ABSTRACT
A cross-sectional study was conducted at 33 randomly selected health facilities in Jeddah, Saudi Arabia, to assess health facilities' performance and health workers' knowledge of surveillance activities for childhood vaccine-preventable diseases. The WHO surveillance assessment questionnaire and a specially designed knowledge questionnaire were used. There were deficiencies in some surveillance items. The percentages of health facilities that had the surveillance manual and correctly filled clinical registers were 57.6% and 60.6% respectively. In the 6 months preceding the study, 36.4% of facilities lacked the appropriate surveillance forms while only 18.2% had received supervision reviews. Only one-quarter of health workers had a satisfactory knowledge score.
Subject(s)
Child Welfare , Communicable Disease Control , Communicable Diseases/epidemiology , Health Knowledge, Attitudes, Practice , Health Personnel/education , Population Surveillance , Chi-Square Distribution , Child , Child Welfare/statistics & numerical data , Child, Preschool , Communicable Disease Control/methods , Cross-Sectional Studies , Educational Measurement , Female , Health Personnel/psychology , Humans , Male , Manuals as Topic , Needs Assessment , Population Surveillance/methods , Public Health/education , Public Health/methods , Registries , Saudi Arabia , Surveys and QuestionnairesABSTRACT
A retrospective cohort study was conducted to determine the 5-year survival and prognostic factors for survival for 407 oropharyngeal cancer cases registered in the 3 main hospitals in Alexandria, Egypt, from 1996-2000. Survival analysis was conducted using Kaplan-Meier curves, and multivariate Cox regression analysis. The overall 5-year survival rate was 30.8%. Multivariate analysis showed that significant prognostic factors for survival were tumour stage (hazard ratio = 2.39; 95% CI: 1.41-11.72), tumour site and patient's age. Secondary prevention of oral cancers can be conducted through examination of the oral cavity to find precancerous and early cancerous lesions and hence improve survival.
Subject(s)
Oropharyngeal Neoplasms/mortality , Urban Health/statistics & numerical data , Age Distribution , Egypt , Epidemiologic Studies , Female , Humans , Kaplan-Meier Estimate , Male , Middle Aged , Multivariate Analysis , Neoplasm Staging , Oropharyngeal Neoplasms/pathology , Oropharyngeal Neoplasms/prevention & control , Prognosis , Proportional Hazards Models , Registries , Retrospective Studies , Secondary Prevention , Sex Distribution , Survival Analysis , Survival Rate , Treatment OutcomeABSTRACT
A cross-sectional study was conducted at 33 randomly selected health facilities in Jeddah, Saudi Arabia, to assess health facilities' performance and health workers' knowledge of surveillance activities for childhood vaccine-preventable diseases. The WHO surveillance assessment questionnaire and a specially designed knowledge questionnaire were used. There were deficiencies in some surveillance items. The percentages of health facilities that had the surveillance manual and correctly filled clinical registers were 57.6% and 60.6% respectively. In the 6 months preceding the study, 36.4% of facilities lacked the appropriate surveillance forms while only 18.2% had received supervision reviews. Only one-quarter of health workers had a satisfactory knowledge score
Subject(s)
Primary Health Care , Cross-Sectional Studies , Surveys and Questionnaires , Evaluation Studies as Topic , Immunization , Health Education , Communicable Disease ControlABSTRACT
A retrospective cohort study was conducted to determine the 5-year survival and prognostic factors for survival for 407 oropharyngeal cancer cases registered in the 3 main hospitals in Alexandria, Egypt, from 1996-2000. Survival analysis was conducted using Kaplan-Meier curves, and multivariate Cox regression analysis. The overall 5-year survival rate was 30.8%. Multivariate analysis showed that significant prognostic factors for survival were tumour stage [hazard ratio = 2.39; 95% CI: 1.41-11.72], tumour site and patient's age. Secondary prevention of oral cancers can be conducted through examination of the oral cavity to find precancerous and early cancerous lesions and hence improve survival
