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Lymphatic filariasis in 2016 in American Samoa: Identifying clustering and hotspots using non-spatial and three spatial analytical methods
No full textNutritional Quality and Labelling of Processed Foods Sold in the Kingdom of Tonga: A Pilot Study
No full textPerception of Health Care Workers (HCWs) towards early antenatal booking in Fiji: A qualitative study
No full textBackground
Early booking or registration into Antenatal Care (ANC) can be defined as initiation of ANC before 12 weeks of gestation and is important for the best health outcome of the mother and the baby. Delayed initiation of ANC has been linked to increased rate of maternal and fetal mortality. There is international consensus that ANC should begin within first trimester yet pregnant women delay initiation of ANC. Health Care Workers (HCWs) understanding of reasons for this can improve patient provider relationship.
Objectives
This study aims to explore the perception of the HCWs in Fiji towards early antenatal booking.
Methods
A qualitative study was employed using four Focus-Group Discussions (FGDs)with the HCWs who provide health care service for pregnant women in Ba Mission Hospital (BMH) in
2020. Each group comprised of medical officers, mid-wives and registered nurse who were chosen purposively. A semi-structured open-ended questionnaire was used to guide the discussion. Data was transcribed and analyzed manually using thematic content analysis using the following process: familiarization, coding, identifying themes, reviewing and refining, integration and interpretation.
Results
There was a total of 18 HCWs for the FGDs. The mean age of the participants was 37.4 ±11.8years. The three themes identified were: knowledge of HCWs on early booking, their perceived barriers and perceived enabling factors to early antenatal booking. The FGDs identified that the HCWs had adequate knowledge on early initiation of ANC and that there were a range of barriers to early initiation of ANC. The HCWs also suggested factors that could enable women to book ear
The impact of COVID-19 on public health systems in the Pacific Island Countries and Territories
No full textThe Pacific Island Countries and Territories (PICTs) have experienced the coronavirus disease (COVID-19) pandemic in different ways and with different timelines, with some experiencing large outbreaks leading to high levels of morbidity and mortality with significant strain on health systems, while others have had no local transmission or delayed transmission until after vaccine rollouts started. Regardless of COVID-19 trends, the pandemic has had a large impact on the social, political, and economic landscape in the Pacific, the effects of which are still being understood. However, the pandemic has also put renewed focus and investment into public health systems and provided an opportunity for the PICTs to build on existing systems and recent capacity strengthening to improve public health in the Regio
Descriptive analysis of deaths associated with COVID-19 in Fiji, 15th April to 14th November 2021
No full textObjective: There is limited published information about deaths due to coronavirus disease 2019 (COVID-19) in Fiji, the
World Health Organization’s Western Pacific Region and low- and middle-income countries. This report descriptively analyses.
deaths directly associated with COVID-19 in Fiji by age group, sex, ethnicity, geographical location, vaccination status and
place of death for the first 7 months of the 2021 community outbreak.
Methods: A retrospective analysis was conducted of deaths directly associated with COVID-19 that occurred from 15 April to
14 November 2021 in Fiji. Death rates per 100 000 population were calculated by utilizing divisional population estimates.
obtained from medical zone nurses in 2021.
Results: A total of 1298 deaths relating to COVID-19 were reported, with 696 directly associated with COVID-19 and
therefore, included in the analysis. Of these, 71.1% (495) were reported from the Central Division, 54.6% (380) occurred.
among males, 75.6% (526) occurred among people of indigenous (iTaukei) ethnicity and 79.5% (553) occurred among
people who were unvaccinated. Four deaths were classified as maternal deaths. The highest percentage of deaths occurred.
in those aged ≥70 years (44.3%, 308), and the majority of deaths (56.6%, 394) occurred at home.
Discussion: At-risk populations for COVID-19 mortality in Fiji include males, iTaukei peoples, and older (≥70 years) and
unvaccinated individuals. A high proportion of deaths occurred either at home or during the first 2 days of hospital admission,
potentially indicating both a reluctance to seek medical care and a health-care system that was stressed during the peak of
the outbreak
The perception of public transport drivers (PTDs) on preventing road traffic injury (RTIs) in Vanuatu: a qualitative study
No full textPurpose: Road Traffic Injury (RTI) is major public health concern globally and is excessively affecting vulnerable road users in the Pacific Island nations. This study aimed to explore and understand the perception of Public Transport Drivers (PTDs) on risk factors and the existing prevention strategy of RTI in Vanuatu.
Methods: This study employed qualitative methods that used 31 In-Depth Interviews (IDIs) to gather data from PTDs from 14 October to 30 November 2020. Purposive sampling was used to recruit PTDs from three main municipalities, Luganville, Port Vila, and Lenakel. Semi-structured open-ended questionnaires were used to gather data. Interview data was transcribed, and manual thematic analysis was performed to analyze the data.
Results: Data saturation was reached from interviewing 31 PTDs who were all male. Five main themes were generated from the study including the trend of RTI, the determinants of RTI,high-risk road users, traffic law enforcement and public education. The respondents perceived that the best measures for preventing RTI include community education, enforcement of road traffic control laws and addressing specific road infrastructure issues.
Conclusions: Changing driver behaviors, community education on road safety and enforcement of traffic laws are essential for preventing RTI in Vanuat
