-
Malnutrition Among Under-five Children in Tawila Administrative Unit (TAU) at Tawila Locality in North Darfur State in Sudan, 2017
Ibrahim Ismail Mohammed Abu,
Kamil Mohammed Ahmed,
Khalid Fadl Alla Khalid,
Abdelbabgi El fadil,
Ahmed Abdella Mohammed Osman,
Malaz Elbashir Ahmed,
Nada Mohamed Ali Alnair
Issue:
Volume 7, Issue 2, March 2019
Pages:
31-37
Received:
10 February 2019
Accepted:
15 March 2019
Published:
8 April 2019
Abstract: Malnutrition in all its forms is still a major public health problem in the world, especially in developing countries, including Sudan. It’s an underlying factor in over 50% of deaths in children under five years of age who die each year from preventable causes. Malnutrition prevents children from reaching their full physical and mental potential. The Specific objective of this paper was to determine the magnitude of malnutrition among children aged 6-59 months in Tawila Administrative Unit (TAU) in Tawila locality in North Darfur State at Sudan, 2017. This paper was comparative cross-sectional community-based study applied the quantitative research method. Five-hundred and ninety seven children at the age ranged between 6-59-month were studied. To assess the malnutrition status of the children under the study, anthropometric measurements for height, weight and edema examination were applied. The collected data analyzed by using Epidemiological Information (Epi-Info), emergency nutritional assessment software version 11 (ENA). The anthropometric result was classification based on WHO standard, 2006. The results showed that the prevalence rate of wasting was 14.7% (10.4 - 20.4 95% C.I.), stunting was 48.9% (44.1 - 53.8 95% C.I.) and underweight was 35.6% (30.4 - 41.1 95% C.I.). Male children and those aged between (12 -23 months) are at higher risk of acute malnutrition and those aged (12-35 month) are at higher risk to stunting and underweight. The study concluded that the malnutrition is an important major public health problem among under five children ages in Tawila locality. Under-five children in Tawila locality suffer high rates of malnutrition. Therefore, health facility-based interventions, community-based program, nutritional education programs are strongly recommended in Tawila locality. In addition to that ensuring food security including the availability and adequacy of general rations (including iodized salt and fortified grain/cereals).
Abstract: Malnutrition in all its forms is still a major public health problem in the world, especially in developing countries, including Sudan. It’s an underlying factor in over 50% of deaths in children under five years of age who die each year from preventable causes. Malnutrition prevents children from reaching their full physical and mental potential. ...
Show More
-
Institutional Delivery Service Utilization and Associated Factors Among Women in West Central Ethiopia
Meseret Ifa,
Elias Teferi
Issue:
Volume 7, Issue 2, March 2019
Pages:
38-43
Received:
1 February 2019
Accepted:
18 March 2019
Published:
12 April 2019
Abstract: Pregnancy and child birth related complications are main causes of death and disability among women of childbearing age in developing countries. The Sub-Saharan Africa accounts for more than half of the global maternal deaths and most of these deaths occur during labor and following child birth from preventable causes that can be averted by professional intervention. Hence, the aim of this study was to assess the level of institutional delivery service utilization and associated factors among women who gave birth in West Central Ethiopia. A community based cross-sectional study was conducted from January 10 to February 10, 2014. Quantitative data were collected using a structured questionnaire and analyzed using SPSS V.20.0. Descriptive statistics were used to present the data and logistic regression was applied to check the association between the dependent and independent variables. A total of 410 women were included in the study of whom70.7% had given birth their last baby at health facilities. Women with secondary and above educational status (AOR [95%CI] = 4.525 [95% CI: 1.831-11.180]), those who had an access to Radio and TV (AOR [95%CI] = 3.214 [1.361-7.591]), women from families with average monthly income greater than 1,000.00 Ethiopian Birr (AOR [95%CI] = 3.300 [1.555-6.999]), and women who had antenatal care follow up during their last pregnancy (AOR [95%CI] = 2.409 [1.088-5.335]) were more likely to utilize institutional delivery service. In conclusion, a significant number of women did not give birth their last baby at health facilities. Maternal educational status, access to mass media, family income status and antenatal care visit were important predictors of institutional delivery service utilization. Increasing Health Extension Workers’ involvement in improving community awareness, and women empowerment through education and economic development are important measures to improve institutional delivery service utilization.
Abstract: Pregnancy and child birth related complications are main causes of death and disability among women of childbearing age in developing countries. The Sub-Saharan Africa accounts for more than half of the global maternal deaths and most of these deaths occur during labor and following child birth from preventable causes that can be averted by profess...
Show More
-
Design and Implementation of Herbal Therapy Knowledge Management System (HTKMS)
Oladejo Bola Fausat,
Theodorio Adedayo Olayinka
Issue:
Volume 7, Issue 2, March 2019
Pages:
44-52
Received:
21 February 2019
Accepted:
4 April 2019
Published:
15 May 2019
Abstract: The recent influx of herbal mixtures in Nigeria today is gradually becoming alarming. It remains a major concern in the society especially if the right approach is used. Experts believe that the knowledge on herbal therapy is usually obtained from an implicit knowledge of an expert which is transcribed to document-based for reusable purposes. Nowadays, lack of a collaborative herbal therapy system and a massive introduction of different kinds of herbal mixtures in the market today remain a concern for deliberation. This study was designed as a result of lack of communicable herbal therapy platform in Nigeria and secondly, self-imposed solutions to health challenges. The concept of collaborative, user-friendly problem solving software was designed for the study, a package named Herbal Therapy Knowledge Management System (HTKMS). In this study, herbal experts provide expert analysis and solutions to ailments (problems) using the formidable approach of Case-Based Reasoning Model. Case forms, questionnaire and interview were used to gather information from herbal experts and users. Knowledge on Ailments causes and solutions gathered were represented using Entity Relationship Diagram. Case-Based Reasoning technique was adopted for information retrieval from herbal corporate memory (Case Forms) while cases not found were redirected to a collaborative forum for further discussion by herbal experts. Communication among the users (patients) and herbal experts were based on the principles of server-client network. The system was coded using PHP, HTML and CSS. The results of quantitative analysis of the questionnaire developed for the study showed that herbal experts strongly agreed that they diagnose patients manually (Mean Score: 1.90; Std Dev: 0.657), that they proffer solutions from personal experience and presumption (Mean Score 2.90; Std Dev: 0.852), they strongly agreed that they often do not seek for information from practicing colleagues or from a media (Mean Score: 1.85; Std Dev: 0.671) and lastly, they depended naturally on roots, stems, leaves and shrubs for herbal solutions as contained in their “account book” (Mean Score: 1.85; Std Dev: 0.745). Conclusively, the study was able to produce collaborative and reusable software which focused majorly on producing a more organized and reusable herbal knowledge for users.
Abstract: The recent influx of herbal mixtures in Nigeria today is gradually becoming alarming. It remains a major concern in the society especially if the right approach is used. Experts believe that the knowledge on herbal therapy is usually obtained from an implicit knowledge of an expert which is transcribed to document-based for reusable purposes. Nowad...
Show More
-
Using the Method of Medical Insurance Payment Reform to Promote the Path Selection of Large Hospital Development
Issue:
Volume 7, Issue 2, March 2019
Pages:
53-58
Received:
19 April 2019
Published:
23 May 2019
Abstract: At the beginning of the establishment of the basic medical insurance system in China, the primary implementation was a single project-based payment. At present, it has gradually explored a single or mixed way to pay, mainly including payment by disease type, payment by the number of people, payment by medical service unit and payment by the DRGs (Diagnosis Related Group System). This paper discusses the reform of payment mode of basic medical insurance in large hospitals and summarizes the main features of the reform of the payment mode of basic medical insurance in the past. First of all, the basic medical insurance management department has absolute choice and pricing power. The government is responsible for the management of basic medical insurance, and the hospital is in a state of passive implementation of government policies. In addition, the reasonable demands of large hospitals can hardly be effectively reflected in the policy. Last but not least, the improvement of hospital serviceability and the promotion of patients' reasonable medical treatment effect have not been realized effectively. The research results of this paper mainly discuss the reform path of basic medical insurance payment methods in large hospitals. For one thing, large hospitals can proactively report to the basic medical insurance management department the reformed disease types and disease charges for basic medical insurance payments. For another thing, the large hospitals can determine the diagnosis and treatment plan of the disease according to the clinical path of disease diagnosis and treatment. The basic medical insurance management department can explore the new path method of reforming the basic medical insurance payment method in large hospitals according to the reform idea of “the same disease insurance standards are consistent” and individual “differentiated self-payment." At the same time, it is recommended that the government use the professional management ability of commercial insurance companies to improve the performance of basic medical insurance by purchasing commercial insurance company services. Give play to the third-party role of commercial insurance companies to help alleviate the asymmetry of the hospital and patient medical information and the contradiction between doctors and patients.
Abstract: At the beginning of the establishment of the basic medical insurance system in China, the primary implementation was a single project-based payment. At present, it has gradually explored a single or mixed way to pay, mainly including payment by disease type, payment by the number of people, payment by medical service unit and payment by the DRGs (D...
Show More
-
Experiences of Caretakers Seeking Care for Their Under-five Children Related to Public Primary Health Care in Sharg-Alneel Locality, 2015
Malaz Elbashir Ahmed,
Khalid Fadl Alla Khalid,
Talal Elfadil Mahi,
Nada Jafar Osman,
Ibrahim Ismail Mohammed Abu,
Nada Mohamed Ali Alnair,
Rania Hassan Abdelgfour
Issue:
Volume 7, Issue 2, March 2019
Pages:
59-65
Received:
24 September 2018
Accepted:
8 April 2019
Published:
27 May 2019
Abstract: Sudan public sectors’ has three levels of services delivery: primary, secondary and tertiary care. Primary level intended for health facilities that provide the basic package of health services and supposed to be the first contact for seeking medical help, advices and referral to high specialized services. Therefore, coordination between these three levels is important. As well as bypassing primary care level results in overburdening of referral facilities, increasing cost for the patients and depreciating health care system in terms of manpower, equipment and resources. Information about the health services utilizations’ and it’s the associated factors will be useful for improving service delivery to achieve universal health coverage. This paper intended to explore the experiences of caretakers seeking care for their under-five children related in public PHC facilities in Sharg-Alneel Locality, 2015. The study was descriptive cross-sectional applied qualitative research methods. Focus group discussions were conducted with caretakers who had experience with PHC services. Qualitative data was manually analyzed using thematic content analysis. This paper revealed that the main reasons that force the respondents to bypass the primary health facilities and seek care directly from the hospitals were related to the quality of the provided services. Accessibility issues, affordability issues, lack of knowledge of existing services, inadequacy of drugs, health staff competency and proper referrals system which is crucial to a functioning PHC, also reported to be lacking. Also, in this paper the respondents recommend the expansion of health insurance services coverage, provision of ambulances to all PHC facilities. Therefore, this paper recommends to educate and sensitize the individuals, families and community on PHC services role as the first line of health services to increase their knowledge and create awareness of services provided at the PHC facilities. This will increase demand for and improve access to PHC services. Also, to strengthen the implementation and facilitate the monitoring and evaluation by the authorities at the different levels. To enhance role of health insurance fund as purchaser rather than services provider and breach of free health care policy jeopardized affordability of PHC services need urgent actions, and continuous professional development for the PHC healthcare providers which will contribute in improving performance and providing quality PHC, and building their capacity on management of the under-5 common illness and by strengthen the supportive supervision and monitoring.
Abstract: Sudan public sectors’ has three levels of services delivery: primary, secondary and tertiary care. Primary level intended for health facilities that provide the basic package of health services and supposed to be the first contact for seeking medical help, advices and referral to high specialized services. Therefore, coordination between these thre...
Show More
