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Factors affecting unmet need for family planning in Eastern Sudan
Abdel Aziem A Ali, Amira Okud
BMC Public Health , 2013, DOI: 10.1186/1471-2458-13-102
Abstract: A community-based cross sectional household survey was conducted to investigate unmet need for family planning and associated factors and total demand for family planning in Kassala, Eastern Sudan between 1st May and 31st July 2012.A total of 812 married women were enrolled in this study. Their mean age and parity was 31.8 (7.3) and 3.4 (1.8) respectively. Ever use of contraception was 25.4% (206/812) and 26.2% (213/812) were currently using contraception. Unmet need for spacing was 15.1% while unmet need for limiting was 0.7%. The pregnant and amenorrheic women whose the pregnancy or birth was unwanted and mistimed were 105 (13%) and 130 (16%) respectively. Using Westoff model the total unmet need was estimated as 44.8%. The total demand for family planning was 71%.In logistic regression model, while age, age at marriage, parity, residence and experience of child death were not associated with total unmet need for family planning, women education < secondary level (OR=7.8; CI=5.6-10.9; P=0.00), husband education < secondary level (OR=1.9; CI=1.3-2.6, P = 0.00) and woman’s occupation; housewife (OR=4.3; CI=2.5-7.2; P=0.00) were associated with the total unmet need.Unmet need for family planning in Eastern Sudan was significantly higher among women with less than secondary education. Also; it is influenced by couple’s educational status and woman’s occupation. The results of this study necessitate the need for the programme managers to take into account the concept of reproductive health education.In the developing countries millions of women in the reproductive age who don’t use contraceptives prefer to postpone or limit their birth. This indicates their failure to take necessary decision to prevent and avoid unwanted pregnancy [1]. Unmet need for family planning is defined as percentage of all fecund women who are married or living in union and thus presumed to be sexually active but are not using any method of contraception, either do not want to have more childre
Survey of Brucellosis among Sheep, Goats, Camels and Cattle in Kassala Area, Eastern Sudan
Mokhtar M. Omer,Abdelhamid A. Abdelaziz,Sarah M.A. Abusalab,Abbas M. Ahmed
Journal of Animal and Veterinary Advances , 2012,
Abstract: This study is conducted to estimate the prevalence of brucellosis in different animals species in Kassala area, eastern Sudan during 2004 up to 2006. The study aimed to provide a documented information on the prevalence of the disease with a view to assisting veterinary authorities in diseases control policies and planning research priorities in the region. The serum samples were collected from sheep, goat, camels and cattle, then tested in by Rose Bengal Plate test. The study showed that the prevalence of brucellosis is increased during the last years among different animal species.
Use of antenatal care services in Kassala, eastern Sudan
Abdel Aziem A Ali, Mohammed M Osman, Ameer O Abbaker, Ishag Adam
BMC Pregnancy and Childbirth , 2010, DOI: 10.1186/1471-2393-10-67
Abstract: A cross-sectional community-based study was carried out in Kassala, eastern Sudan during September-October 2009. Household surveys were conducted. Structured questionnaires were used to gather data from women who had been pregnant within the last year, or pregnant more than 14 weeks.Out of 900 women investigated for antenatal care coverage, 811(90%) women had at least one visit. Only 11% of the investigated women had ≥ four antenatal visits, while 10.0% had not attended at all. Out of 811 women who attended at least one visit, 483 (59.6%), 303 (37.4%) and 25 (3.1%) women attended antenatal care in the first, second and third trimester, respectively. In logistic regression analyses, while maternal age and residence were not associated with inadequacy of antenatal care (<2 visits), high parity (OR = 2.0, CI = 1.1-3.5; P = 0.01) and husband education ≤ secondary level (OR = 2.4, CI = 1.3-4.2; P = 0.002) were associated with inadequacy of antenatal care.Antenatal care showed a low coverage in Kassala, eastern Sudan. This low coverage was associated with high parity and low husband education.Antenatal care is one of the four pillars initiatives of the Safe Motherhood Initiative; however, its relative contribution to maternal health has been under debate. While many of routine antenatal care procedures have little effect on maternal mortality and morbidity, some of these have been ascertained as beneficial [1,2]. Antenatal care provides advice, reassurance, education, support for the woman on screening programs and detects the problems that make the pregnancy high risk one [3]. There are many socio-economic and cultural factors which act as barriers to the use of antenatal care [4]. Although, it can't be claimed that antenatal care is the only solution for the high maternal and perinatal death in the developing world, but it can help to reach the Millennium Development Goals for the maternal and child mortality [5].Although, World Health Organization recommended four ante
Anaemia among adults in Kassala, Eastern Sudan
Tajeldin M Abdallah, Ishag Adam, Mutaz A Abdelhadi, Mohammed F Siddig, AbdelAziem A Ali
BMC Research Notes , 2012, DOI: 10.1186/1756-0500-5-202
Abstract: Out of 646, 234 (36.2%) adults had anaemia; 68 (10.5%); 129 (20.0%) and 37 (5.7%) had mild, moderate and severe anaemia, respectively. In logistic regression analyses, age (OR?=?1.0, CI?=?0.9–1, P?=?0.7), rural vs. urban residency (OR?=?0.9, CI?=?0.7–1.3, P?=?0.9), female vs. male gender (OR?=?0.8, CI?=?0.6–1.1, P?=?0.3), educational level?≥?secondary level vs. < secondary level (OR?=?1.0, CI?=?0.6–1.6, P?=?0.8) and Hudandawa vs. non-Hudandawa ethnicity (OR?=?0.8, CI?=?0.6–1, P?=?0.1) were not associated with anaemia.There was a high prevalence of anaemia in this setting, anaemia affected adults regardless to their age, sex and educational level. Therefore, anaemia is needed to be screened for routinely and supplements have to be employed in this setting.Anaemia is a major public health problem, especially in developing countries [1]. It is common in adult and the prevalence of anaemia is increasing with advancing age [2]. There is however, a significant variation in prevalence of anaemia, both within and between countries, necessitating a need for local data for preventive measures. Anaemia is associated with adverse outcomes among adult such as reduced quality of life, depression, increased disability, higher risk of Alzheimer disease and increased risk of mortality [3,4]. Anaemia is a multifactorial condition and the increased heterogeneity in the distribution of social and biological factors with advancing age makes the epidemiology of anaemia a real challenge [5]. Epidemiology of anaemia is important for deciding the control strategies. Thus, studies investigating these parameters are vital and of great interest, so as to provide health planners and caregivers with fundamental guidelines for the implementation of preventive measures. Therefore, the aim of this work was to investigate the prevalence and predictors of anaemia among adults in Kassala, Eastern Sudan.This was a cross sectional community- based survey of adults (>15 year old) residents in Kassala, Ea
A Retrospective Study on Animal Parasitic Diseases Diagnosed at Kassala Veterinary Research Lab (KVRL), Eastern Sudan
M.M. Omer,A.M. Ahmed,S.M. A. Abusalab
Veterinary Research , 2012,
Abstract: This study was conducted to estimate the prevalence of the parasitic diseases in different animal species in Kassala area, eastern Sudan during 2004 up to 2006. A total of 1396 samples which were referred to Kassala Veterinary Research Lab were retrospectively studied. The samples were collected from different animal species; 1185 bovine, 139 ovine, 19 caprine, 46 equine and 7 camels. The study detected the following parasitic diseases: Anaplasmosis, theileriosis, trichostrogyliasis, microflariasis, coccidiosis, trypansomaiasis, moniezia sp. and mange.
Assessment of Endemic Goiter of Children in Eastern Sudan (Kassala State) Using Ultrasonography and ELISA  [PDF]
Shazaly N. Khojaly, Mohamed Yousef, Mohammed E. Mohamed, Ikhlas A. Hassan, Mogahid M. A. Zidan, Auis Bashir, Magdi Hassan
Open Journal of Medical Imaging (OJMI) , 2018, DOI: 10.4236/ojmi.2018.83004
Abstract: Thyroid gland is one of most important endocrine glands in the body. It plays vital role in growth control and its measurements tends to change in respect to age, sex, weight and ethnic group of the individual. This study aimed to assess endemic goiter and to estimate the measurement of normal thyroid gland dimensions and thyroid hormones level in school-aged children using Ultrasonography and ELISA Technique in Eastern Sudan (Kassala state). A total of 100 subjects is 6 - 18 years (43 males, 57 females), and mean of age (9.73 ± 2.54 years). This study was done in the period from April 2016 to February 2017. All the subject undergone thyroid ultrasound and thyroid hormone level test. Subjects with history of goiter were excluded from the study, by thyroid dimension (length, height and diameter). Thyroid volume was estimated using ellipsoid formula and thyroid hormones (TSH, T3 and T4) using Toso full automation.
A Case of Aprosopia with Multiple Congenital Anomalies in a Lamb in Kassala State, Eastern Sudan
M. M. Omer,S.M. Abusalab,M.M. Gumaa,S.A. Mulla,A.M. Ahmed
Veterinary Research , 2012,
Abstract: A case of aprosopia (facelessness) was described in a lamb at Elgash West abattoir in Kassala State, Eastern Sudan. The maxillary and mandibular bones of the deformed animal were completely absent (agnathia). There were 2 ears without external and internal orifices. Internally, the esophagus was opening in the larynx and 2 livers bilaterally were observed. The congenitally deformed lamb was hermaphrodite.
Severe anaemia is associated with a higher risk for preeclampsia and poor perinatal outcomes in Kassala hospital, eastern Sudan
AbdelAziem A Ali, Duria A Rayis, Tajeldin M Abdallah, Mustafa I Elbashir, Ishag Adam
BMC Research Notes , 2011, DOI: 10.1186/1756-0500-4-311
Abstract: This is a retrospective case-control study conducted at Kassala hospital, eastern Sudan. Medical files of pregnant women with severe anaemia (haemoglobin (Hb) < 7 g/dl, n = 303) who delivered from January 2008 to December 2010 were reviewed. Socio-demographic and obstetric data were analysed and compared with a similar number of women with mild/moderate anaemia (Hb = 7-10.9 g/dl, n = 303) and with no anaemia (Hb > 11 g/dl, n = 303). Logistic regression analysis was performed separately for each of the outcome measures: preeclampsia, eclampsia, preterm birth, low birth weight (LBW) and stillbirth.There were 9578 deliveries at Kassala hospital, 4012 (41.8%) women had anaemia and 303 (3.2%) had severe anaemia. The corrected risk for preeclampsia increased only in severe anaemia (OR = 3.6, 95% CI: 1.4-9.1, P = 0.007). Compared with women with no anaemia, the risk of LBW was 2.5 times higher in women with mild/moderate anaemia (95% CI: 1.1-5.7), and 8.0 times higher in women with severe anaemia (95% CI: 3.8-16.0). The risk of preterm delivery increased significantly with the severity of anaemia (OR = 3.2 for women with mild/moderate anaemia and OR = 6.6 for women with severe anaemia, compared with women with no anaemia). The corrected risk for stillbirth increased only in severe anaemia (OR = 4.3, 95% CI: 1.9-9.1, P < 0.001).The greater the severity of the anaemia during pregnancy, the greater the risk of preeclampsia, preterm delivery, LBW and stillbirth. Preventive measures should be undertaken to decrease the prevalence of anaemia in pregnancy.Anaemia during pregnancy is a major public health problem, especially in developing countries [1]. It affects 41.8% of pregnant women globally, with the highest prevalence in Africa [2]. There is however significant variation in the prevalence of anaemia both within and between countries, necessitating a need for local data to help to improve preventive programmes. Anaemia during pregnancy, especially severe anaemia, is associat
An out Break of Gumboro Disease Associated with Colibacillosis among Broiler and Layer Chicks in Kassala State, Eastern Sudan
M.M. Omer,A. Khalda,S.M. Abusalab,M.M. Gumaa,S.A. Mulla,A.M. Ahmed
Research Journal of Poultry Sciences , 2012,
Abstract: Gumboro disease associated with Colibacillosis in exotic layer and broiler chicks was reported in eastern Sudan. Mortality rate of the disease, 1.8% in layer and 1% in broiler chicks was recorded. In addition to, Escherichia coli (E. coli) was isolated from a layer chick. Factors which contributed to this were stated. Moreover some recommendations were outlined.
Staphylococcus aureus Isolated from a Horse in a Sudden Death Condition in Kassala State, Eastern Sudan
M.M. Omer,Sarah Abusalab,M.M. Gumaa,S.A. Mulla
Pakistan Journal of Biological Sciences , 2008,
Abstract: In this study, Staphylococcus aureus was isolated from a draught horse presented to Kassala Veterinary Research Laboratory (KVRL) for investigation and diagnosis. The affected animal was previously treated with Gentamycin and Tetracycline before submitted to this laboratory, but the animal was not cure. Thereafter, the animal was attended to the laboratory; it was suffering from inguinal abscess and some clinical signs. Clinical and laboratory examinations were carried out however, the animal was suddenly fallen and died immediately. Then post-mortem, bacteriological and histopathological examinations were done. S. aureus was isolated as pure culture from the lungs and peritoneum of the necropsied animal. This isolate showed highly sensitivity to Erythromycin and Clindamycin and it was resistant to Penicillin, Cloxacillin, Cefotaxime, Co-Trimoxazole, Cephalexin and Tetracycline. It was concluded from this study, the shock resulted from S. aureus was the causative agent of the death in this case.
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