Prevalence and risk factors for female sexual dysfunction in Egyptian married rural women in child bearing period

Sexuality is an important part of health, quality of life and general wellbeing [1]. Sexual dysfunction is characterized by disturbance in sexual desire and psycho physiological changes associated with the sexual response cycle in men and women [2]. Female Sexual dysfunction [FSD] is defined as a disorder of sexual desire, arousal, orgasm, or sexual pain that results in significant personal distress. That might have an impact on the quality of life, interpersonal relationships and self-esteem. Several human studies have documented that, FSD is a progressive, related to hormone-sensitive condition [3]. A woman's sexuality is a complex interplay of physical and emotional response that affects the way she thinks and feels about herself. When a woman has a sexual problem, it can impact many aspects of her life, including her personal relationships. In additional to, causes of sexual dysfunctions can be psychological, physical or related to interpersonal relationships or sociocultural influences [4]. To estimate the prevalence of sexual dysfunction among married rural women in child bearing period. Also to explore possible risk factors that may precipitate to female sexual dysfunction with in marital life. A cross sectional clinic-/hospital based survey. Study was performed in out patient clinics of obstatric and gynacological department of university hospital at Menoufiya Governorate. The subjects of study were 290 married rural women in child bearing age, those were selected from attedences who lived in surrounding villages to the hospital, The study was taken period of time from Jun 2007 to Jun 2008. The researchers utilized structured interviewing questionnaire sheet it was contained the following categories: sociodemographic characteristics, medical, obstetric and gynecological history as well as sexual relation/activity and contraceptive methods which were used. All sample were counseled confidentionially about their dysfunction and their clinically examined Complete assessment was carried out to exclude pathological causes of dysfunction. Subject were diagnosed as FSD by researcher physician. Majority of the sample had sexual dysfunction [86.3%]. Also, third of studied sample were relatives, and beside that relatively all studied sample were circumcised from 8-10 years. FSD is a highly prevalent problem within the scope of this study. The culture, beliefs and educational level of women had a major effect on occurrence of sexual dysfunction

Traditional home practices and health seeking behavior among rural mothers who have sick children

Diseases among young children are the major causes of morbidity and mortality particularly in the developing countries. The majority of these morbidities are due to infections, parasitic diseases, diarrhoea and respiratory disease. Health and illness for these children are a result of a complex dynamic of environmental, social, political and economic factors. No single intervention will successfully interrupt the cycle of morbidity and mortality among these children. Children morbidity represents an economic burden through the use of health facilities, health workers time and lost working hours, together with the cost of treatment of these diseases and their complications. Traditional home practices may have directly or indirectly effect on the health of children. To estimate the prevalence of two weeks morbidity and some social and environmental determinants among children less than 5 years in rural area; to identify maternal personal hygiene for sick children with acute diarrhea. In addition, to study the maternal traditional home practices and health seeking behavior for sick children. Cross section study was implemented through interviewing 100 mothers living in rural areas and whose children less than 5 years either at their homes in Betebs village or at RHU. Two weeks morbidity among rural children less than 5 years was high [37%]. Diarrhoea prevalence was 29.7%. Higher percentage of mothers who have children suffered from diarrhea were stored water [54.5%] and [45.5%] were not cover stored water. In addition, all mothers whose children with diarrhoea did not wash their hands with soap and water before cooking. Moreover, only 18.2% of them washed their hands after toilet. Also, mothers/mothers in law were the most important persons as advisors for care seeking among mothers who have children that they suffered from diarrhoea [45.5%]. About eighteen percent of them depend on either their experience or community health nurse, as advisors for care seeking. Health educational program to the community should high light the importance of hand washing with soap and water before cooking, after toilet and after child defecate. Also, intensify sending massages related to home management such as increase fluides, give ORS, ORT and continue BF in mass media and home management skills Health authority personnel should pay attention to the role of community nurse in health education of rural mothers and change their sanitary practices

impact of first aid program on school nurses' knowledge in Menoufiya governorate

First aid is one of the important set of specific tasks of school nurses. Administering treatment for injuries ranging from minor to serious in nature is essential for school children. This study was carried out to evaluate the impact of an educational program about first aid measures on the knowledge of school nurses. The study was carried out on a randomly recruited [using multistage] sample of 100 school nurses working in Menoufiya Governorate schools. A structured questionnaire was used to assess nurses' knowledge about first aid. The questionnaire was used three times. The first was before program implementation to assess baseline data and educational needs, the second was immediately after program implementation. The third was 3 months after program implementation to assess nurses' retained knowledge. The findings revealed that nurse-to-school ratio ranged from 1:1 to 1:5 and Nurse-to-student ratio ranged from 1:<1000 tol:3000 or more. First aid equipments and supplies at schools were very-deficient as reported by school nurses. Commonly reported illnesses/complaints require first aid response were diabetes, epilepsy, abdominal pain. Commonly reported injuries were wound and bleeding, extremity fractures and sprain, epistaxis and suffocation. The majority of the nurses had low pre-test scores of knowledge about first aid items. The total pretest mean score was 29.70 +/- 4.54 out of 99. In the post-test, and retention test the scores increased significantly in all items, and the total mean score reached 76.98 +/- 3.98 and 65.43 +/- 3.57 respectively. It can be concluded that implemented program about first aid had a significant effect on nurses' knowledge about first aid. The study recommended that continuous education for school nurses are needed to help them to respond effectively to children illnesses and injuries