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Assessment of Voluntary HIV Counselling and Test Utilization and Associated Factors among Youth People in Birbir Town, Gamo Gofa Zone, SNNPR, Ethiopia
Feleke Gebremeskel,
Mulugeta Shigaze,
Bereket Gede,
Edom Zerihun,
Fiseha Abadi,
Gezahegn Beyene,
Mariamawit Tesfay
Issue:
Volume 6, Issue 6, December 2017
Pages:
440-446
Received:
14 August 2017
Accepted:
28 August 2017
Published:
3 November 2017
Abstract: Youth (15-24 years) are particularly vulnerable to HIV, because of the strong influence of peer pressure and the development of their sexual and social identities. The aim of the study was to assess voluntary counseling and testing utilization and associated factors among young people in Birbir town, Southern Ethiopia. A community based cross sectional study design was conducted from August 13-16, 2016. Simple random sampling technique was used to select 400 young’s. Semi structured questionnaire was used. The data was collected by trained Nurses. Data was entered and analyzed using SPSS version 20. Binary and Multivariable Logistic regression was performed with 95%CI, COR and AOR respectively. The finding was presented by tables, and figures. In this study a total of 378 youth were participated with response rate of 94.4%. The mean age of the participants was 20.6 years with SD (±2.7). The majority (96%) of respondents were heard about the confidential voluntary counseling and testing service. The prevalence of voluntary counseling and testing utilization was 64.3%. The factors such as: peer encouragement [AOR=3.81, 95%CI, (2.302, 6.285)], knowing definition of voluntary counseling and testing [AOR = 13.38, 95% CI, (1.501, 119.338)], willingness to test [AOR = 10.65, 95% CI (1.268, 89.459)], health institution encouragement [AOR=1.989, 95%CI (1.076, 3.676)]and Method of testing [AOR = 0.51, 95% CI (0.289, 0.889)] were the factors associated with voluntary counseling and testing utilization. The study shows that voluntary counseling and testing utilization was 64.3%. Knowing definition of voluntary counseling and testing, methods of testing, willingness to test, health institution encouragement and peer encouragement were the factors associated with voluntary counseling and testing utilization. Health office has to work with and facilitate youth clubs to promote voluntary counseling and testing utilization and strengthen facility based testing.
Abstract: Youth (15-24 years) are particularly vulnerable to HIV, because of the strong influence of peer pressure and the development of their sexual and social identities. The aim of the study was to assess voluntary counseling and testing utilization and associated factors among young people in Birbir town, Southern Ethiopia. A community based cross secti...
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Prevalence of Modern Contraceptive Utilization and Associated Factors Among Women of Reproductive Age Group at Boditi Town, Wolayita Zone, SNNPR, Ethiopia
Feleke Gebremeskel,
Dinkalem Getahun,
Tesfaye Kanko,
Ayanew Tilahun,
Bemnet Endrias,
Birhanu Alamirew,
Fekadu Gemeda,
Melaku Desalegne
Issue:
Volume 6, Issue 6, December 2017
Pages:
447-453
Received:
5 August 2017
Accepted:
18 August 2017
Published:
8 November 2017
Abstract: Ethiopia is one of the most populous countries in Africa with high fertility and fast growth rate. Still, Modern contraceptive use persists to be low in most African countries where fertility, population growth, and unmet need for family planning are high. In Ethiopia, though there is an evidence of increased overall contraceptive prevalence, a substantial effort remains behind. The aim of this study was to assess the prevalence of modern contraceptives method utilization and its associated factors among women of reproductive age groups at Boditi town, Wolayita zone, SNNPR, Ethiopia. A Community based cross sectional study designs were employed on 388 sampled women of reproductive age groups in Boditi town in 2017. From the 9 kebeles, four kebeles were randomly selected using simple random sampling method. Data were collected by face to face interview by using semi-structured. Data-entry, cleaning and statistical analysis was done using Version 21 SPSS software. Multivariable logistic regression analysis was performed to identify the factors which affect the dependent variable. In this study a total of 388 reproductive age women were participated with response rate of 92%. The mean age of the study participants were 27 years (±SD 7.46). The majority of respondents (63.7%) were married. Almost all, 99% of the respondents have ever heard about modern contraceptives at least one method. Among these, the most commonly used modern contraceptive method was injectable (84.3%), and followed by pills (80.2%). The majority of the respondents (62.4%) have ever used a method. Currently use of modern contraceptive was 48.2%; among these the injectable was the most commonly used method. Multivariable logistic regression analysis showed that women who are attended primary school (AOR=8.95, 95%CI (3.64-22.03)) and attended tertiary school (AOR=5.11, 95%CI (1.04-25.02)), Women with three up to five children (AOR=8.95, 95%CI (3.64-22.03)), Women with six up to seven children were 8 times (AOR=7.51, 95%CI (2.58-21.87)) and Women who have eight and above children (AOR=5.11, 95%CI (1.04-25.02)) were the factors associated with modern contraceptives utilization. The study showed that forty eight percent of reproductive age women were currently used modern contraceptive. Education and number of children were statistically significant with modern contraceptives utilization. Promoting women education and limiting number of children are very important in the community at large.
Abstract: Ethiopia is one of the most populous countries in Africa with high fertility and fast growth rate. Still, Modern contraceptive use persists to be low in most African countries where fertility, population growth, and unmet need for family planning are high. In Ethiopia, though there is an evidence of increased overall contraceptive prevalence, a sub...
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Effectiveness of Social Skills Training Program on Social Functioning and Severity of Symptoms Among Patients with Schizophrenia
Enas Mahrous Abd EL Aziz,
Hanan Ebrahim Abd EL Aziz Rady,
Mohammed Nasr EL Din
Issue:
Volume 6, Issue 6, December 2017
Pages:
454-466
Received:
16 August 2017
Accepted:
5 September 2017
Published:
17 November 2017
Abstract: This study aimed at evaluating the effectiveness of socials kills training program on social functioning and severity of symptoms among newly admitted schizophrenic Patients. Quasi-experimental design (pre-posttest-groups) was utilized in this study. The present study was conducted at Al-Abbassia hospital for mental health. Purposive random sample consisted of 40 schizophrenic patients which were selected from six inpatient wards of newly admitted patients. Three tools were used to collect the data for the current study, Personal and medical data sheet, social functioning questionnaire and positive & negative symptoms scale (PANSS). A constructed social skills training Program was designed to help patients to develop and promote necessary skills for effective communication and interaction with others that needed for improved his/her functioning and independent living. This program was implemented over 15 sessions, three sessions per week and each session lasted about 60-90 minutes. Pre, and post assessment were carried out for the same group (self-control group). The current study results revealed that, overall significant effects of social skills training program regarding improving patients’ social functioning and decreasing severity of symptoms. There was statistically significant difference between pre, and post assessment regarding dependent variables. A statistically significant positive correlation were detected between dependent variables and patients’ related variables such as age, compliance with medication, with whom the patient stays, and numbers of previous hospital admissions. So, the study concluded that, the social skills training program was effective with newly admitted schizophrenics’ patients concerning enhancing patients, social functioning and reducing severity of symptoms. The study recommended that, social skill training program should be integrated as an intervention in conjunction with pharmacological therapy without contraindications and it can maximize the effect.
Abstract: This study aimed at evaluating the effectiveness of socials kills training program on social functioning and severity of symptoms among newly admitted schizophrenic Patients. Quasi-experimental design (pre-posttest-groups) was utilized in this study. The present study was conducted at Al-Abbassia hospital for mental health. Purposive random sample ...
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Effectiveness of Handoff Educational Program on Nurses Interns’ Knowledge, and Communication Competence
Abeer Mohamed Seada,
Somaya Ahmed Bayoumy
Issue:
Volume 6, Issue 6, December 2017
Pages:
467-477
Received:
27 October 2017
Accepted:
10 November 2017
Published:
24 November 2017
Abstract: With the growing complexity of health care, the ability to communicate becomes essential within the health team members. Health care organization has great expectations for new graduate nurses to communicate skillfully while promoting safe patient care. Student nurses interns may lacked experiences with important communication skills and are fearful of making mistakes which may affect patient safety. One way to improve handoff communication skill among nurses interns is through education. This study was intended to examine the effectiveness of handoff educational program on nurse’s interns’ handoff knowledge, and communication competence. Quasi - experimental study design was utilized: The study was conducted in intensive care units which affiliated with Kaser El Ainy hospital where nurses interns were trained. Study sample composed of 30 nurses interns who were undertaking their internship year between 2016-2017. Data were collected through utilizing Handoff knowledge questionnaire that was developed by the researcher and Handoff communication competence observational checklist developed by [1] and modified by the researchers to measure hand- off communication competence of nurses interns during the process of bedside handover. Results revealed that there were statistical significant and marked improvement in nurses interns’ levels of handoff knowledge dimensions as well as statistical significant differences in their mean scores of hand- off communication competence during different periods of assessment. The current study provide evidence that handoff educational program enhance nurses interns handoff communication competence. Handoff communication skills should taught formally during nursing academic education concerning the way that information is given, verified as well as all handoff communication competencies during process of patient bedside handoff. Future researches with larger sample sizes and multiple settings are recommended to substantially evaluate the effectiveness of educational program on handoff communication competencies.
Abstract: With the growing complexity of health care, the ability to communicate becomes essential within the health team members. Health care organization has great expectations for new graduate nurses to communicate skillfully while promoting safe patient care. Student nurses interns may lacked experiences with important communication skills and are fearfu...
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Perception of be Cared in Childbirth at the Light of the WHO Model
Maria Marques,
Margarida Sim-Sim
Issue:
Volume 6, Issue 6, December 2017
Pages:
478-485
Received:
15 September 2017
Accepted:
12 October 2017
Published:
27 December 2017
Abstract: Background: The World Health Organization recommends preserving the physiology of childbirth. For a normal birth, the guidelines define obstetric practices in four categories, ranging from useful and to be encouraged to harmful and to be eliminated. Objective: to describe new mothers’ perception of care during childbirth in the light of the World Health Organization model. Methods: Cross-sectional study. A self-administered structured questionnaire was used for data collection. Convenience sample of 180 mothers. The average age was 30.8 years-old (SD=5.31). Results: On their own initiative, before leaving for the maternity, women carried out at home, some care not recommended by World Health Organization, like pubic shaving (83.7%). Category A represents above all the lack of a birth plan (80.6%), mobility (71.3%), massage /54.2%) and light feeding (72.6%). Positively represented are skin-to-skin contact (77%) and breast-feeding (75.6%). Category B highlights intravenous fluids access (81.6%), lithotomy position for delivery (82.9%) and directed pushing (86.9%). Pubic shaving is recognized by about 22% of participants. The Kristeller maneuver or fundal pressure, is widely applied in Category D (59.9%), highlighting continuous cardiotocography (89.2%), repeated vaginal examination carried out by various professionals (78.5%) and episiotomy (69.2%). Conclusion: The World Health Organization model is weakly implemented. The medicalized culture of childbirth seems to predominate in phenomena of human nature.
Abstract: Background: The World Health Organization recommends preserving the physiology of childbirth. For a normal birth, the guidelines define obstetric practices in four categories, ranging from useful and to be encouraged to harmful and to be eliminated. Objective: to describe new mothers’ perception of care during childbirth in the light of the World H...
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