4 research outputs found
Prevalence of bacterial, parasitological and serological infections among food handlers in Kigali Rwanda (2009-2011)
Fine needle aspirate as a useful tool in the diagnosis of tuberculous lymphadenitis in Rwanda
A Recent Update Of Schistomiasis Mansoni Endemicity Around Lake Rweru
Background: Schistosomiasis remains a global public health challenge
with an estimated 200 million cases reported each year. In Rwanda, the
prevalence of schistosomiasis was recently examined by a countrywide
mapping conducted by the Neglected Tropical Disease (NTD) Control
Programme of the Rwandan Ministry of Health in partnership with The
Access Project. Unfortunately, that study failed to consider one area
of endemicity -- Lake Rweru, located in Bugesera District, Eastern
Province, Rwanda. This screening aimed to evaluate Lake Rweru and its
environs in order to determine next steps for disease control. Methods:
The lake’s shore inhabitants, including children and adults, were
invited to be screened for intestinal schistosomiasis. The stool
examination was performed by Kato-Katz technique. Results: A total of
270 children and adults were parasitologically screened. Fifty seven
(57) cases of schistosomiasis mansoni were confirmed (21.1%). The
highest proportion of S. mansoni infection was observed at Mazane
Island (30.1% of 93 island inhabitants screened). Conclusion: The
present results confirm that Lake Rweru is a significant source of S.
mansoni infection in the country. We recommend further future
investigations in order to know the true disease prevalence. While the
mass de-worming campaign against schistosomiasis in addition to
soil-transmitted helminthiasis is being regularly conducted by the
Ministry of Health in all endemic areas, the population surrounding
Lake Rweru should receive special attention.Contexte: La schistosomiase demeure un problème important de
santé publique globalement avec environ 200 millions de cas
rapportés chaque année. Au Rwanda, la situation de la
schistosomiase a été récemment mise à jour par une
cartographie nationale conduite par le Programme de ContrĂ´le des
Maladies Tropicales Négligées (MTN) du Ministère de la
Santé en collaboration avec The Access Project. Cependant, le lac
Rweru situé dans le District de Bugesera, Province de l’Est,
Rwanda, a été incorrectement manqué parmi les foyers les
plus endémiques. L’investigation visait à confirmer le
foyer afin de déterminer de prochaines étapes pour le
contrôle de l’infestation à Schistosoma mansoni.
MĂ©thodes: La population habitant aux alentours du lac Rweru
comprenant des enfants et des adultes a été invitée
Ă fournir leurs Ă©chantillons de selles en vue
d’être examinés pour la schistosomiase intestinale.
L’examen de selles a été réalisé par la
technique de Kato-Katz. RĂ©sultats: Un total de 270 individus (des
enfants et des adultes) ont été examinés
parasitologiquement. Cinquante-sept (57) cas de schistosomiase mansoni
ont été confirmés (21.1%). On a observé la
proportion la plus élevée de l’infection à S.
mansoni à l’île de Mazane (30.1% de 93 habitants
insulaires testés). Conclusion: Les résultats actuels
confirment que le lac Rweru est une source importante de S. mansoni
dans le pays. Nous recommandons des enquêtes postérieures
afin de connaître la vraie prévalence de la maladie dans
cette zone. Pendant que la campagne de déparasitage de masse
contre la schistosomiase en plus des géo-helminthiases est
régulièrement organisée par le Ministère de la
Santé dans toutes les zones endémiques, la population
environnant le lac Rweru devrait recevoir une attention
particulière
Building consensus in defining and conceptualizing acceptability of healthcare: A Delphi study
Background
The concept of healthcare acceptability is important for nursing staff spending most of their time with patients. Nevertheless, acceptability remains confusing without a collective definition in existing literature.
Objective
This study aimed to create a consensus among experts on definition and conceptual framework of healthcare acceptability.
Methods
We conducted two rounds of Delphi surveys to collect opinions from experts on definition and conceptual framework of healthcare acceptability proposed following thematic content analysis. We calculated the consensus among experts using the modified Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument and followed the guidance on conducting and reporting Delphi studies (CREDES) best practices.
Results
A total of 34 experts completed two rounds of Delphi survey. The definition was validated through consensus as: “a multi-construct concept describing the nonlinear cumulative combination in parts or in whole of experienced or anticipated specific healthcare from the relevant patients/participants, communities, providers/researchers or healthcare systems' managers and policy makers' perspectives in a given context.” The overall quality rating was 92.6% and 95.1% for the proposed definition and conceptual framework respectively.
Conclusion
Opinions collected from experts provided significant insights to build a consensus on healthcare acceptability advancing public health nursing