iosr-JNHS   Volume-10 ~ Issue-5 ~ Sep. – Oct. 2021

Abstract: Availability of quality healthcare servicesis essential to functioning of a society. While the government of Kenya is constitutionally mandated to ensure highest level of healthcare for all of its citizens, a number of hurdles remain on the way to realization of such priorities. To improve health system performance, accountability has been considered key to reducing abuse as well as assuring compliance with procedures and standards. The objective of this study was to examine the influence of accountability mechanisms on health system responsiveness in Pumwani Maternity Hospital (PMH) Nairobi in Kenya. The study was guided by the Principal-Agent theory. This was a cross-sectional study design with mixed data collection methods. The target population was health workers and patients from PMH. The study sample of 111 health workers was determined using Yamane (1967) formula, 25 middle level managers were purposively selected as key informants, and patients were included in 5 Focused......

Keywords: professional accountability, social accountability, health system responsiveness, Pumwani Maternity Hospital, Kenya

[1]. Abuya, T., Warren, C., Miller, N., Njuki, R., Ndwiga, C., Maranga, A., . . . Bellows, B. (2015). Exploring the prevalence of disrespect and abuse during childbirth in Kenya. PloS one, 10(4), 1-13
[2]. Afulani, P. A.-e. (2015). Determinants of maternal health and health-seeking behavior in sub-Saharan Africa: The role of quality of care. Los Angeles: A Doctor of Philosophy Dissertation of University of California, Los Angeles.
[3]. Bandali, S., Thomas, C., Hukin, E., Matthews, Z., Mathai, M., Dilip, T. R., . . . Hulton, L. (2016). Maternal Death Surveillance and Response Systems in driving accountability and influencing change. International Journal of Gynecology and Obstetrics, 135, 365–371
[4]. Barasa, E., Molyneux, S., English, M., & Cleary, S. (2017). Hospitals as complex adaptive systems: A case study of factors influencing priority setting practices at the hospital level in Kenya. Social Science & Medicine, 174, 104-112.
[5]. Bleich, S., Özaltin, E., & Murray, C. (2009). How does satisfaction with the health-care system relate to patient experience? Bulletin of the World Health Organization, 87(4), 271-278

Abstract: Objective: 1) To explore the lifestyle and living conditions of Vietnamese people including their challenges and barriers to control blood pressure as perceived by patients and nurses. 2) To determine the effect of the self-management program on blood pressure among persons with hypertension in Vietnam Design: This was a mixed-method study with a sequential exploratory design, which was characterized by an initial qualitative phase followed by a quantitative phase. For the qualitative part, the data computed by the individual interviewing with nurses and hypertension patients. The data of the quantitative part analyzed by pretest and posttest from......

Keywords: Blood pressure, self-management, nursing care

[1]. Son PT, Quang NN, Viet NL, Khai PG, Wall S, Weinehall L, et al. Prevalence, awareness, treatment and control of hypertension in Vietnam-results from a national survey. J Hum Hypertens. 2012;26(4):268-80.
[2]. Do H, Geleijnse J, Le M, Kok FJ, Feskens E. National Prevalence and Associated Risk Factors of Hypertension and Prehypertension Among Vietnamese Adults. American journal of hypertension. 2014;28.
[3]. Meiqari L, Essink D, Wright P, Scheele F. Prevalence of Hypertension in Vietnam: A Systematic Review and Meta-Analysis. Asia Pac J Public Health. 2019;31(2):101-12.
[4]. Ha DA, Goldberg RJ, Allison JJ, Chu TH, Nguyen HL. Prevalence, Awareness, Treatment, and Control of High Blood Pressure: A Population-Based Survey in Thai Nguyen, Vietnam. PLoS One. 2013;8(6):e66792. 2016.
[5]. Hien HA, Tam NM, Tam V, Derese A, Devroey D. Prevalence, Awareness, Treatment, and Control of Hypertension and Its Risk Factors in (Central) Vietnam. Int J Hypertens. 2018;2018:6326984.

Abstract: BACKGROUND: Professional bus drivers have been found to be at higher risk for developing musculoskeletal pain. OBJECTIVES: To investigate the prevalence of musculoskeletal pain & to analyse the risk factors at Work-Station in Bus drivers. STUDY DESIGN: Cross-sectional study METHODS: 100 bus drivers were interviewed. A questionnaire was formulated on the basis of job demand analysis & ergonomic evaluation. Questions included were based on age, musculoskeletal pain, work-related ergonomic & psychosocial factors, and general health habits like addictions, exercise.....

Keywords: Bus drivers, Musculoskeletal pain, Disorders

[1]. Anderson R(1992).The back pain of bus drivers. Prevalence in an urban area of California.Spine 17,141-8.
[2]. Tamrin SB,Yokoyama K,Jalaludin J,Aziz NA,Jemoin N, Nordin R,Li Naing A, Abdullah Y, Abdullah M .The association between risks factors and LBP among commercial vehicles drivers in peninsular Malaysia.A preliminary result.Industrial Health 2007,46'268-278.
[3]. Krause N, Ragland DR, Fisher JM, Syme SL. Psychological job factors, physical workload,and incidence of work related spinal injury:a 5-years prospective study on urban transit operator Spine 1998,23:2507-16.
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Abstract: Background: Parasitic worms are organisms that invade other organisms or hosts to survive. Worm infestations in children are very common in Egypt. Worm infestation remains one of the main problems of children development. Since mothers play a vital role in developing healthy life style among children. Aim: The study aimed to assess mothers' awareness about parasitic worms and healthy home precautions for their children. Design: Descriptive research design was used in this study, Sample: A purposive sample was equal 140 mother having children (6-12) years. Setting: Pediatric out-patient clinics at Helwan general hospital (cairo, Egypt). Tools: One tool was used including A structural interviewing questionnaire was used in the study, it contains four parts Socio-demographic characteristics about mother, Past and present history of children with parasitic worms , mother's knowledge about.......

Key words: Mothers awareness, Parasitic worms, Healthy home precautions.

[1]. Pabalan, N., Singian, E., Tabangay, L., Jarjanazi, H., Boivin, M. J., & Ezeamama, A., E. (2018): Soil-transmitted helminth infection, loss of education and cognitive impairment in school-aged children: A systematic review and meta-analysis. PLoS neglected tropical diseases,Vol( 12), No(1), PP.523-526.
[2]. Mareeswaran, N., Savitha, A., & Gopalakrishnan, S. (2018): Prevalence of intestinal parasites among urban and rural population in Kancheepuram district of Tamil Nadu. International Journal Of Community Medicine And Public Health,Vol (5), No(6),pp. 2585-2589.
[3]. World Health Organization, (WHO),(2015):International Agency for Research on infectious diseases,Soil Transmitted Helminthes, Fact sheet N 366. Available at: http:// www.WHO.int/mediacentre/fact sheet 366. .
[4]. Safar, HH.,& Eldash ,HH ,(2015): Parasitic infections: Is male and female difference for anemia and growth retardation evident? J. Egypt. Soc. Parasitol,Vol(45),No(9),PP. 467-475. https://doi.org/10.12816/0017907 .
[5]. Grego, S., Barani, V., Hegarty-Craver, M., Raj, A., Perumal, P., Berg, A. B., & Archer, C. (2018). Soil-transmitted helminth eggs assessment in wastewater in an urban area in India. Journal of water and health, 16(1), 34–43. https://doi.org/10.2166/wh.2017.147

Abstract: Background: The humaneye has a number of structures that serve as protective mechanisms from foreign bodies and external irritants, some of which are; lacrimal gland, lacrimal passages, tear film, eyelids and so on. A compromise in any of these protective structures could lead to eye conditions, sometimes chronic, that requires examination and treatment. One of such compromises is the dry eye syndrome. Dry eye syndrome is a chronic eye condition characterized by persistent evaporation of tears or reduced tear secretion in the tear-film that causes friction between the globe and lids which could in turn lead to injuries in the cornea if not well treated. This study was carried out to determine the prevalence and distribution of dry eye syndrome among university students in Owerri, Imo State......

Key Word: Dry eye; Schirmer; Tear film; Tear-Break-Up-Time (TBUT); Osmolarity.

[1]. Javadi .M.A and Feizi .S, "Dry eye syndrome," Journal of Ophthalmic and Vision Research, vol.6, no.3, pp.192–198, 2011.
[2]. Sharma A and Hindman H. B, "Aging: a predisposition to dry eyes," Journal of Ophthalmology, vol.2014, Article ID 781683, 8 pages, 2014.
[3]. Moss S.E, R. Klein, and B.E.K. Klein, "Prevalence of and risk factors for dry eye syndrome," Archives of Ophthalmology, vol. 118, no.9, pp.1264–1268, 2000.
[4]. Ohashi .Y, Ishida .R, T. Kojima et al., "Abnormal protein profiles in tears with dry eye syndrome," The American Journal of Ophthalmology, vol.136, no.2, pp.291–299, 2003.
[5]. Kaercher .T and Bron .A, "Classification and diagnosis of dry eye," in Surgery for the Dry Eye, G. Geerling and H. Brewitt, Eds., vol.41 of Developments in Ophthalmology, pp.36–53, 2008.

Abstract: Introduction: Financing health care services is a global problem for all governments even among the developed countries. The problem is even more magnified in low and middle income countries with struggling economies and competing demands for financial needs; which has adversely affected the delivery of health care services to citizens. In Kenya, research to inform policy development and procedures in healthcare funding has been limited. This research focused to understand the effect of direct government health funds on service delivery in primary health facilities of Meru County, Kenya. Method: This was a cross-sectional study design. A total of 400 respondents from the community, 30 health providers and 30 facility health management......

Key Words: Health Sector Services Fund, county health management team, health facility management team, service delivery, primary care, Kenya

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Abstract: Background: The primary treatment of neonates with unconjugated hyperbilirubinemia is phototherapy. As phototherapy has potential side-effects for neonates, another modality could be used along with it to increase the excretion of bilirubin, such as, Vimala Massage (VM). The VM can promote early defecation of neonates by increasing the intestinal movement which would accelerate bilirubin excretion with the possibility of reducing neonatal hyperbilirubinemia.Aim: The aim of this study was to determine the effect of VM on hyperbilirubinemia among full term neonates.Design: A quasi-experimental study was used.Setting: the study was carried out in theNeonatal Intensive Care Unit (NICU) of EL-Raml Children Hospital at Winget in Alexandria. Subjects:Sixty full-term neonates with hyperbilirubinemia who were at the first day of exposure to phototherapy were included in this.....

Keywords : Vimala Massage, Hyperbilirubinemia, Full Term Neonates

[1]. Abo El-Magd, A., Dabash, S., El-Guindy, S., Masoed, E., &Elhouchi, S. (2017). Effect of massage on health status of neonates with hyperbilirubinemia. IMPACT: International Journal of Research in Applied, Natural and Social Sciences, 5(5), 33-44.
[2]. Ahmed, Y., Kassem, Y., & Ismail, S. (2019). Effect of intensive phototherapy on bilirubin induced neurological defect (BIND) score in neonates with severe hyperbilirubinemia. Egypt J Hosp Med,74(7),1643-8.
[3]. American Academy of Pediatrics. (2017). Neonatal Jaundice. In A. H. McInerny TK, Campbell DE, DeWitt TG, Foy JM, Kamat DM (Ed.), American Academy of Pediatrics Textbook of Pediatric Care. American Academy of Pediatrics.
[4]. Amini, E., Ebrahim, B., Dehghan, P., Fallahi, M., Sedghi, S., Amini, F., &Shariat, M. (2014). The effect of massage therapy on weight gain and calories intake in premature neonates: A brief report. Tehran-Univ-Med-J, 71(10), 674-8.

Abstract: Acknowledgement letter "In the Name of Allah, Most Gracious, Most Merciful." Allah the Highest says: "If ye are grateful, I will add more (favours) unto you; but if ye show ingratitude, truly my punishment is terrible indeed." First and foremost, all praise is due to God for his graces that support me and give me the ability to believe in my passion and, in most instances, to fulfil the objective of embracing struggles to follow my dreams. I want to thank nursing for allowing me to learn much gain experience, as well as all the nurses who serve as the heart of healthcare to build hope and keep positive thinking in the.......

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