Accelerating Hepatitis C virus elimination in Egypt by 2030: A national survey of communication for behavioral development as a modelling study

Metwally, Ammal M.; Elmosalami, Dalia M.; El-Hariri, Hazem; Etreby, Lobna A. El; Aboulghate, Ahmed; El-Sonbaty, Marwa M.; Mohsen, Amira; Saleh, R. M.; Abdel‐Latif, Ghada A.; Samy, Sahar; Deeb, Sherif E. El; Fathy, Asmaa M.; Salah, Mohab M.; Mawla, Mohamed A. Abdel; Imam, Hanaa M.; Ibrahim, Nihad A.; Shaaban, Fatma A.; Elamir, Reham Y; Abdelrahman, Mohamed; El-Sayed, Manal Hamdy

doi:10.1371/journal.pone.0242257

Cited by 17 publications

(13 citation statements)

References 28 publications

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“…For husbands, the odds were nearly one and half for all. This was in accordance with many Egyptian studies which have achieved their goals for improving behaviors for many health-related diseases and issues with the aid of the health promotors, community leaders or health care workers; for example, reduction of maternal mortality [17], [18], [53], improving environmental health [54], [55], alleviating children anemia [56], counteracting barriers against diabetes [57], and accelerating HCV elimination [59], [60], [61]. These studies are mainly community-based studies in rural communities respecting the culture and believe within their communities.…”

Section: Discussionsupporting

confidence: 83%

Assessing the Effective Communication Channels to Reduce Child and Adolescent Marriage in Rural Communities of Egypt

Metwally

El-Sonbaty

Elmosalami

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Low levels of scholarly achievement, poverty, and geographical isolation are all known to be linked to early marriage. AIM: This study aimed at identifying the most credible and the best-suited communication channels (CCs) to reach rural communities for motivating them to reduce child and adolescent marriage. METHODS: This study was a community-based cross-sectional systematic formative research. The study targeted 1000 wives who were ever married women in childbearing period aged 15–49 years and their husbands in 21 rural village units of two governorates of Upper Egypt through questionnaires. Decisions concerning the choice of the best-suited CCs were based on their reach, frequency, managerial feasibility, and effectiveness. The investigated CCs included: modern social media (search browser engine/Facebook group and/or twitter/YouTube or messaging through WhatsApp or any mobile app), traditional mass media (T.V/Radio/Reading), and interpersonal communication (talk with religious leaders/partners/friends/doctors/health promoters). Comparisons between different CCs were done using odds ratios (OR) and 95% confidence intervals (CI). RESULTS: A vast majority of the surveyed wives (96.6%) were married at an age ranging from 15 to 24 years. The spread of social media through smartphones was limited to only one-third of wives and their husbands through mainly searching on YouTube (31.7% of wives and 27.8% of husbands). Television was the most accessible means of mass media for both wives and husbands (72.5% and 63.3%, respectively). The most credible and the best-suited CCs methods for wives were talking with the health promotors and doctors with 2 times significantly higher (OR = 2.0, CI = 1.7–2.4 for each one) than that with the search on YouTube and 3 times significantly higher (OR = 3.1, CI = 2.5–3.7 and OR = 3.1, CI = 2.6–3.8, respectively) than that for social media using browser engine. For husbands, the odds of the most credible and the best-suited CCs methods were more than 1½ times higher for the talk with the health promotors than the search on You Tube (OR = 1.6, CI = 1.3–2.0) or the search using browser engine (OR = 1.6, CI = 1.3–1.9), Whereas the odds were one and a third higher for the talk with the doctor than the search on You Tube (OR = 1.3, CI = 1.1–1.6) or the search using browser engine (OR = 1.6, CI= 1.1–1.6). Significant difference was detected in favor of the traditional media as the most credible source of information only for wives’ intention to postpone their children early marriage. CONCLUSIONS: Despite the availability of recent social media worldwide, rural communities with high illiteracy have limited access to the internet and limited availability of smartphones. Interpersonal communication is considered their most effective CCs for achieving equity in reducing child marriage. It seems vital during the implementation of any strategies toward reproductive health to use not only the media broadcasts, but also to rely on the channels that are most credible and suitable for the targeted communication to support meeting the unmet need.

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Section: Discussionsupporting

confidence: 83%

Assessing the Effective Communication Channels to Reduce Child and Adolescent Marriage in Rural Communities of Egypt

Metwally

El-Sonbaty

Elmosalami

et al. 2021

Open Access Maced J Med Sci

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“…For husbands the odds were nearly one and half for all. This was in accordance with many Egyptian studies which have achieved their goals for improving behaviors for many health-related diseases and issues with the aid of the health promotors, community leaders or health care workers; e.g reduction of maternal mortality (17,18,46,47), improving environmental health (48, 49), alleviating children anemia (50), counteracting barriers against diabetes (51), and accelerating HCV elimination (52)(53)(54). These studies are mainly community-based studies in rural communities respecting the culture and believes within their communities.…”

Section: Discussionsupporting

confidence: 83%

Assessing the Credibility of Best Suited Communication Channels in Rural Communities for Meeting the Unmet Need Towards Reducing Child and Adolescent Marriage: a Model From Upper Egypt

Metwally¹,

Abuelela²,

Elmosalami³

et al. 2021

Preprint

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Background: Low levels of scholarly achievement, poverty, and geographical isolation are all known to be linked to early marriage. This study aimed at identifying the most credible and the best-suited communication channels (CCs) to reach rural communities for motivating them to reduce child and adolescent marriage. Methods: A cross-sectional study targeted 1000 wives and their husbands were conducted in 21 rural village units of two governorates of Upper Egypt through questionnaires. Decisions concerning the choice of the best-suited communication channels were based on their Reach; Frequency; Managerial feasibility and Effectiveness. Results: a vast majority of the surveyed wives (96.6%) were married at an age ranging from 15-24 years. The spread of social media through smartphones was limited to only one-third of wives and their husbands through mainly searching on YouTube (31.7% of wives and 27.8% of husbands). Television was the most accessible means of mass media for both wives and husbands (72.5% and 63.3% respectively). The most credible and the best-suited CCs methods for wives were talking with the health promotors and doctors with two times significantly higher (OR= 2.0) than that with the search on YouTube and three times significantly higher (OR = 3.1) than that for social media using browser engine. For husbands, the odds were 1.6 for all. Conclusions: Despite the availability of recent social media worldwide, rural communities; with high illiteracy, limited access to the internet, and limited availability of smartphones. Interpersonal communication is considered the most effective CCs for achieving equity in reducing child marriage. It seems vital during the implementation of any strategies towards reproductive health to use not only the media broadcasts but also to rely on the channels that are most credible and suitable for the targeted communication to support meeting the unmet need.

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“…In Egypt, IC and sharing information are among the mandated Egyptian patients' rights since 2005 [14] along with other rights such as access to health care [15][16][17][18] in general and specifically for reproductive rights [19,20], choice of care for communicable and non-communicable diseases [21][22][23], right for breastfeeding [24], school feeding [25], health education [26], participation in the treatment plan, confidentiality and privacy [27,28]. Moreover, the rights to donate organs after death [29].…”

Section: Introductionmentioning

confidence: 99%

Egyptian patients’/guardians’ experiences and perception about clinical informed consent and its purpose: Cross sectional study

et al. 2021

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Background Informed consent (IC) is a healthcare standard emphasizing the meaning of human dignity as clarified in the Universal Declaration of Human Rights. Data about IC practices in Egypt is insufficient. This study aimed to assess the Egyptian patients’/guardians’ experiences about IC and their expectations about its practices’ purposes in general and according to the type of the healthcare facility. Methods Self-administered questionnaire was carried out for 1092 participants who had undergone or were scheduled to a procedure requiring an IC at three studied types for Egyptian health care facilities. Ten statements were ranked twice by the participants to reflect their perception of IC purpose as per what is currently practiced and what they believe should be practiced. Results IC implementation varies significantly (p<0.05) across the health care facilities in Egypt. The percentage of its implementation at the non-governmental facilities, governmental facilities, and university hospital was 85.9%, 77.8%, and 63.8 respectively. The first three ranked purposes of the current IC practices were: “Helping patient/guardian decide (64.9%)”, “Documenting patient’s/guardian’s decision (59.3%)”, and “Having shared decision (57.3%)”. The perceived purposes of IC to be practiced were: “Informing the patient/guardian (68.4%)”, “Making sure patient/guardian understand (65.3%)” and “Documenting patients/guardians decisions (65.1%)”. “Being a meaningless routine” was reported by the majority to be ranked as a low purpose for IC current and preferred practices. Conclusion The practice of IC is common within the Egyptian medical community. Participants believe that information disclosure “Making sure patients understand” has to help in IC decision making and its main purpose. However, unfortunately, this is not perceived as a current purpose of IC. There was consensus agreement that documenting the patient’s/guardian’s decision and informing the patient/guardian are perceived as both important current and preferred purposes for IC practices.

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Accelerating Hepatitis C virus elimination in Egypt by 2030: A national survey of communication for behavioral development as a modelling study

Cited by 17 publications

References 28 publications

Assessing the Effective Communication Channels to Reduce Child and Adolescent Marriage in Rural Communities of Egypt

Assessing the Effective Communication Channels to Reduce Child and Adolescent Marriage in Rural Communities of Egypt

Assessing the Credibility of Best Suited Communication Channels in Rural Communities for Meeting the Unmet Need Towards Reducing Child and Adolescent Marriage: a Model From Upper Egypt

Egyptian patients’/guardians’ experiences and perception about clinical informed consent and its purpose: Cross sectional study

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