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All Journal Insights in Public Health Journal Eureka: Journal of Educational Research
Jacobs, Choolwe
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Education Health Professions Public Health Social Sciences

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Prevalence and Factors Associated with Neonatal Death among Neonates referred to Neonatal Intensive Care Unit from an Urban high-density community of Lusaka, Zambia Napanje, Chomba; Sampa, Mutale; Makasa, Musonda; Jacobs, Choolwe
Insights in Public Health Journal Vol 5 No 1 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.1.11947

Abstract

Background: The first month of life is the most vulnerable period of child survival. Globally the neonatal period accounted for nearly half (47 per cent) of all under-five deaths that occurred in 2022. Factors associated with neonatal death vary between environments and are essentially not well understood. This study aimed to investigate the prevalence and factors associated with neonatal death among neonates born at Kanyama first level hospital, located in an urban high-density community and referred to University Teaching Hospital (UTH)- Neonatal Intensive Care Unit (NICU). Methods: A cross-sectional study was conducted in January and February 2023 through data extraction from registers and medical files on prevalence and factors associated with neonatal death. Pearson’s Chi square, fisher’s exact test and multiple logistic regression were conducted using the STATA version 14.2. 205 medical records were selected for the study using Cochrane (1963) formula to calculate a minimum sample size of 104. Results: The study population comprised neonates born at Kanyama first level hospital in 2021 and 2022 of which 38.05% were female, 61.95% were male, 60% were born at full term and 40% were born at pre-term. Factors associated with neonatal death were labour complications (AOR: 3.46, p=0.039), conditions requiring special attention such as preeclampsia (AOR: 20.4, p=0.001), concerning Apgar score at one minute (AOR=4.50, p=0.014) and pre-term at birth (AOR=7.50, p<0.0001). Conclusion: The prevalence of neonatal death was found to be high and the associated factors included; labour complications, condition requiring special attention, Apgar score at one minute and term at birth. Therefore, neonatal survival should be prioritized through pregnancy monitoring, quality antenatal and Emergency Obstetric and Neonatal Care (EmONC) training to improve response interventions in the event of complications. Keywords: neonatal mortality, urban high-density community, factors associated, neonatal intensive care unit
The effect of culture and religion on the implementation of comprehensive sexuality education in selected primary schools of Zambia Mukonka, Remmy; Mushibwe, Christine; Jacobs, Choolwe
Eureka: Journal of Educational Research Vol. 2 No. 1 (2023): Factors Influencing Student Learning and Academic Performance Dynamics
Publisher : S&Co Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56773/ejer.v2i1.15

Abstract

Despite full-scale implementation of Comprehensive Sexuality Education (CSE) in Zambia, behavioural health problems among adolescents persist which include early and unprotected sex, sexual abuse, early marriages and teenage pregnancies. The study aimed at establishing the effect of culture and religion on the implementation of CSE in selected primary schools of Kabwe, Lusaka and Choma districts of Zambia. The study utilised mixed method design with a pupil population drawn from 9 selected primary schools. The sample size of the study was 700 adolescents (aged 12–17 years) and 16 key informants i.e. headteachers, teachers, guidance and counseling teachers, and government senior officials). Simple random sampling was utilised to select pupils while purposive sampling was employed to select key informants. Interview guides, questionnaires and focus group discussions were employed to collect statistical and narrative data. Data was analysed using a Statistical Package for Social Sciences (SPSS) and thematic analysis. The study found that culture and religion influenced the implementation of CSE in selected primary schools. This was evident in the language used for teaching CSE, where vernacular expressions of sexuality faced resistance in a culturally conservative society, despite the dominant use of English. Additionally, there was a perception of incompatibility between religious beliefs and teaching sexuality to adolescents. Moreover, adult respondents believed that CSE could breach the moral fabric. In conclusion, for CSE to achieve its goal of improving young people's education and health outcomes, both religious and traditional leaders must be involved in its implementation.
Co-Authors Makasa, Musonda Mukonka, Remmy Mushibwe, Christine Napanje, Chomba Sampa, Mutale