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Utilization of the Community Health Worker Assessment and Improvement Matrix to Strengthen Village Health Team Systems in Uganda: A Case for Kitgum District
Babughirana Geoffrey,
Tusaasire Joab,
Musasizi Benon,
Lule Mark,
Muhuma Muyima Ceasar,
Twinomujuni Edgar
Issue:
Volume 5, Issue 4, July 2017
Pages:
275-287
Received:
26 March 2017
Accepted:
5 April 2017
Published:
5 May 2017
Abstract: In Uganda community empowerment and mobilization for health has been enshrined in national health policies and strategies since 1999. The USAID Health Care Improvement Project developed the CHW AIM Toolkit that includes a guided self-assessment and performance improvement process to help organizations identify program strengths and address gaps for improving functionality. The study was conducted to ascertain the extent to which the utilization of the CHW- AIM strengthened the VHT systems in accordance with the MoH 2010 guidelines. Using the CHW-AIM methodology at the end line assessment, 6 program components scored 3 a best practice of functionality (1, 3, 4, 6, 8, and 10), 8 program components scored a functional score of 2 (2, 5, 9, 11, 12, 13, 14, 15) and only one component scored a partially functional score of 1 (7). The District and the Health Facilities should use this VHT Assessment tool periodically to identify areas of weakness and make improvements accordingly.
Abstract: In Uganda community empowerment and mobilization for health has been enshrined in national health policies and strategies since 1999. The USAID Health Care Improvement Project developed the CHW AIM Toolkit that includes a guided self-assessment and performance improvement process to help organizations identify program strengths and address gaps for...
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Couples’ Opinion and Women’s Utilization of Postnatal Care Service in Wolaita Zone, Southern Ethiopia: A Community Based Mixed Study
Wolde Facha,
Mihretu Alemayehu,
Mengistu Meskele,
Teshale Fikadu
Issue:
Volume 5, Issue 4, July 2017
Pages:
288-293
Received:
6 April 2017
Accepted:
24 April 2017
Published:
20 May 2017
Abstract: Postnatal period is the most neglected period though it is a critical phase in the lives of mothers and newborn babies. About 50 to 71 percent of maternal deaths occur during this period, particularly in the first few hours. Therefore, this study aimed to assess couples’ opinion & women’s utilization of postnatal care service in Wolaita zone, Southern Ethiopia, January 2016. A community based cross sectional study was employed using both quantitative and qualitative methods of data collection. Study subjects were women aged between 15-49 years old who delivered within the past one year before data collection time in the selected districts of Wolaita zone. Multistage sampling technique was used to select study subjects for quantitative study and purposive sampling was used to select participants for qualitative study. A total of 790 sample size for quantitative data was allocated proportionally to the population size of randomly selected kebele and 24 in-depth interviews with key informants was conducted to supplement quantitative study. Bivariate and multivariate analysis was performed to assess independent predictors of postnatal care service utilization. In-depth interview was audio recorded, transcribed, translated and triangulated with quantitative findings. The prevalence of postnatal care service utilization in this study was 34.9%. This study showed that younger mothers, [AOR = 1.82, (95% CI = 1.23, 2.69)]; those mothers who followed antenatal care service in their last pregnancy, [AOR = 10.39, (95% CI = 4.99, 21.60)]; who delivered their last child in health facilities, [AOR = 2.66, (95% CI = 1.75, 4.03)]; who have good knowledge on postnatal care service utilization, [AOR = 7.25, (95% CI = 4.30, 12.21)]; and whose couples’ have good attitude towards postnatal care service utilization, [AOR = 1.76, (95% CI = 1.16, 2.69)] were more likely utilized postnatal care service than their counter parts. Postnatal care service utilization was low in the study area. Maternal age, maternal health service utilization (antenatal care service and institutional delivery), maternal knowledge and couples’ attitude were major predictors for postnatal care service utilization in the study area. Concerned body should focus on the above issue to improve maternal and child health.
Abstract: Postnatal period is the most neglected period though it is a critical phase in the lives of mothers and newborn babies. About 50 to 71 percent of maternal deaths occur during this period, particularly in the first few hours. Therefore, this study aimed to assess couples’ opinion & women’s utilization of postnatal care service in Wolaita zone, South...
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Retroperitoneal Fibrosis: Case Series of 20 Patients
Kaddouri Said,
Ghoundale Omar,
Chahbi Zakaria,
Essadi Ismail,
Qacif Hassan,
Zamraoui Nadir,
Zyani Mohamed
Issue:
Volume 5, Issue 4, July 2017
Pages:
294-300
Received:
29 March 2017
Accepted:
12 April 2017
Published:
13 June 2017
Abstract: Retroperitoneal fibrosis (RPF) is a rare disease. The objective of this paper is to study the prevalence, clinical, biological and radiological aspects of the RPFand to specify its therapeutic modalities. This study provides descriptive evidence for a series of 20 patients with RPF. We conducted a retrospective study of cases of RPF diagnosed in the Urology and Internal Medicine departments of the Ibn Sina Military Hospital in Marrakech over a five-year period from July 2010 to December 2015. The positive diagnosis of RPF was retained either on the basis of a histological analysis from a biopsy fragment or, in the absence of histological evidence, by the detection on a scan of an infiltrate or "sleeve" Regular and homogeneous tissue density, perivascular topography, surrounding the abdominal aorta, more or less extended to the iliac vessels and able to take the contrast after injection. They were 15 men and 5 women with an average age of 53 years with extremes of 41 to 74 years. Almost all patients had mainly lumbar and abdominal pain. An inflammatory syndrome existed in all cases and renal insufficiency in 15 cases. Radiological investigations showed unilateral or bilateral hydronephrosis in 16 cases. RPF was idiopathic in 14 patients. Secondary forms were present in 6 patients (three atheromatous diseases, one gastric tumor, one case associated with Riedel's thyroiditis and one case of systemic fibrosis associating RPF, Riedel's thyroiditis and liver fibrosis). The treatment consisted of corticosteroids in 19 cases, surgery in 17 cases associated with corticosteroid therapy or even immunosuppressant in the case of steroid-dependence. Two deaths were observed in this series; one of these two patients had developed cervix carcinoma with pleural and peritoneal metastases after 5 years of immunosuppressive therapy. The second died due to the complications of his gastric neoplasm. The general characteristics of patients included are similar to the other series of the literature. The frequency of secondary forms seems to be underestimated, hence the value of a rigorous etiological investigation. The therapeutic strategy and the use of the cortisone saving treatments should be specified by randomized therapeutic trials. The prognosis is generally good; however, the possibility of recurrences, the incidence of which is greater during the first five years, requires prolonged clinical, biological and radiological monitoring.
Abstract: Retroperitoneal fibrosis (RPF) is a rare disease. The objective of this paper is to study the prevalence, clinical, biological and radiological aspects of the RPFand to specify its therapeutic modalities. This study provides descriptive evidence for a series of 20 patients with RPF. We conducted a retrospective study of cases of RPF diagnosed in th...
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Tobacco Use Among Long Route Bus Drivers and Staffs of Dharan Eastern Nepal a KAP Study
Giri Saroj,
Chaudhuri Sonai,
Yadav Ashok Kumar,
Yadav Ajay Kumar,
Shrestha Shree Ram,
Baral Dharani Dhar
Issue:
Volume 5, Issue 4, July 2017
Pages:
301-306
Received:
12 June 2017
Published:
15 June 2017
Abstract: Tobacco use remains a major cause of preventable deaths worldwide. WHO estimated that about 25% of Nepalese population smokes. In Nepal it is widely believed that tobacco use among bus drivers and staffs is very high. This descriptive cross sectional study was conducted in Dharan bus station among 300 bus drivers and staffs who voluntarily responded with self-administered questionnaire to estimate the prevalence of tobacco consumption and to assess their knowledge, attitude and practice regarding tobacco use. Prevalence of tobacco consumption among the respondents was 96.3%. Tobacco initiation at the age <18 years was 52%. ‘Peer pressure’ and ‘Influenced by family member(s)’ were the reasons for initiation while ‘Like the intoxicated feeling’ (67.5%) and ‘Feeling Mature’ for continued use. Respondents (97%) claimed they knew about the injurious effect of tobacco use, diseases cited being respiratory, cancer and cardiac, but only 48.9% knew this before initiating its use. A 75.8% of tobacco consumers had tried to quit it due to ‘Health issue’ (65.3%) followed by ‘Pressure from family member/s’ and ‘Economic burden’. Only about 20% were successful in quitting. The main reason for failure was feeling of addiction (69.7%). Among current tobacco users, 95% would like to seek medical help in quitting, if available. Our study concluded that the prevalence of tobacco consumption among bus drivers and staffs was very high. More than half started its use at age <18 years without prior knowledge of harmful effects of tobacco use. Majority would like to seek medical help as they have failed quitting it due to feeling of addiction. Targeted programs such as nicotine replacement clinics would be highly effective for them with desire to quit tobacco use with medical help.
Abstract: Tobacco use remains a major cause of preventable deaths worldwide. WHO estimated that about 25% of Nepalese population smokes. In Nepal it is widely believed that tobacco use among bus drivers and staffs is very high. This descriptive cross sectional study was conducted in Dharan bus station among 300 bus drivers and staffs who voluntarily responde...
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The Access to Medicines: The Weak Link of the Exemption of Healthcare Payment Policy for the Elderly in Senegal
Ka Ousseynou,
Sow Papa Gallo,
Bop Martial Coly,
Mbaye El Hadji,
Tall Alioune Badara,
Touré Moustapha
Issue:
Volume 5, Issue 4, July 2017
Pages:
307-312
Received:
5 April 2017
Accepted:
21 April 2017
Published:
15 June 2017
Abstract: The institutionalization of the Plan Sesame in Senegal or free access to healthcare for the elderly translates a real political will of decision-makers to answer the sanitary concerns of this category of vulnerable population. The objective of this study is to estimate the effectiveness of the free access to the Plan Sesame and to collect the appreciations of the recipients of the Plan. This study is based on a data connection of qualitative data in 2010 with the elderly and decision-makers and on a transverse quantitative and qualitative study in 2011 made to the only geriatric hospital of the country. The elderly are particularly affected by chronic pathologies and most drugs of which they need are not dealt by the Plan. They must buy them in private pharmacies. The not provision of these drugs known as of speciality favors the recourse to the illicit market of drugs with traditional medicine and even with the therapeutic abandonment. Moreover it worsened the social inequalities of health within the recipients of this Plan.
Abstract: The institutionalization of the Plan Sesame in Senegal or free access to healthcare for the elderly translates a real political will of decision-makers to answer the sanitary concerns of this category of vulnerable population. The objective of this study is to estimate the effectiveness of the free access to the Plan Sesame and to collect the appre...
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Assessment of Community Led Total Sanitation Achievements and Its Associated Factors in Rural Kebeles of Adama Woreda, East Shoa Zone, Oromia, Ethiopia
Teshome Ergena Tuli,
Asfaw Ergena Tuli,
Worku Dugasa Girsha
Issue:
Volume 5, Issue 4, July 2017
Pages:
313-320
Received:
2 April 2017
Accepted:
15 April 2017
Published:
26 June 2017
Abstract: Ethiopia has made important improvement concerning entire water, sanitation and hygiene access in the past era on the other hand still significant problems present which varies from rural to urban. Due to limited access to safe water, inadequate sanitation and hygiene services, 60-80% preventable communicable diseases attributed in the country.For controlling, community led total sanitation program introduced in 2013. This is aimed to assess community led total sanitation achievements and its associated factors in rural kebeles. A cross-sectional study with cluster, probability proportion and simple random sampling techniques employed to collect data from 604 households. Data were collected through interview and observational checklist. The study revealed that, only 51(8.6%) respondents answered community led total sanitation achieved. Sex (AOR=4.72, 95% CI =1.09-8.48, p=0.01), monthly income (AOR=2.00, 95% CI=1.09-3.69, p=0.03), open dump in the yard (AOR=2.03, 95% CI = 1.11-3.72, p=0.005) and triggering step (AOR=3.54, 95% CI = 1.41-8.89, p=0.003) significantly allied to community led total sanitation achievement. This finding concluded that, community led total sanitation achievement in the study areas were very lower than the areas posted open defecation free. Health workers, community representatives and local authorities must give special emphasis to improve the coverage.
Abstract: Ethiopia has made important improvement concerning entire water, sanitation and hygiene access in the past era on the other hand still significant problems present which varies from rural to urban. Due to limited access to safe water, inadequate sanitation and hygiene services, 60-80% preventable communicable diseases attributed in the country.For ...
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Effect of Storage and Exposure to Sunlight on the Quality of Sachet Water Sold in Ibadan Metropolis
Ikpeazu Joy Chinenye,
Oluwayiose Oladele Amos
Issue:
Volume 5, Issue 4, July 2017
Pages:
321-328
Received:
18 April 2017
Accepted:
8 May 2017
Published:
3 July 2017
Abstract: Inadequate pipe borne water supply has led to rapid proliferation of sachet water companies in Nigeria. Recently, another dimension added to public health concerns on water quality is the storage and handling of sachet water by distributors and vendors. This study assessed the effect of storage and exposure to sunlight on the quality of sachet water in Ibadan, Nigeria. An experimental design was adopted. Two hundred sachets of water from ten brands were collected upon production from various factories. Water samples were divided into two groups: storage indoor (room temperature) and storage with exposure to sunlight for four weeks. Physicochemical and bacteriological analyses were carried out on the sachet water samples at baseline and after three days and weeks one to four of storage. The data obtained were analysed using SPSS (20.0). The bacteria isolated were E. coli, S. aureus, K. pneumonia and P.vulgaris. Total bacterial counts decreased in the order: 0 to 1.5x104cfu/100 mL (day 3) > 0 to 9.5x 102 cfu/100 mL (day 7) upon exposure to sunlight, however, there was continuous increase of bacteria count from day seven. Bacteria counts of water stored indoor increased throughout the study period. E. coli was present in all water samples by day 21. There was a significant difference in nitrite concentration between the two storage conditions across study period. This study revealed that storage duration and exposure conditions affect the quality of sachet water for drinking. Quality improvement of sachet water through exposure to sunlight was most effective on third day of exposure, while the maximum time of effectiveness was one week, beyond which the quality deteriorates fast irrespective of the storage condition. Hence, prolonged water storage beyond one week before drinking is discouraged.
Abstract: Inadequate pipe borne water supply has led to rapid proliferation of sachet water companies in Nigeria. Recently, another dimension added to public health concerns on water quality is the storage and handling of sachet water by distributors and vendors. This study assessed the effect of storage and exposure to sunlight on the quality of sachet wate...
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Patient Factors Which Contribute to Non-adherence to TB Treatment in Kericho and Nakuru Counties of Kenya
Richard Kiplangat Arap Sang,
Ronald Omenge Obwoge,
Simon Kangethe,
Laban Peter Ayiro,
Johnson Masai Changeiywo
Issue:
Volume 5, Issue 4, July 2017
Pages:
329-334
Received:
25 April 2017
Accepted:
15 May 2017
Published:
3 July 2017
Abstract: Tuberculosis (TB) continues to be a major cause of high morbidity and mortality in Kenya. Adherence to TB treatment is one of the interventions that lead to increase in cure rate thus reducing mortality and emergence of Multi drug resistant tuberculosis (MDR) and high cost of treatment. This study focused on TB patients in urban and rural areas of Kericho and Nakuru Counties. The study was to determine the patient factors which contribute to non-adherence to TB treatment. A purposive sampling method was used to carry out a cross sectional descriptive survey with retrospective cohort of non-adherent TB patients. Target population was smear positive TB patients registered in the TB registers in the two counties, within the past six months at the commencement date of the study. Data was collected using adopted/ developed observation forms/checklists, interview schedules and questionnaires. Respondents were traced non-adherent smear positive TB patients (defaulters), care supporters and health care workers. Collected data was analyzed using SPSS platform. Age, gender, inadequate knowledge, ignorance on need for treatment adherence, stigma, alcoholism, social and economic factors such as low income, lack of social support, low education, financial problems, drug side effects were analyzed. Feeling well soon after medication initiation, drug side effects, low educational level, poor financial status, unemployment, shortage of Tb drugs including unavailability of pyridoxine which is essential in counteracting drug side effects and were associated with defaulting. Staff should also intensify adherence counselling targeting effect of personal factor to adherence. The County of Nakuru and Kericho’s Ministry of Health to increase awareness on Tb and make the public aware of the importance of TB control.
Abstract: Tuberculosis (TB) continues to be a major cause of high morbidity and mortality in Kenya. Adherence to TB treatment is one of the interventions that lead to increase in cure rate thus reducing mortality and emergence of Multi drug resistant tuberculosis (MDR) and high cost of treatment. This study focused on TB patients in urban and rural areas of ...
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Assessment of Knowledge and Perception Towards Modern Contraceptives Use Among Women of Reproductive Age in Mtwivila, Tanzania
Peter Elia Mosha,
Christina Abel Mgimwa,
Stanslaus Mbonea Msuya
Issue:
Volume 5, Issue 4, July 2017
Pages:
335-340
Received:
4 May 2017
Accepted:
17 May 2017
Published:
13 July 2017
Abstract: This study was conducted in 2014 in Mtwivila, Tanzania. The objective of the study was to assess knowledge, perception and factors associated with use of modern contraceptive use among women. Simple random sampling technique was used to select a representative sample of 96 women aged 15-49 years. Data were collected through interviews, focus group discussions and documentary reviews. Findings show that knowledge of modern FP was almost universal (100% percent), although 79 (82.3 percent) claimed to have been using modern contraceptives methods. Much smaller proportion (17.7 percent) reported not to be using modern contraceptives during the time of interview. Most of the respondents (96%) had positive attitude on modern contraceptive use as 96 of all interviewed women stated contraceptives were effective for birth control and that they would recommend to a friend or a relative the use of modern contraceptive. However, 28% women reported having stopped using modern contraceptive of which 25% due to side effects. Chi-square confirmed the association of education, sources of information about contraceptives, occupation, household income, distance from the health center and husband's involvement with the use of contraceptives among women. It is concluded that there is a good level of knowledge and a positive perception towards contraceptive use among women of reproductive age. Men involvement during sensitization on family planning would be an effective strategy toward sexual and reproductive health promotion.
Abstract: This study was conducted in 2014 in Mtwivila, Tanzania. The objective of the study was to assess knowledge, perception and factors associated with use of modern contraceptive use among women. Simple random sampling technique was used to select a representative sample of 96 women aged 15-49 years. Data were collected through interviews, focus group ...
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Telemedicine Diffusion in a Developing Country: A Case of Nigeria
Femi Ekanoye,
Foluso Ayeni,
Temitope Olokunde,
Vekima Nina,
Carole Donalds,
Victor Mbarika
Issue:
Volume 5, Issue 4, July 2017
Pages:
341-346
Received:
20 October 2016
Accepted:
29 October 2016
Published:
18 July 2017
Abstract: Nigeria has continued to suffer major set-back in the area of Public Healthcare which has purportedly resulted in high mortality rate and economic meltdown. According to the United Nations Sustainable Development Goals (SDGs), healthy lives and proper well-being of individuals must be maintained by year 2030. Despite the steady rise in Nigeria population growth, health care coverage continues to be an expensive worldwide epidemic. Telemedicine along with other Information and Communication Technology (ICT) Solutions have played a huge role in ensuring this goal is achieved because of its convenience and benefits. This study explores the various ways telemedicine has assisted in achieving sustainable development goals on Global Healthcare Coverage, it also poses its significance. Questions about current state of telemedicine are also being raised. Systematic Literature review was carried out. Qualitative analysis carried out suggests that telemedicine has proven its self to be necessary and extremely beneficial and is consistently showing signs that it will continue to thrive and service Nigeria, West Africa.
Abstract: Nigeria has continued to suffer major set-back in the area of Public Healthcare which has purportedly resulted in high mortality rate and economic meltdown. According to the United Nations Sustainable Development Goals (SDGs), healthy lives and proper well-being of individuals must be maintained by year 2030. Despite the steady rise in Nigeria popu...
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Macroangiopathy and Associated Factors in Outpatients with Type 2 Diabetes Attending the Antidiabetic Center of Abidjan in Ivory Coast
Aké-Tano Sassor Odile Purifine,
Ekou Franck Kokora,
Kpebo Djoukou Olga Denise,
Aka Felix,
Konan Yao Eugène,
Tetchi Ekissi Orsot,
Sablé Parfait Sable,
Malan Léa,
Kouassi Dinard
Issue:
Volume 5, Issue 4, July 2017
Pages:
347-352
Received:
16 May 2017
Accepted:
1 June 2017
Published:
21 July 2017
Abstract: Diabetes constitutes a major public health concern, especially in developing countries, due to its frequency and severity related to the macroangiopathy complications. This study aimed at estimating the prevalence of macroangiopathy in type 2 diabetic outpatients attending the Antidiabetic Center of Abidjan (ADCA) and identifying the associated factors. It was a retrospective and analytic study that was conducted in 2014 at the ADCA. In total, 377 diabetic outpatients were included in the study. Patients had a mean age of 61.3 (SD: 8.9) years and were suffering diabetes for a mean duration of 11.8 years (SD: 5.6). In 95.5% of the cases, at least one cardiovascular disease risk factor was associated to diabetes. It was high level of cholesterol (37.1%), high level of Low Density Lipoprotein (LDL) cholesterol (72.4%), low level of High Density Lipoprotein (HDL) cholesterol (20.9%), high level of triglycerides (10.3%), hypertension (67.4%), and obesity (18.8%). Macroangiopathy was diagnosed in 62 out of 377 patients, meaning 16.4%. It was a coronary disease (44/377 meaning 11.7%), vascular cerebral accident (11/377 meaning 2.9%) and peripheral arterial disease of the lower limbs (10/377 meaning 2.7%). Diabetic patients with hypertension were more likely to have a macroangiopathy as compared to those without hypertension (p = 0.024; OR2.57, IC = [1. 13-5.85]). In addition, patients presenting a low level of HDL cholesterol were likely to have a coronary heart disease as compared to those with a normal level of HDL cholesterol (p = 0.008); OR = 2.72, IC [1.28-5.76]. With regard to the severity of macroangiopathy complications, it is tremendous to reinforce the medical management of cardiovascular disease risk factors in type 2 diabetes patients in Ivory Coast.
Abstract: Diabetes constitutes a major public health concern, especially in developing countries, due to its frequency and severity related to the macroangiopathy complications. This study aimed at estimating the prevalence of macroangiopathy in type 2 diabetic outpatients attending the Antidiabetic Center of Abidjan (ADCA) and identifying the associated fac...
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Prevalence of Rotavirus in Under 5 Year Old Children Hospitalized for Acute Gastroenteritis, Swaziland, 2013 - 2014
Gugu Maphalala,
Goitom Weldegebriel,
Nomcebo Phungwayo,
Eunice Ruhinda,
Njabulo Lukhele,
Getahun Tsegaye,
Gilbert Masona,
Nomsa Nomcebo Dube,
Nonhlanhla Dlamini,
Angel Dlamini,
Philile Shabangu,
Lonkululeko Khumalo
Issue:
Volume 5, Issue 4, July 2017
Pages:
353-358
Received:
4 May 2017
Accepted:
16 May 2017
Published:
26 July 2017
Abstract: Background: Rotavirus is the most common cause of severe diarrhoea among children < 5 years of age worldwide. To determine the prevalence of severe rotavirus infection in children admitted with acute gastroenteritis attending Mbabane Government Referral Hospital in the Hhohho region and Raleigh Fitkin Memorial (RFM) Hospital in the Manzini Region of Swaziland, sentinel surveillance was conducted in January 2013 – December 2014. Methods: This is hospital based sentinel surveillance study. A total of 331 children under the age of five years with acute diarrhoea that were admitted to the hospitals were enrolled into the sentinel surveillance and 302 cases had stool samples tested for rotavirus antigens by enzyme immunoassay ProSpec T Rotavirus kit. The G and P genotypes were established by multiplex nested reverse transcription polymerase chain reaction. Results: Rotavirus was detected in 159 (52.6%) of the 302 children with acute diarrhoea that had stool specimens collected and 108 (68%) of positive cases of rotavirus gastroenteritis were between 6-11 months of age and 91% were below the age of two years. Rotavirus infection occurred with peaks between June - August. During the 2013 – 2014 period, 146 samples were subjected for reverse transcription polymerase chain reaction and genotyping assays. The most common genotypes detected in Swaziland were 82% G2P [4] in 2013 and 93% G1P [8] in 2014. Conclusion: Swaziland would benefit by introducing rotavirus vaccine and hence reduce the hospitalization burden of managing acute diarrhoea cases attributed to Rotavirus. The data from the sentinel hospitals can also be used to monitor the effectiveness of the vaccine once introduced. 1. National Reference Laboratory, Ministry of health, Swaziland- MOH 2. World Health Organization, Inter country support team for East and Southern Africa, Zimbabwe, Harare, 3. Ministry of health, Swaziland 4. World Health Organization, Swaziland 5. Mbabane Government Hospital, Swaziland 6. Raleigh Fitkin Memorial Hospital, Swaziland
Abstract: Background: Rotavirus is the most common cause of severe diarrhoea among children < 5 years of age worldwide. To determine the prevalence of severe rotavirus infection in children admitted with acute gastroenteritis attending Mbabane Government Referral Hospital in the Hhohho region and Raleigh Fitkin Memorial (RFM) Hospital in the Manzini Region of Swaziland, sentinel surveillance was conducted in January 2013 – December 2014. Methods: This is hospital based sentinel surveillance study. A total of 331 children under the age of five years with acute diarrhoea that were admitted to the hospitals were enrolled into the sentinel surveillance and 302 cases had stool samples tested for rotavirus ...
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