena cava syndrome and deep venous thrombosis.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"8 1","pages":"144-147"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510618","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}
Jackson Sebeza, Habib Ramadhan, David J Riedel, Peter Memiah, Marie-Claude Lavoie, Deyessa Negussie, Simeon Tuyishime, Gallican Rwibasira Nshogoza, Charles Muiruri, Kristen Stafford
{"title":"Effect of Differentiated Service Delivery Model on Retention to Care among People Living with HIV in Rwanda: A Retrospective Cohort Analysis.","authors":"Jackson Sebeza, Habib Ramadhan, David J Riedel, Peter Memiah, Marie-Claude Lavoie, Deyessa Negussie, Simeon Tuyishime, Gallican Rwibasira Nshogoza, Charles Muiruri, Kristen Stafford","doi":"10.4314/rjmhs.v8i1.1","DOIUrl":"10.4314/rjmhs.v8i1.1","url":null,"abstract":"<p><strong>Introduction: </strong>The differentiated service delivery (DSD) model, characterized by early antiretroviral therapy (ART) initiation, is supported by peer educators to enhance treatment adherence to improve retention in care among People Living with HIV (PLHIV). The study assessed effect of the DSD model on retention among PLHIV in Kigali City, Rwanda.</p><p><strong>Methods: </strong>A retrospective cohort study design was used to evaluate the effect of the DSD model on retention by comparing pre- and post-DSD cohorts of 976 ART-naïve PLHIV aged ≥ 17 years who initiated ART between 2014 and 2019. To assess the effect of the DSD model on retention, we used multivariable logistic regression models to estimate the adjusted odds ratio (aOR) and the corresponding 95% confidence intervals (CI). Covariates, namely demographics, body weight, immunological status, and adherence, were included in the multivariable model.</p><p><strong>Results: </strong>Of 976 participants evaluated, 903 participants (92.5%) were retained in care. While the DSD model did not significantly affect retention in care [aOR = 1.11, (95% CI: 0.67 - 1.85), p = 0.675)], adherence ≥ 90% was strongly associated with higher retention [aOR = 2.20, (95% CI: 1.31-3.68), p = 0.003).</p><p><strong>Conclusion: </strong>These findings align with the latest literature, showing comparable retention patterns before and after introducing the DSD.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"8 1","pages":"6-16"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510622","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}
Christian Chance Ndahiriwe, Emmy Bucyana, Jacques Nshimiyimana, Moussa Hakizimana, Nuhu Assuman, Gerard Urimubenshi, Donat Uwayezu, Jean Marie Vianney Semana, Jean De Dieu Rukundo, Raja Raja Rajadurai, Malachie Tuyizere, Ayyappan Jayavel
{"title":"Effectiveness of Physiotherapy-Based Ergonomics and Postural Correction on Management of Work-related Musculoskeletal Disorders among Dental Practitioners in Tamil Nadu, India: A Randomized Controlled Trial.","authors":"Christian Chance Ndahiriwe, Emmy Bucyana, Jacques Nshimiyimana, Moussa Hakizimana, Nuhu Assuman, Gerard Urimubenshi, Donat Uwayezu, Jean Marie Vianney Semana, Jean De Dieu Rukundo, Raja Raja Rajadurai, Malachie Tuyizere, Ayyappan Jayavel","doi":"10.4314/rjmhs.v8i1.7","DOIUrl":"10.4314/rjmhs.v8i1.7","url":null,"abstract":"<p><strong>Background: </strong>Work-related musculoskeletal disorders among dentists have greatly increased since the Industrial Revolution. Self-management interventions, including exercises, have been proven to be effective. The of the study was to determine the effectiveness of physiotherapy-based ergonomic and postural correction on disability and performance among dental practitioners.</p><p><strong>Methods: </strong>A Randomized Controlled Trial study design was conducted among 30 dental practitioners and students from Sri-Ramaswami Memorial (SRM) Dental College, who reported Work-Related Musculoskeletal Disorders. The Experimental group followed the Posturite protocol and University of California, Los Angeles (UCLA) exercise protocols. The control group was exposed to routine regular exercises of their choice for at least 30 minutes, three times per week. The Neck Disability Index (NDI), Upper Extremity Function Index (UEFI), and Rolland Morris Disability Questionnaire (RMDQ) were administered as outcome measures.</p><p><strong>Results: </strong>The experimental group improved the symptoms of the neck, upper limb, and lower back than their control counterparts in paired t-tests where there was a high statistical improvement in both experimental and control groups with t=7, p≤0.001 and t=6, p≤0.01 respectively. On other outcomes UEFI and RMDQ the experimental group had a high statistical significance with UEFI -5, p≤0.001; RMDQ 13, p≤0.001. For the same outcomes, the control group was the least favored as it had t=-3, p≤0.05 and t=4, p≤0.05 on UEFI and RMDQ respectively.</p><p><strong>Conclusion: </strong>Ergonomics and postural correction education interventions can be effective in the management of work-related musculoskeletal disorders.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"8 1","pages":"89-99"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510623","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":"Adolescent-Parent Communication on Sexual and Reproductive Health Issues in Nyarugenge and Kamonyi Districts, Rwanda: A Qualitative Exploration of Adolescent Insights.","authors":"Josephine Uzayisenga, Augustin Nshimiyimana, Aimable Musafili, Gerard Kaberuka, Marie Laetitia Ishimwe Bazakare, Madeleine Mukeshimana, Laetitia Nyirazinyoye, Viateur Hategekimana","doi":"10.4314/rjmhs.v8i1.3","DOIUrl":"10.4314/rjmhs.v8i1.3","url":null,"abstract":"<p><strong>Background: </strong>The quality of communication between adolescents and parents regarding sexual and reproductive health is a crucial area that needs improvement. Although existing studies emphasize the significance of parent-adolescent communication from parental views, there is a gap in investigating adolescents' perspectives. Understanding their experiences can help develop effective communication strategies that address their developmental needs and promote healthier behaviours.</p><p><strong>Objective: </strong>This study aims to collect detailed information about how adolescents view their communication with their parents, the difficulties they face in these exchanges, and solutions for enhancing adolescent health.</p><p><strong>Methods: </strong>A phenomenological exploratory study design was conducted using eleven focus group discussions among adolescents between December 2020 and January 2021.</p><p><strong>Findings: </strong>The study revealed three key themes, including communication patterns, challenges that make open dialogue difficult, and various solutions to enhance discussions about sexual and reproductive health between parents and adolescents.</p><p><strong>Conclusion: </strong>Improving communication between parents and adolescents about reproductive health is crucial for encouraging healthier behaviours. By addressing challenges such as cultural taboos, limited knowledge, and fear of family and social stigma that leads to poor communication, parents and adolescents will navigate the complexities of sexual and reproductive health issues effectively.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"8 1","pages":"30-48"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510617","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":"Knowledge, Attitude and Practice Regarding Malnutrition among Parents of Under-Five Children with Disabilities in Rwanda.","authors":"Placide Hakizuwera, Mojeed Gbadamosi","doi":"10.4314/rjmhs.v8i1.8","DOIUrl":"10.4314/rjmhs.v8i1.8","url":null,"abstract":"<p><strong>Background: </strong>Growth-related problems and malnutrition are common in children with disabilities. Malnutrition increases childhood morbidity and mortality, impairs intellectual development, and raises the risk of developing diseases later in life. However, information is limited for children with disabilities.</p><p><strong>Objectives: </strong>To assess the knowledge, attitudes and practices towards malnutrition among parents of under-five children with disabilities in HVP Gatagara Hospital.</p><p><strong>Methods: </strong>Using a non-probability census sampling, 130 parents of disabled children under five years of age participated in the cross-sectional study. Information was gathered using a structured questionnaire, and it was analysed descriptively and by binomial logistic regression.</p><p><strong>Results: </strong>According to the results, 61.54% of parents had moderate knowledge, while 7.69% and 69.2% had poor knowledge and positive attitude, respectively. In addition, 16.9% had insufficient practice, but most parents (70.3%) had moderate practice. Those with high knowledge (>70%) had 3.6-fold higher odds of good practices [OR=3.61; 95% CI=1.22 - 5.99; p=0.003]. Furthermore, being female was associated with increased odds of having adequate nutritional practice [OR=1.77; 95% CI=2.22 -3.24; p=0.019].</p><p><strong>Conclusion: </strong>High knowledge of malnutrition led to adequate nutritional practice. Therefore, to improve best practices regarding malnutrition, it is necessary to focus on health education interventions that will raise parents' knowledge and positive attitudes about the condition of their children with disabilities.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"8 1","pages":"100-110"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510625","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":"Determinants of Micronutrient Powder Coverage among Children Aged 6-23 Months in Nyarugenge District, Rwanda.","authors":"Adeline Ufitinema, Clemence Nishimwe, Monica Mochama, Theogene Kubahoniyesu","doi":"10.4314/rjmhs.v8i1.4","DOIUrl":"10.4314/rjmhs.v8i1.4","url":null,"abstract":"<p><strong>Background: </strong>Micronutrient deficiencies continue to affect millions globally, particularly pregnant women and children. This study aims to identify the determinants of Micronutrient Powder (MNP) coverage among children aged 6-23 months in Nyarugenge District, Rwanda.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 380 children aged 6-23 months. Data were analyzed using SPSS version 21. Logistic regression was employed to assess the determinants of MNP coverage.</p><p><strong>Results: </strong>The study found that 71.1% of children received MNP. Children aged 12-17 months (AOR = 1.63, 95% CI: 1.005-2.483, p = 0.046); 18-23 months (AOR = 2.14, 95% CI: 1.061-4.335, p = 0.034); Attendance at postnatal care (PNC) (AOR = 2.62, 95% CI: 1.346-5.097, p = 0.004), participation in supplementary feeding programs (AOR = 2.94, 95% CI: 1.214-7.109, p = 0.017), and having married mothers (AOR = 1.85, 95% CI: 1.033-3.306, p = 0.037) were positively associated with MNP coverage. Conversely, mothers aged 30-40 years (AOR = 0.14, 95% CI: 0.026-0.771, p = 0.024), UBUDEHE-2 (AOR = 0.40, 95% CI: 0.162-0.906, p = 0.031) were negatively associated with MNP coverage.</p><p><strong>Conclusion: </strong>Integrating MNP distribution with maternal and child health services could enhance MNP coverage and adherence.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"8 1","pages":"49-60"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510620","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}
Vera von Kalckreuth, Victor P Rwandarwacu, Ludovico Cobuccio, Théophile Dusengumuremyi, Gillian A Levine, Martin Norris, Alix Miauton, Rainer Tan, Emmanuel Rusingiza, Christian Umuhoza, Florent H Rutagarama, Hippolyte B Muhire, John Baptist Nkuranga, Nina Vaezipour, Kristina Keitel, Fenella Beynon, Lisine Tuyisenge, Valérie D'Acremont, Alexandra V Kulinkina
{"title":"ePOCT+ Rwanda: A Clinical Decision Support Algorithm For Managing Sick Children Below 15 Years of Age in Primary Healthcare Settings.","authors":"Vera von Kalckreuth, Victor P Rwandarwacu, Ludovico Cobuccio, Théophile Dusengumuremyi, Gillian A Levine, Martin Norris, Alix Miauton, Rainer Tan, Emmanuel Rusingiza, Christian Umuhoza, Florent H Rutagarama, Hippolyte B Muhire, John Baptist Nkuranga, Nina Vaezipour, Kristina Keitel, Fenella Beynon, Lisine Tuyisenge, Valérie D'Acremont, Alexandra V Kulinkina","doi":"10.4314/rjmhs.v8i1.13","DOIUrl":"10.4314/rjmhs.v8i1.13","url":null,"abstract":"<p><p>Primary health systems in resource-constrained settings suffer from human resource shortages, low quality care, and diagnostic uncertainty, resulting in over-reliance on antibiotics, increasing risks of antimicrobial resistance. Digital clinical decision support algorithms (CDSAs) help healthcare workers adhere to clinical guidelines and improve prescribing practices. In this manuscript, we present the scope and content of 'ePOCT+ Rwanda' (electronic Point-Of-Care Tests +), a CDSA trialed in primary health centers of Rusizi and Nyamasheke districts during the DYNAMIC project. The algorithm is based on the WHO IMCI guidelines, expanded to include a broader range of ages (between 1 day and 14 years, inclusive) and acute medical conditions encountered in primary care (57 diagnoses for young infants < 2 months and 144 diagnoses for children 2 months to 14 years). The digital application used to deploy ePOCT+ prompts users to enter the results of medical history, physical examinations and laboratory tests to propose diagnoses, treatments and managements. In addition to routine point-of-care tests, ePOCT+ utilizes haemoglobin and C-reactive protein tests, as well as pulse oximetry, targeted to specific clinical conditions. We discuss the rationale behind the content of the algorithm and the process of aligning it with the Rwandan paediatric guidelines and tailoring it to the primary care setting.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"8 1","pages":"148-162"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510624","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}
David Ryamukuru, Joselyne Mukantwari, Fauste Uwingabire, Gerard Nyiringango
{"title":"Marburg Virus Disease in Rwanda: The Role of Infection Prevention and Control in Reducing Transmission of Infectious Disease Outbreaks among Healthcare Professionals.","authors":"David Ryamukuru, Joselyne Mukantwari, Fauste Uwingabire, Gerard Nyiringango","doi":"10.4314/rjmhs.v8i1.11","DOIUrl":"10.4314/rjmhs.v8i1.11","url":null,"abstract":"<p><p>Rwanda's first Marburg Virus Disease (MVD) outbreak resulted in 58 infections and 13 deaths within the first two weeks. Over 70% of cases occurred among healthcare professionals, highlighting the vulnerability of frontline workers and exposing critical gaps in the country's healthcare system, particularly in infection prevention and control (IPC) practices. Healthcare workers are essential to sustaining functional healthcare systems. However, they face a higher risk of infection and death at the onset of outbreaks, potentially due to lapses in IPC practices, thereby weakening the healthcare system. Routine and strict adherence to IPC measures would have protected healthcare workers and prevented the transmission of both known and emerging diseases. Thus far, Rwanda has successfully implemented containment strategies such as early detection, contact tracing, and isolation. However, this article argues that long-term investment in IPC protocols is essential to safeguard healthcare workers and ensure system resilience. Strengthening IPC measures and fostering a culture of safety are vital steps toward building a healthcare system capable of effectively managing future infectious disease outbreaks. This perspective article aims to raise awareness about the role of infection prevention and control in reducing the transmission of infectious disease outbreaks among healthcare professionals, motivated by the devastating consequences of the MVD outbreak on the health workforce in Rwanda.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"8 1","pages":"139-143"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510627","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}