스템연구소 2019 아프리카 의료 프로젝트 연구 과제
Date
2019-07-25 18:51
Views
1783
스템연구소 2019 아프리카 의료 프로젝트 3개의 연구 과제 중 2편의 논문출판을 위한 first draft가 완성되었다. 곧 국제 학술대회 발표를 위해 초록을 등록 할 예정이다.
Project 1
Objectives: To determine commonly used Methods of contraception at Monkey Bay Community hospital. To compare different methods of contraception used by people of various age groups, parity, HIV and Marital status.
Methods: a clinical audit of family planning methods used by clients at Monkey Community hospital from January 2018 to June 2019 was done. Data was collected from the registers.
Findings: A total number of 1,734 clients reported at family planning clinic of Monkey-Bay Community Hospital between January 2018 and June 2019. All the clients were females. Most of these clients were in the age range of 15-34 years (83.33%). There were 1, 486 (87%) HIV negative clients, 208 (12%) HIV positive clients and 24 (1%) had unknown HIV status. Most clients had a parity of 1-2 (905, 52.71%) followed by 3-4 (540, 31.45%) and 5 or plus (272, 15. 84%).There were more married people (1,641, 97.23%) than unmarried people (46, 2.73%). There was only one person who was divorced (1, 0.05%). Education status was not recorded. The five commonly used contraceptive methods were: Depo-IM (1,366, 79.51%), Jadelle (122, 7.10%), Depo-SC (65, 3.78%), COC (60, 3.49%) and Implanon (40, 2.33%) in that order. None of the clients used female condoms as a method of contraception. The contraceptive use was common between the age group of 15-24 (707, 44.92%) and 25-34 (709, 45%). Depo-IM was most used in age group 25-34 (44.5%) while Jadelle was most used by 15-24 year olds (48%).79.5% of HIV negative clients used Depo-IM as the contraceptive method while 78.8% of HIV postive clients used Depo IM as a method of contraception. More HIV negative clients used Jadelle and combined contraceptive pills as compared to HIV postive clients
Conclusion: The choice of a particular method of contraception is influenced by a many factors. Parity, marital status, age as well as HIV status does have some effect on what method of contraception. Interventions that aims to increase access to family planning, should put into consideration the reasons why clients use some methods more than the other.
Project 2
Methods:Clinic audit of patients’ records in STIs clinic at Monkey Bay community hospital in Mangochi District (Malawi) from January 2019 to June 2019 (18 months). Analyses were made based on sex, age, circumcision status, pregnancy status and the pattern of STIs distribution.
Findings;A total number of 659 clients presented at STI clinic of monkey bay community hospital between January 2018 and June 2019. Out these clients, 409 (62%) were females and 250 (38%) were males, most of the patients were in the age range of 25 years or above (447, 68%), then 20-24 years (149, 23%) and 0-19 years (63, 9%).Majority of the patients were HIV negative (523,79%), 93 (14%) were HIV positive and the remaining 43 (7%) had unknown HIV status. Out of the 250 males, only 113 (45%) were circumcised versus 137 (55%) uncircumcised. In females 56 of the 409 (14%) were pregnant versus 353 (86%) non pregnant. The most common presentations were lower abdominal pain (253, 38%), then urethral discharge (189, 29%), abnormal vaginal discharge (141, 21%), genital ulcer disease (64, 10%) in that order. Syphilis, genital warts, inguinal bubo and scrotal swelling were less common. The most common presentation in males was urethral discharge (178, 71%), while in females it was lower abdominal pain (214, 52%)
Conclusion: Sexually transmitted diseases were more common among uncircumcised men as compared to circumcised men. Genital ulcer diseases were one and half times more common in uncircumcised
Project 1
Common methods of contraception used at Monkey Bay community hospital in Mangochi district, Malawi.
Abstract
Objectives: To determine commonly used Methods of contraception at Monkey Bay Community hospital. To compare different methods of contraception used by people of various age groups, parity, HIV and Marital status.
Methods: a clinical audit of family planning methods used by clients at Monkey Community hospital from January 2018 to June 2019 was done. Data was collected from the registers.
Findings: A total number of 1,734 clients reported at family planning clinic of Monkey-Bay Community Hospital between January 2018 and June 2019. All the clients were females. Most of these clients were in the age range of 15-34 years (83.33%). There were 1, 486 (87%) HIV negative clients, 208 (12%) HIV positive clients and 24 (1%) had unknown HIV status. Most clients had a parity of 1-2 (905, 52.71%) followed by 3-4 (540, 31.45%) and 5 or plus (272, 15. 84%).There were more married people (1,641, 97.23%) than unmarried people (46, 2.73%). There was only one person who was divorced (1, 0.05%). Education status was not recorded. The five commonly used contraceptive methods were: Depo-IM (1,366, 79.51%), Jadelle (122, 7.10%), Depo-SC (65, 3.78%), COC (60, 3.49%) and Implanon (40, 2.33%) in that order. None of the clients used female condoms as a method of contraception. The contraceptive use was common between the age group of 15-24 (707, 44.92%) and 25-34 (709, 45%). Depo-IM was most used in age group 25-34 (44.5%) while Jadelle was most used by 15-24 year olds (48%).79.5% of HIV negative clients used Depo-IM as the contraceptive method while 78.8% of HIV postive clients used Depo IM as a method of contraception. More HIV negative clients used Jadelle and combined contraceptive pills as compared to HIV postive clients
Conclusion: The choice of a particular method of contraception is influenced by a many factors. Parity, marital status, age as well as HIV status does have some effect on what method of contraception. Interventions that aims to increase access to family planning, should put into consideration the reasons why clients use some methods more than the other.
Project 2
Sexually transmitted diseases at Monkey bay community hospital in Mangochi, Malawi; an analysis of common Sexually transmitted disease presentations among people of various characteristics
Abstract
Objectives: To determine the percentage of STI presentations in clients at STI clinic of Monkey Bay community hospital and compare various presentations by circumcision status, pregnancy status, age groups and HIV status.Methods:Clinic audit of patients’ records in STIs clinic at Monkey Bay community hospital in Mangochi District (Malawi) from January 2019 to June 2019 (18 months). Analyses were made based on sex, age, circumcision status, pregnancy status and the pattern of STIs distribution.
Findings;A total number of 659 clients presented at STI clinic of monkey bay community hospital between January 2018 and June 2019. Out these clients, 409 (62%) were females and 250 (38%) were males, most of the patients were in the age range of 25 years or above (447, 68%), then 20-24 years (149, 23%) and 0-19 years (63, 9%).Majority of the patients were HIV negative (523,79%), 93 (14%) were HIV positive and the remaining 43 (7%) had unknown HIV status. Out of the 250 males, only 113 (45%) were circumcised versus 137 (55%) uncircumcised. In females 56 of the 409 (14%) were pregnant versus 353 (86%) non pregnant. The most common presentations were lower abdominal pain (253, 38%), then urethral discharge (189, 29%), abnormal vaginal discharge (141, 21%), genital ulcer disease (64, 10%) in that order. Syphilis, genital warts, inguinal bubo and scrotal swelling were less common. The most common presentation in males was urethral discharge (178, 71%), while in females it was lower abdominal pain (214, 52%)
Conclusion: Sexually transmitted diseases were more common among uncircumcised men as compared to circumcised men. Genital ulcer diseases were one and half times more common in uncircumcised