Rwanda journal of medicine and health sciences最新文献_第5页

Survival Status and Associated Factors among Under-Five Children Managed with Congenital Heart Diseases in Addis Ababa Ethiopia: A Retrospective Follow-up Study. 埃塞俄比亚亚的斯亚贝巴5岁以下先天性心脏病患儿的生存状况及相关因素：一项回顾性随访研究

Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.8

Daba Suyum Jaleta, Girum Sebsibie Teshome, Yeshi Birhan Nega, Yosief Tsigie Radie

{"title":"Survival Status and Associated Factors among Under-Five Children Managed with Congenital Heart Diseases in Addis Ababa Ethiopia: A Retrospective Follow-up Study.","authors":"Daba Suyum Jaleta, Girum Sebsibie Teshome, Yeshi Birhan Nega, Yosief Tsigie Radie","doi":"10.4314/rjmhs.v7i2.8","DOIUrl":"10.4314/rjmhs.v7i2.8","url":null,"abstract":"Background: Congenital heart disease is the most prevalent congenital abnormality with a prevalence of 9 per 1000 live births. Despite the advancements in medical and surgical care, congenital heart disease is high in developing countries including Ethiopia. The aim of this study is to assess Survival status and associated factors of under-five children managed with congenital heart diseases in Addis Ababa, Ethiopia.Methods: An Institution-based retrospective follow-up study design was used among under-five children managed with congenital heart disease. Data was collected by pretested checklist from 235 randomly selected patient charts. Kaplan-Meier survival analysis; log-rank test and cox proportional hazard were employed. SPSS version 26 was used for data analysis.Result: A total of 224 charts were reviewed. Thirty four of them died whereas 190 of them were censored. The survival status of CHD was 84.8% to five years. Cox regression identified the following factors to be significantly associated with mortality: weight at admission (AHR=19.023; P=0.004), types of interventions (AHR=73.016; P=0.007), pre-operative condition (AHR=65.097; P=0.0001), family history of heart disease (AHR=10.81; P=0.003), maternal history of substance use (AHR=46.67; P=0.001) and maternal history of viral infection (AHR=52.034; P<0.0001).Conclusion: This study showed that the survival status of all infants born with CHD was 84.8%. Mortality risk was decrease by 98.7% in surgically managed patients.","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"192-203"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500284","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

Profile of Perinatal Deaths at Masaka District Hospital in Kigali City, Rwanda: A Retrospective Cross Sectional Study. 卢旺达基加利市马萨卡地区医院围产期死亡概况：回顾性横断面研究

Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.15

Alain Nshimirimana, Japheths Ogendi

{"title":"Profile of Perinatal Deaths at Masaka District Hospital in Kigali City, Rwanda: A Retrospective Cross Sectional Study.","authors":"Alain Nshimirimana, Japheths Ogendi","doi":"10.4314/rjmhs.v7i2.15","DOIUrl":"10.4314/rjmhs.v7i2.15","url":null,"abstract":"Background: The global perinatal deaths and stillbirths in 2018 was alarming, with around 5 million perinatal deaths and 2 million stillbirths, predominantly concentrated in sub-Saharan Africa and South Asia (95%).Objective: To assess the profile and factors associated with perinatal deaths among deliveries conducted in a public district hospital in Kigali City, Rwanda.Methods: A retrospective cross-sectional study design was conducted using data from hospital files of neonates and mothers who delivered at Masaka District Hospital from January to December 2022. All 303 perinatal deaths were considered. Chi-square was performed for categorical variables to check the association between the outcome variable and predictor variable at significance level of 5%.Results: The perinatal mortality rate was 35.8 deaths per 1000 live births. The leading cause of perinatal death were maternal sepsis 67(22%), followed by prematurity 62(20.5%), birth asphyxia 30(9.9%) and congenital anomalies 17(5.6%). However, 88(29%) were with unknown causes. Perinatal deaths were statistically associated with maternal anemia (AOR: 29.904, P-value: 0.001), maternal STIs (AOR: 10.036, P-value: 0.036), delivery complications (AOR: 0.308, P-value: 0.003), and neonatal factors such as birth weight (AOR: 6.361, P-value: 0.015) and prematurity (AOR: 0.038, P-value: 0.001).Conclusion: The perinatal deaths at Masaka district hospital were relatively high. Management of following factors like prematurity, birth asphyxia, and maternal infection with high-quality care could significantly reduce perinatal deaths at district level.","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"273-285"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500376","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 Factors Associated with Low-Birth-Weight in Kicukiro District, Rwanda. 卢旺达基基基罗地区低出生体重的患病率及相关因素。

Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.3

Jeanne Mumporeze, Japheths Ogendi

{"title":"Prevalence and Factors Associated with Low-Birth-Weight in Kicukiro District, Rwanda.","authors":"Jeanne Mumporeze, Japheths Ogendi","doi":"10.4314/rjmhs.v7i2.3","DOIUrl":"10.4314/rjmhs.v7i2.3","url":null,"abstract":"Background: Low birth weight (LBW) and neonatal deaths have continued to be a major global challenge. The global prevalence of LBW is 15.5 per cent, which amounts to about 30 million LBW infants born each year, 96.5 per cent of them are found in developing countries according to the World Health Organization. This study aimed to assess the prevalence and factors associated with LBW amongst children aged 0 to 15 months at immunization clinics brought by mothers at health centers in Kicukiro district, Kigali city, Rwanda.Methods: A cross-sectional design, quantitative approach was used. Three hundred forty nine participants were chosen by a systematic sampling technique. A questionnaire using Open Data Kit (ODK) and SPSS version 21 were used for data collection and analysis respectively. Multivariable analysis was utilized to identify the factors associated with LBW for p-value <0.05.Results: The LBW prevalence in Kicukiro District, Kigali was 23.8%. Adolescent mothers under 18 years (AOR=32.49, p=002), pre-delivery weight loss (AOR=2.18, p=018) and multiple babies (AOR=6.16, p=004) were significantly associated with LBW.Conclusion: In conclusion, low birth weight is an important problem that needs to be addressed in Kicukiro district. Interventions would mainly focus on the key determinants of low birth weight relating to adolescent mothers under 18 years, pre-delivery weight loss and mothers with multiple babies.","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"131-139"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500371","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

Quality of Post-Cesarean Section Pain Management at Referral Hospital in Kigali Rwanda: A Cross-Sectional Study. 卢旺达基加利转诊医院剖宫产术后疼痛管理质量：一项横断面研究

Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.22

Emmanuel Habimana Sibomana, Eugene Tuyishime, Francoise Nizeyimana, Christian Mukwesi, Jean de Dieu Tuyishime, Bould M Dylan, Theogene Twagirumugabe

{"title":"Quality of Post-Cesarean Section Pain Management at Referral Hospital in Kigali Rwanda: A Cross-Sectional Study.","authors":"Emmanuel Habimana Sibomana, Eugene Tuyishime, Francoise Nizeyimana, Christian Mukwesi, Jean de Dieu Tuyishime, Bould M Dylan, Theogene Twagirumugabe","doi":"10.4314/rjmhs.v7i2.22","DOIUrl":"10.4314/rjmhs.v7i2.22","url":null,"abstract":"Background: Studies in high-income settings have demonstrated that pain management after Cesarean section leads to higher patients' satisfaction. However, little is known about the quality of pain management and patients' satisfaction among parturients undergoing cesarean in low resources settings.Methodology: A cross-sectional study was conducted for 385 parturients from May 2020 to October 2020 at a referral hospital in Kigali Rwanda. The sample size was calculated: S = Z2 × P × (1-P)/M2. S = (1.96)2 × 0.5 × (1-0.5)/(0.05)2 = 384.16≈385. Parturients aged over 18 years who underwent cesarean were enrolled prior to surgery and followed up within the first 24 hours post cesarean. Data on patients' characteristics, type of analgesia, type of anesthesia, pain scores, and patients' satisfaction were collected and analyzed.Results: Age group 26-33 years 199(51.7%) underwent cesarean section and 201(52, 2%) were elective cesarean section; 361 (93.8%) received spinal anesthesia. Most patients had pain control with low pain scores throughout the first 24 hours 90.1% except immediately after recovery admission 46.8% and 76.1% were satisfied. Morphine was associated with higher patients' satisfaction.Conclusion: The quality of post cesarean section pain management within 24 hours at hospital is good leading to satisfaction among most patients. However, the quality of pain management was lower after leaving the theatre compared to other post-operative periods; this requires intrathecal morphine which was not used.","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"372-378"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500377","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

International Internship Collaborations: Rwandan Nephrology Graduate Nurses Describe Their Experiences Abroad. 国际实习合作：卢旺达肾病学毕业生护士描述他们在国外的经历。

Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.10

Gerard Nyiringango, Pamela Meharry, Sandra Mg Musabwasoni, Alice Nyirazigama, Lakshmi Rajeswaran

{"title":"International Internship Collaborations: Rwandan Nephrology Graduate Nurses Describe Their Experiences Abroad.","authors":"Gerard Nyiringango, Pamela Meharry, Sandra Mg Musabwasoni, Alice Nyirazigama, Lakshmi Rajeswaran","doi":"10.4314/rjmhs.v7i2.10","DOIUrl":"10.4314/rjmhs.v7i2.10","url":null,"abstract":"Background: International internships provide many benefits to graduate nurses, including bridging the gap between theory and practice. Yet, these internships in culturally diverse regions also present various challenges.Objective: This study explored the experiences gained by nephrology graduate master's nurses from the University of Rwanda who attended clinical training in more advanced settings in Asia and Africa.Methods: A qualitative design and semi-structured interview guide was employed to solicit individual opinions of nine nephrology graduate nurses who had attended international internships in India and Kenya. Content analysis was used to analyse and interpret the meaning of the textual data.Results: Four themes emerged from the analysis, namely Inter-professional collegiality, Cross-cultural adaptation, Challenges of the internships, and becoming a Change agent upon return to work in Rwanda.Conclusion: Participants reported many positive learning experiences and some challenges. These challenges could be rectified in future internships abroad. The training bridged the theory-practice gap and increased the graduate nurses' experiences as global citizens.","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"217-228"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500323","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

Factors Associated with Knowledge and Attitudes of HIV Patients towards HIV-Based Services at Kibagabaga District Hospital. 与基巴加巴加地区医院艾滋病毒患者对艾滋病毒相关服务的知识和态度有关的因素。

Rwanda journal of medicine and health sciences Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI: 10.4314/rjmhs.v7i2.11

Axell Karamage, Theogene Kubahoniyesu, Charles Nsanzabera, Ammanuel Kidane Andegiorgish

{"title":"Factors Associated with Knowledge and Attitudes of HIV Patients towards HIV-Based Services at Kibagabaga District Hospital.","authors":"Axell Karamage, Theogene Kubahoniyesu, Charles Nsanzabera, Ammanuel Kidane Andegiorgish","doi":"10.4314/rjmhs.v7i2.11","DOIUrl":"10.4314/rjmhs.v7i2.11","url":null,"abstract":"Background: HIV is still a significant global public health issue. World health organization (WHO) recommends that people infected with HIV should initiate HIV-based services as early as possible. The aim of this study was to assess the knowledge and attitude levels of HIV patients towards HIV-based services and associated factors.Methods: A cross-sectional study was conducted on 274 HIV patients obtaining HIV-based services at Kibagabaga Hospital. Descriptive analysis, bivariate and logistic regression analysis were performed using SPSS version 21. P-value <0.05 was declared as significant.Results: The majority of respondents were female 158 (57.7%) and 107 (39.1%) were aged 50 years old and more. Analysis revealed that 86.1% had good knowledge on HIV-based services and 81% exhibited positive attitudes. Respondents aged 40-49 years (AOR: 11.59; 95% CI: 1.560 - 86.063), aged 50 years (AOR: 16.44; 95% CI: 2.150 - 125.653), Urban (AOR: 7.05; 95% CI: 1.999 - 24.88) and engaged for more than 5 years (AOR: 13.29; 95% CI: 1.694 - 104.182) were more likely to exhibit good knowledge towards HIV-based services.Conclusion: The study revealed favorable knowledge and attitudes towards HIV-based services, However, improved awareness is needed to improve uptake in rural communities.","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 2","pages":"229-238"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500322","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

Assessment of Patient Waiting Time in Primary Health Care Settings in Rwanda: A Mixed-Method Study. 评估卢旺达初级卫生保健机构的病人等待时间：一项混合方法研究

Rwanda journal of medicine and health sciences Pub Date : 2024-03-31 eCollection Date: 2024-03-01 DOI: 10.4314/rjmhs.v7i1.1

Immaculate Kyarisiima, Manasse Nzayirambaho, Aimable Nkurunziza, Innocent Twagirayezu

{"title":"Assessment of Patient Waiting Time in Primary Health Care Settings in Rwanda: A Mixed-Method Study.","authors":"Immaculate Kyarisiima, Manasse Nzayirambaho, Aimable Nkurunziza, Innocent Twagirayezu","doi":"10.4314/rjmhs.v7i1.1","DOIUrl":"10.4314/rjmhs.v7i1.1","url":null,"abstract":"Background: Patient waiting time as an important indicator of quality of services has been a long-standing concern in health care.Objective: The aim of this study was to assess patient waiting time in primary health care settings in Rwanda.Methods: This was a mixed-method study design. In quantitative phase, Patient Flow Time Log was used to track the time patients spent waiting for the service. On exit, a structured questionnaire was administered. Observations were conducted to capture information regarding the flow and processes. In qualitative part, six focus group discussions with patients were conducted. Semi-structured interviews with healthcare providers were held.Results: Among 410 participants, the majority were females (77.1%). The overall health centre level waiting time was 211 minutes (3.5 hours). To receive a service, patients waited an average of 81.5 minutes (1.4 hours). Three conceptual themes were identified: a) reported sections to have long wait time; b) causes of long waiting time; and c) needs for activities to spend time on as patients wait.Conclusion: Most patients experienced prolonged waiting times during their visit to the primary health care settings, and the major factors were the huge number of patients, few healthcare providers, and lack of medical equipment. To effectively address these challenges, more resources and personnel must be allocated to primary healthcare settings to help foster a higher level of client satisfaction with minimal primary healthcare waiting time.","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 1","pages":"6-21"},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500364","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

Factors Influencing Company Bus Drivers' Awareness and Attitudes towards Basic Life Support in Kigali. 影响基加利公车司机基本生命支持意识和态度的因素

Rwanda journal of medicine and health sciences Pub Date : 2024-03-31 eCollection Date: 2024-03-01 DOI: 10.4314/rjmhs.v7i1.3

Jean d'Amour Turikumwe, Thierry Claudien Uhawenimana

{"title":"Factors Influencing Company Bus Drivers' Awareness and Attitudes towards Basic Life Support in Kigali.","authors":"Jean d'Amour Turikumwe, Thierry Claudien Uhawenimana","doi":"10.4314/rjmhs.v7i1.3","DOIUrl":"10.4314/rjmhs.v7i1.3","url":null,"abstract":"Background: Basic life support (BLS) refers to a package of care that first responders provide to anyone experiencing a life-threatening condition to increase the victim's chance of survival. Globally, 92% of people who had out-of-hospital cardiac arrest died due to limited provision of BLS, therefore, there is a need to assess the awareness and attitude of the general public towards BLS, such as taxi drivers.Methods: A quantitative, analytical study that involved 327 drivers recruited from three different bus stations in Kigali city was undertaken and binary logistic regression was used for statistical analysis.Results: The current study found that 19.5% of company bus drivers were aware of basic life support, and 29% had a positive attitude. However, none of the participants had a basic emergency kit in their buses. Having basic life support training, (AOR=7.853:95%CI: 1.326-10.413) and previous involvement in accidents (AOR=4.321:95% CI 1.163-4.628) were significantly associated with basic life support awareness.Conclusion: Kigali city in collaboration with Rwanda Utilities Regulatory Authority need to devise ways bus drivers can be trained in basic life support. In addition, there is a need for every bus permitted to work in transportation sectors to get a basic life support kit.","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 1","pages":"36-45"},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500366","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

Exploration of Metaperceptions Held by Men Enrolled in Rwanda Men's Resource Centre Programme, Correlates Behaviours and Coping Strategies. 在卢旺达男性资源中心项目注册的男性所持有的元知觉的探索，相关行为和应对策略。

Rwanda journal of medicine and health sciences Pub Date : 2024-03-31 eCollection Date: 2024-03-01 DOI: 10.4314/rjmhs.v7i1.4

Laetitia Umutoni Kagisha, Thierry Claudien Uhawenimana, John Mugarura, John Safari, Clementine Kanazayire

{"title":"Exploration of Metaperceptions Held by Men Enrolled in Rwanda Men's Resource Centre Programme, Correlates Behaviours and Coping Strategies.","authors":"Laetitia Umutoni Kagisha, Thierry Claudien Uhawenimana, John Mugarura, John Safari, Clementine Kanazayire","doi":"10.4314/rjmhs.v7i1.4","DOIUrl":"10.4314/rjmhs.v7i1.4","url":null,"abstract":"Background: Men participating in the Rwanda Men's Resource Centre (RWAMREC) programme, designed to challenge negative masculinity, have exhibited positive shifts in household responsibilities and collaborative decision-making with their wives. However, little was known about how these men believe non-enrolled men perceive them.Aim: The study aimed to explore the metaperceptions of enrolled men regarding how they are perceived by other men in their community and it investigated strategies employed to overcome these metaperceptions.Method: Using a qualitative approach, 15 men involved in the RWAMREC programme, selected based on their completion of a couples' curriculum on domestic violence using a gender transformation approach, were interviewed.Results: The findings indicated that men engaging in traditionally feminine tasks faced societal stigma, being viewed as bewitched or not real men. Despite these challenges, many expressed gratitude for the positive impact on family dynamics. The majority of enrolled males were criticized and regarded as not embodying true masculinity; nonetheless, some concealed their involvement in certain tasks, and a few discontinued providing care after the being aggressed by the men who tried to protect their threatened masculinity.Conclusion: The study concludes that the metaperceptions and defensive reactions of men protecting their threatened manhood may hinder the programme's goal of fostering positive masculinity adoption. To sustain the intervention across diverse organizations, positive masculinity promotion has to be included in the package provided to friends of family volunteers.","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 1","pages":"46-62"},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500365","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 and Practice of Health Care Professionals Regarding the Prevention of Surgical Site Infections at Tertiary Hospitals in Rwanda. 卫生保健专业人员关于预防卢旺达三级医院手术部位感染的知识和实践。

Rwanda journal of medicine and health sciences Pub Date : 2024-03-31 eCollection Date: 2024-03-01 DOI: 10.4314/rjmhs.v7i1.2

Aloys Niyomugabo, Madeleine Mukeshimana, Anita Collins, Geldine Chironda

{"title":"Knowledge and Practice of Health Care Professionals Regarding the Prevention of Surgical Site Infections at Tertiary Hospitals in Rwanda.","authors":"Aloys Niyomugabo, Madeleine Mukeshimana, Anita Collins, Geldine Chironda","doi":"10.4314/rjmhs.v7i1.2","DOIUrl":"10.4314/rjmhs.v7i1.2","url":null,"abstract":"Background: The prevention of surgical site infections heavily relies on healthcare professionals who adhere to appropriate use of guidelines. However, there is limited evidence on their knowledge and practices regarding surgical site infections prevention in Rwanda. Therefore, this study aimed to evaluate the knowledge and practice of health care professionals regarding the prevention of surgical site infections at tertiary hospitals in Rwanda.Methodology: A cross-sectional study involving 213 healthcare professionals was conducted to assess the practice and knowledge of surgical site infection preventions. Univariate and multivariable logistic regression analyses were performed using SPSS version 25.Results: This study indicated that 53.1% of healthcare professionals had good knowledge regarding surgical site infections prevention, while 57% reported good practices. Nurses were significantly more likely to have good practices, with a 4.7 times higher likelihood (AOR=4.66, 95% CI=1.23-17.77) than other healthcare professionals. Healthcare professionals who received in-service training on infection prevention were more likely to demonstrate good practices compared to those who are not trained (AOR=2.99, 95% CI=1.29-6.92).Conclusion: The current study revealed that 43% of study participants reported poor surgical site infections prevention practices. Therefore, healthcare professionals' knowledge on surgical site infections prevention needs upgrading, and in-service training on infection prevention necessary.","PeriodicalId":520910,"journal":{"name":"Rwanda journal of medicine and health sciences","volume":"7 1","pages":"22-35"},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500367","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