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1.
BMC Psychol ; 7(1): 82, 2019 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-31847888

RESUMO

BACKGROUND: Risk behaviors among young people are a major social and public health issue. This study aims to assess the impact of a life-skills-based prevention program (called Mission Papillagou) on self-esteem, well-being, and risk behaviors among adolescents. METHOD: In a two-arm controlled study involving 520 school pupils aged between 10 and 15 years old, participants taking part in the prevention program (the Papillagou group) were compared to pupils who did not take part (the control group). Two assessment sessions were performed, one at baseline, and one after either the Mission Papillagou program (Papillagou group) or usual lessons (control group). Participants self-reported on their self-esteem, well-being, behaviors, interests and opinions. RESULTS: The Mission Papillagou program significantly improved Self-Esteem scores (ηρ2 = .035). Well-being (Cramér's V = .14) and mood ("feeling of depression": Cramér's V = .503; "feeling hopelessness about the future": Cramér's V = .357; "waking up at night": Cramér's V = .343) also improved in the Papillagou group compared to the control group. Regarding risk behaviors, the prevention program produced a decrease in the frequency of insults (Cramér's V = .267) and rumor-spreading (Cramér's V = .440), and a change of opinion toward the possibility of smoking an electronic cigarette in the future (Cramér's V = .372). CONCLUSION: This study suggests that life-skills-based risk prevention programs are effective.


Assuntos
Comportamento do Adolescente , Transtornos Mentais/prevenção & controle , Medicina Preventiva/métodos , Autoimagem , Adolescente , Criança , Depressão/prevenção & controle , Feminino , Humanos , Masculino , Projetos Piloto , Assunção de Riscos , Fumar
2.
BMC Public Health ; 19(1): 1462, 2019 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-31694586

RESUMO

BACKGROUND: The number of interventions to support parents is growing. The level of evidence regarding these intervention varies. In this paper we describe a study that aims to assess the effectiveness of specific 'elements' within such parenting interventions for families with children up to 7 years. A naturalistic effect evaluation will be applied. Study questions are: 1. What is the exposure of parents to (elements of) parenting interventions in the daily practice of preventive youth health care? 2. What are the associations between the exposure to (elements of) parenting interventions and outcomes in parents/children related to parenting and child development? METHODS/DESIGN: Thousand parents/caregivers are recruited by preventive youth health care providers in the Netherlands. Measurements will be performed after inclusion and after 12-months follow up. Data regarding child/parent/caregiver characteristics, use of (parenting) interventions and care, and outcomes with regard to parenting skills, family functioning and child development will be collected. Outcomes will be compared between parents/children exposed and non-exposed to the (elements of) parenting interventions (adjusting for confounders). DISCUSSION: We hypothesize that parents/caregivers with exposure to (elements of) parenting interventions show (relatively more) improvements in parenting outcomes. Results will support intervention selection/development, and support communities/professionals to select appropriate intervention-elements. TRIAL REGISTRATION: Netherlands National Trial Register number NL7342 . Date of registration: 05-November-2018, retrospectively registered.


Assuntos
Poder Familiar , Medicina Preventiva/métodos , Apoio Social , Adolescente , Criança , Desenvolvimento Infantil , Educação Infantil , Pré-Escolar , Educação não Profissionalizante , Feminino , Humanos , Masculino , Países Baixos , Relações Pais-Filho , Pais/psicologia , Ensaios Clínicos Pragmáticos como Assunto , Projetos de Pesquisa
3.
Gerontologist ; 59(Suppl 1): S1-S6, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31511747

RESUMO

Over two-thirds of all new cancers are diagnosed among adults aged ≥60 years. As the number of adults living to older ages continues to increase, so too will the number of new cancer cases. Can we do more as a society to reduce cancer risk and preserve health as adults enter their 60s, 70s, and beyond? Cancer development is a multi-step process involving a combination of factors. Each cancer risk factor represents a component of cancer causation, and opportunities to prevent cancer may exist at any time up to the final component, even years after the first. The characteristics of the community in which one lives often shape cancer risk-related behaviors and exposures over time, making communities an ideal setting for efforts to reduce cancer risk at a population level. A comprehensive approach to cancer prevention at older ages would lower exposures to known causes of cancer, promote healthy social and physical environments, expand the appropriate use of clinical preventive services, and engage older adults in these efforts. The collection of articles in this supplement provide innovative insights for exciting new directions in research and practice to expand cancer prevention efforts for older adults. This brief commentary sets the stage for the papers that follow.


Assuntos
Promoção da Saúde/métodos , Neoplasias/prevenção & controle , Medicina Preventiva/métodos , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Fatores de Risco
4.
BMC Res Notes ; 12(1): 563, 2019 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-31500659

RESUMO

OBJECTIVES: Workplace health and safety is vital in every organization particularly in the healthcare settings. The aim was to assess the levels of knowledge, attitude, and practices of the healthcare professionals towards safety at Gondar University referral hospital. An institution based cross-sectional study was conducted from February to June 2018. Proportional random sampling technique was used to include 282 study participants and data were collected using a structured self-administered questionnaire and analyzed using SPSS version 20. RESULTS: Among 282 study participants, 230 (81.6%), 181 (64.2%), and 162 (57.4%) had adequate knowledge, favorable attitude, and adequate practice scores, respectively. More than half (55.3%) of the study participants were untrained. There was a high (26.6%) prevalence of needlestick injury; however, the use of post-exposure prophylaxis after potential exposures was very limited. Generally, the levels of knowledge, attitude, and practice scores among the study participants were low. Therefore, there should be adequate and consistent supply of personal protective devices and other materials used for infection prevention and control. In addition, there should be awareness raising mechanism, including the provision of job aids and periodic training. Further, comprehensive studies should be conducted by including different types and levels of health facilities.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/estatística & dados numéricos , Hospitais Universitários , Medicina Preventiva/métodos , Encaminhamento e Consulta , Adulto , Estudos Transversais , Etiópia/epidemiologia , Feminino , Pessoal de Saúde/normas , Humanos , Masculino , Pessoa de Meia-Idade , Ferimentos Penetrantes Produzidos por Agulha/diagnóstico , Ferimentos Penetrantes Produzidos por Agulha/epidemiologia , Ferimentos Penetrantes Produzidos por Agulha/prevenção & controle , Inquéritos e Questionários , Adulto Jovem
5.
Neonatal Netw ; 38(2): 80-87, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-31470370

RESUMO

PURPOSE: This evidence-based practice project evaluated the efficacy of a respiratory algorithm administered by specially trained transition nurses on the reduction of preventable NICU admissions for infants experiencing mild respiratory distress during transition. DESIGN: A retrospective chart review compared a cohort of newborn admission rates for seven months before and seven months after initiation of a respiratory algorithm. SAMPLE: Records of infants were included if they were born >35 weeks' gestation, had documented mild respiratory distress after birth, required <48 hours of noninvasive respiratory support, and had a length of stay less than four days. RESULTS: Ninety-six infants (before n = 34, after n = 62) were included. Before implementation of the respiratory algorithm, infants requiring noninvasive respiratory support were admitted to the NICU. Following implementation of the algorithm, NICU admissions for mild respiratory distress significantly decreased (86 percent), despite a concurrent increase in maternal acuity.


Assuntos
Manuseio das Vias Aéreas/enfermagem , Enfermagem Neonatal/métodos , Síndrome do Desconforto Respiratório do Recém-Nascido , Terapia Respiratória/métodos , Algoritmos , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Tempo de Internação , Masculino , Gravidade do Paciente , Medicina Preventiva/métodos , Síndrome do Desconforto Respiratório do Recém-Nascido/diagnóstico , Síndrome do Desconforto Respiratório do Recém-Nascido/terapia , Estudos Retrospectivos
6.
Cells ; 8(7)2019 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-31277291

RESUMO

Autophagy (self-eating) is a conserved cellular degradation process that plays important roles in maintaining homeostasis and preventing nutritional, metabolic, and infection-mediated stresses. Autophagy dysfunction can have various pathological consequences, including tumor progression, pathogen hyper-virulence, and neurodegeneration. This review describes the mechanisms of autophagy and its associations with other cell death mechanisms, including apoptosis, necrosis, necroptosis, and autosis. Autophagy has both positive and negative roles in infection, cancer, neural development, metabolism, cardiovascular health, immunity, and iron homeostasis. Genetic defects in autophagy can have pathological consequences, such as static childhood encephalopathy with neurodegeneration in adulthood, Crohn's disease, hereditary spastic paraparesis, Danon disease, X-linked myopathy with excessive autophagy, and sporadic inclusion body myositis. Further studies on the process of autophagy in different microbial infections could help to design and develop novel therapeutic strategies against important pathogenic microbes. This review on the progress and prospects of autophagy research describes various activators and suppressors, which could be used to design novel intervention strategies against numerous diseases and develop therapeutic drugs to protect human and animal health.


Assuntos
Autofagia , Doença , Desenho de Drogas , Tratamento Farmacológico/métodos , Humanos , Medicina Preventiva/métodos
7.
Presse Med ; 48(7-8 Pt 1): 756-766, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31307878

RESUMO

Human oncogenic papillomaviruses (HPV) have an increasingly prominent role in the genesis of many cancers. The oncogenic mechanisms associated with HPV are now better known and make it possible to explain the etiopathogenesis of the association. HPV status is now sought for certain cancers and conditions both prognosis and management of patients. Preventive antiviral vaccination has become a real public health issue and aims to effectively reduce the prevalence of cervical, anal and oropharynx cancer, HPV-associated. However, vaccination against HPV still lags behind. The purpose of this review is to redefine the involvement of HPV in several cancers as well as current therapeutic challenges of HPV-related cancers, notably in term of prevention.


Assuntos
Transformação Celular Viral/fisiologia , Papillomaviridae/fisiologia , Infecções por Papillomavirus/prevenção & controle , Medicina Preventiva/métodos , Vacinação , Neoplasias do Ânus/prevenção & controle , Neoplasias do Ânus/virologia , Carcinogênese , Feminino , Humanos , Masculino , Neoplasias Orofaríngeas/prevenção & controle , Neoplasias Orofaríngeas/virologia , Infecções por Papillomavirus/virologia , Vacinas contra Papillomavirus/uso terapêutico , Neoplasias do Colo do Útero/prevenção & controle , Neoplasias do Colo do Útero/virologia , Vacinação/métodos , Vacinação/psicologia , Vacinação/tendências
8.
Bull World Health Organ ; 97(6): 415-422, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31210679

RESUMO

Thailand's policy on universal health coverage (UHC) has made good progress since its inception in 2002. Every Thai citizen is now entitled to essential preventive, curative and palliative health services at all life stages. Like its counterparts elsewhere, however, the policy faces challenges. A predominantly tax-financed system in a nation with a high proportion of people living in poverty will always strive to contain rising costs. Disparities exist among the different health insurance schemes that provide coverage for Thai citizens. National health expenditure is heavily borne by the government, primarily to reduce financial barriers to access for the poor. The population is ageing and the disease profiles of the population are changing alongside the modernization of Thai people's lifestyles. Thailand is now aiming to enhance and sustain its UHC policy. We examine the merits of different policy options and aim to identify the most promising and feasible way to enhance and sustain UHC. We argue that developing the existing primary care system in Thailand has the greatest potential to provide more self-sustaining, efficient, equitable and effective UHC. Primary care needs to move from its traditional role of providing basic disease-based care, to being the first point of contact in an integrated, coordinated, community-oriented and person-focused care system, for which the national health budget should be prioritized.


Assuntos
Acesso aos Serviços de Saúde/economia , Financiamento da Assistência à Saúde , Atenção Primária à Saúde , Cobertura Universal do Seguro de Saúde/economia , Política de Saúde , Humanos , Medicina Preventiva/economia , Medicina Preventiva/métodos , Atenção Primária à Saúde/economia , Impostos , Tailândia
10.
BMC Health Serv Res ; 19(1): 358, 2019 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-31170990

RESUMO

BACKGROUND: Little is known about the participation of surgeons in preventative health activities in the non-admitted hospital care setting. The aim of this study was to identify which preventive health activities surgeons practice and to explore their attitudes towards preventive health. METHODS: A mixed methods study was conducted using a sequential explanatory design. Quantitative results were obtained from a self-reported clinician survey (n = 16) and a Generalized Estimating Equation was used to assess the relationship between dependent (preventive health practice) and independent (confidence and knowledge in preventive health practice, years of practice, and attitudinal factors) variables. Using a building approach to integration, results from the quantitative analyses informed design of the interview guide. Surgeons' beliefs and attitudes were explored using in-depth, semi structured interviews with a purposeful sample of surgeons (n = 14). Responses were collected, independently coded and analysed using a qualitative descriptive approach. RESULTS: In accordance with a contiguous narrative approach to integration, the quantitative and qualitative findings are reported separately. The clinician survey found that the surgeons carried out preventive health activities at low levels. Preventive health advice was predominantly verbal in nature, and few surgeons provided written material or referred patients to additional services. The GEE analyses indicated that the following factors best predicted the tendency to undertake preventive health activities: years of clinical practice (p = 0.041), and the perceived work priority placed on preventive health (p = 0.008). Interviews generated four themes that influenced the tendency of surgeons to undertake preventive health activities: perceptions of their role in preventive health, perceived motivation of patients, hospital structure, and facilitating factors. In regards to enabling factors that are likely to increase preventive health practice, surgeons unanimously advocated for referral pathways into specialist behaviour change programs that they could facilitate within their relatively brief consulting time. CONCLUSIONS: The findings suggests that the majority of public hospital surgeons engage in routine preventive health advice at a low level. The high volume of non-admitted surgical consultations undertaken annually, coupled with medium to high self-reported knowledge and confidence in addressing behavioural risk factors, support an increased involvement of surgeons in preventive health practice.


Assuntos
Atitude do Pessoal de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde/métodos , Padrões de Prática Médica , Medicina Preventiva , Cirurgiões , Estudos de Avaliação como Assunto , Hospitais Públicos , Humanos , Liderança , Medicina Preventiva/métodos
12.
PLoS Genet ; 15(4): e1008060, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-31022172

RESUMO

The promise of personalized genomic medicine is that knowledge of a person's gene sequences and activity will facilitate more appropriate medical interventions, particularly drug prescriptions, to reduce the burden of disease. Early successes in oncology and pediatrics have affirmed the power of positive diagnosis and are mostly based on detection of one or a few mutations that drive the specific pathology. However, genetically more complex diseases require the development of polygenic risk scores (PRSs) that have variable accuracy. The rarity of events often means that they have necessarily low precision: many called positives are actually not at risk, and only a fraction of cases are prevented by targeted therapy. In some situations, negative prediction may better define the population at low risk. Here, I review five conditions across a broad spectrum of chronic disease (opioid pain medication, hypertension, type 2 diabetes, major depression, and osteoporotic bone fracture), considering in each case how genetic prediction might be used to target drug prescription. This leads to a call for more research designed to evaluate genetic likelihood of response to therapy and a call for evaluation of PRS, not just in terms of sensitivity and specificity but also with respect to potential clinical efficacy.


Assuntos
Herança Multifatorial , Medicina de Precisão/métodos , Transtorno Depressivo Maior/tratamento farmacológico , Transtorno Depressivo Maior/genética , Diabetes Mellitus Tipo 2/tratamento farmacológico , Diabetes Mellitus Tipo 2/genética , Feminino , Humanos , Hipertensão/tratamento farmacológico , Hipertensão/genética , Masculino , Mutação , Transtornos Relacionados ao Uso de Opioides/genética , Transtornos Relacionados ao Uso de Opioides/prevenção & controle , Osteoporose/genética , Osteoporose/prevenção & controle , Testes Farmacogenômicos/métodos , Medicina Preventiva/métodos , Fatores de Risco
13.
J Adv Nurs ; 75(8): 1782-1791, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30937929

RESUMO

AIM: To understand family caregiver involvement in delirium prevention care for older adults hospitalized for orthopaedic surgery hospitals and family caregiver integration by nurses. DESIGN: Multiple-case study. METHODS: The model of Care Partner Engagement was selected as theoretical framework. Eight cases will comprise an older adult hospitalized a family caregiver and a ward nurse. They will be recruited with a non-probability sampling on two orthopaedic surgery wards in two hospitals. Semi-structured interviews with participants will be audiotaped. Sociodemographic data will be collected. These data, researcher field notes and interview transcripts will be subjected to within- and across-case thematic analysis. Regional ethics committee approved the study protocol in August 2018. DISCUSSION: The study will allow surgical nursing teams to gain a better understanding of the issues and possibilities regarding family caregiver integration in delirium prevention care for older adults.


Assuntos
Cuidadores/psicologia , Delírio/enfermagem , Delírio/prevenção & controle , Família/psicologia , Pacientes Internados/psicologia , Enfermagem Ortopédica/métodos , Medicina Preventiva/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Delírio/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
14.
PLoS Med ; 16(4): e1002787, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-31013273

RESUMO

In a Perspective, Gavin Churchyard and Sue Swindells discuss the importance of strategies to target latent tuberculosis infection in high risk populations and thus disrupt a reservoir for new infections in high burden countries.


Assuntos
Erradicação de Doenças/métodos , Controle de Infecções/métodos , Tuberculose Latente/epidemiologia , Tuberculose Latente/prevenção & controle , Antituberculosos/uso terapêutico , Progressão da Doença , Doenças Endêmicas , Geografia , Humanos , Medicina Preventiva/métodos , Fatores de Risco , Tuberculose/epidemiologia , Tuberculose/prevenção & controle
15.
Healthc Manage Forum ; 32(3): 136-142, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30943766

RESUMO

Obesity is an important risk factor for various chronic diseases. While people with obesity use the health system more and incur higher costs, they may forego using preventive care services (e.g., gynecological cancer screenings) due to issues of service use and service access. The aim of this paper was to use a public health lens to elucidate system level factors that affect healthcare access and utilization for preventive and weight management care by patients with obesity. Some elucidated factors include lack of access to a Primary Care Provider (PCP) and multidisciplinary healthcare settings, gender of the PCP, duration of medical visits and health professionals' attitudes about obesity. We highlight potential strategies for leaders to use when improving access and use of health services by patients with obesity in Canada and the need for future empirical studies in this research area.


Assuntos
Acesso aos Serviços de Saúde , Obesidade/prevenção & controle , Aceitação pelo Paciente de Cuidados de Saúde , Medicina Preventiva/métodos , Atitude do Pessoal de Saúde , Canadá , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Acesso aos Serviços de Saúde/organização & administração , Humanos , Masculino , Obesidade/terapia , Equipe de Assistência ao Paciente , Medicina Preventiva/organização & administração , Melhoria de Qualidade , Fatores Sexuais , Programas de Redução de Peso/métodos , Programas de Redução de Peso/organização & administração
16.
Contact Dermatitis ; 81(2): 117-123, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30850990

RESUMO

BACKGROUND: Several studies have assessed the effect of patient education regarding hand eczema (HE) severity and quality of life. Few studies, however, have evaluated patients' knowledge. OBJECTIVES: To examine knowledge of skin protection in HE patients following a guided talk, and to identify variables associated with knowledge. METHODS: HE patients referred to the outpatient dermatological clinic, Bispebjerg Hospital, between January 2013 and July 2014 were offered a guided talk on HE prevention. HE severity and the Dermatology Life Quality Index (DLQI) score were assessed. A questionnaire comprising 10 questions about skin protection was sent 1 to 2.5 years later. RESULTS: One hundred and twenty patients responded to the questionnaire (response 53.5%). The mean percentage of correct answers was 74.7%. Sixty per cent responded correctly to at least eight questions. Male sex, older age and education for >5 years were associated with a low level of knowledge. Education for 3 to 4 years (P = 0.045) was associated with a higher level of knowledge. No significant impact of previous/current atopic dermatitis, HE severity or previous information on skin protection was found with respect to level of knowledge. CONCLUSIONS: Females and patients with education for 3 to 4 years showed the highest level of knowledge, whereas males, older patients and patients with education for >5 years should be brought more into focus in skin protection programmes.


Assuntos
Eczema/prevenção & controle , Dermatoses da Mão/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Educação de Pacientes como Assunto/métodos , Medicina Preventiva/métodos , Higiene da Pele/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Estudos Retrospectivos , Índice de Gravidade de Doença , Inquéritos e Questionários , Resultado do Tratamento , Adulto Jovem
17.
Am J Trop Med Hyg ; 100(5): 1290-1293, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30915954

RESUMO

In low- and middle-income countries that have high burdens of disease, simple interventions such as health screenings can have a significant impact on health outcomes. Among vulnerable children, orphans in particular, deaths are often caused by conditions preventable through early identification and provision of basic health and nutritional needs. After consulting local preventative care guidelines and medical providers, a health screening tool for use in orphanages was created. This tool was used to screen children in two orphanages in Lesotho. Overall, the tool was found to be easy, efficient, and valuable in identifying both preventable and immediately treatable conditions in orphans. As a result, orphans with long-term medical needs were linked to community-based providers by developing individualized care plans in collaboration with orphanage colleagues. This preventative tool offers a screening strategy that directly aligns with the United Nations Agency for Development's Sustainable Development Goals and helps to advance the goal of universal health coverage.


Assuntos
Crianças Órfãs , Programas de Rastreamento/instrumentação , Orfanatos , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lesoto , Masculino , Programas de Rastreamento/métodos , Medicina Preventiva/instrumentação , Medicina Preventiva/métodos , Inquéritos e Questionários , Cobertura Universal do Seguro de Saúde , Adulto Jovem
19.
Public Health Nurs ; 36(4): 557-563, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30847988

RESUMO

This article describes the evaluation of an innovative nursing education curriculum project, preventive home visiting practice, which began full implementation in 2015, in terms of students' learning outcomes. For the purpose of learning how elder persons live in community, all the 327 undergraduate nursing students, from freshmen to seniors, provided monthly or bi-monthly visits to home-dwelling elderly persons aged 75 or above in their home over 1 year period, in order to provide support for their independent living and to learn from them. The students' reports submitted at the end of the first academic year were qualitatively analyzed to evaluate what they learned. They acquired multiple perspectives for understanding elder persons, including a variety of individual and environmental aspects of wellness, prevention, and community life. They also acknowledged the importance of team practice through working and collaborating with different grade levels and generations. Overall, the observed learning contents were useful for future nursing education with elder persons and facilitating critical changes in nursing education systems to address the problems of aged society.


Assuntos
Envelhecimento/psicologia , Visita Domiciliar , Medicina Preventiva/métodos , Sistemas de Apoio Psicossocial , Estudantes de Enfermagem , Idoso , Currículo , Educação em Enfermagem , Bacharelado em Enfermagem , Humanos , Japão , População Rural
20.
Therapie ; 74(4): 487-494, 2019 Sep.
Artigo em Francês | MEDLINE | ID: mdl-30904318

RESUMO

In 2006, because of the chloroquine-resistance and following the World Health Organization (WHO) recommendations, Côte d'Ivoire adopted a new policy for the prevention of malaria during pregnancy by intermittent preventive treatment in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP). However, its implementation remains limited. Objectives of this study were to evaluate the knowledge of the TPIp-SP regimen and prescribers opinion concerning this protocol. It was a knowledge attitude and pratices (KAP) cross-sectional descriptive study. We used a two-stage stratified sounding. The study took place in 12 health facilities in the health region of Abidjan 2 from march to august 2016 and involved 187 health professionals. We performed descriptive analysis, univariate and bivariate comparative analysis. The study found that half of the prescribers surveyed actually knew the ITPp program (SP - 3 doses - 2nd and 3rd trimesters). Knowledge was better among practitioners with more than 5 years of exercise (P=0.011) and at the level of first contact of health institution (P=0.001). Half of the prescribers were in favor of applying the protocol. The level of knowledge of prescribers has changed little in 2016 compared to 2008 for physicians (Pr (|Z|<|z|)=0.4861) or midwives Pr (|Z|<|z|)=0.4786). Prescribers remained faithful to the old 2-dose protocol. The opinion on the protocol was better in 2016 compared to 2008 Pr (Z

Assuntos
Antimaláricos/administração & dosagem , Conhecimentos, Atitudes e Prática em Saúde , Malária/tratamento farmacológico , Complicações Parasitárias na Gravidez/tratamento farmacológico , Pirimetamina/administração & dosagem , Sulfadoxina/administração & dosagem , Adulto , Competência Clínica/estatística & dados numéricos , Costa do Marfim/epidemiologia , Estudos Transversais , Esquema de Medicação , Combinação de Medicamentos , Escolaridade , Feminino , Humanos , Transmissão Vertical de Doença Infecciosa/prevenção & controle , Transmissão Vertical de Doença Infecciosa/estatística & dados numéricos , Malária/epidemiologia , Masculino , Corpo Clínico/educação , Corpo Clínico/normas , Corpo Clínico/estatística & dados numéricos , Pessoa de Meia-Idade , Padrões de Prática Médica/estatística & dados numéricos , Gravidez , Complicações Parasitárias na Gravidez/epidemiologia , Medicina Preventiva/educação , Medicina Preventiva/métodos , Medicina Preventiva/estatística & dados numéricos , Adulto Jovem
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