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- Ijang, Y. P., et al.
(författare)
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Awareness and practice of birth preparedness and complication readiness among pregnant women in the Bamenda Health District, Cameroon
- 2019
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Ingår i: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- Background Birth preparedness and complication readiness has as goal to reduce maternal and neonatal mortality. This concept developed by the organizations of the United Nations permits pregnant women and their families seek health care without delay in case of obstetric complications and delivery. Though its benefits have been proven in several countries, little is known of this in Cameroon and specifically in the North West Region. Therefore, the intention of the study was to assess the awareness and practice of birth preparedness and complication readiness in this health district. Methods This was a facility-based cross sectional study carried out in the Bamenda health district of the North West Region, Cameroon. Three hundred forty-five pregnant women of >= 32 weeks gestational age seen at the antenatal consultation units were recruited. The dependent variable was birth preparedness and complication readiness while the independent variables were the socio-demographic and reproductive health characteristics. Data collected was analyzed with SPSS and Microsoft excel. Frequency distributions were used to determine the awareness and practice of birth preparedness and complication readiness. Results Of the 345 pregnant women included in this study, 159(46.1%) were aware of birth preparedness and complication readiness. The practice of birth preparedness and complication readiness was unsatisfactory as only 65(18.8%) were considered prepared. Conclusion Education and counselling on birth preparedness and complication readiness is not made available to the pregnant women resulting in poor knowledge. Thus, reflected in the low practice of preparation for birth and its complication observed.
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- Ijang, Y. P., et al.
(författare)
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Factors associated with birth preparedness and complication readiness among pregnant women attending government health facilities in the Bamenda Health District, Cameroon
- 2021
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Ingår i: Pan African Medical Journal. - : Pan African Medical Journal. - 1937-8688. ; 39
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: birth preparedness and complication readiness (BPCR) intervention should greatly have an impact on the reduction of maternal mortality if implemented properly at all levels. Responsibility for BPCR must be shared among all safe motherhood stakeholders-because a coordinated effort is needed to reduce the delays that contribute to maternal and newborn deaths. This study aimed to assess the factors associated with birth preparedness and complication readiness among pregnant women attending government health facilities in the Bamenda Health District. Methods: this was a cross-sectional analytic study. The study period was 30th October - 30th November, 2016. A total of 345 pregnant women of >= 32 weeks gestational age seen at the antenatal consultation (ANC) units were recruited. The dependent variable was birth preparedness and complication readiness while the independent variables were the socio-demographic and reproductive health characteristics. Frequency distributions were used to determine the awareness and practice and logistic regression at 95% confidence interval (CI) and p<0.05 to identify the factors that favour birth preparedness and complication readiness. Results: the most likely factors that favour birth preparedness and complication readiness were monthly income (Odds Ratio (OR) = 2.94, (1.39, 6.25), p = 0.005) and the -:umber of antenatal care visits (OR = 2.16, (1.13, 3.90), p = 0.013). Conclusion: majority of the women in this study were not prepared for birth/complications. The factors most associated with birth preparedness and complication readiness were monthly income and number of antenatal care visits.
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- Bede, F., et al.
(författare)
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Dietary habits and nutritional status of medical school students: the case of three state universities in Cameroon
- 2020
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Ingår i: Pan African Medical Journal. - : Pan African Medical Journal. - 1937-8688. ; 35
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: malnutrition is a major risk factor of cardiovascular and metabolic diseases and therefore the importance of good dietary practices and balanced diet cannot be overemphasized. University students tend to have poor eating practices which is related to nutritional status. The objective of our study was to assess the dietary practices of medical students, determine the prevalence of malnutrition among medical students and factors associated with malnutrition. Methods: we carried out a cross-sectional study from December 2013 to March 2014 involving 203 consenting students in the Faculty of Medicine and Biomedical Sciences of the University of Yaounde I, Faculties of Health Sciences of the Universities of Bamenda and Buea. A three-part questionnaire (socio-demographic profile, eating practices, and anthropometric parameters). Data was analysed using SPSS 18.0. Frequencies and percentages were determined for categorical variables. Means and standard deviations (mean +/- SD) were calculated for continuous variables. Fischer's exact test was used to compare the categorical variables. Statistical significance was set at p <= 0.05. Results: males constituted 44.3% of respondents. The mean age was 20.8 +/- 1.6yrs. Most students had a monthly allowance of less than 20 000frs (34 USD) and 59.1% lived alone. Most students (49.8%) reported taking two meals a day with breakfast being the most skipped meal while supper was the meal most consumed by students. Snacking was common among these students as 40.8% admitted consuming snacks daily. Daily intake of milk, fruits, vegetable and meat were low (6.2%, 4.3%, 20.0% and 21.3% respectively). The BMI status of students was associated with gender (p=0.026). Conclusion: our findings showed a high prevalence of malnutrition of 29.4% based on BMI (underweight 4.9%, overweight 21.6% and obesity 3.0%) among second year medical students of these three state universities. Irregular meals, meal skipping, low fruit, vegetable and milk consumption, high candy, fried foods and alcohol intakes were found to be poor eating practices frequent among these students. Our findings therefore suggest the need for coordinated efforts to promote healthy eating habits among medical students in general and female medical students in particular (and by extension youths in general) as a means of curbing malnutrition among youths.
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- Bisahnyui, P., et al.
(författare)
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Comparative study of clinical methods versus ultrasound methods for accurate gestational age determination in different trimesters of pregnancy, Ndop District Hospital, North West region, Cameroon
- 2020
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Ingår i: Pan African Medical Journal. - : Pan African Medical Journal. - 1937-8688. ; 37
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: gestational age is the estimated age of gestation from a fetus during its development and this is very important for the mother who wants to know when to expect the birth of her baby and for the health care provider so they can chose the time at which to perform various assessment. However, from the information outlined in this research, it can be seen that last menstrual period (LMP) and follicle-stimulating hormone (FSH) are used to assess gestational age. While GSD, CRL, BPD, HC, AC and FL are biometric parameters that can be measured on a fetus in order to estimate gestational age. Many clinicians and ultrasonologists feel that if they are unable to obtain an accurate measurement at the time, they have sometimes failed to do an adequate job. Methods: the study was a comparative study on clinical method versus ultrasound method for accurate gestational age determination and also to determine the significance of fetal biometric parameter in GA determination. The study was an observational, cross sectional and participatory study for a period of 5 weeks from the 22nd of January to the 22nd of February 2018. A total of 72(74.2%) ANC cases were sampled during ultrasonography. Gestational ages from their clinic card were recorded. Twenty five questionnaires were given out to 25(26.8%) health care personnel to assess clinical method. Data was analyzed using SPSS version 16 plus and Microsoft Excel 2010. Results: results showed the best clinical method used was LMP with 9(36%) but when compared to ultrasound, ultrasound presented with greater accuracy of 15(60%) and clinical method 10(40%). Conclusion: based on the findings, it could be concluded that compared to the physical examination and clinical methods, ultrasound examination of the fetus provided the physician and health care professionals with greater accuracy for gestational age.
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- Negueu, A. B., et al.
(författare)
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Burnout among caregivers in the Yaounde central hospital, Cameroon : Burnout chez les professionnels des soignants l’Hopital Central de Yaoundé, Cameroon
- 2019
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Ingår i: Pan African Medical Journal. - : Pan African Medical Journal. - 1937-8688. ; 34
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: le burnout ou syndrome d'épuisement professionnel des soignants est un problème de santé publique au Cameroun. Il se manifeste par un épuisement émotionnel, une dépersonnalisation et une diminution de l'accomplissement personnel du sujet. Il touche la plupart des personnels soignants et les conséquences sont nombreuses. Au Cameroun en général et à l'Hopital Central de Yaoundé (HCY) en particulier, toutes ces dernières années, les soignants n'ont cessés d'exprimer leur mécontentement face à leurs conditions de travail à travers des grèves et menaces de divers ordres. La prise en charge des patients se fait de façon impersonnelle et on assiste à des conséquences dramatiques et des problèmes déontologiques. Méthodes: notre étude transversale analytique avait pour objectif de déterminer les facteurs qui sont associés au burnout dans cette population des soignants de l'HCY. Pour ce faire, pendant un mois, nous avons administré auprès de ces soignants notre questionnaire conçu selon les modèles théoriques de Maslach et Siegrist. Nous avons pu obtenir des informations recherchées auprès de 104 personnels soignants; la saisie et l'analyse des données se sont faites avec SPSS 20. Résultats: les résultats montrent auprès des soignants de quatre unités de soins de l'HCY des manifestations similaires à celles trouvées dans la littérature et une prévalence du Burnout (BO) de 63% parmi ces soignants. Sept facteurs y ont été associés de façon statistiquement significative: il s'agit du pavillon d'exercice (OR= 3.93; 1.16-13.24; p-value=0.027); le statut matrimonial (OR: 2.56; 1.22 - 5.39; p-value=0,049); le ratio effort/récompenses déséquilibré (OR: 2.31; 1.10 - 4.84; p-value=0.026 ); avoir été menacé physiquement ou verbalement (OR: 3,75; 1,49 - 9,41; 0,005); le maintien de l'équilibre entre vie privée et vie professionnelle (OR: 3,41; 1,19- 10,7; p-value=0,038); la fréquence des oublis (OR: 4,25 -1,33; 7,91; p-value=0,002) l'attribution des erreurs aux conditions de travail (OR: 2,05;1,52 - 24,0; p-value=0,011). Conclusion: le burnout est présent au sein des populations soignantes de l'HCY et risque de s'accroitre si rien n'est fait. Des stratégies de prévention et de promotion de la santé au travail sont vivement nécessaires dans les aspects de l'amélioration des conditions de travail; les prises de bonnes décisions politique et managériales; l'amélioration des relations entre soignants et soignant-hiérarchie et la recherche constante, le suivi et contrôle des facteurs de risque.
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