Articles in category of: Original Article

Determinants and reasons for low coverage of modern family planning in the Mugonero District Hospital catchment area


Effective birth control is a key intervention in developing countries to achieve sustainable development goals. The United Nations (UN) reported that in 2015 the percentage of married couples using any form of contraceptive was 64.0%, and the average in Africa was 33.0%. This study aimed at assessing and determining factors associated with the low uptake of Modern Family Planning (MFP) Methods.

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Factors associated with preventable hypoxic ischemic encephalopathy in term neonates


Hypoxic-ischemic encephalopathy (HIE) is a type of brain injury that occurs when the brain doesn't receive enough oxygen or blood flow occurring during pregnancy, labor and delivery or in the postnatal period. This study aimed at determining factors associated with preventable HIE at Kacyiru Hospital in Rwanda.

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Prevalence of occupational noise induced hearing loss among wood and metal workers of Gakiriro, Kigali city


Occupational noise-induced hearing loss (ONIHL) describes an acquired hearing deficiency which is caused by excessive workplace noise exposure. But little is known in the developing world where many cases of SNHL are primarily due to excessive noise working areas.

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Medical citizen outreach programs as Rwanda Defense Force homegrown solution for health challenges in Rwanda


RDF medical Citizen Outreach Programs (COP) roots into the preparation of Rwanda Liberation struggle in ends of 1980s that meant national liberation struggle as overthrowing genocidal regime and socio-economic transformation of Rwanda. Therefore, patients benefited specialized healthcare to sustainably uplifting their welfare. Medical COP yearly intervenes in treating mental and physical health problems troubling survivors of Genocide against Tutsi in all districts of Rwanda.

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The quality of pre-operative preparation of patients undergoing elective surgery at the University Teaching Hospital of Kigali, Rwanda


Pre-anesthesia preparation is essential for safe surgery. However, little is known about the quality of pre-anesthesia preparation in Rwanda. The objectives of this project were to evaluate the quality of pre-anesthesia preparation at the University Teaching Hospital of Kigali (CHUK) and to determine areas that need improvement.

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Perception of healthcare service access, rapidity and healthcare provider-patient communication at the University Teaching Hospital of Kigali.


Healthcare industries have seen recent movements towards continuous quality improvement and patient satisfaction which were put into metrics used to measure the quality of health care services. Our objectives were to determine the levels of services delivered and to measure the satisfaction of patients and family’s perceptions of the quality of healthcare services at the University Teaching Hospital of Kigali (CHUK).

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The Use of Immediate Postpartum Family Planning at Kacyiru Hospital, Rwanda


ABSTRACT INTRODUCTION Immediate PostPartum Family Planning (PPFP) is the initiation of Family Planning (FP) methods within 48 hours after delivery. Its uptake remains low in sub-Saharan Africa, including Rwanda. This study aimed at analyzing use and identifying motivators and barriers leading to immediate PPFP acceptance among Rwandan women at Kacyiru Hospital (KH), Kigali, Rwanda.

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Prevention of Mother-to-Child Transmission (PMTCT) of HIV in Karongi District, Rwanda: A Success Story


INTRODUCTION: Prevention of mother-to-child transmission (PMTCT) is a key strategy in programs aiming to prevent HIV transmission from mother to child. Rwanda adopted this program since 2010 and scaled it up in all public health facilities including health centers (HCs). Over all, Karongi District hospitals and its health centers recorded consistent decreases of HIV transmission rates from mothers to children. This article assesses and summarizes Karongi’s success story.

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The Utilisation of Modern Contraceptives in Refugee Camps


Sexual and reproductive health services are fundamental rights. However, healthcare providers poorly address reproductive health issues in most humanitarian crises due to other health competing priorities, resulting in unwanted pregnancies and short interpregnancy intervals. This study aimed to evaluate the demand, supply, and utilization of family planning commodities in the Nyabiheke and Gihembe refugee camps in Rwanda.

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Antibiotic Prescription Suitability Assessment in Health Centers of Gisagara District, Rwanda


Antibiotic over-prescription is a global public health problem. This leads to increased antimicrobial resistance, health costs and other adverse effects. In Rwanda, most outpatient visits take place in health centers where most of the antibiotics are prescribed. This study aimed to assess antibiotic prescription suitability in selected health centers in the District of Gisagara, Rwanda.

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Drugs and Substance Abuse Amongst Adolescents - A pilot Study in 7 Districts


Introduction: Studies have shown that alcohol and illicit drug abuse are a growing problem in Africa and Rwanda in particular. This study aimed at determining the prevalence of alcohol and drug use by adolescents and young adults in 7 districts in Rwanda.

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Predictors of In-Hospital Mortality of Preterm Newborns at University Teaching Hospital of Butare Neonatology Department


Neonatal mortality in Rwanda is still high, especially among preterm infants, despite the improvements in mortality rate among other neonates attributed to the implemented measures and strategies since the mid-2000s in Rwanda. This study is aimed to determine predictors of mortality at the University Teaching Hospital of Butare (CHUB), Huye, Rwanda

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Trauma Cases during the Commemoration Period of the Genocide against the Tutsi in Rwanda


Trauma-related crises are still a national public health concern due to Genocide against the Tutsi in 1994. Thus, this research aimed to assess the emotional crisis and trauma cases in the commemoration period, contributing factors among study participants, coping strategies, and existing provided interventions during Kwibuka 24 (2018).

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Perceptions Toward Trauma Problems and Crises during the Genocide against the Tutsi Commemoration Period


Following the Genocide against the Tutsi in 1994, Rwandan society was severely impaired and could not function optimally, with an exceptionally large burden of mental health disorders. Therefore, this study aimed to evaluate the perceptions of trauma victims, family friends of the victims, and health service professionals toward trauma problems and crises they face during the genocide against the Tutsi commemoration period.

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Predictors of Survival of Preterm Newborns Admitted in Neonatology Unit at University the Teaching Hospital of Butare, Rwanda


Preterm delivery is a global challenge and we are still observing deaths from preterm newborns in developing counties including Rwanda. There is paucity of data about predictors of survival (defined as being discharged alive from the study hospital) of preterm newborns in Rwanda and no data available for referral hospitals. This study was aimed to determine survival of preterm newborns and its predictors in neonatology unit of University Teaching Hospital, a referral hospital in Rwanda.

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A Community-Based Study on the Knowledge and Practices towards COVID-19 Prevention in Binunga Village of Rwanda


Background: COVID-19 has become the fifth documented pandemic since 1918, threatening to widen inequalities globally. Binunga village recorded an increase in COVID-19 cases, which was attributed to the limited community knowledge and practices of COVID-19. Therefore, the need to ascertain knowledge and practices in Binunga village on COVID-19 preventive measures during the pandemic.

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Overweight/Obesity: Prevalence and Epidemiological Profile among High School Students in the District of Bamako


Overweight/obesity constitutes, for non-communicable diseases, a fertile ground that must be fought at all costs. So, this study aimed to draw up its epidemiological profile among high school students in Bamako, Mali.

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Return to Fertility after Discontinuation of Modern Contraceptive Methods in Rwanda


Return to fertility after discontinuing modern contraceptives is a concern for women. The absence of local evidence on this important issue contributes to rumors and myths associating family planning with infertility. This research aims to study the time it took a woman to get pregnant after discontinuing a method in Rwanda.

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Factors Associated with Non-adherence to Medication among Patients with Schizophrenia consulting from January to June 2021 at Ndera Neuropsychiatric Hospital


Non-adherence to medications is a common and complex challenge among patients with schizophrenia, leading to poor outcomes and low quality of life. However, there is a lack of studies to determine factors associated with poor adherence to antipsychotic medications at Ndera Neuropsychiatric Hospital, which is the largest hospital treating mental health disorders in Rwanda.

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The role of Key Performance Indicators (KPIs) in Clinical Self- Assessment of Quality of Service Offered to the Patients under Chronic Hemodialysis in Rwanda


Key Performance Indicators (KPIs) are quantifiable metrics used in managing patients under hemodialysis and measuring performance in care quality. This study examined the performance of hemodialysis centers at Africa Healthcare Network, Rwanda using KPIs.

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Evaluating the prevalence of early weaning of children and its determinants among maternal attendees at Remera Health Center, Kigali, Rwanda, 2023: a cross-sectional study


While breast milk is vital in fostering infant growth and diminishing the risk of illnesses, global exclusive breastfeeding rates stand at 45.7%. Early weaning remains a persistent issue, particularly in low- and middle-income countries. Consequently, this study was formulated to evaluate the prevalence of early weaning and its influencing factors among mothers seeking care at the Remera Medicalized Health Center.

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An assessment of barriers to implementation of school health program in primary schools in Ido/Osi, Southwest, Nigeria: a qualitative study


School Health Program is an event that promotes the understanding, maintenance, and improvement of the school community's health and ensures that children are at all times in a state of optimum health. The implementation of School Health Programme in most parts of Nigeria is, however, poor or suboptimal. The objective of the study was to assess the quality of the School Health Programme being implemented in Ido/Osi Local Government Area, Southwest Nigeria.

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Epidemiological profile of abdominal surgical emergencies in adults at the Saint-Louis Regional Hospital (Senegal) between 2021 and 2022: a cross-sectional study


Abdominal surgical emergencies are relatively common conditions, with a frequency varying between 20 and 22.7%. Understanding their epidemiological profile would help tailor medical interventions to improve access to care and prognosis. The objective of this study is to describe the epidemiological profile of abdominal surgical emergencies in adults at the Regional Hospital Center of Saint-Louis, Senegal.

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Utilization of Antenatal Care among Women in Rwamagana District, Rwanda: A Cross-sectional Study Conducted at Health Centers in 2023


Optimal utilization of antenatal care (ANC) has been challenging in Rwamagana District. One of the causes is the limited availability of multifaceted information regarding ANC. Therefore, this study aimed to determine the rate of antenatal care utilization in Rwamagana District and the possible influencing factors.

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The Role of Community Health Workers in Influencing Family Planning Decisions among Users: A Case Study in the Ndera Sector of Gasabo District, Rwanda


Community health workers (CHWs) play a critical role in promoting contraceptive knowledge and usage, thereby impacting fertility rates in developing nations. Understanding their contribution to family planning (FP) decisions in specific contexts, such as the Ndera sector of Gasabo District, Rwanda, is essential.

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Predictors of Adolescent Pregnancy among 13-19 Years Old Girls in Karongi District: unmatched case-control study, 2021


Adolescent pregnancy is a global public health challenge, and in Rwanda, though the percentage of adolescent girls experiencing pregnancy has decreased slightly, it remains a concern, particularly in Karongi District, with high incidences. This study aims to identify the risk factors associated with adolescent pregnancy in Karongi district.

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Caregivers' Knowledge, Attitudes, and Practices Regarding Intestinal Parasite Prevention in Children Under 5 Years of Age in Masaka Sector, Kigali, Rwanda


Intestinal parasitic infections pose a significant health burden globally, particularly in developing nations. This study aims to assess the knowledge, attitudes, and practices (KAP) of caregivers regarding the prevention of intestinal parasites among children under 5 years of age in Masaka sector of Kigali, Rwanda.

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Patient Flow Analysis in a Public Hospital: A Case of Outpatient Services at Remera Rukoma District Hospital


Wait times in outpatient services are a major challenge for hospitals. This study at Remera Rukoma District Hospital aimed to analyze patient flow and waiting times in the outpatient department to improve service quality and resource utilization.

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Evaluating Staff Satisfaction Levels at Remera Rukoma Hospital in Rwanda: A 2023 Survey


Job satisfaction, defined as the positive emotional state resulting from job appraisal, significantly impacts healthcare systems' performance. Staff satisfaction influences patient care quality, staff retention, and overall hospital reputation. At Remera Rukoma Hospital, the current level of staff satisfaction is unknown, necessitating a survey to assess and improve it.

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Assessment of factors affecting incident reporting among nurses working at a tertiary hospital in Rwanda


Optimal reporting of incidents occurring in healthcare is important for improving patients’, visitors’ and workers’ safety. There are unsatisfactory rates of incident reporting worldwide, with some institutional and provider-related barriers. The aim of this study was to assess factors affecting incident reporting among nurses working at the largest teaching hospital in Rwanda.

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