{"title":"Factors Associated with Adherence to Medication among Hypertensive Patients in a District Hospital, Northern Province, Rwanda.","authors":"Denys Abazimana, Rosemary Okova, Michael Habtu","doi":"10.4314/rjmhs.v7i2.4","DOIUrl":"10.4314/rjmhs.v7i2.4","url":null,"abstract":"<p><strong>Background: </strong>Globally, half of cardiovascular deaths are related to hypertension. Unfortunately, sub-Saharan Africa is burdened with lower adherence to anti-hypertensive medications. Hence, to successful-ly control and prevent the now-increasing hypertension crisis and its complications is to ensure good adherence to anti-hypertensive medications.</p><p><strong>Aim: </strong>The aim of this study was to assess factors associated with adherence to hypertensive medica-tions among hypertensive patients in a district hospital of Northern Province in Rwanda.</p><p><strong>Methods: </strong>A cross-sectional analytical study was conducted on 272 hypertensive patients. Data were ana-lyzed using SPSS version 21.0 in which bivariate and multivariable analyses were performed. The significance level was set at p < 0.05; and odds ratio and adjusted odds ratios with 95% confidence intervals (CI) were calculated.</p><p><strong>Results: </strong>Self-reported adherence was 64.3%. Factors associated with adherence to hypertension medi-cations were being a female (AOR= 4.188, 95% CI [1.555-11.281], p=0.005); having been diag-nosed and on treatment for five years or more (AOR=33.35, 95% CI [5.016-221.2851], p<0.001), good belief of medication (AOR=16.867 95% CI [5.438-52.321], p<0.001), taking medication even when there are no symptoms (AOR: 24, 95% CI [4.831-119.281], p<0.001); in the past hav-ing been a smoker but stopped (AOR: 9.348, 95%CI [2.594-33.686], p=0.001).</p><p><strong>Conclusion: </strong>Adherence was low, and multiple factors were associated. As a result, there is a need to develop and strengthen strategies aiming at improving medication adherence among hypertensive pa-tients by addressing the factors associated.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"140-150"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500321","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":"Prevalence, Knowledge, Attitude, and Factors Associated With Practices of High Blood Pressure Prevention among Employees of an Authority in Kigali City.","authors":"Joyce Icyimpaye, Japheths Ogendi","doi":"10.4314/rjmhs.v7i2.9","DOIUrl":"10.4314/rjmhs.v7i2.9","url":null,"abstract":"<p><strong>Background: </strong>Hypertension is becoming a burden globally with a significant shift in developing countries resulting from rapid urbanization with associated changes in lifestyles. In Rwanda, there is limited knowledge about high blood pressure and its prevention measures practices among office workers.</p><p><strong>Objective: </strong>This study assessed the prevalence, knowledge, attitude, and factors associated with practices to prevent high blood pressure among employees of an authority in Kigali City.</p><p><strong>Methods: </strong>A cross-sectional study was undertaken with 166 employees of Rwanda FDA to collect data on blood pressure levels, knowledge, attitude and practice toward prevention of High Blood Pressure. Bivariate and multivariate logistic regression analysis were carried out using SPSS version 21.</p><p><strong>Results: </strong>The study surveyed 166 participants, mostly male (61.4%). High blood pressure prevalence was 4.8%, 81.3% had good knowledge, 69.3% had positive attitude, and 7.2% had good practice. This study discovered that the respondents with poor knowledge were less likely to have good practice.</p><p><strong>Conclusion: </strong>The study revealed lower blood pressure prevalence and high knowledge among participants, however, some knowledge questions on hypertension symptoms and complications were not answered correctly. Moreover, a quarter of participants with High blood pressure were unaware of their condition. These findings highlighted the need for public health education and awareness programs.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"204-216"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500375","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}
Innocent Mwiseneza, Aline Umuhoza, Reverien Rutayisire, Albert Ndagijimana
{"title":"Knowledge and Attitudes of Circumcision among Adult Male Clients Receiving Care in a Teaching Hospital in Kigali City, Rwanda.","authors":"Innocent Mwiseneza, Aline Umuhoza, Reverien Rutayisire, Albert Ndagijimana","doi":"10.4314/rjmhs.v7i2.21","DOIUrl":"10.4314/rjmhs.v7i2.21","url":null,"abstract":"<p><strong>Background: </strong>Surgical male circumcision is one of the oldest and most frequently performed surgical procedures in the world. It reduces the risk of heterosexually acquired HIV infection by around 60%. Knowledge and Attitudes toward male circumcision are still a concern in Rwanda as male circumcision is not traditionally widespread in the country. This study assessed the knowledge and attitudes of male clients attending RMH regarding circumcision.</p><p><strong>Methodology: </strong>A cross-sectional study design was used. Participants were 355 adult males and data was collected during 10 days. A structured questionnaire was used. Descriptive and analytical statistics were computed and OR, p values were presented in tables.</p><p><strong>Results: </strong>The participants were sufficiently knowledgeable at 79.4% (n=282) and had positive attitudes at 57.7% (n=205) towards medical male circumcision(MMC). Private sector employees, method used for MMC, positive attitude, and proof of manhood were associated with knowledge with COR=0.291, (CI=0.095-0.891), p-value 0.031; COR=1.872, (CI=1.076-3.258], p-value 0.026; COR=0.492, (CI=0.255-0.767), p-value 0.004; COR=2.336, (CI=1.329-4.107) p-value 0.003 respectively. Community encouragement and knowledge were associated with attitude COR=1.680, (CI=1.025-2.753), p-value 0.040; COR=0.413, (CI=0.245-0.696), p-value 0.001 respectively.</p><p><strong>Conclusion: </strong>Knowledge of male circumcision was sufficient and attitudes were positive. Generally, participants were highly motivated and knowledgeable about MMS.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"359-371"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500326","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":"Kidnapping-Induced Post-Traumatic Stress Disorder in an Elderly Nigerian Woman: Biopsychosocial Insights and Cognitive Processing Therapy Outcomes.","authors":"Tajudeen Abiola, Olugbenga Ola Fajimolu","doi":"10.4314/rjmhs.v7i2.23","DOIUrl":"10.4314/rjmhs.v7i2.23","url":null,"abstract":"<p><strong>Background: </strong>In Nigeria, the rising prevalence of kidnapping incidents has led to significant psychological impacts on victims. This study explores the biopsychosocial consequences of kidnapping-induced post-traumatic stress disorder (PTSD) in an elderly Nigerian woman and assesses the efficacy of Cognitive Processing Therapy (CPT) as a therapeutic intervention.</p><p><strong>Objectives: </strong>To examine the psychological aftermath of kidnapping through a biopsychosocial lens and evaluate the outcomes of CPT in treating PTSD symptoms in a 65-year-old Nigerian woman.</p><p><strong>Methods: </strong>An elderly Nigerian woman who experienced a kidnapping event, was assessed for PTSD using the Acute Stress Disorder Scale and PTSD Checklist (PCL). She underwent six sessions of CPT, and her progress was evaluated using the PCL, Brief Resilience Scale and Spirituality Self-Rating Scale.</p><p><strong>Results: </strong>The patient initially exhibited severe PTSD and acute stress disorder. After the intervention, her PTSD symptoms significantly reduced from severe to moderate levels. Additionally, her resilience and spirituality scores increased, indicating an overall improvement in her psychological state.</p><p><strong>Conclusion: </strong>The case highlights the significant psychological impact of kidnapping and effectiveness of CPT in reducing PTSD symptoms. The findings underscore the importance of incorporating resilience and spirituality into holistic treatment strategies for managing the psychological effects of traumatic experiences like kidnapping.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"380-385"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500324","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":"Kidney Impairment in HIV/AIDS Patients Attending Kabutare Level II Teaching Hospital, Southern Province of Rwanda.","authors":"Augustin Nzitakera, Claudine Muhawenimana, Charite Niyikiza, Merveille Nzayihimbaza, Sandrine Umutoniwase, Anathalie Umuhoza, Vedaste Nsanzimana, Emmanuel Rubayiza, Herbert Tendayi Mapira, Alphonse Niyodusenga, Cuthbert Musarurwa","doi":"10.4314/rjmhs.v7i2.5","DOIUrl":"10.4314/rjmhs.v7i2.5","url":null,"abstract":"<p><strong>Background: </strong>HIV infection itself and antiretroviral therapy (ART) can lead to the impaired kidney function that in turn can significantly impact the quality of life and clinical outcomes in people living with HIV. In this study, we evaluated kidney function status in Rwandan people using serum creatinine levels which were lacking in the existing reports.</p><p><strong>Objective: </strong>To determine the prevalence and associated risk factors of kidney impairment in patients infected with HIV attending Kabutare level II teaching hospital in southern Rwanda.</p><p><strong>Methods: </strong>An analytical cross-sectional study was carried out on 179 HIV infected and 179 uninfected patients. Weight and height were measured and a blood sample was drawn from each participant for measurement of serum creatinine. Statistical tools were used to determine the association between kidney impairment and participants characteristics.</p><p><strong>Results: </strong>Among the 358 participants, 19% HIV positive and 1.7% HIV uninfected participants had GFR impairment. Gender (χ<sup>2</sup> = 4.566; p = 0.033) and advancing age (χ<sup>2</sup> = 24.991; p < 0.001) were identified as independent predictors for kidney impairment.</p><p><strong>Conclusion: </strong>Patients infected with HIV are at higher risk of developing kidney impairment compared to the HIV uninfected. Routine surveillance of kidney function in patients infected with HIV is paramount.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"151-164"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500325","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":"Male Involvement in Family Planning Services Utilization and Associated Factors in Musanze District, Northern Rwanda.","authors":"Emmanuel Ndahiro Manirafasha, Clemence Nishimwe","doi":"10.4314/rjmhs.v7i2.13","DOIUrl":"10.4314/rjmhs.v7i2.13","url":null,"abstract":"<p><strong>Background: </strong>Male involvement in family planning (FP) is crucial for reducing unplanned pregnancies, unsafe abortions, and maternal and child mortality. As primary decision-makers in many African households, men significantly influence women's use of contraceptive methods. However, male participation in FP services remains limited for various reasons. This study aims to assess male involvement in FP services and associated factors in Musanze district, Northern Rwanda.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 397 married men in Musanze district. Participants were selected using simple random sampling. Data were collected through pre-tested, interview-administered questionnaires. Multivariable logistic regression analysis identified factors associated with male involvement in FP services.</p><p><strong>Results: </strong>The overall level of male involvement in FP services was 36.7%. Male involvement was influenced by age (OR=6.199, 95% CI: 1.727-22.251), employment status (OR=2, 95% CI: 1.24-3.224) and distance to the FP facilities (OR=0.071, 95% CI: 0.009-0.579).</p><p><strong>Conclusion: </strong>Male involvement in FP services in Musanze district is low. Factors such as age, employment, and distance to FP facilities influence male involvement in FP. Integrating men into existing FP services could enhance utilization and sustainability.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"248-259"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500370","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":"Radiographic Spectrums of Adults with Traumatic Femoral Shaft Fracture in the South-West, Nigeria.","authors":"Omotayo Oluseyi Osinaike, Abiola Omobonike Adekoya, Mobolaji Abiodun Jaiyesimi, Racheal Adeyanju Akinola, Babajide Olawale Balogun","doi":"10.4314/rjmhs.v7i2.2","DOIUrl":"10.4314/rjmhs.v7i2.2","url":null,"abstract":"<p><strong>Background: </strong>Femoral shaft fracture injuries are common in our environment. The weight-bearing function of the femur makes its damage important in the young and adult population, as it leads to prolonged immobilization and hospitalization, which may result in pulmonary embolism and even death.</p><p><strong>Objectives: </strong>To determine the relationship between the mechanism of injury and the patterns of fractures on the plain radiographs of adults with femoral shaft fractures.</p><p><strong>Methods: </strong>A cross-sectional study of 390 adults with 402 femoral shaft fractures at three tertiary hospitals' Surgical Emergency and Orthopedics units was carried out over one year using plain radiographs. The demographics, fracture etiology, fracture site, and associated injuries were evaluated. Data were analyzed using the IBM SPSS Statistics for Windows version 23.0 (IBM Corp, Armonk, NY, USA).</p><p><strong>Results: </strong>The mean age was 40.93 (SD=16.3) years. Road traffic accidents (82.8%) were the commonest etiology, while mid-shaft fracture (52.2%) and comminuted fractures (36.3%) were the most common fracture sites and fracture patterns, respectively. Soft tissue injuries were commonly associated.</p><p><strong>Conclusion: </strong>Road traffic accident was the most common cause of femoral shaft fracture. The pattern of femoral fractures varied with age and the etiology of injury. Reducing road traffic accidents is key to decreasing femoral shaft fractures worldwide. The prompt assessment of femoral shaft fracture will enhance its effective management, reducing mortality and morbidity in affected individuals.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"120-130"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500282","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}
Aphrodis Nyirijuru, Jean Nepomuscene Renzaho, Andegiorgish Ammanuel Kidane, Japheths Ogendi
{"title":"Prevalence and Factors Associated with Postpartum Hemorrhage among Women who Delivered at Rwinkwavu District Hospital in the Eastern Province of Rwanda.","authors":"Aphrodis Nyirijuru, Jean Nepomuscene Renzaho, Andegiorgish Ammanuel Kidane, Japheths Ogendi","doi":"10.4314/rjmhs.v7i2.20","DOIUrl":"10.4314/rjmhs.v7i2.20","url":null,"abstract":"<p><strong>Background: </strong>More than 25% of maternal deaths in low and middle-income countries were due to post-partum hemorrhage (PPH). The PPH is considered as the maternal mortality leading cause worldwide. The aim of this study was to determine the prevalence of postpartum hemorrhage and to identify its associated factors among women who delivered at Rwinkwavu District Hospital in the Eastern Province of Rwanda.</p><p><strong>Methods: </strong>A facility based cross-sectional study design, was used. Four hundred ten (410) participants were selected systematically. The SPSS version 21 was used for data analysis. Descriptive statistics were used to determine the prevalence of PPH at Rwinkwavu District Hospital. Chi-square test and multivariable logistic regression were used to generate adjusted odds ratios with 95%CI to identify the PPH associated factors. The findings were considered significant for p-value <0.05.</p><p><strong>Results: </strong>The PPH prevalence was 15.1%. The odds of bleeding in postpartum were 2.411 times [AOR=2.411, 95%CI: 1.027-5.661, p-value=0.043] higher among married women than single ones. Women who delivered by Cesarean section were 3.092 times more likely to bleed in postpartum [AOR=3.092, 95%CI: 1.176-8.128, p<0.001] compared to those who delivered normally. Women whose delivery labors were induced were 25.689 times more likely to suffer from PPH [AOR=25.689, 95%CI: 3.864-45.759, p<0.001] compared to those whose labor was not induced. Women with prolonged labor were 11.391 times more likely to bleed in postpartum [AOR=11.391, 95%CI: 5.011-25.893, p<0.001] compared to those with normal length of delivery labor.</p><p><strong>Conclusion: </strong>The prevalence of PPH was high, and this is a great public health concern; therefore, the Ministry of Health and health facilities need to strengthen strategies to prevent PPH. Marital status, mode of delivery, labor induction and prolonged labor were significantly associated with PPH.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"350-358"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500372","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}
Benjamin Tuyishimire, Japhet Niyonsenga, Janvière Mutamuliza, Clementine Kanazayire, Jeanne Marie Ntete, Leon Mutesa, Jean Mutabaruka
{"title":"A Comparative Study of Mental Health Challenges in Parents of Children with Genetic versus Non-Genetic Conditions in Rwanda.","authors":"Benjamin Tuyishimire, Japhet Niyonsenga, Janvière Mutamuliza, Clementine Kanazayire, Jeanne Marie Ntete, Leon Mutesa, Jean Mutabaruka","doi":"10.4314/rjmhs.v7i2.6","DOIUrl":"10.4314/rjmhs.v7i2.6","url":null,"abstract":"<p><strong>Background: </strong>This study addresses a critical gap in research by examining the psychosocial impact on parents of children with genetic diseases compared to those with non-genetic conditions. While existing literature mainly focuses on medical aspects, it overlooks the emotional and mental health challenges faced by these parents.</p><p><strong>Objectives: </strong>The main objective was to investigate and compare levels of depression, anxiety, perceived stress, parenting stress, self-esteem, and intimate partner violence between parents of children with genetic diseases and parents of children with non-genetic conditions.</p><p><strong>Method: </strong>A cross-sectional comparative study was conducted with 100 caretakers of children with genetic diseases and 109 caretakers of patients with non-genetic diseases. Data were collected using standardized measures of self-esteem, intimate partner violence, perceived stress, and the Parenting Stress. Independent sample t-tests were performed to compare the means between the two groups.</p><p><strong>Results: </strong>Parents of children with genetic diseases exhibited significantly higher levels of depression (t(207) = 5.683, p < 0.001), anxiety (t(207)= 6.107, p<0.001), perceived stress (t(207)=11.680, p<0.001), parenting stress (t(207)= 12.893, p<0.001), and intimate partner violence (t(207)= 10.617, p < 0.001) compared to parents of children with non-genetic conditions. Low self-esteem was also more prevalent in the case group (t(207)=-14.565, p<0.001).</p><p><strong>Conclusion: </strong>These findings underscore the urgent need for comprehensive support systems to address the psychosocial challenges faced by parents and caregivers of children with genetic diseases. Recognition and targeted interventions for these issues can significantly enhance healthcare services, benefiting both patients and their parents.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"165-177"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500318","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}
Jean Jacques Safari Musirakumva, Jean Nepomuscene Renzaho, Alphonse Habineza
{"title":"Prevalence of Anemia and Associated Factors among Pregnant Women in Kigeme Refugee Camp, Rwanda.","authors":"Jean Jacques Safari Musirakumva, Jean Nepomuscene Renzaho, Alphonse Habineza","doi":"10.4314/rjmhs.v7i2.12","DOIUrl":"10.4314/rjmhs.v7i2.12","url":null,"abstract":"<p><strong>Background: </strong>The most prevalent nutritional deficiency experienced by pregnant women is anemia, which is defined as a hemoglobin level below 11 g/dl in a pregnant woman. This study aimed at determining the prevalence of anemia and identifying its associated factors among pregnant women in Kigeme Camp, Rwanda.</p><p><strong>Methods: </strong>A cross-sectional, quantitative approach was used. Two hundred twenty one participants were chosen by a systematic sampling technique. A questionnaire was used to collect data and SPSS version 21 was used for data analysis. A p-value of 5% or less was set for significance. Multivariable analysis was utilized to identify the factors associated to anemia.</p><p><strong>Results: </strong>The anemia prevalence among pregnant women in Kigeme Refugee Camp was 20.8%. Not eating variety of food (AOR= 4.72, 95%CI: 1.77-12.57, p=0.002), sleeping hungry (AOR=0.45, 95%CI: 0.27-0.73, p=0.001), iron/folic acid supplementation (AOR=5.83, 95%CI: 2.04-16.68, p=0.001), use of modern contraceptives (AOR=2.12, 95%CI: 1.09-4.10, p=0.025), bleeding during pregnancy (AOR=0.26, 95%CI: 0.17-0.64, p=0.001) and not eating food from animals were significantly associated to the occurrence of anemia among study participants.</p><p><strong>Conclusion: </strong>The current study's findings will be critical for policymakers in designing strategic interventions; it will provide information necessary for different concerned stakeholders, especially clinicians and policy makers who involve in designing anemia curative and preventive measures.</p>","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"239-247"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500374","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}