Background Neonatal jaundice is one of the most common reasons for hospital admission in the neonatal unit, and it is associated with significant morbidity and mortality. Objective To assess risk factors associated with neonatal jaundice among newborns at a District Hospital in Rwanda. Methods A quantitative approach has been used with a retrospective cross-sectional design. Two hundred and ten files were used as sample size. Stratified proportional sampling was used for the years 2016-2018 to select files. Data was collected using a structured questionnaire. Descriptive statistics and inferential statistics were used for the data analysis. Results The study findings showed that nearly half (44.3%) of 210 newborns were diagnosed with neonatal jaundice. The majority (87.2%) was term, and male gender (60.5%). Nearly a third (29.5%) were Low Birth Weight. Significant risk factors for neonatal jaundice were birth weight (p=0.015), gestational age of the newborn (p=0.002), neonatal gender (p=0.004), method of delivery (p=.000), blood group incompatibility (p=0.001); infections (p =0.000), cesarean section (p= 0.000) and prematurity (p=0.017). Conclusion There was a high prevalence of neonatal jaundice. Neonatal jaundice risk factors were predominantly demographic, maternal and neonatal. Hence there is need to formulate tailored interventions that mitigate neonatal jaundice. Rwanda J Med Health Sci 2020;3(2):204-213.
Background Climate change (CC) is a global public health problem. In Rwanda, it is estimated that 28% of neonatal death is attributable to CC, yet little is known about healthcare providers’ awareness of neonatal health risks. ObjectiveTo assess nurses’ and midwives’ awareness of CC and perceptions of potential neonatal health risks associated with CC at selected hospitals in Rwanda. Methods A cross-sectional survey was performed at four selected hospitals. A random sampling technique was used to select 184 of 340 nurses and midwives working in neonatology, pediatrics, and maternity departments. Descriptive and inferential statistical tests were done. ResultsThe majority of participants were females (62.1%), nurses (60.5%), advanced diploma holders (55.4%). The majority (60.4%) had low level awareness of CC, and only 2.8% obtained CC information at nursing school. The majority (61.02%) had low perception of potential CC’ related potential neonatal health risks. High education level, working in neonatology and longer working experience were found to be associated with high level awareness of CC and high perceptions of potential neonatal health risks associated with CC (p<0.05). Conclusion There was a low level awareness of CC awareness and low perceptions of potential neonatal health risks among nurses and midwives. Offering in-service training and integrating CC’ health risks in the nursing curricula could motivate climate action among Rwandan nurses and midwives. Rwanda J Med Health Sci 2020;3(2):261-272
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