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Effect of In-Service Training Program on the Practice of Healthcare Workers toward Malaria Prevention and Treatment Guidelines during Pregnancy in Health Facilities in Jowhar District, Somalia

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Health 2022年第11期14卷 1173-1190页

作者： Abdullahi Muse Mohamoud magda elhadi ahmed yousif Osman Khalafalla Saeed PHC & HE Center Faculty of Medicine University of Gezira Wad Madani Sudan

Malaria is generally considered a major public health problem in Somalia. Providing early diagnosis and effective treatment is the key element of malaria control strategies in malaria-endemic countries, including Somalia. This required to advocate and ensure health worker’s adherence to the national malaria guidelines at all levels of health care service. A well-designed in-service training program may improve the level of health worker’s adherence to national malaria treatment guidelines, although results have been inconsistent. This is an interventional health facility-based pre and post comparative study aimed to assess the effect of an in-service training program on the practice of healthcare workers toward malaria prevention and treatment guidelines, during in pregnancy in health facilities in Jowhar district, Middle Shabelle region of Somalia. The study was implemented in three phases: pre-intervention phase, intervention phase and post-intervention phase. The sample size consisted of (n = 150) health workers who were selected from ten public health facilities using proportional to size sampling;the data collection adopted in this research is composed of a structured interview questionnaire and observational checklist. Data was analyzed through the application of descriptive statistical analysis that includes frequency and percentage and the Chi-square (x2) test was used to test the associations among variables using SPSS software version 25. The study showed that the level of health workers’ awareness of the national malaria guidelines in the treatment and prevention of malaria in pregnancy was found to be good before the intervention 89 (59.3%) and this proportion increased to 150 (100%) post-intervention of the training program. A significance difference has been observed between health workers’ awareness and their adherence to the malarial guidelines at pre-test and post-test with a p-value 0.000. The proportion of health workers who attended pr

关键词： Malaria In Pregnancy In-Service Training Healthcare Workers National Malaria Guideline Jowhar District Somalia

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Factors Affecting Adherence to National Malaria Treatment Guidelines in the Diagnosis, Treatment and Prevention of Malaria in Pregnancy among Healthcare Workers in Public Health Facilities in Jowhar District, Somalia

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Health 2022年第11期14卷 1114-1129页

作者： Abdullahi Muse Mohamoud magda elhadi ahmed yousif Osman Khalafalla Saeed PHC & HE Center Faculty of Medicine University of Gezira Wad Madani Sudan

Introduction: Early diagnosis and effective treatment remain critical elements of a malaria control strategy in preventing mortality and reducing the incidence of severe malaria illness in Somalia. In Sub-Saharan African countries showed different levels of adherence to their national malaria guidelines for malaria treatment and prevention in pregnancy, while experiences from many countries indicated several challenges and constraints that may make the implementation of the guidelines difficult. Objective: The study aimed to assess factors affecting adherence to revised national malaria treatment guidelines in the diagnosis, treatment and prevention of malaria in pregnancy among health care workers in public health facilities in Jowhar District, Somalia. Methodology: A cross-sectional health facility-based study conducted in Jowhar district. A structured interview questionnaire was used for data collection from (n = 150). Healthcare workers selected from ten public health facilities using proportional to size sampling and an observational checklist was used to assess patient’s medical prescriptions to review their conformity to the guidelines and the availability of antimalarial drug, malaria diagnostic tests (mRDTs and microscopy) and job aids, such as the national malaria treatment guidelines, clinical algorithm (flow chart), malaria rapid diagnosis tests mRDTs’ use of wall charts, and drug dose wall charts at the facilities. Data was analyzed through the application of descriptive statistical analysis that includes frequency, and percentages by using Statistical Package for Social Sciences (SPSS) Version 25. Results: Healthcare workers interviewed were 89 (59.3%) aware of the existence of the revised national malaria treatment guidelines. However, 61 (40.7%) were not aware of the guidelines and only 46 (30.7%) had been trained for the national malaria guidelines in the treatment and prevention of malaria in pregnancy. Overall, 33 (22%) of the workers reported to

关键词： Malaria Guideline Adherence Malaria in Pregnancy Jowhar District Somalia

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Knowledge, Attitude and Practice regarding Intermittent Preventive Treatment (IPTs) of Malaria among Pregnant Women Attending for Antenatal Care in Benadir Hospital at Benadir Region, Somalia

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Health 2022年第4期14卷 392-406页

作者： Abdullahi Muse Mohamoud magda elhadi ahmed yousif Osman Khalafalla Saeed Mohamed ahmed Allasow Yasmin Abdirahman Abdulle Ayan Abdiwali ahmed Anab Warsame Iye Shukri Mohamed Abdi Faculty of Health Sciences Benadir University Mogadishu Somalia PHC & HE Faculty of Medicine University of Gezira Wad Madani Sudan

Background: Malaria in pregnancy is a preventable public health concern leading to a high prevalence of maternal morbidity, maternal mortality and adverse birth outcomes. Intermittent Preventive Treatment during pregnancy using Sulfadoxine-Pyrimethamine (IPTp-SP) is one of the main strategies used to prevent malaria in pregnancy. This study was aimed to determine knowledge attitude and practice regarding intermittent preventive treatment IPT of malaria in pregnancy utilization among pregnant women attending antenatal center in benadir hospital wadajir district benadir region somalia during the period of the study from April 2021-July 2021. Methods: The study was descriptive cross-sectional retrospective Hospital based. The sample size was 60 respondents of pregnant women at 20 weeks to 36 weeks of gestation. Data were collected by interview method using structured questionnaire. The data were collected and then entered to Statistical Package for Social Science version 20 for analysis. Results: The study displayed that the majority of the respondents (58%) were in the 25 - 34 years’ age group. A total of 51 (85%) were married, while 17 (28%) had primary school education. 43 (72%) were housewives while only 11 (18%) were employed. A total 32 (53%) were had gravid more than Four times, while the study showed that, the majority of mothers 39 (65%) were had knowledge about Intermittent Preventive Treatment during pregnancy using Sulfadoxine-Pyrimethamine (IPTp-SP). The study showed that majority of the respondent 25 (42%) were getting health education awareness towards IPTp were from health care providers at health centers while 8 (13%) from Friends/relatives/neighbors, followed by 4 (6%) from their husband. And 34 (57%) were had convenience IPTp-SP tablet consumption at their current pregnancy while 26 (43%) did not. Conclusion and Recommendations: Inclusion there was good knowledge and positive attitude towards IPT despite poor utilization, the study recommended the mi

关键词： Intermittent Preventive Treatment (IPT) Antenatal Care

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Spatial and temporal analysis of forest cover change in Falgore Game Reserve in Kano, Nigeria

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Ecological Processes 2017年第1期6卷 109-121页

作者： Muhammad Sabiu Suleiman Oliver Vivian Wasonga Judith Syombua Mbau Yazan ahmed elhadi Department of Land Resource Management and Agricultural Technology University of NairobiP.O.Box 29053Loresho RidgeNairobiKenya

Introduction:Multi-temporal land-use and land-cover data provides a historical vehicle for determining and evaluating long-term trends in bio-physical ***-use and land-cover assessment and mapping is one of the most useful applications of geographic information system(GIS)for planning,management,and *** study analyses the spatio-temporal pattern of forest cover dynamics for three decades in Falgore Game Reserve in Kano,*** dynamics of forest cover transition during 1985–2015 was analysed using multi-temporal Landsat ***:The spatio-temporal analysis shows that moderate woodland dominated in 1985(46%)and 2005(57%)but was replaced by open woodland in 2015 which accounts for 58%of the total area of Falgore Game Reserve(FGR)*** woodland occupied the least area of the total forest estate that varied between 17%in 1985 and 1%in *** results indicate that dense woodland,moderate woodland,and very open woodland were decreased at annual average rate of 3,1,and 0.4%.Open woodland had expanded from 21,127 ha in 1985 to 53,392 ha in *** main drivers of forest resource degradation in the area were found to be excessive fuelwood collection,overgrazing,agricultural expansion,and forest ***:These findings suggest that protection strategies employed in FGR were not effective as deforestation is still evident in the *** and environmental based NGOs should therefore prioritize effective and efficient conservation strategy for present and future use of forest resources,in addition to the provision of alternative livelihood sources to communities proximate to the *** will ensure the socio-economic well-being of the locals and sustainable conservation of biological diversity in the area.

关键词： Forest Trend Game reserve Falgore Degradation

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Occult Hepatitis B Virus Infection: A Killer Hidden in Transfused Blood, Sudan

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Journal of Biosciences and Medicines 2022年第10期10卷 173-181页

作者： elhadi Abdalla ahmed Abdelrahman Eldaw Mohammed Mubarak ahmed Elshafia Bakri yousif Mohamed Nour Department of Medical Microbiology Faculty of Medical Laboratory Sciences University of Gezira Wad Medani Sudan Department of Haematology & Immunohaematology Faculty of Medical Laboratory Sciences University of Gezira Wad Medani Sudan Department of Medical Parasitology Faculty of Medical Laboratory Sciences University of Gezira Wad Medani Sudan

Introduction: Transmission of hepatitis B virus (HBV) through the blood is a significant risk, especially in poor countries with high endemicity. Occult transmission of HBV (OBI) is an important acquisition scenario. Objective: A cross-sectional laboratory-based study followed to detect OBI in blood of accepted donors admitted to Mad Medani Blood Bank, Sudan. Methods: During the study, 200 accepted blood units were examined for HBsAg by ELISA technique and negative samples were tested for total anti-HBc antibodies using electroluminescence immunoassay (ECLIAS). HBV DNA amplification was performed for units that showed total anti-Hbc positivity. Results: Of the 200 blood units, 3 appeared positive by ELISA. Total anti-HBc antibodies were present in 34% (67/197) of blood units. HBV DNA was successfully amplified in 52.2% (35/67) of total anti-HBc positive samples. A significant association was observed between reactive total anti-HBc and age group (p Conclusion: OBI was recorded at a high rate in the blood of donors, which necessitates the implementation of detection methods to protect the recipients.

关键词： OBI Blood Donors Nested-PCR Sudan

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Non-timber forest products and their contribution to households income around Falgore Game Reserve in Kano, Nigeria

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Ecological Processes 2017年第1期6卷 235-248页

作者： Muhammad Sabiu Suleiman Vivian Oliver Wasonga Judith Syombua Mbau Aminu Suleiman Yazan ahmed elhadi Department of Land Resource Management and Agricultural Technology University of NairobiP.O.Box 29053Loresho RidgeNairobiKenya Department of Agricultural Economics and Extension Bayero University KanoKanoNigeria

Introduction:In the recent decades,there has been growing interest in the contribution of non-timber forest products(NTFPs)to livelihoods,development,and poverty alleviation among the rural *** has been prompted by the fact that communities living adjacent to forest reserves rely to a great extent on the NTFPs for their livelihoods,and therefore any effort to conserve such resources should as a prerequisite understand how the host communities interact with ***:Multistage sampling technique was used for the study.A representative sample of 400 households was used to explore the utilization of NTFPs and their contribution to households’income in communities proximate to Falgore Game Reserve(FGR)in Kano State,*** statistics and logistic regression analysis were used to analyze and summarize the data ***:The findings reveal that communities proximate to FGR mostly rely on the reserve for firewood,medicinal herbs,fodder,and fruit nuts for household use and *** from NTFPs accounts for 20–60%of the total income of most(68%)of the sampled *** utilization of NTFPs was significantly influenced by age,sex,household size,main occupation,distance to forest and ***:The findings suggest that NTFPs play an important role in supporting livelihoods,and therefore provide an important safety net for households throughout the year particularly during periods of hardship occasioned by *** is suggested that stakeholders should prioritize technical and financial support programs on agricultural value addition and handcrafts that would promote off-farm income generating activities,in addition,provision of alternative domestic cooking energy such as biogas in communities proximate to FGR in order to reduce pressure relating to fuelwood gathering from the forest,this will help to improve forest resources quality.

关键词： Agricultural income Collection Conservation Forest income Game Reserve

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Human Kallikrein-2 and Free Prostate Specific Antigen as Biomarkers for Early Detection of Prostate Cancer, Sudan: A Case-Control Study

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Open Journal of Clinical Diagnostics 2023年第1期13卷 9-21页

作者： Osman Khalid yousif Badreldin Elsonni Abdalla Mohammed Alimam M. ahmed Sami Mahjoub Taha ahmed Al Siddiq Ebraheem Muawia Mohamed ahmed elhadi Abdalla ahmed Departmentof Biochemistry and Nutrition Faculty of Medicine University of Gezira Wad Madani Sudan Department of Surgery Faculty of Medicine University of Gezira Wad Madani Sudan Department of Internal Medicine Faculty of Medicine University of Gezira Wad Madani Sudan Basic Sciences Department Faculty of Applied Medical Sciences University of Gezira Wad Madani Sudan Department of Medical Microbiology Faculty of Medical Laboratory Sciences University of Gezira Wad Madani Sudan

Background: Prostate cancer (PCa) is considered one of the major health threats facing males in Sudan. Prostate-specific antigen (PSA) test is the most important laboratory test used in the diagnosis of prostate cancer, the main disadvantage of PSA is its limited specificity, which triggered a lot of interest in development, more research on other markers such as serum human kallikrein-2 (KLK-2) and free prostate specific antigen (fPSA). Objectives: To evaluate the validity of serum kallikrein-2 (KLK-2) and free prostate specific antigen (fPSA) in the early detection of prostate cancer among Sudanese patients. Method: In this study seventy men were considered as a case subject, who were diagnosed as cancer prostate at Gezira Hospital for Renal Disease and Surgery (GHRDS), Sudan during the period February 2018 to July 2019. Randomly selected sixty patients of BPH patients and forty-five apparently healthy men as control subject. KLK-2, fPSA and PSA estimations were performed from serum samples using the principle of Enzyme Linked Immunosorbent Assay (ELISA). Results: The results revealed a highly significant difference between the serum levels individual biomarkers (KLK-2, fPSA, PSA) and multiple biomarkers (fPSA/PSA, KLK-2/fPSA, KLK-2/PSA) for patients with prostate cancer when compared with the control groups. Furthermore, the fPSA/PSA ratio was lower in the patients with prostate cancer (P value = 0.00) than in the control group, the fPSA/PSA ratio showed that best accuracy to differentiate prostate cancer from control group, fPSA cut-off value was found to be more than (18 ng/ml), with sensitivity (93%), specificity (80%), and odds ratio (55). Conclusions: The use of multiple biomarkers rather than individual biomarkers especially fPSA/PSA ratio improves the specificity as well as maintenance of higher sensitivity for early diagnosis of the prostate cancer.

关键词： Kallikrein-2 PSA fPSA Prostate Cancer Sudan

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The Possibilities of Chronic Renal Failure Patients Contracting Occult Hepatitis B Virus Infection, Sudan

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Advances in Microbiology 2022年第3期12卷 91-102页

作者： elhadi Abdalla ahmed Abdelrahman Eldaw Mohammed Bakri yousif Mohamed Nour Albadawi Abdelbagi Talha Zienab Hamid Mubarak ahmed Elshafia Mubarak ahmed Elshafia Mohamed Elamin Salih Department of Medical Microbiology Faculty of Medical Laboratory Sciences University of Gezira Wad Medani Sudan Department of Medical Parasitology Faculty of Medical Laboratory Sciences University of Gezira Wad Medani Sudan Department of Clinical Laboratory Sciences College of Applied Medical Sciences Al Jouf University Sakakah KSA Department of Haematology and Immunohaematology Faculty of Medical Laboratory Sciences University of Gezira Wad Medani Sudan Department of Surgery Faculty of Medicine-AlQunfudtha Umm Al-Qura University Mecca KSA

Introduction: Chronic kidney disease (CKD) is a major cause of death in sub-Saharan Africa. The effects of the CKD on the host and the continuous therapeutic measures increase the hypothesis of blood-borne diseases transmission. Objective: This study aimed to find the frequency of occult hepatitis B virus (OBI) in patients of chronic renal failure (CRF) and to study the possibilities of infection acquisition. Methods: During 2017 and 2019, two hundred CRF patients under regular haemodialysis and attending Gezira Hospital for Renal Diseases and Surgery were recruited. Plasma specimens were collected and used for detection of hepatitis B surface antigens (HbsAg), total hepatitis B core antibodies (anti-HBc) and hepatitis B virus DNA isolation. Nested PCR reaction was followed to identify HBV. Socio-clinical data for each participant was obtained. Results: Male patients represented 64% (128/200), most frequent age group was from 41 to 60 years with percentage of 56.5% (113/200), 86% (172/200) of CRF patients were received blood while 42% (84/200) get HBV vaccination. Hepatitis B core antibodies were found in 54% (108/200) of studied cases, and 22% (42/188) of tested DNA were positively amplified for target gene. Detection of Hepatitis B core antibodies was significantly associated with marital status while absence of vaccination significantly associated with the detection of both hepatitis B core antibodies and HBV DNA. Conclusion: This study found high frequency of OBI in CRF patients, to reduce the transmission of the disease, possible hypotheses should be studied, including blood transfusion, haemodialysis process and HBV vaccination status.

关键词： Chronic Renal Failure OBI Nested PCR Sudan

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Study on PVL, blaOXA-23 and blaOXA-51 Genes in Drug Resistant Staphylococcus aureus Causing Surgical-Sites and Traumatic Wounds Infections, Sudan

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American Journal of Molecular Biology 2022年第2期12卷 30-42页

作者： Sanaa Mohammed yousif Adam Dawoud Abakar Salaheldein Gumaa Elzaki Salma Omer Ibrahim Omer Abu Elhasan Mohamed Taj-Eldin elhadi Abdalla ahmed National Blood Bank Ministry of Health Khartoum Sudan Department of Medical Parasitology Faculty of Medical Laboratory Sciences University of Gezira Wad Medani Sudan Molecular Biology Laboratory Department of Epidemiology Tropical Medicine Research Institute Khartoum Sudan Department of Medical Microbiology Faculty of Medical Laboratory Sciences University of Gezira Wad Medani Sudan Wad Medani College of Medical Sciences and Technology Wad Medani Sudan

Background: The characteristics of Staphylococcus aureus that made it the most important cause of wound infections are environmental spread antimicrobials resistance and virulence. Absence of molecular detection of drug resistance and virulence factors in many developing countries limits the epidemiological information. This study conducted to identify PVL virulence gene, and blaOXA-23 and blaOXA-51 drug resistance genes of Staphylococcus aureus isolated from surgical-sites infections (SSIs) and traumatic wounds. Methods: A cross-sectional study was conducted from 2019 to 2021, in which 70 cefepime resistant Staphylococcus aureus were used, the strains were isolated from patients of SSIs and traumatic wounds admitted to the department of General Surgery in Wad Medani Teaching Hospital. Mannitol salt agar was used for primary culture followed by biochemical identification and Kirby Bauer susceptibility testing. Single and multiplex PCR protocols performed for bacterial confirmation and target genes detection. Results: Staphylococcus aureus strains from SSIs constituted 56% (39/70) from which 41% (16/39) possessed PVL gene while 42% (13/31) of wound infections strains were positive for PVL gene. Presence of PVL gene was significantly associated with resistance to meropenem (P. value 0.023) and ceftriaxone (P. value 0.037). blaOXA-23 was significantly detected with resistance to meropenem, augmentin and ceftriaxone. While blaOXA-51 was significantly identified among Staphylococcus aureus strains that showed resistance to meropenem and ciprofloxacin. Conclusion: This is the first study in Sudan that identified blaOXA-23 and blaOXA-51 in Staphylococcus aureus and correlated them to resistance to commonly used antimicrobials. Meropenem resistant Staphylococcus aureus were significantly positive for PVL, blaOXA-23 and baOXA-51 genes.

关键词： Staphylococcus aureus PVL blaOXA-23 blaOXA-51 Wounds Sudan

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Urosepsis among Sudanese Patients: A Paradigm from Limited Resources Country

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Advances in Microbiology 2022年第3期12卷 109-120页

作者： Salma Omer Ibrahim Mohammed Elimam Sami Mahjoub Taha Sanaa Mohammed yousif Hajir Mohammed Hussein Omer Mirghani yousif Seitelbanat Yassin Ali Elnaiem yousif Abdelhameed Mohammed Omer Abu Elhasan Adama Dawoud Abakar elhadi Abdalla ahmed Department of Medical Microbiology Faculty of Medical Lab Sciences University of Gezira Wad Medani Sudan Faculty of Medicine University of Gezira Wad Medani Sudan National Blood Bank Ministry of Health Khartoum Sudan Clinical Pharmacy and Pharmacy Practice Faculty of Pharmacy University of Gezira Wad Medani Sudan Department of Pharmaceutics Faculty of Pharmacy University of Gezira Wad Medani Sudan Resident at Gezira Hospital for Renal Disease and Surgery Urology (GHRDS) Wad Medani Sudan Cancer National Institute University of Gezira Wad Medani Sudan Wad Madani College for Medical Science and Technology Wad Medani Sudan Department of Medical Parasitology Faculty of Medical Laboratory Sciences University of Gezira Wad Medani Sudan

Background: Urosepsis is life-threatening sepsis that leads to organ dysfunction and results from a defective response to a urinary tract infection;the major precipitating is obstructive uropathy in the upper or lower urinary tract (UT). The magnitude and burden of bacteria that caused uropathy were reported to increase annually. In 30% of all septic patients who were diagnosed with urosepsis, 1.5% of them were found in urology and a quarter due to hospital-acquired urinary tract infections (HAUTIs). This study aims to determine the clinical pattern and the frequency of commonly used antibiotics against bacteria associated with urosepsis among Sudanese patients. Methods: This was a cross sectional laboratory-based study, study subjects were recruited from patients attended to Gezira Hospital for Renal diseases and surgery (GHRDS) and was diagnosed, on clinical and laboratory basis, to have urosepsis. Hundred (n = 100) urine samples were collected and inoculated on cysteine lactose electrolyte deficient agar (CLED) media and identify using the suitable biochemical test and performed antimicrobial susceptibility testing (AST) by Kirby Bauer disc diffusion technique for selected antimicrobial agents, according to clinical laboratory standard institute (CLSI) guidelines. Results: Amongst urosepsis infection the frequency of E. coli, S. aureus, Proteus mirabilis, Klebseilla pneumonia and Pseudomonas aeruginosa were (37%, 21%, 10%, 6%, 4% respectively). Resistance to commonly prescribed antibiotics was high, ranging from 17% for meropenem to 100% for cefepime. P. aeruginosa was multidrug resistant compared with other isolates. Conclusions: There was high rate of antibiotic resistance against the common causes of urosepsis in GHRDS, and this reflects the importance of culture and sensitivity test and necessitates adoption of guidelines for selection of suitable antibiotic.

关键词： Urosepsis Antimicrobial Susceptibility Gezira Hospital for Renal Diseases and Surgery Sudan

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