Barriers to Integrate Physical Exercise Into the Ethiopian Healthcare System to Treat Non-Communicable Diseases

Kassa, Melkamu Dugassa; Grace, Jeanne

doi:10.5539/gjhs.v10n10p123

Cited by 3 publications

(4 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This finding aligns with similar findings from previous studies conducted in Ethiopia (80.6%) and Sudan (78.7%) 21 , 34 . The lack of national coordination in promoting physical exercise, absence of physical exercise guidelines, and prevailing misconceptions about exercise among the African population, including Ethiopia, may contribute to this issue 43 – 45 .…”

Section: Discussionmentioning

confidence: 99%

“…This finding aligns with similar findings from previous studies conducted in Ethiopia (80.6%) and Sudan (78.7%) 21,34 . The lack of national coordination www.nature.com/scientificreports/ in promoting physical exercise, absence of physical exercise guidelines, and prevailing misconceptions about exercise among the African population, including Ethiopia, may contribute to this issue [43][44][45] . Non-compliance with SCBs, such as daily weight measurement, is associated with unfavorable clinical outcomes, including increased morbidity and mortality 11,46 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure

Niriayo,

Yemane,

Asgedom

et al. 2024

Sci Rep

View full text Add to dashboard Cite

Despite the indispensable role of self-care behavior in managing heart failure, the practice of self-care behavior remains poor, especially in developing countries. There is a scarcity of research focusing on poor self-care behavior and its determinants within our specific context. Therefore, the objective of this study was to investigate the prevalence and predictors of poor self-care behavior among ambulatory heart failure patients. A facility-based cross-sectional study was conducted at a tertiary care hospital in Ethiopia, involving patients with heart failure. We utilized the European Heart Failure Self-Care Behavior Scale (EHFScBS-9) to evaluate adherence to self-care behaviors. Data were gathered through patient interviews and a review of medical records. A binary logistic regression analysis was performed to identify predictors of poor self-care behavior in heart failure patients. We included a total of 343 participants in the final analysis of this study. The findings revealed that a majority of the patients (73.8%) demonstrated poor overall self-care behavior. Specifically, the majority of patients did not engage in regular exercise (76.1%), failed to consult doctors in case of rapid weight gain (75.6%), did not monitor weight daily (71.5%), did not restrict fluid intake (69.9%), and did not contact doctors in case of experiencing fatigue (68.6%). Additionally, 32.4% of patients did not reach out to doctors when experiencing shortness of breath, 30% did not restrict salt intake, 29% did not adhere to prescribed medication, and only 7% did not consult doctors if edema occurred. Our findings indicated that rural residence (AOR: 5.76, 95% CI: 2.47–13.43), illiteracy (AOR: 2.64, 95% CI: 1.52–6.31), prior hospitalization (AOR: 2.09, 95% CI: 1.21–3.61), and taking five or more medications (AOR: 1.83, 1.01–3.33) were significant predictors of poor self-care behavior. In conclusion, a majority of the participants in our study demonstrated poor self-care behavior. Risk factors for this behavior included rural residence, illiteracy, prior hospitalization, and taking five or more medications. Therefore, it is crucial to prioritize these high-risk patients and implement interventional programs aimed at improving self-care behaviors and overall treatment outcomes in heart failure patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure

Niriayo,

Yemane,

Asgedom

et al. 2024

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Worldwide industrial expansion and an increased service sector have resulted in less work-related physical exercise, whilst at the same time, modern technology has also made it increasingly convenient to remain sedentary. Many people lead a life with little or no physical exercise, and their leisure time is often spent on sedentary activities such as live online chats, playing computer games, and watching television, with 60% of the world's population being estimated to lead a sedentary life [39,40].…”

Section: Level Of Physical Exercisementioning

confidence: 99%

“…These material mechanisms include the nature of the built environment, such as proximity to food outlets selling processed foods, as well as psychosocial mechanisms, such as conforming to social norms of behaviour. Also, children living in unfavourable social conditions, unsafe surroundings, poor housing, and no access to sidewalks, parks, and recreation centres were 20-60% more likely to be overweight or obese compared with children not facing such conditions [2,39,64].…”

Section: Organised Infrastructurementioning

confidence: 99%

The Global Burden and Perspectives on Non-Communicable Diseases (NCDs) and the Prevention, Data Availability and Systems Approach of NCDs in Low-resource Countries

Kassa¹,

Grace²

2020

Public Health in Developing Countries - Challenges and Opportunities

Self Cite

View full text Add to dashboard Cite

The burden of non-communicable diseases (NCDs) is growing swiftly in low-resourced countries resulting in deleterious health resembling the NCDs burden in high-resourced countries. Despite the availability of information on the escalating adverse economic and health effects of NCDs globally, specific strategies designed to address the growing burden of NCDs in low-resourced countries remain substandard. Research engines like EBSCOhost, Science Citation Index, CINAHL database, PsycINFO, Cochrane Database of Systematic Reviews, published and unpublished abstracts and a hand search of reference lists and table of contents of relevant journals and books were searched from January 2011 to June 2019. In total, 84 studies met the inclusion criteria. Most studies confirm that lowresourced countries compared with high-resourced countries battle to implement NCDs prevention strategies; fail to record data on the risk factors of NCDs; medical records and surveillance data are unavailable. Due to a lack of knowledge and skill, low-resourced countries show no urgency to implement a systems approach for NCDs management. The findings confirm disparities between high-resourced and low-resourced countries regarding NCDs prevention, availability of quality data, and strategies to prevent and manage NCDs through a systems approach that can assist healthcare institutions in reducing the damaging effect of NCDs globally.

show abstract

A Study on Communication Practices in Reducing Non-Communicable Diseases in Bahir Dar City, Ethiopia

Tefera,

Ali,

Woldearegay

2024

RMHP

View full text Add to dashboard Cite

Background Non-communicable diseases (NCDs) pose special challenges in developing countries In Ethiopia, the growing NCD burden has raised a public health concern with significant social, economic, and developmental effects. Thus, the study sought to examine health communication practices in addressing the NCDs in Bahir Dar City of the Amhara Region of Ethiopia. Methods A qualitative case study was conducted from January to April 2023. The study employed in-depth interviews, focus group discussions, and observations to gather data from health extension workers, NCD experts, and NCD focal persons about their experiences and perspectives regarding NCD prevention and control. The participants were purposively selected, and a thematic analysis technique was employed to analyze the data. Results The study found that several health communication strategies, such as health promotion, training and creating model households, screening, referrals, follow-ups, rehabilitation services, and activities reporting were employed. Nevertheless, there was a lack of consistent, reliable, and long-lasting and professional health communication regarding NCD prevention and management. Some of the challenges contributing to such deficient practices were overloading HEWs with various tasks, allocating many households to a single HEW, shortage of screening tools, shortage of financial and human resources, weak interdisciplinary collaboration, COVID-19, and recurrent conflicts in the city and the region. Above all, lack of health communication skills affected the health interventions. Concerning communication methods, one-to-one communication was frequently employed, while mass media and social media were rare. Generally, NCD communication, in particular, and health communication, in general, did not receive priority as other health-related activities in the city. Conclusion The study found that there were poor health communication practices in preventing and controlling NCDs. Thus, professional practice of health communication about NCDs must be prioritized, and emphasis should be given to inter-sectoral collaborations. Prioritizing financial and human resources is also essential for effective NCD communication.

show abstract

Barriers to Integrate Physical Exercise Into the Ethiopian Healthcare System to Treat Non-Communicable Diseases

Cited by 3 publications

References 39 publications

Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure

Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure

The Global Burden and Perspectives on Non-Communicable Diseases (NCDs) and the Prevention, Data Availability and Systems Approach of NCDs in Low-resource Countries

A Study on Communication Practices in Reducing Non-Communicable Diseases in Bahir Dar City, Ethiopia

Contact Info

Product

Resources

About