Abstract:

There is global use of IUD among women. It is seen as the safest and reversible family planning method compared to other methods. It is a wise choice for women within the sexual active period of life that are yet to commence or complete the number of children so desired and to also prevent unwanted pregnancy and the consequences of abortion. For the married couples yet to complete number of children desired it serves as a form of child spacing method of choice with high level reliability.

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Abstract:

Effective from May 2014, community-based traditional birth attendants (TBAs) in Yirol West County, South Sudan, were directed to start referring all women in labour to health facilities for childbirth instead of assisting them in the villages. This study aimed to understand the degree of integration of TBAs health system, to reveal the factors influencing the integration, and to explore the perceived solutions to the challenges faced by TBAs. A qualitative study utilising 11 focus group discussions with TBAs, 6 focus group discussions with women, and 18 key informant interviews with members of village health committees, staff of health facilities, and staff of the County Health Department was conducted. Data were analysed using qualitative content analysis. The study found that many TBAs were referring women to health facilities for delivery, but some were still attending to deliveries at home. Facilitators of the adoption of the new role by TBAs were: acceptance of the new TBAs’ role by the community, women and TBAs, perceptions about institutional childbirth and risks of home childbirth, personal commitment and motivation by some communication problems between TBAs and health care facilities, delays in seeking care by women, insecurity, lack of materials and supplies for TBAs, health system constraints, insufficient incentives for long distances to health facilities and transportation problems. This study has revealed encouraging developments in TBAs’ integration in the formal health system in Yirol West. However, there is need to address the challenges faced by TBAs in assuming their new role in order to sustain the integration.

Keyword: TBAs Health system, TBAs In South Sudan, TBAs in Yirol, Focused antenatal care, Care of uncomplicated delivery, Emergency Obstetric and Newborn Care (HemOnc), Focused postnatal care.

References:

[1].     Alisjahbana A, Williams C, Dharmayanti R, Hermawan D, Kwast BE, Koblinsky M: An integrated village maternity service to improve referral patterns in a rural area in West-Java. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 1995, 48 Suppl:S83-94.

[2].     Byrne A, Morgan A: How the integration of traditional birth attendants with formal health systems can increase skilled birth attendance. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2011, 115(2):127-134.

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[4].     Gabrysch S, Lema C, Bedrinana E, Bautista MA, Malca R, Campbell OM, Miranda JJ: Cultural adaptation of birthing services in rural Ayacucho, Peru. Bulletin of the World Health Organization 2009, 87(9):724-729.

[5].     Groppi L, Somigliana E, Pisani V, Ika M, Mabor JL, Akec HN, Nhial JA, Mading MS, Scanagatta C, Manenti F et al: A hospital-centered approach to improve emergency obstetric care in South Sudan. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2015, 128(1):58-61.

[6].     Hossain J, Ross SR: The effect of addressing demand for as well as supply of emergency obstetric care in Dinajpur, Bangladesh. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2006, 92(3):320-328.

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Abstract:

Diabetic foot ulcers have led to countless amputations and reduced quality of life among individuals living with diabetes. Specialized diabetic foot care has been shown to reduce the risk of foot ulcers and amputation among diabetics. The study assessed the knowledge of diabetic foot care among 100 nurses in the University of Port Harcourt Teaching Hospital and the Rivers State Hospitals Management Board Hospitals (which include General Hospitals from all the local government areas) in Rivers State, Nigeria. A structured questionnaire containing questions on different aspects of diabetic foot care was interviewer-administered to the nurses and scored accordingly. The results showed that only 34 (34%) had training on diabetic foot care; and most of the nurses who had training had more than 20 years of experience. It was observed that the knowledge of diabetic foot care was significantly higher among nurses with more than 10 years of experience (p = 0.0046). Nurses with less than 10 years of experience had a significantly poor knowledge of diabetic foot care. Knowledge of footwear assessment and assessing the patient’s capacity for self-care was found to be significantly lower among nurses who had no training on diabetes foot care (p = 0.0001). The study shows the urgent need for frequently organized training on diabetic foot care for nursing practitioners to improve the quality of diabetes care in Rivers state, Nigeria.

Keywords: Diabetes, Diabetic Foot, Diabetes Foot Care, Nursing Practitioners.

References:

[1]. Abdullah, W. H., Al-Senany, S., Al-Otheimin, H. K. (2017) Capacity Building for Nurses’ Knowledge and Practice Regarding Prevention of Diabetic Foot Complications. International Journal of Nursing Science, 7(1): 1-15.

[2]. Ahmed, A. A., Elsharief, E., Alsharief, A. (2011) Diabetic foot in the Arab world. The Journal of Diabetic Foot Complications, 3(3): 55–61.

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[5]. Beiranvand, S. Fayazi, S., Asadizaker. M., (2015) Effect of Educational Programs on the Knowledge, Attitude, and Practice of Foot Care in Patients with Diabetes, IOSR Journal of Nursing and Health Science, (4)4 :14-20.

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[14]. Oyetunde, M. O., Famakinwa, T. T. (2014). Nurses’ knowledge of contents of diabetes patient education in Ondo – state, Nigeria. Journal of Nursing Education and Practice, 4(4): 91-98.

[15]. Rashmi, P. J. (2017) A study to assess the knowledge regarding foot care among diabetic patients attending OPD’S at selected hospitals of Lucknow. International Journal of Nursing and Health Science. 3(2): 7-9.

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[17]. Soriguer, F., Goday, A., Bosch-Comas, A. (2012). Prevalence of diabetes mellitus and impaired glucose regulation in Spain: The Diabetes Study. Diabetologia. 2012;55(1):88-93.

[18]. Trepp, R., Wille, T., Wieland, T., Reinhart, W. H. (2012) Diabetes-related knowledge among medical and nursing house staff. Swiss Med Wkly. 140(25-26): 370-375.

[19]. Uba, M., Alih, F., Kever, R., Lola, N. (2015). Knowledge, attitude and practice of nurses toward pressure ulcer prevention in University of Maiduguri Teaching Hospital, Borno State, North-Eastern, Nigeria. International Journal of Nursing and Midwifery. 7: 54–60.

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Abstract:

The prevalence of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) of under-five children, in South Sudan is considerably high and is being aggravated by various internal conflicts and food insecurity ravaging the country. The situation has attracted the attention of various international organizations like World Food Programme (WFP), United Nations Children Emergency Fund (UNICEF), and other international Non-governmental Organizations (INGOs), for possible interventions. However, the success of the nutrition therapy programme in reducing the prevalence of SAM and MAM among under-five children, as implemented by these humanitarian organizations is hinged on many factors.

A retrospective cohort study was conducted by collecting reported data from District Health Information Software (DHIS) of SAM and MAM prevalence of under-five children across three years; 2015, 2006 and 2007 for three counties, and was analysed using SPSS. Findings revealed significant differences in SAM and MAM within counties and among counties across the three years. It was further revealed that there was rising prevalence of SAM and MAM (poor impact) among the counties as the nutrition therapy programme progressed across the three years in the three counties. It was suggested, among others, that training and re-training of health and nutrition workers, timely availability of food supplements, ensuring food security, unwavering adherence to the principle of neutrality and impartiality on the part of INGOs and government, and conduct of pre and post-intervention surveys for feedbacks, may serve as the panacea towards the present unsatisfying state of the nutrition therapy programme in the war-torn Lakes State of South Sudan.

Keywords: Nutrition therapy, Prevalence, Malnutrition, SAM, MAM, and South Sudan.

References:

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[17]. VOA (2016). Child malnutrition crisis deepens in South Sudan http://www.voanews.com/a/child-malnutrition-crisis-deepens-in-south-sudan/3451608.html

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