Background: Intestinal Parasitic Infections (IPIs) are major public health problems, mainly affecting school children. One of the sustainable development goals of the United Nations is to control the transmission of IPIs and the modification of possible risk factors. Objectives: To estimate the frequency and risk factors of intestinal parasitic infections among primary school children in Al Qurain district, Sharkia Governorate. Methods: a cross-sectional study was conducted on 320 primary school children. Participants' data regarding socio-demographic characteristics, behavioral health habits, and complaints assessment questions were collected via semi-structured questionnaire. Stool samples were collected from students by the aid of their mothers and examined in the family medicine center. Results: The study revealed that one third (35%) of studied children had a parasitic infection. The highest percentage (44.4%) of infected children had E.histolytica.Children aged 9-12 years, with low mothers' and fathers' education, large family size, and low social class are more likely to had IPIs. The study found a statistically significant association between all behavioral health habits, all clinical manifestations, and parasitic infection. Conclusion: The results of the study reflect a relatively high prevalence rate of parasitic infections demands improved health education on regular hand washing, usage of toilet paper, washing fruits and vegetables, not eating outdoors, and avoid walking barefoot.
Background: Obesity has been recognized by the World Health Organization as a pandemic nutritional disorder. Egypt has the highest levels of overweight and obesity in Africa with 44% and 39% respectively. This study was done to assess the effect of the nutritional health education program on changing knowledge and attitude and practice towards nutrition of mothers during pregnancy and its role on gaining optimal weight. Methods: An interventional study (pre-posttest), in Zagazig University Antenatal Care Outpatient Clinic. Patients' criteria: 115 pregnant women in the first trimester, aged 18-35 years, Nonsmokers, take no medication and don't have any chronic medical disorder with Body mass index (BMI) between 18.5 and 24.9 kg/m 2 . Procedures: Data collection through a questionnaire of three parts; women's characteristics, pretest and posttest, the health education sessions were applied on the pregnant women and the change was detected. Results: There was statistically significant difference in total knowledge from (66.5±28.9) to (117.6±25.3) and total attitude from (3.3±2.1) to (9.5±2.8) scores in the pregnant women after the nutritional education sessions with improvement from 45.5% to 80.5% and from 27.3% to 79.2% in knowledge and attitude respectively (p-value <0.001). The change in habits and practice was statistically significant (p-value <0.001). The average weight gain of the studied group was (16.1±8.5) kg ranged from 9 to 18 kg. Conclusion: The health education sessions were effective in improving pregnant women's knowledge, attitude and practice. The healthy diet succeeded in improving gestational weight gain.
Background: Nutrition during pregnancy is an important element for the pregnant women and their developing fetus, they must take enough calories and nutrients to provide the essential requirements for both themselves and their fetus and to prevent complications of abnormal weight gain in pregnancy. Objectives: To determine the effect of the nutritional health education program on changing knowledge, attitude, and practice towards a healthy lifestyle during pregnancy, obtaining optimal weight gain and consequently its effect on maternal and fetal outcomes. Subjects and Methods: An interventional study (pre-post test), in Zagazig university antenatal care outpatient clinic was conducted. Subjects' Criteria: 135 pregnant females in the first trimester aged 18-35 years who did not have any chronic medical disorder with Body Mass Index between 18.5 and 24.9 kg/m2 were enrolled. Methods: Data collection was done using a semi-structured questionnaire about females’ socio-demographic characteristics, obstetric, family and clinical history. Health education sessions were applied to the pregnant females and their knowledge, attitude, and practice about healthy nutrition were assessed before and after the intervention. Ultrasound was performed, maternal and fetal outcomes were detected. Results: This study was conducted on 135 pregnant females from whom 9 cases had excluded at the time of delivery due to the detection of ultrasound abnormalities and 16 women were dropped out during the follow-up period. After the nutritional education program, the proportions of adequate knowledge, attitude, and practice were increased from (28.2% to 77.3%), (8.2% to 75.5%) and (32.7% to 77.3%) respectively (p-value <0.001). There was a statistically significant higher cesarean section, Intra and post-partum complications (85.7%vs 42.9%p<0.001), (71.4% vs17.2% p<0.001) and (25.7%vs7.1% p=0.008) [Odds (95% C.I); 8 (6.7-11.3), 12.1(11.7-13.9) and 4.5(1.2-8.7)], higher neonatal weight and neonatal blood glucose (p<0.001& 0.009) in over-weight versus optimal weight gain groups respectively. Conclusion: The intervention was effective in increasing pregnant females’ knowledge, attitude, and practice towards healthy nutrition during pregnancy, obtaining optimal weight gain and improving maternal and fetal outcomes.
Background and aim: One of the most frequent pregnancy problems and a leading global cause of maternal and fetal death and morbidity is pregnancy-induced hypertension. In order to provide effective educational interventions, this research was conducted to assess and enhance the level of awareness and adherence about pregnancy-induced hypertension (PIH) among pregnant women in Ismailia city. Method: An interventional study (pre-test/post-test) conducted at family centers and antenatal out-patient clinic of Ismailia public hospital. It was carried out on 80 hypertensive pregnant women on treatment for at least one month. Interview closed-ended questionnaire were used to collect data which included; socio-demographic data, pregnant women's knowledge about PIH, Morisky eight-item Medication Adherence Scale for measuring adherence to PIH drugs, tool for measuring adherence to PIH health related behaviors and health system factors which may affect adherence to PIH. Results: Significant improvement was reported after the education to be; 35%, 30% and 35% high, medium and low adherence to PIH drugs respectively. The level of adherence to PIH health related behaviors before health education was; 18.8% high, 36.2% medium and 45% low adherence, improved significantly after the education to; 57.5% high, 38.7% medium and 3.5% low adherence. ConclusionThe results clearly demonstrated the effectiveness of educational intervention program in promoting knowledge and adherence towards PIH.
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