ABSTRACT
Maternal mortality in Ethiopia is the highest in the world (412/100,000). Health facility delivery is the cornerstone in reducing maternal mortality. However, health facility delivery is low in Ethiopia, due to poor access and ill-equipped health facilities. Maternity waiting home(MWH)is one of the comprehensive packages of essential obstetric services, enabling women to access well-equipped health facilities. However, there are limited studies on maternal waiting home use in Ethiopia. This study aimedto use the integrated behavioral model, toassess maternal waiting home use and associated factors among mothers in the East Bellessa district, northwest Ethiopia.Method:A community-based cross-sectional study was conducted fromthe1-27 of March 2020. The multistage sampling technique was used to select a total of 624 mothers. Data was collected usingthe face-to-face interview technique. The reliability and validity of the itemswere checked using exploratory factor analysis. Multivariable logistic regressions wereconducted toidentify the factors associated with maternal waiting home use. Findings with a p-value <0.05 with a 95% confidence interval were considered statistically significant in the final model.Result.Overall, 20.5% (95% CI=17.3-23.7) of mothers used maternity waiting homes for the index of childbirth. Husband educational status (AOR=3.78, CI =1.44-9.93), the knowledge on maternitywaiting homes(AOR=3.97, CI=2.27-6.95), between 2 and 3antenatal care follow ups(AOR=0.14 CI=0.06-0.31), experiential attitude (AOR=2.37, CI=1.64-3.44), descriptive norms(AOR=0.66, CI=0.47-0.94), perceived behavioral control (AOR=1.07, CI=1.02-1.13) and behavioral intention (AOR=1.37, CI=1.1-1.71) were associated with maternity waiting home use.Conclusion:Maternity waiting home utilization was low. Husband's education status, antenatal care follow-up, knowledge on maternal waiting homes, experiential attitude, descriptive norms, perceived behavioral control and behavioralintention were positively significantly associated with MWH utilization. Therefore, strengthening the use antenatal care services, husbands'education, and developing a positive attitude towards MWH may improve the use of maternity waitinghomesamong women. [Ethiop. J. Health Dev. 2022; 36(2):000-000]Keyword:Maternity waiting home, mothers,integrated behavioral model, Ethiopia
Subject(s)
Behavioral Medicine , Maternal Mortality , Health Facilities , Delivery of Health Care, Integrated , Diet, ReducingABSTRACT
Objectives: This study identified the predictors of weight reduction among adult obese patients in a Family Practice Setting and developed a statistical model to predict weight reduction. Design: A prospective cohort design. Setting: The Family Practice Clinic, University College Hospital, Ibadan, Nigeria Participants and study tools: Obese adults were recruited into a three-month weight reduction program. Patient Information Leaflets were used for counselling, while questionnaires were administered to obtain socio-demographic and lifestyle factors. Potential predictors were assessed using the Multidimensional Scale of Perceived Social Support, Zung Depression Scale, Rosenberg Self-Esteem scale, Garner's Eating Attitude Test-26 (EAT-26), 24-hour dietary recall and International Physical Activity Questionnaire-short form. Anthropometric indices, blood pressure and Fasting Lipid Profile were assessed. Descriptive and inferential statistics were used for analysis with a significance set at α0.05. Results: Most 99(76.2%) of the 130 participants achieved weight reduction and had a median weight change of -2.3kg (IQR-4, -0.5), with 66 (66.7%) out of 99 attaining the weight reduction target of 10%. The regression model showed predictors of weight reduction to be Total Cholesterol [TC] (p=0.01) and Low-Density Lipoprotein Cholesterol [LDLC] (p=0.03). The statistical model derived for Weight reduction = 0.0028 (LDL-C) -0.029 (TC)-0.053 (EAT-26) +0.041(High-Density Lipoprotein Cholesterol). The proportion of variance of the model tested was R 2 = 0.3928 (adjusted R2 = 0.2106). Conclusion: Predictors of weight reduction among patients were eating attitude score, Total Cholesterol, Low-Density Lipid and High-Density Lipoprotein Cholesterol levels. A statistical model was developed for managing obesity among patients
Subject(s)
Clinical Laboratory Information Systems , Diet, Reducing , Obesity , Patient Outcome Assessment , Epidemiological ModelsABSTRACT
L'objectif de la présente étude, menée chez des sujets porteurs d'une maladie coeliaque, est la mesure de l'observance du régime sans gluten et la détermination des difficultés rencontrés et les problèmes engendrés par l'application de ce régime.Une enquête auprès de 100 malades coeliaques aété réalisée dans deux services de la santé de la ville de Tébessa (Algérie), entre 2008 et 2014. Les résultats obtenus montrent que l'observance du régime sans gluten est médiocre pour la majorité des sujets suivis. Un tiers des répondants de l'enquête (33 %) a reconnu la mauvaise observance du RSG. Le strict respect du RSG a été déclaré pour 19 % des cas. Cependant, 48%des répondants ont déclaré ne pas éprouver une amélioration clinique coeliaque malgré qu'ils aient mené un RSG strict. Plusieurs facteurs influencent l'observance du RSG. La majorité des patient 81% déclarent que le régime sans gluten n'a pasapporté une amélioration. Selon toujours les patients, 99 % des patients déclarent la présence de plusieurs difficultés qui empêchent l'application stricte du régime. L'alimentation hors domicile et le manque d'appétit sont les majeurs problèmes engendrés par l'application du RSG chez les patients enquêtés avec respectivement 90 % et 84 %
Subject(s)
Celiac Disease , Diet, Gluten-Free , Diet, Reducing , Morocco , Patient ComplianceABSTRACT
28 femmes obèses ou en surpoids (IMC>25), nouvellement admises à un programme de remise en forme, âgées de 39 ± 10 ans, ont pris part à une étude dont le but était d'évaluer, sur une période de 3 mois (T0, T1, T2, T3), la variation du poids, l'indice de masse corporelle (IMC), la masse grasse (%MG), la masse musculaire (MM), la densité osseuse (DO) et le pourcentage d'eau (%H2O) d'une part et, d'autre part celle de l'estime de soi (ES) et de la qualité de vie (QV). Elles ont été soumises à des séances d'activités physiques aérobies, quatre fois par semaine, d'une heure trente minutes de durée. Le poids, l'IMC, la MM, la DO et le %H2O n'ont pas varié significativement. Une analyse par classe d'âge montre des baisses significatives de l'IMC (p< 0,01) et du %MG de l'ordre de 9,7% (p<0,0001).Le test post-hoc de Tukey révèle des différences significatives (p< 0,05) sur la MM et le %H2O. L'ES et la QV ont eu des variations respectives de 19,9% et 15,2% (p<0,001). Trois mois d'expérimentation améliorent le bien être psychologique mais, n'ont pas suffi pour améliorer les paramètres corporels
Subject(s)
Body Mass Index , Cameroon , Diet, Reducing , Exercise , Exercise Therapy , Obesity , Quality of Life , Self Concept , WomenABSTRACT
Diet therapy remains a cornerstone in the management of diabetes. Efforts must be made to lessen the difficulty experienced by diabetic patients in adhering to dietaryrestrictions. This study therefore determines the weight and household measures of cooked Nigerian staple foods per meal; according to different calorie needs. The daily calories required from carbohydrate food was based on 50of the daily calories required. Thus 50of each selected calorie level was estimated and distributed between the three main meals. The equivalent weight and household measures of each cooked staple food for each meal were estimated according to the different calories. It is expected that the cooked food weight and household measures of Nigerian staple food (as presented in this paper) will lessen the burden experienced in quantifying the cooked staple foods required by diabetic patients and other individuals requiring specific calories per day in Africa