International Journal of TROPICAL DISEASE & Health <p style="text-align: justify;"><strong>International Journal of TROPICAL DISEASE &amp; Health (IJTDH) (ISSN: 2278 – 1005)</strong> aims to publish&nbsp;high quality papers (<a href="/index.php/IJTDH/general-guideline-for-authors">Click here for Types of paper</a>)&nbsp;in the areas of tropical medicine and public health research, reports on the efficacy of new drugs and methods of treatment, prevention and control methodologies, new testing methods and equipment. This is a quality controlled, peer-reviewed, open access INTERNATIONAL journal. IJTDH will not only publish traditional full research reports, including short communications, but also this journal will publish reports/articles on all stages of the research process like study protocols, pilot studies and pre-protocols. IJTDH is novelty attracting, open minded, peer-reviewed medical periodical, designed to serve as a perfectly new platform for both mainstream and new ground shaking works as long as they are technically correct and scientifically motivated. This journal has no connection with any society or association, related to Tropical medicine, disease or Public health and allied fields. This is an independent journal.</p> en-US (International Journal of TROPICAL DISEASE & Health) (International Journal of TROPICAL DISEASE & Health) Mon, 20 Sep 2021 11:53:49 +0000 OJS 60 Role of Training Sessions on Cervical Cancer Preventive Strategies in Improving Knowledge and Attitude of Accredited Social Health Activists <p><strong>Background: </strong>India has the world’s largest load of cervical malignancy. A lot of it can be attributed to lack of cervical cancer screening awareness among the general population. The Accredited Social Health Activists (ASHA) are grass root workers who have good reach in the remote areas, where health care facilities are lacking. Training these ASHAs may increase the general awareness about cervical cancer screening. The aim of the study was to train ASHA workers via lectures and question answer sessions and assess the training with pre and post tests.</p> <p><strong>Methods:</strong> We organized two training programs of 500 ASHA workers in two tertiary care hospitals with aim of improving their knowledge and attitude about cervical cancer screening which will eventually improve their practice of training women in general population. It comprised of five lectures in language they understand, slogans, posters, question answer session etc. A test comprising of 17 questions was conducted before and after session to check their knowledge and attitude.&nbsp;</p> <p><strong>Results:</strong> There was an overall improvement of 35% in knowledge of the ASHAs i.e. 48% answers were correct in pre-test and 78% were correct in post-test. Questions were pertaining to symptomatology, risk factors, screening methods, their utility and prerequisites of performing the screening tests, when and how often to repeat. Improvement was seen in all the areas. There was improvement in attitude too and most of them wanted themselves (98%), their relatives (100%) and the woman within their area (98%) to be screened for cancer cervix.</p> <p><strong>Conclusion: </strong>It was a small initiative and successful result was obtained after the training session of ASHAs.&nbsp; These grass root workers may act as key link of awareness for cervical cancer prevention. They live in same community as the client and therefore, have better repo and communication as compared to medical personnel. Though, this study showed improved knowledge and motivation in ASHAs yet the impact on general population needs further evaluation.</p> Nilanchali Singh, Shalini Rajaram, Bindiya Gupta, Anita Mendiratta, Sanjay Singh ##submission.copyrightStatement## Wed, 22 Sep 2021 00:00:00 +0000 Management of Hepatitis C Virus Genotype 4 Treatment Failure: A Real-World Single Center Experience <p><strong>Background</strong><strong>:</strong> Treatment failure with direct-acting antiviral (DAA) therapy is associated with worsening of liver disease especially in cirrhotic patients. Moreover, data on retreatment of HCV genotype 4 patients (G4) with DAA failure are still very limited, since they are under- represented in most clinical trials.</p> <p><strong>Aims</strong><strong>:</strong> To evaluate the efficacy of retreatment of Egyptian HCV G4 DAA failure patients based on the use of a new DAA class from currently available first- generation DAA regimens other than the patient had relapsed to.</p> <p><strong>Methods</strong><strong>:</strong> 29<em> E</em>gyptian HCV G4 DAA failure patients were retreated by switch to a new DAA class from first- generation DAA regimens than the patient had relapsed to independent of RAS testing. 25 out of these 29 patients completed retreatment and 4 patients were lost for follow–up.</p> <p><strong>Results</strong><strong>:</strong> Among other risk factors, by logistic regression analysis, only older age, high CTP score and high base-line viral load were independent predictors of DAA failure among our cohort. Also SOF/RBV regimen was the most common prior DAA regimen associated with treatment failure (48.3%).</p> <p>All our DAA failure patients were cirrhotics that made prompt retreatment of them a rescue strategy to halt viral replication and disease progression.</p> <p>After retreatment, 22 (88%) of the 25 patients who completed retreatment achieved SVR12 and the remaining 3 (12%) failed.</p> <p>These 3 patients completed a second retreatment, one achieved SVR and the other 2 relapsed again (re-relapsers)</p> <p><strong>Conclusion</strong><strong>:</strong> The overall SVR rate (88%) demonstrated in this real –world study, clearly shows that, the retreatment policy of DAA failure patients by switch to – or addition of a new drug class independent of RAS testing is a good retreatment option, that may be of importance for many areas of the world with no or difficult access to RAS testing or second-generation rescue regimens.</p> Shereen Nabih Sarhan, Samy A. Khodeir, Mamdouh A. Gabr ##submission.copyrightStatement## Mon, 20 Sep 2021 00:00:00 +0000 Hypertension in the Adult Population in Côte d’Ivoire: Prevalence and Associated Factors <p><strong>Objectives:</strong> To estimate the current national prevalence of hypertension and to identify associated factors, in a context of increasing cardiovascular diseases and rampant urbanization in Côte d'Ivoire.</p> <p><strong>Methodology:</strong> This was a secondary analysis of data from the survey on the prevalence and characteristics of diabetes in Côte d'Ivoire. The cross-sectional, descriptive and analytical study was conducted among 3198 adults aged 20 to 79 years, in the twenty health regions of Côte d'Ivoire from 23 November to 22 December 2017. Risk factors were identified by binary stepwise logistic regression using Stata version 15 software.</p> <p><strong>Results: </strong>The survey population was predominantly female (55%) and lived in urban areas (55.38%). The prevalence of hypertension in Côte d'Ivoire was 39.92% [95% CI : 37.28 - 42.62]. Independent of other factors, hypertension in adults is associated with age, place of residence, education level, marital status, income and nutritional status. However, the consumption of fruits and vegetables is protective of hypertension.</p> <p><strong>Conclusion:</strong> The prevalence of hypertension in Côte d'Ivoire is very high with a greater burden in the older populations. Interventions targeting the associated modifiable risk factors are needed to correct this alarming epidemiological situation.</p> Ekra Kouadio Daniel, Okoubo Guillaume, Orsot Tetchi, Ekou Kokora Franck ##submission.copyrightStatement## Wed, 22 Sep 2021 00:00:00 +0000