Preeclampsia (PE) is the leading cause of maternal and perinatal morbidity/mortality. A study in Lusaka estimated Preeclampsia/Eclampsia prevalence at 18.9%. The aim of the study was to assess knowledge and readiness for the diagnosis and management of Preeclampsia among healthcare workers from selected healthcare facilities in Lusaka, Zambia. An observational cross-sectional study was used to assess healthcare workers knowledge and adherence to diagnosis and management of PE in the selected facilities. Semi-structured interviewer administered questionnaires and an observational checklist were used amongst the respondents. Health facility data was available from a total of 5 public health facilities (PHCs), 1 higher public and 4 Level one facilities. Of all the 41 interviewed health personnel, all (100%) agreed they checked for blood pressure in assessment for preeclampsia. The lowest responses, 1(7%) and 1(4.8) between specialists and nurses was recorded in assessment of consciousness as most did not respond to it. staff nurses had poorer knowledge related to management of preeclampsia and most of the differences were statistically highly significant (p < 0.001). in terms of readiness for PE diagnosis and management, drugs and supplies were found to be good in all health facilities with more than 70% except Chipata clinic (57%) which indicated readiness to be poor. The facility audits revealed gaps in the availability of certain key equipment, drugs and supplies as well as lack of proper infrastructure especially at Chipata clinic. The study revealed that knowledge gaps exist among health workers especially the nurses in the initial assessment for preeclampsia such as checking for consciousness by health personnel. Most drugs were readily available but some equipment and infrastructure were lacking in the facilities. In terms of PE/E management, the correct dosage of magnesium sulphate and maintenance dosage were administered.
Preeclampsia (PE) Is The Leading Cause Of Maternal And Perinatal Morbidity/Mortality. A Study In Lusaka Estimated Preeclampsia/Eclampsia Prevalence At 18.9%. The Aim Of The Study Was To Determine The Health System And Maternal Predictors Of Preeclampsia Among Pregnant Women Attending Public Health Facilities (HF) In Lusaka, Zambia. This Is A 12months Retrospective Cohort Study. Records Of 770 Pregnant Women During Antenatal Care Between January To December 2020 From Five HFs In Lusaka Were Reviewed And Classified Into With Or Without PE. The Risk Factors For PE Were Abstracted From The Records. Descriptive Analysis And Inferential Statistics Were Determined. The Respondents Were Aged 18-40years With Mean Age Of 27.09 Years And SD±5.1. Age 25- 32 Years Accounted For 344 (45%), Married 250 (82%), 346 (45%) Had Secondary School Education And 293 (38%) Had Parity Of 2. Significant Differences Were Observed In The Administration Of Magnesium Sulphate And Oxygen For Severe Preeclampsia (P = 0.001) And Anti-Hypertensive For Eclampsia (P < 0.05). Knowledge Gaps In The Diagnosis And Management Of Pre-Eclampsia Were Identified. Multivariate Analysis Revealed Woman’s Age (AOR= 0.326, 95% CI: 0.0024-0.8231), Education AOR= 0.128, 95% CI: 0.00121-0.0323) And A Good Nutritional Diet AOR= 0.109, 95% CI: 0.0393-0.4639) Were Independent Predator Of PE. Predictors Of PE Amongst Pregnant Women Were Having Preeclampsia In The Previous Pregnancy, Having Parity Of Three Or More, And Knowledge Gaps In The Diagnosis And Management Of PE Were Found. We Recommend Refresher Training On Detection And Management Of PE Among Health Workers Attending To Pregnant Women.
Background: Coronavirus disease 2019 is a highly infectious viral disease reported across more than 210 countries of the world. Isolation is a very critical component of COVID-19 public health responses were infected or exposed persons are separated from the unexposed individual for the purposing of protecting and preventing or containing disease spread. Our study assessed and compared community willingness to isolate during COVID-19 pandemic among urban and rural dwellers.Methods: A multi-stage comparative cross-sectional study was used to assess respondents’ willingness to isolate between January and April 2021. Response was scored and each composite scores were converted to a percentage. The assessment was done using three questions with a maximum score of 15. A score of ≥80% of the maximum score was categorized as more willing to quarantine or isolate, score from 51% to 79% was categorized as slightly willing to quarantine or isolate while ≤50% was categorized as less willing to quarantine or isolate. Data was analysed using STATA SE 64 software and level of significance set at 5%. Categorical variables were summarised as frequency and percentages and presented in tables urban and rural comparisons were done with Chi square test and the corresponding p-values presented.Results: One thousand three hundred and thirty-one respondents recruited into the study had a mean age of 33.7±12.83. Urban respondents aged 25-34 years were 36.64% (358) while rural respondents 31.94% (145) were aged 25-34 years (p=0.013). Most the respondents in both urban and rural communities were females 58.15% (574) and 55.73% (253) respectively. 549 (56.19%) of urban respondents were willing to be quarantined after contact with a suspected COVID-19 patient when compared with the rural respondent 292 (64.32%). Only 524 (53.63%) of urban respondents were willing to isolate after having had contact with a confirmed patient compared with the rural respondents 277 (61.01%). More than half of the respondents in urban and rural 629 (64.38%) and 303 (66.74%) respectively showed their willingness to isolate if confirmed to have COVID-19. Overall, 758 (77.58%) of the respondents were willing to go into isolation during COVID-19 pandemic when compared with rural communities 377 (83.04%) of respondents (p value =0.06).Conclusions: Willingness to isolate during COVID-19 pandemic is higher among rural dwellers than the urban dwellers.
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