Rwanda journal of medicine and health sciences最新文献

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Factors Associated With Minimum Acceptable Diet among Children Aged 6 to 23 Months in Rwanda. 卢旺达6至23个月儿童最低可接受饮食的相关因素。
Rwanda journal of medicine and health sciences Pub Date : 2024-11-30 eCollection Date: 2024-11-01 DOI: 10.4314/rjmhs.v7i3.6
Ildephonse Harindintwari, Monica Mochama, Charles Nsanzabera, Theogene Kubahoniyesu
{"title":"Factors Associated With Minimum Acceptable Diet among Children Aged 6 to 23 Months in Rwanda.","authors":"Ildephonse Harindintwari, Monica Mochama, Charles Nsanzabera, Theogene Kubahoniyesu","doi":"10.4314/rjmhs.v7i3.6","DOIUrl":"10.4314/rjmhs.v7i3.6","url":null,"abstract":"<p><strong>Background: </strong>Globally, one in two children aged 6 to 23 months fails to meet recommended dietary practices, with 70% fail to meet dietary diversity or meal frequency. This study assessed factors associated with the minimum acceptable diet (MAD) among children aged 6 to 23 months in Rwanda.</p><p><strong>Methods: </strong>This cross-sectional study utilized secondary data from the 2019-2020 Rwanda Demographic and Health Survey (RDHS), analyzing 1,203 children. Weighted data were analyzed using STATA version 17, employing bivariate and multivariable logistic regression at a 5% significance level.</p><p><strong>Results: </strong>The prevalence of MAD was 23.9%. Among breastfed children aged 6-8 months, 27.09% achieved the minimum meal frequency (MMF), while only 11.9% of children aged 9-23 months met the MMF. Significant factors associated with MAD included residence in the Eastern Province (AOR: 1.66; 95% CI: 1.02-2.27), access to nutrition-related information (AOR: 1.72; 95% CI: 1.03-2.41), and household wealth, with the richest households showing the highest odds (AOR: 5.93; 95% CI: 3.08-11.42). Delivery in health facilities also increased odds (AOR: 3.42; 95% CI: 1.20-9.77).</p><p><strong>Conclusion: </strong>The low prevalence of MAD highlights the need for promoting dietary diversity and meal frequency, support low-income households to improve child feeding practices.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 3","pages":"445-453"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500327","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}
引用次数: 0
Knowledge, Attitude, and Practices of Antibiotic Usage and Resistance among People Attending Primary Healthcare in Rwanda. 卢旺达初级卫生保健人员抗生素使用和耐药性的知识、态度和实践。
Rwanda journal of medicine and health sciences Pub Date : 2024-11-30 eCollection Date: 2024-11-01 DOI: 10.4314/rjmhs.v7i3.7
Jerome Ndayisenga, Obed Tuyishime, Olivier Sibomana, Philemon Kwizera, Hosee Niyompano, François Hakizayezu, Margaret I Fitch
{"title":"Knowledge, Attitude, and Practices of Antibiotic Usage and Resistance among People Attending Primary Healthcare in Rwanda.","authors":"Jerome Ndayisenga, Obed Tuyishime, Olivier Sibomana, Philemon Kwizera, Hosee Niyompano, François Hakizayezu, Margaret I Fitch","doi":"10.4314/rjmhs.v7i3.7","DOIUrl":"10.4314/rjmhs.v7i3.7","url":null,"abstract":"<p><strong>Background: </strong>Antimicrobial resistance (AMR) poses a global threat to public health with sub-Saharan Africa facing a substantial burden. Our study assessed the knowledge, attitude, and practices of antibiotic usage and resistance among people attending primary healthcare facilities in Rwanda.</p><p><strong>Methods: </strong>The cross-sectional study was conducted at three health centres in Kigali, and it involved 246 individuals. We used a close-ended questionnaire for data collection. The levels of knowledge, attitudes and practices were calculated as proportions of correct answers, with high, good, or positive being greater or equal to 70%. The chi-square test was used to find the association between demographic characteristics and knowledge, attitudes and practices.</p><p><strong>Results: </strong>Among 246 participants, 8 (3.2%) and 51 (20.7%) had high knowledge of antibiotic usage and antimicrobial resistance respectively. In addition, 81 (32.9%) had a positive attitude and 97 (39.4%) had good practices. Attitudes were significantly positive in males (p = 0.003) and among individuals with a university education (p = 0.007). Knowledge of antimicrobial resistance was significantly high in males (p-value = 0.047).</p><p><strong>Conclusion: </strong>Limited levels of knowledge, attitude and practices on antibiotic usage and resistance were found, with women having lower levels in multiple aspects. Strategies to promote rational use of antibiotics ought to address social inequities.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 3","pages":"454-470"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500328","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}
引用次数: 0
Post-traumatic Stress Disorders among Survivors of Road Traffic Crash injuries aged 18 Years and above, in Kigali City, Rwanda. 卢旺达基加利市18岁及以上道路交通事故受伤幸存者的创伤后应激障碍。
Rwanda journal of medicine and health sciences Pub Date : 2024-11-30 eCollection Date: 2024-11-01 DOI: 10.4314/rjmhs.v7i3.4
Aimable Mutayomba, Japheths Ogendi
{"title":"Post-traumatic Stress Disorders among Survivors of Road Traffic Crash injuries aged 18 Years and above, in Kigali City, Rwanda.","authors":"Aimable Mutayomba, Japheths Ogendi","doi":"10.4314/rjmhs.v7i3.4","DOIUrl":"10.4314/rjmhs.v7i3.4","url":null,"abstract":"<p><strong>Background: </strong>Post-traumatic Stress Disorder (PTSD) affects approximately 4% of the world's population and is one of the most prevalent mental illnesses among survivors of road traffic crashes; however, it has received little attention in the clinical setting.</p><p><strong>Objective: </strong>The objective of this study was to evaluate the prevalence and factors associated with PTSD among survivors of road traffic crash injuries aged not less than 18 years obtaining follow-up care in public hospitals in Kigali, Rwanda.</p><p><strong>Methods: </strong>This cross-sectional study included 288 survivors of road traffic crash injuries who were obtaining care in three public hospitals in Kigali for two months, from 1st August to 30th September 2023. The PTSD was diagnosed using a clinician-administered PTSD scale described in DSM V. Binary logistic regression was used to identify the factors linked to PTSD. The previous history of traumatic events was assessed using a Life Event Checklist for Diagnostic Statistical Manual-V (DSM-V).</p><p><strong>Results: </strong>Of the 288 survivors, 50 (17.36%), were diagnosed to experience PTSD. The following were found to be positively associated with PTSD: age bracket of 32 to 38 (p = 0.001) and 39 to 45 years (p=0.001); absence of formal education (p=0.03); a history of family conflict (p=0.001); severe injuries (p=0.001); and; history of previous traumatic event (p=0.02).</p><p><strong>Conclusion: </strong>Post-traumatic stress disorder is a public health concern among RTC survivors. Screening programs that capture PTSD should be an important intervention strategy.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 3","pages":"423-434"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500329","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}
引用次数: 0
User Satisfaction with Technology-Enhanced Health Insurance among Community-Based Health Insurance Users: A Survey at one Selected Referral Hospital, Rwanda. 基于社区的健康保险用户对技术增强的健康保险的满意度:在卢旺达一家选定的转诊医院进行的调查。
Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.16
Ferdinand Maniriho Maombi, Erigene Rutayisire
{"title":"User Satisfaction with Technology-Enhanced Health Insurance among Community-Based Health Insurance Users: A Survey at one Selected Referral Hospital, Rwanda.","authors":"Ferdinand Maniriho Maombi, Erigene Rutayisire","doi":"10.4314/rjmhs.v7i2.16","DOIUrl":"10.4314/rjmhs.v7i2.16","url":null,"abstract":"<p><strong>Background: </strong>Expanding health insurance coverage is crucial for improving access to healthcare services in Africa. While Rwanda has successfully implemented a community-based health insurance scheme (Mutuelle de Santé), the transition from traditional paperbased systems to Technology-based platforms presents a new challenge. Understanding user satisfaction with these new platforms is critical for their long-term success.</p><p><strong>Objective: </strong>This study seeks to investigate the satisfaction level of community health insurance users attending the Outpatient Department at One selected Referral Hospital in Rwanda.</p><p><strong>Methods: </strong>The mixed-methods study used an explanatory sequential design among 384 Community Based Health Insurance (CBHI) users. A structured questionnaire used for data collection; Analysis was done using Statistical Package for Social Sciences Version 21.</p><p><strong>Results: </strong>The majority of participants (81.3%) expressed satisfaction. Young participants aged <20 years (AOR:1.96, 95% CI:1.037-2.718, p=0.003) Young participants are very satisfied. Limited medication availability and internet reliance hindered user experience. Healthcare providers faced increased workload from managing patient files and the CBHI system. Improved payment processes and patient verification streamlined billing, saving time and reducing errors.</p><p><strong>Conclusion: </strong>The findings indicate a generally positive satisfaction and factors such as age, education, marital status, occupation, health insurance, and presence of under 5 children were found to be associated with satisfaction levels.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"286-301"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500285","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}
引用次数: 0
Barriers to Community Pharmacists' Prescribing Role in Limpopo Province, South Africa: A Qualitative Study. 南非林波波省社区药剂师开处方的障碍:一项定性研究。
Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.1
Noko Brilliant Moloto, Tiisetso Aubrey Chuene, Kgaugelo Daphney Makgopa, Koketso Malekhwekhwe Mogano, Mmakgwedi Unika Rakgoale, Manase Sarender Rekhotho
{"title":"Barriers to Community Pharmacists' Prescribing Role in Limpopo Province, South Africa: A Qualitative Study.","authors":"Noko Brilliant Moloto, Tiisetso Aubrey Chuene, Kgaugelo Daphney Makgopa, Koketso Malekhwekhwe Mogano, Mmakgwedi Unika Rakgoale, Manase Sarender Rekhotho","doi":"10.4314/rjmhs.v7i2.1","DOIUrl":"10.4314/rjmhs.v7i2.1","url":null,"abstract":"<p><strong>Background: </strong>The healthcare system had rapidly advanced with greater focus on improving the quality of healthcare and safety of patients. Parallel with the transforming healthcare systems, new policies have emerged to allow pharmacists to prescribe. Little is known about the barriers to community pharmacists' prescribing role in Limpopo province.</p><p><strong>Purpose: </strong>The purpose of this study was to explore the barriers to community pharmacists' prescribing role in Limpopo province and give recommendations to enhance pharmacists' prescribing role at community pharmacies.</p><p><strong>Methodology: </strong>This was a qualitative study in which community pharmacists in Polokwane were interviewed. Due to data saturation, 14 pharmacists participated. Data collection was through semi-structured face-to-face interviews. The interviews were audio-recorded, transcribed verbatim and analysed using Tesch's open coding method.</p><p><strong>Results: </strong>Most participants reported their readiness to prescribe and viewed it as a positive initiative. Results revealed barriers associated with the prescribing role such as lack of knowledge and awareness of the supplementary program, lack of dedicated time for prescribing, lack of recognition from employer, lack of support from medical doctors, and limited scope of practice.</p><p><strong>Conclusion: </strong>Pharmacists' prescribing role is a great initiative that will strengthen the healthcare system however the identified barriers need to be addressed to ensure that pharmacists offer safe and effective patient-centred healthcare. A coordinated effort is therefore necessary for the formulation of clear policy frameworks, including more training facilities, increasing stakeholder awareness to support pharmacist prescribing role, and identifying financial, infrastructure, and other resource demands to support the smooth integration of pharmacist prescribing.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"106-119"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500319","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}
引用次数: 0
"How can I seek a consultation if I don't have a high fever ?": Barriers to Mental Healthcare Access for Women in the Perinatal Period in Rwanda. “如果我不发高烧,我该如何寻求咨询?”:卢旺达围产期妇女获得精神保健的障碍。
Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.17
Providence M Umuziga, Darius Gishoma, Hynie Michaela, Laetitia Nyirazinyoye, Gerard Nyiringango
{"title":"<i>\"How can I seek a consultation if I don't have a high fever ?\"</i>: Barriers to Mental Healthcare Access for Women in the Perinatal Period in Rwanda.","authors":"Providence M Umuziga, Darius Gishoma, Hynie Michaela, Laetitia Nyirazinyoye, Gerard Nyiringango","doi":"10.4314/rjmhs.v7i2.17","DOIUrl":"10.4314/rjmhs.v7i2.17","url":null,"abstract":"<p><strong>Background: </strong>Literature highlights barriers to mental healthcare access in the perinatal period, but none specific to Rwanda. The unique historical context of the genocide against the Tutsi may present distinct challenges. This study aimed to identify these barriers in Rwanda.</p><p><strong>Methods: </strong>This study employed a qualitative interpretive descriptive approach as part of a multimethod investigation. Four focus group discussions were conducted with 31 perinatal women, and 32 individual interviews were conducted with healthcare providers, including community health workers. Data were analysed thematically.</p><p><strong>Results: </strong>Barriers were identified at multiple levels. At the individual level, barriers included low literacy about perinatal mental health symptoms, minimizing negative experiences, fear of being stigmatized, ignorance about the availability of mental health services in the perinatal period, and economic challenges. Family and social-cultural barriers included stigmatization of people with mental health problems, minimization of what happened by friends and family, and lack of support from partners and friends. Institutional and structural barriers included limited services, misdiagnosis, heavy workloads, staff unawareness, and lack of training and guidelines for screening and reporting.</p><p><strong>Conclusion: </strong>This study identified barriers to perinatal mental healthcare at individual, family and social-cultural, institutional and structural levels. Addressing these barriers requires targeted strategies to improve perinatal mental healthcare access across all identified levels.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"302-318"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500368","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}
引用次数: 0
Knowledge, Attitude, and Practice towards Prevention of Hypertension among Pregnant Women Attending Antenatal Care Clinic at a District Hospital in Kigali City. 基加利市某地区医院产前保健门诊孕妇预防高血压的知识、态度和做法
Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.7
Dieudonne Muhire Havugimana, Michael Habtu, Japheths Ogendi
{"title":"Knowledge, Attitude, and Practice towards Prevention of Hypertension among Pregnant Women Attending Antenatal Care Clinic at a District Hospital in Kigali City.","authors":"Dieudonne Muhire Havugimana, Michael Habtu, Japheths Ogendi","doi":"10.4314/rjmhs.v7i2.7","DOIUrl":"10.4314/rjmhs.v7i2.7","url":null,"abstract":"<p><strong>Background: </strong>Hypertensive disorders during pregnancy (HDP) pose significant risks globally. Adequate knowledge of HDP aids in prevention. This study aimed to assess knowledge, attitude, and practice towards preventing hypertension among pregnant women attending antenatal care at Muhima District Hospital in Kigali city.</p><p><strong>Methodology: </strong>Altogether, 384 pregnant women receiving antenatal care at Muhima Hospital were surveyed to obtain their knowledge, attitudes, and practices regarding hypertension prevention. A descriptive cross-section study was used; a bivariate and multivariate analysis with odds ratios (OR) and 95% confidence intervals were calculated to investigate associations with preventive practices.</p><p><strong>Results: </strong>The participants' ages ranged from 18 to 45 with a mean of 32.4(SD±.838). Majority were in the age range of 32-38 years. 291 (75.8%) had low knowledge about preventing hypertension, and 226 (58.9%) had negative attitudes toward hypertension prevention among pregnant women. Additionally, 226(58.9%) exhibited low preventive practices. Multivariate logistic regression revealed that higher education (AOR=6.79; 95%CI: 2.02 - 22.93), third wealth category (AOR=3.34: 95%CI: 1.72 - 6.49), and higher knowledge (AOR=2.18: 95 %CI: 1.25 - 3.80) were associated with hypertension prevention practices.</p><p><strong>Conclusion: </strong>These findings highlight the need for targeted education on hypertension prevention for pregnant women. Prioritizing educational programs can improve knowledge and proactive healthcare practices.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"178-191"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500369","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}
引用次数: 0
Prevalence and Risk Factors for Surgical Site Infections among Patients in Referral Hospitals in Rwanda. 卢旺达转诊医院患者手术部位感染的患病率和危险因素。
Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.14
Aloys Niyomugabo, Madeleine Mukeshimana, Anita Collins, Felix Bongomin, Geldine Chironda
{"title":"Prevalence and Risk Factors for Surgical Site Infections among Patients in Referral Hospitals in Rwanda.","authors":"Aloys Niyomugabo, Madeleine Mukeshimana, Anita Collins, Felix Bongomin, Geldine Chironda","doi":"10.4314/rjmhs.v7i2.14","DOIUrl":"10.4314/rjmhs.v7i2.14","url":null,"abstract":"<p><strong>Background: </strong>Post-operative surgical site infections (SSIs) are a global public health problem, disproportionately affecting developing countries. The purpose of this study was to identify the prevalence and risk factors for SSIs among patients admitted to tertiary hospitals in Rwanda.</p><p><strong>Methods: </strong>A retrospective cross-sectional involving 396 medical files for surgical patients discharged between July 2020, and December 2021 to assess the prevalence and risk factors associated with surgical site infections. Univariate and multivariable logistic regression analyses were performed using SPSS version 25.</p><p><strong>Results: </strong>Of 396 participants, 121(30.6%) developed SSIs. SSIs was significantly associated with spending more than 120 minutes (COR = 2.87, 95% CI: 1.58-5.23) in operation and undergoing emergency admission (COR = 1.66, 95% CI: 1.08-2.57) were associated with higher odds of developing surgical site infections. In multivariable analysis, after controlling for covariates, spending more than 120 minutes in operation (AOR = 2.52, 95% CI: 1.29-4.93) and undergoing emergency admission (AOR = 1.68, 95% CI: 1.032.73) remained significantly associated with surgical site infections.</p><p><strong>Conclusion: </strong>The 30.6% of surgical patients developed post-operative SSIs despite receiving prophylactic antibiotic. Therefore, regular infection surveillance and adherence to preoperative, intraoperative, and postoperative infection prevention measures are crucial to reduce the burden of SSIs.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"260-272"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500373","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}
引用次数: 0
Exploring Key Stakeholders' Perceptions of Air Quality and its Effects on Children in School Environments in Kigali, Rwanda: A qualitative study. 探索主要利益相关者对空气质量的看法及其对卢旺达基加利学校环境中儿童的影响:一项定性研究。
Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.18
Noel Korukire, Judith Mukamurigo, Ana Godson, Jean de Dieu Habimana, Anne Marie Uwitonze, Theoneste Ntakirutimana
{"title":"Exploring Key Stakeholders' Perceptions of Air Quality and its Effects on Children in School Environments in Kigali, Rwanda: A qualitative study.","authors":"Noel Korukire, Judith Mukamurigo, Ana Godson, Jean de Dieu Habimana, Anne Marie Uwitonze, Theoneste Ntakirutimana","doi":"10.4314/rjmhs.v7i2.18","DOIUrl":"10.4314/rjmhs.v7i2.18","url":null,"abstract":"<p><strong>Background: </strong>There is limited knowledge about educational stakeholders' perceptions of air quality in school environments and its effects on schoolchildren. This study explored various perspectives of educational stakeholders, including their perceptions of air quality in school settings, the perceived effects, and the current strategies employed to enhance air quality in schools.</p><p><strong>Methods: </strong>This study was conducted with a qualitative approach. The researchers conducted a total of 16 in-depth interviews with schools and staff of the city of Kigali. The collected data were analyzed using thematic analysis.</p><p><strong>Results: </strong>Participants perceive the morning and evening as the most polluted period of the day. Overcrowding, poor quality of chalk, and inadequate ventilation are perceived as the primary contributors to poor air quality within school premises. The perceived adverse effects include respiratory problems, increased absenteeism, poor school performance and school dropout. Additionally, the unavailability of well-defined air quality standards was highlighted as a barrier to achieving optimal air quality in school environments.</p><p><strong>Conclusion: </strong>This study has revealed that most educational stakeholders perceive air pollution as a significant environmental problem that adversely affects the health and comfort of schoolchildren. The study advocates for the promotion of collaborative efforts across various disciplines to formulate and implement strategies aiming at improving air quality in schools.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"319-337"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500320","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}
引用次数: 0
Strategies to Sustain Interprofessional Collaboration in Emergency Obstetric and Neonatal Care in Rwanda: Perspectives of Healthcare Professionals and Hospital Managers. 维持卢旺达产科急诊和新生儿护理专业间合作的战略:保健专业人员和医院管理人员的观点。
Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.19
Assumpta Yamuragiye, Aimable Nkurunziza, Thierry Claudien Uhawenimana, Jean Pierre Niyitegeka
{"title":"Strategies to Sustain Interprofessional Collaboration in Emergency Obstetric and Neonatal Care in Rwanda: Perspectives of Healthcare Professionals and Hospital Managers.","authors":"Assumpta Yamuragiye, Aimable Nkurunziza, Thierry Claudien Uhawenimana, Jean Pierre Niyitegeka","doi":"10.4314/rjmhs.v7i2.19","DOIUrl":"10.4314/rjmhs.v7i2.19","url":null,"abstract":"<p><strong>Introduction: </strong>Interprofessional collaboration (IPC) is beneficial in delivering quality healthcare. Lack of IPC increases healthcare errors and work under stress. Despite its importance, achieving a desired IPC continue to be a challenge worldwide. In Rwanda, different maternal death audits identified poor IPC as one of the contributing factors. However, there is no study conducted to identify strategies to improve IPC in obstetric and neonatal care. Accordingly, this study explored the perspectives of healthcare professionals and hospital managers on strategies to sustain inter professional collaboration in EmONC.</p><p><strong>Methodology: </strong>A qualitative descriptive study was conducted to explore suggestions and strategies to improve IPC in five hospitals in the northern province of Rwanda. Thirty interviews were conducted among general nurses, midwives, nurse anesthetists and medical doctors. To delve deeper into this study, additional interviews were conducted among hospital managers. Thematic analysis was used to analyze data.</p><p><strong>Results: </strong>The findings revealed that strategies to improve IPC practice were: Trainings on IPC; availability of resources; interprofessional conflict resolution; recognition and rewarding; open and constant communication and research.</p><p><strong>Conclusion: </strong>Based on perspectives from different healthcare professionals working in obstetrics and neonatal units, and their managers, all staff need IPC training focusing on communication as one of important aspect in IPC practice. Regular audits should be conducted to ensure protocols are followed and IPC challenges are constantly identified and addressed.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"338-349"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500283","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}
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