Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
33
4
2015
10
01
Oral Health Knowledge, Attitude and Practice among Primary School Children In Rural Areas of Assiut Governorate
1
12
EN
10.21608/ejcm.2015.693
Background: Oral health is fundamental to general health and well-being. Little is known about the oral health attitudes and behavior of children from developing countries such as Egypt in comparison with those from developed countries. Objective: To study the oral health knowledge, attitudes, and practice among primary school children in rural areas of Assiut governorate. methods: A cross-sectional school-based study design was carried out. Data were collected by using structured interview questionnaires. The questionnaire was designed to evaluate the knowledge, attitude, and practice of primary school children regarding their oral health and dental treatment. Results: This study included 1036 primary school students distributed along 8 public schools in 4 districts of Assiut governorate. The overall knowledge was satisfactory in 22.2% of students. The overall attitude was positive in 72.3% of students. About 60% of children usually clean their teeth. The most commonly used material for teeth cleaning was tooth brush and tooth paste (65.9%). Parents follow the children during teeth cleaning in 18.9% of cases. 55.6% of children visited the dentist before. In general, the most common cause of dentist's visit was suffering from toothache (75.3%). It was concluded that knowledge and practice about oral health among study participants were poor and needs to be improved. Therefore, comprehensive oral health educational programs for both children and their parents are required to achieve this goal.
Knowledge,Attitude,Practice,oral health,school children,rural Assiut
https://ejcm.journals.ekb.eg/article_693.html
https://ejcm.journals.ekb.eg/article_693_ed047045f7f913817906a2a61bfb09c5.pdf
Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
33
4
2015
10
01
The Effect of Family Medicine Programs' Educational Environment on Post graduate Medical Students’ Learning Perceptions, in Egypt
13
24
EN
10.21608/ejcm.2015.694
BACKGROUND: The quality of the Educational environment is a key determinant of a student centered curriculum. One of most widely used contemporary tools for evaluation of the learning environment is the Dundee Ready Education Environment Measure (DREEM).<br />The OBJECTIVE is to compare the quality of the educational environment as perceived by postgraduate medical students training in three different settings so that corrective measures could be taken to enhance students learning experiences. METHODS: This study used qualitative analysis with DREEM questionnaire, to evaluate the educational environment during post graduate medical students’ training in the three different settings. The questionnaire was administered to 135 postgraduate medical students from three different Family Medicine programs in Cairo. Fifty six (56) were registered for Egyptian Board Membership, 61 for Professional Diploma, and remaining 18 students were registered for academic degree in Family Medicine department at Cairo University. Those are all postgraduate students registered for the academic year 2013/2014. RESULTS: The overall total DREEM mean score for the three groups was 120.5/200 (60.3%).The highest DREEM mean score was found to be 124.8/200 (62.4%) for the Egyptian Board Membership group followed by 119.1/200 (59.6%) for Diploma group, then 114.1/200 (57.1%) for Academic degree postgraduate students. When comparing the five subscales of the three groups; greatest variation between groups was noticed in the Students' Perception of learning and Atmosphere subscales, (P value= .002 and <0.001 respectively).<br />CONCLUSIONS: There is undeniable need for improvement of educational environment in particular areas of some of family medicine postgraduate courses.
DREEM,Educational Environment,Medical students,Evaluation
https://ejcm.journals.ekb.eg/article_694.html
https://ejcm.journals.ekb.eg/article_694_de6357ee63db0fca7157e3ac61311174.pdf
Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
33
4
2015
10
01
Impact of Change in Law on Child Marriage in Egypt A Study in Two Egyptian Governorates
25
37
EN
10.21608/ejcm.2015.695
Background Child marriage is recognized as a human right violation. Egyptian law sets age at first marriage to be 18 years for both sexes. Objectives To investigate the effect of the law of age at marriage on the marital behavior of adolescents and to explore the awareness, attitudes and perceptions of the local community and religious key informants towards the law. Methods This descriptive study employed both quantitative and qualitative techniques. Marriage records were reviewed, 260 attendants of two primary healthcare facilities were interviewed using a semi-structured questionnaire investigating socio-demographics, knowledge and perceptions about the law. Focus group discussions were conducted with 42 religious key informants to explore their opinion about the law. Results 75.8% of participants noticed cases of child marriage in their communities. Nearly 93% said they heard about the law and 78.5 % know that it is at 18 years, 4.2% perceive the law as inappropriate/at all to the local community and 5% were not sure. Marriage ratify contracts that show sudden rise after 2008 and progressive increase until 2012. Most religious key informants view the law as appropriate from health perspectives but not from the religious perspective. Conclusion Child marriages are still practiced in Egypt. Ratify contracts represent a back door allowing registration of these informal marriages when the girl reaches 18 years. An integrated approach is needed to combat child marriage including enforcement of the law, ensure law’s content is understood, train religious stakeholders and treat the radical reasons including poverty religious misconceptions.
child marriage,early marriage,law of age at marriage
https://ejcm.journals.ekb.eg/article_695.html
https://ejcm.journals.ekb.eg/article_695_782c6125608750a730c2de2e3d0bf42f.pdf
Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
33
4
2015
10
01
Knowledge, Attitude, and Practice of Secondary School Students in Cairo Governorate towards injury prevention.
39
50
EN
10.21608/ejcm.2015.696
Background: Injury is the leading cause of death and long term disability and a significant contributor to healthcare costs among children worldwide especially those aged 15 - 19 years. Objectives: To measure the prevalence of injuries among secondary school students in Cairo, Egypt, and to explore the knowledge, attitude and practice of students towards injuries and its prevention. Methodology: Cross-sectional study was conducted on secondary school students in eastern and western part of Cairo; a self-administered questionnaire was used for assessing sustained injuries in previous 12 months and the students’ knowledge, attitude and practice towards injury and its prevention. Results: The overall prevalence of injuries among secondary school students was 68.5%. There was a statistically significant difference between males and female, where knowledge score was higher in males and attitude score was found higher in females. But, there was no difference between them in practice score. Practice score was significantly lower among injured students than those not injured. Conclusion: The study showed high prevalence of injuries among adolescents. There is lack of awareness about injuries stressing the need for development of injury prevention program.
https://ejcm.journals.ekb.eg/article_696.html
https://ejcm.journals.ekb.eg/article_696_e22a99684f8ef9b465e5039833ed3994.pdf
Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
33
4
2015
10
01
Knowledge Health Care and Practice of Physicians, Nurses and Traditional Providers about Hepatitis C Virus Infection in Six Egyptian Governorates
51
65
EN
10.21608/ejcm.2015.697
Background: Hepatitis C is a major health problem in Egypt, with 8 out of each 10 new cases occurs in hospitals. Health care workers are at high risk of contracting hepatitis C and transmitting it to their patients.<br />Objective: The aim of the study was to assess the knowledge of health care workers about hepatitis C virus infection transmission and prevention.Methods: A descriptive cross sectional survey was conducted in six Egyptian governorates including randomly selected physicians, nurses and traditional providers. An interview questionnaire was conducted to HCWs to assess their socio-demographic characteristics, knowledge about cause of HCV, symptoms, transmission and prevention. An observational checklist was designed to assess infection control practices of physicians and nurses.<br />Results: Mean knowledge score of physicians was (36± 5.6) out of 44 with mean practice score (5± 3.9) out of 9. The mean knowledge score of nurses was (29.6 ± 6.2) out of 41 and mean practice score (3.49± 3.5) out of 7, while the knowledge score of the traditional providers was 25.9± 5.8 out of 40. The knowledge and practice score were positively correlated with attendance of infection control courses. Correct knowledge about contaminated needles as a mode of transmission was 93.7% for physicians, 72.7% for nurses, and 3% for traditional providers. There was statistically significant difference between the groups regarding knowledge score with the traditional providers having the lowest knowledge.Conclusion: The percentage of correct knowledge was higher among physicians than nurses, while the traditional providers had the lowest knowledge, with some gaps which need to be strengthened through infection control courses.
hepatitis C,Knowledge,Practice,Physicians,Nurses,traditional providers,Egypt
https://ejcm.journals.ekb.eg/article_697.html
https://ejcm.journals.ekb.eg/article_697_79944f1871db9ea0d001db87073fa942.pdf
Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
33
4
2015
10
01
Evaluation of Nutrition Education Program among Egyptian Adolescents School Children (11-14 years old)
67
79
EN
10.21608/ejcm.2015.698
Background: Consequences of malnutrition can be prevented by starting healthy lifestyle habits among school children as early as possible. School based interventions may play a great role in promoting and enhancin0.<br />g healthy habilts among them. Yet, there is a lack, of published data about the extent of knowledge about nutrition and physical activity among Egyptian school children. Objective: The main objectives of this study were to evaluate the baseline information of targeted school children regarding nutrtion knowledge, and to assess changes in nutrition knowledge before and after application of nutrition education program. Methods: Pre-post study was carried out by a team of National Nutrition Institute in 2011. Four preparatory govermental schools were selected using purposive non probability sampling. Sample size was 320 students. Data were collected using a self adminstered questionnaire that was completed at pre and post intervention. The intervention program was run along 5 weeks and included five sessions encompassing several topics related to nutrition. Several teaching strategies and activities were used during the intervention such as small group discusions, group works, nutrition exhibition and others. Results: Only 3.3 percent of studied sample scored fair (50-75% of answers were correct ) in pre intervention (all sessions combined) , however the percentage increased to 50.6% after application of the intervention (P< 0.0001). The percentages of overweight and obese in the studied sample were 17.0% and 10.9% respectively. There was a significant increase in mean score of knowledge post intervention compared to pre intervention in each session and in all sessions combined in both male and female students. Conclusion: this study has shown that a school nutrition intervention program could have positive effects on adolescent‟s school children. In addition, the utilization of different teaching and learning strategies such as group discussion on nutrition topics, demonstrations, nutrition contents, games and other methods may enhance the learning process of the students and increase their awarness towards healthy nutritional behavior.
Adolescents,Nutrition knowledge,school intervention
https://ejcm.journals.ekb.eg/article_698.html
https://ejcm.journals.ekb.eg/article_698_82f017a14bf071f86b3b523e36e0e5ae.pdf