Key Considerations in Integrated HIV-TB Services in the Prevention of Mother-to-Child Transmission: A focus on a Tertiary Health Facility in Lagos, Nigeria
Stellamaris Moronkeji,
Ebenezer Obi Daniel,
Adedoyin Ogunyemi,
Ogunnaike Adewale Adeyemi,
Onyezue Okechukwu Innocent,
Osato Harriet Obasuyi,
Israel Olukayode Popoola
Issue:
Volume 7, Issue 5, September 2019
Pages:
84-88
Received:
5 September 2019
Accepted:
24 September 2019
Published:
10 October 2019
Abstract: The need to prevent vertical transmission of HIV to a new born and the imperativeness of instituting a functional integrated HIV and Tuberculosis (TB) services across health facilities will be a landmark public health intervention that will improve the quality of life of millions. This survey is a descriptive study in which respondents (HIV positive pregnant women enrolled for the prevention of mother to child transmission service) were purposively selected based on consent to participate across multiple points at the Lagos State University Teaching Hospital. The 27 respondents participated in the study. About 50% of the respondents were between 18-30 years old with majority having secondary school education or more. The respondents are mostly married and generally knowledgeable about the mode of transmission of HIV/AIDS, TB and antiretrovirals. The major considerations cited by the respondents include; care beyond hospital settings by community health workers (home care and visitation), counseling, health education and promotion, TB screening while “increased stigma & discrimination” and “fear of meeting known persons” were identified as possible disadvantages. The survey revealed and highlighted the key considerations in implementing HIV-TB integrated services into the PMTCT services. Improved training for health workers for effective management of the increased work burden is recommended.
Abstract: The need to prevent vertical transmission of HIV to a new born and the imperativeness of instituting a functional integrated HIV and Tuberculosis (TB) services across health facilities will be a landmark public health intervention that will improve the quality of life of millions. This survey is a descriptive study in which respondents (HIV positiv...
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Factors Related to Duration of Dialysis Among Sudanese Patients on Hemodialysis at Gezira Hospital for Renal Diseases and Surgery, Gezira State, Sudan; 2018
Taha Ahmed Elmukashfi Elsheikh,
Mohamed Abdel Salam Nurein,
Mustafa Omran Mansour
Issue:
Volume 7, Issue 5, September 2019
Pages:
89-94
Received:
11 September 2019
Accepted:
4 October 2019
Published:
15 October 2019
Abstract: End stage renal disease constitutes a public health problem globally. One of methods of solution of this problem is hemodialysis. To determine factors related to duration of hemodialysis among Sudanese Patients. It was a cross-sectional survey. Fifty Sudanese Patients on regular hemodialysis at Gezira Hospital for Renal Diseases & Surgery, Gezira State, Sudan; were selected. Independent variables were age, gender, marital status, level of education, occupation, presence and types of congenital anomalies of urinary system. Dependent variable was hemodialysis. Investigation was done using structured questionnaire. Data was analyzed using SPSS version 21. P-value ≤ 0.05 was considered statistically significant. Age range was 19 - 70 years. Male gender was predominant (62%) among study population. Generally duration of hemodialysis is higher among male. Sixty six percent of respondents were married. There was no statistical association between marital status and duration of hemodialysis. Thirty eight percent were graduated from secondary school, university, and postgraduate studies. Majority of the rest were either illiterateor graduated from Holly Quran School (Khalwa), or primary school. About 78% of study population either non-employed or from low economical class. There was strong statistical association between occupation and duration of hemodialysis. Rate of congenital anomalies was 12%. There was statistical relationship between both presence and types of congenital anomalies of renal system and duration of hemodialysis among study population. Economically active age group was more affected than others. Duration of hemodialysis was higher among male. Un-married respondents were more vulnerable than married groups. Duration of hemodialysis was longer among respondents with low socioeconomic status and among respondents having congenital anomalies of renal system. Screening for presence of congenital anomalies of renal system among general population may be of great help.
Abstract: End stage renal disease constitutes a public health problem globally. One of methods of solution of this problem is hemodialysis. To determine factors related to duration of hemodialysis among Sudanese Patients. It was a cross-sectional survey. Fifty Sudanese Patients on regular hemodialysis at Gezira Hospital for Renal Diseases & Surgery, Gezira S...
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