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Research Article
Strategic Evaluation of Community Health Activities: Case of the Parakou/N’Dali Health District
Issue:
Volume 10, Issue 5, October 2024
Pages:
196-202
Received:
20 August 2024
Accepted:
9 September 2024
Published:
26 September 2024
Abstract: Community health is based on primary health care and all countries must respect these principles of actions community-based health. Objective is to assess the relevance of community health activities in the Parakou / N'Dali Health District (PNHD) in 2020. Method: It was an evaluative observational cross-sectional study with an analytical aim carried out from August to September 2020. It focused on the community volunteer, qualified community health workers, local elected officials and health professionals of PNHD. Assessment of the relevance of activities at the community were in three dimensions: the relevance of the activities, the adequacy of the profile of agents committed to this task and respect for the principles of community action. Overall relevancy assessment ruled according to the Varkevisser rating scale. Results: The relevance of community health activities in the PNHD is poor (69.0%). Community volunteer does not have an adequate profile to carry out community health activities in basis of Primary Health Care (76.6%) and the basic principles of community action were not respect for 43.0%. Associated factors with the relevance of the activities observed are age between 40 and 60 (p˂.01), the gender of actors (p=.035). Conclusion: The community health activities carried out in the PNHD are globally not relevant as challenges persisted and required a great effort on human resources.
Abstract: Community health is based on primary health care and all countries must respect these principles of actions community-based health. Objective is to assess the relevance of community health activities in the Parakou / N'Dali Health District (PNHD) in 2020. Method: It was an evaluative observational cross-sectional study with an analytical aim carrie...
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Research Article
Study of Knowledge, Attitudes and Practices Related to Smoking Among Health Professionals in Public Hospitals in the Department of Dakar in 2021
Papa Gallo Sow*
,
Assane Diop,
Boubakcar Gueye,
Martial Coly Bop,
Aboubakry Dramé,
Abdou Aziz Ndiaye,
Alioune Badara Tal,
Cheikh Tacko Diop,
Gora M'baye
Issue:
Volume 10, Issue 5, October 2024
Pages:
203-210
Received:
2 September 2024
Accepted:
18 September 2024
Published:
29 September 2024
Abstract: Introduction: In Senegal, previous studies showed a prevalence of smoking among health professionals of between 11.6 and 12.8%. The general objective was to study smoking among health professionals in public hospitals in the department of Dakar. This was a cross-sectional study with a descriptive and analytical aim, the data collection phase of which took place from October 11 to November 23, 2021. The study population consisted of medical and paramedical staff. We collected 262 cases, i.e. a non-participation rate of 12.67%. Results: The average age of the health workers surveyed was 28.19 %. There were 148 men and women with a sex ratio of 1.30. Thus, 68.3% were single. During our study, the health workers at Abass NDAO Hospital were 110 (42%), 80 (30.5%) at the Principal Hospital in Dakar and 72 (27.5%) at HOGGY. The majority of the workers surveyed (69 cases, 26.3%) were DES or 7th year medical students. The least represented professional category was that of nursing assistants. Thus, 3.4% of the health workers surveyed were current tobacco users compared to 10.2% (26 health workers) who were former users. The average age at which these workers first used tobacco was 16.5 ± 2.5 years. Within the study population, 86% (225 workers) had never used tobacco. Smoked tobacco was the only form used by the subjects surveyed. The average consumption of smoked tobacco was 3.5 ± 0.51 times per day. However, the last attempt to quit was more than a year ago for the majority (5/7) of consumer health workers. The main reason for this attempt (failed) was awareness of the dangers of tobacco consumption (5/7). The main reason (05/07) that justified their tobacco consumption was stress management. All the workers surveyed were unanimous on the dangers of tobacco consumption on health. The consequences of tobacco most cited by the health workers surveyed were lung cancer (224 responses or 85.5% of respondents), COPD (205 or 78.24%) and strokes (165 or 62.98%). Male health workers were more likely to have good knowledge about smoking than female health workers. The agents thus surveyed had for 73.7% (i.e. 193 people) of them an insufficient or weak attitude towards smoking. Conclusion: At the end of our study and in light of the conclusions reached, we make the following suggestions to the health authorities: To organize communication-education sessions during World Tobacco Day.
Abstract: Introduction: In Senegal, previous studies showed a prevalence of smoking among health professionals of between 11.6 and 12.8%. The general objective was to study smoking among health professionals in public hospitals in the department of Dakar. This was a cross-sectional study with a descriptive and analytical aim, the data collection phase of whi...
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Research Article
Healthcare Seeking Behaviour and Associated Factor Among Community Based Health Insurance Members and Non-Members in Addis Ababa, Ethiopia, 2023
Issue:
Volume 10, Issue 5, October 2024
Pages:
211-216
Received:
2 August 2024
Accepted:
19 September 2024
Published:
29 October 2024
Abstract: Background: Community based health insurance (CBHI) is voluntary, non-profit health insurance. It helps to mobilize additional resource to the health sector. Community Based Health Insurance uses principles of insurance, members pay fees to the insurance scheme and in return their health service cost is covered by the scheme. This way risks can be shared among individuals and financial inputs pooled between individuals who need health service but are not able because they cannot afford it and those who are well but pay premium. Objective: To assess health Care seeking behavior and Community based health insurance among members and non-members in Addis Ababa, Ethiopia 2023. Methodology: A community based comparative cross-sectional study was conducted. A total of 580 households included in this study. Data was collected by data collectors using a standardized questionnaire through interviews. Associated factors for healthcare seeking behavior is identified by binary and multivariate logistic regression analysis and expressed by adjusted odds ratio (AOR). Multivariate analysis also used to control the effect of confounders. Result: Healthcare-Seeking Behavior of the Study Participants Factors Associated with Healthcare-Seeking Behavior participants the study indicated that the decision-making to visit a health facility for illnesses, disease severity, and CBHI membership had a statistically significant association with HSB. Conclusion: The overall household Health Seeking Behavior was 56.3% for Community Based Health Insurance members and 43.7% for non-Community Based Health Insurance members. Membership status has significant positive effect on healthcare seeking behavior. Decision- making process to visit a health facility for illnesses, disease severity was positively associated with membership status.
Abstract: Background: Community based health insurance (CBHI) is voluntary, non-profit health insurance. It helps to mobilize additional resource to the health sector. Community Based Health Insurance uses principles of insurance, members pay fees to the insurance scheme and in return their health service cost is covered by the scheme. This way risks can be ...
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Research Article
Factors Associated with Belief in Vaccine Protection Against COVID-19 in Côte d'Ivoire, 2022
Alfred Douba*,
Nicaise Bernadin Lepri Aka,
Christian Bangaman Akani,
Eric Martial Kouakou Ahoussou,
Assemien Boa,
Christiane Djoman,
Marie Noelle Ano,
Daniel Kouadio Ekra,
Tiembre Issaka
Issue:
Volume 10, Issue 5, October 2024
Pages:
217-226
Received:
29 September 2024
Accepted:
17 October 2024
Published:
31 October 2024
DOI:
10.11648/j.cajph.20241005.14
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Views:
Abstract: Background. Coronavirus 2019 or COVID-19 is an emerging respiratory disease caused by a new human coronavirus first detected in December 2019, in Wuhan, China. Beliefs and perceptions play an important role in the adoption of health behaviors. Objective. The objective of this study is to identify factors associated with belief in vaccine protection against COVID-19 in Côte d'Ivoire. Method. We carried out a cross-sectional survey for analytical purposes. We conducted a two-stage cluster survey. The first stage involved selecting 40 clusters in each district, by systematic random sampling. The second stage consisted in selecting the households. In each household, the person surveyed was the head of household. In his absence, the head of household's representative was interviewed. The dependent variable was the belief in COVID-19 vaccine protection. Factors associated with the dependent variable were identified using logistic regression. The measure of association was the Adjusted Odds Ratio (ajOR) with a 95% confidence interval (95% CI). Data were analyzed using PASW Statistics 18. Result. A total of 3,611 people were surveyed including 53% of females, 87 of individuals aged 18 to 59 years, 48% of Christian, 47% of Muslim, and 49% of vaccinated individuals. Factors associated with belief in COVID-19 vaccine protection were cohabitation (ajOR 1.71 [1.27 – 2.31]), religion (ajOR 0.58 [0.43 – 0.79]) and age (ajOR [ajOR 0.37 [0.16 – 0.86]). Conclusion. Socio-demographic factors associated with belief in vaccine protection against COVID-19 in our study were marital status, religion, and age. Health authorities should take into account these factors in developing strategies to increase COVID-19 vaccine acceptance. Qualitative studies could be carried out to understand the underlying reasons behind the belief in vaccine protection against COVID-19 or the reasons for COVID-19 vaccination hesitancy or refusal.
Abstract: Background. Coronavirus 2019 or COVID-19 is an emerging respiratory disease caused by a new human coronavirus first detected in December 2019, in Wuhan, China. Beliefs and perceptions play an important role in the adoption of health behaviors. Objective. The objective of this study is to identify factors associated with belief in vaccine protection...
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