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Pan African Medical Journal

Kabura Wamburu, Naftali Busakhala, Kevin Owuor, Josephat Nyagero
INTRODUCTION: In Kenya, cervical cancer is the second most common cancer among women; almost half of all women with invasive cervical cancer are diagnosed at a late stage. Few women are aware of the symptoms and risk factors of cervical cancer and that its precursor lesions are detectable through screening thus most women seek treatment when the cancer is at an advanced stage. The study explored the influence of cervical cancer awareness on stage at diagnosis in patients attending Kenyatta National Hospital...
2016: Pan African Medical Journal
Dorah Chorongo, Fredrick Majiwa Okinda, Eric Jimmy Kariuki, Emily Mulewa, Fredrick Ibinda, Samuel Muhula, George Kimathi, Richard Muga
INTRODUCTION: Globally, pregnancy related complications contribute to more than half of the deaths among women annually. Antenatal care (ANC) is important for the prevention of maternal and fetal mortality and morbidity. This study identifies the socio-demographic and economic characteristics; knowledge and attitude and; health service provision for focused antenatal care (FANC) services. METHODS: A cross-sectional comparative study conducted among 385 women of reproductive age who visited 5 public health facilities in Malindi and Magarini Sub Counties...
2016: Pan African Medical Journal
Matthew Reeve, Pamela Onyo, Josephat Nyagero, Alison Morgan, John Nduba, Michelle Kermode
INTRODUCTION: Current efforts to reduce maternal and newborn mortality focus on promoting institutional deliveries with skilled birth attendants (SBAs), and discouraging deliveries at home attended by traditional birth attendants (TBAs). In rural Kenya, semi-nomadic pastoralist communities are underserved by the formal health system, experience high maternal and neonatal mortality, and rely primarily on TBAs for delivery care, despite Government proscription of TBA-assisted births. This study examined the knowledge, attitude and practices of TBAs serving these communities to assess the potential for collaboration between TBAs and SBAs...
2016: Pan African Medical Journal
Maereg Wagnew, Muluken Dessalegn, Alemayehu Worku, Josephat Nyagero
INTRODUCTION: The burden of preeclampsia has been a major concern worldwide, particularly in developing countries such as Ethiopia. Preeclampsia is associated with substantial maternal complications, both acute and long-term. The aim of this research was to determine the magnitude and trends of preeclampsia/ eclampsia, maternal complications, and neonatal complications among women delivering babies at selected government hospitals in Ethiopia. METHODS: Data were collected retrospectively by reviewing the five-year medical records for 2009 to 2013, using data abstraction tools, to identify mothers with preeclampsia/eclampsia...
2016: Pan African Medical Journal
Muiruri Felarmine, Osur Joachim, Okello Agina
INTRODUCTION: Post-Partum Hemorrhage (PPH) accounts for 34% of maternal deaths in Kenya. Active management of third stage of labour (AMTSL) is a World Health Organization and Ministry of Health of Kenya approved protocol for reducing maternal mortality and morbidity arising from post-partum hemorrhage. Kiambu County in Kenya records an average of six maternal deaths per month, out of which, two are due to PPH. This paper analyses how facility factors influence utilization of this protocol in Kiambu County...
2016: Pan African Medical Journal
Duncan Ager, George Oele, Samuel Muhula, Susan Achieng, Moses Emalu, Mildred Nanjala, Sarah Kosgei, Susan Wanjiru, Peter Ofware, David Ojakaa, Meshack Ndirangu, Lennie Kyomuhangi
INTRODUCTION: In 2005, Kenya's Ministry of Health (MOH) in its quest to improve health outcomes developed the Community Health Strategy (CHS) as a key approach. The MOH and partners grappled with the challenge of managing the functionality of the Community Health Units (CHUs). Amref Health Africa in Kenya developed a replicable CHUs Functionality Scorecard for measuring and managing the functionality of CHUs. METHODS: We designed and piloted the CHU Functionality Scorecard at 114 CHUs in Rift valley province in Kenya...
2016: Pan African Medical Journal
Eliphas Gitonga, Felarmine Muiruri
INTRODUCTION: Kenya records a high maternal mortality ratio 362 maternal deaths per 100 000 live births. Tharaka Sub County has poor transport infrastructure, low levels of socio-economic status and long distances to health facilities. Secondary to these factors, delivering in a health facility is a challenge. Delivering in a health facility is one of the strategies to avert maternal death through skilled birth attendance. The aim of the study was to evaluate the determinants of health facility delivery among women in Tharaka Nithi County...
2016: Pan African Medical Journal
Takele Gezahegn, Zewdie Birhanu, Mamusha Aman, Muluken Dessalegn, Asmamaw Abera, Josephat Nyagero
INTRODUCTION: Friends are considered an important source of advice and information about sex. Conversations about sex among young people tend to generate norms that influence positive or negative pressure on individuals to conform to group standards. The aim of the study was to explore peer communication on sex and sexual health. METHODS: Grounded theory qualitative study design was employed using focus group discussions and participant observation. Participants were selected using criterion purposive sampling...
2016: Pan African Medical Journal
Bonface Abunah, Rueben Onkoba, Josephat Nyagero, Samuel Muhula, Edward Omondi, Bernard Guyah, Gregory Barnabas Omondi
INTRODUCTION: Follow-up visits are recommended to all voluntary medical male circumcision clients (VMMC), however, adherence is variable. High lost-to-follow-up cases limit knowledge about clinical status of clients and adverse events. This study sought to establish Motivators and Barriers to the Uptake of VMMC post-operative follow-up services in Siaya County, Kenya. METHODS: 277 clients from five VMMC sites in Yala were recruited immediately post-operation to participate in a telephone interview between the 21st and 31st day post-surgery during which a semi-structured questionnaire was administered...
2016: Pan African Medical Journal
Muluken Dessalegn, Ermias Daniel, Sileshi Behailu, Maereg Wagnew, Josephat Nyagero
INTRODUCTION: The emergence of multi-drug resistant tuberculosis (MDR-TB) has become a major public health concern that threatens advances made in global TB control efforts. Though the problem is prevalent, it did not receive major attention to generate supportive evidence for the prevention and control of MDR-TB. The aim of this study was to identify predictors of MDR-TB in a national TB referral centre in Ethiopia. METHODS: An unmatched, case-control study was conducted at St...
2016: Pan African Medical Journal
Muhamed Akulima, Rudia Ikamati, Margaret Mungai, Muhula Samuel, Meshack Ndirangu, Richard Muga
INTRODUCTION: Estimated 236,548 People Living with HIV (PLHIV) were in Central-Eastern Kenya in 2013. Kiambu County had 46,656 PLHIV with 42,400 (91%) adults and 4,200(9%) children (1-14yrs). Amref Health Africa in Kenya, supported through USAID-APHIAplus KAMILI project, initiated two food banks to respond to poor nutritional status of the HIV infected children. Quality Improvement Teams were used to facilitate food-banking initiatives. The study aimed at assessing and demonstrating roles of community food-banking in improving nutrition status of HIV-infected children in food insecure regions...
2016: Pan African Medical Journal
Wassie Negash, Muluken Dessalegn, Berhanu Yitayew, Mohammed Demsie, Maereg Wagnew, Josephat Nyagero
INTRODUCTION: Many youth are less informed, less experienced and less comfortable in utilizing reproductive health services. In the Sub-Saharan region the adolescents account for a higher proportion of new HIV infections and unmet need for reproductive health (RH) services. This study assessed reproductive health service utilization and associated factors among the youth in Amhara Region, Ethiopia. METHODS: A community based cross-sectional study was conducted from June 15-July 30, 2014...
2016: Pan African Medical Journal
David Paul Ngilangwa, Sharanya Rajesh, Mercy Kawala, Rita Mbeba, Benatus Sambili, Serafina Mkuwa, Rita Noronha, Alfred Jackson Meremo, Josephat Nyagero
INTRODUCTION: Access to information, education and services is central in the promotion of sexual and reproductive health and rights (SRHR) among young people. It enables young people make informed choices on sexuality matters, hence reduce teenage pregnancies and sexually transmitted infections (STIs). This study assessed accessibility of SRH rights' information among marginalized young people in three municipalities of Iringa, Ilala and Kinondoni in Tanzania. METHODS: A cross-sectional study design using mixed methods was conducted in 2013 in three selected districts of Tanzania...
2016: Pan African Medical Journal
Githinji Gitahi
No abstract text is available yet for this article.
2016: Pan African Medical Journal
Oyedunni Sola Arulogun, Ifeyinwa Arinze Ogbu, Isaac Oluwafemi Dipeolu
INTRODUCTION: The proportion of young people exposed to pornographic materials through the internet in Nigeria is increasing. However, the influence of the exposure on their sexual behaviour has not been fully explored. This study therefore explored the effects of internet exposure on the sexual behaviour of young persons in Ibadan North Local Government Area of southwest Nigeria. METHODS: A survey of 413 young persons was done using a pretested self-administered questionnaire which included questions on internet exposure and its influence on behaviour...
2016: Pan African Medical Journal
Mohamed Mahjoub, Maher Jedidi, Tasnim Masmoudi, Nabiha Bouafia, Mansour Njah
INTRODUCTION: The University Hospital Farhat Hached Sousse (Tunisia), has implemented a device-vigilance (DV) system, according to ANCSEP (National Agency of the Sanitary and Environmental Control of Products) guidelines, in order to manage the risk more effectively in hospital and to improve the quality and safety of patient care. In Tunisia the lack of regulation regarding device vigilance is the major obstacle to caregiver vigilance. The objective of this study is to establish the knowledge, attitudes, and clinical practice of University Hospital physicians regarding the implementation of the DV system...
2016: Pan African Medical Journal
Juan Carlos CataƱo, Veronica Posada
No abstract text is available yet for this article.
2016: Pan African Medical Journal
Taiwo Augustina Ladapo, Christopher Imokhuede Esezobor, Foluso Ebunoluwa Lesi
INTRODUCTION: Children with steroid resistant nephrotic syndrome usually require treatment with second-line agents and calcineurin inhibitors such as cyclosporine are now recommended as initial therapy. These agents only recently become available in our environment and their impact on care is unknown. We reviewed the short-term treatment outcomes of their use in comparison with previous outcomes. METHODS: Medical records of children managed for idiopathic steroid resistant nephrotic syndrome over a 5 year period were reviewed...
2016: Pan African Medical Journal
Mehdi Khmamouche, Zerrouk Rachid
No abstract text is available yet for this article.
2016: Pan African Medical Journal
Mehdi Kehila, Ahmed Halouani, Omar Touhami, Hassine Saber Abouda, Abdeljalil Khlifi, Rim Ben Hmid, Ines Benhassen, Aida Masmoudi, Mohamed Badis Chanoufi
This study aims to evaluate the value of prenatal ultrasound diagnosis by comparing it with the results of the fetopathological examination in case of therapeutic interruption of pregnancy for fetal indication. We conducted a retrospective descriptive and analytical study carried out over a three-year period from January 2013 to December 2015. It involved 66 fetuses autopsied after therapeutic interruption of pregnancy for fetal indication. Fetopathological examination confirmed ultrasound results in 63 cases (95...
2016: Pan African Medical Journal
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