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1.
Afr J Reprod Health ; 24(s1): 66-77, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34077056

RESUMEN

In Africa, the first confirmed case of COVID-19 was reported in Egypt on February 14, 2020. Since then, the number of cases has continued to increase with Ethiopia, the Democratic Republic of Congo (DRC), Nigeria, Sudan, Angola, Tanzania, Ghana, and Kenya identified as vulnerable countries. The present study aimed to: 1) identify differences in trust level of COVID-19 diagnosis, recent healthcare utilization experiences, and COVID-19-related knowledge, information, and prevention practices in South Korea, Ethiopia, and DRC; and 2) identify factors influencing trust level in healthcare facilities regarding COVID-19 diagnosis. The present study was cross-sectional. The questionnaire survey was conducted between May 1-14, 2020 using Google forms, and 748 respondents were included in the final analysis. The data collected were analyzed using ANOVA, post- hoc test, and binary logistic regression analysis. South Korea showed higher rate of practice for COVID-19 prevention such as hand washing, mask wearing, and etc. than Ethiopia and DRC. The results showed significant differences with the trust level being 3.129 times higher in respondents from DRC than those from Ethiopia (aOR=3.129, 95% CI: [1.884-5.196], p <.000) and 29.137 times higher in respondents from South Korean than those from Ethiopia (aOR=29.137, 95% CI: [13.869-61.210], p <.000). Gender, age, number of family members, healthcare utilization experience, information, and practice were significant variables. Health education expansion for information and practice about COVID-19 in Ethiopia and DRC is necessary.


Asunto(s)
COVID-19/epidemiología , Conocimientos, Actitudes y Práctica en Salud , Aceptación de la Atención de Salud/estadística & datos numéricos , Confianza , Adulto , Factores de Edad , COVID-19/diagnóstico , COVID-19/prevención & control , Información de Salud al Consumidor/métodos , Información de Salud al Consumidor/estadística & datos numéricos , Estudios Transversales , República Democrática del Congo/epidemiología , Etiopía/epidemiología , Femenino , Humanos , Masculino , Satisfacción del Paciente , República de Corea/epidemiología , SARS-CoV-2 , Factores Sexuales , Factores Socioeconómicos
2.
Artículo en Inglés | MEDLINE | ID: mdl-29976899

RESUMEN

A project on maternal and child health (MCH) was conducted by the Korea International Cooperation Agency to reduce maternal and child mortality rates in Kwango, Democratic Republic of Congo (DRC). The objective of this study was to evaluate the costs and benefits of the MCH project, which was under Official Development Assistance for a period of 3 years from 2014 to 2016. The study conducted a cost-benefit analysis (CBA) using a benefit-cost ratio (BCR). The costs were the total costs incurred in implementing the MCH project. The benefits of the MCH project were estimated as the monetary values of the reduction in maternal mortality rates and the mortality rates of infants and children aged under 5 years. The adjusted costs that converted the time value for 2016 were estimated as USD 1,969,532 as part of the CBA. The benefits of reduced maternal mortality and the mortality of infants and children aged under 5 years were estimated as USD 681,416, USD 4,332,376, and USD 1,710,184, respectively, in monetary terms. The total benefits were estimated as USD 6,723,976 and the BCR was calculated at 3.41. In addition, the benefits were estimated by the different economic assumptions through a sensitivity analysis. The MCH project was economically satisfied under the most conservative assumptions.


Asunto(s)
Servicios de Salud Materno-Infantil/economía , Desarrollo de Programa/economía , Evaluación de Programas y Proyectos de Salud/economía , Adulto , Mortalidad del Niño , Preescolar , Congo/epidemiología , Análisis Costo-Beneficio , Femenino , Humanos , Lactante , Recién Nacido , Cooperación Internacional , Masculino , Mortalidad Materna , Servicios de Salud Materno-Infantil/organización & administración , Servicios de Salud Materno-Infantil/normas , Embarazo , Desarrollo de Programa/normas , Evaluación de Programas y Proyectos de Salud/normas
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