Open Access Short Research Article

Complementary Feeding Practices amongst Children Aged 6-18 Months in Tribal Parts of Maharashtra, India - Requires to be Complemented Aptly

Shweta Marathe, Deepali Yakkundi

International Journal of TROPICAL DISEASE & Health, Page 1-6
DOI: 10.9734/IJTDH/2017/32906

Aim: The present study was carried out to document the complementary feeding practices in the view of understanding reasons of delayed or deficient practices in children aged six-18 months, from tribal regions of Maharashtra.

Study Design: This was a descriptive, cross sectional study.

Place and Duration of Study: This study was conducted during February 2015- October 2015 in selected blocks from three tribal districts of Maharashtra viz: Amravati, Gadchiroli and Nandurbar.

Methodology: In each study village, five children in the age group of 6 to18 months were selected using systematic random sampling from anganwadi register and mothers of these children were interviewed. A total of 75 mothers were interviewed. Data entry and statistical analysis were performed using the Microsoft Excel and SPSS. Percentages and cumulative percentages were used to present the results.

Results: Majority of children (65%) were introduced to top feeding around six-seven months, which is a recommended age for initiation of top feeding. While in one fifth of cases (20%) delayed top feeding was observed. Delayed commencement of top feeding was found to be mainly associated with mothers own beliefs, misconceptions and in some cases child’s sickness, unwillingness of child for eating, lack of knowledge with mothers regarding initiation of top feeding. Only 13.3% of children were fed minimum number of times as per WHO and UNICEF indicators. Fruits were totally missing in the diet. Instead, junk food was offered to more than half of the children while 14 children were given tea!

Conclusion: The overall picture indicates that although a majority of mothers were unaware regarding appropriate feeding practices for meeting the child’s nutritional requirements. Top feeding practices are found to be deficient in terms of under feeding and lack of nutritionally balanced diet in the studied children.

Open Access Original Research Article

Evaluation of Risk Factors Associated with Hepatitis E Virus (HEV) Infection among Pregnant Women in Sokoto State, North Western Nigeria

M. Bello, B. R. Alkali, A. Nuhu, A. B. Shuaibu, N. Faruku, U. K. Mustapha, N. M. Bunza, A. B. Ibrahim

International Journal of TROPICAL DISEASE & Health, Page 1-8
DOI: 10.9734/IJTDH/2017/32663

Hepatitis E Virus is an important cause of morbidity and mortality in humans. HEV infection has a mortality rate of about 30% among infected pregnant women. This study aimed to determine the risk factors associated with HEV infection among pregnant women attending Antenatal Clinic at Specialist Hospital, Sokoto, Nigeria. In this study, 182 serum samples from pregnant women of productive age range between 18-45 years old were screened for the presence of HEV specific IgG antibody using a commercially available ELISA kits obtained from EUROIMMUN Medical Laboratory Diagnostics AG. Socio-demographic information was obtained from the subjects using interviewer-administered Questionnaire. Data were entered into SPSS software version 20.0 and analyzed using Chi-square test. An overall prevalence of 18/182(9.9%) HEV infection was obtained. Based on blood transfusion history, prevalence rates of 10.7% and 4.3% were recorded among pregnant women without blood transfusion and those with blood transfusion history respectively. With regards to water source, prevalence rates of 37.5%, 15.4%, 10.7% and 5.4% were recorded among pregnant women that used river water, well water, tap water and borehole respectively. Prevalence rates of the infection among pregnant women in contact with sheep, goat, cow and chicken were 24.3%, 14.7%, 7.1% and 5.3% respectively. There was significant association between HEV infection with water source (p = 0.027) and animal contact (p = 0.017). However, there was no significant association between HEV infection and blood transfusion.

Our findings call for further studies to determine other domestic animals that may be reservoirs of HEV infection.

Open Access Original Research Article

The Relationship between Hope in Heart Failure Patients with Associated Factors of Disease: A Descriptive- Analytical Study

Zahra Ahmadi Batvandi, Nasrin Elahi

International Journal of TROPICAL DISEASE & Health, Page 1-7
DOI: 10.9734/IJTDH/2017/31991

Background: Heart failure is one of the most common diseases of aging that has negative effects on hope and quality of life.

Objective: To determine hope of life and related factors in patients with heart failure

Methods: This cross-sectional study was conducted on 78 patients referred to hospitals affiliated to Ahvaz Jundishapur University of Medical Science during March- May 2016.

In this study, data were collect by two questionnaires: 1) hope of life Schneider and 2) questionnaire of demographic characteristics, disease status and associated factors were used. Data were analyzed using descriptive and analytical statistics.

Results: The results showed that the hope of life 50.7% of patients (less than 30) was low. The There was a significant relationship between severity of illness, duration of illness, visits to the doctor and hospitalization in a month over the past year and diseases associated with hope of life (p = 0/000). The results also had showed that between now and the past month of readmission and fatigue signs and symptoms, number of drugs with hope of life (p = 0/000).

Conclusion: The management   and staff of health can to use the result of study for appropriate planning to promotion quality of life of patient.

Open Access Original Research Article

Spectrum of Childhood Tuberculosis: Ensuring and Making a Differential Diagnosis by Tuberculin Skin Test and Clinical Signs in Kisangani, DR Congo

Emmanuel Tebandite Kasai, Nestor Ngbonda Dauly, J. P. Alworonga Opara, Bibi Batoko Likele, Justin Ntokamunda Kadima

International Journal of TROPICAL DISEASE & Health, Page 1-10
DOI: 10.9734/IJTDH/2017/32636

Background: Early diagnosis of childhood tuberculosis (CTB) could enable rapid diagnosis and management of TB epidemic within a community at high risk. This study was undertaken to determine the performance of Tuberculin Skin Test (TST) and influencing factors in the evaluation of CTB spectrum.

Methods: This was a retrospective cross-sectional analysis of patients’ medical records carried out at a tertiary health center, from 05 March 2012 to 27 December 2013, in Kisangani city. The subjects were children and adolescent 6 months to 17 years old who have been tested for tuberculosis with TST alongside chest radiograph and clinical symptoms.

Results: The spectrum of CTB approached 40% among 593 children tested, of which 31.5% were diagnosed with TST and 8.5% by other means. TST sensitivity was 78.3%. Presence of BCG vaccination may increase the positivity of TST. The prevalence of the infection was not significantly different between male and female, but was significantly lower in old children compared with infants 6-24 months old [OR=0.740;p=0.002]. All municipalities were affected, but Makiso and Tshopo housed the majority (OR=1.25). Contact with TB adult suspect significantly increased risk of primo-infection [OR=2.13;p=0.013].

Conclusion: The spectrum of TB is actually high in the city. TST remains the faster and more accessible test to diagnosing TB in this high endemic city but other clinical approaches should be used to not miss out TST false negative cases. Free testing should be envisaged to serve poorest families who cannot afford current costs.

Open Access Original Research Article

Quality of Intrapartum Care Received by Parturients during Active Phase of First Stage of Labour at a Tertiary Hospital, Ibadan, Nigeria

Iyabode Adetoro Gbadamosi, Kayode O. Osungbade

International Journal of TROPICAL DISEASE & Health, Page 1-8
DOI: 10.9734/IJTDH/2017/31082

Aim: To examine intra-partum care received by parturients during active phase of first stage of labour.

Study Design: A descriptive cross-sectional prospective design.

Place and Duration of Study: Labour ward complex of a tertiary hospital in Ibadan, Nigeria between June 2013 and September, 2013.

Methodology: Three hundred and forty-five parturients who had spontaneous vaginal deliveries (SVDs) were included in the study. Labour records of parturients during first stage of labour were reviewed and a checklist was used to document data on hourly blood pressure (BP) monitoring, hourly pulse rate (PR) monitoring, four-hourly vaginal examination (VE), half-hourly fetal heart rate (FHR) monitoring and proper documentation of progress of active phase of first stage of labour on partogram of parturients. Pre-tested self-administered questionnaire was used to assess level of psycho-social support received by parturients. Chi-Square test was used to determine relationships between variables. Level of Significance was set at .05.

Results: Three hundred and forty-five parturients participated in the study with 100% response rate. Their mean age was 30.4±3.8 years. 41.4% and 41.1% parturients had BP and PR monitored hourly respectively while 85% had VE conducted on them four-hourly and 61.5% had FHR monitored half-hourly. Progress report of active phase of first stage of labour was timely documented on the partogram in 35.1% of parturients 40% received optimal psychosocial support.

Conclusion: Overall quality of intra-partum care was optimal in 46.4% of parturients during active phase of first stage of labour. Continuous professional education on the importance and application of intrapartum monitoring in decision making concerning parturients as well as monitored provision of psycho-social support are suggested.