Suchergebnisse

Health education is key in the prevention of Ophthalmia Neonatorum (ON). However, health education in relation to eye care in Ghana is very low. To determine the knowledge, attitudes and practices (KAPs) of mothers on Ophthalmia Neonatorum (eye infection in newborns), a descriptive cross-sectional design was adopted, using a standardised interviewer-administered questionnaire to collect data. Using a consecutive sampling technique, we enrolled 407 mothers to participate in the study. The overall KAPs of the study participants were assessed using the sum score of each outcome based on Bloom's cut-off point. Completed data was then analysed using descriptive statistics with SPSS version 22.0 at the level of P < .05. Out of the 407 participants, 321 (78.9%) had not heard about Ophthalmia Neonatorum with nearly 93% having low levels of knowledge on the neonatal infection. We found a significant association between formal education ( P = .001), skilled occupation ( P = .008) and a high level of knowledge on Ophthalmia Neonatorum. The study highlights the need to find improved and alternative methods of educating mothers on Ophthalmia Neonatorum in the bid to reduce blindness attributed to the condition.

Public transport plays an important role in improving mobility for persons with visual impairment. Commercial drivers are major stakeholders in ensuring that there are efficient and accessible public transport systems on university campuses that have a relatively high number of persons with visual impairment. We conducted a cross-sectional survey among 90 taxi drivers who operate their services on the campus of a tertiary inclusion school. The drivers were surveyed on their knowledge and practices in providing services to persons with visual impairment. The findings show that 55 (61.1%) drivers knew how to identify a pedestrian with a visual disability by looking out for the white cane. A total of 77 (85.6%) drivers have also adopted the practice of stopping for pedestrians to cross the road. However, only 20 (22.5%) respondents agreed to reserve the front seat for the passenger with visual impairment. Participants were not knowledgeable on the sections of the disability act relating to the provision of transport services to persons with visual impairment nor the kind of punishment associated with breaching the rules. The study provides recommendations on how to bridge the gap between the demands of the disability act and the practices of commercial drivers.

Reading with a magnifier is relatively slow for persons with moderate to severe visual impairment (MSVI). This study sought to investigate the effect of the page and text modifications such as page length reduction and introduction of guidelines in between sentences known to significantly improve the reading rate of persons with normal vision on the reading rate of persons with MSVI who use an optical aid for reading. A quasi-experimental study design was used to determine text and page modifications on the reading rate of sighted persons and moderate to severe visually impaired eyes. Modifications made to the reading materials included reducing the length of sentences on the pages, introducing guidelines in between the sentences, and a combination of both reducing the page length and introducing guidelines between the sentences. The reading rate of participants was calculated based on the time taken to complete the various reading tasks. The tasks were grouped into spot and fluent reading tasks. The data were analyzed using descriptive statistics, independent samples t-tests, and repeated measures analysis of variance (ANOVA). There were 19 visually impaired participants representing 34% of the total population recruited for the study. For spot reading, MSVI group achieved a 10-point significant improvement in their reading rate when alternating-colored guidelines were combined with reduced page length. The modifications did not significantly improve the fluent reading rate of the MSVI group. For both spot and fluent reading, introducing guidelines and reducing sentence length potentially provide a way to improve the reading rate of the visually impaired people who use an optical aid for reading. The practical implications of these results should be investigated in people with MSVI who use different optical aids for reading.

Mental health and emotional responses to the effects of COVID-19 lockdown in sub-Saharan Africa (SSA) are of serious public health concern and may negatively affect the mental health status of people. Hence, this study assessed the prevalence of mental health symptoms as well as emotional reactions among sub-Saharan Africans (SSAs) and associated factors among SSAs during the COVID19 lockdown period. This was a web-based cross-sectional study on mental health and emotional features from 2005 respondents in seven SSA countries. This study was conducted between 17 April and 17 May 2020 corresponding to the lockdown period in most SSA countries. Respondents aged 18 years and above and the self-reported symptoms were feeling anxious, being worried, angry, bored and frustrated. These were the main outcomes and were treated as dichotomous variables. Univariate and multivariate logistic regression analyses were used to identify the factors associated with these symptoms. We found that over half (52.2%) of the participants reported any of the mental health symptoms and the prevalence of feeling bored was 70.5% followed by feeling anxious (59.1%), being worried (57.5%), frustrated (51.5%) and angry (22.3%) during the COVID-19 pandemic. Multivariate analysis revealed that males, those aged >28 years, those who lived in Central and Southern Africa, those who were not married, the unemployed, those living with more than six persons in a household, had higher odds of mental health and emotional symptoms. Similarly, people who perceived low risk of contracting the infection, and those who thought the pandemic would not continue after the lockdown had higher odds of mental health and emotional symptoms. Health care workers had lower odds for feeling angry than non-healthcare workers. During the COVID-19 lockdown periods in SSA, about one in two participants reported mental health and emotional symptoms. Public health measures can be effectively used to identify target groups for prevention and treatment of mental health and emotional symptoms. Such interventions should be an integral component of SSA governments' response and recovery strategies of any future pandemic.