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Maternal mortality in an academic institution in Upper Egypt

Research Abstract
Maternal mortality is a worldwide problem. Measuring maternal mortality and identifying its causes is essential, and should be assessed regularly for the purpose of planning, monitoring and evaluation of provided maternal health care. Quality of care indicators such as case fatality rate is used to measure the facility performance, in particular, quality and promptness of care. This descriptive study aimed to calculate maternal mortality ratio, quality of care indicators such as maternal mortality index, case fatality and direct obstetric case fatality rate for the Women’s Health Hospital and identify causes of maternal mortality, and the main deficits in medical records. The Maternal mortality ratio was alarmingly high in Women’s Health Hospital, Assiut University, Egypt reaching 225/100,000, however, those who delivered in the hospital, the MMR was 100.5/100,000. The leading causes of maternal death were obstetric haemorrhage (38.3%), complications of caesarean sections (27.7%) and pre-eclampsia/eclampsia (23.4%). Nearly half (42%) of the deaths occurred during vacations. Quality indicators revealed poor quality of health care.
Research Authors
Kamal M. Zahran, Kawthar Abdel-Motagly Fadel, Sabra M. Ahmed & Amira F. EL-Gazzar
Research Journal
Journal of Obstetrics and Gynaecology
Research Member
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
NULL
Research Year
2017

Maternal mortality in an academic institution in Upper Egypt

Research Abstract
Maternal mortality is a worldwide problem. Measuring maternal mortality and identifying its causes is essential, and should be assessed regularly for the purpose of planning, monitoring and evaluation of provided maternal health care. Quality of care indicators such as case fatality rate is used to measure the facility performance, in particular, quality and promptness of care. This descriptive study aimed to calculate maternal mortality ratio, quality of care indicators such as maternal mortality index, case fatality and direct obstetric case fatality rate for the Women’s Health Hospital and identify causes of maternal mortality, and the main deficits in medical records. The Maternal mortality ratio was alarmingly high in Women’s Health Hospital, Assiut University, Egypt reaching 225/100,000, however, those who delivered in the hospital, the MMR was 100.5/100,000. The leading causes of maternal death were obstetric haemorrhage (38.3%), complications of caesarean sections (27.7%) and pre-eclampsia/eclampsia (23.4%). Nearly half (42%) of the deaths occurred during vacations. Quality indicators revealed poor quality of health care.
Research Authors
Kamal M. Zahran, Kawthar Abdel-Motagly Fadel, Sabra M. Ahmed & Amira F. EL-Gazzar
Research Journal
Journal of Obstetrics and Gynaecology
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
NULL
Research Year
2017

Maternal mortality in an academic institution in Upper Egypt

Research Abstract
Maternal mortality is a worldwide problem. Measuring maternal mortality and identifying its causes is essential, and should be assessed regularly for the purpose of planning, monitoring and evaluation of provided maternal health care. Quality of care indicators such as case fatality rate is used to measure the facility performance, in particular, quality and promptness of care. This descriptive study aimed to calculate maternal mortality ratio, quality of care indicators such as maternal mortality index, case fatality and direct obstetric case fatality rate for the Women’s Health Hospital and identify causes of maternal mortality, and the main deficits in medical records. The Maternal mortality ratio was alarmingly high in Women’s Health Hospital, Assiut University, Egypt reaching 225/100,000, however, those who delivered in the hospital, the MMR was 100.5/100,000. The leading causes of maternal death were obstetric haemorrhage (38.3%), complications of caesarean sections (27.7%) and pre-eclampsia/eclampsia (23.4%). Nearly half (42%) of the deaths occurred during vacations. Quality indicators revealed poor quality of health care.
Research Authors
Kamal M. Zahran, Kawthar Abdel-Motagly Fadel, Sabra M. Ahmed & Amira F. EL-Gazzar
Research Journal
Journal of Obstetrics and Gynaecology
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
NULL
Research Year
2017

Maternal mortality in an academic institution in Upper Egypt

Research Abstract
Maternal mortality is a worldwide problem. Measuring maternal mortality and identifying its causes is essential, and should be assessed regularly for the purpose of planning, monitoring and evaluation of provided maternal health care. Quality of care indicators such as case fatality rate is used to measure the facility performance, in particular, quality and promptness of care. This descriptive study aimed to calculate maternal mortality ratio, quality of care indicators such as maternal mortality index, case fatality and direct obstetric case fatality rate for the Women’s Health Hospital and identify causes of maternal mortality, and the main deficits in medical records. The Maternal mortality ratio was alarmingly high in Women’s Health Hospital, Assiut University, Egypt reaching 225/100,000, however, those who delivered in the hospital, the MMR was 100.5/100,000. The leading causes of maternal death were obstetric haemorrhage (38.3%), complications of caesarean sections (27.7%) and pre-eclampsia/eclampsia (23.4%). Nearly half (42%) of the deaths occurred during vacations. Quality indicators revealed poor quality of health care.
Research Authors
Kamal M. Zahran, Kawthar Abdel-Motagly Fadel, Sabra M. Ahmed & Amira F. EL-Gazzar
Research Journal
Journal of Obstetrics and Gynaecology
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
NULL
Research Year
2017

ATTENTION DEFICIT HYPERACTIVITY DISORDER IN A RURAL AREA OF SOHAG GOVERNORATE

Research Abstract
Background: Attention deficit hyperactivity disorder (ADHD) is a rising public health problem affecting child quality of life. Objectives: To study the prevalence and socio-demographic risk factors of attention deficit hyperactivity disorder (ADHD) among primary school children in a rural area of Sohag governorate. Subjects and methods: A cross-sectional community based study design was carried out in two villages of Sohag governorate. Using structured interview questionnaires to collect relevant data. To identify children with probable ADHD a validated questionnaire based on Diagnostic and Statistical Manual of Mental disorders, 4th Edition (DSM IV) was used. It has a parent's copy and a teacher's copy. Results: This study included 854 primary school students in two villages of Sohag governorate. The prevalence of probable ADHD was 9.6%. The prevalence of ADHD was significantly associated with low socioeconomic level, higher birth order, male gender, smoker father, consanguineous parents, family history of ADHD, low birth weight, artificially fed children and pupils living with single parent. Conclusion and recommendations: ADHD is prevalent among primary school pupils in rural areas of Sohag governorate. Efforts are required to control associated risk factors of ADHD and decrease its prevalence.
Research Authors
Sabra M. Ahmed
Research Journal
The Egyptian Journal of Community Medicine
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
NULL
Research Year
2018

PREVALENCE OF MENTAL DISTRESS AND ITS CORRELATES AMONG ASSIUT UNIVERSITY STUDENTS

Research Abstract
Objective: To estimate the prevalence and socio-demographic correlates of mental distress among Assiut university students Methods: A cross-sectional descriptive study design was carried out. A multi-stage stratified cluster sampling technique was used. Data were collected by using self-administered questionnaire. The questionnaire included the socio-demographic characteristics of the students in addition to a group of questions derived from the self-reporting questionnaire (SRQ-20) that was developed by the WHO to screen for mental disturbances especially in developing countries. Results: This study included 828 of Assiut University students. Mental distress was present among 17.1% of students. By using logistic regression analysis, it was found that university or higher education of the parents, higher educational achievement in the past year were protective from mental distress among students. On the other hand, female gender, bad perceived health status, previous exposure to violence and family history of mental health problems were significantly associated with presence of mental distress among studied group. An intervention program was recommended to raise the awareness about the importance of mental health status among students, parents and university administrators and to overcome factors associated with mental distress.
Research Authors
Sabra M. Ahmed and Hala H. Abou-Faddan
Research Journal
The Egyptian Journal of Community Medicine
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
NULL
Research Year
2018

PREVALENCE OF MENTAL DISTRESS AND ITS CORRELATES AMONG ASSIUT UNIVERSITY STUDENTS

Research Abstract
Objective: To estimate the prevalence and socio-demographic correlates of mental distress among Assiut university students Methods: A cross-sectional descriptive study design was carried out. A multi-stage stratified cluster sampling technique was used. Data were collected by using self-administered questionnaire. The questionnaire included the socio-demographic characteristics of the students in addition to a group of questions derived from the self-reporting questionnaire (SRQ-20) that was developed by the WHO to screen for mental disturbances especially in developing countries. Results: This study included 828 of Assiut University students. Mental distress was present among 17.1% of students. By using logistic regression analysis, it was found that university or higher education of the parents, higher educational achievement in the past year were protective from mental distress among students. On the other hand, female gender, bad perceived health status, previous exposure to violence and family history of mental health problems were significantly associated with presence of mental distress among studied group. An intervention program was recommended to raise the awareness about the importance of mental health status among students, parents and university administrators and to overcome factors associated with mental distress.
Research Authors
Sabra M. Ahmed and Hala H. Abou-Faddan
Research Journal
The Egyptian Journal of Community Medicine
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
NULL
Research Year
2018

Impact of Socio demographic Characteristics on Attitude of Ever Married Women Toward Gender Based Violence in Egypt: Secondary Analysis of SYPE Data, 2014

Research Abstract
Objectives: to identify the impact of socio demographic factors on attitude of ever married female toward violence against women in Egypt. Materials and methods:Data from Survey of Young People in Egypt (SYPE), 2014 were used in this study. Attitude towards gender-based violence (GBV) and socio-demographic characteristics of 3,226 ever married females aged 13-35 years were selected for secondary and advanced analysis. Results: Only a small percentage (28.7%) of all ever married female youth rejected gender-based violence. The rejection of GBV was increased with increasing the wealth quintile from the lowest to the richest level (P 0.001). There were no statistical significant differences between respondents who accepted the GBV attitude and those who reject it as regard the employment status (P = 0.442). There was more rejection of GBV with increasing educational level of respondents and their parents from illiterate to university or higher level (P 0.001). Agreement to GBV increased by increasing the number of brothers and sisters (P = 0.021). Conclusion: Sociodemographic characteristics play an important role on the attitude of ever married women towards violence against women. Recommendations: Parents, educational institutions, health care providers (e.g. pre-marital counseling), civil society (mass media), community and religious leaders need to engage in more open dialog with young people to educate them about GBV, enforce positive attitude (multi – sectoral interventions) and support economic and social development.
Research Authors
Sabra M. Ahmed and Faten M. Rabie
Research Journal
Med. J. Cairo Univ.
Research Member
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
NULL
Research Year
2018

Impact of Socio demographic Characteristics on Attitude of Ever Married Women Toward Gender Based Violence in Egypt: Secondary Analysis of SYPE Data, 2014

Research Abstract
Objectives: to identify the impact of socio demographic factors on attitude of ever married female toward violence against women in Egypt. Materials and methods:Data from Survey of Young People in Egypt (SYPE), 2014 were used in this study. Attitude towards gender-based violence (GBV) and socio-demographic characteristics of 3,226 ever married females aged 13-35 years were selected for secondary and advanced analysis. Results: Only a small percentage (28.7%) of all ever married female youth rejected gender-based violence. The rejection of GBV was increased with increasing the wealth quintile from the lowest to the richest level (P 0.001). There were no statistical significant differences between respondents who accepted the GBV attitude and those who reject it as regard the employment status (P = 0.442). There was more rejection of GBV with increasing educational level of respondents and their parents from illiterate to university or higher level (P 0.001). Agreement to GBV increased by increasing the number of brothers and sisters (P = 0.021). Conclusion: Sociodemographic characteristics play an important role on the attitude of ever married women towards violence against women. Recommendations: Parents, educational institutions, health care providers (e.g. pre-marital counseling), civil society (mass media), community and religious leaders need to engage in more open dialog with young people to educate them about GBV, enforce positive attitude (multi – sectoral interventions) and support economic and social development.
Research Authors
Sabra M. Ahmed and Faten M. Rabie
Research Journal
Med. J. Cairo Univ.
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
NULL
Research Year
2018

Consanguineous Marriage among Egyptian Youth: Secondary Analysis of Survey of Young People in Egypt, 2014

Research Abstract
Background: Although the frequency of consanguineous marriage is generally declining, most Middle Eastern Arab countries including Egypt still have a custom of preferring consanguineous marriage particularly among first cousins. The objectives of the study were to explore the frequency and determinants of consanguinity among youth population in Egypt using secondary analysis of data from survey of young people in Egypt, 2014 (SYPE, 2014) were used in this study. The results of this study show that consanguineous marriage among youth (13 – 35 years) in Egypt is 27.4%. However the frequency varies by region. It is highest in rural Upper Egypt (43.6%) and lowest in urban Lower Egypt (13.2%). Also it is higher in rural (29.3%) than urban (23.9%) areas. Consanguineous marriage is associated with younger age at marriage, low educational level, increased number of brothers and sisters, higher birth order, extended family and lower wealth quintile. This means that the socio-economic determinants are still working in maintaining this high rate of consanguinity even among youth population. It was recommended that public health education programs on the negative outcome of consanguineous marriages need to be established and efforts should be made to lower the associated social factors
Research Authors
Sabra M. Ahmed
Research Journal
The Egyptian Journal of Community Medicine
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
Vol. 35 - No. 2
Research Website
NULL
Research Year
2014
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