Background The January 2010 Haiti earthquake destroyed the National Blood Transfusion Center and reduced monthly national blood collections by > 46%. Efforts to rapidly scale-up blood collections outside of the earthquake-affected region were investigated. Study Design and Methods Blood collection data for 2004–2014 from Haiti’s 10 administrative departments were grouped into four regions: Northern, Central, Port-au-Prince and Southern. Analyses compared regional collection totals during the study period. Results Collections in Port-au-Prince accounted for 52% of Haiti’s blood supply in 2009, but fell 96% in February 2010. Haiti subsequently increased blood collections in the North, Central and Southern regions to compensate. By May 2010, national blood collections were only 10·9% lower than in May 2009, with 70% of collections coming from outside of Port-au-Prince. By 2013 national collections (27 478 units) had surpassed 2009 levels by 30%, and Port-au-Prince collections had recovered (from 11 074 units in 2009 to 11 670 units in 2013). Conclusion Haiti’s National Blood Safety Program managed a rapid expansion of collections outside of Port-au-Prince following the earthquake. Annual collections exceeded pre-earthquake levels by 2012 and continued rising annually. Increased regional collections provided a greater share of the national blood supply, reducing dependence on Port-au-Prince for collections.
Background: Hypertension remains the global challenge and the leading causes of worse cardiovascular event with 7.5 million toll deaths. The 2010 WHO estimate was 1.3 billion representing 31.1% of all adults with an astounding increase in low and middle-income countries including Sab-Saharan Africa.Methods: This cross-sectional study was undertaken in two beverage industrial workplaces with a sample of 440 employees and their spouses during the period of 2016 to 2018. WHO stepwise questionnaire was used to collect data and biomedical samples were taken for predicting the 10-year cardiovascular risk by Cox regression model and multivariate logistic regression was run to determine the key factors associated with both Hypertension (HTN) classifiers. The data were coded and analyzed by SPSS 16.0 version.Results: Overall HTN prevalence was 32.27%, male with 37.8% and female with 25.2% by previous HTN classifier. Whereas the updated classifier showed an overall prevalence of 61.81%, male with 67.1% and female with 55%. The findings showed a huge difference of 29.54% with p<0.001 between the two prevalence of previous and updated blood pressure classification. Employees had a relatively high HTN prevalence of 35.92% to 65.18%, compared to the spouses with 26.47% to 56.47%, p<0.001 by previous and updated classification, respectively.Conclusions: The relatively rise prevalence of the HTN revealed by this study suggests new and combining health promotion tactics, cultural theories to fight this rampant silent killer.
Hypertension remains a prominent risk factor for cardiovascular diseases. It is not a coincidence that 23% to 30% of coronavirus disease-19 (COVID-19) confirmed cases are hypertensive patients, and the case-fatality rate of adult COVID-19 cases with hypertension was estimated at 6%. It is important that hypertensive patients be aware of their vulnerability to COVID-19, which may be achieved by a health promotion program in addition to preventive measures.
Background: Dialysis is a treatment of choice to alleviate severe complications of end-stage renal disease. Renal failure is the most prevalent worldwide among diabetic, hypertensive, and where infective diseases are frequent. The study aimed to assess the prevalence of patients having three standard dialysis sessions weekly at University Teaching hospital of Butare dialysis centre from June 2013 to June 2014.Methods: A descriptive cross-sectional study used routine hospital data from university teaching hospital of Butare dialysis unit and its size were 110 patients who fulfilled the study inclusion criteria. Secondary data were collected using a checklist with different variables like age, sex, profession, health insurances, acute renal failure, chronic renal failure, diabetes mellitus, hypertension, glomerular disease sepsis, severe dehydration, frequency of dialysis per week and outcomes like renal recovery, death, stopping treatment and being referred. Data were analysed using SPSS software.Results: The findings showed that 40.9% of patients received three or above dialysis sessions per week and 59.1% of patients received less than three sessions per week.Conclusions: The study concluded on inadequacy dialysis treatment and recommended further studies to explore more about this inadequacy.
The culture treason theory (CTT) is a cultural and behavior changes theory that explains all negative conscious and unconscious barriers, resistance, frustrations, moral pains felt by the person when he/she might adopt new culture (in a broad sense) or behavior. The conflict of new and existing behavior (in a narrow sense) in the mind of the person creates doubt and confusion. This theory development used the grounded theory process through ontological constructionism and epistemological interpretivism. The right appraisal of the CTT determines reasons for barriers, health-related issues' root causes, and the right strategies to use. Hence, it can help to predict the behavior adoption time.
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