Armed conflict and treatment interruptions: A systematic review and meta-analysis in Amhara, Ethiopia

Public Health, Journal Year: 2025, Volume and Issue: 241, P. 122 - 128

Published: Feb. 19, 2025

Language: Английский

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Healthcare accessibility, utilization, and quality of life among internally displaced people during the Sudan war: a cross-sectional study

Conflict and Health, Journal Year: 2025, Volume and Issue: 19(1)

Published: March 1, 2025

Abstract Background The ongoing war in Sudan has triggered a massive displacement crisis, leaving internally displaced people (IDP) struggling to access healthcare services. This study aimed investigate access, utilization, and the quality of life among Sudanese IDP during conflict. Methods cross-sectional was carried out six states. Quality assessed using WHOQOL-Bref questionnaire. Accessibility, consequences not accessing were evaluated an author-designed questionnaire, which piloted prior study. Chi-square tests used analyze associations between categorical variables, while ANOVA applied assess differences quality-of-life domains based on duration living conditions. Multinomial logistic regression identified predictors affordability, with significance set at p < 0.05. Results Among 612 participants, 40.3% reported facilities being very close, 13.0% faced waits over 2 h, 54.3% found unaffordable. Only 33.6% always had qualified staff, 22.8% visited public supported by non-governmental organizations. psychological domain highest mean score 49.7 (18.1). Worsened symptoms (44%) common consequence inaccessibility, lack transport (37.9%) most barrier. Availability staff significantly increased likelihood seeking care (χ² = 11.30, 0.022). Quality-of-life varied situation ( 0.011). Conclusion revealed significant variations utilization IDP, lower than those other countries. Interventions should prioritize innovative solutions like telemedicine, targeted support for vulnerable groups, expanding health insurance coverage enhance long-term outcomes.

Language: Английский

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Healthcare providers’ readiness to screen for intimate partner violence in obstetrics and gynecology units in Amhara regional state referral hospitals, Ethiopia: validation and cross-sectional survey using the DVHCPSS tool

Frontiers in Global Women s Health, Journal Year: 2025, Volume and Issue: 6

Published: April 24, 2025

Introduction Intimate partner violence (IPV) is most prevalent among women of reproductive age and can have lifelong consequences. Screening within healthcare settings represents a promising first step toward addressing IPV, with providers playing central role in this response. A lack provider readiness to screen for IPV may leave victims vulnerable continued physical, psychological, sexual, health problems. This study aimed assess the identify factors affecting screening practices obstetrics gynecology units referral hospitals Amhara regional state, Ethiopia. Methods An institution-based cross-sectional was conducted between 9 January 4 February 2023. simple random sampling technique employed select participants. pilot reliability construct validity tool, data were collected using self-administered questionnaire. The entered into EPI-Data version 4.6 analyzed STATA 14. Bivariable multivariable logistic regression models applied associated factors. Result From 409 participants, 46.5% [95% confidence interval (CI): 42–51] ready reproductive-aged women. Being male [adjusted odds ratio (AOR) = 1.64, 95% CI: 1.03–2.61], trained (AOR 2.84, 1.64–4.94), favorable attitude 2.21, 1.42–3.44), good knowledge 2.23, 1.42–3.50), availability guidelines their working area 1.74, 1.07–2.81) found be significantly providers’ IPV. Conclusion In study, fewer than half Factors that influenced included training on positive attitudes screening, adequate about access work environment.

Language: Английский

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Time to recovery from severe community-acquired pneumonia and its determinants among older adults admitted to North Wollo hospitals: A multi-centred cohort study

Journal of Global Health, Journal Year: 2024, Volume and Issue: 14

Published: Sept. 26, 2024

Severe community-acquired pneumonia presents a looming threat to older adults globally, often resulting in alarming mortality rates. Despite advancements treatment, challenges persist, exacerbated by factors like increasing comorbidity. As age rises, so does the risk of and prolonged recovery periods. Particularly low-income countries such as Ethiopia, burden severe is staggering. Yet, research on estimated time its determinants among this region remains insufficient, demanding urgent attention. Hence, study we endeavour uncover insights into contributing adults.

Language: Английский

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Worsening of Medication Non-adherence among Patients with Chronic Diseases During Times of Armed Conflict in the War-Torn Region of Ethiopia

Scientific African, Journal Year: 2024, Volume and Issue: 25, P. e02336 - e02336

Published: Aug. 13, 2024

Language: Английский

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Determinants of stillbirth among women who delivered in hospitals of North Wollo Zone, Northeast Ethiopia: A case-control study

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(4), P. e0301602 - e0301602

Published: April 11, 2024

Background Stillbirth is a silent tragedy that shatters the lives of women, families, and nations. Though affecting over 2 million infants globally in 2019, it remains overlooked, with no specific targets dedicated to its reduction sustainable development goals. Insufficient knowledge regarding primary risk factors contributing stillbirths hinders efforts reduce occurrence. Driven by this urgency, study focused on identifying determinants stillbirth among women giving birth hospitals across North Wollo Zone, Northeast Ethiopia. Methodology This employed an institution-based unmatched case-control design, involving randomly selected sample 412 (103 cases 309 controls) who gave Zone. Data were collected using structured data extraction checklist. entry was conducted Epi-data version 3.1, analysis performed SPSS 25.0. Employing multivariable logistic regression model, we identified independent predictors stillbirth. The level statistical significance declared at p-value < 0.05. Results Our revealed several critical associated increased Women experienced premature rupture membranes (AOR = 5.53, 95% CI: 2.33–9.94), induced labor 2.24, 1.24–4.07), prolonged exceeding 24 hours 3.80, 1.94–7.45), absence partograph monitoring during 2.45, 1.41–4.26) all significantly Preterm 3.46, 1.87–6.39), post-term 3.47, 1.35–8.91), carrying female fetus 1.81, 1.02–3.22) higher Conclusion These findings highlight importance early intervention close for experiencing membranes, labor, or labor. Additionally, consistent use enhanced prenatal care pregnancies preterm could potentially contribute reducing rates improving maternal neonatal outcomes. Further research needed investigate underlying mechanisms behind observed association between fetal sex risk.

Language: Английский

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April 15th War and Hemodialysis Patients in Sudan: A Cross-sectional Study

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: May 21, 2024

Background On April 15th, 2023, intense clashes involving heavy weapons and airstrikes occurred between the Sudanese Armed Forces (SAF) paramilitary Rapid Support (RSF) in Khartoum, capital of Sudan, leading to displacement almost 8.1 million people. The ongoing armed conflict Sudan has led a worsening humanitarian catastrophe, posing serious challenges country's health-care system even its collapse. Healthcare facilities have been severely affected, with barely one-third hospitals operating zones. Hemodialysis patients are among most affected by this war's aftermath, which ranges from obvious dangers like violence-related injuries deaths more indirect effects suspension access preventive curative medical care. Methods This was descriptive cross-sectional multicenter health facility-based study aiming impact 15 war on hemodialysis Sudan. conducted five centers four different states including Gezira State, Red Sea River Nile Kassala State. included 316 participants. Data collected using structured interviews guided questionnaire. questionnaire encompassed primary domains: demographic data, healthcare (Levesque’s Conceptual Framework Access), physical implications, psychological (Generalized Anxiety Disorder scale Patient questionnaire), quality life (Kidney disease 36 scales). Statistical Package for Social Sciences (SPSS) version 26 used data analysis. Results involved participants, an average age 47.14 63.9% being males. After war, 74.7% reported unemployed. 30.1% participants had flee their homes, 18.7% renal ailment limiting travel. Among components affordability, it received lowest score (5.6 out 10). More than half were unable maintain regular sessions (56.9%) throughout 65.2% developed complications as result. GAD assessment showed 62.7% significant anxiety symptoms, while 40.5% depression symptoms Conclusion patients' suffering increased result war. experience severe mental problems addition physiological problems, anxiety, internal inability continue sessions. advocates implementation permanent ceasefire zones ensure delivery critical aid, particularly encourages stronger advocacy war-torn areas well collaboration international organizations provide such specialized Finally, use telemedicine services backup plan continuous consultation care event disruptions.

Language: Английский

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Adherence to infection prevention practices and associated factors among healthcare workers in Northeastern Ethiopia, following the Northern Ethiopia conflict

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: Oct. 14, 2024

Background In resource-limited areas, especially in conflict-affected settings, managing the risk of hospital-acquired infections is difficult due to destruction essential facilities healthcare settings. The study aimed assess adherence Infection prevention practices and associated factors among workers Northeastern Ethiopia following Northern conflict. Methods materials A facility-based cross-sectional was done with 408 workers. survey data collected using a structured questionnaire based on published articles. Data entry analysis Epi-Data version 4.6 SPSS 25.0, respectively. Binary logistic regression used determine association between dependent outcome variables, cut-off p value 0.05 at 95% confidence interval -value less than for determining infection participants. Results included response rate 96.7%. majority participants were women 206 (50.5%), married 250 (61.3%), Orthodox followers 211 (51.7%), educational status master holder above master’s degree or higher 177 (43.4%). Slightly more half, 53.7% (219) respondents demonstrated safe practices. Respondents who received training (AOR = 2.662, CI: 1.361, 5.120) had an active committee 2.203, 1.359, 3.572), use guidelines working departments 2.090, 1.013, 4.312), access adequate personal protective equipment 2.773, 1.560, 4.929) significantly Conclusion Overall, only half practiced Receive guidelines, presence availability prevention. Hence, like Personal equipment, should be supplied by donors.

Language: Английский

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Emotional resilience and sense of danger among doctors in hospitals during periods of heightened tensions and warfare in Israel

Israel Journal of Health Policy Research, Journal Year: 2024, Volume and Issue: 13(1)

Published: Nov. 11, 2024

The "Iron Swords" War beginning in October 2023 led to unprecedented levels of shock and trauma across Israel, significantly impacting the Israeli population medical personnel. This study aimed evaluate compare perceived personal resilience sense danger among physicians hospitals located different conflict zone proximities Israel during this period.

Language: Английский

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Trends in Incidence, Prevalence, and Mortality of Non-communicable Diseases in Iraq (2003-2021)

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 16, 2024

Background: Non-communicable diseases (NCDs) have become a major public health concern in Iraq, playing significant role the country's morbidity and mortality rates. To offer thorough overview of patterns overall impact NCDs on health, this study aim to map trends incidence, prevalence, rates Iraq between 2003 2021. Methods: Data from Global Burden Disease (GBD) Study 2021were utilized. The focus was 2021, period marked by social political changes. Using GBD results tool, age-standardized (ASPR, ASIR, ASMR) for 12 were extracted expressed per 100,000 population. Descriptive statistics with 95% uncertainty intervals calculated, analyzed. Results: analysis revealed nuanced trajectory ASPR all increased slightly (change %: 0.07, UI: −0.06 0.14), notable decline chronic respiratory −14.41, −21.63 −14.30) rise neoplasms 32.66, 31.16 32.12). ASIR diabetes kidney showed largest increase 42.92, 36.00–49.78), while had greatest −12.09, −26.23–2.94). Cardiovascular remained leading cause both sexes, ASMRs increasing males decreasing females over period. Skin subcutaneous highest ASMR 48.15), digestive experienced −21.41). Conclusion: 2021 highlights progress reducing NCD especially among younger people. However, older still face high death cardiovascular diseases. Rising cases cancer, diabetes, signal need targeted interventions. Continued risk factors healthcare access is essential.

Language: Английский

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