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Asian Journal of Public Health and Nursing
Published by Queeva Publishing
ISSN : -     EISSN : 30640008     DOI : https://doi.org/10.62377/
Core Subject : Health,
The Asian Journal of Public Health and Nursing (AJPHN) stands as a beacon of scholarly excellence, dedicated to fostering advancements in the realms of public health and nursing across the diverse landscape of Asia. With a commitment to promoting evidence-based practices, innovative research, and transformative policies, the journal serves as a vital platform for academics, practitioners, policymakers, and students alike. We expect that AJPHN as the place for young and motivate researchers to publish their first work.
Articles 7 Documents
Search results for , issue "vol. 3 no. 1 (2026)" : 7 Documents clear
Prevalence of Multiple Drug-Resistant Bacteria Among Healthcare Acquired Infections in the WHO Eastern Mediterranean Region: A Systematic review
Asian Journal of Public Health and Nursing Vol. 3 No. 1 (2026)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/d81pks55

Abstract

Background:Hospital-acquired infections (HAIs) caused by multidrug-resistant (MDR) bacteria represent a growing global public health threat, particularly in low- and middle-income regions such as the WHO Eastern Mediterranean Region (EMR). Despite increasing antimicrobial resistance, comprehensive regional evidence on MDR-HAIs, including prevalence, pathogen distribution, and associated risk factors, remains limited. This systematic review aimed to examine the prevalence of MDR bacteria among HAIs in hospitalized patients across the EMR between 2014 and 2024. Methods:A systematic review was conducted following Cochrane guidelines. EMBASE, PubMed, and Google Scholar were searched using Medical Subject Headings (MeSH) and relevant keywords. Eligible studies included primary quantitative studies reporting MDR hospital-acquired infections in EMR countries. A total of 550 records were identified, and after screening, critical appraisal, and eligibility assessment, nine studies were included for narrative synthesis. Risk of bias was assessed using CASP and Joanna Briggs Institute appraisal tools. Results:The prevalence of MDR-HAIs across EMR countries ranged from 4.9% to 52.6%, with most studies reporting rates exceeding 25%. Egypt reported the highest prevalence (52.6%), followed by Libya (35.2%) and Lebanon (30.2%), while Iraq reported the lowest prevalence (4.9%). Older age and male gender were commonly associated with increased MDR-HAI risk. The most frequently identified pathogens were MDR Pseudomonas aeruginosa, extended-spectrum beta-lactamase (ESBL) Klebsiella pneumoniae and Escherichia coli, multidrug-resistant Acinetobacter baumannii, and methicillin-resistant Staphylococcus aureus (MRSA). Additional risk factors included comorbidities, prolonged hospitalization, prior antibiotic exposure, invasive devices, and admission to high-risk wards. Conclusion:MDR hospital-acquired infections remain highly prevalent across the EMR, affecting countries regardless of economic status. Strengthening surveillance systems, improving infection prevention and control strategies, and implementing coordinated antimicrobial stewardship programs are urgently needed to reduce MDR burden and improve patient outcomes in the region.
Exploring the perception of pictorial health warnings on tobacco package among the patients attending Dental Institute in Ahmedabad City Mahek R Zen; Sujal M Parkar
Asian Journal of Public Health and Nursing Vol. 3 No. 1 (2026)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/5myqdk43

Abstract

Background: Tobacco use remains a significant global public health challenge. WHO Framework Convention on Tobacco Control mandates that nations take steps to ensure that tobacco product packaging carries health warnings and messages. This study aims to explore the perception of pictorial health warnings (PHWs) on tobacco packages among the patients attending dental institute in Ahmedabad city. Methods: A cross-sectional questionnaire study was conducted among 210 patients attending dental institute in Ahmedabad city. The data were collected through face-to-face interview by using a self-designed, pre-tested questionnaire. The questionnaire consists of questions pertaining to demographic details, tobacco related habits and perception on PHWs. Data was analyzed using descriptive statistics. Multivariate logistic regression analysis was performed to identify independent predictors for perception of PHWs. Result: More than half of the subjects (n=129, 61.43%) were having current habit of tobacco consumption in any form. Total 197 (93.80%) were aware about health warning messages on tobacco packages. Among 197 respondents, 67 (34.00%) respondents noticed only PHWs. Total 136(69.04%) subjects had perception of imagine health harms after seeing PHWs and 132(67.00%) subjects were worried for their health. More than half (n=64, 55.17%) wants to quit habit after seeing PHWs. Among individuals with a habit of tobacco consumption, the likelihood of imagining health harms (OR = 3.61, 95% CI: 1.73–7.53) and feeling worried about their health after viewing PHWs (OR = 3.61, 95% CI: 1.73–7.53) was significantly higher (p < 0.001). Conclusion: There was a favorable perception and positive impact on tobacco users to quit the habit.
Reducing Parental Perceived Barriers to HPV Vaccine Uptake Through a Community-Based Nurse-Led Educational Intervention in Kaduna North Senatorial District, Nigeria Shatu Ishaku; Hadiza Mohammed Sani; Hayat Imam Gommaa; Anita Mfuh Y. Lukong; Ishaku Hassan
Asian Journal of Public Health and Nursing Vol. 3 No. 1 (2026)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/ce5hh361

Abstract

Background:  Parental perceived barriers remain a major obstacle to human papillomavirus (HPV) vaccine uptake among adolescents in Nigeria. Community-based nurse-led educational interventions may help address these barriers, but evidence from rural and semi-urban settings is limited. This study aims to assess the effect of a community-based nurse-led educational intervention on parental perceived barriers to HPV vaccine uptake in Kaduna North Senatorial District, Nigeria. Methods: A quasi-experimental pre-test and post-test design with intervention and control groups was conducted among 208 parents of adolescents aged 9–14 years, with 204 completing the study (102 per group). Data were collected using a structured interviewer-administered questionnaire assessing socio-demographic characteristics and perceived barriers. The intervention group received a structured nurse-led educational programme, while the control group received no intervention. Data were analysed using chi-square tests, McNemar’s test, and t-tests, with significance set at p < 0.05. Results: At baseline, there was no significant difference in mean barrier scores between groups (p = 0.652). After the intervention, the study group showed significant reductions in key barriers, including difficulty accessing accurate information, long waiting times, and limited opportunity to discuss concerns (p < 0.001). The mean barrier score decreased significantly in the study group from 5.40 ± 2.03 to 2.07 ± 1.55 (p < 0.001), while no significant change occurred in the control group. Conclusion: The community-based nurse-led educational intervention significantly reduced parental perceived barriers to HPV vaccine uptake, supporting the integration of structured health education into primary healthcare to improve adolescent vaccination outcomes.
Socioeconomic Inequalities in Pregnancy Termination among Young Women in Cambodia: A Cross-sectional Analysis of the 2021–22 Demographic and Health Survey Sokha, Yem; Sokunthea, Kem; Lida, Vann; Sreypeov, Tun
Asian Journal of Public Health and Nursing Vol. 3 No. 1 (2026)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/75j94f08

Abstract

Background: Pregnancy termination among adolescents and young women reflects gaps in contraceptive access, unmet need for family planning, and unequal access to sexual and reproductive health information and services. In Cambodia, limited recent national evidence exists on socioeconomic patterns and determinants of pregnancy termination among young women, despite persistent adolescent fertility and early marriage. This study aimed to estimate the prevalence of pregnancy termination among adolescents and young women in Cambodia and examine socioeconomic patterns and associated factors using data from the Cambodia Demographic and Health Survey (CDHS) 2021–22. Methods: This cross-sectional secondary analysis used nationally representative data from the CDHS 2021–22 women's questionnaire. The study population included women aged 15–24 years (N=5,783). The outcome was a self-reported history of pregnancy termination, based on DHS standard definitions. Key exposures included wealth index, education level, and place of residence. Additional covariates included age group, marital status, parity, employment status, media exposure, and contraceptive use. Survey-weighted descriptive statistics and multivariable logistic regression were used to examine associations while accounting for complex survey design. Results: The overall prevalence of pregnancy termination was 5.28% (95% CI: 4.52–6.16). Prevalence varied significantly by socioeconomic status: 3.8% among women from poor households, 5.3% among middle-income, and 6.8% among wealthy households (p<0.001). Women with secondary or higher education had higher prevalence (6.2%) compared to those with no education (3.9%, p<0.001). In multivariable analysis, factors significantly associated with increased odds of pregnancy termination included wealthier households (aOR=1.82, 95% CI: 1.24–2.67), higher education (aOR=1.58, 95% CI: 1.09–2.29), urban residence (aOR=1.44, 95% CI: 1.08–1.92), older age 20–24 years (aOR=2.15, 95% CI: 1.61–2.88), union status (aOR=3.42, 95% CI: 2.48–4.71), and women with two or more children (aOR=5.68, 95% CI: 3.92–8.23). Conclusion: Pregnancy termination among young Cambodian women shows a distinct positive socioeconomic gradient, with higher prevalence among wealthier and more educated women, contrasting with patterns in some high-income countries. The strong association with parity indicates that termination is primarily used for birth spacing and limiting. These findings highlight the need for strengthening youth-focused sexual and reproductive health services and ensuring equitable access to quality contraception across all socioeconomic groups.
System Challenges and Patient Waiting Time in Outpatient Care: A Qualitative Study in a Nigerian Public Hospital Mukhtar Zainab; Abdulsalam Ahmed; Mustapha Fatima Khamis; Nma Usman Abdul; Yusuf Ibrahim Chindo; Hadijah Usman-Yamman; Philomena Hope Ajayi; Temidayo Joseph Oluwafemi; Okedare Tobi Victor; Stephen Samuel Lazarus; Samuel Bulus Kaze; Jemilat Agbakwomo Audu; Habiba Muhammad Abdullahi
Asian Journal of Public Health and Nursing Vol. 3 No. 1 (2026)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/m2ed5q29

Abstract

Background: Patient waiting time in outpatient departments is a key indicator of healthcare quality, particularly in low- and middle-income countries where delays frequently exceed two hours. In Nigeria, systemic inefficiencies, understaffing, manual record-keeping, and high patient volumes contribute to prolonged waits. Existing studies have predominantly used quantitative methods, leaving a gap in understanding the lived experiences of patients and perspectives of frontline healthcare workers, especially in secondary-level public hospitals. Methods: An exploratory qualitative study was conducted at the General Outpatient Department of General Hospital Minna, Niger State, Nigeria. Convenience sampling recruited 16 patients, while purposive sampling selected 13 healthcare professionals (doctors, nurses, and health information personnel). In-depth, audio-recorded interviews were conducted and data analysed using thematic analysis. Results: Five themes emerged: patient experience and outcomes; current strategies and solutions; monitoring and metrics; implementation challenges; and future directions. Three-quarters of patients reported prolonged waits associated with emotional distress and dissatisfaction. Providers identified high patient volumes, inadequate record-keeping, and partial scheduling implementation as systemic barriers. Cultural factors influenced patient tolerance, and both groups prioritised digital solutions including electronic medical records, smart scheduling, and telemedicine. Conclusion: Waiting time in the outpatient department is shaped by interacting systemic, cultural, and operational factors. Structured monitoring, improved patient communication, and targeted digital interventions are essential to reducing delays and strengthening patient-centred care in Nigerian public hospitals.
Emerging Global Health Challenges: Which Poses a Greater Threat, Ebola Virus or Hantavirus? Remsha Hossain; Russell Kabir; Ali Davod Parsa
Asian Journal of Public Health and Nursing Vol. 3 No. 1 (2026)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/kmhfrj56

Abstract

The world is experiencing more epidemics today than at any point in recent history, yet global readiness to respond is steadily slipping backwards. Pandemic risks, unstable geopolitics, and rapidly changing ecosystems have begun to outpace the world’s ability to prepare, creating conditions where future outbreaks may become far harder to manage (Global Preparedness Monitoring Board, 2026).  As the global health system weakens, emerging viruses such as Ebola and hantavirus are appearing more frequently and with greater severity; from Ebola surging in the Democratic Republic of the Congo and Uganda to hantavirus emerging unexpectedly on international cruise ships. In this rising landscape of vulnerability, which of these threats poses the greater global risk? To determine which virus poses the greater global risk, it is essential to examine how each behaves within a world that is increasingly unprepared for new outbreaks. Ebola typically enters human populations through contact with infected animals and then spreads efficiently through human-to-human transmission. Hantavirus, by contrast, is primarily transmitted from infected rodents to humans, with human-to-human spread occurring far less frequently (WHO, 2026) (WHO, 2025). Although both viruses are severe and potentially fatal, Ebola’s high transmissibility and mortality give it a clearer global threat profile, while hantavirus presents a different challenge: its symptoms often resemble mild illnesses, leading to delayed diagnosis and unpredictable detection patterns (BBC World Service, 2012). While Ebola and hantavirus differ in their transmission dynamics, both are classic examples of zoonotic diseases that underscore the importance of the One Health approach. Human encroachment into wildlife habitats, deforestation, agricultural expansion, biodiversity loss, and climate change continue to increase interactions between humans, wildlife, and animal reservoirs. These environmental changes facilitate the emergence and re-emergence of infectious diseases, making future spillover events increasingly likely. Consequently, strengthening collaboration among public health, veterinary, environmental, and wildlife sectors should become a central component of global preparedness strategies rather than a reactive response once outbreaks occur. Another important lesson from both Ebola and hantavirus outbreaks is that preparedness cannot be measured solely by the availability of vaccines or clinical treatment. Robust surveillance systems, rapid laboratory diagnosis, effective risk communication, trained public health personnel, and cross-border information sharing are equally critical. Many countries continue to struggle with fragmented surveillance systems and inadequate laboratory capacity, resulting in delayed outbreak detection and response. Investing in preparedness before outbreaks occur remains substantially more cost-effective than responding after epidemics have already spread. Bundibugyo virus disease (BVD), a severe form of Ebola, is currently affecting communities in the Democratic Republic of the Congo and Uganda. The virus is believed to originate from non-human primates or bats, and its rapid evolution raises growing concern. With no approved vaccines or specific treatments available, control efforts rely entirely on early case detection, isolation, and supportive care (WHO, 2026). Comparatively, the recent cruise ship–linked hantavirus outbreak was alarming because it travelled through 32 countries within a week, demonstrating how quickly even a rodent-borne virus can cross borders. However, WHO’s assessment indicates that the overall global risk remains relatively low: the Andes virus; the only hantavirus strain capable of human-to-human transmission, requires close and prolonged contact for spread. The danger of Hanta virus lies in delayed diagnoses (WHO, 2026). The question is not simply which virus poses more risk, but whether the world is prepared for what comes next? Both outbreaks could have been contained more effectively with stronger surveillance and preparedness systems, yet global capacity continues to erode, making timely public health responses increasingly difficult. Budget constraints have already forced major cutbacks, including a reduction in the WHO’s operating budget following the U.S. withdrawal, limiting the organisation’s ability to support outbreak response, early detection, and rapid containment (France 24, 2025). This decline in global readiness leaves the world increasingly vulnerable, regardless of whether the next threat emerges from Ebola, hantavirus, or an entirely new pathogen. Strengthening surveillance systems, investing in One Health approaches, and restoring sustainable global health financing should therefore become urgent international priorities before the next epidemic emerges.
Factors Associated with Disease Acceptance Among Adults with Hypertension in Indonesia Sri Andala; Naufal Gusti; Liza Wahyuni; Agusri
Asian Journal of Public Health and Nursing Vol. 3 No. 1 (2026)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/6ywe0z06

Abstract

Background: Hypertension prevalence in Aceh Province, Indonesia, has increased significantly over the past decade. Disease acceptance is a crucial determinant of successful blood pressure control, yet factors associated with acceptance remain understudied in this population. This brief report aimed to identify factors associated with disease acceptance among hypertensive adults in Aceh, with particular focus on the role of hypertension knowledge. Methods: This study used data from a cross-sectional survey conducted between March and July 2023 involving 534 hypertensive adults selected through random sampling across Aceh Province. Acceptance was measured using the Acceptance of Illness Scale (AIS) and categorized as low, moderate, or high. Knowledge was assessed using a validated 22-item questionnaire. Multinomial logistic regression was employed to identify predictors of acceptance. Results: Older age (45–64 years: OR=3.72, 95%CI: 1.18–11.74; >65 years: OR=4.38, 95%CI: 1.22–15.76) and higher education (senior high school: OR=2.27, 95%CI: 1.03–4.99; tertiary: OR=3.75, 95%CI: 1.33–10.6) were significantly associated with high acceptance. Knowledge regarding drug dosing (H6), daily medication (H7), cooking methods (H11), alcohol-related risk (H17), and heart disease complications (H19) was associated with higher acceptance, whereas knowledge regarding renal failure (H21) was associated with lower acceptance. Conclusion: Age, education, and specific domains of hypertension knowledge are significantly associated with disease acceptance. Educational interventions targeting younger adults and those with lower education, emphasizing medication adherence and complication awareness, may improve disease acceptance in this population.

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